A5005131642- Childhood Cancer Survivors' Quality of Life
- Health Policy Implementation Science
- Glioma Diagnosis and Treatment
- Palliative Care and End-of-Life Issues
- Emergency and Acute Care Studies
- Sepsis Diagnosis and Treatment
- Child Nutrition and Water Access
- Food Security and Health in Diverse Populations
- Testicular diseases and treatments
- Child and Adolescent Health
- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Global Public Health Policies and Epidemiology
- COVID-19 and healthcare impacts
- Chronic Disease Management Strategies
- Acute Lymphoblastic Leukemia research
- Healthcare cost, quality, practices
- Liver Disease Diagnosis and Treatment
- Pancreatitis Pathology and Treatment
- Educational Innovations and Technology
- Literacy and Educational Practices
- Health Systems, Economic Evaluations, Quality of Life
- Infant Development and Preterm Care
- Adolescent and Pediatric Healthcare
- Respiratory Support and Mechanisms
Hospital Nacional de Niños Bloom
2020-2024
Departamento de Educación
2024
Academy of Nutrition and Dietetics
2021-2022
Duke University
2021-2022
Emory University
2022
St. Jude Children's Research Hospital
2022
Background Hospitalized pediatric hematology‐oncology (PHO) patients have frequent clinical deterioration events (CDE) requiring intensive care unit (ICU) admission, particularly in resource‐limited settings. The objective of this study was to describe CDEs hospitalized PHO Latin America and identify event‐level center‐level risk factors for mortality. Methods In 2017, the authors implemented a prospective registry CDEs, defined as unplanned transfers higher level care, use ICU‐level...
Pediatric early warning systems (PEWS) aid with identification of clinical deterioration and improve outcomes in children cancer hospitalized resource-limited settings; however, there may be barriers to implementation.To evaluate stakeholder-reported enablers PEWS implementation hospitals.In this qualitative study, semistructured stakeholder interviews were conducted at 5 pediatric oncology centers 4 countries Latin America. Hospitals participating a multicenter collaborative implement...
Pediatric early warning systems (PEWS) aid in the identification of deterioration hospitalized children with cancer; however, they are under-used resource-limited settings. The authors use knowledge-to-action framework to describe implementation strategy for Proyecto Escala de Valoracion Alerta Temprana (EVAT), a multicenter quality-improvement collaborative, scale-up PEWS pediatric oncology centers Latin America.Proyecto EVAT mentored participating through an adaptable to: (1) monitor...
Pediatric Early Warning Systems (PEWS) reduce clinical deterioration, improve interdisciplinary communication, and provide cost savings; however, little is known about how these impacts are achieved or related. This study evaluates the multi-level of PEWS in resource-limited pediatric oncology centers. We conducted 71 semi-structured interviews including physicians (45%), nurses administrators (10%) from 5 centers 4 Latin American countries. Interviews were Spanish, transcribed, translated...
The COVID-19 pandemic impacted healthcare delivery worldwide, including pediatric cancer care, with a disproportionate effect in resource-limited settings. This study evaluates its impact on existing quality improvement (QI) programs.
Sustainability, or continued use of evidence-based interventions for long-term patient benefit, is the least studied aspect implementation science. In this study, we evaluate sustainability a Pediatric Early Warning System (PEWS), an intervention to improve early identification clinical deterioration in hospitalized children, low-resource settings using Clinical Capacity Sustainability Framework (CCS).We conducted secondary analysis qualitative study identify barriers and enablers PEWS...
Pediatric Early Warning Systems (PEWS) assist early detection of clinical deterioration in hospitalized children with cancer. Relevant to successful PEWS implementation, the "stages change" model characterizes stakeholder support for based on willingness and effort adopt new practice.At five resource-limited pediatric oncology centers Latin America, semi-structured interviews were conducted 71 hospital staff involved implementation. Purposive sampling was used select requiring variable time...
<ns3:p><ns3:bold>Background</ns3:bold>: Health systems strengthening (HSS) and health security are two pillars of universal coverage (UHC). Investments in these areas essential for meeting the Sustainable Development Goals heightened relevance given emergence 2019 novel coronavirus disease (COVID-19). This study aims to generate information on development assistance (DAH) areas, including how track it funding levels align with country needs.</ns3:p><ns3:p> <ns3:bold>Methods</ns3:bold>: We...
Abstract BACKGROUND AND AIMS Reports from low-and middle-income countries (LMICs) indicate lower survival in medulloblastoma (MB), though these studies are mainly single institutions. This multi-institutional, retrospective study aimed to analyze the outcomes for MB 9 centers 8 LMICs. METHODS Patients &lt;18 years old with newly diagnosed MB, treated January 2014 December 2018 Egypt, El Salvador, Malaysia, Mexico, Pakistan, Peru, Philippines, and Uruguay were included. Data on...
Background Primary central nervous system germ cell tumors (GCT) are rare neoplasms in pediatrics. Treatment depends on the histological subtype and extent of disease. Overall survival (OS) is above 90% for germinomas 70%–80% nongerminomatous GCT (NGGCT) high-income countries (HIC) while data usually lacking patients Low-Middle Income country (LMIC). Objective This study aims to describe experience treating with CNS four eight countries, members Asociación de Hemato-Oncología Pediátrica...
La lectoescritura es una habilidad crucial en la educación infantil y primaria, que no solo permite a los niños comprender, interpretar producir textos escritos, sino también fomenta el desarrollo de su pensamiento crítico habilidades comunicativas. Este proceso implica integración simultánea lectura escritura, son interdependientes esenciales para éxito académico social. A lo largo del tiempo, enseñanza ha experimentado evolución significativa, adoptando diversos enfoques pedagógicos...
Background Pediatric Early Warning Systems (PEWS) aid in identification of deterioration hospitalized children with cancer but are underutilized resource-limited settings. Proyecto EVAT is a multicenter quality improvement (QI) collaborative Latin America to implement PEWS. This study investigates the relationship between hospital characteristics and time required for PEWS implementation. Methods convergent mixed-methods included 23 childhood centers; 5 hospitals representing quick slow...
Agulnik, A.; Carrillo, A. K.; Muniz Talavera, H.; Wang, Gonzalez Ruiz, Cárdenas, Garza, M.; Conde, T.; Soberanis, D.; Méndez, Diaz, R.; Martinez Soria, Miralda, S.; Mora Robles, L.; Pineda, E.; Rivera, J.; Villanueva Hoyos, Devidas, Rodriguez Galindo, C.; Evat Study Group, T. Author Information
Abstract Background Guatemala has one of the highest rates chronic child malnutrition (stunting) in world, with minimal improvements over time, despite intensifying efforts. In 2018, a mapping effort was conducted nutrition stakeholders, modelled after similar successful efforts other countries. Methods A public-private consortium used survey to collect information from non-governmental stakeholders Guatemala, including institutional name, sector, geographic areas activities, and types...
Abstract BACKGROUND: Primary CNS GCT are rare neoplasms in pediatrics. Treatment depends on histological subtype and extent of disease. Overall survival (OS) is above 85% high-income countries (HIC). OBJECTIVE: To describe the experience treating 4 8 countries, members AHOPCA (Asociación de Hemato-Oncología Pediátrica Centro América) 5-year OS. DESIGN/METHODS: We conducted a retrospective chart review patients treated for GCT. Epidemiological, clinical characteristics, histology, treatment...
Agulnik, A.; Graetz, D. E.; Ferrara, G.; Puerto Torres, M.; Gillipelli, S. R.; Elish, P.; Muniz Talavera, H.; Gonzalez Ruiz, Armenta, Barra, C.; Diaz, Hernandez, Juarez, S.; Loeza, J.; Mendez, Montalvo, Penafiel, Pineda, Mckay, V. Author Information
Abstract Background: Guatemala has one of the highest rates chronic child malnutrition (stunting) in world, with minimal improvements over time, despite intensifying efforts. In 2018, a mapping effort was conducted nutrition stakeholders, modelled after similar successful efforts other countries. Methods: A public-private consortium used survey to collect information from non-governmental stakeholders Guatemala, including institutional name, sector, geographic areas activities, and types...