A5001014912- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- Emergency and Acute Care Studies
- Child and Adolescent Health
- Adolescent and Pediatric Healthcare
- Reproductive Health and Contraception
- Cardiac Arrest and Resuscitation
- Hepatitis B Virus Studies
- Healthcare Policy and Management
- Health Sciences Research and Education
- Mobile Health and mHealth Applications
- Innovations in Medical Education
- Chemotherapy-induced cardiotoxicity and mitigation
- Sepsis Diagnosis and Treatment
- Acute Myeloid Leukemia Research
- Global Health Workforce Issues
- Poisoning and overdose treatments
- Reproductive tract infections research
- Hospital Admissions and Outcomes
- Qualitative Research Methods and Ethics
- Smoking Behavior and Cessation
- Healthcare Decision-Making and Restraints
- LGBTQ Health, Identity, and Policy
- Nosocomial Infections in ICU
- Porphyrin Metabolism and Disorders
Medical College of Wisconsin
2015-2025
Université du Québec à Montréal
2022
Children's Hospital of Wisconsin
2017-2021
University of Illinois Chicago
2017
We compared the quantity of labs ordered in selected hospitalized children throughout COVID-19 pandemic. Utilization X-ray, magnetic resonance imaging (MRI), echocardiograms, and electrocardiograms (ECG), length stay (LOS) timing antibiotics were secondary outcomes. Retrospective cohort study patients >60 days to <22 years with cellulitis, pneumonia, urinary tract infections discharged from hospital medicine March 2018 February 2020 (pre-) 2022 (peak) April 2023 (post peak)....
BACKGROUND AND OBJECTIVES The American Board of Pediatrics requires that proposed changes to the duration pediatric subspecialty training must include a framework for competency assessment with measurement component. We analyzed clinical Entrustable Professional Activity (EPA) level supervision ratings across 3-year fellowships determine if trainees met minimum thresholds graduation after 2 years fellowship training. METHODS From spring 2019 through 2022, Clinical Competency Committees...
BACKGROUND AND OBJECTIVES Entrustable professional activities (EPAs) will be used for initial certification by the American Board of Pediatrics 2028. Less than half pediatric fellowships currently use EPAs assessment, yet all need to adopt them. Our objectives were identify facilitators and barriers implementation assess fellows determine fellowship program directors’ (FPD) perceptions Milestones. METHODS We conducted a survey FPDs from 15 subspecialties. EPA users asked about their EPAs,...
The FoxA family of pioneer transcription factors regulates hepatitis B virus (HBV) transcription, and hence viral replication. Hepatocyte-specific FoxA-deficiency in the HBV transgenic mouse model chronic infection prevents DNA genome as a result failure developmentally controlled conversion 5-methylcytosine residues to cytosine during postnatal hepatic maturation. These observations suggest that such FoxA, which mark genes for expression at subsequent developmental steps cellular...
Anthracycline-induced cardiotoxicity remains a significant contributor to late morbidity/mortality in children and young adults with acute myeloid leukemia (AML). The cardioprotectant dexrazoxane can be used as prophylaxis diminish risk for cardiomyopathy but whether it affects of relapse pediatric AML is unclear. Our institution adopted the use before anthracyclines administration all oncology patients 2011. We compared (ages, 0 21 y) who received or did not receive during years 2008 2013....
Confidentiality is imperative when caring for adolescents, yet the 21st Century Cures Act ensures guardian access to some of their child's documentation. Pediatric Hospital Medicine (PHM) history and physical (H&P) notes are visible guardians, whereas adolescent sensitive (ASN) not. Our aim was decrease sexual substance use (SHSU) documentation in H&P notes.This quality improvement study included adolescents ages 13 17 from August 1, 2020 May 31, 2021. Interventions disappearing help text...
Hospitals are an important nontraditional setting in which to address adolescent reproductive health. However, opportunities for intervention frequently missed, especially boys and patients hospitalized noningestion complaints. Our global aim was increase delivery of health care adolescents through our children's hospital Pediatric Hospital Medicine service.We performed 2 quality improvement cycles: (1) provider education monthly reminder e-mails (2) automated electronic record (EHR) history...
Abstract Dapsone gel is a topical treatment for facial acne in adolescents and adults, while systemic dapsone therapy known to be associated with methemoglobinemia, once‐daily has been well tolerated few side effects large randomized controlled trials. We describe the first reported case of severe methemoglobinemia healthy adolescent using daily dapsone. Although medication was prescribed use only, patient over her back chest as well. This illustrates potential significant absorption even...
Abstract Winter precipitation is the source of many inconveniences in regions North America, for both infrastructure and economy. The ice storm that hit Canadian Maritime Provinces on 24–26 January 2017 remains one most expensive history province New Brunswick. Up to 50 mm freezing rain caused power outages across province, depriving up one-third Brunswick residences electricity, with some lasting 2 weeks. This study aims use high-resolution atmospheric modeling investigate meteorological...
OBJECTIVES: To characterize the patient population of adolescents hospitalized at a tertiary center for ingestions and identify opportunities to improve health care delivered resources offered these adolescents. METHODS: Retrospective study consecutive sample adolescent patients (12–18 years old) discharged from hospitalist service large academic pediatric May 2017 through April 2018. Data were collected regarding hospital encounter characteristics including length stay, admission service,...
OBJECTIVES Experts recommend that providers discuss adolescent patients’ sexual and reproductive health (SRH) at any care encounter, including hospitalizations. The purpose of this qualitative study was to gain insight into hospitalized adolescents’ experiences perspectives on SRH discussions (SHDs) better inform patient-centered care. METHODS Private semistructured interviews were conducted with adolescents aged 13 17 years. Interviews coded analyzed using thematic analysis. Themes...
OBJECTIVES To fill access gaps for adolescents, addressing sexual and reproductive health (SRH) is recommended in nontraditional settings. In previous improvement work, we increased documentation of history to &gt;80% adolescents hospitalized on our pediatric hospital medicine (PHM) service. This study assessed adolescents’ perception SRH conversations with providers the extent which they were helpful. METHODS Postdischarge survey patients 13 17 years discharged from PHM service at an...
OBJECTIVE Pediatric hospitalizations are a missed opportunity for delivery of the human papilloma virus (HPV) vaccination. In this study, authors’ aim was to increase HPV vaccination rates among adolescents cared by pediatric hospital medicine (PHM) service at our academic children’s hospital. METHODS This quality improvement (QI) study included ≥13 years who were discharged from PHM. Interventions included: modification discharge order sets include status and provider training seminars...
OBJECTIVE The pediatric sepsis literature lacks studies examining the inpatient setting, yet remains a leading cause of death in children’s hospitals. More information is needed about arising patients already hospitalized to improve morbidity and mortality outcomes. This study describes clinical characteristics, process measures, outcomes cases compared with emergency department (ED) within Improving Pediatric Sepsis Outcomes data registry from 46 hospitals that care for children. METHODS...
Overweight negatively affects pediatric respiratory function. In this study, we evaluate if overweight is associated with more severe bronchiolitis in hospitalized infants.This retrospective cohort study analyzed infants aged 30 to 365 days for from September 2019 April 2020. Exclusion criteria included known risk factors bronchiolitis, asthma treatment, or bacterial pneumonia. Weight-for-length z-score was categorized per the World Health Organization's growth assessments as (z-score >2),...
Graduating residents are expected to be competent in triaging patients appropriate resources. Before 2017, pediatric were not involved admission triage decisions. In after implementing an curriculum (ATC), had opportunities overnight calls with the emergency department (ED), which initially supervised (joint calls), and as skills progressed, conducted admitted independently. We implemented evaluated impact of a graduated ATC intervention bundle on resident participate triage, while...
Ingestions are a prevalent form of self-harm in teenagers and unfortunately an increasingly common reason for admission to both acute care critical services. The goal this study was identify characteristics associated with requiring PICU stay among adolescents hospitalized ingestions.Retrospective cohort comparing patients admitted hospital medicine service from January 2019 December 2019.Freestanding children's the midwestern United States.Adolescents 12-18 years old ingestion.None.Out 209...