- Emergency and Acute Care Studies
- Child Abuse and Trauma
- Child Abuse and Related Trauma
- Trauma and Emergency Care Studies
- Sepsis Diagnosis and Treatment
- Gun Ownership and Violence Research
- COVID-19 and Mental Health
- Healthcare professionals’ stress and burnout
- Long-Term Effects of COVID-19
- SARS-CoV-2 and COVID-19 Research
- SARS-CoV-2 detection and testing
- Homelessness and Social Issues
- Burn Injury Management and Outcomes
- Elbow and Forearm Trauma Treatment
- Animal Genetics and Reproduction
- COVID-19 and healthcare impacts
- Shoulder Injury and Treatment
- Telemedicine and Telehealth Implementation
- Infectious Diseases and Tuberculosis
- Child Nutrition and Water Access
- Vaccine Coverage and Hesitancy
- Shoulder and Clavicle Injuries
- Food Security and Health in Diverse Populations
- Ultrasound in Clinical Applications
- Traumatic Brain Injury Research
University of Cincinnati Medical Center
2023-2025
University of Cincinnati
2024
Sabin Vaccine Institute
2024
University of Pittsburgh
2021-2023
Children's Hospital of Orange County
2021-2022
University of California, Irvine
2022
University of California, Los Angeles
2007
Introduction: Food and housing insecurity in childhood is troublingly widespread. Emergency departments (ED) are well positioned to identify support food- housing-insecure children their families. However, there no consensus regarding the most efficient screening tools or effective interventions for ED use. Objective: In this cross-sectional study we aimed investigate implementation of a food/ tool resource referral uptake pediatric ED. Methods: During period (March 1–December 9, 2021), were...
Using a large consortium of undergraduate students in an organized program at the University California, Los Angeles (UCLA), we have undertaken functional genomic screen Drosophila eye. In addition to educational value discovery-based learning, this article presents first comprehensive genomewide analysis essential genes involved eye development. The data reveal surprising result that X chromosome has almost twice frequency development as found on autosomes.
Abstract Background Child maltreatment is distressingly prevalent yet remains under-recognized by healthcare providers. In 2015 the Ohio Children's Hospital Association developed Timely Recognition of Abusive INjuries (TRAIN) collaborative in an effort to promote child physical abuse (CPA) screening. Our institution implemented TRAIN initiative 2019. The objective this study was examine effects at institution. Methods retrospective chart review we recorded incidence sentinel injuries (SIS)...
The majority of pediatric medications are dosed according to weight and therefore accurate assessment is essential. However, this can be difficult in the unpredictable peripatetic prehospital care setting, medication errors common. Handtevy method Broselow tape two systems designed guide Emergency Medical Services (EMS) providers both patient estimation dosing. accuracy as practiced field by EMS has not been previously examined.
Abstract Background: Pediatric patients transferred by Emergency Medical Services (EMS) from urgent care (UC) and office-based physician practices to the emergency department (ED) following activation of 9-1-1 EMS system are an under-studied population with scarce literature regarding outcomes for these children. The objectives this study were describe population, explore level-of-care transport decisions, examine ED outcomes. Methods: This was a retrospective review zero <15 years age...
Audience:Emergency medical service (EMS) providers and other health care professionals. SMALLgroupspromotes teamwork, an especially important skill in potentially complex difficult situations such as those surrounding suspected child maltreatment.Educational Objectives: By the end of escape room, learner should be able to: 1) understand national local prevalence maltreatment; 2) different types maltreatment common associated presentations; 3) know EMS agency reporting requirements; 4) when...
Asthma, the most common chronic disease of childhood, can affect a child's physical and mental health social emotional development.
Introduction: Hundreds of children suffer burn injuries each day, yet care guidelines regarding the need for acute inpatient treatment vs outpatient follow-up no required remain nebulous. This gap in literature is particularly salient emergency clinician, who must be able to rapidly determine appropriate disposition. Methods: was a retrospective review patients presenting Level II pediatric trauma center, January 1, 2017–December 31, 2019, and discharged with an International Classification...
Emergency Medical Services (EMS) clinicians are in a unique position to screen for child maltreatment as they often the first point of contact with health care system and may encounter children their home environment. However, EMS training regarding signs is lacking. Although several screening tools have been developed primary Department (ED) settings, there appears be no published literature describing or evaluating prehospital aid. The objective this study was develop, implement, examine...
The primary aim of this study was to determine the seroprevalence SARS-CoV-2 antibodies in a population pediatric healthcare workers (HCWs). This conducted 14 May-13 July 2020. Study participants included HCWs at hospital with either direct patient contact or close proximity patient-care areas. were assessed via Wytcote Superbio IgM/IgG Antibody Fast Detection Kit and Abbott Architect IgG assay. Participants underwent RT-PCR testing upon entry following rapid IgM+/IgG+ results; respiratory...
Abstract Background Child maltreatment is distressingly prevalent yet remains under-recognized by healthcare providers. In 2015 the Ohio Children's Hospital Association developed Timely Recognition of Abusive INjuries (TRAIN) collaborative in an effort to promote non-accidental trauma (NAT) screening. Our institution implemented TRAIN initiative 2019. The objective this study was examine effects at institution. Methods retrospective chart review we recorded incidence sentinel injuries (SIS)...
Introduction: Sepsis is a leading cause of pediatric mortality across the globe. Early recognition reduces mortality; and improve outcomes however, rapid detection remains difficult. Although physiologic mechanisms contribute to complexity epidemiology Emergency Department (ED) visits also contributes. A variety sepsis screening methods have been designed, from alerts based on triage temperature heart rate more complex algorithms. Evaluation such tools has suggested improved identification,...
Abstract: Objective: Children with neurodevelopmental disorders (NDDs) often encounter increased adversity when navigating the health care system. In this study, we explored pediatric emergency department (PED) experience for patients NDDs and their caregivers compared that of without NDDs. Methods: Data study were obtained from National Research Corporation patient survey questionnaires electronic medical record (EMR) data presenting to a PED between May 2018 September 2019. ED satisfaction...
Emergency medical service (EMS) providers and other health care professionals.In 2019 alone, 656,000 children in the United States were victims of child abuse neglect.1 The community has historically struggled with identification maltreatment. In one study, 33% abused had a previous visit provider which was found to have been missed.2 Many voices healthcare advocated for implementation routine screening, studies demonstrated such screening emergency department (ED) increases detection...
Proximal humerus fractures with severe medial displacement of the humeral head are rare in adults and especially so children. Concomitant vascular/neurovascular injury is even more uncommon but must be considered as associated complications can carry significant morbidity. We present a case 12-year-old transported to ED after mountain bike accident which she lost control hit cement wall, injuring her left upper extremity (LUE). Despite normal vascular/sensory exam, imaging demonstrated...
Abstract Introduction : Limited access to SARS-CoV-2 testing has been identified as a potential source of anxiety among healthcare workers (HCWs), but the impact repeated on pandemic-related in pediatric HCWs not examined. We sought understand antibody COVID-19 anxiety. Methods This longitudinal cohort study was conducted between April and July 2020. Participants, 362 HCWs, underwent rapid either every 96 hours or weekly were asked rate their visual analog scale. Change from baseline...
Background: Limited access to SARS-CoV-2 testing has been identified as a potential source of anxiety among healthcare workers (HCWs), but the impact repeated on pandemic-related in pediatric HCWs not examined. We sought understand antibody HCWs’ COVID-19 anxiety. Methods: This longitudinal cohort study was conducted between April and July 2020. Participants, 362 HCWs, underwent rapid either every 96 h or weekly were asked rate their visual analog scale. Changes self-reported from baseline...
SARS-CoV-2 has infected more than 150 million and caused over 3 deaths. While development of vaccines will likely temper the associated morbidity mortality, long-term durability immune response to these remains unknown. Our objective was evaluate use a rapid IgM/IgG antibody detection kit as screening tool for humoral COVID-19 vaccination assess neutralizing nucleocapsid antibodies via ELISA. We conducted cross-sectional study pediatric health care workers (PHCW), with no history infection...