A5101578982- Global Health and Surgery
- Trauma and Emergency Care Studies
- Global Health Workforce Issues
- Emergency and Acute Care Studies
- Diversity and Career in Medicine
- Injury Epidemiology and Prevention
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Systems and Technology
- Social Media in Health Education
- Abdominal Trauma and Injuries
- Esophageal and GI Pathology
- Congenital Anomalies and Fetal Surgery
- Hospital Admissions and Outcomes
- Health Literacy and Information Accessibility
- Birth, Development, and Health
- Food Security and Health in Diverse Populations
- Disaster Response and Management
- Pediatric Hepatobiliary Diseases and Treatments
- Clinical Nutrition and Gastroenterology
- Gestational Diabetes Research and Management
- Climate Change and Health Impacts
- Intestinal Malrotation and Obstruction Disorders
- Congenital gastrointestinal and neural anomalies
- Mobile Health and mHealth Applications
- Amoebic Infections and Treatments
UCSF Benioff Children's Hospital
2023-2025
University of California, San Francisco
2020-2025
ORCID
2023-2024
Mbarara University of Science and Technology
2024
Cincinnati Children's Hospital Medical Center
2024
University of Cincinnati
2024
McGill University
2024
Stephens College
2023
Health Resources and Services Administration
2023
University of Louisville
2023
BACKGROUND AND OBJECTIVES Major weather and climate disasters are increasing in frequency severity. How often these events result child deaths is unknown. We assessed temporal regional trends pediatric fatalities due to the United States over last 21 years. METHODS conducted an ecological study of weather-related between 2001 2021 using National Centers for Environmental Information Storm Events Database. Weather-related were compared with included Disease Control Prevention Wide-ranging...
<title>Abstract</title> Background In low-income countries, clinicians trained through a context-specific trauma surgery fellowship program (TFP) can help reduce injury-related mortality to levels closer those observed in higher-resource settings. Successful implementation, however, hinges on buy-in from local clinicians. We therefore assessed clinician support for potential TFP Uganda, considering perceived need, curricular recommendations, barriers, and motivating factors. Methods After...
Importance Extreme weather has major implications for state and national health care systems; however, statistics examining weather-related injuries fatalities are limited. Objective To examine the frequency regional distribution of disaster events (MDEs) in US. Design, Setting, Participants This ecologic cross-sectional study MDEs occurring between January 1, 2006, December 31, 2021, evaluated US data on all included National Oceanic Atmospheric Administration Centers Environmental...
High emergency department (ED) pediatric readiness is associated with improved survival among children receiving care, but state and national costs to reach high ED the resulting number of lives that may be saved are unknown.
Importance High emergency department (ED) pediatric readiness is associated with improved survival, but the impact of changes to ED unknown. Objective To evaluate association in at US trauma centers between 2013 and 2021 mortality. Design, Setting, Participants This retrospective cohort study was performed from January 1, 2012, through December 31, 2021, EDs 48 states District Columbia. included injured children younger than 18 years admission or injury-related death a participating center,...
Abstract Purpose Intestinal obstruction caused by intestinal atresia is a surgical emergency in newborns. Outcomes for the jejunal ileal (JIA), most common subtype of low-income countries (LIC), are poor. We sought to assess impact utilizing Bishop–Koop (BK) approach JIA improving outcomes. Methods A retrospective cohort study was performed on children with complex (Type 2–4) treated at our national referral hospital from 1/2018 12/2022. BK regularly used starting 1/1/2021, and outcomes...
BACKGROUND Functional impairment has been proposed as an alternative outcome for quality improvement in pediatric trauma. The functional status scale (FSS) used studies of injured children, but only validated with resource-intensive in-person assessment. Implementation retrospective chart-based FSS assessment would offer a simplified and scalable alternative. purpose this study was to evaluate interrater reliability identify factors associated unreliable METHODS A cohort admissions Level I...
Pediatric trauma system development is essential to public health infrastructure and pediatric systems. Currently, systems are managed at the state level, with significant variation in consideration of needs. A recently developed Trauma System Assessment Score (PTSAS) demonstrated that states lower PTSAS have increased mortality from trauma. Critical gaps identified within six domains: Legislation Funding, Access Care, Injury Prevention Recognition, Disaster, Quality Improvement Registry,...
Abstract The rural population in the U.S. is growing and aging faster, they have more comorbidities, than overall population. Despite greater need for resources supports, residents may experience most barriers to formal services (e.g., hospital, hospice/palliative care, nursing home care) lack available family caregivers. Unfortunately, there a dearth of population-based research comparing characteristics needs older adults living dying vs. urban areas, particularly related availability...
Trauma recidivism is associated with future trauma-associated morbidity and mortality. Previous evidence suggests that socioeconomic factors predict trauma in older children (10-18 years); however, risk US 10 years younger have not been studied. We sought to determine the young younger.