A5055908032- Child Abuse and Related Trauma
- Child Abuse and Trauma
- Restraint-Related Deaths
- Homicide, Infanticide, and Child Abuse
- Injury Epidemiology and Prevention
- Neuroscience of respiration and sleep
- Sex work and related issues
- Gun Ownership and Violence Research
- Sexual Assault and Victimization Studies
- Trauma and Emergency Care Studies
- Homelessness and Social Issues
- Neonatal Respiratory Health Research
- Suicide and Self-Harm Studies
- Intimate Partner and Family Violence
- Traumatic Brain Injury and Neurovascular Disturbances
- Diversity and Career in Medicine
- Emergency and Acute Care Studies
- Medical Education and Admissions
- Maternal Mental Health During Pregnancy and Postpartum
- Cardiac Arrest and Resuscitation
- Child and Adolescent Health
- Family and Patient Care in Intensive Care Units
- Migraine and Headache Studies
- Automotive and Human Injury Biomechanics
- Pediatric Urology and Nephrology Studies
Yale University
2016-2025
Health and Human Development (2HD) Research Network
2024
Cincinnati Children's Hospital Medical Center
2023
University of Cincinnati Medical Center
2023
New York Hospital Queens
2023
Presbyterian Hospital
2023
NewYork–Presbyterian Hospital
2023
Cornell University
2023
Weill Cornell Medicine
2023
Nyack Hospital
2023
Objective. To describe the clinical features that distinguish accidental from abusive head injury in hospitalized children <24 months of age. Methods. Prospective study age for between August 1, 2000, and October 31, 2002. During hospitalization, had computed tomographic scans brain, serial neurologic examinations, dilated ophthalmoscopic eye evaluation by a social worker, and, some cases, child abuse specialist. Outcome Measures. The main outcome measure was proportion each group...
OBJECTIVE: Although experts recommend routine screening of hepatic transaminases (aspartate aminotransferase [AST] and alanine [ALT]) in cases potential child physical abuse, this practice is highly variable. Our objective was to determine the sensitivity specificity transaminase testing young children who underwent consultation for abuse. PATIENTS AND METHODS: This a prospective, multicenter, observational study all younger than 60 months referred subspecialty evaluation possible The abuse...
Understanding why children die is necessary to implement strategies prevent future deaths and improve the health of any community. Child fatality review teams (CFRTs) have existed since 1970s provide a framework ensure that proper questions are asked about child’s death. CFRTs vital function in community preventable causes identified. Pediatricians members because they medical expertise context around All should pediatric physician representation, results from team meetings inform public...
OBJECTIVE: To determine if serum levels of S100B are higher in children with CHT and ICI as detected by cranial CT long bone fractures affect the level skeletal injury. METHODS: Children <18 years age who presented to an urban pediatric emergency department or were transferred from a referral hospital within 6 hours after accidental closed head trauma underwent computed tomography enrolled prospectively. Mean for without intracranial injury (ICI) long-bone evaluated through analysis...
Background: Nearly 44% of sexual assault victims in the United States are younger than 18 years. These often present to emergency departments for care after assault. To date, effectiveness nurse examiners (SANEs) on evaluation and management pediatric adolescent a department (PED) has not been evaluated. Objective: evaluate whether use SANEs PED improves medical victims. Design/Methods: Medical records patients who presented an urban with history required forensic (rape kit) from December...
Human trafficking is a form of modern-day slavery that rapidly expanding in the United States and throughout world. It crime under both international law. The child adult victims human are denied their basic rights subjected to unspeakable physical emotional harm. Traffickers exert complete control over proficient at hiding condition from authorities. Healthcare practitioners may be only professionals who come into contact with if they present for medical care. This article will describe its...
Background: Prehospital care providers are in a unique position to provide initial unadulterated information about the scene where child is abusively injured or neglected. However, they receive minimal training with respect detection of Child Abuse and Neglect (CAN) make few reports suspected CAN protective services. Aims: To explore barriers facilitators recognition reporting by prehospital providers. Design/Methods: Twenty-eight participated simulated case infant abusive head trauma prior...
Objective: Assessing firearm access and providing lethal means restriction counseling (LMRC) is paramount for harm reduction, but evidence indicates that it not commonly provided by Children’s Emergency Department (ED) providers. This study aimed to explore provider perspectives determine avenues increase discharge safety patients with behavioral health emergencies. Methods: Twenty-nine ED providers completed semistructured interviews which were recorded, transcribed, iteratively coded,...
<h3>Objective</h3> To determine if nebulized epinephrine is more efficacious than albuterol in the emergency department (ED) treatment of moderately ill infants with bronchiolitis. <h3>Methods</h3> Sixty-six patients between 0 and 12 months age new-onset wheezing, an antecedent upper respiratory tract infection, a clinical score (Respiratory Distress Assessment Instrument) 8 to 15 were randomized double-blind fashion receive either 0.9 mg/kg 2.25% racemic (n = 34) or 0.15 0.5% sulfate 32) at...
Pedestrians distracted by digital devices or other activities are at a higher risk of injury as they cross streets. We sought to describe the incidence pedestrians two highly traveled urban intersections after implementation pedestrian safety intervention one intersections.This was an observational field study intersections. Two investigators were stationed each four corners intersection. Each pair observers included "person counter" and "behavior counter". The tallied every individual who...
After a sudden infant death, parents and caregivers need accurate open communication about why their died. Communicating tragic news child’s death to families is difficult. Shared consistent terminology essential for pediatricians, other physicians, nonphysician clinicians improve with among themselves. When do not have complete information child died, pediatricians will be able support them through the process make appropriate referrals pediatric specialty mental health care. Families can...
Abstract Objectives Emergency care for children is provided predominantly in community emergency departments (CEDs), where abusive injuries frequently go unrecognized. Increasing access to regional child abuse experts may improve detection of CEDs. In three CEDs, we intervened increase involvement a hospital protection team (CPT) associated with < 12 months old. We aimed CPT consultations about these infants from the 3% baseline an average 50% over months. Methods interviewed CED...
This study aimed to determine the prevalence of and risk factors for postpartum depression (PPD) in mothers young infants presenting pediatric emergency department (PED).This was a prospective, observational evaluate PPD sample PED an urban, tertiary care children's hospital. A convenience with younger than 4 months who presented our surveyed English or Spanish using Edinburgh Postpartum Depression Scale (EPDS). Demographic information collected. Members team evaluated counseled those...
Objectives: To develop and provide validity evidence for a performance checklist to evaluate the child abuse screening behaviors of prehospital providers. Methods: Checklist Development: We developed first iteration after review relevant literature on basis authors' clinical experience. Next, panel six content experts participated in three rounds Delphi reach consensus final items. Validation: Twenty-eight emergency medical services (EMS) providers (16 EMT-Basics, 12 EMT-Paramedics)...
Background Women in medicine have reported gender-specific obstacles to career success, such as a dearth of mentors and role models. Pediatric emergency (PEM) is female-dominated subspecialty pediatrics yet still impacted by gender inequality many areas. No previous study has explored mentoring experiences women PEM physicians the impact on their trajectory. We sought explore female with mentorship determine aspects that were successful or unsuccessful. Methods This was qualitative criterion...
Since 2008, medical providers have offered the Take 5 Safety Plan for Crying (Take 5) to caregivers of newborns at Yale New Haven Hospital (YNHH); it focuses on five steps manage caregiver frustration with infant crying and prevent a from hurting an infant. We sought determine whether reduced occurrence abusive head trauma (AHT). Using case–control design, we reviewed Electronic Medical Records (EMRs) infants younger than 12 months old who were admitted YNHH injury June 2008 2017, evaluated...