MC 5776
Stanford, CA 94305
Phone: (650) 736-4423
Fax: (650) 736-4490
Fax: (650) 736-4490
The latest information about the 2019 Novel Coronavirus, including vaccine clinics for 12-17 year-olds.
La información más reciente sobre el nuevo Coronavirus de 2019, incluidas las clínicas de vacunación para jóvenes de 12 a 17 años.
Xinshu She, MD
- Clinical Assistant Professor
Work and Education
Professional Education
Albert Einstein College of Medicine, Bronx, NY, 6/30/2011
Residency
Montefiore Medical Center of Albert Einstein College of Medicine, Bronx, NY, 6/30/2014
Fellowship
Boston Children's Hospital, Boston, MA, 6/30/2016
Board Certifications
Pediatrics, American Board of Pediatrics
Services
Hospital Medicine
All Publications
Elevated Blood Lead Levels in Infants and Children in Haiti, 2015. Public health reports (Washington, D.C. : 1974) 2018: 33354918807975
Abstract
Few studies have reported blood lead levels (BLLs) in Haitian children, despite the known presence of lead from environmental factors such as soil, water, leaded paint and gasoline, improperly discarded batteries, and earthquakes. We sought to determine the prevalence of elevated blood lead levels (EBLLs) among healthy Haitian children.We enrolled children aged 9 months to 6 years from 3 geographic areas in Haiti (coastal, urban, and mountain) from March 1 through June 30, 2015. We obtained anthropometric measurements, household income, potential sources of lead exposure, and fingerstick BLLs from 273 children at 6 churches in Haiti. We considered a BLL 5 g/dL to be elevated.Of 273 children enrolled in the study, 95 were from the coastal area, 78 from the urban area, and 100 from the mountain area. The median BLL was 5.8 g/dL, with higher levels in the mountain area than in the other areas ( P < .001). BLLs were elevated in 180 (65.9%) children. The prevalence of EBLL was significantly higher in the mountain area (82 of 100, 82.0%; P < .001) than in the urban area (42 of 78, 53.8%) and the coastal area (56 of 95, 58.9%; P < .001). Twenty-eight (10.3%) children had EBLLs 10 g/dL and 3 (1.1%) children had EBLLs 20 g/dL. Exposure to improperly discarded batteries ( P = .006) and living in the mountain area ( P < .001) were significant risk factors for EBLLs.More than half of Haitian children in our study had EBLLs. Public health interventions are warranted to protect children in Haiti against lead poisoning.
View details for PubMedID 30426830
Art in Healing: A Quality Improvement Project for Inpatient Pediatrics in Haiti AMER ACAD PEDIATRICS. 2018
View details for DOI 10.1542/peds.141.1_MeetingAbstract.450
View details for Web of Science ID 000540809200454
Measuring the Gap: A Health Assessment of Rural Chinese Children Compared to Urban Children. Global pediatric health 2016; 3: 2333794X15625298-?
Abstract
China is a large country where rapid development is accompanied by growing inequalities. How economic inequalities translate to health inequalities is unknown. Baseline health assessment is lacking among rural Chinese children. We aimed at assessing baseline student health of rural Chinese children and comparing them with those of urban children of similar ages. A cross-sectional study was conducted using the 2003 Global School-Based Student Health Survey among 100 students Grade 4 to 6 from rural Guizhou, China. Results were summarized and compared with public data from urban Beijing using multivariate logistic regression models. Rural children are more likely to not wash their hands before a meal (odds ratio [OR] = 5.71, P < .01) and after using the toilet (OR = 5.41, P < .01). They are more likely to feel sick or to get into trouble after drinking (OR = 7.28, P < .01). They are more likely to have used drugs (OR = 8.54, P < .01) and to have no close friends (OR = 8.23, P < .01). An alarming percentage of rural (8.22%) and urban (14.22%) children have had suicidal ideation in the past year (OR = 0.68, P > .05). Rural parents are more likely to not know their children's whereabouts (OR = 1.81, P < .05). Rural children are more than 4 times likely to have serious injuries (OR = 4.64, P < .01) and to be bullied (OR = 4.01, P < .01). In conclusion, school-age rural Chinese children exhibit more health risk behaviors and fewer protective factors at baseline compared to their urban counterparts. Any intervention aimed at improving child health should take this distributive gap into consideration.
View details for DOI 10.1177/2333794X15625298
View details for PubMedID 27335999
View details for PubMedCentralID PMC4784561
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