A5030122252- Sex work and related issues
- Child Abuse and Related Trauma
- Homelessness and Social Issues
- Child Abuse and Trauma
- Sexuality, Behavior, and Technology
- Restraint-Related Deaths
- HIV, Drug Use, Sexual Risk
- Homicide, Infanticide, and Child Abuse
- Bipolar Disorder and Treatment
- Urological Disorders and Treatments
- Prenatal Substance Exposure Effects
- Emergency and Acute Care Studies
- Maternal Mental Health During Pregnancy and Postpartum
- Adolescent Sexual and Reproductive Health
- Mental Health Research Topics
- Sympathectomy and Hyperhidrosis Treatments
- Migration, Health and Trauma
- Fatty Acid Research and Health
- Phytoestrogen effects and research
- Genital Health and Disease
- Neonatal skin health care
- Effects and risks of endocrine disrupting chemicals
- Childhood Cancer Survivors' Quality of Life
- Sexual Assault and Victimization Studies
- Pediatric Pain Management Techniques
Staten Island University Hospital
2017-2023
Northwell Health
2020-2023
Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
2020-2023
Johns Hopkins Children's Center
2017
Johns Hopkins Hospital
2017
Johns Hopkins University
2017
Bloomberg (United States)
2017
Hasbro Children's Hospital
2016
Providence College
2016
Brown University
2016
Exploitation and labor sex trafficking of children adolescents is a major public health problem in the United States throughout world. Significant numbers US non-US–born (including unaccompanied immigrant minors) are affected by this growing concern may experience range serious physical mental problems associated with human exploitation (T/E). Despite these considerations, there limited information available for care providers regarding nature scope T/E how help recognize protect...
The use of electronic health record (EHR)-embedded child abuse clinical decision support (CA-CDS) may help decrease morbidity from maltreatment. We previously reported on the development CA-CDS in Epic and Allscripts. objective this study was to implement into Allscripts determine its effects identification, evaluation, reporting suspected maltreatment.After a preimplementation period, implemented at University Wisconsin (Epic) Northwell Health (Allscripts). Providers were surveyed before...
Child maltreatment is a leading cause of pediatric morbidity and mortality. We previously reported on development implementation child abuse clinical decision support system (CA-CDSS) in the Cerner electronic health record (EHR). Our objective was to develop CA-CDSS two different EHRs.Using as template, CA-CDSSs were developed for use four hospitals Northwell Health who Allscripts University Wisconsin Epic. Each had combination triggers, alerts abuse-specific order sets. Usability evaluation...
Introduction: A wide range of psychiatric disorders are common in young children, especially those at high risk because a parent with unipolar or bipolar mood disorder the United States. Yet part most children seen primary care, these illnesses often not recognized treated timely fashion. To begin to address this problem, we started Child Network. Methods: The Network is for parents age 2–12 behavioral symptoms them. rate severity depression, anxiety, attention-deficit/hyperactivity (ADHD),...
Treatment sequences for the multisymptomatic child with bipolar disorder are not adequately described or based on a systematic clinical trial database, and systems longitudinal tracking of symptoms rarely utilized. We present patient whose depression, anxiety, attention-deficit/hyperactivity disorder, oppositional behavior, mania rated by parent plotted weekly basis in Child Network under Johns Hopkins Institutional Review Board-approved protocol. This 9-year-old girl remained inadequately...
Close medical follow-up after pediatric acute sexual assault is recommended and may mitigate adverse consequences decrease long-term comorbidities. The objectives are to (1) examine adherence a comprehensive outpatient protocol evaluation in the emergency department population (2) identify characteristics associated with patient inform utilization of assault.A retrospective record review was conducted patients younger than 18 years presenting from January 1, 2010, December 31, 2013,...
The commercial sexual exploitation of children (CSEC) occurs when a person induces minor to engage in sex act exchange for remuneration the form money, food, shelter or another valued entity. Domestic trafficking (DMST) refers who live within U.S. borders. This term assists differentiating these victims from those have been trafficked other countries into United States elsewhere specifically purpose performing acts (“international trafficking”).
While patients may be recognized in the Emergency Department as who are involved human trafficking, ICU setting also a place where recognition can occur due to poor access medical care. The childhood adversity experienced by trafficked youth result mental health and neglect of chronic conditions. These needs well issues with substance abuse neglected exacerbated involvement trafficking. purpose this case series is enhance pediatric victims trafficking among health-care providers working...
This study aimed to describe our experience with universal urine drug screening (UDS) rapid confirmation (RC) via liquid chromatography mass spectrometry (LC-MS) before infant's discharge, in efforts increase detection of neonates at risk neonatal opioid withdrawal syndrome (NOWS) while reducing patient burden related false positive results.
Hair tourniquet syndrome is a well-documented phenomenon in which hair can become tightly wrapped around an appendage resulting ischemic injury and necrosis. When involves the neck as appendage, fatality result due to asphyxia, specifically strangulation. We present case of accidental strangulation via toddler who was found co-sleeping with his sister. A nineteen-month-old male brought into emergency department ambulance after episode apnea cyanosis. On night admission, parents awoke they...
Background: Opioid use in the U.S. has become an epidemic resulting unintended consequences for children. One consequence is increased opioid ingestions and exposures pediatric population. This can occur both a parent who active user but also within setting of reported recovery treatment (for example engaged program). Differentiating these potential causes ingestion when suspected involves toxicology testing which present limitations challenges. Case: We case heroin 22 month old child...
Introduction: Hair tourniquet syndrome is a well-documented phenomenon in which hair can become tightly wrapped around an appendage resulting ischemic injury and necrosis. When involves the neck as appendage, fatality result due to asphyxia, specifically strangulation. Strangulation be fatal, death within minutes. In pediatric population, suffocation concern when assessing sleep of newborns infants. There are inherent dangers co-sleeping that routinely discussed during office visits,...
INTRODUCTION Scalp swellings in newborn infants are common the immediate postpartum period. Unlike caput succedaneum, most and short lived variant, cephalhematomas subgaleal hemorrhages both involve blood accumulation, either under cranial periosteum or aponeurosis, respectively, can persist for weeks. However, eventually, they do resolve not recur. When an infant comes to medical attention with a new scalp swelling without having sustained trauma, history of trauma that had already...
A 14-week-old boy, accompanied by his biological parents, presents to their pediatrician’s office after mother noticed “bumps” on the child’s scalp that same morning. According pediatrician this is a new physical finding compared with routine 2-month visit examination, and she directs family emergency department for further evaluation. Both parents deny history of head trauma; insect bites; changes in behavior, appetite, or activity; recent fevers illness. Birth history, confirmed medical...