A5029959751- Environmental Justice and Health Disparities
- Child and Adolescent Health
- Heavy Metal Exposure and Toxicity
- Climate Change and Health Impacts
- Family and Disability Support Research
- Agriculture Sustainability and Environmental Impact
- Air Quality and Health Impacts
- Child and Adolescent Psychosocial and Emotional Development
- Child Nutrition and Water Access
- Effects and risks of endocrine disrupting chemicals
- Injury Epidemiology and Prevention
- Mercury impact and mitigation studies
- Infant Development and Preterm Care
- Organic Food and Agriculture
- Occupational Health and Performance
- Pesticide Exposure and Toxicity
- Fetal and Pediatric Neurological Disorders
- Eosinophilic Esophagitis
- Carcinogens and Genotoxicity Assessment
- Obesity, Physical Activity, Diet
- Water Treatment and Disinfection
- Calibration and Measurement Techniques
- Nursing Roles and Practices
- Language Development and Disorders
- Risk Perception and Management
Icahn School of Medicine at Mount Sinai
2006-2021
New York Medical College
2018
Texas Christian University
2018
University of North Texas
2018
Medical University of South Carolina
2009
Background and Objectives. Food allergy is a common cause of anaphylaxis, early treatment with epinephrine can be life-saving. We sought to determine the ability families food allergic children pediatricians properly use self-injectable epinephrine. Methods. enrolled consecutive, food-allergic pediatric patients newly referred our practice but previously prescribed sampling pediatricians. Parents or teenage answered structured questionnaire concerning demonstrated devices which they were...
Objective. To determine the effect of a clinic-based literacy intervention on language development preschool children. Methods. A convenience sample families presenting to 2 urban pediatric clinics for well-child care met following criteria: family was Latino or black and English- Spanish-speaking; child 5.9 years old, with no neurodevelopmental disability, at gestational age 34 weeks more, not attending kindergarten. Participants first clinic (intervention group) were exposed support...
The US market for organic foods has grown from $3.5 billion in 1996 to $28.6 2010, according the Organic Trade Association. products are now sold specialty stores and conventional supermarkets. contain numerous marketing claims terms, only some of which standardized regulated. In terms health advantages, diets have been convincingly demonstrated expose consumers fewer pesticides associated with human disease. farming less environmental impact than approaches. However, current evidence does...
Drinking water for approximately one sixth of US households is obtained from private wells. These wells can become contaminated by pollutant chemicals or pathogenic organisms, leading to significant illness. Although the Environmental Protection Agency and all states offer guidance construction, maintenance, testing wells, there little regulation, with few exceptions, well owners are responsible their own Children may also drink at child care when traveling. Illness resulting children's...
ContextPrivate wells that tap groundwater are largely exempt from federal drinking-water regulations, and in most states well water is not subject to much of the mandatory testing required public systems. Families rely on private thus at risk exposure a variety unmeasured contaminants.Case PresentationA family seven—two adults five children—residing rural northwestern Connecticut discovered elevated concentrations uranium their drinking water, with levels measured 866 1,160 μg/L, values...
Nine children and their mother were exposed to vapors of metallic mercury. The source the exposure appears have been a 6-oz vial mercury taken from neighbor's home. neighbor reportedly operated business preparing mercury-filled amulets for practitioners Afro-Caribbean religion Santeria. At diagnosis, urinary levels in ranged 61 1,213 microg/g creatinine, with geometric mean 214.3 microg/m creatinine. All asymptomatic. To prevent development neurotoxicity, we treated oral...
Abstract Background: Children are uniquely sensitive to toxic exposures in the environment. This sensitivity reflects children's disproportionately heavy coupled with biologic vulnerability that is a consequence of their passage through complex transitions early development. Methods and Results: To assess effects on health associated attacks World Trade Center (WTC) September 11, 2001, research teams at Mount Sinai School Medicine other academic centers New York City launched series clinical...
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Evidence is mounting that environmental exposures contribute to causation of disease in children. Yet few pediatricians are trained diagnose, treat, or prevent origin.To develop a cadre future leaders pediatric health (PEH), the Ambulatory Pediatric Association (APA) launched new 3-year fellowship 2001-the world's first formal training program PEH. Sites were established at Boston Children's Hospital, Mount Sinai School Medicine, George Washington University, University Cincinnati, and...
Public health programs may be seriously affected in periods of federal retrenchment. During these times, state-based strategies provide an alternate pathway for advancing public health.A 12-year campaign to secure state support a network Centers Excellence Children's Environmental Health (CEH) promoting children across New York State is described. It was driven by rising rates asthma, birth defects, developmental disorders, and other noncommunicable diseases children; growing evidence...
Background. Control of environmental triggers (ETs) greatly improves asthma outcomes in children. Disseminating these findings to general pediatricians has not been well established. Methods. After delivering a structured and standardized presentation on ET identification control pediatricians, we surveyed them about knowledge practices assessment management. We analyzed matched responses for pre/post 3- 6-month follow-up using McNemar’s χ 2 test. Results. Matched data were available 367...
Nine children and their mother were exposed to vapors of metallic mercury. The source the exposure appears have been a 6-oz vial mercury taken from neighbor's home. neighbor reportedly operated business preparing mercury-filled amulets for practitioners Afro-Caribbean religion Santeria. At diagnosis, urinary levels in ranged 61 1,213 microg/g creatinine, with geometric mean 214.3 microg/m creatinine. All asymptomatic. To prevent development neurotoxicity, we treated oral...
The American Academic of Pediatrics guides pediatricians to counsel parents about how promote their children's cognitive, emotional, and self-regulatory development, but the extent which receive training needed do so is unknown. An online survey was distributed members Association Pediatric Program Directors. Although most respondents agreed that it "very important" educate residents parenting skills, only 11% rated program as doing well." frequently reported reason for not very well lack a...
Objectives: Despite recommendations for practicing patient and family centered care (PFCC), there is no consensus about the best way to teach this approach, nor data timing in medical training introduce concept. This study evaluated feasibility of with faculty improve trainees’ attitudes knowledge regarding PFCC, compared effects same intervention on two levels trainees. Methods: Participants completed a manual-driven that included parents (“family faculty”) who described their perspective...