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Introduction
Current institution
Publications
Publications (34)
Purpose
About 1 in 8 birth parents experience symptoms of perinatal mood and anxiety disorders (PMADs). The purpose of this collaborative project was to create a social media deliverable to lower the risk of postpartum depression in pregnant and postpartum parents in Georgia, USA.
Methods
Using the SM 10-step model, Master of Public Health Student...
Background
Due to the challenges created by the COVID-19 pandemic, the public health field has an exceptional opportunity not only to address current challenges but also to rebuild and expand the workforce.
Objectives
The main objective of this presentation is to highlight the 2018-2022 academic year's progress of the practice-based learning exper...
Background
Young children living in poor rural areas in Honduras are susceptible to suffering from undernutrition. About 1 in every 4 children under age 5 have stunting. Stunting during early childhood has negative consequences on an individual's life that can have short-term and lasting effects. This study's purpose was to explore the perceptions...
(1) Background: The study’s purpose was to explore the knowledge, perceptions, and confidence of mothers about infant care to reduce the risk of sudden unexpected infant death. (2) Methods: A purposeful sampling method was used to recruit 15 first-time mothers from Georgia with infants under 1 year of age. The researchers utilized the Socio-ecologi...
Undernutrition and a lack of learning opportunities can jeopardize long-term growth and development among infants in low- and middle-income countries. We conducted a 6-month 2 × 2 cluster-randomized trial to assess the effects of multiple micronutrient-fortified beverages and responsive caregiving interventions among infants 6–18 months in 72 commu...
Background:
Expensive lactation cookies (LC) are marketed as milk-boosters; however, their effectiveness remains unknown.
Objective:
To evaluate the effectiveness of 1-month daily intake of LC on changes in objective and subjective milk production and breastfeeding self-efficacy.
Methods:
A 1-month, randomized controlled trial among 18-45-year...
Background
According to the 2018 America’s Health Ranking Annual Report, the U.S. infant mortality rate (IMR) was 5.9 deaths per 1,000 live infant births, which placed the U.S. at No. 33 out of 36 countries with the world’s largest economies in 2018. The IMR in Georgia has been on the rise since 2014. Even though there was a sharp decline in sudden...
Unlabelled:
Folates are B vitamins that are essential for several molecular, cellular, and biological processes, including nucleotide synthesis, methylation, and methionine cycling. The physiological impacts of these processes on health also extend to cell proliferation, folate deficiency anemia, and reduction of the risk of birth defects during p...
Objectives
Malnutrition is a major public health problem in children. Undernutrition and excessive weight at young ages are associated with life-long consequences. The main objective of this study was to characterize the sociodemographic and food insecurity factors associated with the nutritional status of rural children ages 6 to 24 months living...
Background:
About 47% of children < 5 years of age are stunted in Guatemala. In this study, the investigators aimed to compare growth and cognitive outcomes between children in second grade that attended five Guatemala City Municipal Nurseries (GCMN) vs. same sex, grade, and age-matched children.
Methods:
A cross-sectional design nested in a ret...
Objectives
To assess the effectiveness of a nutrition intervention with a multi-micronutrient fortified corn-soy blend (MMC) (ChapuditosTM) vs. standard of care (SOC) in anemia and hemoglobin (Hb) in 6 to 12-mo-old infants from four rural municipalities in La Libertad, El Salvador.
Methods
A two-arm, clustered randomized evaluation was implemented...
Background
In Haiti, differences in the prevalence of anemia between urban and rural areas have been observed.
Objective
To identify moderating factors that may help explain the difference in the prevalence of anemia in children from poor urban vs. rural areas of Haiti.
Methods
This cross-sectional study used secondary data from urban and rural s...
Objectives
To describe maternal perceptions of child's body image in a sample of indigenous women and children from the Ixil ethnic group in Guatemala.
Methods
A cross-sectional, semi-structured survey was administered to a sample of 46 mothers of 2 to 6-year-old children. The survey included questions on maternal, child and sociodemographic facto...
Objectives
Children from urban areas in Haiti have a higher prevalence of anemia vs. rural (71% vs. 51%, respectively). The objective of this study was to identify the mediating factors between urban-rural residence and anemia.
Methods
This cross-sectional study used baseline data from two clustered randomized controlled trials that assessed the e...
One in four children younger than age five in Guatemala experiences anaemia (haemoglobin <11.0 g/dl). This study characterized the factors and micronutrient deficiencies associated with anaemia in a baseline cross-sectional sample of 182 Guatemalan infants/toddlers and 207 preschoolers, using generalized linear mixed models. Associations between an...
Background:
Although perinatal deaths are still a common pregnancy outcome in developing countries, little is known about the effect perinatal death has on fathers.
Objective:
The aim of the study was to understand and describe the meaning of perinatal death in a sample of fathers from northeastern Colombia.
Methods:
Using purposive and snowba...
Objectives:
Anemia is a major public health problem among young children. In addition to iron deficiency, other micronutrient deficiencies have been associated with anemia. The purpose of this study was to identify biomarkers associated with anemia in children <5 years from rural Guatemala.
Methods:
A total of 182 infants (6-24 m) and 207 presch...
Background: Choline status has been associated with stunting among young children. Findings from this study showed that an egg intervention improved linear growth by a length-for-age z score of 0.63.
Objective: We aimed to test the efficacy of eggs introduced early in complementary feeding on plasma concentrations of biomarkers in choline pathways,...
Background:
Eggs are a good source of nutrients for growth and development. We hypothesized that introducing eggs early during complementary feeding would improve child nutrition.
Methods:
A randomized controlled trial was conducted in Cotopaxi Province, Ecuador, from March to December 2015. Children ages 6 to 9 months were randomly assigned to...
Chispuditos® is a corn/soy atole fortified with 21 vitamins and minerals designed to reduce micronutrient deficiency of Central American children. A portion of atole (18.75g) was provided for 5 days/week to 6‐72 month‐old children. Seven hundred and forty seven children completed 1 year of the nutritional intervention. Hemoglobin, anthropometry and...
Background:
Valproic acid (VPA) is a commonly prescribed drug for those affected by epilepsy and bipolar disorders. VPA has a well known teratogenic potential, causing a variety of birth defects including neural tube defects (NTDs) and other congenital malformations, when women are treated with this medication during pregnancy. Unfortunately, the...
Despite the fact that second-generation antiepileptic drugs (AEDs) are already in use, much remains unknown with respect to the mechanisms underlying the teratogenicity of even first-generation AEDs. While many studies have targeted specific mechanisms as potential targets, including epoxidation, oxidative stress, altered folate metabolism, and his...
The treatment of epilepsy in women of reproductive age remains a clinical challenge. While most women with epilepsy (WWE) require anticonvulsant drugs for adequate control of their seizures, the teratogenicity associated with some antiepileptic drugs (AEDs) is a risk that needs to be carefully addressed. Antiepileptic medications are also used to t...
Birth defects remain the leading cause of infant death in US. The field of teratology has been focused on the causes and underlying mechanisms of birth defects for decades, yet our understanding of these critical issues remain unacceptably vague. Conclusions from years of animal and human studies made it clear that the vast majority of birth defect...
Many antiepileptic drugs (AEDs) have therapeutic applications that extend beyond epilepsy to include neuropathic pain, migraine headaches and psychiatric disorders. The risk of some AEDs has been clearly established, but for newer drugs, small sample sizes and polytherapy exposures preclude a conclusive determination of their teratogenic potential....
Objective: To describe a sample of newborns with congenital malformations that were part of a surveillance program. DNA samples were taken from this patient's oral mucosa using buccal swabs with the purpose of creating a DNA bank for the future molecular investigation of congenital anomalies. Methods: Following the methodology of the Latin American...
