A5090115964- Congenital Heart Disease Studies
- Cardiovascular Issues in Pregnancy
- Cardiac Arrest and Resuscitation
- Hospital Admissions and Outcomes
- Cardiac Arrhythmias and Treatments
- Cardiac Valve Diseases and Treatments
- Healthcare Policy and Management
- Infant Nutrition and Health
- Innovations in Medical Education
- Tuberous Sclerosis Complex Research
- Tumors and Oncological Cases
- Patient Safety and Medication Errors
- Hemodynamic Monitoring and Therapy
- Cardiac, Anesthesia and Surgical Outcomes
- Renal and related cancers
- Emergency and Acute Care Studies
- Cardiac Structural Anomalies and Repair
- Neonatal Respiratory Health Research
- Central Venous Catheters and Hemodialysis
- Adolescent and Pediatric Healthcare
- Healthcare cost, quality, practices
- Thyroid Cancer Diagnosis and Treatment
- Ultrasound in Clinical Applications
- Simulation-Based Education in Healthcare
- Vascular Tumors and Angiosarcomas
Texas Children's Hospital
2018-2024
Baylor College of Medicine
2018-2024
Baylor School
2023
Imperial College London
2015-2018
Cedars-Sinai Medical Center
2016
Stanford University
2012
Cytokines and growth factors in colostrum mature milk may play an important role infant immune maturation, vary significantly between populations. We aimed to examine associations environmental maternal factors, human (HM) cytokine factor levels. recruited 398 pregnant/lactating women the United Kingdom, Russia, Italy. Participants underwent skin prick testing, questionnaire interview, sampling. HM levels were quantified by electro-chemiluminescence. found significant geographical variation...
Objective This prospective study of pregnant patients, S urveillance To P revent AV B lock L ikely to O ccur Q uickly (STOP BLOQ), addresses the impact anti‐SSA/Ro titers and utility ambulatory monitoring in detection fetal second‐degree atrioventricular block (AVB). Methods Women with autoantibodies by commercial testing were stratified into high low anti–52‐kD and/or 60‐kD SSA/Ro applying at‐risk thresholds defined previous evaluation AVB pregnancies. The high‐titer group performed heart...
Recent publications have shown improved outcomes associated with resident-to-resident handoff processes. However, the implementation of similar processes for patients moving between units and teams expansive responsibilities presents unique challenges. We sought to determine impact a multidisciplinary standardized process on efficiency, safety culture, satisfaction.A prospective improvement initiative standardize handoffs during patient transitions from cardiovascular ICU acute care unit was...
Colostrum is produced in the first days postpartum. It a known source of immune mediators for newborn within week life. Although it still unclear if colostrum composition varies between populations, recent data suggest differences. Hepatocyte growth factor (HGF); transforming factor-β (TGF-β) 1, 2, and 3; immunoglobulin A (IgA) are key immunological components that stimulate neonatal gastrointestinal system development. We aimed to investigate differences concentration markers mothers living...
Background Complete atrioventricular block (CAVB) is a complication of maternal antibody positivity and treatment fetal disease controversial in terms efficacy safety. We hypothesized that dexamethasone for anti-Ro/SSA antibody-mediated cardiac leads to better pregnancy outcomes than expectant management.Methods A retrospective multi-center cohort study positive pregnancies with conduction reported by participating North American Fetal Therapy Network (NAFTNet) centers between January 2010...
Immunoglobulin A (IgA) is a predominant immunoglobulin present in human breast milk and known to play an important role infant gut immunity maturation. Breast composition varies between populations, but the environmental maternal factors responsible for these variations are still unclear. We examined relationship different exposures levels of IgA colostrum. The objective this study was examine whether analysed influence used 294 colostrum samples from MecMilk International cohort, collected...
BACKGROUND: Cardiac rhabdomyomas can be prenatally diagnosed in patients with tuberous sclerosis complex. Many neonates require no intervention early life other than close monitoring for regression of tumor over the period months to years. In rare instances, cardiac result obstruction blood flow or decreased ventricular function. CASE REPORT: We describe case a neonate who was multiple large rhabdomyomas, one which caused clinically significant prograde across tricuspid valve newborn period....
Objective: The purpose of this study was to determine the quality and effectiveness a structured, competency milestone-based pediatric sonographer onboarding program continuing educational curriculum ascertain if these experiences influence their professional development, job satisfaction, retention. Materials Methods: A survey distributed sonographers in single echocardiography laboratory. anonymized data were collected analyzed generate descriptive statistics. Results: There 36 who...
Introduction: Patient transfers pose a potential risk during hospitalizations. Structured communication practices are necessary to ensure effective handoffs, but occur amidst competing priorities and constraints. We sought design implement multidisciplinary process enhance between pediatric cardiovascular intensive care unit cardiology floor teams with comprehensive approach evaluating efficiency, safety, culture. Methods: conducted prospective quality improvement study enact...
Introduction: Using a collaborative learning model, we previously showed reduced post-operative CT duration and length of stay (LOS) after 10 STS benchmark surgeries. Here report sustained gains across the original 9 centers (labeled era 1) spread project (era 2) to new in PAC 3 -PC 4 network. Methods: Data on patients undergoing surgeries was collected two eras. Each consisted baseline phase 1: 6/2017-6/2018, 2: 5/2019-8/2019) an intervention 7/2018-3/2020, 9/2019-3/2020). The primary...
<title>Abstract</title> Packed red blood cells (PRBC) are frequently ordered for cardiac catheterization procedures, which increases resource utilization and patient charges. We created a quality improvement project focused on optimizing ordering of PRBC pediatric procedures. Our primary aim was to increase adherence guidelines greater than 97%, with global decrease cost by reducing associated The existing product were revised procedure reports updated include administration products....
e16595 Background: Selection of adjuvant breast cancer (BC) therapy varies based on patient risk factors. Utilization and choice chemotherapy (CT), schedule, duration, supportive care affects costs. We aimed to characterize neoadjuvant/adjuvant (N/Ad) CT utilization by tumor type regimen (R) type, estimate associated Methods: Using the US Oncology iKnowMed EHR database, we retrospectively identified female BC patients (pts) diagnosed with stage I-III BC, between 7/2006 11/2010. Secondary...
Abstract Our goal was to create a robust quality improvement and patient safety (QI/PS) curriculum that gives fellows both didactic knowledge first-hand experience with science produces longitudinal QI/PS project improve care over their three-year fellowship. The will meet Clinical Learning Environment Review (CLER) requirements. A series of six 30-minute lectures is paired designated group work time the course 1 year. Each class chooses which they continue for entirety Faculty mentors coach...