A5008805548- Healthcare professionals’ stress and burnout
- Global Health Workforce Issues
- Global Health and Surgery
- Global Maternal and Child Health
- Neonatal Respiratory Health Research
- Innovations in Medical Education
- Child and Adolescent Health
- Infant Development and Preterm Care
- Child Nutrition and Water Access
- Migration, Health and Trauma
- Medical Education and Admissions
- Respiratory Support and Mechanisms
- Adolescent Sexual and Reproductive Health
- Pediatric Pain Management Techniques
- Neonatal and fetal brain pathology
- Congenital Diaphragmatic Hernia Studies
- Diversity and Career in Medicine
- HIV/AIDS Impact and Responses
- Neonatal and Maternal Infections
- Poverty, Education, and Child Welfare
- Birth, Development, and Health
- Hospital Admissions and Outcomes
- Travel-related health issues
- Pregnancy and preeclampsia studies
- Congenital Heart Disease Studies
Seattle Children's Hospital
2006-2023
University of Washington
2014-2023
Seattle University
2010-2023
Gates Foundation
2023
Children's Hospital of Philadelphia
2022
Boston Children's Hospital
2022
Harvard University
2022
Boston Medical Center
2022
Boston University
2022
UCSF Benioff Children's Hospital
2022
From 2014 to 2017, the World Health Organization convened a working group evaluate influenza disease burden and vaccine efficacy inform estimates of maternal immunization program impact. The evaluated existing systematic reviews relevant primary studies, conducted four new reviews. There was strong evidence that prevented illness in pregnant women their infants, although data on severe prevention were lacking. limited number studies reporting incidence infants under six months had highly...
We aimed to describe the national epidemiology of burnout in pediatric residents.We conducted surveys residents at 34 programs 2016, 43 2017, and 49 2018. Survey items included Maslach Burnout Inventory, demographics, program characteristics, personal qualities, experiences, satisfaction with support, work-life balance, learning environment. Analyses cross-sectional comparisons longitudinal regression.More than 60% eligible participated; rates were >50% all years not consistently associated...
Despite the growing importance of global health (GH) training for pediatric residents, few mechanisms have cataloged GH educational opportunities offered by US residency programs. We sought to characterize education across programs and identify program characteristics associated with key elements.Data on were from directors or their delegates all during 2013 2014. These data used compare without a track as well small, medium, large Program presence elements identified using bivariate...
To determine if the Silverman Andersen respiratory severity score, which is assessed by physical exam, within 1 h of birth associated with elevated carbon dioxide level and/or need for increased support. Prospective cohort study including 140 neonates scored birth. We report scores and their association support 24 h. Carbon correlated score (n = 33, r 0.35, p 0.045). However, mean patients <5 vs. ≥5 did not differ significantly (56 67, 0.095). Patients had more often than those (79% 28%, <...
Respiratory distress is a leading cause of neonatal death in low-income and middle-income countries. CPAP simple effective respiratory support modality used to neonates with failure can be The goal this study was describe implementation the Silverman-Andersen severity score (RSS) bubble rural Ugandan NICU. We sought determine whether physicians nurses low-income/middle-income setting would assign similar RSS after an initial training period over time.We process NICU staff use assist decision...
Burnout symptoms are common among health professionals. Gaps remain in understanding both the stability of burnout and compassion over time relationships burnout, self-compassion, stress, mindfulness pediatric residents.The authors conducted a prospective cohort study residents at 31 U.S. residency programs affiliated with Pediatric Resident Burnout-Resilience Study Consortium. Residents completed online cross-sectional surveys spring 2016 2017. The assessed demographic characteristics...
Preterm birth is a major global health challenge, the leading cause of death in children under 5 years age, and key measure population's general nutritional status. Current clinical methods estimating fetal gestational age are often inaccurate. For example, between 20 30 weeks gestation, width 95% prediction interval around actual estimated to be 18-36 days, even when best ultrasound estimates used. The aims this study improve provide personalised predictions future growth.Using...
Ninety-six percent of the world's 3 million neonatal deaths occur in developing countries where majority births outside a facility. Community-based approaches to identification and management illness have reduced mortality over last decade. To further expand life-saving services, improvements access quality facility-based care are required. Evaluation rural intensive unit referral centers provides opportunities understand determinants countries. Our objective was describe demographics,...
Although there has been rapid growth in global health educational experiences over the last two decades, flow of learners remains overwhelmingly one directional; providers from high-resourced settings travel to limited-resourced environments participate clinical care, education, and/or research. Increasingly, a call promote parity partnerships, including development bidirectional exchanges, where trainees each institution partner’s setting learn and teach other. As educators steering...
The objective of this study was to determine the reliability and validity a comprehensive assessment procedure for ascertaining neurodevelopmental status children aged 0 24 months use by multidisciplinary professionals in developing country.We developed Rapid Neurodevelopmental Assessment (RNDA) functional following domains: primitive reflexes, gross motor, fine vision, hearing, speech, cognition, behavior, seizures. Reliability determined 50 who were <3 30 > or =3 administered RNDA 8...
A number of special issues must be considered when selecting simple, safe, inexpensive, and effective antimicrobial regimens for treatment neonatal sepsis in developing country community settings.We reviewed available data regarding pharmacologic profiles parenteral antibiotics with specific attention to properties relevant their use the infections communities.For community-based management infections, particularly attractive include efficacy safety extended-interval, intramuscular dosing...
Mindfulness curricula can improve physician burnout, but implementation during residency presents challenges.To examine whether a novel mindfulness curriculum implemented in the first 6 months of internship reduces burnout.This pragmatic, multicenter, stratified cluster randomized clinical trial 340 pediatric interns to intervention or control arm within program pairs generated based on size and region. Fifteen US training programs participated from June 14, 2017, February 28, 2019.The...
Background During the early COVID-19 pandemic travel in Uganda was tightly restricted which affected demand for and access to care pregnant women small sick newborns. In this study we describe changes neonatal outcomes one rural central Ugandan newborn unit before during phase of pandemic. Methods We report from admissions captured an electronic dataset a well-established (September 2019 March 2020) period (April–September as well two seasonally matched periods year prior. excess mortality...