A5020670870- COVID-19 and Mental Health
- COVID-19 and healthcare impacts
- COVID-19 epidemiological studies
- Retinal Diseases and Treatments
- Retinal Imaging and Analysis
- Food Security and Health in Diverse Populations
- Breastfeeding Practices and Influences
- Metabolism and Genetic Disorders
- Obesity and Health Practices
- SARS-CoV-2 and COVID-19 Research
- Neonatal Health and Biochemistry
- Retinopathy of Prematurity Studies
- Child Nutrition and Feeding Issues
- Respiratory viral infections research
- Diet, Metabolism, and Disease
- Obesity, Physical Activity, Diet
- Health Policy Implementation Science
- Inflammasome and immune disorders
- Public Health Policies and Education
- Infant Development and Preterm Care
- Glaucoma and retinal disorders
- Migration, Health and Trauma
- Infection Control and Ventilation
- Diet and metabolism studies
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
Duke Children's Hospital & Health Center
2019-2023
Duke Medical Center
2022-2023
Duke University Hospital
2022-2023
Duke University
2011-2022
BACKGROUND: In an effort to mitigate the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), North Carolina closed prekindergarten through grade 12 public schools in-person instruction on March 14, 2020. On July 15, 2020, Carolina’s governor announced could open via remote learning or a hybrid model that combined and instruction. August 56 115 school districts joined The ABC Science Collaborative (ABCs) implement health measures prevent SARS-CoV-2 transmission share...
When the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic began, experts raised concerns about in-person instruction in setting of high levels community transmission. We describe secondary transmission SARS-CoV-2 within North Carolina kindergarten through 12th-grade school districts during a winter surge to determine if mitigation strategies can hinder within-school
Emerging evidence suggests that black and Hispanic communities in the United States are disproportionately affected by coronavirus disease 2019 (COVID-19). A complex interplay of socioeconomic healthcare disparities likely contribute to disproportionate COVID-19 risk.We conducted a geospatial analysis determine whether individual- neighborhood-level attributes predict local odds testing positive for severe acute respiratory syndrome 2 (SARS-CoV-2). We analyzed 29 138 SARS-CoV-2 tests within...
BACKGROUND AND OBJECTIVE: To enhance understanding of ethnically diverse normal newborn retinal morphology, the authors report spectral-domain optical coherence tomography (SD-OCT) macular findings in healthy Hispanic newborns. PATIENTS METHODS: In this IRB-approved prospective, observational case series, 20 full-term newborns had dilated examinations and imaging by hand-held SD-OCT without sedation at Duke Birthing Center. RESULTS: Of imaged (35% male; median gestational age: 39 weeks;...
Social inequity is a primary driver of health disparities, creating multiple barriers to good health. These inequities were exacerbated during the coronavirus disease 2019 (COVID-19) pandemic, with Latinx communities suffering more than others. Grassroots collaborations have long existed address disparities.We describe creation and work Advocacy Team Interdisciplinary Network for COVID-19 (LATIN-19; http://latin19.org/), multisector coalition in North Carolina created unique challenges...
Masking is an essential coronavirus 2019 mitigation tool assisting in the safe return of kindergarten through 12th grade children and staff to in-person instruction; however, masking adherence, compliance evaluation methods, potential consequences surveillance are currently unknown. We describe 2 school districts' approaches promote in-school consequent impact on severe acute respiratory syndrome secondary transmission.
organization serves as a model for collaboration.
This case follows a 14-month-old female, who despite multiple presentations to several physicians, continued have recurrent febrile episodes with gross motor delay. Her revealed an often missed diagnosis of Mevalonate Kinase Deficiency, that now has FDA approved treatment both reduces recurrence and produces remission. A female history delay, frequent Upper Respiratory Tract infections, otitis media presented urgent care for inconsolability refusal bear weight on her right leg. She had...
We aimed to capture milk feeding type in real time a racially and socioeconomically diverse population. An electronic tool assess at every medical visit for children aged 0 2 years was designed incorporated into nursing workflows. The Milk Box successfully added the clinical workspace of large health system. There were eight clinics, with characteristics, which use over 12 months. Time 50% uptake varied from 3 5 >80% 6 8 Our results show that can be quickly workflow when team is given...
Purpose: Breastfeeding rates in the USA are collected via mail or telephone surveys, which prone to recall bias and poor response rates. In order more accurately determine feeding practices within our urban, racially socioeconomically diverse patient population, we initiated use of Milk Box, a question integrated into EMR that captures milk type at each visit from birth age 2. Methods: We added Box tool flowsheet item used by an …
Purpose: There is a paucity of research to show correlation patient breast milk intake rates with provider type (resident vs faculty clinician). To explore this relationship, we used real-time, electronic tracking tool in the Electronic Medical Record (EMR) document our population by age (ever, 6 months, 12 months) as well several other characteristics, including whether at encounter was training. We how novel EMR can be understand differences and clinic …