A5067664837- Dental Health and Care Utilization
- Birth, Development, and Health
- Air Quality and Health Impacts
- Influenza Virus Research Studies
- Child Nutrition and Water Access
- Effects and risks of endocrine disrupting chemicals
- Pneumonia and Respiratory Infections
- Noise Effects and Management
- Health, Environment, Cognitive Aging
- Cleft Lip and Palate Research
- Pediatric health and respiratory diseases
- Clinical practice guidelines implementation
- Health disparities and outcomes
- Emergency and Acute Care Studies
- Toxic Organic Pollutants Impact
- Food Security and Health in Diverse Populations
- Obsessive-Compulsive Spectrum Disorders
- Prenatal Substance Exposure Effects
- Bone and Dental Protein Studies
- Older Adults Driving Studies
- Electronic Health Records Systems
- Healthcare Policy and Management
- Forensic Anthropology and Bioarchaeology Studies
- Cervical Cancer and HPV Research
- Child Nutrition and Feeding Issues
University of Washington
2016-2025
Children's Healthcare of Atlanta
2020-2025
Seattle University
2022
Columbia University
2017-2020
Jeffco Public Schools
2019
Kaiser Permanente
2012-2015
King's College London
2015
University of Cincinnati
2014
Oregon Health & Science University
2010
University of California, San Francisco
2010
We examined associations of household socioeconomic status (SES) and food security with children's oral health outcomes.We analyzed 2007 2008 US National Health Nutrition Examination Survey data for children aged 5 to 17 years (n = 2206) examine the relationship between untreated dental caries assess whether mediates SES-caries relationship.About 20.1% had caries. Most households full (62%); 13% marginal, 17% low, 8% very low security. Higher SES was associated significantly lower prevalence...
Purpose The International PANS Registry (IPR) Epidemiology Study is a registry-based, longitudinal study. We designed this study to improve phenotyping and characterisation of children with paediatric acute-onset neuropsychiatric syndrome (PANS) PANS-like features facilitate multidisciplinary translational health research. This cohort provides new opportunities address unresolved research questions related the broad spectrum heterogenous conditions. Participants Inclusion in IPR remains open...
Hospitalized children are at increased risk of influenza-related complications; however, influenza vaccine coverage remains low among this group. We aim to evaluate the effectiveness a suite clinical decision support (CDS) strategies improve inpatient vaccination in children. conducted retrospective cohort study hospitalized eligible for seasonal vaccine. evaluated influence various CDS on administration rates from September 1, 2018, through May 2022, using mixed-effects logistic regression...
Introduction: SARS-CoV-2 (COVID-19) infection has been implicated in the onset of neuropsychiatric symptoms adults and children. While outcomes COVID-19 vaccination have tracked general pediatric population, little is known their impact on children with preexisting syndromes, including acute-onset syndrome (PANS) autoimmune disorders associated streptococcal infections (PANDAS). The aim this study to understand prevalence severity PANS/PANDAS following or PANS/PANDAS. Methods: We analyzed...
Objective: Establishing clear and standardized terminology regarding disease state course is crucial for enhancing communication, research, treatment decisions, particularly when there are no clearly identified biological markers, as in the case of pediatric acute-onset neuropsychiatric syndrome (PANS). We aim to propose assessing classifying long-term clinical courses individuals evaluated PANS, advancing standardization care research. Methods: drew upon expertise, insights from similar...
Importance Epidemiologic studies indicate a high rate of autoimmune conditions among patients with obsessive-complusive disorder and other psychiatric conditions. Furthering the understanding inflammatory diatheses may open doors to new treatment paradigms for disorders. Objectives To evaluate whether pediatric acute-onset neuropsychiatric syndrome (PANS) is associated an diathesis by assessing signs immune activation vasculopathy during symptom exacerbation (flare), estimating risk...
We evaluated the associations between chronic maternal stress measured by allostatic load (AL), caretaking behaviors, and child dental caries experience. also assessed role of socioeconomic status in these associations.We used data from Third National Health Nutrition Examination Survey (1988-1994). included children aged 2 to 6 years who linked a record (n = 716 maternal-child pairs). The main exposure was AL index (0, 1, or ≥ 2). primary outcome interest experience (none any). association...
Animal and epidemiological studies suggest that prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) may negatively impact toddler neurodevelopment.We investigated this association in 835 mother-child pairs from CANDLE, a diverse pregnancy cohort the mid-South region of U.S. PAH metabolite concentrations were measured mid-pregnancy maternal urine. Cognitive Language composite scores at ages 2 3 years derived Bayley Scales Infant Toddler Development, 3rd edition (Bayley-3). Behavior...
Caries is a severe condition which disproportionately affects Latino children in the US. This study sought contextual understanding of urban, low-income Mexican-American mothers' beliefs, perceptions, knowledge and behavior surrounding causes caries.In urban San José, CA, qualitative was conducted with convenience sample mothers young about their beliefs caries. Audio-taped in-depth interviews open-ended questions, primarily Spanish, were translated to English then transcribed verbatim....
Abstract Objectives We investigated the relationship between early childhood malnutrition‐related measures and subsequent enamel defects in permanent dentition. Materials Methods This cohort study included 349 Amerindian adolescents (10–17 years, 52% male) from Bolivian Amazon. Exposures included: stunted growth (height‐for‐age z ‐scores), underweight (weight‐for‐age anemia (hemoglobin), acute inflammation (C‐reactive protein) parasitic infection (hookworm). measured occurrence (no/yes)...
Investigators have examined children’s dental utilization in various settings ( e.g., offices, emergency departments, operating rooms), but no studies inpatient hospitalizations for non-traumatic conditions (NTDCs). The authors NTDC-related hospitalization trends the United States and identified relationship between complex chronic condition (CCCs) hospitalizations. We analyzed data from U.S. Nationwide Inpatient Sample (2000-2010) children ages 3 to 17 years (N = 3,030,970). predictor...
Hospitalized children are at increased risk of influenza-related complications, yet influenza vaccine coverage remains low among this group. Evidence-based strategies about vaccination vulnerable during all health care visits especially important the COVID-19 pandemic.To design and evaluate a clinical decision support (CDS) strategy to increase proportion eligible hospitalized who receive seasonal prior inpatient discharge.This quality improvement study was conducted for were in tertiary...
ABSTRACT Purpose This study examined the preventive dental health care experiences of young children with special needs and determined feasibility conducting clinical examinations at a community‐based early intervention services center. Methods Study methods included 90 parent interviews their preschool‐age children. Results Thirteen percent received optimal care, defined as twice daily tooth brushing fluoridated toothpaste two visits in prior 12 months; 37% experienced that fell short both...
Epidemiological study findings are inconsistent regarding associations between prenatal polycyclic aromatic hydrocarbon (PAH) exposures and childhood behavior. This examined of PAH exposure with behavior at age 4-6 years in a large, diverse, multi-region prospective cohort. Secondary aims included examination mixtures effect modification by child sex, breastfeeding, neighborhood opportunity. The ECHO PATHWAYS Consortium pooled 1118 mother-child dyads from three pregnancy cohorts six U.S....
Objective Prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) is associated with adverse birth and developmental outcomes in children. We aimed describe prenatal PAH exposures a large, multisite U.S. consortium. Methods measured 12 mono-hydroxylated metabolites (OH-PAHs) of 7 PAHs (naphthalene, fluorene, phenanthrene, pyrene, benzo(c)phenanthrene, chrysene, benz(a)anthracene) mid-pregnancy urine 1,892 pregnant individuals from the ECHO PATHWAYS consortium cohorts: CANDLE (n = 988;...
BACKGROUND Cervical cancer screening and follow‐up guidelines have changed considerably in recent years, but to the authors' knowledge few published reports exist estimate impact of these changes community‐based settings. The authors examined patterns results cervical testing over a decade 4 geographically diverse US health care systems inform future evaluation resulting from increased uptake human papillomavirus (HPV) vaccination. METHODS studied women aged 21 65 years who were members one...
Abstract The authors hypothesized that individuals with intellectual and developmental disabilities (IDDs) are more likely to have an emergency department (ED) admission for nontraumatic dental conditions (NTDCs). analyzed 2009 U.S. National Emergency Department Sample data ran logistic regression models children ages 3–17 years adults age 18 or older. prevalence of NTDC-related ED admissions was 0.8% 2.0% adults. Children IDDs were at increased odds admission, but this difference not...
Fluctuating asymmetries in the craniofacial skeleton have been shown to be predictive for mortality from degenerative diseases. We investigate whether lower face are a potential marker developmental origins of health and disease.The representative sample 6654 12- 17-year old United States (US) adolescents (1966-1970, National Health Examination Survey III) was classified as asymmetric when mandibular teeth occluded prognathically (forward) or retrognathically (backward) on one side only. It...
The objective of this article is to investigate parental understanding tooth discoloration and decay their related care seeking for young, Mexican-American children. research design entailed semi-structured, face-to-face interviews conducted in Spanish with a convenience sample 37 Mexican immigrant mothers young children low-income urban neighborhood. Five major color terms—white, off-white, yellow, brown, black—were used describe discoloration, the causes which were mainly unrecognized or...