A5009634226- Respiratory viral infections research
- Bacterial Infections and Vaccines
- Pneumonia and Respiratory Infections
- Childhood Cancer Survivors' Quality of Life
- Cerebral Venous Sinus Thrombosis
- Electronic Health Records Systems
- Patient-Provider Communication in Healthcare
- Infectious Encephalopathies and Encephalitis
- Child Abuse and Related Trauma
- Innovations in Medical Education
- Asthma and respiratory diseases
- Healthcare Systems and Technology
- Tracheal and airway disorders
- Electrolyte and hormonal disorders
- Liver Disease and Transplantation
- Nursing Diagnosis and Documentation
- Cystic Fibrosis Research Advances
- History of Medicine Studies
- Hippo pathway signaling and YAP/TAZ
- Fibroblast Growth Factor Research
- Family Business Performance and Succession
- Family and Patient Care in Intensive Care Units
- History of Medical Practice
- Fetal and Pediatric Neurological Disorders
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
University of Nebraska Medical Center
2013-2025
Children's Hospital & Medical Center
2019-2022
University of Nebraska–Lincoln
2011-2022
OBJECTIVES: To determine the association of use multiplex assay meningitis/encephalitis panel with clinical management suspected meningitis. METHODS: A cross-sectional study was conducted children 0 to 18 years age who received a lumbar puncture within 48 hours admission for an infectious workup. Patient demographic and presenting information, laboratory studies, medication administration were collected. The primary measure length stay (LOS) secondary measures: time on antibiotics, narrowing...
High-flow nasal cannula (HFNC) therapy is widely used for children with bronchiolitis, but its optimal role remains uncertain. Our institution created and later revised a clinical pathway guiding HFNC initiation weaning.A retrospective review of 1690 bronchiolitis encounters was conducted. Trends in the duration hours spent weaning as proportions monthly hospital length stay (LOS) LOS, escalation care were compared using interrupted time series (ITS) models across three study periods:...
The FilmArray Meningitis/Encephalitis panel (MEP) has an 11% false-positive and 2.2% false-negative rate compared with conventional testing. We describe clinical characteristics, treatment decisions, outcomes in children discordant results between MEP testing.We conducted a multisite review of patients ≤ 18 years suspected central nervous system infection positive by or testing (cerebrospinal fluid [CSF] culture, herpes simplex virus [HSV] polymerase chain reaction (PCR), enterovirus [EV]...
The National Institutes of Health's Environmental Influences on Child Health Outcomes (ECHO) program aims to study high-priority and high-impact pediatric conditions. This broad-based health initiative is unique in the research portfolio involves 2 components: (1) a large group established centers with cohorts combining data support longitudinal studies (ECHO cohorts) (2) trials for institutions within Institutional Development Awards states, known as ECHO States Pediatric Clinical Trials...
Summary Background Family‐centred rounds ( FCR s) are common in paediatric inpatient medicine. s lead to shorter hospital stays, improved communication, and patient family satisfaction. Rounding structures can differ between institutions based on participants, the location of role trainees. The aim our study was compare walking hallway with a new conference‐room rounding style, as measured by learner perceptions s. Methods All students participating two hospitalist teams were included this...
The Meningitis/Encephalitis FilmArray® Panel (ME panel) was approved by the U.S. Food and Drug Administration in 2015 provides rapid results when assessing patients with suspected meningitis or encephalitis. These are evaluated various subspecialties including pediatric hospital medicine (PHM), emergency (PEM), infectious diseases, intensive care unit (PICU) physicians. objective of this study to evaluate current use ME panel describe provider subspecialty practice variation.We conducted an...
BACKGROUND AND OBJECTIVES Effective communication between inpatient and primary care providers (PCPs) is important for safe transition of hospitalized patients. In 2017, with PCPs was prioritized the pediatric hospital medicine division. Our aim to improve documented attempted within 72 hours discharge from 41% at least 60% by January 1, 2018, maintain this performance through 2019. METHODS This study included all encounters discharged a provider March 2017 April 2020. An electronic health...
Abstract Background The ability to quickly recognize and diagnose meningitis is a critical component in its management. use of the FilmArray Meningitis/Encephalitis (ME) panel has made pathogen identification easier faster. Although literature exists regarding clinical laboratory data patients with bacterial meningitis, less known about characteristics viral caused by viruses detected ME This study aims compare differences between identified panel. Methods We conducted multisite...
Objectives Communication between inpatient and outpatient providers is critically important as it provides opportunities for primary care (PCP's) hospital medicine (HM) physicians to discuss information that may affect patient care. The lack of consistent, quality communication contribute errors, readmissions, unnecessary testing. At our institution, no standardized expectation existed perform or document such with PCP's. specific aim this project was improve documented PCP's from 33% at...
Purpose: Prednisolone is a mainstay of asthma exacerbation treatment. Recent emergency department studies show dexamethasone to be promising alternative given its easier dosing regimen and better tolerability. However, there little data on dexamethasone’s effectiveness in hospitalized patients. The purpose this study was compare the efficacy prednisolone exacerbations. Methods: A retrospective chart review conducted for all admissions from 7/2015-7/2017. Direct PICU patients who received...
Abstract Background FilmArray Meningitis/Encephalitis Panel (ME panel) has a 11% false positive and 2.2% negative rate compared to conventional testing. We aim describe characteristics, treatment decisions outcomes in pediatric patients with discordant results between ME panel Methods conducted multisite (n=4) retrospective review of < 18 years cerebrospinal fluid (CSF) by or testing (CSF culture, Herpes Simplex Virus [HSV] enterovirus [EV] PCR) from time local implementation February...
Purpose: Family centered rounds (FCR) are common in pediatric inpatient medicine, however rounding structures can differ between institutions based on participants, the location of rounds, and role trainees. Our institution utilized walking, hallway to conduct FCR, but increasing concerns about confidentiality trainee education resulted discussion other methods. The aim our study was compare with a new conference room style as measured by learner perceptions FCR. Methods: All medical students …
Introduction: Complementary and alternative medical therapies are growing in popularity the United States. Neck adjustment is an treatment for torticollis that particularly social media. Manipulation of neck has been associated with coronary artery dissection adults but not studied fully pediatric population. Case Report: A 2-month-old male presented to emergency department (ED) abnormal behavior, decreased alertness, new onset seizures. Four days prior presentation, parents noted increased...
Introduction: Complementary and alternative medical therapies are growing in popularity the United States. Neck adjustment is an treatment for torticollis that particularly social media. Manipulation of neck has been associated with coronary artery dissection adults but not studied fully pediatric population. Case Report: A 2-month-old male presented to emergency department (ED) abnormal behavior, decreased alertness, new onset seizures. Four days prior presentation, parents noted increased...
A 2-month-old boy presents to the pediatric emergency department (ED) with abnormal behavior and decreased alertness. Four days before presentation his parents noted increased fussiness inconsolable crying. Between periods of crying he seems sleepier less interactive. In particular, report that is usually playful during bath time, but has not exhibited this for past few days. They also describe moments when flexes arms legs a seconds, which started morning. After these movements, patient...
BACKGROUND: High-flow nasal cannula therapy (HFNC) is increasingly used for children with bronchiolitis, but its optimal role remains relatively uncertain. Our institution created and later revised a ward-based clinical pathway guiding initiation weaning of HFNC. METHODS: A retrospective review 664 encounters was conducted. Total duration HFNC, from maximum flow rate, hospital length stay (LOS), escalation care were compared across 3 study periods using generalized linear models: Baseline...