Monica J. Federico

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OBJECTIVE The aim of this study was to determine if a quality improvement intervention in a teaching clinic was associated with the following: 1) improved asthma action plan creation and distribution, 2)increased classification of asthma patients as intermittent or persistent, 3) increased prescriptions of asthma controller medications, 4) decreased(More)
Asthmatic children living in low-income families in United States inner city communities continue to have disproportionately high rates of hospitalizations, emergency department visits, disability, and death. Current research implicates a combination of environmental, biologic, and disease mismanagement factors that underlie these poor outcomes.(More)
BACKGROUND Asthma morbidity and mortality is increased in blacks. OBJECTIVE The primary objective of this cross-sectional study was to determine if blacks, asthmatic or nonasthmatic, displayed diminished T-lymphocyte response to glucocorticoids in vitro compared to their white counterparts. If differences were noted, this would suggest a racial(More)
BACKGROUND It is unclear whether asthma severity measured with consensus guidelines is better than a history of a serious asthma exacerbation in predicting current disease activity and future clinical course. OBJECTIVES We sought to (1) compare asthma severity determined by using the Global Initiative for Asthma guidelines with a history of a serious(More)
BACKGROUND Debate exists within the literature concerning whether asthma and obesity are linked as comorbid conditions. Further study is required to understand the relationship between asthma and overweight status, and developmental considerations are an important priority area. OBJECTIVE The present study addressed gaps in the existing literature by(More)
PURPOSE OF REVIEW Complementary and alternative medicine therapies are frequently combined with conventional medical treatment and can significantly affect patient care. In the following case, an adjunctive modality posed a significant health risk to the patient. RECENT FINDINGS An 11-year-old boy with cystic fibrosis reported a bluish skin color after he(More)
BACKGROUND This paper describes the methods for an observational comparative effectiveness research study designed to test the association between practice-level medical home characteristics and asthma control in children and adults receiving care in safety-net primary care practices. METHODS This is a prospective, longitudinal cohort study, utilizing(More)
OBJECTIVES To evaluate the efficacy of brief, single administration of positive expiratory pressure (PEP) therapy in reducing clinical severity and need for additional second-line therapies and hospitalization in children presenting to the emergency department (ED) with acute asthma. STUDY DESIGN This was a prospective randomized controlled trial of(More)
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