- Maternal and Perinatal Health Interventions
- Maternal Mental Health During Pregnancy and Postpartum
- Urinary Tract Infections Management
- Posttraumatic Stress Disorder Research
- Maternal and fetal healthcare
- Gut microbiota and health
- Child Abuse and Trauma
- Migration, Health and Trauma
- Grief, Bereavement, and Mental Health
- Global Maternal and Child Health
- Hepatitis B Virus Studies
- HIV/AIDS Research and Interventions
- Hepatitis C virus research
- HIV, Drug Use, Sexual Risk
- Liver Disease Diagnosis and Treatment
- HIV/AIDS oral health manifestations
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Prenatal Substance Exposure Effects
- Emergency and Acute Care Studies
- Pregnancy and Medication Impact
- Infant Nutrition and Health
- Primary Care and Health Outcomes
- COVID-19 Impact on Reproduction
- Pneumocystis jirovecii pneumonia detection and treatment
- Tuberculosis Research and Epidemiology
Veterans Health Administration
2023-2024
VA Connecticut Healthcare System
2019-2024
Yale University
2019-2024
Health Services Research & Development
2020
New York University
2011-2019
New York College of Health Professions
2016
York University
2012
Columbia-Greene Community College
2011
Abstract Research on the neonatal microbiome has been performed mostly hospital-born infants, who often undergo multiple birth-related interventions. Both hospital environment and interventions around time of birth may affect neonate microbiome. In this study, we determine structure microbiota in feces from babies born or at home, vaginal samples their mothers. We included 35 vaginally-born, breast-fed neonates, 14 whom delivered home (4 water), 21 hospital. Feces mothers maternal swab were...
The COVID pandemic exposed many inadequacies in the maternity care system United States. Maternity protocols put place during this crisis often did not include input from childbearing people or follow prepandemic guidelines for high-quality care. Departure standard practices led to unfavorable and traumatic experiences people. This study aimed identify what needed achieve a positive birth experience pandemic.
Background: Chronic inflammation has been implicated in the pathogenesis of gestational diabetes mellitus (GDM). Periodontal disease is associated with increased levels inflammatory mediators and may be a risk factor for GDM. The authors aimed to examine association between periodontitis GDM among non‐smoking pregnant females. Methods: This case‐control study included 50 females who were diagnosed age‐ hospital‐matched without Khon Kaen, Thailand. Full‐mouth periodontal examinations...
The emergency department (ED) has been recognized as a high-risk environment for workplace violence. Acutely agitated patients who perpetrate violence against healthcare workers represent complex care challenge in the ED. Recommendations to improve safety are often based on expert opinion rather than empirical data. In this study we aim describe lived experience of staff members caring population provide broad perspective ED patient findings will contribute development comprehensive...
Introduction Quality perinatal care is recognized as an important birth process and outcome. During the coronavirus disease 2019 (COVID‐19) pandemic, quality of was compromised health system grappled with adapting to ever‐changing, uncertain, unprecedented public crisis. Methods The aim this study explore received during COVID‐19 pandemic in United States. Data were collected via online questionnaire completed by people who gave States after March 15, 2020. included Mothers on Respect Index...
An estimated 1.1 million people in the USA are living with HIV/AIDS. Nearly 200,000 of these individuals do not know that they infected. In 2006, CDC recommended all healthcare providers routinely offer HIV screening to adolescent and adult patients. Nurse-dentist collaborations present unique opportunities provide rapid oral patients dental clinic settings reach many adults who lack primary medical providers. However, little is known about feasibility acceptability this type innovative...
More than 1 million individuals in the U.S. are infected with HIV; approximately 20% of whom do not know they infected. Early diagnosis HIV infection results earlier access to treatment and reductions transmission. In 2006, CDC recommended that health care providers offer routine screening all adolescent adult patients, regardless community seroprevalence or patient lifestyle. Dental uniquely positioned implement these recommendations using rapid oral fluid technology. However, thus far,...
Background: Maternal morbidity and mortality are key indicators of women's health status quality care. high rising in the United States. There has been no evaluation severe maternal among veteran women, although population characteristics suggest that they may be at risk. This study aimed to evaluate a surveillance methodology U.S. Department Veterans Affairs (VA) describe women veterans who experienced events. Materials Methods: The sample derived from national Operation Enduring...
Introduction Health care systems will continue to face unpredictable challenges related climate change. The COVID‐19 pandemic tested the ability of perinatal respond extreme disruption. Many childbearing people in United States opted out mainstream choice hospital birth during pandemic, leading a 19.5% increase community between 2019 and 2020. aim study was understand experiences priorities as they sought preserve safe satisfying time health disruption caused by pandemic. Methods This...
Introduction This study aimed to investigate the relationship between military-related traumatic experiences and postpartum depression in a cohort of post-9/11 women veterans. We hypothesized that veterans would report high rates depression, traumas constitute unique risk factors for depression. Methods: cross-sectional was based on survey data from post-9/11veterans who were discharged gave birth October, 2001 September, 2015. Bivariate multivariate analyses included trauma variables,...
This study was undertaken to evaluate tuberculosis treatment success among an internationally mobile population. A record review conducted of all detainees referred TBNet by US Immigration and Customs Enforcement from May 1, 2005 through February 28, 2008. Detainees were prior deportation followed until diagnosis finalized and/or complete. comparative analysis cases TB diagnosis, demographics, co-morbidities performed. Of the 929 individuals referred, 474 had been diagnosed with clinically...
The siloed nature of maternity care has been noted as a system-level factor negatively impacting maternal outcomes. Veterans Health Administration (VA) provides multi-specialty healthcare before, during, and after pregnancy but purchases obstetric from community providers. VA providers may be unaware perinatal complications, while community-based upstream factors affecting the pregnancy. To optimize outcomes, initiated surveillance review process designed to improve non-obstetric for...