A5025191288- Appendicitis Diagnosis and Management
- Diversity and Career in Medicine
- Intestinal Malrotation and Obstruction Disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Injury Epidemiology and Prevention
- Trauma and Emergency Care Studies
- Clinical Nutrition and Gastroenterology
- Congenital Diaphragmatic Hernia Studies
- Surgical Simulation and Training
- Child Nutrition and Feeding Issues
- Intraperitoneal and Appendiceal Malignancies
- Hemodynamic Monitoring and Therapy
- Innovations in Medical Education
- Congenital Anomalies and Fetal Surgery
- Intestinal and Peritoneal Adhesions
- Esophageal and GI Pathology
- Minimally Invasive Surgical Techniques
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Hospital Admissions and Outcomes
- Surgical site infection prevention
- Airway Management and Intubation Techniques
- Burn Injury Management and Outcomes
- Infectious Diseases and Tuberculosis
- Simulation-Based Education in Healthcare
- Respiratory Support and Mechanisms
Children's of Alabama
2020-2024
University of Alabama at Birmingham
2020-2024
University of Alabama
2021
St. Vincent's Birmingham
2021
Illinois College
2016-2020
OSF Saint Francis Medical Center
2020
Children's Hospital of Illinois
2018-2020
University of Illinois Chicago
2019
University of Illinois Urbana-Champaign
2019
General Department of Preventive Medicine
2012
Export Hemorrhagic shock in pediatric trauma patients remains a challenging yet preventable cause of death. There is little high-quality evidence available to guide specific aspects hemorrhage control and resuscitation practices this population. We sought generate clinical recommendations, expert consensus, good practice statements aid providers care for these difficult patients. The Pediatric Traumatic Shock Consensus Conference process included systematic reviews related six subtopics one...
The sonic hedgehog (SHH) pathway is activated in several types of malignancy and plays an important role tumor cell proliferation tumorigenesis. SHH binding to a 12-pass transmembrane receptor, Patched (PTCH), leads freeing Smoothened (SMO) subsequent activation GLI transcription factors. In the present study, we analyzed expression SHH, PTCH, SMO, GLI1 31 follicular thyroid adenomas (FTA), 8 anaplastic carcinomas (ATC), 51 papillary (PTC) by immunohistochemical staining. More than 65% FTA,...
Objective: To develop a severity-adjusted, hospital-level benchmarking comparative performance report for postoperative organ space infection and antibiotic utilization in children with complicated appendicitis. Background: No data exist to aid hospitals identifying prioritizing opportunities prevention or antimicrobial stewardship Methods: This was multicenter cohort study using NSQIP-Pediatric from 16 participating regional research consortium, augmented obtained through supplemental chart...
IntroductionCoronavirus Disease-19 (COVID-19) was declared a pandemic in March 2020. States issued stay-at-home orders and hospitals cancelled non-emergent surgeries. During this time, we anecdotally noticed more admissions for perforated appendicitis. Therefore, hypothesized that during the months following COVID-19 declaration, children were presenting with appendicitis.Materials MethodsThis is retrospective cohort study reviewing pediatric patients admitted at single institution acute...
Introduction: Laparoscopic appendectomy is the gold standard for treatment of acute appendicitis. The single-incision laparoscopic surgery (SILS) approach has gained widespread acceptance. This study evaluates learning curve contemporarily trained surgeons adopting SILS and, more specifically, safety operation during early phase this curve. Methods: A retrospective review 974 consecutive pediatric patients younger than 18 years age, who underwent an at a single institution from 2005 to 2018,...
The clinical significance of gangrenous, suppurative, or exudative (GSE) findings is poorly characterized in children with nonperforated appendicitis.To evaluate whether GSE appendicitis are associated increased risk surgical site infections and resource utilization.This multicenter cohort study used data from the Appendectomy Targeted Database American College Surgeons Pediatric National Surgical Quality Improvement Program, which were augmented operative report obtained by supplemental...
Introduction: Pediatric foreign body ingestion remains a common reason for emergency department (ED) visits. Button battery is an established surgical emergency, requiring immediate removal. Timing of removal other bodies controversial. We hypothesize that there no difference in complication rate or successful esophageal wait until the following morning Materials and Methods: A retrospective review cases involving by pediatric surgery gastroenterology from November 2015 to 2019 was...
To evaluate whether redosing antibiotics within an hour of incision is associated with a reduction in incisional surgical site infection (iSSI) children appendicitis.Existing data remain conflicting as to appendicitis receiving at diagnosis benefit from antibiotic before incision.This was multicenter retrospective cohort study using the Pediatric National Surgical Quality Improvement Program augmented utilization and operative report obtained though supplemental chart review. Children...
Introduction A trend of dislodged nasogastric tubes was noted in children at a high risk for loss enteral feeding access. There is known morbidity associated with early tube dislodgement. Despite nursing and family education regarding the importance these surgically placed tubes, optimal method securing undetermined. Methods nasal bridling program implemented from February 2015 to 2017 pediatric surgical patients less than 1 year old requiring nasoenteric tubes. The service oversaw...
Portal vein thrombosis can be a life-threatening complication associated with splenectomy. Laparoscopic splenectomy has been suggested to cause an increased rate of portal thrombosis. Our study evaluated the in pediatric patients who underwent via single-site laparoscopy.A retrospective chart review was performed for all undergoing laparoscopic from November 2012 July 2019. Demographic data, operative details, postoperative imaging, and patient outcomes were obtained analysis. Patients...
Constipation in pediatrics remains a common problem. Antegrade continence enema (ACE) procedures have been shown to decrease the distress of daily therapy. Patients are able administer more aggressive washouts outpatient setting. Therefore, we hypothesize that patients following an ACE procedure would reduced admissions for constipation.Patients who underwent at large children's hospital from 2015 2018 were included. Demographics, diagnosis, procedure, and preoperative/postoperative...
Introduction: Many studies focus on comparing outcomes of the open method for inguinal hernia repair (IHR) and laparoscopic method. However, few compare different techniques. With over a dozen techniques described in literature IHR, significant opportunities exist to study efficacy each technique. We investigated subcutaneous endoscopically assisted transfixion ligation (SEATL) technique percutaneous internal ring suturing (PIRS). Materials Methods: After receiving institutional review board...