A5086369480- Disaster Response and Management
- Pediatric Hepatobiliary Diseases and Treatments
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Disaster Management and Resilience
- Gallbladder and Bile Duct Disorders
- Nursing Roles and Practices
- Health and Conflict Studies
- Child and Adolescent Health
- Simulation-Based Education in Healthcare
- Pancreatitis Pathology and Treatment
- Ultrasound in Clinical Applications
- Pleural and Pulmonary Diseases
- Viral Infections and Outbreaks Research
- Intestinal Malrotation and Obstruction Disorders
- Cardiac Arrest and Resuscitation
- Health Sciences Research and Education
- Appendicitis Diagnosis and Management
- Neonatal Health and Biochemistry
- Nursing Diagnosis and Documentation
- Sarcoma Diagnosis and Treatment
- Food Security and Health in Diverse Populations
- Traumatic Brain Injury and Neurovascular Disturbances
- Drug Transport and Resistance Mechanisms
- Abdominal Trauma and Injuries
Children's Hospital of Los Angeles
2012-2023
E Ink (South Korea)
2022
American Association of Nurse Practitioners
2022
University of Southern California
2010-2021
Southern California University for Professional Studies
2013-2014
Alliant International University
2010
To evaluate the efficacy of nontransplant surgery for pediatric cholestasis, 58 clinically diagnosed children, including 20 with Alagille syndrome (ALGS), 16 familial intrahepatic cholestasis‐1 (FIC1), 18 bile salt export pump (BSEP) disease, and 4 others low γ‐glutamyl transpeptidase disease (levels <100 U/L), were identified across 14 Childhood Liver Disease Research Network (ChiLDReN) centers. Data collected retrospectively from individuals who collectively had 39 partial external...
Computed tomography (CT) of the chest (chest CT) is overused in blunt pediatric thoracic trauma. Chest CT adds to diagnosis injury but rarely changes patient management. We sought identify a subset trauma patients who would benefit from screening based on their admission x-ray (CXR) findings. hypothesize that limiting with an abnormal mediastinal silhouette identifies intrathoracic vascular injuries not otherwise seen CXR.All activations underwent CXR at our Level 1 center 2005 2013 were...
Abstract Background The concept of disaster surge has arisen in recent years to describe the phenomenon severely increased demands on healthcare systems resulting from catastrophic mass casualty events (MCEs) such as natural disasters and terrorist attacks. major challenge dealing with a is efficient triage utilization resources appropriate magnitude character affected population terms its demographics types injuries that have been sustained. Results In this paper deterministic kinetics...
Biliary atresia (BA) is a progressive neonatal fibroinflammatory cholangiopathy. We hypothesized that intravenous immunoglobulin (IVIg) would be safe, feasible, acceptable, and efficacious for the treatment of BA. The primary objective this study was to establish feasibility, acceptability, safety profile IVIg administration after hepatoportoenterostomy (HPE) in secondary determine efficacy based on good bile drainage survival with native liver.A multicenter, prospective, open-labeled, phase...
Complete surgical resection of pulmonary metastatic disease in patients with osteosarcoma is crucial to long-term survival. Open thoracotomy allows palpation nodules not identified on imaging but the impact survival unknown. The objective this study was compare overall (OS) and disease-free (DFS) children who underwent vs thoracoscopic surgery for metastasectomy. A multi-institutional collaborative group retrospectively reviewed 202 pediatric metastasectomy by (n = 154) or thoracoscopy 48)....
Abstract Introduction: Due to recent disasters, disaster planners increasingly are focusing on healthcare worker preparedness and response in the event of a disaster. In this study, factors associated with pediatric workers’ willingness respond identified. Hypothesis: It was hypothesized that personal may affect worker’s work Methods: Employees tertiary, care hospital Los Angeles were asked complete brief, 24-question online survey determine their Information demographics, employment,...
Biliary atresia is a progressive fibroinflammatory cholangiopathy of infancy that associated with activation innate and adaptive immune responses targeting bile ducts. A recently completed multicenter phase I/IIA trial intravenous immunoglobulin in biliary did not improve serum total bilirubin levels at 90 days after hepatoportoenterostomy or survival the native liver 1 year. mechanistic aim this was to determine if peripheral blood immunophenotype clinical outcomes. Flow cytometry cell...
Abstract Background To better characterize short‐term and long‐term outcomes in children with pancreatic tumors treated pancreaticoduodenectomy (PD). Methods Patients 21 years of age or younger who underwent PD at Pediatric Surgical Oncology Collaborative (PSORC) hospitals between 1990 2017 were identified. Demographic, clinical information, (operative complications, function, recurrence, survival) collected. Results Sixty‐five patients from 18 institutions a median 13 (4 months‐22 years)...
Objective: To determine the impact of tumor characteristics and treatment approach on (1) local recurrence, (2) scoliosis development, (3) patient-reported quality life in children with sarcoma chest wall. Summary Background Data: Children wall require multimodal therapy including chemotherapy, surgery, and/or radiation. Despite aggressive which places them at risk for functional impairment scoliosis, these patients are also significant recurrence. Methods: A multi-institutional review 175...
Pediatric trauma uses a substantial amount of resources. Quick and cost-effective measures that can be used to identify children with clinically relevant injuries are essential resource allocation optimization patient care. Admission hematocrit is rapid inexpensive, causes minimal harm, potentially aid in critical decision making. We hypothesize admission predicts the need for transfusion pediatric blunt patients.Records patients age 0 year 17 years (2005-2013) who presented Level 1 center...
BACKGROUND:Optimal management of neutropenic appendicitis (NA) in children undergoing cancer therapy remains undefined. Management strategies include upfront appendectomy or initial nonoperative management. We aimed to characterize the effect strategy on complications and length stay (LOS) describe implications for chemotherapy delay alteration.
Disruption in the care of special healthcare needs children may lead to life-threatening situations or preventable secondary conditions. California averages more than 100 earthquakes per week. Subsequent power outages, damage utility systems, and road after an earthquake can have grave consequences for families with parenteral nutrition (PN)-dependent children. The purpose study was demonstrate that we could improve disaster preparedness PN-dependent utilizing individualized family education...