- Respiratory viral infections research
- Influenza Virus Research Studies
- Mercury impact and mitigation studies
- Toxic Organic Pollutants Impact
- SARS-CoV-2 and COVID-19 Research
- Heavy Metal Exposure and Toxicity
- SARS-CoV-2 detection and testing
- Community Health and Development
- Musculoskeletal pain and rehabilitation
- Ureteral procedures and complications
- Musculoskeletal Disorders and Rehabilitation
- COVID-19 and healthcare impacts
- Global Health Care Issues
- Cystic Fibrosis Research Advances
- Myofascial pain diagnosis and treatment
- Pain Management and Treatment
- Pharmaceutical Practices and Patient Outcomes
- Patient-Provider Communication in Healthcare
- Digital Mental Health Interventions
- Medical and Biological Sciences
- Environmental Toxicology and Ecotoxicology
- Patient Satisfaction in Healthcare
- COVID-19 and Mental Health
- Injury Epidemiology and Prevention
- Traffic and Road Safety
Phoenix Children's Hospital
2021-2025
Boston Medical Center
2024
Boston University
2024
Nationwide Children's Hospital
2017-2018
University of Nevada, Las Vegas
2009-2011
The 2023-24 U.S. influenza season was characterized by a predominance of A(H1N1)pdm09 virus circulation with co-circulation A(H3N2) and B/Victoria viruses. We estimated vaccine effectiveness (VE) in the United States against mild-to-moderate medically attended illness season. enrolled outpatients aged ≥8 months acute respiratory 7 states. Respiratory specimens were tested for type/subtype reverse-transcriptase polymerase chain reaction (RT-PCR). Influenza VE test-negative design comparing...
Objective Back to Early Care and Education Safely With Sustainability via Active Garden (BE SAGE) involved COVID-19 testing a free garden-based physical activity nutrition program at early care education centers with primarily Hispanic/Latino enrollment. This article describes the project community engagement plan, process, outcomes focusing on deliberate intentional staffing, an extensive online presence, focused outreach. Methods BE SAGE purposefully hired bilingual (English/Spanish)...
Abstract There is widespread concern over the presence of Hg in fish consumed by humans. While studies have been focused on determining concentration sport and some commercial fish, little attention has directed to canned tuna; it widely held that concentrations are low. In present study, amount tuna purchased Las Vegas, Nevada, USA, was examined, brand, temporal variation, type, packaging medium impacts were explored. A significant ( p < 0.001) brand difference noted: Brand 3 contained...
Abstract Introduction Despite the benefits of measurement‐based care (MBC) in behavioral health setting, there have been difficulties implementation and low saturation. Although barriers facilitators to MBC identified, research has generally only included perspective one stakeholder group. The current study aims examine similarities differences—by group—in identified implementing setting. Method A purposeful sampling approach was used recruit conduct interviews focus groups with stakeholders...
Influenza viruses are constantly evolving and therefore monitored worldwide in the hope to reduce burden of disease by annual updates vaccine recommendations. We conducted genomic sequencing 110 influenza A 30 B from specimens collected between October 2023 February 2024 Arizona, USA. identified mutations hemagglutinin (HA) antigenic sites as well neuraminidase (NA) gene our samples. also found no unique HA NA vaccinated yet influenza-infected individuals. Real-time surveillance is important...
OBJECTIVES Access to readily available, reliable, and easy-to-use coronavirus disease 2019 (COVID-19) tests remains critical, despite great vaccination progress. Universal back-to-school testing offered at early care education ([ECE]; ie, preschool) sites screen for positive cases may help preschoolers safely return to, stay in, ECE. We examined the acceptability feasibility of using a quantitative polymerase chain reaction COVID-19 saliva test young children (n = 227, 54.0% girls: mean age...
Abstract The aim of this study was to determine the concentrations mercury present in commonly consumed fish from Lake Mead and identify if differences exist between 4 major basins. To date, no formal using US Environmental Protection Agency (USEPA) approved methodology has been conducted quantify amount tissue Mead. Largemouth bass (n = 49), striped 94) channel catfish 78) were collected selected sites Boulder Basin, Overton Arm, Virgin Basin Gregg Muscle homogenized, digested analyzed for...
Abstract We conducted genomic sequencing of 110 influenza A and 30 B viruses from specimens collected between October 2023 February 2024 in Arizona, USA. identified mutations the hemagglutinin (HA) antigenic sites. Real-time surveillance is important to ensure vaccine effectiveness.
In April 2021, the US government made substantial investments in students' safe return to school by providing resources for school-based coronavirus disease 2019 (COVID-19) mitigation strategies, including COVID-19 diagnostic testing. However, testing uptake and access among vulnerable children with medical complexities remained unclear.
Abstract Context Healthcare delivery was dramatically affected during the coronavirus disease 2019 (COVID-19) pandemic. Many outpatient visits were cancelled or forgone for fear of exposure to virus, allowing telemedicine take on a much larger role in healthcare. The manual therapies, such as osteopathic manipulative treatment (OMT), via telehealth posed unique challenge these are typically provided in-person by trained physician. This study provides description one pediatrician’s experience...
Measurement-based care in behavioral health uses patient-reported outcome measures (PROMs) to screen for mental symptoms and substance use assess symptom change over time. While PROMs are increasingly being integrated into electronic record systems administered electronically, paper-based continue be used. It is unclear if it feasible administer a PROM on paper when the was initially developed administration.
Abstract Context Osteopathic manipulative medicine (OMM) is a unique skill set consisting of physical manipulations that treat the neuromusculoskeletal system. Although OMM can improve patient outcomes such as functionality and pain, well increase physician reimbursement, its use declining. Barriers to include lack proficiency, support, time. Knowledge gaps remain how training during graduate medical education (GME) affects use. Objectives This study describes relationships between exposure...
<sec> <title>BACKGROUND</title> Measurement-based care in behavioral health uses patient-reported outcome measures (PROMs) to screen for mental symptoms and substance use assess symptom change over time. While PROMs are increasingly being integrated into electronic record systems administered electronically, paper-based continue be used. It is unclear if it feasible administer a PROM on paper when the was initially developed administration. </sec> <title>OBJECTIVE</title> This study aimed...
The authors thank Dr. Ralston for his interest in our work and thought-provoking remarks. We do agree to some extent with comments regarding the necessity more understanding of complex interactions between mercury (Hg) selenium (Se) regard human health. However, study was constructed based upon model risk assessment tuna set forth by U.S. Food Drug Administration Yess 1. This chosen because it is current standard consistent, therefore comparable to, literature. Risk assessments are typically...
Background: While there is a large body of evidence detailing the effects secondhand smoke exposure (SHSe) in general pediatric population, little was known until recently SHSe patients with cystic fibrosis (CF). Recent data from our academic institution have shown associations decreased growth, increased bacterial infections, poorer performance on pulmonary function tests, altered prostaglandin signaling, and more frequent hospitalizations CF SHSe. However, only 10% …