Medicine and Health Sciences Commons^™

Adductor Canal Regional Anesthetic Placement In Pediatric Patients For Knee Arthroscopy: Defining The Optimal Location And Analysis Of Other Trends, Isaac Jin, Christine Song, Sujay Deshpande, Andrew Yang, Ethan Schollaert, Neha Divi, Aysha Hasan Md

Tower Health Research Day

No abstract provided.

Consequences Of Negative Ureteroscopy For Pediatric Urolithasis: Single-Insitutional Cohort, Sonam Saxena, Yashaswi Parikh, Sami Shaikh, Aznive Aghababian, Suhaib Abdulfattah, Emily Ai, Karl Godlewski, Sahar Eftekharzadeh, Curran Uppaluri, Katherine Fischer, John Weaver, Christopher Long, Sameer Mittal, Aseem Shukla, Arun Srinivasan

Tower Health Research Day

No abstract provided.

Ut Health Rgv Covid-19 Testing Report, Jefferson T. R. Chandler, Beatriz Tapia

Research Colloquium

Purpose: This health surveillance project's goal was to organize de-identified data received from UT Health RGV with the intent to provide timely reporting to testing sites and health affairs directors. We aimed to explore how testing rates differ between counties, testing sites and age groups from March 30 through August 7, 2020. We looked at different demographics and compared the positivity rates for each testing site. For this report, we will detail information for the pediatric population (ages 0-18).

Materials and Methods: A codebook and database were created with information about COVID-19 test data to formulate reports to the testing …

Rotator Cuff Injury In The Pediatric Population: A Systematic Review Of Patient Characteristics, Treatment, And Outcomes, Kevin J. Orellana, Kathleen L. Harwood, John G. Horneff 3rd, Joseph J. King, Brendan A. Williams

Research Colloquium

Background: Rotator cuff injuries (RCIs), traditionally thought to be an adult-type pathology, have been reported in the pediatric population, but there remains limited evidence regarding this injury pattern in pediatric patients. The purpose of this study was to systematically review the literature to characterize the epidemiology, injury patterns, treatment modalities, and outcomes for pediatric patients with RCIs.

Methods: A systematic review was performed in accordance with Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines reviewing Pubmed, Embase, Cochrane, and CINAHL databases. Studies reporting imaging confirmed RCIs and treatment outcomes in patientsdemographics, mechanism, injury type and injury location were …

Trauma Center Designation Effects On Clinical Outcomes In Pediatric Dog Bites: A Retrospective Study, Jessy Feng, Sabrina Orta, Alejandro Aquino, Lori Berry, Demba Fofana, Paul Berry

Research Colloquium

Introduction: Clinical outcomes associated with the American College of Surgeons (ACS) trauma center designation have been examined for many conditions. However, we sought to analyze the association between ACS pediatric trauma center designation and outcomes following pediatric dog bite trauma cases, which has rarely been studied.

Methods: The National Trauma Data Bank was queried to identify pediatric (0-19y) dog bite trauma patients admitted to ACS pediatric level I or II trauma centers from 2007-2016. Chi-Squared and Odds Ratio statistical analyses were used to compare the outcomes.

Results:We identified 6,196 pediatric dog bite trauma patients treated at ACS level …

Cardiac Tamponade: Innovative Sternotomy Simulation Model For Training Pediatric Cardiac Intensive Care Team, Tolu Akinpelu, Mohammed Alhendy, Malarvizhi Thangavelu, Karen Weaver, Nicole Muller, James Mcelroy, Daniel Nento, Utpal Bhalala

Research Symposium

Introduction: Cardiac tamponade occurring after cardiac surgery is rare but life threatening and requires simultaneous resuscitation and emergent sternotomy by the intensive care team. A simulated scenario using innovative mannequin with sternotomy wound has the capability of reproducing cardiac arrest associated with postoperative tamponade. We evaluated the face validity of this innovative mannequin, the confidence level and crisis resource management skills of the team during sternotomy to manage postoperative cardiac tamponade.

Methods: The simulation case scenario was developed using innovative sternotomy mannequin for children’s hospital cardiac intensive care unit (CICU) teams. The case involved a 3-year old male, intubated, mechanically …

The Impact Of Medication Therapy Management Services On Pediatric Patients With Medical Complexities, Charisma Osuagwu, Erica Wong, Savion Carswell, Sophia Jenkins, Xinyu Wang, Yujin Kim

Research Day

Introduction

Medication Therapy Management (MTM) is a service provided by healthcare providers to ensure the best medical outcomes, particularly for those with multiple chronic conditions. It is often provided for senior populations supported under the Centers for Medicare & Medicaid Services. Studies show that patients provided with MTM services have higher medication adherence rates and experience fewer complications. However, there are few studies on MTM counseling in pediatric populations. In this literature review study, we investigated the potential impact of MTM services for underserved pediatric populations with chronic conditions or disabilities who are likely to benefit from MTM services.

Methods …

2000-2020 Nhis Studies: Factors Affecting Medication Adherence Rate In The Pediatric Population With Medical Complexity, Janice Tong, Savion Carswell, Erica Wong, Xinyu Wang, Yujin Kim

Research Day

Introduction

Children with medical complexity belong to a vulnerable patient population group that is defined by the interplay of chronic health conditions, high healthcare utilization, and severe limitations in cognitive and/or physical functioning. Members of this patient population often require a complex management and/or treatment regimen with the use of more than one medication. Pediatric nonadherence in medication can lead to increases in microbial resistance, adverse drug reactions, morbidity, and mortality. The consequences of this medication nonadherence may also cause slower recovery times, increased number of emergency department visits, and hospitalizations, which subsequently substantiates higher medical costs for families along …

The Use Of Osteopathic Manipulative Medicine To Treat Common Pediatric Conditions: A Literature Review, Sonya Priven, Emily Meale, Danielle Cooley

Rowan-Virtua Research Day

Context: Doctors of Osteopathic Medicine (DOs) are physicians who are trained in the practice of osteopathic manipulative treatment (OMT). OMT is a form of manual manipulation that can be applied to the patient’s body to aid the body in its own healing properties. The overprescribing and overuse of medication is currently a problem, as it can result in adverse consequences such as antibiotic resistance. Exploring OMT as either an alternative or as a complementary therapy in the pediatric population is beneficial in potentially curbing antibiotic use and improving symptoms and disease-related processes.

Objective: To explore OMT as a therapy for …

After Adjusting For Clinical Complexity And Social Determinants Of Health, State Of Residence Only Factor Associated With Hospital Admissions Among Children With Spina Bifida Presenting To The Emergency Department, Patrice Basada, Victor Kucherov, Teresa Russell, Jacob Smith, Sally Zimmermann, Elena Johnston, Sohel Rana, Elaise Hill, Christina P. Ho, Hans G. Pohl, Briony K. Varda

GW Research Showcase 2021-2024

No abstract provided.

Compliance With The Best Practice Guidelines (Bpgs) For Wrong Level Surgery (Wls) Prevention In High-Risk Pediatric Spine Surgery, Alondra Concepcion-Gonzalez, Manuel Sarmiento, Benjamin D. Roye, Christina C. Rymond, Chinenye Ezeh, Hannah Lin, Afrain Z. Boby, Prakash Gorroochurn, Kevin Lu, Rishi Sinha, Brice Ilharreborde, Michael G. Vitale, Pediatric Spine Study Group, Harms Study Group, European Pediatric Orthopaedic Society

GW Research Showcase 2021-2024

No abstract provided.

Impact Of Hip Surveillance Program In Pediatric Patients With Cerebral Palsy, Curt Martinez, Alana Sadur, Ryan Travers, Sohel Rana, Sean Tabaie

GW Research Showcase 2021-2024

No abstract provided.

Compliance With The Best Practice Guidelines For Preventing Surgical Site Infections (Ssi) In High-Risk Pediatric Spine Surgery, Alondra Concepcion-Gonzalez

GW Research Showcase 2021-2024

No abstract provided.

Eeg Predictors Of Neurologic Injury In Patients Undergoing Extracorporeal Membrane Oxygenation, Julia Ryan, Julia Keenan, Arnold Sansevere

GW Research Showcase 2021-2024

No abstract provided.

Evaluation Of Fecal Continence In Children With Anorectal Malformations And Hirschsprung Disease On Bowel Management At Children’S National Hospital: A Pilot Study, Matthew Wolpert, Diya Kallam, Teresa Russell

GW Research Showcase 2021-2024

No abstract provided.

Analysis Of Electronic Health Record Data Identifies Features Associated With Future Genetic Evaluation, Elmer Rajah, Nhat Duong, Andrea Cohen, Eric Villain, Andrea Gropman, Seth I. Berger

GW Research Showcase 2021-2024

No abstract provided.

A Case Of Intracranial Empyema After Bacterial Sinusitis, Eric Doane, Bhumi Shah, Robert Belfer

Rowan-Virtua Research Day

Acute sinusitis in the pediatric population is a common presentation in the emergency department. Most cases are viral and can be managed conservatively and will resolve spontaneously in 7-10 days. Even in cases of bacterial sinusitis, patients can typically be discharged with oral antibiotics and close follow up with the pediatrician.

There is however a small subset of patients who will develop a rare lethal complication, an intracranial empyema. While the incidence in the developed world has decreased as antibiotics become more available, it is still estimated to occur in up to 5% of severe cases requiring hospitalization (1) . …

Case Report: Unintentional Edible Thc Ingestion (Gummi Worms) In A Child, James Espinosa, Kelly Hamilton, Alan Lucerna, David Ho, Henry Schuitema

Rowan-Virtua Research Day

We report the case of a 4 year male who presented to the ED with what his mother described as unusual fatigue and sleepiness. The mother related that family and friends had some to her house for a holiday gathering and that one of the guests had an accessible and open handbag that contained gummi worm THC. The guest observed the child eating the gummi worms and immediately notified the patient’s mother. Poison control was contacted. The child was observed for 6 hours and left the ED in good condition without any specific treatment needed. Awareness of the potential of …

Implementation Of An Adhd Electronic Portal In Pediatric Primary Care, Heather Cathey

Epsilon Sigma at-Large Research Conference

Clinical practice guidelines (CPGs) for Attention Deficit Hyperactivity Disorder (ADHD) recommend documentation of symptom scales and comorbidity screenings at the time of diagnosis and routinely throughout care. Rates of documentation for these tools in pediatric primary care are consistently low, creating a gap in care that impairs diagnosis, management, and patient outcomes. The purpose of this quality improvement project was to implement an online ADHD portal that emails, collects and scores these tools. The aims of the project are to improve utilization of CPGs by increasing documentation rates of symptom scales and comorbidity screenings for pediatric patients with ADHD. One …

Pediatric Depression, Emily Farkas

Epsilon Sigma at-Large Research Conference

Abstract

Introduction and Background

Many people in the pediatric population are be brushed off and misdiagnosed when it comes to depression. I decided to research into pediatric depression and how the effects of their peers, parents, and exposure to violence correspond with depression and how it effects their daily life.

Purpose Statement

The purpose of this literature review is to systematically and critically appraise current literature to examine the associations between pediatric depression and sleep issues, exposure to violence, peer relationships, and parental criticism.

Literature Review

For this literature review I gathered a total of 5 articles which are included …

Association Between Clinical Seizures And Eeg Factors With Neurologic And Neurocognitive Outcomes In Pediatric Cerebral Malaria, Daniel Muller, Angela Sarkisian, Alexander Andrews, Daniel James Clark, Douglas G. Postels

GW Research Showcase 2021-2024

No abstract provided.

Intraoperative Enteroscopy For Anastomotic Bleeding In A Pediatric Patient: A Case Report, Tammy Tarhini, Nana Adwoa Bamfo

GW Research Showcase 2021-2024

No abstract provided.

Conditions That Mimic Attention Deficit Hyperactivity Disorder In A Pediatric Population: A Diagnostic Guide For Primary Care Providers, Elena Schatell

Capstone Showcase

This article outlines common neurobiological, developmental, psychological, and other medical diagnoses and conditions that symptomatically mimic attention deficit hyperactivity disorder (ADHD) in the pediatric population. Many of these disorders are comorbid with ADHD, but they may also be misdiagnosed as ADHD. Due to the similarity in presentation, these conditions must be included when formulating a differential diagnosis. Accurately diagnosing a child with ADHD requires a thorough evaluation and work up to rule out diagnoses on the differential.

A Case Of Protein Losing Enteropathy After Fontan Operation, Gina Kim

Capstone Showcase

Protein Losing Enteropathy (PLE) is a condition in which an excessive amount of proteins are lost through the gastrointestinal tract leading to hypoproteinemia and manifesting as edema, ascites, and diarrhea. While in most cases PLE is a treatable disorder with good outcomes, the morbidity and mortality of the disorder is significantly elevated in patients with a history of Fontan surgery–an operation used to palliate patients born with a single ventricle by rerouting venous blood return directly to pulmonary circulation. After failure of first-line therapeutics of diuretics and steroids, this case study explores the successful treatment of a 5-year-old patient with …

Pediatric Mental Health Clinical Experiences In Fnp Programs, Dustin K. Mckague, Sarah L. Beebe, Angela M. Mcnelis, Kristina Thomas Dreifuerst

GW Research Showcase 2021-2024

No abstract provided.

Improving Mental Health Competency In School Nurses, Jennifer M. Walsh

GW Research Showcase 2021-2024

No abstract provided.

Evaluating Patient And Provider Satisfaction With The Use Of Telemedicine For Pediatric Pre-Anesthetic Assessment During The Covid-19 Pandemic, A. Campos, R. Taneja, A. Melwani, C. Challa, C. Vazquez-Colon, J. Cronin, S. Rana, G. Geng-Ramos

GW Research Showcase 2021-2024

No abstract provided.

Transfusion-Associated Hyperkalemia: Implications For Pediatric Cardiac Health, M. Burke, D. Guerrelli, N. Luban, N. Posnack

GW Research Showcase 2021-2024

No abstract provided.

Risk Factors For Myocarditis And Dilated Cardiomyopathy In Children Presenting To The Emergency Department, Leon Chen, Brian Lee, Niti Dham, Sairah Khan, Robert Mccarter, James Chamberlain

GW Research Showcase 2021-2024

No abstract provided.

Clinical Assessment Of 4th Year Osteopathic Medical Students: Outdoor Medicine Rotation, Erik E. Langenau, Sarah Blazovic, Ashley Cochran, Sarah Corcoran, Elisa Guisto, Austin Sorchik, Cameron Williams

Research Day

Introduction: Securing clinical training sites remains a challenge for medical educators who often resort to paying preceptors or searching for new clinical training sites which haven’t traditionally taken students. We describe a unique partnership between the Boy Scouts of America and PCOM, providing a clinical training opportunity for OMS4 students at PCOM: Outdoor Clinical rotation the Summit Bechtel Family National Boy Scout Reserve in rural West Virginia at the National Scout jamboree, serving 35,000 scouts.

Methods and Curricular Design: By the end of the rotation, each PCOM student was able to (1) provide urgent care for common outdoor injuries: …