Professor Emeritus
Education and Training
Post-Doctoral Fellow, 1997 - John D. and Catherine T. MacArthur Foundation; MacArthur Research Foundation Network on Psychopathology and Development, University of California, Berkeley, Institute of Human Development
PhD, 1995 - Epidemiology, University of California, Berkeley, Berkeley, CA
MPH / MSN, 1981 - Health Administration / Pediatric Ambulatory Care & Pediatric Nurse Practitioner, Columbia University, New York City, New York
BA / BS, 1977 - Psychology / Nursing, University of Rochester, Rochester, New York
Biography
As a Professor in the Family Health Care Nursing department at UCSF, my career has been dedicated to conducting impactful research and addressing important issues in the field of family health care. I have authored several research publications covering a wide range of topics, including early care and education programs/child care, environmental exposure, autonomic nervous system, and healthy habits including physical activity and nutrition. My work has explored the pesticide exposures in child care centers, the effects of child care health consultation on health and safety standards in child care programs, the effects of prenatal mindfulness intervention on infant autonomic and behavioral reactivity, and the developmental consequences of early life stress on children's physiological regulation and behavior.
I have had the privilege of serving as the Principal Investigator for projects sponsored by the NIH, focusing on reducing pesticide exposures to preschool-age children in California child care centers and examining stress, autonomic reactivity, and mental health in low-income, Latino children. Through my research, I aim to contribute to our understanding of how to improve the health and well-being of young children and their families.
I have had the privilege of serving as the Principal Investigator for projects sponsored by the NIH, focusing on reducing pesticide exposures to preschool-age children in California child care centers and examining stress, autonomic reactivity, and mental health in low-income, Latino children. Through my research, I aim to contribute to our understanding of how to improve the health and well-being of young children and their families.
Research Interests
July 1, 2024 - April 30, 2028 - Best Practices to Return Results About Pesticide Exposures in Family Child Care Homes , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R01ES036261
July 1, 2022 - June 30, 2025 - California Preventive Health and Safety Practices Training of Trainers (TOT) and Technical Assistance (TA) Program , Project Director . Sponsor: California Department of Social Services, Sponsor Award ID: CN190094
September 30, 2017 - August 31, 2024 - Reducing pesticide exposures to preschool-age children in California child care centers , Project Director . Sponsor: NIH, Sponsor Award ID: R01ES027134
September 1, 2009 - August 31, 2011 - Stress, Autonomic Reactivity, and Mental Health in Low Income, Latino Children , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R03HD058091
Publications
The child opportunity index and discharge disposition among children with new tracheostomy and long-term mechanical ventilation.
Publication Year
2026
Erratum: A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents.
Publication Year
2025
Readmission and mortality among children requiring long-term mechanical ventilation via tracheostomy: a systematic review.
Publication Year
2025