A5023613241- Complementary and Alternative Medicine Studies
- Pain Management and Placebo Effect
- Innovations in Medical Education
- Palliative Care and End-of-Life Issues
- Healthcare professionals’ stress and burnout
- Family and Patient Care in Intensive Care Units
- Infant Development and Preterm Care
- Childhood Cancer Survivors' Quality of Life
- Infant Health and Development
- Acupuncture Treatment Research Studies
- Bone health and osteoporosis research
- Pediatric Pain Management Techniques
- Vitamin D Research Studies
- Primary Care and Health Outcomes
- Nutrition, Genetics, and Disease
- Identification and Quantification in Food
- Iron Metabolism and Disorders
- Tactile and Sensory Interactions
- Hemoglobinopathies and Related Disorders
- Homelessness and Social Issues
- Medical Education and Admissions
- Disaster Response and Management
- Multisensory perception and integration
- Child and Adolescent Psychosocial and Emotional Development
- Mindfulness and Compassion Interventions
Johns Hopkins University
2022-2025
Johns Hopkins Medicine
2022-2023
University of Otago
2023
Walden University
2011-2022
Seattle University
2022
University of Baltimore
2022
John Brown University
2021
University of British Columbia
2021
Provincial Health Services Authority
2021
Children’s Minnesota - St. Paul Hospital
2017-2020
Physician health and wellness is a critical issue gaining national attention because of the high prevalence physician burnout. Pediatricians pediatric trainees experience burnout at levels equivalent to other medical specialties, highlighting need for more effective efforts promote well-being in community. This report will provide an overview burnout, update on work field preventive wellness, discussion emerging initiatives that have potential all training. are uniquely positioned lead this...
The American Academy of Pediatrics is dedicated to optimizing the well-being children and advancing family-centered health care. Related this mission, recognizes increasing use complementary integrative therapies for subsequent need provide reliable information high-quality clinical resources support pediatricians. This Clinical Report serves as an update original 2008 statement on medicine. range both extensive diverse. Therefore, in-depth discussion each therapy or product beyond scope...
Abstract In this 2-year randomized controlled study of 167 men >50 years age, supplementation with calcium-vitamin D3-fortified milk providing an additional 1000 mg calcium and 800 IU vitamin D3 per day was effective for suppressing PTH stopping or slowing bone loss at several clinically important skeletal sites risk fracture. Introduction: Low dietary inadequate D stores have long been implicated in age-related osteoporosis. The aim to assess the effects fortified on BMD community...
Hospice and palliative care providers throughout the United States have continued to provide compassionate patient- family-centered during COVID-19 (coronavirus disease 2019) pandemic while adapting need for scrupulous infection control measures accelerated use of telehealth. Prior pandemic, hospice adopted telehealth slowly compared with other specialties, but its rapidly increasing utilization has long-term implications access primary specialty care, particularly patients in rural...
(1) Background: Epilepsy is one of the most common chronic neurological disorders in childhood. Complementary and alternative medicine (CAM) use highly prevalent patients with epilepsy. Despite CAM’s widespread increasing popularity, its prevalence, forms, perceived benefits, potential risks pediatric epilepsy are rarely explored. (2) Methods: We performed a scoping review available literature on CAM (3) Results: Overall, global cross-sectional studies showed variable degree usage among...
The potential utility of dividing the information flowing from computer to human among several sensory modalities is investigated by means a rigorous experiment which compares effectiveness auditory and visual cues in performance search task. results indicate that complex cue can be used replace traditionally presented modality. Implications for design multimodal workstations are discussed.
To determine whether parental resilience, measured at ICU admission, is associated with parent-reported symptoms of depression, anxiety, posttraumatic stress, and satisfaction care 3-5 weeks following discharge.Planned prospective, observational study nested in a randomized comparative trial.PICUs cardiac ICUs two, free-standing metropolitan area children's hospitals.English- Spanish-speaking parents whose children were younger than 18 years old had anticipated stay greater 24 hours or...
The American Academy of Pediatrics views retail-based clinics (RBCs) as an inappropriate source primary care for pediatric patients, they fragment medical and are detrimental to the home concept longitudinal coordinated care. This statement updates original 2006 on RBCs, which flatly opposed these sites appropriate care, discussing shift in RBC focus comparing attributes RBCs with those home.
Use of integrative medicine (IM) is prevalent in children, yet availability training opportunities limited. The Pediatric Integrative Medicine Residency (PIMR) program was designed to address this gap. PIMR a 100-hour online educational curriculum, modeled on the successful family medicine. Preliminary data site characteristics, resident experience with and interest IM, residents’ self-assessments perceived knowledge skills IM are presented. embedded multimodal evaluation described. Less...
Abdominal pain-related disorders of gut-brain interaction (DGBIs) are common and challenging conditions affecting many children adolescents. Multidisciplinary programs represent one promising approach to these complex disorders. However, the composition therapies offered is unknown. We sought better understand characteristics multidisciplinary programs. A survey was taken pediatric gastroenterologists in United States who practice DGBI determine currently available Fourteen reported caring...
It is widely recognized that burnout prevalent in medical culture and begins early training. Studies show pediatricians pediatric trainees experience rates comparable to other specialties. Newly developed Accreditation Council for Graduate Medical Education (ACGME) core competencies professionalism personal development recognize the unacceptably high resident present an important opportunity programs improve residents throughout These encourage healthy lifestyle practices cultivation of...
Dysphagia is a common symptom in the general population, and its prevalence increases with patient age. The deterioration of swallowing function has many acute chronic causes, including cerebrovascular neuromuscular diseases, radiation, surgery. In an elderly diagnosis treatment abnormalities high priority because it improves patient's quality life helps them to avoid medical complications. Fluoroscopic examinations modified barium swallow studies are most used reliable diagnostic procedures...
Airway smooth muscle (ASM) hypertrophy is a cardinal feature of severe asthma, but the underlying molecular mechanisms remain uncertain. Forced protein kinase B/Akt 1 activation known to induce myocyte in other types, and, since number mediators present asthmatic airways can activate Akt signaling, we hypothesized that could contribute ASM asthma. To test this hypothesis, evaluated whether occurs naturally within airway myocytes situ, Akt1 sufficient cause normal myocytes, and such...
Objectives: Communication breakdowns in PICUs contribute to inadequate parent support and poor post-PICU outcomes. No interventions supporting communication have demonstrated improvements parental satisfaction or psychologic morbidity. We compared parent-reported outcomes from parents receiving a navigator-based intervention (PICU Supports) with those an informational brochure. Design: Patient-level, randomized trial. Setting: Two university-based, tertiary-care children’s hospital PICUs....
Identify areas of consensus on integrating lifestyle medicine (LM) into primary care to achieve optimal outcomes.
Stakeholder-developed interventions are needed to support pediatric intensive care unit (PICU) communication and decision-making. Few publications delineate methods outcomes of stakeholder engagement in research. We describe the process impact on developing a PICU decision-making intervention. also resultant Stakeholders included parents patients, healthcare team members (HTMs), research experts. Through year-long iterative process, we involved 96 stakeholders 25 meetings 26 focus groups or...
The COVID-19 pandemic continues to strain health care systems and drive shortages in medical supplies equipment around the world. Resource allocation times of scarcity requires transparent, ethical frameworks optimize decision making reduce worker patient distress. complexity allocating dialysis resources for both patients receiving acute maintenance has not previously been addressed. Using a rapid, collaborative, iterative process, BC Renal, provincial network Canada, engaged patients,...