A5072650363- Neonatal Respiratory Health Research
- Respiratory viral infections research
- Respiratory Support and Mechanisms
- Congenital Diaphragmatic Hernia Studies
- Non-Invasive Vital Sign Monitoring
- COVID-19 Impact on Reproduction
- Child and Adolescent Health
- Airway Management and Intubation Techniques
- Artificial Intelligence in Healthcare
- Neuroscience of respiration and sleep
- Maternal Mental Health During Pregnancy and Postpartum
- Veterinary Practice and Education Studies
- Healthcare cost, quality, practices
- Clinical practice guidelines implementation
- Electronic Health Records Systems
- Infant Development and Preterm Care
- Breastfeeding Practices and Influences
- Prenatal Screening and Diagnostics
- Ultrasound in Clinical Applications
- Health Systems, Economic Evaluations, Quality of Life
- Viral gastroenteritis research and epidemiology
- Pneumonia and Respiratory Infections
- Infant Nutrition and Health
- Ethics and Legal Issues in Pediatric Healthcare
- COVID-19 and healthcare impacts
Loma Linda University
2011-2024
Einstein Healthcare Network
2024
Johns Hopkins University
2017-2023
Einstein Medical Center Montgomery
2022-2023
Texas Children's Hospital
2023
Touro College
2023
Loma Linda University Children's Hospital
2007-2022
Johns Hopkins Medicine
2017-2021
Oulu University Hospital
2021
University of Oulu
2021
Respiratory syncytial virus is a major cause of lower respiratory tract infection morbidity and mortality in children globally, causing 3·2–3·6 million hospitalisations more than 100 000 deaths annually younger 5 years, 99% which occur low-income middle-income countries (LMICs).1Li Y Wang X Blau DM et al.Global, regional, national disease burden estimates acute infections due to years 2019: systematic analysis.Lancet. 2022; 399: 2047-2064Summary Full Text PDF PubMed Scopus (187) Google...
Objective This article aims to compare respiratory syncytial virus (RSV) immunoprophylaxis (IP) use and RSV hospitalization rates (RSVH) in preterm full-term infants without chronic lung disease of prematurity or congenital heart before after the recommendation against IP born at 29 34 weeks' gestational age (wGA). Study Design Infants commercial Medicaid claims databases were followed from birth through first year assess RSVH, as a function infant's wGA. was based on pharmacy outpatient...
Abstract Background Invasive mechanical ventilation contributes to bronchopulmonary dysplasia (BPD), the most common complication of prematurity and leading respiratory cause childhood morbidity. Non-invasive (NIV) may limit invasive exposure can be either synchronized or non-synchronized (NS). Pooled data suggest forms superior. neurally adjusted ventilatory assist (NIV-NAVA) delivers NIV neural signal for breathing, which is detected with a specialized catheter. The DIVA (Diaphragmatic...
Objective The objective of this study was to compare risk for respiratory syncytial virus (RSV) hospitalizations (RSVH) preterm infants 29 34 weeks gestational age (wGA) versus term before and after 2014 guidance changes immunoprophylaxis (IP), using data from the 2012 2016 RSV seasons. Study Design Using commercial Medicaid claims databases, born between July 1, 2011 June 30, were categorized as or term. RSVH during season (November–March) identified aged <6 months rate ratios (RRs)...
Objective This study examined the rate, severity, and cost of respiratory syncytial virus (RSV) hospitalizations among preterm infants 29 to 34 weeks gestational age (wGA) versus term before after a 2014 change in American Academy Pediatrics policy for RSV immunoprophylaxis. Study Design Preterm (29–34 wGA) born from July 2011 March 2017 aged < 6 months were identified U.S. commercial administrative claims database. hospitalization (RSVH) rate ratios, costs evaluated seasons. Postpolicy...
Approximately 40% of women who smoke tobacco quit smoking during pregnancy, yet up to 85% relapse after delivery. Those resume often do so by 2 8 weeks postpartum. Smoking mothers are more than twice as likely breastfeeding 10 The hospitalization a newborn, while stressful, is an opportunity emphasize the importance smoke-free environment for babies. Supporting maternal-infant bonding may reduce maternal stress and motivate remain free continue breastfeeding. objective this study was...
Goldstein MR, Plante DT, Hulse BK, Sarasso S, Landsness EC, Tononi G, Benca RM. Overnight changes in waking auditory evoked potential amplitude reflect altered sleep homeostasis major depression. Objective: Sleep is depressive disorder (MDD). Pre‐ to postsleep decline (AEP) has been correlated with slow wave activity (SWA), suggesting that overnight AEP are homeostatically regulated healthy individuals. This study investigated whether the change and its relation SWA MDD. Method: Using...
In this paper, we review the complex medical, ethical, and psychosocial decisions that confront maternal fetal medicine specialists, neonatologists, parents, nurses, other providers in management of infants diagnosed with two chromosomal conditions generally considered as lethal anomalies. We examine decision-making processes contemporary US neonatology, including ethical precepts professional paternalism parental autonomy. Medical approaches, dilemmas, role perinatal palliative care are...
Abstract Objective To examine the effects of 30% oral dextrose on biochemical markers pain, adenosine triphosphate (ATP) degradation, and oxidative stress in preterm neonates experiencing a clinically required heel lance. Study design Utilizing prospective study design, that met criteria ( n = 169) were randomized to receive either (1) dextrose, (2) facilitated tucking, or (3) tucking 2 min before Plasma ATP degradation (hypoxanthine, uric acid) (allantoin) measured after Pain was using...
Palivizumab is the only licensed respiratory syncytial virus (RSV) immunoprophylaxis (IP) available to prevent severe RSV disease in high-risk pediatric populations, including infants born at 29-34 weeks' gestational age (wGA). In 2014, American Academy of Pediatrics (AAP) stopped recommending IP use for otherwise healthy wGA and stated that term have similar hospitalization (RSVH) rates. This study aimed compare RSVH rates during 3 seasons before after 2014 AAP policy change. 29-30, 31-32,...
Objective: No reliable clinical markers of histologic chorioamnionitis (HCA), a major and often subclinical cause prematurity leading to high neonatal morbidity mortality, are available date. Increasing evidence indicates myocardial dysfunctions in affected fetuses newborns. We sought assess the value nonlinear dynamics from pulse oximetry signals identifying Design: Prospective case-control study. Setting: Tertiary level intensive care unit, Brindisi Hospital. Patients Intervention: Pulse...
Problem: Educational scholarship is an important component for faculty at Academic Medical Centers, especially those with single-track promotion systems. Yet, may lack the skills and mentorship needed to successfully complete projects. In addition, many educators feel undervalued. Intervention: To reinvigorate our school's educational mission, Institute Excellence in Education (IEE) was created. Here we focus on one of IEE's strategic goals, that inspiring supporting research, scholarship,...
Abstract Objective The aim of this study is to compare outpatient respiratory syncytial virus (RSV) immunoprophylaxis (IP) use and relative RSV hospitalization (RSVH) rates for infants <29 weeks' gestational age (wGA) versus term before after the 2014 American Academy Pediatrics (AAP) policy change. Study Design Infants were identified in MarketScan Commercial Multi-State Medicaid databases. Outpatient IP receipt wGA/term risks 2012 2016 assessed using rate ratios a...