- Urinary Tract Infections Management
- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- Emergency and Acute Care Studies
- Pediatric Urology and Nephrology Studies
- Global Maternal and Child Health
- Global Cancer Incidence and Screening
- Bacterial Identification and Susceptibility Testing
- Adolescent Sexual and Reproductive Health
- French Urban and Social Studies
- Vaccine Coverage and Hesitancy
- Injury Epidemiology and Prevention
- French Historical and Cultural Studies
- Tracheal and airway disorders
- Breastfeeding Practices and Influences
- Cardiovascular Issues in Pregnancy
- SARS-CoV-2 and COVID-19 Research
- Gender Roles and Identity Studies
- Antibiotics Pharmacokinetics and Efficacy
- Misinformation and Its Impacts
- Sex work and related issues
- Gut microbiota and health
- Pregnancy and preeclampsia studies
- Substance Abuse Treatment and Outcomes
- Mindfulness and Compassion Interventions
Baylor College of Medicine
2016-2024
The University of Texas Health Science Center at Houston
2021-2024
National Quality Forum
2023
West Virginia University
2021
University of Texas Health Science Center at Dallas
2021
National Center on Birth Defects and Developmental Disabilities
2019
Triangle
2019
Indianapolis Zoo
2019
John Wiley & Sons (United States)
2019
World Federation of Science Journalists
2019
Little is known about the extent to which severe maternal morbidity (SMM) at delivery impacts early and late postpartum readmission.We examined readmission rates for women with without SMM (and their 18 subtypes) characterised most common medical reasons readmissions.We conducted a retrospective cohort study utilising 2016-2017 Nationwide Readmissions Database among giving births in United States. Deliveries were classified according presence or absence of indicators defined by Centers...
Currently, data examining nationally representative prevalence and trends of HBV or HCV among specific subgroups pregnant women in the US are unavailable. We conducted a cross‐sectional analysis hospitalizations for liveborn singleton deliveries from 1998 to 2011 using Nationwide Inpatient Sample. After identifying with HBV, HCV, HIV infection during pregnancy, survey logistic regression was used identify risk factors. Temporal were analyzed joinpoint regression. The rates 85.8 118.6 per...
COVID-19 hospitalizations and deaths disproportionately affect underserved minority populations, emphasizing that vaccine hesitancy can be an especially important public health risk factor in these populations.This study aims to characterize diverse populations.The Minority Rural Coronavirus Insights Study (MRCIS) recruited a convenience sample of adults (age≥18, N=3735) from federally qualified centers (FQHCs) California, the Midwest (Illinois/Ohio), Florida, Louisiana collected baseline...
Abstract Background Despite increased research using large administrative databases to identify determinants of maternal morbidity and mortality, the extent which these capture obstetric co‐morbidities is unknown. Objective To evaluate impact that time window used assess has on completeness ascertainment those co‐morbidities. Methods We conducted a five‐year analysis inpatient hospitalisations pregnant women from 2010‐2014 Nationwide Readmissions Database. For each woman, discharge...
Objectives: We identified algorithms to improve the accuracy of passive surveillance programs for birth defects that rely on administrative diagnosis codes case ascertainment and in situations where confirmation via medical record review is not possible or resource prohibitive. Methods: linked data from 2009-2011 Florida Birth Defects Registry, a statewide, multisource, program, an enhanced database with selected cases confirmed through review. For each 13 defects, we calculated positive...
Risk factors for ciprofloxacin or MDR in primary care urine specimens are not well defined.
To explore the extent to which severity of birth defects could be differentiated using illness (SOI) and risk mortality (ROM) measures available in national discharge databases.Data from 2012-14 National Inpatient Sample (NIS) was used identify hospitalizations with one or more major reported annually Birth Defects Prevention Network International Classification Diseases, Ninth Edition, Clinical Modification (ICD-9-CM) diagnosis codes. Each hospitalization also contained a 4-level SOI ROM...
Public health prevention efforts have led to overall reductions in mortality from screening-preventable cancers. We explored cancer screening behaviors of smokers, former and nonsmokers among patients large primary care practices discover the relationship between smoking status previous adherence United States Preventive Services Task Force breast, cervical, colorectal recommendations. Our descriptive study electronic medical record data included 6,029 established patients. Multi-predictor...
AbstractAbstractThis study investigated the association between gender role beliefs and prevalence likelihood of experiencing pregnancy among 8525 young women girls aged 13–19 years in Colombia. The primary outcome interest was adolescent pregnancy. Retrospective cross-sectional analysis utilised data from 2015 Demographic Health Survey (DHS) Colombia, which included an add-on questionnaire on relations. Our measured both relation to beliefs. With one exception, who disagreed with...
Abstract Objective Public health surveillance programs worldwide implement a variety of case-finding strategies, and many rely at least in part on International Classification Diseases (ICD)-based diagnostic codes administrative clinical databases. Over time, state- national-level hospital discharge databases have been expanding the number reported diagnosis code fields. This study aimed to evaluate impact these expansions frequencies rates major birth defects, classification defects as...
Objective: Few studies have explored the impact of county-level variables on severe maternal morbidity (SMM) subtypes. To address this gap, study used a large commercial database to examine associations between individual and factors SMM. Study Design: This retrospective cohort data from Optum’s de-identified Clinformatics® Data Mart Database (CDM) 2008 2018. The primary outcomes were any SMM, non-transfusion nine specific SMM Temporal trends in prevalence subtypes assessed using Joinpoint...
This study examines postpartum health care utilization among women with severe maternal morbidity (SMM) subtypes (e.g., blood transfusion, renal), focusing on both early (within 7 days) and late (8-42 periods. By including outpatient visits alongside inpatient emergency department (ED) visits, the offers a comprehensive view of needs SMM.
Background: Outpatients with uncomplicated urinary tract infections (UTIs) are often treated empirically without culture, whereas urine cultures typically collected from patients complicated UTI. Susceptibilities for fosfomycin (a first-line agent) not routinely performed or reported in the antibiogram. Understanding prevalence of antibiotic resistance UTI is critical empiric treatment and stewardship primary care. Methods: We developed a UTI-focused antibiogram prospective sample...
Background: Urine cultures are the most common microbiological tests in outpatient setting and heavily influence treatment of suspected urinary tract infections (UTIs). Antibiotics for UTI usually prescribed on an empiric basis primary care before urine culture results available. However, may be needed to confirm a diagnosis verify that correct antibiotic was prescribed. Although considered as gold standard UTI, can easily become contaminated during collection. We determined prevalence,...
Background: Inappropriate urine-culture ordering is associated with increased antibiotic prescribing in myriad care environments, including acute and long-term care. In primary care, where urinary tract infections (UTIs) are commonly encountered, the appropriateness of has not been well described. We examined factors inappropriate Methods: conducted a secondary analysis data from previous prospective study that included patients aged ≥18 years presenting provider-suspected UTI an...
<h3>Objective</h3> The main objective of this initiative was to present evaluation results from an innovative adaptation the Advanced Life Support in Obstetrics (ALSO) training course. We modified traditional ALSO curriculum our institution by adding hands-on laceration repairs and simulation scenarios on acute maternity care. <h3>Methods</h3> provider course designed enhance cognitive procedural skills health care professionals managing obstetric emergencies. Forty-nine participants...