- Neonatal Respiratory Health Research
- Neonatal Health and Biochemistry
- Electrolyte and hormonal disorders
- Healthcare Policy and Management
- Electronic Health Records Systems
- Mobile Health and mHealth Applications
- Childhood Cancer Survivors' Quality of Life
- Diabetes Management and Research
- Urological Disorders and Treatments
- Child and Adolescent Health
- Child and Adolescent Psychosocial and Emotional Development
- Emergency and Acute Care Studies
- Obesity, Physical Activity, Diet
- Adolescent and Pediatric Healthcare
- Healthcare Systems and Technology
- Infant Development and Preterm Care
- Healthcare cost, quality, practices
- Health Systems, Economic Evaluations, Quality of Life
- Primary Care and Health Outcomes
- Ethics and Legal Issues in Pediatric Healthcare
- Child Nutrition and Feeding Issues
- Healthcare Technology and Patient Monitoring
- Maternal Mental Health During Pregnancy and Postpartum
- Hemoglobinopathies and Related Disorders
- Diabetes Management and Education
Indiana University – Purdue University Indianapolis
2015-2024
Indiana University School of Medicine
2015-2024
AcademyHealth
2024
Providence Portland Medical Center
2024
Providence College
2024
Royal Free London NHS Foundation Trust
2024
Mercy University Hospital
2024
University of Washington
2014-2023
Indiana University
2012-2022
Indiana University Bloomington
2017-2022
These pediatric hypertension guidelines are an update to the 2004 "Fourth Report on Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children Adolescents." Significant changes these include (1) replacement term "prehypertension" with "elevated blood pressure," (2) new normative pressure (BP) tables based normal-weight children, (3) a simplified screening table for identifying BPs needing further evaluation, (4) BP classification adolescents ≥13 years age that aligns forthcoming...
This evidence-based clinical practice guideline is a revision of the 2004 acute otitis media (AOM) from American Academy Pediatrics (AAP) and Family Physicians. It provides recommendations to primary care clinicians for management children 6 months through 12 years age with uncomplicated AOM. In 2009, AAP convened committee composed physicians experts in fields pediatrics, family practice, otolaryngology, epidemiology, infectious disease, emergency medicine, methodology. The subcommittee...
To describe the incidence and outcomes of children with chronic respiratory failure secondary to severe bronchopulmonary dysplasia (BPD) on positive pressure ventilation (PPV) via tracheostomy at home.We retrospectively reviewed medical charts patients BPD who were PPV dependent home enrolled in a university-affiliated ventilator program between 1984 2010. We excluded other comorbidities that could contribute development failure. reported these Indiana cumulative incidences survival,...
BACKGROUND. Inborn errors of metabolism are a significant cause morbidity and death among children. Inconsistencies in how individual states arrive at screening strategies, however, lead to marked variations testing between states. OBJECTIVE. To determine the cost-effectiveness each component test multitest newborn program, including for phenylketonuria, congenital adrenal hyperplasia, hypothyroidism, biotinidase deficiency, maple syrup urine disease, galactosemia, homocystinuria,...
This case series describes subclinical development of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibodies in some patients and health care workers a pediatric dialysis unit after contact with seropositive patient.
Few tools exist to directly measure the microsocial and physical environments of adolescents in circumstances where participatory observation is not practical or ethical. Yet measuring these important as they are significantly associated with adolescent health-risk. For example, health-related behaviors such cigarette smoking often occur specific places may be relatively surreptitious. We assessed feasibility using GPS-enabled cell phones track travel patterns gather daily diary data....
To define the demographic, diagnostic, procedural, and episode of care characteristics for children admitted with chronic pain.We used Pediatric Health Information System database to obtain data on demographic characteristics, length stay, readmission rates, diagnoses, procedures pain. Patients sickle cell disease, cancer, burns, cerebral palsy, transplants, ventilator-dependent were excluded.A total 3752 patients pain identified from 2004 through 2010. Admissions increased by 831% over this...
Children with known exposure to intimate partner violence (IPV) or maternal depression are at risk for negative mental health outcomes as early preschool age. Active ongoing surveillance these factors can lead earlier intervention children.To examine the association between parent reports of IPV and depressive symptoms within first 3 years a child's life subsequent conditions psychotropic drug treatment.Prospective cohort study linking parental billing pharmacy data November 1, 2004, June 7,...
The neutropenic diet (ND) is prescribed to avoid introduction of bacteria into a host's gastrointestinal tract and reduce infection. Due lack evidence support the ND, there continues be debate among pediatric oncologists regarding its usefulness. This prospective randomized controlled trial evaluated difference in infection rates oncology patients Food Drug Administration approved food safety guidelines (FSGs) versus ND plus FSGs during one cycle chemotherapy.Pediatric receiving cancer...
Like all humans, health professionals are subject to cognitive biases that can render diagnoses and treatment decisions vulnerable error.Learning effective debiasing strategies cultivating awareness of confirmation, anchoring, outcomes the affect heuristic, among others, their effects on clinical decision making should be prioritized in stages education.
Background. Personal digital assistants (PDAs) are being increasingly used in medical practice. Although they have been touted as having the ability to improve efficiency and safety, little is known about pediatricians’ use of attitudes PDAs. Objective. Our goals were 1) determine percentage pediatricians using PDAs computers, 2) perceived strengths weaknesses PDAs, 3) explore characteristics associated with beliefs use. Design/Methods. Pediatricians (2130) selected randomly from American...
Type I diabetes is a common chronic disease of childhood. Both the growing influence peers and shifting away from parental have been implicated as prime elements contributing to poor glycemic outcomes in adolescents. Mobile technology that can be directed towards providing self-management support modifying potentially negative child parent interaction holds promise improve control adolescents with diabetes.HealthPia, Inc. (Palisades Park, NJ) has developed prototype system, HealthPia...
OBJECTIVE. Our goals were to examine malpractice claims data that are specific the specialty of pediatrics and provide a better understanding effect has on this specialty. METHODS. The Physician Insurers Association America is trade association medical insurance companies. contained in its data-sharing project represent ∼25% United States at given time. Although database not universally comprehensive, it does contain information available National Practitioner Data Bank, such as ultimately...
BACKGROUND AND OBJECTIVE: Implementing US Preventive Services Task Force and American Academy of Pediatrics preventive service guidelines within the short duration a visit is difficult because identifying which large number apply to particular patient impractical. Clinical decision support system integrated with electronic medical records offer good strategy for implementing screening in waiting rooms. Our objective was determine rates positive risk screens during typical well-care visits...
To examine the association between parental report of intimate partner violence (IPV) and psychological distress (PPD) with child attainment developmental milestones.By using data collected from a large cohort primary care patients, this cross-sectional study examined relationship IPV and/or PPD milestones within first 72 months child's life. Multivariate logistic regression analyses were used to adjust for abuse concern sociodemographic characteristics.Our population included 16 595...
To determine if implementing attention-deficit/hyperactivity disorder (ADHD) diagnosis and treatment guidelines in a clinical decision support system would result better care, including higher rates of adherence to care guidelines.We conducted cluster randomized controlled trial which we compared management ADHD 6- 12-year-olds after implementation computer 4 practices.Eighty-four charts were reviewed. In the control group, use structured diagnostic assessments dropped from 50% baseline...