Hypothesis: The development of patient-focused tools and care processes will enable a transition from predominantly office-based CF care to a more convenient, co-produced model. The increased utilization of remote care will be associated with improved adherence to disease monitoring and complication screening guidelines and will increase patient satisfaction. Specific Aims: 1. Customize a patient-facing smartphone application (Nudge) designed to "coach" each patient toward a co-produced goal of convenient and effective health monitoring within the context of enhanced remote care. 2. Develop care processes that facilitate monitoring of respiratory status at home, using home spirometry and remote sputum collection, that include education, electronic reminders, and specimen collection/shipping supplies 3. Implement care processes that allow convenient access to necessary screening procedures, using the Nudge application to provide well-timed electronic reminders and track performance of screening tests.

To learn if one kind of treatment approach, either (1) endoscopic surveillance or (2) endoscopic eradication therapy, is better, the same, or worse for treating patients with Barrett's esophagus and low-grade dysplasia.

The purpose of this project is to gather information from different group to adapt a community-based treatment intervention for community-dwelling individuals with psychosis in Malawi. In this study, we will interview patients, caregivers, community leaders, traditional healers, and clinicians to better tailor this treatment approach to address the needs of this population

The goal of the study is to examine how North Carolina school districts spent funds made available through the Elementary and Secondary School Emergency Relief legislation.

Only 11% of Malawi's population has access to electricity. Solar home systems offer a low cost source of reneweable energy to households without access to reliable and affordable electricity grid infrastructure. Our study explores the impact of adoption and use of solar home systems on access to lighting services, access to charging services for phones and appliances, and overall well-being as a result of improvements in living conditions. We hope to inform policy makers in Southern Africa about the potential and limitations of supporting solar home systems uptake as a strategy for addressing severe energy access in the region.

This study plans to learn more about two treatment approaches for chronic rhinosinusitis (CRS) in patients who have cystic fibrosis (CF) and the outcomes. The two treatment approaches this study intends to learn about are endoscopic sinus surgery (a surgical treatment used to clean out infection from your nose and sinuses) and continued medical treatment without surgery.

The utility of syndromic management for STIs is predicated on up-to-date information on the etiologies of the syndromes being treated. Periodic assessments of N. gonorrhoeae among women presenting to care with LAP and AVD+ are important for treatment guidelines. Additionally, assessing pharyngeal N. gonorrhoeae among women with genital infections, which has never been done in this population, is critical to ensure adequate treatment and prevent AMR.

The expected outcome of this proposal is a novel care pathway delivered by pharmacists to improve side effects during oral chemotherapy for patients, a known barrier to adherence, and ultimately to prevent progression and early mortality. Our long-term goal for P3OC is to develop and test new dashboard features to optimize pharmacy care and meet future needs for value-based payment models

To assess the influence of HIV-related and CVD-related variables in the existing WIHS study, including viral load, immune dysfunction, inflammation, metabolic disorders, HIV medications, gut microbiota, and metabolomics, on CVD risk as measured by cIMT.

The purpose of this study is to try and understand what speech and language pathologists (SLPs), or speech therapists, do in conversations with children who use augmentative and alternative communication (AAC) to communicate.