Scholars@Duke

• Background
• 

  Education, Training, & Certifications

  • Pulmonary Fellow, Medicine, Duke University 1988 - 1989
  • Medical Resident, Medicine, Duke University 1985 - 1988
  • M.D., Icahn School of Medicine at Mount Sinai 1985
• 

  Previous Appointments & Affiliations

  • Professor of Medicine, Medicine, Pulmonary, Allergy, and Critical Care Medicine, Medicine 2015 - 2020
  • Professor in Community and Family Medicine, Family Medicine and Community Health, Clinical Science Departments 2015 - 2016
  • Associate Professor in Community and Family Medicine, Family Medicine and Community Health, Clinical Science Departments 2006 - 2015
  • Associate Professor of Medicine, Medicine, Pulmonary, Allergy, and Critical Care Medicine, Medicine 2006 - 2015
  • Associate Clinical Professor in Community and Family Medicine, Family Medicine and Community Health, Clinical Science Departments 2000 - 2006
  • Associate Clinical Professor of Medicine, Medicine, Pulmonary, Allergy, and Critical Care Medicine, Medicine 2000 - 2006
  • Associate Professor of Medicine, Medicine, Pulmonary, Allergy, and Critical Care Medicine, Medicine 1997 - 2000
  • Associate Professor in Community and Family Medicine, Family Medicine and Community Health, Clinical Science Departments 1999 - 2000
  • Assistant Professor of Medicine, Medicine, Pulmonary, Allergy, and Critical Care Medicine, Medicine 1991 - 1997
• Expertise
• 

  Subject Headings

  • Bronchiectasis
  • Critical Care
  • Critical care medicine
  • Sepsis
  • Surgical Procedures, Operative
  • Treatment Outcome
• 

  Global Scholarship

  • Research

    • Kenya (Country) 
• Research
• 

  Selected Grants

  • RAPID: Healthcare Workforce Resilience in the Time of Covid-19 awarded by  National Science Foundation 2020 - 2022
  • Assessment of Obstructive Airway Disease in Western Kenya awarded by Vanderbilt University 2016 - 2018
• Publications & Artistic Works
• 

  Selected Publications

  • Academic Articles

    • Muro, Florida J., Furaha S. Lyamuya, Charles Kwobah, John Bollinger, Champica K. Bodinayake, Ajith Nagahawatte, Bhagya Piyasiri, et al. “Opportunities for Improving Antimicrobial Stewardship: Findings From a Prospective, Multi-Center Study in Three Low- or Middle-Income Countries.” Front Public Health 10 (2022): 848802. https://doi.org/10.3389/fpubh.2022.848802.
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    • Ngeno, G Titus K., Felix Barasa, Jemimah Kamano, Edith Kwobah, Charity Wambui, Cynthia Binanay, Joseph R. Egger, Peter S. Kussin, Nathan M. Thielman, and Gerald S. Bloomfield. “Feasibility of Cardiac Rehabilitation Models in Kenya.” Ann Glob Health 88, no. 1 (2022): 7. https://doi.org/10.5334/aogh.3392.
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    • Li, Helen W., Seno I. Saruni, Kyle Carpenter, Eunice Chepkemoi, Nancy Adhiambo Ochieng, Lorna N. Obanda, Lindsay Haskett, et al. “Use of a Novel Trigger Tool to Identify Palliative Care Needs in Surgical Patients at a National Referral Hospital in Kenya: A Pilot Study.” J Palliat Med 24, no. 10 (September 2021): 1455–60. https://doi.org/10.1089/jpm.2020.0669.
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    • Navuluri, Neelima, Maria L. Srour, Peter S. Kussin, David M. Murdoch, Neil R. MacIntyre, Loretta G. Que, Nathan M. Thielman, and Eric D. McCollum. “Oxygen delivery systems for adults in Sub-Saharan Africa: A scoping review.” J Glob Health 11 (May 8, 2021): 04018. https://doi.org/10.7189/jogh.11.04018.
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    • Navuluri, Neelima, Harris S. Solomon, Charles W. Hargett, and Peter S. Kussin. “Where Have All the Heroes Gone?” Med Anthropol 40, no. 3 (April 2021): 209–13. https://doi.org/10.1080/01459740.2021.1897809.
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    • Rolfe, Robert, Charles Kwobah, Florida Muro, Anushka Ruwanpathirana, Furaha Lyamuya, Champica Bodinayake, Ajith Nagahawatte, et al. “Barriers to implementing antimicrobial stewardship programs in three low- and middle-income country tertiary care settings: findings from a multi-site qualitative study.” Antimicrob Resist Infect Control 10, no. 1 (March 25, 2021): 60. https://doi.org/10.1186/s13756-021-00929-4.
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    • Lukoko, Lillian N., Peter S. Kussin, Rodney D. Adam, James Orwa, and Wangari Waweru-Siika. “Investigating SOFA, delta-SOFA and MPM-III for mortality prediction among critically ill patients at a private tertiary hospital ICU in Kenya: A retrospective cohort study.” Plos One 15, no. 7 (2020): e0235809. https://doi.org/10.1371/journal.pone.0235809.
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    • Lalani, Hussain S., Wangari Waweru-Siika, and Peter S. Kussin. “Reply: Critical Care in Sub-Saharan Africa: Is It Ready for Prime Time?” Ann Am Thorac Soc 16, no. 1 (January 2019): 157–58. https://doi.org/10.1513/AnnalsATS.201809-630LE.
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    • Lalani, Hussain S., Wangari Waweru-Siika, Thomas Mwogi, Protus Kituyi, Joseph R. Egger, Lawrence P. Park, and Peter S. Kussin. “Intensive Care Outcomes and Mortality Prediction at a National Referral Hospital in Western Kenya.” Ann Am Thorac Soc 15, no. 11 (November 2018): 1336–43. https://doi.org/10.1513/AnnalsATS.201801-051OC.
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    • Paul, D. W., D. K. Lagat, N. MacIntyre, J. R. Egger, D. M. Murdoch, L. G. Que, and P. S. Kussin. “Validation of spirometry prediction equations in western Kenya.” Int J Tuberc Lung Dis 22, no. 1 (January 1, 2018): 112–18. https://doi.org/10.5588/ijtld.17.0005.
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    • Lin, Chen, Ravi Vakani, Peter Kussin, Mary Guhwe, Alfredo E. Farjat, Kingshuk Choudhury, David Renner, Chrispine Oduor, Carmelo Graffagnino, and Carmelo Neuroscience Knowledge Base Investigator Group. “Assessment of healthcare personnel knowledge of stroke care at a large referral hospital in sub-Saharan Africa - A survey based approach.” J Clin Neurosci 42 (August 2017): 71–74. https://doi.org/10.1016/j.jocn.2017.04.013.
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    • Waweru-Siika, Wangari, Meredith Edwards Clement, Lilian Lukoko, Simon Nadel, Philip M. Rosoff, Violet Naanyu, and Peter S. Kussin. “Brain death determination: the imperative for policy and legal initiatives in Sub-Saharan Africa.” Global Public Health 12, no. 5 (May 2017): 589–600. https://doi.org/10.1080/17441692.2015.1094108.
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    • Lewis, Jessica J., John W. Hollingsworth, Ryan T. Chartier, Ellen M. Cooper, William Michael Foster, Genna L. Gomes, Peter S. Kussin, et al. “Biogas Stoves Reduce Firewood Use, Household Air Pollution, and Hospital Visits in Odisha, India.” Environ Sci Technol 51, no. 1 (January 3, 2017): 560–69. https://doi.org/10.1021/acs.est.6b02466.
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    • Burroughs Peña, Melissa S., Allison Dunning, Phillip J. Schulte, Michael T. Durheim, Peter Kussin, William Checkley, and Eric J. Velazquez. “Pulmonary function and adverse cardiovascular outcomes: Can cardiac function explain the link?” Respir Med 121 (December 2016): 4–12. https://doi.org/10.1016/j.rmed.2016.10.009.
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    • Beesley, Sarah J., Wangari Siika, George Nyale, Protus Kituyi, and Peter Kussin. “The Worldwide End-of-Life Practice for Patients in Intensive Care Units Study: Adding Africa.” Am J Respir Crit Care Med 192, no. 6 (September 15, 2015): 768–69. https://doi.org/10.1164/rccm.201505-1032LE.
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    • Roggli, Victor L., Claude A. Piantadosi, Neil R. MacIntyre, Stephen L. Young, Peter S. Kussin, Mark P. Steele, Martha Sue Carraway, et al. “Physician subsidies for tobacco advertising.” Am J Respir Crit Care Med 173, no. 2 (January 15, 2006): 246. https://doi.org/10.1164/ajrccm.173.2.246.
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    • Parker, John S. “Thinks curriculum model a start in right direction.” J Am Vet Med Assoc 224, no. 12 (June 15, 2004): 1915.
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    • Stone, E. A., H. A. Weisert, and P. S. Kussin. “Thinks curriculum model a start in right direction - Response.” Javma Journal of the American Veterinary Medical Association 224, no. 12 (June 15, 2004): 1915–16.
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    • Wenger, N. S., J. Lynn, R. K. Oye, H. Liu, J. M. Teno, R. S. Phillips, N. A. Desbiens, et al. “Withholding versus withdrawing life-sustaining treatment: patient factors and documentation associated with dialysis decisions.” J Am Geriatr Soc 48, no. S1 (May 2000): S75–83. https://doi.org/10.1111/j.1532-5415.2000.tb03145.x.
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    • Wenger, N. S., J. Lynn, R. K. Oye, H. Liu, J. M. Teno, R. S. Phillips, N. A. Desbiens, et al. “Withholding versus withdrawing life-sustaining treatment: Patient factors and documentation associated with dialysis decisions.” Journal of the American Geriatrics Society 48, no. 5 SUPPL. (2000): S75–83.
    • Govert, J. A., L. G. Dodd, P. S. Kussin, and W. M. Samuelson. “A prospective comparison of fiberoptic transbronchial needle aspiration and bronchial biopsy for bronchoscopically visible lung carcinoma.” Cancer 87, no. 3 (June 25, 1999): 129–34. https://doi.org/10.1002/(sici)1097-0142(19990625)87:3<129::aid-cncr5>3.0.co;2-g.
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    • Haidet, P., M. B. Hamel, R. B. Davis, N. Wenger, D. Reding, P. S. Kussin, A. F. Connors, J. Lynn, J. C. Weeks, and R. S. Phillips. “Outcomes, preferences for resuscitation, and physician-patient communication among patients with metastatic colorectal cancer. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments.” Am J Med 105, no. 3 (September 1998): 222–29. https://doi.org/10.1016/s0002-9343(98)00242-3.
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    • Weeks, J. C., E. F. Cook, S. J. O’Day, L. M. Peterson, N. Wenger, D. Reding, F. E. Harrell, et al. “Relationship between cancer patients' predictions of prognosis and their treatment preferences.” Jama 279, no. 21 (June 3, 1998): 1709–14. https://doi.org/10.1001/jama.279.21.1709.
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    • McAdams, H. P., P. C. Goodman, and P. Kussin. “Virtual bronchoscopy for directing transbronchial needle aspiration of hilar and mediastinal lymph nodes: a pilot study.” Ajr Am J Roentgenol 170, no. 5 (May 1998): 1361–64. https://doi.org/10.2214/ajr.170.5.9574616.
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    • Palmer, S. M., D. T. Layish, P. S. Kussin, T. Oury, R. D. Davis, and V. F. Tapson. “Lung transplantation for Williams-Campbell syndrome.” Chest 113, no. 2 (February 1998): 534–37. https://doi.org/10.1378/chest.113.2.534.
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    • Kussin, P. S. “Chest physiotherapy and postural drainage: How effective in pleural effusion secondary to pneumonia?” Consultant 37, no. 6 (December 1, 1997): 1481.
    • Galanos, A. N., C. F. Pieper, P. S. Kussin, M. T. Winchell, W. J. Fulkerson, F. E. Harrell, J. M. Teno, et al. “Relationship of body mass index to subsequent mortality among seriously ill hospitalized patients. SUPPORT Investigators. The Study to Understand Prognoses and Preferences for Outcome and Risks of Treatments.” Crit Care Med 25, no. 12 (December 1997): 1962–68. https://doi.org/10.1097/00003246-199712000-00010.
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    • Chau, C. H., W. W. Yeu, P. C. Wong, J. Lee, and C. F. Wong. “Usefulness of collecting routine cytologic specimens during fiberoptic bronchoscopy for endoscopically visible and nonvisible lung carcinoma.” Chest 111, no. 2 (February 1997): 522–23. https://doi.org/10.1378/chest.111.2.522.
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    • Govert, Joseph A., Peter S. Kussin, and Wayne Samuelson. “Usefulness of Collecting Routine Cytologic Specimens During Fiberoptic Bronchoscopy for Endoscopically Visible and Nonvisible Lung Carcinoma.” Chest 111, no. 2 (February 1997): 523–523. https://doi.org/10.1378/chest.111.2.523.
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    • Wenger, N. S., N. L. Greengold, R. K. Oye, P. Kussin, R. S. Phillips, N. A. Desbiens, H. Liu, J. R. Hiatt, J. M. Teno, and A. F. Connors. “Patients with DNR orders in the operating room: surgery, resuscitation, and outcomes. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments.” J Clin Ethics 8, no. 3 (1997): 250–57.
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    • Connors, A. F., N. V. Dawson, C. Thomas, F. E. Harrell, N. Desbiens, W. J. Fulkerson, P. Kussin, P. Bellamy, L. Goldman, and W. A. Knaus. “Outcomes following acute exacerbation of severe chronic obstructive lung disease. The SUPPORT investigators (Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments).” Am J Respir Crit Care Med 154, no. 4 Pt 1 (October 1996): 959–67. https://doi.org/10.1164/ajrccm.154.4.8887592.
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    • King, S. C., J. C. Acker, P. S. Kussin, L. B. Marks, K. J. Weeks, and K. A. Leopold. “High-dose, hyperfractionated, accelerated radiotherapy using a concurrent boost for the treatment of nonsmall cell lung cancer: unusual toxicity and promising early results.” Int J Radiat Oncol Biol Phys 36, no. 3 (October 1, 1996): 593–99. https://doi.org/10.1016/s0360-3016(96)00353-7.
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    • Govert, J. A., J. M. Kopita, D. Matchar, P. S. Kussin, and W. M. Samuelson. “Cost-effectiveness of collecting routine cytologic specimens during fiberoptic bronchoscopy for endoscopically visible lung tumor.” Chest 109, no. 2 (February 1996): 451–56. https://doi.org/10.1378/chest.109.2.451.
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    • Wenger, N. S., R. K. Oye, N. A. Desbiens, R. S. Phillips, J. M. Teno, A. F. Connors, H. Liu, M. F. Zemsky, and P. Kussin. “The stability of DNR orders on hospital readmission. The SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments.” J Clin Ethics 7, no. 1 (1996): 48–54.
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    • Kussin, P. S. “Pathophysiology and management of life-threatening asthma.” Respir Care Clin N Am 1, no. 2 (December 1995): 177–92.
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    • Kussin, P. S., and W. J. Fulkerson. “The rising tide of asthma. Trends in the epidemiology of morbidity and mortality from asthma.” Respir Care Clin N Am 1, no. 2 (December 1995): 163–75.
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    • Kussin, P. “Beginning a conversation on medical futility in North Carolina.” N C Med J 56, no. 9 (September 1995): 418–19.
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    • Hamel, M. B., L. Goldman, J. Teno, J. Lynn, R. B. Davis, F. E. Harrell, A. F. Connors, R. Califf, P. Kussin, and P. Bellamy. “Identification of comatose patients at high risk for death or severe disability. SUPPORT Investigators. Understand Prognoses and Preferences for Outcomes and Risks of Treatments.” Jama 273, no. 23 (June 21, 1995): 1842–48.
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    • Margolis, J. O., B. J. McGrath, P. S. Kussin, and D. A. Schwinn. “Do not resuscitate (DNR) orders during surgery: ethical foundations for institutional policies in the United States.” Anesth Analg 80, no. 4 (April 1995): 806–9. https://doi.org/10.1097/00000539-199504000-00027.
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    • Arriola, E. “The changing relationship between health care professionals and the pharmaceutical industry.” Hosp Formul 30, no. 3 (March 1995): 161–65.
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    • BAZ, M. A., P. S. KUSSIN, P. VANTRIGT, R. D. DAVIS, V. L. ROGGLI, and V. F. TAPSON. “RECURRENCE OF DIFFUSE PANBRONCHIOLITIS AFTER LUNG TRANSPLANTATION.” American Journal of Respiratory and Critical Care Medicine 151, no. 3 (March 1, 1995): 895–98.
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    • Baz, M. A., P. S. Kussin, P. Van Trigt, R. D. Davis, V. L. Roggli, and V. F. Tapson. “Recurrence of diffuse panbronchiolitis after lung transplantation.” Am J Respir Crit Care Med 151, no. 3 Pt 1 (March 1995): 895–98. https://doi.org/10.1164/ajrccm/151.3_Pt_1.895.
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    • Bakst, A. “Pharmacoeconomics and the formulary decision-making process.” Hosp Formul 30, no. 1 (January 1995): 42–50.
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    • Baz, M. A., P. S. Kussin, P. Van Trigt, R. D. Davis, V. L. Roggli, and V. F. Tapson. “Recurrence of diffuse panbronchiolitis after lung transplantation.” American Journal of Respiratory and Critical Care Medicine 151, no. 3 I (January 1, 1995): 895–98. https://doi.org/10.1164/ajrccm.151.3.7881689.
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    • Wenger, N. S., R. K. Oye, P. E. Bellamy, J. Lynn, R. S. Phillips, N. A. Desbiens, P. Kussin, and S. J. Youngner. “Prior capacity of patients lacking decision making ability early in hospitalization: implications for advance directive administration. The SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments.” J Gen Intern Med 9, no. 10 (October 1994): 539–43. https://doi.org/10.1007/BF02599276.
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    • Van Hove, J. L., S. Shanske, F. Ciacci, S. Ballinger, J. S. Shoffner, D. C. Wallace, T. Hanioka, K. Folkers, E. H. Bossen, and P. S. Kussin. “Mitochondrial myopathy with anemia, cardiomyopathy, and lactic acidosis: a distinct late onset mitochondrial disorder.” Am J Med Genet 51, no. 2 (June 1, 1994): 114–20. https://doi.org/10.1002/ajmg.1320510207.
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    • Kopita, J. M., D. Handshoe, P. S. Kussin, and M. Kelemen. “Cat germs! Pleuropulmonary pasteurella infection in an old man.” N C Med J 54, no. 7 (July 1993): 308–11.
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    • Toscano, J., P. S. Kussin, W. Samuelson, and W. J. Fulkerson. “Pulmonary embolism complicating barbiturate overdose.” Crit Care Med 18, no. 7 (July 1990): 777–78. https://doi.org/10.1097/00003246-199007000-00021.
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  • Conference Papers

    • Li, Helen Wu, Connie H. Keung, Ivan Seno Saruni, Kyle Carpenter, and Peter S. Kussin. “Pain and Symptoms in Surgical Patients in Resource-Limited Settings: Can We Identify High Symptom Burden?” In Journal of the American College of Surgeons, 231:S127–S127, 2020.
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    • Navuluri, N., L. G. Que, D. M. Murdoch, N. Thielman, N. R. MacIntyre, J. A. Krishnan, D. K. Lagat, and P. S. Kussin. “Evaluation of Hypoxemia Among Patients Admitted to a Tertiary Referral Hospital in Western Kenya.” In American Journal of Respiratory and Critical Care Medicine, Vol. 201, 2020.
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    • Ngeno, Gedion T., Felix Barasa, Peter S. Kussin, Joseph Egger, Jemima Kamano, Charity Wambui, Edith Kwobah, Nathan Thielman, and Gerald S. Bloomfield. “Abstract P120: Feasibility of Cardiac Rehabilitation in Resource Limited Settings.” In Circulation, Vol. 139. Ovid Technologies (Wolters Kluwer Health), 2019. https://doi.org/10.1161/circ.139.suppl_1.p120.
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    • Boole, L., W. Waweru-Siika, C. Kwobah, G. S. Bloomfield, N. Thielman, and P. S. Kussin. “Sepsis Management in a Resource-Limited Setting: A Clinical Trial of Quantitative Resuscitation in a National Referral Hospital in Kenya.” In American Journal of Respiratory and Critical Care Medicine, Vol. 199. AMER THORACIC SOC, 2019.
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    • Fertel, Daniel H., Anita J. Reddy, and Peter S. Kussin. “Disseminated strongyloides stercoralis infection and acute intermittent porphyria leading to severe encephalopathy and respiratory failure.” In Chest, 132:724S-725S. AMER COLL CHEST PHYSICIANS, 2007.
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• Scholarly, Clinical, & Service Activities
• 

  Outreach & Engaged Scholarship

  • Duke Global Health Outreach. Validation of GLI 2012 Spirometry Prediction Equations in Kenya. October 2014  2014

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