A5089299424- Child Abuse and Related Trauma
- Emergency and Acute Care Studies
- Restraint-Related Deaths
- Traumatic Ocular and Foreign Body Injuries
- Child Abuse and Trauma
- Tactile and Sensory Interactions
- Teleoperation and Haptic Systems
- Child and Adolescent Health
- Respiratory Support and Mechanisms
- Intensive Care Unit Cognitive Disorders
- Islamic Studies and History
- Medical Education and Admissions
- Patient Safety and Medication Errors
- Health Literacy and Information Accessibility
- Hemispheric Asymmetry in Neuroscience
- Jewish and Middle Eastern Studies
- Healthcare Policy and Management
- Facial Trauma and Fracture Management
- Ethics in medical practice
- Health and Well-being Studies
- Electronic Health Records Systems
- Patient Satisfaction in Healthcare
- Terrorism, Counterterrorism, and Political Violence
- Migration, Health and Trauma
- Spatial Cognition and Navigation
Seattle Children's Hospital
2023-2024
University of Washington
2023-2024
Nationwide Children's Hospital
2022
University of South Florida
2015
University of Pennsylvania
2014
Queen's University
2014
Sleep is an essential part of the recovery process, yet inpatient sleep quality poor. Patients and families report that vital signs are most bothersome overnight disruption. Obtaining every 4 hours (Q4H) not evidence-based frequently ordered indiscriminately. We aimed to decrease percentage patient nights with sign checks between 12 am 6 in a low-risk population from 98% 70% within months minimize disruptions improve sleep.We conducted improvement project on 3 pediatric hospital medicine...
Previous research has shown that the stability of haptic simulation systems is largely affected by type signals sampled and discretization method used for implementing virtual environment. In this paper, we analytically derive experimentally evaluate uncoupled systems, when these are not being held any operator, various conditions. These conditions expected to be most stringent ones, as operators' grasp tend stabilize coupled system. Our evaluation includes cases in which position, velocity...
Little is known about patient factors associated with the provision of hypertension care as recommended by JNC 7.We conducted a retrospective chart review (n = 150) to compare documented items 7 various factors, using 15-point scoring tool (0% 100%).The overall documentation guideline-recommended was 78.3%. There significant effect marital status; married patients received more than unmarried (80.4% vs 74.4%; P .02). Men women (80.7% 76.4%; Multivariate analysis revealed that Medicaid had...
Objective Subconjunctival hemorrhages (SCHs) are uncommon injuries in young children beyond the neonatal period and have been associated with abuse. In otherwise well infants, they sometimes attributed to commonly observed symptoms that invoke Valsalva maneuvers, such as cough, vomiting, constipation. Our study aims ascertain prevalence of SCH among presenting emergency care Methods We conducted a cross-sectional secondary analysis prospectively collected dataset aged 1 month 3 years...
Child physical abuse is a common cause of pediatric morbidity and mortality. Up to half all children presenting with abusive injuries have history prior suspicious injury, suggesting pattern repeated abuse. Medical providers are responsible for identifying injuries, completing mandated reporting child protective services investigation, screening occult underlying medical conditions that can predispose injuries. Early identification inflicted appropriate evaluations may serve as an...
A 2-month-old boy presents to a community emergency department (ED) with 1 week of fussiness and decreased left arm movement. The evaluating provider orders radiographs the upper extremity that show heterogenous lucencies in proximal radius ulna suggestive subacute trauma or infection. These findings prompt transfer patient pediatric facility evaluate for nonaccidental (NAT). His mother, who is his sole caregiver, reports no history trauma, swelling, discoloration extremity. infant has some...
Objective Mandible fractures are uncommon injuries in infants and young children may raise concern for nonaccidental trauma. Our study describes several with mandible to identify features that might differentiate abuse from accident. Methods Records imaging were reviewed aged 24 months younger who diagnosed at 2 tertiary pediatric care centers. Twenty-one cases included, 8 of whom had formal child consultations. Cases mechanisms injury, physical examination findings, occult identified, as...
Subdural hemorrhages (SDHs) in children are most often observed abusive head trauma (AHT), a distinct form of traumatic brain injury, but they may occur other conditions as well, typically with clear signs and symptoms an alternative diagnosis. We present case infant whose SDH initially raised the question AHT, multidisciplinary evaluation identified multiple abnormalities, including rash, macrocephaly, growth failure, elevated inflammatory markers, which were all atypical for trauma. These,...
Purpose: To assess the frequency and nature of occult injury screening in infants with subconjunctival hemorrhages (SCH), incidence injuries these children, factors that may have influenced decision to screen for additional injury. Methods: Infants aged 14 days 6 months SCH who presented two tertiary pediatric centers were identified from a local database (N = 84). A retrospective chart review collected demographics, examination findings, imaging results. further stratified into groups...
Twenty-eight sex- and age-matched participants, half dextrals sinstrals, were instructed to move a pen-sized planometer three inches (7.6 cm) while blindfolded. Under separate trials, movements made at four angles, towards away from the body, two distances body (30 cm, 53 cm). Half with right hand left hand. Line estimates increased in length across blocks of trials linear fashion progressively overestimated three-inch imagined criterion. Lines moving longer than those implying an egocentric...