- Veterinary Medicine and Surgery
- Veterinary Orthopedics and Neurology
- Neonatal Respiratory Health Research
- Veterinary Equine Medical Research
- Urological Disorders and Treatments
- Veterinary Oncology Research
- Respiratory Support and Mechanisms
- Pulmonary Hypertension Research and Treatments
- Pediatric Urology and Nephrology Studies
- Congenital Heart Disease Studies
- Veterinary Practice and Education Studies
- Genetic and Kidney Cyst Diseases
- Shoulder Injury and Treatment
- Genetic Syndromes and Imprinting
- Respiratory viral infections research
- Head and Neck Anomalies
- Ultrasound in Clinical Applications
- Liver Disease Diagnosis and Treatment
- Nitric Oxide and Endothelin Effects
- Hernia repair and management
- Mechanical Circulatory Support Devices
- Intensive Care Unit Cognitive Disorders
- Renal and related cancers
- Patient Safety and Medication Errors
- Orthopedic Surgery and Rehabilitation
Arkansas Children's Hospital
2024
Hôpital Nord
2021
Jackson Memorial Hospital
2011-2018
Children's Hospital of Los Angeles
2000-2018
University of Mississippi Medical Center
2011-2018
Monroe Carell Jr. Children's Hospital
2000-2013
Vanderbilt University
2000-2012
University of Bristol
2002-2012
University of Cincinnati
2011
Zagazig University
2011
Medication errors are a major concern of health care professionals and medical institutions, especially involving children. Studies in adults have shown that computerized physician order entry (CPOE) systems reduce medication adverse drug events (ADEs). The effect CPOE implementation pediatric population has not been reported. objective this study was to evaluate the impact on frequency ordering process critical unit (PCCU).A prospective trial conducted 514 patients who were admitted 20-bed...
To validate a diagnostic instrument for pediatric delirium in critically ill children, both ventilated and nonventilated, that uses standardized, developmentally appropriate measurements.A prospective observational cohort study investigating the Pediatric Confusion Assessment Method Intensive Care Unit (pCAM-ICU) patients medical, surgical, cardiac intensive care unit of university-based medical center.A total 68 patients, at least 5 years age, were enrolled from July 1, 2008, to March 30,...
In uncontrolled clinical studies, prone positioning appeared to be safe and improve oxygenation in pediatric patients with acute lung injury. However, the effect of on outcomes children is not known.To test hypothesis that at end 28 days infants injury treated would have more ventilator-free than those supine positioning.Multicenter, randomized, controlled trial conducted from August 28, 2001, April 23, 2004, 102 7 US intensive care units aged 2 weeks 18 years who were vs positioning....
Septic shock heterogeneity has important implications for clinical trial implementation and patient management. We previously addressed this by identifying three putative subclasses of children with septic based exclusively on a 100-gene expression signature. Here we attempted to prospectively validate the existence these gene expression-based in validation cohort.Prospective observational study involving microarray-based bioinformatics.Multiple pediatric intensive care units United...
During June 2021, the highly transmissible† B.1.617.2 (Delta) variant of SARS-CoV-2, virus that causes COVID-19, became predominant circulating strain in United States. U.S. pediatric COVID-19-related hospitalizations increased during July-August 2021 following emergence Delta and peaked September 2021.§ As May 12, CDC recommended COVID-19 vaccinations for persons aged ≥12 years,¶ on November 2, were 5-11 years.** To date, clinical signs symptoms, illness course, factors contributing to...
A radiographic scoring system for features of osteoarthritis the canine stifle joint was devised. Intra‐ and inter‐rater agreement assessed by calculation unweighted kappa statistics. “Global score,”“effusion”, “osteophytosis”, “intra‐articular mineralization” were all that had acceptable reliability, but “subchondral sclerosis” did not. The used in a 13‐month prospective study progression joint, secondary to cranial cruciate ligament deficiency, 58 dogs. In index joints characterized...
Objective. The deaths of 4 infants who had confirmed pertussis infection at our hospital during the past year motivated us to review their cases as well use extracorporeal membrane oxygenation (ECMO) in respiratory failure caused by pertussis. Methods. Retrospective chart reviews and died Vanderbilt University Medical Center (VUMC) from May 2001 2002 were conducted. Extracorporeal Life Support Organization (ELSO) database is an international voluntary registry established 1986 compile...
Newborn piglets develop pulmonary hypertension and have diminished vascular nitric oxide (NO) production when exposed to chronic hypoxia. NO is produced by endothelial synthase (eNOS) in the endothelium using l-arginine as a substrate producing l-citrulline byproduct. l-Citrulline metabolized two enzymes that are colocated with eNOS cells. The purpose of this study was determine whether oral supplementation during exposure newborn 10 days hypoxia would prevent development increase...
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ABSTRACT Both kidneys were imaged ultrasono‐graphically in each of 100 normal adult dogs. Small but significant differences found the dimensions left and right renal male female dogs similar bodyweight. There was a statistically correlation between length bodyweight (r = 0–84, P<0–001). The relationship linear except at very low or high bodyweights. also volume 0–91, P<0–001), remained even extremes Graphs could therefore be constructed for lengthy volume/bodyweight with 95 per cent...
Radiographs of vertebral segments from 200 cats were retrospectively assessed to determine the incidence congenital axial skeletal abnormalities. The skeleton was divided into cervical, thoracic, lumbar, sacral, and caudal presence types abnormalities present recorded for each segment. A total 598 examined. Congenital found in 46 involved 54 spinal segments. Block vertebrae identified three cats. No hemivertebrae or spina bifida noted. Transitional most common, 51 Abnormalities at...
The aim of this study was to use radiography assess and characterise naturally occurring keel bone fractures in laying hens monitor live birds over several weeks examine the healing process. Twenty-four Lohmann brown commercial with varying degrees fracture were used study. Birds radiographed regularly six radiographic features changing appearance evaluated. characteristics old new categorised indicated that 80 per cent entering had healed after 35 days five incurred irrespective their...
The prevalence of polycystic kidney disease was assessed in 132 Persian cats, 46 them referred for the investigation and treatment medical or surgical conditions, 86 apparently healthy cats specifically to be screened disease. Cats renomegaly renal failure were excluded, under 10 months old only included if they had been examined postmortem. One hundred twenty‐six ultrasonographically with a 7.5 MHz sector scanner, other six Forty‐nine screening (57.0 per cent) 16 clinical reasons (34.8...
A study was undertaken to establish the ranges of prostate dimensions, weight and volume in mature normal dogs thus provide information which would allow differentiation from normality size changes associated with disease. The performed on 154 healthy adult male entire dogs. Each imaged ultrasonographically standard longitudinal transverse sections were obtained. Prostate length (L), depth (DL) (DT) width (W) measured. Prostatic estimated according formulae derived previously. There...
Coinfection with influenza virus and methicillin-resistant Staphylococcus aureus (MRSA) causes life-threatening necrotizing pneumonia in children. Sporadic incidence precludes evaluation of antimicrobial efficacy. We assessed the clinical characteristics outcomes critically ill children influenza-MRSA evaluated antibiotic use.We enrolled (<18 years) infection respiratory failure across 34 pediatric intensive care units 11/2008-5/2016. compared baseline characteristics, courses, therapies...
Importance Because unprofessional behaviors are associated with patient complications, malpractice claims, and well-being concerns, monitoring concerns requiring investigation individuals identified in multiple reports may provide important opportunities for health care leaders to support all team members. Objective To examine the distribution of physicians by specialty who demonstrate measured through safety submitted coworkers. Design, Setting, Participants This retrospective cohort study...
Summary Twenty‐four horses with ultrasonographic evidence of tendonitis the deep digital flexor tendon in metacarpal/metatarsal region were seen over a 7 year period. Most had mild to moderate lameness and distension sheath affected limb. Intrasynovial analgesia consistently improved degree lameness. Ultrasonography most commonly revealed small, distinct, often circular, focal hypoechoic areas within which usually extended less than 1 cm proximodistally. The swelling generally box rest...