A5071535538- Child and Adolescent Health
- Infant Nutrition and Health
- Neonatal Respiratory Health Research
- Food Security and Health in Diverse Populations
- Breastfeeding Practices and Influences
- Infant Development and Preterm Care
- Child Nutrition and Feeding Issues
- Emergency and Acute Care Studies
- Global Maternal and Child Health
- Interpreting and Communication in Healthcare
- Family and Patient Care in Intensive Care Units
- Migration, Health and Trauma
- Venous Thromboembolism Diagnosis and Management
- Atrial Fibrillation Management and Outcomes
- Obesity and Health Practices
- Fetal and Pediatric Neurological Disorders
- Patient Satisfaction in Healthcare
- Parasitic infections in humans and animals
- Child Abuse and Trauma
- Parasites and Host Interactions
- COVID-19 Impact on Reproduction
- Heart Failure Treatment and Management
- Pediatric health and respiratory diseases
- Maternal Mental Health During Pregnancy and Postpartum
- Antiplatelet Therapy and Cardiovascular Diseases
Boston Medical Center
2020-2025
Boston University
2020-2025
Improvement Service
2022-2024
UMass Memorial Medical Center
2023
Boston Children's Hospital
2018-2020
Harvard University
2020
Research Network (United States)
2020
RELX Group (United States)
2020
Universidad Peruana Cayetano Heredia
2012-2014
Indiana University School of Medicine
2013
OBJECTIVE Social risk screening is recommended by the American Academy of Pediatrics, but this practice underutilized in NICUs. To address gap social care, we aimed to increase rates of: (1) systematic and (2) connection with community resources, each ≥50% over a 14-month period. METHODS We conducted quality improvement initiative from November 2020 January 2022. adapted tool used Plan-Do-Study-Act cycles integrate referral resources into clinical workflow. Primary outcome measures included...
OBJECTIVES The extent that universal social determinants of health (SDH) screening in clinical encounters, as recommended by the American Academy Pediatrics, has been implemented inpatient pediatric settings is unknown. We aimed to determine national prevalence and predictors standardized SDH US level 2 4 neonatal care units (NICUs), describe characteristics programs, ascertain beliefs leaders about this practice NICU setting. METHODS randomly selected 100 hospitals with NICUs among each 5...
The variable macronutrient content of human milk may contribute to growth deficits among preterm infants in the neonatal intensive care unit (NICU). In a longitudinal study 37 < 32 weeks gestation, we aimed (1) determine between-infant variation intake from and (2) examine associations with outcomes. We analyzed 1626 samples (median, 43 samples/infant) mid infrared spectroscopy. Outcomes at term equivalent age were weight, length, head circumference, fat mass, fat-free mass. Median...
Care transitions after hospitalization require communication across care teams, patients, and caregivers. As part of a quality improvement initiative, we conducted qualitative interviews with diverse group 53 patients who were recently discharged from within safety net hospital to explore how patient preferences included in the discharge process differences experience by race/ethnicity. Four themes emerged participants regarding desired characteristics interactions team: (1) feel heard, (2)...
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Background. Computed tomography (CT) remains the standard neuroimaging screening exam for neurocysticercosis, and residual brain calcifications are commonest finding. Magnetic resonance imaging (MRI) is more sensitive than CT but rarely available in endemic regions. Enzyme-linked immunoelectrotransfer blot (EITB) assay uses antibody detection diagnosis confirmation; by contrast, enzyme-linked immunosorbent (ELISA) antigen (Ag-ELISA) detects circulating parasite antigen. This study evaluated...
The lack of provision culturally and linguistically appropriate services (CLAS) to families with languages other than English (LOE) is a highly modifiable driver health care inequities. In nationally representative sample level 2 4 US NICUs, we examined patterns predictors communication practices for LOE ascertained clinical leaders' beliefs about barriers CLAS provision.
* Abbreviations: CPAP: : continuous positive airway pressure Fio2: fraction of inspired oxygen MFCC: Maternal Fetal Care Clinic MRA: magnetic resonance angiography MRI: imaging MRV: venography PGE1: prostaglandin E1 VOGM: vein Galen malformation A 37-year-old gravida 3, para 1 pregnant woman was referred to the Center (MFCC) at Boston Children’s Hospital 36 weeks’ gestation for finding malformation (VOGM). The patient’s pregnancy complicated by gestational diabetes. Her surgical...
Liquid human milk fortifiers are used commonly in neonatal intensive care. Use of an acidified HMF (A-HMF) is associated with transient metabolic acidosis, but whether growth outcomes differ between infants fed A-HMF vs nonacidified (NA-HMF) remains unknown.Retrospective cohort study 255 born at <33 weeks' gestation and ≤1500 g who were receiving ≥75% fortified on day life 14, a level III care unit (NICU) from May 2015 to December 2018. Infants before October 2017 (n = 165) received A-HMF,...
Written discharge instructions after hospitalization promote patient understanding and positive clinical outcomes. Despite the rising prevalence of patients with non-English language preference (NELP) in U.S., most hospitals do not routinely provide their preferred language, thereby placing them at higher risk for medical errors hospital readmission. Innovative solutions to close this implementation gap NELP are needed. The Tools Improve Discharge Equity (TIDE) intervention leverages...
Racial/ethnic inequities in mother's milk provision for hospitalized preterm infants persist. The extent to which primary language contributes these racial/ethnic is unknown.