- Air Quality and Health Impacts
- Asthma and respiratory diseases
- Noise Effects and Management
- Child Nutrition and Water Access
- School Health and Nursing Education
- Climate Change and Health Impacts
- Arsenic contamination and mitigation
- Food Security and Health in Diverse Populations
- Health, psychology, and well-being
- Multiple Sclerosis Research Studies
- Obesity, Physical Activity, Diet
- Global Health Care Issues
- Health disparities and outcomes
- Water resources management and optimization
- Smoking Behavior and Cessation
- Pediatric health and respiratory diseases
- Polyomavirus and related diseases
- Heavy Metal Exposure and Toxicity
- Pesticide Exposure and Toxicity
- Respiratory and Cough-Related Research
- COVID-19 Clinical Research Studies
- Family Support in Illness
- Migration, Health and Trauma
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Cultural Competency in Health Care
Texas A&M University
2013-2024
Mitchell Institute
2024
University of Strathclyde
2024
South Texas College
2011-2020
Texas A&M Health Science Center
2008-2017
El Colegio de la Frontera Norte
2015
Texas Department of State Health Services
2010-2011
Texas A&M University System
2004-2009
Augusta University
2008
Abstract Background In Mexico, the COVID-19 pandemic led to preventative measures such as confinement and social interaction limitations that paradoxically may have aggravated healthcare access disparities for pregnant women accentuated health system weaknesses addressing high-risk patients’ pregnancies. Our objective is estimate maternal mortality ratio in 1 year analyze clinical course of hospitalized due acute respiratory distress syndrome COVID-19. Methods A retrospective surveillance...
Indoor air quality (IAQ) has a substantial impact on public health. Since the beginning of COVID-19 pandemic, more employees have worked remotely from home to minimize in-person contacts. This pilot study aims measure difference in workplace IAQ before and during pandemic its employees’ The levels fine particulate matter (PM2.5) total volatile organic chemicals (tVOC) were measured offices at homes while working using Foobot monitors. frequencies six sick building syndrome (SBS) symptoms...
Objective To assess the links between structural and household determinants of water insecurity test three measures against self-reported diarrhoea, dengue fever perceived stress in middle-income low-income urban areas Torreón, Mexico. Design Cross-sectional survey conducted two waves (rainy dry seasons). Participants 500 households selected via multistage cluster sample communities. Socioeconomic status determined selection participant neighbourhoods; five were identified low socioeconomic...
Abstract Water security requires not only sufficient availability of and access to safe acceptable quality for domestic uses, but also fair distribution within across populations. However, a key research gap remains in understanding water inequality its dynamics, which turn creates an impediment tracking progress towards sustainable development. Therefore, we analyse the using data from 7603 households 28 sites 22 low- middle-income countries, measured Household Insecurity Experiences Scale....
Although hospital length of stay (LOS) has been identified as a proxy measure healthcare expenditures in the United States, there are limited studies investigating potentially important association between outdoor air pollution and LOS for pediatric asthma. This study aims to examine effect ambient on among children with asthma South Texas. It included retrospective data 711 aged 5–18 years old admitted tertiary care Texas 2010 2014. Air including particulate matter (PM2.5) ozone were...
Abstract Household survey data from 27 sites in 22 countries were collected 2017–2018 order to construct and validate a cross-cultural household-level water insecurity scale. The resultant Water Insecurity Experiences (HWISE) scale presents useful tool for monitoring evaluating interventions as complement traditional metrics used by the development community. It can also help track progress toward achievement of Sustainable Development Goal 6 ‘clean sanitation all’. We present HWISE scores...
Asthma is the most common chronic disease in children and has been linked to high levels of ambient air pollution certain hazardous pollutants (HAPs). Outdoor such as benzene, released by car emissions, organic chemicals found diesel exhaust, well particles irritant gases, including nitrogen dioxide (NO2), sulfur (SO2), ozone (O3), contribute an increased prevalence respiratory diseases asthma.The objectives this study were to: 1) conduct a screening survey identify risk for asthma among...
Childhood asthma is a significant health issue with 8.3% prevalence in the U.S. Its particularly higher among low-income communities Texas-Mexico border region, as they often lack access to clinical care and insurance. This study examines impact of home-based education led by Community Health Workers (CHWs) on outcomes for asthmatic, predominantly Hispanic children these communities. The was quasi-experimental design learn effectiveness comparing changes between baseline follow-up...
Background: Fractional concentration of exhaled nitric oxide (FeNO) is recommended by the American Thoracic Society (ATS) as a noninvasive biomarker airway inflammation. In addition to inflammation, many factors may be associated with FeNO, particularly tobacco exposure; however, only age has been included an influential factor for children below 12 years. Numerous studies have demonstrated negative associations between exposure and FeNO levels self-reported data, but few objective...
Mexican-American children are disproportionately affected by obesity compared to other population groups. Although national guidelines recommend using environmental and policy approaches address this public health issue, the majority of do not meet physical activity recommendations.To describe a knowledge transfer process involving local decision makers childhood needs among low-income, examine recommendations generated in process.This pilot study employed qualitative research design that...
This study’s objective is to analyze the incidence, lethality, hospitalization, and confirmation of COVID-19 cases in Mexico. Sentinel surveillance for Mexico began after first patient with community transmission. Methods: epidemiologic, cross-sectional study includes all clinically suspected, laboratory-confirmed nationwide from beginning outbreak 21 April 2020. State-cluster demographic data health indicators were analyzed reference epidemiologic measures, logistic regressions dependent...
Abstract Background Lead is a major developmental neurotoxicant in children, and tobacco smoke has been suggested as source of lead exposure vulnerable populations. This study evaluates the contribution secondhand (SHS) to blood levels (BLLs) children adolescents. Methods We analyze data from 2,815 participants aged 6–19 years who participated National Health Nutrition Examination Survey (2015–2018) investigate association between serum cotinine BLLs. A multivariate linear regression was...
Few studies have investigated household interventions to enhance indoor air quality (IAQ) and health outcomes in relatively low-income communities. This study aims examine the impact of combined intervention with asthma education purifier on IAQ US-Mexico border area. An conducted McAllen, Texas, between June November 2019 included 16 households having children asthma. The particulate matter (PM 2.5 ) levels were monitored bedroom, kitchen, living room measure for 7 days before after...
Abstract Background Prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) is associated with adverse health effects in children. Valid assessment methods accurate spatial and temporal resolution across pregnancy a critical need for advancing environmental studies. Objective The objective of this study was quantify maternal PAH pregnant women residing McAllen, Texas where the prematurity rate childhood asthma prevalence rates are high. A secondary compare levels silicone wristbands...
Few studies have evaluated the association between ambient air pollution and hospital readmissions among children with asthma, especially in low-income communities. This study examined short-term effects of pollutants on for pediatric asthma South Texas. A time-stratified case-crossover was conducted using hospitalization data from a children’s data, including particulate matter 2.5 (PM2.5) ozone concentrations, Centers Disease Control Prevention 2010 2014. conditional logistic regression...