- Hemoglobinopathies and Related Disorders
- Iron Metabolism and Disorders
- Asthma and respiratory diseases
- Neonatal Respiratory Health Research
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Myeloproliferative Neoplasms: Diagnosis and Treatment
- Respiratory and Cough-Related Research
- School Health and Nursing Education
- Respiratory viral infections research
- Pediatric health and respiratory diseases
- Inhalation and Respiratory Drug Delivery
- Respiratory Support and Mechanisms
- Child and Adolescent Health
- Breastfeeding Practices and Influences
- Infant Development and Preterm Care
- Venous Thromboembolism Diagnosis and Management
- Acute Ischemic Stroke Management
- Emergency and Acute Care Studies
- Climate Change and Health Impacts
- Congenital Diaphragmatic Hernia Studies
- Adolescent and Pediatric Healthcare
- Health disparities and outcomes
- Diversity and Career in Medicine
- Global Health Workforce Issues
- Allergic Rhinitis and Sensitization
Boston Medical Center
2015-2025
Boston University
2015-2024
University School
2023
University of California, San Francisco
2023
St. Christopher's Hospital for Children
2011-2015
Drexel University
2010-2012
Icahn School of Medicine at Mount Sinai
2012
Monroe Carell Jr. Children's Hospital
2012
Brigham and Women's Hospital
2006-2010
Harvard University
2006-2007
Current American Thoracic Society (ATS) standards promote the use of race and ethnicity-specific reference equations for pulmonary function test (PFT) interpretation. There is rising concern that ethnicity in PFT interpretation contributes to a false view fixed differences between races may mask effects differential exposures. This contribute health disparities by norming function. In United States globally, serves as social construct based on appearance reflects values, structures,...
Prevention and management of end-organ disease represent major challenges facing providers children adults with sickle cell (SCD). Uncertainty variability in the screening, diagnosis, cardiopulmonary renal complications SCD lead to varying outcomes for affected individuals.
Puerto Ricans have the highest prevalence of and morbidity from asthma all ethnic groups in United States. One potential contributor to high burden Rican children is exposure stress violence.To examine whether violence associated with an increased risk among children.This study was a population-based probability sample San Juan Caguas metropolitan areas Rico. Information collected household survey 1,213 their primary caretakers.The lifetime physician-diagnosed 39.6%. In year before survey,...
Development of adult respiratory disease is influenced by events in childhood. The impact childhood pneumonia on chronic obstructive pulmonary (COPD) not well defined. We hypothesize that a risk factor for reduced lung function and COPD smokers. cases control smokers between 45–80 years old from the United States COPDGene Study were included. Childhood was defined self-report at <16 years. Subjects with other than or asthma excluded. Smokers without compared measures disease, function,...
While a doctor-diagnosis of asthma is associated with an increased risk pain and acute chest syndrome (ACS) in children sickle cell anemia (SCA), little known about the relationship between specific characteristics clinical factors future morbidity SCA. We evaluated (i) at time visit (respiratory symptoms, maternal history asthma, allergy skin tests, spirometry results) (ii) factor ACS early life, on prospective episodes cohort 159 SCA followed from birth to median 14.7 years. An episode...
Section:ChooseTop of pageAbstract <<IntroductionMethodsResultsACSLower Airway Disease and ...SDB HypoxemiaPulmonary Vascular Compli...FUTURE DIRECTIONSSUMMARYReferencesCITING ARTICLES
About 40% of adult Americans use complementary or alternative medicine (CAM) for health problems.To determine the prevalence reported CAM in a population urban adolescents with asthma.We used multistaged, stratified sample approach at an inner-city high school. An asthma screening survey was administered to 3800 registered students, aged 13 18 years. We identified subset 200 respondents who answered yes each following questions: (1) Does your physician think that you have asthma? (2) Do...
Psychosocial factors can limit one's ability to effectively manage asthma. This result in asthma morbidity that limits quality of life. While self-perceptions asthmatic children and parents have been studied, less is known about inner-city adolescents with asthma.To examine perceptions attitudes treatment among asthma.We conducted a multistaged stratified sample survey at high school located the Bronx, NY. First, an asthma-screening was administered 3800 registered students. Then, we...
Prior studies of asthma in children with sickle cell disease (SCD) were based on reports a doctor-diagnosis limited description features. Doctor-diagnoses may represent or wheezing unrelated to asthma. Objectives this study determine if characteristics are present adults and/or wheezing, and examine the relationship between asthma, SCD morbidity. This was an observational cohort 114 who completed respiratory symptom questionnaires had serum IgE measurements. A subset 79 participants...
ACADEMIC EMERGENCY MEDICINE 2012; 19:664–672 © 2012 by the Society for Academic Emergency Medicine Abstract Objectives: The objective was to identify clinical, social, and environmental risk factors increased emergency department (ED) use in children with sickle cell disease (SCD). Methods: This study a secondary analysis of ED utilization data from international multicenter Silent Cerebral Infarct Transfusion (SIT) trial. Between December 2004 June 2010, baseline demographic, laboratory...
Rationale: Patient factors associated with development of abnormal lung function in children sickle cell anemia (SCA) have not been fully characterized.Objectives: To characterize abnormalities among SCA and to determine whether these steady-state results were morbidity before or after testing SCA.Methods: This study was part the prospective National Institutes Health–funded Sleep Asthma Cohort Study. Children HbSS Hb Sβo enrolled without regard for cell–related comorbidities diagnosis...
Rationale: Rhinovirus (RV) C can cause asymptomatic infection and respiratory illnesses ranging from the common cold to severe wheezing.Objectives: To identify how age other individual-level factors are associated with susceptibility RV-C illnesses.Methods: Longitudinal data COAST (Childhood Origins of Asthma) birth cohort study were analyzed determine relationships between infections. Neutralizing antibodies specific for RV-A (three types each) determined using a novel PCR-based assay. Data...