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Articles 2221 - 2250 of 12205
Full-Text Articles in Entire DC Network
Calmness As A Quality Of Teacher Presence And The Impact On Learning, Kiana Pelton
Calmness As A Quality Of Teacher Presence And The Impact On Learning, Kiana Pelton
Education | Master's Theses
This study seeks to identify the conditions for calmness within an educator's life and its impact on educators and students. Research shows that mindfulness practices can be implemented in the classroom and help students focus (Riner & Tanase, 2014). According to Kane (2018), implementing different practices and strategies of mindfulness can help regulate the internal and external stresses that happen daily. Currently, there is a lack of existing research on what educators do to calm themselves outside of the school day and how those practices impact their relationship with the students, helping students feel calm during school. Specifically, this study …
Understanding Motivational Differences Through The Lens Of Gamification User Types, Heather J. S. Birch
Understanding Motivational Differences Through The Lens Of Gamification User Types, Heather J. S. Birch
International Christian Community of Teacher Educators Journal
In the context of an educational technology course, teacher candidates completed Marczewski’s User Types Hexad Test, a questionnaire based on a typology for classifying both intrinsic and extrinsic motivational tendencies. The test results showed teacher candidates' motivational tendencies, through indicating their resonance with six different User Types, including Socializers, Free Spirits, Achievers, Philanthropists, Players, and Disruptors. Knowing their User Type allowed teacher candidates to reflect on their own personal motivations to use various types of digital tools, as well as to consider how their peers and their students with different user profiles may be motivated differently than themselves. The …
Restoration: Emerging With Courage, Michelle C. Hughes Dr.
Restoration: Emerging With Courage, Michelle C. Hughes Dr.
International Christian Community of Teacher Educators Journal
This essay, first presented at the conference (name has been changed) as a talk at anonymous university, examines one pre-service faculty’s scholarly journey. Written during the Covid-19 pandemic, the author highlights research about professional teaching dispositions specifically exploring the disposition of courage. The essay reveals how the author’s research and scholarship became life-giving during a challenging season. The author encourages colleagues to cultivate space to reflect, summon courage and consider where they can seek and find restoration in their work and scholarship. The author concludes that seeking restoration is a life-giving practice that reminds educators of our faith and calling––and …
The Impact Of Polarization On The Political Engagement Of Generation Z Elementary Preservice Teachers And Their Teaching, Patrick Keegan, Kelly P. Vaughan
The Impact Of Polarization On The Political Engagement Of Generation Z Elementary Preservice Teachers And Their Teaching, Patrick Keegan, Kelly P. Vaughan
Democracy & Education
This instrumental case study of Generation Z preservice teachers enrolled in elementary teaching methods courses in social studies and literacy explores the impact of polarization on their political engagement and teaching. Using the 2020 presidential election as a teachable moment, participants developed and taught literacy-infused civics units in order to bring to light their understandings of their role in preparing elementary students as political actors. This study has important implications for how teacher educators can better facilitate elementary preservice teachers’ own political engagement, thereby ensuring equitable democratic learning opportunities for students.
Experiences And Support Needs Of Typically Developing Siblings Of Children With Autism Spectrum Disorders, Keely Hamilton
Experiences And Support Needs Of Typically Developing Siblings Of Children With Autism Spectrum Disorders, Keely Hamilton
Education | Master's Theses
Children living with an autistic sibling face unique challenges and are in need of support (Angell et al., 2012; Marquis et al., 2019; Molinaro et al., 2020). The purpose of this qualitative study was to understand what the experience of having a sibling with autism spectrum disorders (ASD) is like for a typically developing child during middle childhood or preadolescence, the impacts this experience has, and what types of support they feel they need. Five participants were interviewed for this study; all were in middle childhood or preadolescence, live in Marin County, California, and are in a family with a …
Teachers In Elementary Schools…Do They Have What They Need?, Claire Smith
Teachers In Elementary Schools…Do They Have What They Need?, Claire Smith
Education | Master's Theses
The purpose of this study was to understand a group of teachers’ perspectives and experiences about inequitable access to instructional materials for students in K-5 classrooms and the effect this lack of access has had on the teaching and learning process (Albornoz, Berlinski, & Cabrales, 2018). The problem identified for this project was that instructional materials (including textbooks, curriculum documents, and technology) are not equally available at all K-5 schools. Hahnel (2020) discussed how even though California is one of the wealthiest states in the nation, funding awarded to schools in California was not enough to meet educational goals or …
Creating Commons: Photovoice Philosophy In A Third Space, Jason M. Cox, Lynne Hamer
Creating Commons: Photovoice Philosophy In A Third Space, Jason M. Cox, Lynne Hamer
Journal of Social Theory in Art Education
Teach Toledo is a program that the authors co-coordinate using community assets to create a third space to confront systemic racism’s impact on teacher education programs and facilitate hybridity (Bhaba, 1994). Diverse student cohort members use their lived experience as the base for their individual and shared urban educational philosophies, coordinated in a first-year horizontally and vertically integrated curriculum including written compositions and a PhotoVoice project. “Creating commons” refers not only to provision of a third space as a common space where private experiences can be combined to create a hybrid, new understanding, but also to the creative act of …
School Voices: An Exploration Of Early Career Teachers’ Narratives On Student Voice And Dialogic Practices, Rachel Ada Meiklejohn
School Voices: An Exploration Of Early Career Teachers’ Narratives On Student Voice And Dialogic Practices, Rachel Ada Meiklejohn
Language, Literacy, and Sociocultural Studies ETDs
Classrooms are typically organized around the expectation that students’ voices should be used primarily for reciting answers elicited by teachers. Numerous studies show that moving away from this recitation model towards more dialogic practices has the potential to make literacy learning more effective and inclusive. Yet, dialogic classrooms in which students’ voices work together to create knowledge and make meaning of texts remain rare, especially in classrooms serving students of low-income and minority backgrounds. In order to understand how teachers develop their thinking about student voice and dialogic practices in literacy learning, I completed a qualitative case study of ten …
Being Culturally Relevant And Responsive: A Comparative Analysis Of The Girl Scouts Of Usa Leadership Experience Program To The Diné Philosophy Of Hózhó And The Kinaaldá, To Illuminate Leadership, Rekindle Identity, And Revitalize Language Among Diné Girls, Deborah J. Belone
Teacher Education, Educational Leadership & Policy ETDs
How does analytically comparing the Girl Scouts of the United States of America’s (GSUSA) Leadership Experience program to the Diné philosophy of Hózhó (harmonious way of life) and the Kinaaldá (female puberty ceremony) positively affect the unique diversity of each Diné girl and give attention to leadership skills, self-identity, and the Diné language? This is the research question that guided this research study of comparative analysis. In addition, there are three subquestions: (a) How does aligning the GSUSA Leadership Experience program to the Diné philosophies of Hózhó and the Kinaaldá build leadership skills, positive self-identify, and a healthy social and …
Magnetic Resonance Image-Based Estimates Of Hepatic Blood Flow In Children With And Without Obesity; Implications For Physiologically-Based Pharmacokinetic Models, Yoon Cho, Sherwin S. Chan, Chance S. Friesen, Valentina Shakhnovich
Magnetic Resonance Image-Based Estimates Of Hepatic Blood Flow In Children With And Without Obesity; Implications For Physiologically-Based Pharmacokinetic Models, Yoon Cho, Sherwin S. Chan, Chance S. Friesen, Valentina Shakhnovich
Research Days
Background: Physiologically based pharmacokinetic models for simulating drug pharmacokinetics are useful to guide drug dosing for pediatric patients. Hepatic blood flow could be a useful variable to use in these models.
Objectives/Goal: In this study, we explored 2-D phase contrast non-invasive magnetic resonance imaging (MRI) to measure hepatic blood flow in children with and without obesity.
Methods/Design: In this IRB-approved study, we imaged pediatric patients with abdominal MRI with 2D phase contrast imaging of the descending aorta (AO) at the diaphragm, the inferior vena cava (IVC) at the right atrium, and inferior to hepatic drainage above the renal vein confluence …
Persistent Pediatric Breast Abscesses Following Initial Treatment At Tertiary And Community Centers, Derek Marlor, Kayla Briggs-Groves, Shai Stewart Md, Nelimar Cruz-Centeno, Charlene Dekonenko, Jason D. Fraser
Persistent Pediatric Breast Abscesses Following Initial Treatment At Tertiary And Community Centers, Derek Marlor, Kayla Briggs-Groves, Shai Stewart Md, Nelimar Cruz-Centeno, Charlene Dekonenko, Jason D. Fraser
Research Days
Introduction: Little data exist on the management of pediatric breast abscesses that fail initial treatment. Therefore, this study aimed to evaluate and report outcomes in these patients.
Methods: All patients <18-years-old treated for a breast abscess between January 2008 and December 2018 were included. Patients were divided into 2 groups: initial treatment at our institution (Group 1) and initial treatment at referring centers (Group 2). The primary outcome was disease persistence following treatment at our institution. Secondary outcomes included treatment modalities and patient characteristics.
Results: In total, 145 patients were identified: 111 in Group 1 and 34 in Group 2. Antibiotics alone were the initial treatment in 52.3% (n=58) of Group 1 patients and 64.7% (n=22) of Group 2 patients. Invasive treatment was more common in Group 1 (45.9% vs 5.8%; p<0.00001). Patients with persistent disease in Group 1 were treated with aspiration (n=7, 50%), I&D (n=5, 35.7%), antibiotics (n=1, 7.14%), and manual expression (n=1, 7.14%.), while Group 2 patients were treated with antibiotics (50%, n=17), aspiration (26.47%, n=9), I&D (17.65%, n=6), and manual expression (5.88%, n=2). Group 2 patients with persistent disease were more likely to be treated with antibiotics or a change in antibiotics (50% vs 7.14%; p=0.005). Following treatment at our institution, the rate of persistent disease was similar between groups (12.6% vs 11.8%).
Conclusions: Persistent breast abscesses may be treated with antibiotics in appropriate cases. Damage to the developing breast bud should be minimized. Disease …
0.00001).>18-years-old>Growth Mindset Intervention And Its Impact On Productive Struggle In The Eighth-Grade Mathematics Classroom, Jordy Wilson
Growth Mindset Intervention And Its Impact On Productive Struggle In The Eighth-Grade Mathematics Classroom, Jordy Wilson
Doctor of Education in Secondary and Middle Grades Education Dissertations
This study aims to seek means to increase student productive struggle while adhering to the strenuous performance demands by our school systems. This study examines connections between growth mindset interventions, attitude towards struggle, and productive struggle in the mathematics classroom. Growth mindset interventions have been shown to change mindsets and to help students become more willing to engage in challenging problems and deal with difficult situations and struggle. Productive struggle is the engagement with difficult problems with the understanding that breakthroughs occur from confusion and struggle and has been linked with students’ conceptual understanding in the mathematics classroom. It has …
Navigating The Context: Implementing Inquiry In The Middle School Social Studies Classroom, Juliann Noble Healy
Navigating The Context: Implementing Inquiry In The Middle School Social Studies Classroom, Juliann Noble Healy
Doctor of Education in Secondary and Middle Grades Education Dissertations
Abstract
Despite over a century of advocacy by social studies scholars and professionals and the development of curricular resources to promote inquiry-based learning (IBL) in K-12 social studies, inquiry is not a defining element of the K-12 social studies classroom (Saye, 2017). Teachers face significant barriers to the use of inquiry-based learning. In particular, contextual barriers such as curriculum breadth, high-stakes testing, and lack of context-specific resources are indicated (e.g., Konopack et al., 1994; Martell, 2020; Voet & Wever, 2016). However, recent research presents applications of IBL in K-12 social studies classrooms, which suggests the potential to overcome barriers. This …
The Relationship Between Teacher Burnout And Physical Activity Among High School Teachers, Jonathan Davis
The Relationship Between Teacher Burnout And Physical Activity Among High School Teachers, Jonathan Davis
Doctor of Education in Teacher Leadership Dissertations
Teaching at any level is a high-stress profession, and high levels of stress may result in increased rates of teacher burnout. The implications of teacher burnout are related to physical and emotional health problems for teachers, reduced student academic performance, and increased rates of teacher migration and attrition. One strategy for mitigating teacher burnout is to increase levels of physical activity. The purpose of this study was to examine the relationship between level of physical activity and teacher burnout among high school teachers. The International Physical Activity Questionnaire (IPAQ) and the Burnout Assessment Tool (BAT-23) were used to determine levels …
Anxious Times Call For Additional Goal Setting Measures: A Look At How Math Anxiety Is Impacted By Setting Goals In An Algebra I Class, Raegan Palacio
Anxious Times Call For Additional Goal Setting Measures: A Look At How Math Anxiety Is Impacted By Setting Goals In An Algebra I Class, Raegan Palacio
Masters of Education in Teaching and Learning
This study examined the impact that goal setting would have on Algebra I students’ math anxiety by comparing a control group to a treatment group. Students took the Math Anxiety Survey (Godbey, 1997) as a pre- and post-assessment. The researcher taught a goal setting mini lesson at the beginning of the data collection period to the treatment group (Class B), and students set weekly goals for themselves in relation to Algebra I class. Students in Class B journaled weekly, and some students participated in focus groups depending on their levels of math anxiety. The qualitative data was analyzed using the …
Beginning Special Education Teachers’ Perceptions Of Impactful Self-Resiliency Skills: A Qualitative Study, Kjersten Skatvold
Beginning Special Education Teachers’ Perceptions Of Impactful Self-Resiliency Skills: A Qualitative Study, Kjersten Skatvold
Dissertations, Theses, and Projects
Special educators are in high demand and greatly needed to meet the growing population of special education in public schools today. The purpose of this phenomenological study was to gain an understanding of how beginning special educators lived experiences and utilized their self-resilience skills which impacted their retention in the field of special education. With an increasing rate of attrition in the field of special education, exploring self-resilience factors that impact the retention of beginning special educators was imperative to understanding how to best support these early career educators. The increasing demands and pressures that beginning special educators are required …
The Effects Of Orthographic Mapping In Student Spelling Performance, Kelli Simpson
The Effects Of Orthographic Mapping In Student Spelling Performance, Kelli Simpson
Dissertations, Theses, and Projects
The ability to accurately and automatically spell words shows a deep understanding of phonemes, graphemes, phonological context, morphology, and an understanding of language of origin. One approach to spelling instruction is through the explicit teaching of grapheme-phoneme correspondences. This 2023 study focused on the impact of orthographic mapping on student spelling performance of third grade students. Students completed a spelling pre-assessment. Then, students received orthographic mapping spelling instruction using sound boxes. At the conclusion of the study, students completed a spelling post-assessment. Student data was analyzed to gauge the effectiveness of orthographic mapping as a method of spelling instruction.
Overcoming Language Barriers With Parents Of English Learners, Anissa Elkjer
Overcoming Language Barriers With Parents Of English Learners, Anissa Elkjer
Dissertations, Theses, and Projects
The purpose of this literature review was to determine the most effective ways to build relationships with parents of English Language Learner (ELL) students and how to overcome the language barrier when creating these relationships. A literature review was done to answer the following research questions: In what ways can English Language teachers build relationships with parents of English Learners? How can the language barrier be overcome between educators and English Language Learner’s families? The results were used to create a presentation to inform other educators what was learned. The presentation provides explanatory information about initiating effective communication using translators …
Respiratory Pathogen Panel Use In Hospitalized Infants <2 Months Of Age And Impact On Patient Management., Edward Lyon
Respiratory Pathogen Panel Use In Hospitalized Infants <2 Months Of Age And Impact On Patient Management., Edward Lyon
Research Days
Background: Respiratory pathogen panels (RPP) are multiplex PCR platforms able to simultaneously detect several respiratory viruses. RPP utilization is not well described in infants < 2 months of age, who frequently require hospitalization for management of acute respiratory illness (ARI) and/or fever. Detection of a viral pathogen in this age group could impact the clinician’s decision to perform additional evaluation and administer antimicrobials.
Objectives/Goal: We sought to understand predictive features and clinical management impact of RPP use in infants < 2 months of age.
Methods/Design: Between October 2017 to September 2021, participants, aged < 18 years, hospitalized with an acute respiratory infection (ARI) were enrolled in Kansas City’s New Vaccine Surveillance Network (NVSN). Eligible patients were residents of Jackson County, had symptoms consistent with ARI (e.g., cough, fever, nasal congestion) lasting < 14 days, and enrolled within 48 hours of admission. For this study, only participants < 2 months of age were included. All participants had a research RPP, but results were not available to the clinician. Per provider discretion, some infants also received a clinical RPP (cRPP). Demographic characteristics, laboratory evaluations, and antimicrobial management were compared between infants with and without a cRPP.
Results: Of the 139 participants < 2 months of age, 57 (41%) had a cRPP (table 1). A cRPP was more frequently obtained in infants < 1 month of age (n=34 [47%]) compared with infants 1-2 months of age (n=23 [35%]; p=0.17). 35 (61%) participants with a cRPP had a parental report of fever while 41 (50%) of those without a cRPP had one reported. Only 20 (35.1%) of White, non-hispanic participants had a cRPP compared to 42 (51.2%) p=0.082 who did not have a cRPP. Participants who had blood or CSF culture collected were more likely to have a cRPP obtained, 47 (82.5%) p=
Conclusions: Overall, < 50% of infants < 2 months of age hospitalized with ARI received cRPP testing. Obtaining a blood or CSF culture was associated with increased cRPP usage. The length of stay was not different between the two groups. 35 viral infections went undetected in participants without a cRPP even with accounting for positive rapid NAAT testing, further investigation is needed to understand how this may influence clinical care.
Association Between Remote Monitoring And Interstage Morbidity And Mortality In Single Ventricle Patients Across Socioeconomic Groups, Bianca Cherestal
Association Between Remote Monitoring And Interstage Morbidity And Mortality In Single Ventricle Patients Across Socioeconomic Groups, Bianca Cherestal
Research Days
Background: Despite improvements in outcomes over time, morbidity and mortality for infants with single ventricle (SV) heart disease remains high. Among other risk factors for mortality, infants of low socioeconomic status (SES) are known to be particularly vulnerable following stage 1 palliation.
Objectives/Goal: We sought to determine whether use of a novel remote monitoring program, CHAMP (Cardiac High Acuity Monitoring Program), mitigates differences in outcomes by SES for infants with SV during the interstage period.
Methods/Design: Using the CHAMP database, we identified 610 infants across 11 institutions enrolled in the program between 2014–2021. All enrolled patients’ families were provided with …
Therapeutic Plasma Exchange To Alleviate Ventricular Tachycardia After Diphenhydramine Ingestion, Kaushal Dosani, Lejla Music Aplenc, Stephen Pfeiffer
Therapeutic Plasma Exchange To Alleviate Ventricular Tachycardia After Diphenhydramine Ingestion, Kaushal Dosani, Lejla Music Aplenc, Stephen Pfeiffer
Research Days
Background: The Covid-19 pandemic has adversely affected the mental health of children causing an increased incidence of suicide attempts. Diphenhydramine is a common household medication and is frequently ingested by children. Toxic doses of diphenhydramine can affect the cardiovascular and central nervous system. In the heart, diphenhydramine blocks fast sodium channels and potassium channels which can result in conduction abnormalities including sinus tachycardia, widening of QRS duration, ventricular tachycardia and torsades de pointes. Massive ingestion can cause severe cardiovascular collapse which may require ECMO support
Objectives/Goal: To describe a novel method of clearing highly protein-bound diphenhydramine molecules from circulation after …
Genes Predictive Of Aggressive Infant Acute Lymphoblastic Leukemia, Meghana Bhumireddy
Genes Predictive Of Aggressive Infant Acute Lymphoblastic Leukemia, Meghana Bhumireddy
Research Days
Background: Acute Lymphoblastic Leukemia (ALL) is a rapidly progressive cancer in which the bone marrow makes too many immature leukocytes that divide uncontrollably. KMT2A, or MLL, is a methyltransferase found in many types of leukemia, whose rearrangement (KMT2A-r) is present in approximately 2/3 of infants with ALL. KMT2A-r is associated with a very poor prognosis: roughly ⅔ of patients relapse within 1 year of diagnosis, and the relapsed KMT2A-r ALL is resistant to treatment (having nearly 100% morality). We explored gene expression in patient samples from three groups at diagnosis: KMT2A-r patients who relapsed, KMT2A-r patients who did not relapse, …
Drug Metabolizing Enzymes And Transporters May Help Determineeffective Budesonide Dosing In Eoe, Laurie Mccann, Lisa Harvey, Norah Almahbub, Wendy Y. Wang, Erin C. Boone, Janelle R. Noel-Macdonnell Phd, Rachel Chevalier
Drug Metabolizing Enzymes And Transporters May Help Determineeffective Budesonide Dosing In Eoe, Laurie Mccann, Lisa Harvey, Norah Almahbub, Wendy Y. Wang, Erin C. Boone, Janelle R. Noel-Macdonnell Phd, Rachel Chevalier
Research Days
Background: Eosinophilic esophagitis (EoE) is a chronic inflammatory disorder diagnosed in children with painful or difficult swallowing, vomiting, or poor weight gain. Current treatment models adopt a trial-and-error approach in regard EoE treatment, including restrictive elimination diets, proton pump inhibitors, and topical budesonide. This approach can delay effective treatment which increases risk of disease progression and increases medical costs to families for frequent clinic visits and endoscopy.
Objectives/Goal: The objective of this study is to determine the CYP3A5 genotype and expression of patients with eosinophilic esophagitis to discover which patients will respond to standard dosing of topical budesonide treatment (1, …
Reevaluating Student Engagement: Exploring And Applying Alternative Assignments In Higher Education Undergraduate Applied Saxophone, Anthony S. Cincotta Ii
Reevaluating Student Engagement: Exploring And Applying Alternative Assignments In Higher Education Undergraduate Applied Saxophone, Anthony S. Cincotta Ii
Dissertations, 2020-current
Undergraduate applied saxophone study revolves around the conservatory model. This inflexible model, often referred to as a master-apprentice relationship, can create an instructor-centric power dynamic which does not address the needs of the modern student. A classroom where the power lies so heavily with the instructor can stifle student engagement and can create a sense of disenfranchisement. In this setting, students have limited input on their assignment selections. While curricula have evolved with regards to being more culturally diverse, relevant, and inclusive, the approach that educators use to deliver the material has remained largely unchanged. There is limited research on …
Family Engagement In Schools: Family Engagement Guide, Sara Anderson
Family Engagement In Schools: Family Engagement Guide, Sara Anderson
Dissertations, Theses, and Projects
Family engagement in schools has been looked at and researched for many years. It has been shown that increased family engagement in schools leads to higher student achievement (Epstein and Voorhis, 2010). Family engagement literature explains engagement can be increased, the benefits, common barriers, and implications for schools (Dikkers, 2013). It continues to be researched to look at multiple ways engagement can be effective for students, families, and communities. Increased family engagement in education positively affects student performance and overall experience (Epstein, 1987). As such, it is important for schools to have a program in place to encourage and enable …
Management Of Primary Spontaneous Pneumothorax In Children: A Single Institution Protocol Analysis, Shai Stewart Md, James Fraser, Nelimar Cruz-Centeno, Derek Marlor, Rebecca M. Rentea, Pablo Aguayo, David Juang, Jason D. Fraser, Charles L. Snyder, Richard J. Hendrickson, Tolulope A. Oyetunji, Shawn D. St.Peter
Management Of Primary Spontaneous Pneumothorax In Children: A Single Institution Protocol Analysis, Shai Stewart Md, James Fraser, Nelimar Cruz-Centeno, Derek Marlor, Rebecca M. Rentea, Pablo Aguayo, David Juang, Jason D. Fraser, Charles L. Snyder, Richard J. Hendrickson, Tolulope A. Oyetunji, Shawn D. St.Peter
Research Days
Background: Primary spontaneous pneumothorax (PSP) affects 3.4 per 100,000 children in the United States. Regardless of the initial management, additional procedures, and prolonged hospital length of stay (LOS) may occur. There is currently no consensus in the pediatric surgical community on the optimal management of these patients, which has resulted in marked variability in management. The Midwest Pediatric Surgery Consortium (MWPSC), of which our site is a participant, suggested a management algorithm to include simple aspiration upon presentation, and if this fails, VATS should be considered.
Objectives/Goal: The purpose of this study was to evaluate the outcomes of instituting a …
Institutional Outcomes Of Blunt Liver & Splenic Injury In The Atomac Era, Shai Stewart Md, James Fraser, Rebecca M. Rentea, Pablo Aguayo, David Juang, Jason D. Fraser, Charles L. Snyder, Richard J. Hendrickson, Shawn D. St.Peter, Tolulope A. Oyetunji
Institutional Outcomes Of Blunt Liver & Splenic Injury In The Atomac Era, Shai Stewart Md, James Fraser, Rebecca M. Rentea, Pablo Aguayo, David Juang, Jason D. Fraser, Charles L. Snyder, Richard J. Hendrickson, Shawn D. St.Peter, Tolulope A. Oyetunji
Research Days
Background: The Arizona-Texas-Oklahoma-Memphis-Arkansas Consortium (ATOMAC) practice management guideline (PMG) was created to standardize management of blunt liver or spleen injury (BLSI) across pediatric trauma centers. Evaluations of institutional outcomes after its adoption remain scarce. We describe our outcomes since PMG adoption at our institution.
Objectives/Goal: The purpose of this study was to assess patient outcomes and resource utilization after implementation of this protocol. We hypothesized there is no difference in length of stay (LOS) or complications regardless of grade of isolated injuries to the liver or spleen. In addition, there is limited guidance on the management of concurrent injuries to …
A Novel Approach For Laparoscopic Direct Inguinal Hernia Repair In Children, Shai Stewart Md, Charlene Dekonenko, Nelimar Cruz-Centeno, Derek Marlor, Jason D. Fraser
A Novel Approach For Laparoscopic Direct Inguinal Hernia Repair In Children, Shai Stewart Md, Charlene Dekonenko, Nelimar Cruz-Centeno, Derek Marlor, Jason D. Fraser
Research Days
Background: Inguinal hernia repair is one of the most common operations performed by pediatric surgeons, and the frequency of laparoscopy for repair is increasing. The vast majority of these are indirect hernias and therefore how to best repair a direct defect when seen during laparoscopy is still unknown. Simple high ligation of the hernia sac (as is done in an indirect hernia) does not repair the inguinal floor weakness/defect seen in a direct hernia.
Objectives/Goal: We therefore present a case of laparoscopic bilateral indirect and direct inguinal hernia repair, commonly known as pantaloon hernia, repaired without mesh and utilizing the …
Antibiotic Monotherapy Vs Dual-Drug Therapy In Perforated Appendicitis: Single Center Retrospective Review, Shai Stewart Md, Nelimar Cruz-Centeno, Derek Marlor, Dae H. Kim, Shawn D. St Peter, Tolulope A. Oyetunji Md Mph
Antibiotic Monotherapy Vs Dual-Drug Therapy In Perforated Appendicitis: Single Center Retrospective Review, Shai Stewart Md, Nelimar Cruz-Centeno, Derek Marlor, Dae H. Kim, Shawn D. St Peter, Tolulope A. Oyetunji Md Mph
Research Days
Background: The optimal antibiotic regimen in perforated appendicitis to reduce intraabdominal abscess (IAA) formation has not yet been agreed upon in the pediatric surgery community. We aimed to evaluate the outcomes of patients with perforated appendicitis when intravenous antibiotic monotherapy with Piperacillin-Tazobactam (PT) versus dual-drug therapy with Ceftriaxone and Metronidazole (CM) are administered. We hypothesized there is no difference in the rate of IAA formation with antibiotic monotherapy, as opposed to our once-daily dosed, institutional standard dual-drug therapy.
Objectives/Goal: The goal was to determine if our current management protocols for acute appendicitis were delivering the best possible results for our …
A Comparison Of Large Tbsa Scald Versus Flame Burns In Young Children, Ashley Daniel
A Comparison Of Large Tbsa Scald Versus Flame Burns In Young Children, Ashley Daniel
Research Days
Background: It is generally accepted that of children with the same total body surface area of burns, those with flame burns seem to have longer lengths of stay and more complications than those with scald burns. Anecdotally we have seen the opposite to be true. Among a consortium of five US pediatric burn centers participating in the Pediatric Injury Quality Improvement Collaborative (PIQIC), young children with scald burns seem to experience disproportionately more frequent and severe complications compared to their older counterparts and compared to patients of a similar age with flame burns.
Objectives/Goal: In this multi-institutional study, we compared …