A5047623995- Cervical Cancer and HPV Research
- Vaccine Coverage and Hesitancy
- Latin American history and culture
- Child and Adolescent Health
- Smoking Behavior and Cessation
- Archaeology and ancient environmental studies
- Obesity, Physical Activity, Diet
- Behavioral Health and Interventions
- Historical Studies in Central America
- Cinema and Media Studies
- 3D Surveying and Cultural Heritage
- Mobile Health and mHealth Applications
- Genital Health and Disease
- Suicide and Self-Harm Studies
- Hepatitis B Virus Studies
- Asian Culture and Media Studies
- Ethics and Legal Issues in Pediatric Healthcare
- Influenza Virus Research Studies
- Child Development and Digital Technology
- Image Processing and 3D Reconstruction
- Obesity and Health Practices
- Child and Adolescent Psychosocial and Emotional Development
- Handwritten Text Recognition Techniques
- Media Influence and Health
- Theatre and Performance Studies
Children's Hospital of Philadelphia
2019-2025
Washington University in St. Louis
2024
Dallas Museum of Art
2024
Mount Royal University
2024
Emory University
2023
Highland Hospital
2021
Cooper University Hospital
2021
Tulane University
2019-2021
Thomas Jefferson University
2021
Davidson College
2021
The coronavirus disease 2019 (COVID-19) pandemic has caused economic hardship, school closings, shutdowns, limited physical activities, and increased food insecurity for many families. In December 2020, the American Academy of Pediatrics released interim guidance on how pediatricians can help children families address healthy lifestyles obesity management during pandemic.1 To best support pediatric health system prevention efforts, a better understanding emerging disparities is needed to...
Mental health concerns increased during the coronavirus disease 2019 pandemic, but previous studies have not examined depression screening in pediatric primary care. We aimed to describe changes screening, depressive symptoms, and suicide risk among adolescents pandemic.In a repeat cross-sectional analysis of electronic record data from large care network, we compared percentage visits where aged 12 21 were screened for depression, positive or between June December (prepandemic) 2020...
Missed opportunities for human papillomavirus (HPV) vaccination during pediatric health care visits are common.To evaluate the effect of online communication training clinicians on missed HPV rates overall and at well-child (WCC) acute or chronic illness (hereafter referred to as visits) adolescent rates.From December 26, 2018, July 30, 2019, a longitudinal cluster randomized clinical trial allocated practices vs standard in staggered 6-month periods. A total 48 primary 19 states were...
Abstract The Classic period lowland Maya used iron-ore mosaic mirrors and deposited in the burials of rulers other people. Depictions suggest that they were for scrying, as Mesoamerica at time Spanish arrival. mirror users this kind conjurors, who a variety divining conjuring instruments materials, including plates shallow bowls. Three El Peru-Waka', now called Waka' by researchers site, an ancient city northwestern Peten, Guatemala, buried with associated materials. Following brief...
Importance Neighborhood conditions are known to broadly impact child health. Research date has not examined the association of Childhood Opportunity Index (COI), a multidimensional indicator neighborhood environment conditions, specifically with pediatric primary care outcomes. Objective To determine opportunity measured by COI health metrics commonly captured clinically in care, reflecting both access preventive and well-being. Design, Setting, Participants This cross-sectional...
Human papillomavirus (HPV) vaccination rates are suboptimal, and missed opportunities common. We hypothesized that a bundled intervention improves HPV opportunities. used pre-post design to assess differences in vaccine (visits when vaccine-eligible adolescents not vaccinated). compared for 12-month period before vs those 6-month (February 23, 2022, August 9, 2022) during intervention. implemented the 24 primary care pediatric practices had been usual controls prior randomized trial. The...
BACKGROUND AND OBJECTIVE For a previous longitudinal cluster randomized controlled trial (2018–2019), we 48 primary care pediatric practices to online communication training vs usual care. Online reduced missed opportunities (MOs) for initial human papillomavirus (HPV) vaccination at well-child (WCC) visits by 6.8 percentage points among children aged 11–17 years. The current study estimated implementation costs of the intervention WCC visits. METHODS We analyzed monthly surveys completed...
The COVID-19 pandemic has been associated with increases in pediatric obesity and widening pre-existing disparities. To better understand the pandemic's long-term impacts, we evaluated trends across different demographic groups during through December 2022. Using a retrospective cohort design, analyzed electronic health record data from large primary care network. Logistic regression models fit using generalized estimating equations estimated odds ratios (ORs) for changes level trajectory of...
BACKGROUND AND OBJECTIVES: Insights from behavioral economics suggests that the effectiveness of health messages depends on how a message is framed. Parent preferences for smoking cessation messaging has not been studied in pediatrics, warranting further exploration to maximize benefit. We sought assess parents’ perceptions regarding relative importance distinct framings promote their cessation. METHODS: conducted cross-sectional discrete choice experiment which parent smokers rated 26...
Abstract We consider how a feminist perspective permits appreciation for and reflection on the complex often understated ways in which Classic‐era (∼CE 250‐80) royal Maya women contributed to processes of statecraft. Our work centers archaeological epigraphic evidence life one important woman, Ix Kaloomte’ K'abel Waka’ whose reign was most influential Late Classic Period 550‐800). In reviewing lines detail her political as ruler, we parallels with other period. argue approach working beyond...
Abstract Scholars argue that western Honduras was occupied by Ch’orti’ speakers in the sixteenth century. These reconstructions conform to nationalist pressures present as Maya, using Classic period (AD 200–900) archaeological remains together with sparsely available sixteenth-century documentation. Drawing on existing and newly discovered sources, this article uses an onomastic approach interpret glossonyms (language names), anthroponyms (personal toponyms (place-names) order reconstruct...
Abstract Background Data are limited on influenza vaccine effectiveness (VE) in the prevention of influenza-related hospitalizations older adults and those with underlying high-risk comorbidities. Methods We conducted a prospective, test-negative, case-control study at 2 US hospitals from October 2018–March 2020 among aged ≥50 years hospitalized acute respiratory illnesses (ARIs) ≥18 admitted congestive heart failure (CHF) or chronic obstructive pulmonary disease (COPD) exacerbations. Adults...
Structure M13-1 is a public monumental building in the heart of ancient El Perú-Waka’, Petén, Guatemala, and location Burial 61, an entombed Late Classic (seventh-century) ruler. In this report, we discuss mortuary evidence that believe permits identification interred as historically known queen, Lady K'abel.
The study of Maya hieroglyphic writing unlocks the rich history cultural and societal knowledge embedded within this ancient civilization's visual narrative. Artificial Intelligence (AI) offers a novel lens through which we can translate these inscriptions, with potential to allow non-specialists access reading texts aid in decipherment those hieroglyphs continue elude comprehensive interpretation. Toward this, leverage foundational model segment from an open-source digital library dedicated...