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Articles 1891 - 1920 of 29309
Full-Text Articles in Teacher Education and Professional Development
Enhancing Online And Blended Course Design Through Conversations And Observations: The Role Of Stakeholders, Chris Smith, Darlene Schaefer, Geetanjali Soni, Thomas Cooper, Meghan Mcgrath
Enhancing Online And Blended Course Design Through Conversations And Observations: The Role Of Stakeholders, Chris Smith, Darlene Schaefer, Geetanjali Soni, Thomas Cooper, Meghan Mcgrath
Developmental Disabilities Network Journal
Online course enrollment for K-12 students has increased dramatically since the early 2000s. This has resulted in promising opportunities for students with disabilities but also requires careful consideration of accessibility in course design and instructional delivery. This mixed-methods study investigated how stakeholder feedback influences the design of blended courses at North Carolina Virtual Public School (NCVPS), a graduation pathway for students with disabilities requiring significant support. Data was collected through surveys of NCVPS online teachers and co-teachers, analysis of course history documents, and the NCVPS student registration system. Findings revealed that educators often modify course templates to accommodate diverse learning …
Notetaking Reimagined: The Impact Of Combining Text And Visuals For Effective Learning, Sarah J. Mussetter
Notetaking Reimagined: The Impact Of Combining Text And Visuals For Effective Learning, Sarah J. Mussetter
Art 895 Research Papers
This Mixed-Methods Narrative Case Study examines previous research on the effects of visual/ illustrative notes and their effect on knowledge coding, retention, and retrieval processes. It adds to current research in the form of a case study of a high school advanced photography course in Livingston, MT and the effect that adding visuals to notetaking practices affects student performance and memory throughout the semester. This study also proposes a method of introduction to visual notetaking that can be implemented in classrooms regardless of subject matter.
Partnering For Youth Empowerment: Establishing Boys And Girls Clubs In Tribal Communities, Johnny Abeyta Jr.
Partnering For Youth Empowerment: Establishing Boys And Girls Clubs In Tribal Communities, Johnny Abeyta Jr.
Teacher Education, Educational Leadership & Policy ETDs
This study examined why Boys and Girls Clubs are not available in every tribal community and explored how culturally grounded youth programs support leadership, identity, and sovereignty. Using Tribal Critical Race Theory, Narrative Inquiry, and Indigenous Research Methods, the study centered the voices of Pueblo leaders, educators, policymakers, and alumni. Interviews identified barriers related to funding, transportation, facilities, and policy alignment. Participants described culture, mentorship, and safe spaces as essential for youth belonging and empowerment. The study introduced the Relational Sovereignty Model, which explains how cultural teachings, shared learning, resilience, and community care work together to support Indigenous youth. The …
First Annual Advances In Business Education Conference 2025 Proceedings, Kelsey Metz, Joshua Ray
First Annual Advances In Business Education Conference 2025 Proceedings, Kelsey Metz, Joshua Ray
Advances in Business Education (ABE) Conference Proceedings
Conference Overview: The First Annual Advances in Business Education (ABE) Conference was held on May 16, 2025, at Lincoln Memorial University in Harrogate, Tennessee. Hosted by the LMU School of Business, the ABE Conference was established to promote teaching excellence through innovation and collaboration in business education. With a focus on fostering meaningful dialogue among educators, researchers, and students, the conference welcomed participants from across disciplines and institutions. The event was structured around three key tracks:
Pedagogy & Teaching Excellence: Showcasing innovative teaching methods and strategies for enhancing student learning and engagement.
Business Research: Presenting research focused on advancing knowledge …
Administrators’ And Teachers’ Perceived Importance Of The Holistic Framework For Professional Development Elements: Survey Research, Adrianna Cate
Administrators’ And Teachers’ Perceived Importance Of The Holistic Framework For Professional Development Elements: Survey Research, Adrianna Cate
Dissertations, Theses, and Projects
This study researched the six elements of the Holistic Framework for Professional Development (HFPD) to understand administrators’ and teachers’ perceived importance and how demographic variables impacted those perceptions. This was done to contribute to the current gap in the literature regarding how to design and carry out effective professional development. The quantitative survey research utilized exponential, non-discriminative snowball sampling to recruit participants. Fifteen administrators, 64 teachers, and six participants working in ‘other’ roles in their school participated. These participants were citizens of fifteen different countries and worked across eleven countries worldwide. Even given this diverse sample, the results of this …
A Qualitative Look At Relationships From A Teacher’S Perspective, Shayna Vastila
A Qualitative Look At Relationships From A Teacher’S Perspective, Shayna Vastila
Dissertations, Theses, and Projects
ABSTRACT
This qualitative study examines the role of teacher-student relationships grounded in the Social Learning Theory, Social Support Theory, as well as the Attachment Theory. The research explored how teachers perceive, establish, and maintain supportive relationships with their students, and how these relationships contribute to student engagement and academic motivation. Fifteen first-grade teachers from elementary schools participated in semi-structured interviews, sharing personal insights and practices around relationship building. Using key factors that foster positive relationships, including empathy, active listening, individualized support, and culturally responsive communication. Findings also highlight systemic barriers such as large class sizes, behavioral challenges, and the emotional …
A Correlational Study Of The Relationships Between The Big Five Aspects Of Personality And Career Interest: Practical Implications For Teachers In Guidance Counseling Roles, Mary J. Haberman
Dissertations, Theses, and Projects
Classroom teachers are often required to teach advisory courses that include career counseling and social emotional learning components. The author used a combination of personality and career assessments to guide students into careers that were a good fit, not only for their interests but their temperaments as well. This holistic approach to advising allowed the author to address a wide variety of personal issues (e.g., unmet needs) that students were having and help them to discover their own motivations for approaching these issues. While the study is focused on collecting information from working adults, the results of this study could …
Soybean Oil-Derived Acrylate/Methacrylate Ether For High Resolution Additive Manufacturing (3d Printing) Technology, Tanuj Patel
Soybean Oil-Derived Acrylate/Methacrylate Ether For High Resolution Additive Manufacturing (3d Printing) Technology, Tanuj Patel
Electronic Theses & Dissertations
Additive Manufacturing is one of the rapidly developing techniques, as industries continue to explore new ways to create prototypes and end-use parts, one of the significant challenges that remains is the reliance on petroleum-based plastics for 3D printing, especially in the production of photocurable resins. that may be used to prototype complex structures and sophisticated geometries that are typically challenging to produce with conventional methods. Thus, replacing petroleum-based plastics with renewable resources is increasingly important for additive manufacturing (3D printing) of photocurable resins. The use of bio-based renewable resources in AM is a feasible alternative to traditional petroleum-based plastics. Henceforth, …
From Insights To Action: Implications And A Professional Development Framework For Early College High School Teachers, Angelica Sanchez, Kenyetta Martin, Kelly Brown
From Insights To Action: Implications And A Professional Development Framework For Early College High School Teachers, Angelica Sanchez, Kenyetta Martin, Kelly Brown
School Leadership Review
The purpose of this phenomenological study was to explore the experiences of Early College High School (ECHS) adjunct instructors teaching dual enrollment college courses in a southern region school district. Through interviews with ten ECHS adjunct instructors, the study examined the factors contributing to their success, their professional development needs, and the challenges they faced in teaching dual enrollment courses. Findings of the study were that ECHS adjunct instructors succeed when they provide strong student support, maintain open communication, demonstrate flexibility, and actively engage students. The study highlighted the need for comprehensive training in learning management systems, curriculum design, and …
Novel Rpl30 Variant In Diamond Blackfan Anemia Demonstrates Early Impact On Erythroid Differentiation With Downregulated Gata1-Hsp70, Alexandra Prosser-Dombrowski, Irina Pushel, Jacqelyn Nemechek, Priyanka Kumar, Jay L. Vivian, Jennifer Gerton, John M. Perry
Novel Rpl30 Variant In Diamond Blackfan Anemia Demonstrates Early Impact On Erythroid Differentiation With Downregulated Gata1-Hsp70, Alexandra Prosser-Dombrowski, Irina Pushel, Jacqelyn Nemechek, Priyanka Kumar, Jay L. Vivian, Jennifer Gerton, John M. Perry
Research Days
Background: Diamond Blackfan anemia (DBA) is an inherited bone marrow failure syndrome caused by ribosomal protein gene mutations leading to apoptosis of erythroid progenitors. We identified a novel heterozygous variant (c.167+769C>T) in the noncoding region of RPL30 in a patient diagnosed with DBA.
Objectives/Goal: We hypothesized that this variant stunts erythroid differentiation at the proerythroblast stage and is pathogenic for DBA.
Methods/Design: We developed an induced pluripotent stem cell (iPSC) model with a wild type (WT) and three CRISPR-Cas9 edited RPL30 mutant clones. iPSCs were differentiated into hematopoietic stem cells, which were assessed by flow cytometry and single cell …
Duration Of Labor And Umbilical Artery Acidosis In Critical Congenital Heart Disease, Sarah Gwazdacz Md, Teresa Nguyen Bs, Mary Donofrio Md, Faap, Facc, Fase, Timothy Bennett Md, Amanda Mcintosh Md, Faap, Facc.
Duration Of Labor And Umbilical Artery Acidosis In Critical Congenital Heart Disease, Sarah Gwazdacz Md, Teresa Nguyen Bs, Mary Donofrio Md, Faap, Facc, Fase, Timothy Bennett Md, Amanda Mcintosh Md, Faap, Facc.
Research Days
Standard delivery protocols for most prenatally diagnosed CCHD is induction of labor at 39 weeks with aims of a vaginal delivery (VD) near a tertiary care center. There is no benefit to planned Cesarean delivery (CD) over VD for most infants with CCHD. However, longer durations of labor (DOL) in CCHD have been described as a risk factor for umbilical artery (UA) acidosis. We aim to describe the relationship between DOL and UA pH and neonatal outcomes in those with prenatally diagnosed CCHD.
Retrospective chart review of prenatally diagnosed with CCHD born at Children’s Mercy from 2012 – 2023. Inclusion …
Opportunities For Solid Organ Donation In The Neonatal Intensive Care Unit, Sarah Pippin, Jotishna Sharma, Ashley Sherman, Julie Weiner
Opportunities For Solid Organ Donation In The Neonatal Intensive Care Unit, Sarah Pippin, Jotishna Sharma, Ashley Sherman, Julie Weiner
Research Days
This study aims to characterize the theoretical eligibility of neonates undergoing withdrawal of care in the NICU for donation after circulatory determination of death (DCDD), with a focus on warm ischemic time (WIT) ≤ 90 minutes.
Abusive Head Trauma (Aht) Diagnoses: The Influence Of Clinical Presentation And Evidence Of Impact, Ruairi Smith-Dewey, Angela N. Bachim, Colleen Bressler, Kristine Campbell, Lori Frasier, Christopher Greeley, Danielle Horton, Nicole Johnson, Jan Leonard, Megan Letson, Daniel M. Lindberg, Caitlin Mcnamara, Shalon Nienow, Ashley K. Sherman, Joanne Wood, James Anderst
Abusive Head Trauma (Aht) Diagnoses: The Influence Of Clinical Presentation And Evidence Of Impact, Ruairi Smith-Dewey, Angela N. Bachim, Colleen Bressler, Kristine Campbell, Lori Frasier, Christopher Greeley, Danielle Horton, Nicole Johnson, Jan Leonard, Megan Letson, Daniel M. Lindberg, Caitlin Mcnamara, Shalon Nienow, Ashley K. Sherman, Joanne Wood, James Anderst
Research Days
Background: In cases where Child Abuse Pediatricians (CAPs) diagnose abusive head trauma (AHT) in young children, some factors surrounding the diagnosis have been challenged including causative shaking, necessity of external signs of impact, or concomitant suspicious injuries. Evaluation of CAP diagnoses in children with subdural hemorrhage (SDH) can give insight into factors related to the frequency of abusive head trauma (AHT) diagnoses. Additionally, characterization of those with SDH+CSI without evidence of impact may inform controversies around AHT diagnoses.
Objectives/Goal: We aim to compare CAP diagnoses in subjects with SDH across clinical presentations and in the context of evidence of head …
In Search Of The Unknown Mimic Of Abusive Head Trauma., Ruairi Smith-Dewey, Angela N. Bachim, Colleen Bressler, Kristine Campbell, Lori Frasier, Danielle Horton, Nicole Johnson, Jan Leonard, Megan Letson, Caitlin Mcnamara, Shalon Nienow, Ashley K. Sherman, Stuart Sommers, Joanne Wood, James Anderst
In Search Of The Unknown Mimic Of Abusive Head Trauma., Ruairi Smith-Dewey, Angela N. Bachim, Colleen Bressler, Kristine Campbell, Lori Frasier, Danielle Horton, Nicole Johnson, Jan Leonard, Megan Letson, Caitlin Mcnamara, Shalon Nienow, Ashley K. Sherman, Stuart Sommers, Joanne Wood, James Anderst
Research Days
Background:
Some claim that Child Abuse Pediatricians (CAPs) are misdiagnosing a yet-to-be-identified mimic as abusive head trauma (AHT), particularly in ill children with isolated subdural hemorrhage (SDH). Though not diagnostic criteria, specific social stressors have been identified as AHT risk factors. If a yet-to-be-identified mimic is meaningfully present within a group being evaluated for AHT, that group should have fewer AHT risk factors than children with actual AHT. The existence of such a mimic can be assessed by comparing the prevalence of AHT risk factors across groups: CAP-identified mimics, non-ill SDH only, ill SDH only, and SDH plus concomitant suspicious …
Engineering A Novel Treg Population To Control Autoimmune Diabetes, Sofia Colon Guzman, Elly Puckett, Mary A. Markiewicz, Ryan T. Fischer
Engineering A Novel Treg Population To Control Autoimmune Diabetes, Sofia Colon Guzman, Elly Puckett, Mary A. Markiewicz, Ryan T. Fischer
Research Days
We created a model to test the immunosuppressive capacity of Helios+FOXP3+ eTregs compared to nTregs against islet-specific autoreactive T cells. We also showed that nTregs decrease the response of these cytotoxic T cells when co-cultured with BetaLox5 cells.
Growth Hormone Deficiency In Childhood Cancer Survivors: Response To Growth Hormone Therapy And Aromatase Inhibitors Compared To Growth Hormone Therapy Alone., Haya Azouz, Sarah Tsai, Keith August, Jennifer W. Boyd
Growth Hormone Deficiency In Childhood Cancer Survivors: Response To Growth Hormone Therapy And Aromatase Inhibitors Compared To Growth Hormone Therapy Alone., Haya Azouz, Sarah Tsai, Keith August, Jennifer W. Boyd
Research Days
With evolving technologies leading to better cancer cure rate, the number of childhood cancer survivors has increased. There has been increasing reports of later endocrine effects including growth hormone deficiency (GHD). Our aim is to investigate the influence of adding aromatase inhibitors (AI) to growth hormone (GH) therapy in childhood cancer survivors with growth hormone deficiency (GHD). A retrospective chart review was performed looking at children between ages 0 and 18 years with history of malignancy and subsequent diagnosis of GHD at our institution. Fifty-nine children were included in this study. Participants were classified into 3 groups: (1) the target …
Improving Adherence To Evidence Based Sti Care For Patients Who Tested Positive At Ed Index Visit Qi Project, Noelle Tran, Melissa Miller, Kim Barbee, Julie Jost, Christopher Kaberline, M Smith
Improving Adherence To Evidence Based Sti Care For Patients Who Tested Positive At Ed Index Visit Qi Project, Noelle Tran, Melissa Miller, Kim Barbee, Julie Jost, Christopher Kaberline, M Smith
Research Days
Problem Statement/Question:
Previous work improved clinician sexually transmitted infection (STI) testing behaviors, but overlooked treatment interventions needed to facilitate risk reduction, HIV and syphilis (RPR) testing, and STI retesting at three months—critical components that reduce morbidity and disease spread. We are not adhering to evidence-based STI care for adolescents who tested positive for STIs at the ED index visit.
Background/Project Intent (Aim Statement):
According to the Centers for Disease Control and Prevention (CDC), in 2023, over 2.4 million cases of RPR, gonorrhea (GC), and chlamydia (CT) were diagnosed; about half of reported cases were among adolescents and young adults aged …
Food Insecurity In Adolescent Athletes, Andrew Donaldson, Shannon Margherio, Jay Roberson, Kevin Latz
Food Insecurity In Adolescent Athletes, Andrew Donaldson, Shannon Margherio, Jay Roberson, Kevin Latz
Research Days
Background: The prevalence of food insecurity among children in the United States is estimated at 21%. Food insecurity during childhood leads to worse school performance, more emotional and behavioral health concerns, and increased suicide attempts. Further, food insecurity has been noted to have multiple deleterious effects on the collegiate student athlete, including lower GPA, disordered eating, and substance use.
Hypothesis: Food insecurity is prevalent in the adolescent athlete population and exists across demographics.
Methods: Voluntary surveys were distributed to parents at all sports medicine clinics at our institution. Demographic data was collected including athlete age, race, school and school district, …
Policy Analysis Of Assessments To Award Seals Of Biliteracy In Spanish In The United States, Lisa J. Harmon-Martínez
Policy Analysis Of Assessments To Award Seals Of Biliteracy In Spanish In The United States, Lisa J. Harmon-Martínez
Teacher Education, Educational Leadership & Policy ETDs
The Seal of Biliteracy (SoBL) honors high school graduates demonstrating proficiency in two or more languages, yet its policies often perpetuate inequities. Focusing on New Mexico and Spanish language assessments, I explored how the SoBL's recognition of bilingualism intersects with biases against Spanish speakers. While the SoBL aims to celebrate bilingualism, disparities arise from state-to-state variations in assessment requirements, particularly affecting Spanish-speaking students and those receiving English Language Development services. Many states rely on standardized exams that inadequately capture students’ linguistic abilities, exacerbating inequalities. Using an Open Systems policy framework and Translanguaging theory, which values students’ full linguistic repertoires, I …
New Teachers’ Mentoring Expectations And Experiences: A Qualitative Multiple Case Study, Preston Maurice Blakely
New Teachers’ Mentoring Expectations And Experiences: A Qualitative Multiple Case Study, Preston Maurice Blakely
UNLV Theses, Dissertations, Professional Papers, and Capstones
The purpose of this qualitative multiple case study was to explore how the expectations of new teachers, about their mentoring program and their mentoring experiences can be used to improve the structural design and procedures of mentoring programs to better support new teachers. Socio-historical and sociocultural theories were used to guide the study and purposive sampling strategy was used to recruit five participants who were in the first years of teaching. Based on a rich set of data sources which included a pre-interview and a post- interview, the findings revealed that despite the existence of mentoring programs in the participants’ …
Realizing And Practicing Teaching As A Calling: Narratives From Black Women Teachers In Urban K-12 Public Schools, De'ana Renee Mauldin
Realizing And Practicing Teaching As A Calling: Narratives From Black Women Teachers In Urban K-12 Public Schools, De'ana Renee Mauldin
UNLV Theses, Dissertations, Professional Papers, and Capstones
Research and scholarship frequently ignore and dismiss the unique experiences and perspectives of Black women teachers. They bring with them a unique angle of vision through various race, gender, cultural, and historical intersections that inform their spirituality-based pedagogy and outlook while providing instruction in urban public schools.The purpose of this qualitative dissertation study is to examine the narratives and amplify the voices of Black women K-12 teachers in urban public schools to address how they realized teaching as a calling. Teaching as a calling is more than simply a job and source of income for these teachers. Understanding of this …
A Mixed Methods Approach To Understanding Athletic Training Preceptorships Through Measuring Situational Leadership, Jordan R. Dawson
A Mixed Methods Approach To Understanding Athletic Training Preceptorships Through Measuring Situational Leadership, Jordan R. Dawson
Dissertations, 2020-current
Athletic Training preceptorships play a crucial role in student education as they heavily influence student learning and progression in the academic program (Mazerolle et al., 2015). The problem that arises from preceptorships is the inconsistencies athletic training students experience in leadership. Therefore, the purpose of this study is to investigate athletic training student perceptions of situational leadership as it relates to student satisfaction with the development of a measurement tool. An exploratory mixed methods design composed of a qualitative phase one, pilot testing quantitative phase two, and quantitative phase three. The qualitative phase provided insightful perspectives on preceptor leadership from …
Not All Superheroes Wear Capes: Understanding The Lives Of Asian American Student Caregivers, Angela Ji
Not All Superheroes Wear Capes: Understanding The Lives Of Asian American Student Caregivers, Angela Ji
Educational Specialist, 2020-current
There exists an invisible army of children who sacrifice their childhoods and shoulder responsibilities expected of adults; these children are called young caregivers. Young caregivers provide significant assistance for their family on a regular basis. The existing literature shows that youth caregiving is associated with negative physical and mental health impacts that vary depending on the cultural background associated with families. It is also clear that the complexities and nuances of different ethnic groups influence the lived experiences of young caregivers. Unfortunately, there is limited information exploring racial and cultural implications of caregiving for children. This study sought to address …
Navigating The Moral Landscape: Courage, Cowardice, And The Educator's Call To Action, Scott H. Sorvaag
Navigating The Moral Landscape: Courage, Cowardice, And The Educator's Call To Action, Scott H. Sorvaag
Essays in Education
Contemporary educators face an increasingly complex and challenging landscape. This essay explores the vital role of courage and the influence of cowardice in shaping educators' moral leadership and professional practice. By integrating insights from human development reports, leadership theory, and educational philosophy, this essay argues that understanding the internal continuum between courage and cowardice is crucial for educators seeking to create transformative learning environments. The essay provides actionable strategies for fostering courage in daily practice and nurturing partnerships between schools, parents, and communities.
Variation In Blood Culture Testing And Outcomes In Children Hospitalized With Three Common Infections., Smit Shah, Jessica L. Markham, Jennifer Goldman, Matt Hall, Jillian Cotter, Samantha A. House, Matthew J. Molloy, Michelle Polich, Michael J. Steiner, John R. Stephens, Michael J. Tchou, Ronald J. Teufel Ii, Irma Ugalde, Andrew Yu
Variation In Blood Culture Testing And Outcomes In Children Hospitalized With Three Common Infections., Smit Shah, Jessica L. Markham, Jennifer Goldman, Matt Hall, Jillian Cotter, Samantha A. House, Matthew J. Molloy, Michelle Polich, Michael J. Steiner, John R. Stephens, Michael J. Tchou, Ronald J. Teufel Ii, Irma Ugalde, Andrew Yu
Research Days
Background: Prior studies of blood culture (BC) testing in uncomplicated community acquired pneumonia (CAP), skin and soft tissue infections (SSTI), and urinary tract infections (UTI) have demonstrated low utility of routine testing given similar rates of pathogen versus contaminant detection and little effect on clinical management. Understanding patterns and outcomes of BC testing can identify opportunities to curb unnecessary testing.
Objectives: The objectives of this study were to: 1) Evaluate BC testing trends over time for children hospitalized for CAP, SSTI, and UTI; and 2) describe differences in clinical outcomes between hospital groups with low, moderate, or high testing rates. …
Association Between Neighborhood Opportunity And Youth Mental Health Emergency Department Visits, Shelby Chesbro Md, Henry T. Puls, Adrienne G. Deporre, Molly Krager, Laura Plencner, Shayla Sullivant, Matthew Hall Phd
Association Between Neighborhood Opportunity And Youth Mental Health Emergency Department Visits, Shelby Chesbro Md, Henry T. Puls, Adrienne G. Deporre, Molly Krager, Laura Plencner, Shayla Sullivant, Matthew Hall Phd
Research Days
Background: Youth mental health emergency department visits are increasing and are a burden on the health care system. Prevalence of mental health disorders may be influenced by the neighborhood youths live in.
Objectives/Goal: Determine differences in rates of youth mental health ED visits across zip code levels of neighborhood opportunity.
Methods/Design: We performed a cross-sectional study using the Hospital Industry Data Institute dataset identifying ED visits with a primary mental health diagnosis in Kansas and Missouri for youths aged 5-19 years in 2022-2023. Mental health ED visits were then categorized at the zip code level by neighborhood opportunity using the …
Reducing Vancomycin Use In The Cicu, Karoline Krzywda, Ali Taber, Lauren Johnson
Reducing Vancomycin Use In The Cicu, Karoline Krzywda, Ali Taber, Lauren Johnson
Research Days
Background/Aim Statement: In the CICU empiric vancomycin is frequently prescribed. This practice occurs without broad knowledge of the actual rates of methicillin resistant staph aureus (MRSA) and methicillin resistant staph epidermidis (MRSE) infections. Given the potential for harmful side effects of vancomycin as well as concern for growing antibiotic resistance, we sought to better characterize local unit prescribing practices and MRSA/MRSE infection rates to guide our QI project with an aim of reducing vancomycin use in the CICU.
Methods (include PDSA cycles): Patient data from January 2021 to January 2023 was analyzed. The number of monthly days spent on vancomycin …
A Risk Score To Predict Recurrent High Intensity Inpatient Resource Utilization For Children With Medical Complexity., Charles Maloy, Matthew Hall, Jessica L. Bettenhausen, Yui-Yee Chan, Leah Jones, Kathryn Kyler, Laura Plencner Md, Jessica Markham, Jacqueline M. Walker, Smit Shah, Sîan Best, Jonathan Ermer, Shelby Chesbro, Maria Newmaster, Henry T. Puls
A Risk Score To Predict Recurrent High Intensity Inpatient Resource Utilization For Children With Medical Complexity., Charles Maloy, Matthew Hall, Jessica L. Bettenhausen, Yui-Yee Chan, Leah Jones, Kathryn Kyler, Laura Plencner Md, Jessica Markham, Jacqueline M. Walker, Smit Shah, Sîan Best, Jonathan Ermer, Shelby Chesbro, Maria Newmaster, Henry T. Puls
Research Days
Background: Children with medical complexity (CMC) use a greater amount of inpatient resources and stand to benefit from unique care models and coordination. However, hospital resources can be limited, and a better understanding of which CMC are high resource users could improve hospital and staff planning.
Objectives/Goal: To develop a risk score predictive of recurrent high intensity inpatient utilization among CMC.
Methods/Design: We conducted a retrospective cohort study of children <18 years old with ≥3 complex chronic conditions (CCC) discharged from one of 48 children’s hospitals in the Pediatric Health Information System during 2021 and 2022. To reflect CMC typically cared for by a general medical service, children with cardiac procedures, dialysis, oncology, or transplant CCCs, and index hospitalization mortality were excluded. We used multivariable logistic regression to determine factors present on the index hospitalization associated with ≥5 hospitalizations or ≥3 hospitalizations with one lasting ≥25 days within any 365-day period (high inpatient utilization) in 2021-2023. We developed risk scoring system using model coefficients and defined the optimal risk score cutoff to maximize sensitivity and specificity. We then applied the risk score cutoff to children discharged to determine (a) ratio of predicted:actual CMC with recurrent high resource use and (b) the total predicted daily volume on 50th, 75th, and 90th percentile days for each hospital.
Results: Of 44,432 included children, 9,596 (21.6%) had high inpatient utilization (Table). Children under 1 year of age had the highest odds of high inpatient utilization (OR 2.26 [95% CI: …
18>Failure To Launch: Pediatric Colorectal Surgery Center Utilization By Patients Over 18 Years Of Age, Vatche Melkonian, Andres Gonzalez Salazar, Cory Nonnemacher, Seth Saylors, Margaret Martin-Mclain, Iris Lim-Beutel, Rebecca Rentea
Failure To Launch: Pediatric Colorectal Surgery Center Utilization By Patients Over 18 Years Of Age, Vatche Melkonian, Andres Gonzalez Salazar, Cory Nonnemacher, Seth Saylors, Margaret Martin-Mclain, Iris Lim-Beutel, Rebecca Rentea
Research Days
Background: As patients with childhood colorectal diseases transition into adulthood, many continue to seek care at pediatric colorectal centers rather than transitioning to adult hospital systems. This preference often stems from a sense of comfort and familiarity with their pediatric care teams. Additionally, patients often perceive inadequacies in adult healthcare systems in managing their specific conditions. As these numbers of patients continue to grow, pediatric colorectal centers may face increasing demands on their resources, potentially diverting attention away from pediatric patients.
Objectives/Goal: The objective of this study was to assess the utilization of our pediatric colorectal center by patients aged …
Patterns And Growth Of A Dedicated Pediatric Coagulation Consult Service In A Freestanding Children's Hospital, Nicole Demarco, Shannon Carpenter, Brian Lee
Patterns And Growth Of A Dedicated Pediatric Coagulation Consult Service In A Freestanding Children's Hospital, Nicole Demarco, Shannon Carpenter, Brian Lee
Research Days
Background: Hospital-acquired thrombosis remains a significant concern in pediatric care, contributing to morbidity and extended hospital stays. At Children’s Mercy, a dedicated inpatient coagulation consultation service has existed for many years. Efforts have been made to implement prophylactic measures aimed at reducing the incidence of hospital-acquired thrombosis. With the recent COVID pandemic we saw an influx in prophylactic anticoagulation due to recommended guidelines.
Objectives: To characterize the impact increased efforts in thromboprophylaxis during and after the COVID-19 pandemic on care delivery and the development of thrombosis among pediatric hospitalized patients.
Methods: This retrospective review included all pediatric inpatients with a …