A5039885498- Injury Epidemiology and Prevention
- Emergency and Acute Care Studies
- Homelessness and Social Issues
- Prenatal Substance Exposure Effects
- Trauma and Emergency Care Studies
- Traumatic Ocular and Foreign Body Injuries
- Neonatal Health and Biochemistry
- Bipolar Disorder and Treatment
- Traffic and Road Safety
- Pediatric Urology and Nephrology Studies
- Substance Abuse Treatment and Outcomes
- Poisoning and overdose treatments
- Healthcare Policy and Management
- Adolescent and Pediatric Healthcare
- Sports injuries and prevention
- Cardiac, Anesthesia and Surgical Outcomes
- Restraint-Related Deaths
- Anesthesia and Neurotoxicity Research
- Facial Trauma and Fracture Management
- Potassium and Related Disorders
- Neuroscience and Neuropharmacology Research
- Urinary Tract Infections Management
- Child and Adolescent Health
- Intensive Care Unit Cognitive Disorders
- Thermal Regulation in Medicine
Rhode Island Hospital
2010-2022
Brown University
2012-2022
Hasbro Children's Hospital
2007-2022
Providence College
1998-2022
Warren Alpert Foundation
2017-2019
John Brown University
1992-2017
Boston Children's Hospital
1989-2017
Research Network (United States)
2017
The Ohio State University
2017
Bridge University
2013
The objective of this study was to characterize emergency department (ED) visits for pediatric sport-related concussion (SRC) in pre-high school- versus high school-aged athletes.A stratified probability sample US hospitals that provide services the National Electronic Injury Surveillance System (1997-2007) and All Program (2001-2005) used. Concussion-related ED were analyzed 8- 13- 14- 19-year-old patients. Population data obtained from Census Bureau; sport participation Sporting Goods...
<h3>Importance</h3> In young febrile infants, serious bacterial infections (SBIs), including urinary tract infections, bacteremia, and meningitis, may lead to dangerous complications. However, lumbar punctures hospitalizations involve risks costs. Clinical prediction rules using biomarkers beyond the white blood cell count (WBC) accurately identify infants at low risk for SBIs. <h3>Objective</h3> To derive validate a rule 60 days younger <h3>Design, Setting, Participants</h3> Prospective,...
<h3>Importance</h3> Young febrile infants are at substantial risk of serious bacterial infections; however, the current culture-based diagnosis has limitations. Analysis host expression patterns (“RNA biosignatures”) in response to infections may provide an alternative diagnostic approach. <h3>Objective</h3> To assess whether RNA biosignatures can distinguish aged 60 days or younger with and without infections. <h3>Design, Setting, Participants</h3> Prospective observational study involving...
Reports of the test accuracy urinalysis for diagnosing urinary tract infections (UTIs) in young febrile infants have been variable. We evaluated characteristics UTIs, with and without associated bacteremia, infants.We performed a planned secondary analysis data from prospective study ≤60 days old at 26 emergency departments Pediatric Emergency Care Applied Research Network. by using 2 definitions UTI: growth ≥50 000 or ≥10 colony-forming units (CFUs) per mL uropathogen. defined positive...
To assess the performance of Yale Observation Scale (YOS) score and unstructured clinician suspicion to identify febrile infants ≤60 days age with without serious bacterial infections (SBIs).We performed a planned secondary analysis prospective cohort non-critically ill, febrile, full-term presenting 1 26 participating emergency departments in Pediatric Emergency Care Applied Research Network. We defined SBIs as urinary tract infections, bacteremia, or meningitis, latter 2 considered...
The purpose of this study was to describe the epidemiology bicycle-related injuries presenting United States emergency departments (EDs). National Electronic Injury Surveillance System All Program (NEISS-AIP) database used derive national, weighted estimates nonfatal ED visits for by patient age, sex, diagnosis, injured body part, locale incident, traffic-relatedness and month incident. Males accounted 73% all injury visits. Patients aged 10 14 years represented 5-year age interval with...
For many children, the emergency department (ED) serves as main destination for health care, whether it be emergent or nonurgent reasons. Through examination of repeat utilization and ED reliance (EDR), in addition to overall utilization, we can identify subpopulations dependent on their primary source care. Nationally representative data from 2010 2014 Medical Expenditure Panel Survey were used examine annual children age 0 17 years by insurance coverage. Overall (two more visits), EDR...
Objective The objective of this study was to compare the efficacy 3 doses intranasal ketamine (INK) for sedation children from 1 7 years old requiring laceration repair. Methods This a randomized, prospective, double-blind trial Patients with simple lacerations were randomized by age receive 3, 6, or 9 mg/kg INK. Adequacy and measured Ramsay score Observational Scale Behavioral Distress–Revised. Serum norketamine levels drawn during procedure. Sedation duration adverse events recorded....
Introduction. This pilot study assessed the prevalence of physiologic and behavioral adverse effects among adolescent (13–17 years) adult (18–25 emergency department patients who reported energy drink and/or caffeinated-only beverage use within 30 days prior to presentation. It was hypothesized that users would report more than those used only traditional caffeinated beverages such as coffee, tea, or soft drinks. Methods. cross-sectional conducted in two urban departments, one pediatric....
This study aimed to understand current patterns of energy drink use and compare the extent usage drinks other commonly used misused substances between adolescent (13-17-years-old) young adult (18-25-years-old) emergency department (ED) patients.During a 6-week period June August 2010, all patients presenting an or pediatric ED were asked complete computer-based, anonymous questionnaire regarding substances. Wilcoxon rank-sum, 2-sample tests binomial proportions, Pearson χ(2) testing,...
The accurate detection of semen is critical to forensic, medical, and legal personnel. Wood's lamp (WL) emits ultraviolet light (UVL) has been identified as useful in rape evaluations because it purported cause fluoresce. This study was intended determine if can be distinguished from other products by WL analysis.Investigators reviewed the previous training frequency use emergency medicine pediatric physicians at 2 medical centers. participants were asked a distinguish between sample (<6...
Objective: Bispectral analysis (BIS) is a technology using EEG information from forehead electrode to calculate an index (0-100; 0 = coma, 90-100 awake). Our objective was determine the degree of agreement between sedation scales and BIS values in pediatric patients undergoing sedation. Methods: Patients ages 2 17 years, procedural sedation, were enrolled. Sedation performed customary manner with addition monitoring assessment clinical scale: Observer's Assessment Alertness/Sedation (OAA/S),...
To describe the epidemiology of emergency department (ED) visits for trampoline-related injuries among U.S. children from January 1, 2000, to December 31, 2005, using National Electronic Injury Surveillance System (NEISS) and compare recent trampoline injury demographics characteristics with those previously published 1990-1995 same data source.A stratified probability sample hospitals providing services in NEISS was utilized 2000-2005. Nonfatal ED were analyzed patients 0 18 years age.In...
Limited research exists describing youth football injuries, and many of these are confined to specific regions or communities. The authors describe U.S. pediatric injury patterns receiving emergency department (ED) evaluation compare between the younger older participants.A retrospective analysis ED data on injuries was performed using National Electronic Injury Surveillance System-All Program. risk estimates were calculated over a 5-year period (2001-2005) participation from Sporting Goods...
Previous studies have reported concerning numbers of injuries to children in the school setting. The objective was understand temporal and demographic trends intentional setting compare these with outside Data from National Electronic Injury Surveillance System-All Program 2001 2008 were analyzed assess emergency department visits (EDVs) after an injury. There estimated 7,397,301 total EDVs due sustained at 2008. Of these, 736,014 (10%) as (range: 8.5%-10.7% for study time period). overall...