A5036106204- Gun Ownership and Violence Research
- Emergency and Acute Care Studies
- Suicide and Self-Harm Studies
- Asthma and respiratory diseases
- Injury Epidemiology and Prevention
- Pediatric health and respiratory diseases
- Food Security and Health in Diverse Populations
- Child and Adolescent Health
- Heart Failure Treatment and Management
- Respiratory viral infections research
- Adolescent and Pediatric Healthcare
- Respiratory and Cough-Related Research
- Homelessness and Social Issues
- Healthcare Policy and Management
- Autopsy Techniques and Outcomes
- Geriatric Care and Nursing Homes
- Child and Adolescent Psychosocial and Emotional Development
- Traumatic Ocular and Foreign Body Injuries
- Phonocardiography and Auscultation Techniques
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Healthcare cost, quality, practices
- Inhalation and Respiratory Drug Delivery
- Data-Driven Disease Surveillance
- Sex work and related issues
- Maternal Mental Health During Pregnancy and Postpartum
Children's National
2014-2025
George Washington University
2019-2024
National Hospital
2021
General Department of Preventive Medicine
2021
American College of Cardiology
2014-2020
George Washington University Hospital
2020
Harris Health System
2019
Lyndon Baines Johnson Hospital
2019
Shilpa (India)
2018
Cleveland Clinic
2018
Pediatric asthma is a leading cause of emergency department (ED) utilization and hospitalization. Earlier identification need for hospital-level care could triage patients more efficiently to high- or low-resource ED tracks. Existing tools predict disposition pediatric use only clinical data, perform best several hours into the stay, are static score-based. Machine learning offers population-specific, dynamic option that allows real-time integration available nonclinical data at triage. Our...
Firearms are the second leading cause of pediatric death in United States. There is significant variation firearm legislation at state level. Recently, 3 laws were associated with a reduction overall deaths from firearms: universal background checks for purchases, ammunition and identification requirement firearms. We sought to determine if stricter level lower firearm-related mortality.This was cross-sectional study which we used 2011-2015 Web-based Injury Statistics Query Reporting System...
OBJECTIVES Increased rates of firearm ownership, school closures, and a suspected decrease in supervision during the coronavirus disease 2019 (COVID-19) pandemic place young children at increased risk injuries. We measured trends injuries inflicted by discharging correlated these changes with rise acquisition. METHODS In this cross-sectional study an interrupted time series analysis, we used multiyear data from Gun Violence Archive. compared (1) younger than 12 years old (2) pre-COVID-19...
The rate of suicide among adolescents is rising in the US, yet many at risk are unidentified and receive no mental health services. To develop independently validate a novel computerized adaptive screen for suicidal youth (CASSY) use as universal medical emergency departments (EDs). Study 1 this prognostic study prospectively enrolled adolescent patients 13 geographically diverse US EDs Pediatric Emergency Care Applied Research Network. They completed baseline survey participated 3-month...
Firearm injuries are a leading and preventable cause of morbidity mortality among youth. We sought to explore differences in sociodemographic factors youth firearm injury outcomes by intent (unintentional, assault, self-harm).We conducted repeated cross-sectional analysis emergency department (ED) visits aged 21 younger presenting an ED with between 2009 2016 using the Nationwide Emergency Department Sample. performed multivariable logistic regression measure strength association (1)...
Screening adolescents in emergency departments (EDs) for suicidal risk is a recommended strategy suicide prevention. Comparing screening measures on predictive validity could guide ED clinicians choosing tool.To compare the Ask Suicide-Screening Questions (ASQ) instrument with Computerized Adaptive Screen Suicidal Youth (CASSY) prediction of behavior among seen EDs, across demographic and clinical strata.The Emergency Department Study Teens at Risk Suicide prospective, random-series,...
Clinical Implications•The District of Columbia did not experience the "September asthma epidemic" exacerbations during current novel coronavirus pandemic. Emergency department visits, hospitalizations, and intensive care unit admissions for fall season were significantly reduced compared with previous years. Careful monitoring is necessary to recognize prepare childhood morbidity return its prepandemic levels. •The In United States, pediatric peak because several specific seasonal factors...
Women displaced by conflict are often exposed to many factors associated with a risk of intimate partner violence (IPV) such as high levels community and the breakdown social support systems. Previous research found that Colombian women perceived IPV increase after displacement. This study explored how experience displacement altered gendered roles in ways influenced IPV. Thirty-three qualitative interviews were conducted partnered women. disclosed couples held patriarchal gender norms;...
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...
Abstract Background Concerns have been raised about the utility of self-report assessments in predicting future suicide attempts. Clinicians pediatric emergency departments (EDs) often are required to assess suicidal risk. The Death Implicit Association Test (IAT) is an alternative assessment risk that may ED settings. Methods A total 1679 adolescents recruited from 13 rooms Pediatric Emergency Care Applied Research Network were assessed using a survey and protective factors for attempt,...
Abstract Rhinoviruses (RVs) can cause severe wheezing illnesses in young children and patients with asthma. Vaccine development has been hampered by the multitude of RV types little information about cross‐neutralization. We previously showed that neutralizing antibody (nAb) responses to RV‐C are detected twofold threefold more often than those RV‐A throughout childhood. Based on findings, we hypothesized infections likely induce either cross‐neutralizing or longer‐lasting compared...
(1) Background: Mastery of auscultation can be challenging for many healthcare providers. Artificial intelligence (AI)-powered digital support is emerging as an aid to assist with the interpretation auscultated sounds. A few AI-augmented stethoscopes exist but none are dedicated pediatrics. Our goal was develop a platform pediatric medicine. (2) Methods: We developed StethAid-a artificial intelligence-assisted and telehealth in pediatrics-that consists wireless stethoscope, mobile...
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