Browsing by Author "Li, Jennifer S"
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Item Open Access Coronary Artery Aneurysm Rupture in Kawasaki Disease and SARS-CoV-2 Infection.(CASE (Philadelphia, Pa.), 2024-02) Wood, Kathleen P; Lee, Grace S; Li, Jennifer S; Barker, Piers CA; Van Mater, Heather; Chamberlain, Reid C• CAA rupture is a rare, life-threatening complication of KD. • SARS-CoV-2 and KD may have a synergistic effect resulting in severe inflammation. • Recognizing specific echocardiogram findings is necessary to diagnosis CAA rupture.Item Open Access Risk Factors for Sudden Infant Death in North Carolina.(Frontiers in pediatrics, 2021-01) Yamada, Merick M; Rosamilia, Michael B; Chiswell, Karen E; D'Ottavio, Alfred; Spears, Tracy; Osgood, Claire; Miranda, Marie Lynn; Forestieri, Nina; Li, Jennifer S; Landstrom, Andrew PBackground: Sudden infant death syndrome (SIDS) is the sudden, unexplained death of infants <1 year old. SIDS remains a leading cause of death in US infants. We aim to identify associations between SIDS and race/ethnicity, birth weight/gestational age, and socioeconomic/environmental factors in North Carolina (NC) to help identify infants at risk for SIDS. Methods and Results: In this IRB-approved study, infant mortality 2007-2016 and death certificate-linked natality 2007-2014 were obtained from the NC Department of Health and Human Services. General, NC natality statistics 2007-2016 were obtained from CDC Wonder. Association between SIDS/total infant death and covariates (below) were calculated. Total infant mortality decreased 2007-2016 by an average of 14 deaths/100,000 live births per year, while SIDS incidence remained constant. Risk ratios of SIDS/total infant deaths, standardized to Non-Hispanic White, were 1.76/2.41 for Non-Hispanic Black and 0.49/0.97 for Hispanic infants. Increased SIDS risk was significantly and independently associated with male infant sex, Non-Hispanic Black maternal race/ethnicity, young maternal age, low prenatal care, gestational age <39 weeks, birthweight <2500 g, low maternal education, and maternal tobacco use (p < 0.01). Maternal previous children now deceased also trended toward association with increased SIDS risk. Conclusions: A thorough SIDS risk assessment should include maternal, socioeconomic, and environmental risk factors as these are associated with SIDS in our population.