Effects of Remote Patient Monitoring on Neonatal Intensive Care Unit Patients Discharged with Nasogastric Tube Feeding.

Parent's Coping Styles Influence Their Interactions With Children Who Have Sustained a Traumatic Brain Injury

Correlation of increased PARP14 and CCL26 expression in biopsies from children with eosinophilic esophagitis

Journal of Hospital MedicineVolume 15, Issue 6 p. 378-380 Perspectives in Hospital Medicine Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety Philip A Hagedorn MD, MBI, Corresponding Author Philip A Hagedorn MD, MBI Philip.hagedorn@cchmc.org Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio Department of Information Services, Cincinnati Children's Hospital Medical Center, Cincinnati, OhioCorresponding Author: Philip A Hagedorn, MD, MBI; Email: Philip.hagedorn@cchmc.org; Telephone: 513-636-0409; Twitter: @Hagedorn_MD.Search for more papers by this authorAmit Singh MD, Amit Singh MD Department of Pediatrics, Division of Pediatric Hospital Medicine, Stanford University School of Medicine, Stanford, California Department of Clinical Informatics, Information Services, Lucile Packard Children's Hospital Stanford, Stanford, CaliforniaSearch for more papers by this authorBrooke Luo MD, Brooke Luo MD Section of Hospital Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PennsylvaniaSearch for more papers by this authorChristopher P Bonafide MD, MSCE, Christopher P Bonafide MD, MSCE Section of Hospital Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania Penn Implementation Science Center, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PennsylvaniaSearch for more papers by this authorJeffrey M Simmons MD, Msc, Jeffrey M Simmons MD, Msc Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio Chief Safety Officer, James M. Anderson Center for Health Services Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio AVP Safety and Regulatory, James M. Anderson Center for Health Services Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OhioSearch for more papers by this author Philip A Hagedorn MD, MBI, Corresponding Author Philip A Hagedorn MD, MBI Philip.hagedorn@cchmc.org Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio Department of Information Services, Cincinnati Children's Hospital Medical Center, Cincinnati, OhioCorresponding Author: Philip A Hagedorn, MD, MBI; Email: Philip.hagedorn@cchmc.org; Telephone: 513-636-0409; Twitter: @Hagedorn_MD.Search for more papers by this authorAmit Singh MD, Amit Singh MD Department of Pediatrics, Division of Pediatric Hospital Medicine, Stanford University School of Medicine, Stanford, California Department of Clinical Informatics, Information Services, Lucile Packard Children's Hospital Stanford, Stanford, CaliforniaSearch for more papers by this authorBrooke Luo MD, Brooke Luo MD Section of Hospital Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PennsylvaniaSearch for more papers by this authorChristopher P Bonafide MD, MSCE, Christopher P Bonafide MD, MSCE Section of Hospital Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania Penn Implementation Science Center, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PennsylvaniaSearch for more papers by this authorJeffrey M Simmons MD, Msc, Jeffrey M Simmons MD, Msc Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio Chief Safety Officer, James M. Anderson Center for Health Services Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio AVP Safety and Regulatory, James M. Anderson Center for Health Services Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OhioSearch for more papers by this author First published: 18 September 2019 https://doi.org/10.12788/jhm.3305Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume15, Issue6June 2020Pages 378-380 RelatedInformation

Pediatric AnesthesiaVolume 30, Issue 11 p. 1284-1285 CORRESPONDENCE Nonanterior mediastinal masses still pose a significant risk of perioperative complications Andres Bacigalupo Landa, Corresponding Author Andres Bacigalupo Landa andresbacigalupolanda@gmail.com orcid.org/0000-0001-5451-2819 Department of Anesthesia, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, USA Correspondence Andres Bacigalupo Landa, Department of Anesthesia, Cincinnati Children’s Hospital Medical Center, University of Cincinnati, 3333 Burnet Ave, Cincinnati, OH 45229. Email: andresbacigalupolanda@gmail.comSearch for more papers by this authorMohamed Mahmoud, Mohamed Mahmoud Department of Anesthesia, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, USASearch for more papers by this authorMichale S. Ok, Michale S. Ok orcid.org/0000-0002-5492-1425 Department of Anesthesia, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, USASearch for more papers by this author Andres Bacigalupo Landa, Corresponding Author Andres Bacigalupo Landa andresbacigalupolanda@gmail.com orcid.org/0000-0001-5451-2819 Department of Anesthesia, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, USA Correspondence Andres Bacigalupo Landa, Department of Anesthesia, Cincinnati Children’s Hospital Medical Center, University of Cincinnati, 3333 Burnet Ave, Cincinnati, OH 45229. Email: andresbacigalupolanda@gmail.comSearch for more papers by this authorMohamed Mahmoud, Mohamed Mahmoud Department of Anesthesia, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, USASearch for more papers by this authorMichale S. Ok, Michale S. Ok orcid.org/0000-0002-5492-1425 Department of Anesthesia, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, USASearch for more papers by this author First published: 06 December 2020 https://doi.org/10.1111/pan.13997Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume30, Issue11November 2020Pages 1284-1285 RelatedInformation

Journal of Hospital MedicineVolume 17, Issue 10 p. 856-857 EDITORIAL The pernicious problem of physician turnover in hospital medicine Yemisi O. Jones MD, MEd, Corresponding Author Yemisi O. Jones MD, MEd Yemisi.Jones@cchmc.org orcid.org/0000-0001-7088-6044 @YJonesMD Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Division of Hospital Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA Correspondence Yemisi O. Jones, MD, MEd, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Division of Hospital Medicine, University of Cincinnati College of Medicine, 3333 Burnet Ave, ML 9016, Cincinnati, OH 45229, USA. Email: Yemisi.Jones@cchmc.org; Twitter: @YJonesMDSearch for more papers by this authorSamir S. Shah MD, MSCE, Samir S. Shah MD, MSCE orcid.org/0000-0001-7902-7000 Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Division of Hospital Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USASearch for more papers by this author Yemisi O. Jones MD, MEd, Corresponding Author Yemisi O. Jones MD, MEd Yemisi.Jones@cchmc.org orcid.org/0000-0001-7088-6044 @YJonesMD Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Division of Hospital Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA Correspondence Yemisi O. Jones, MD, MEd, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Division of Hospital Medicine, University of Cincinnati College of Medicine, 3333 Burnet Ave, ML 9016, Cincinnati, OH 45229, USA. Email: Yemisi.Jones@cchmc.org; Twitter: @YJonesMDSearch for more papers by this authorSamir S. Shah MD, MSCE, Samir S. Shah MD, MSCE orcid.org/0000-0001-7902-7000 Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Division of Hospital Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USASearch for more papers by this author First published: 22 September 2022 https://doi.org/10.1002/jhm.12964Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume17, Issue10October 2022Pages 856-857 RelatedInformation

American Journal of Medical Genetics Part AVolume 149A, Issue 7 p. 1569-1570 Research Letter Twin–twin transfusion resulting in fetal cell contamination in Beckwith–Wiedemann syndrome† Yuri A. Zarate, Yuri A. Zarate Division of Human Genetics, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati Collage of Medicine, Cincinnati, OhioSearch for more papers by this authorRobert J. Hopkin, Corresponding Author Robert J. Hopkin rob.hopkin@cchmc.org Division of Human Genetics, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati Collage of Medicine, Cincinnati, OhioDivision of Human Genetics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 4006, Cincinnati, OH 45229.Search for more papers by this author Yuri A. Zarate, Yuri A. Zarate Division of Human Genetics, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati Collage of Medicine, Cincinnati, OhioSearch for more papers by this authorRobert J. Hopkin, Corresponding Author Robert J. Hopkin rob.hopkin@cchmc.org Division of Human Genetics, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati Collage of Medicine, Cincinnati, OhioDivision of Human Genetics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 4006, Cincinnati, OH 45229.Search for more papers by this author First published: 16 June 2009 https://doi.org/10.1002/ajmg.a.32903Citations: 2 † How to cite this article: Zarate YA, Hopkin RJ. 2009. Twin–twin transfusion resulting in fetal cell contamination in Beckwith–Wiedemann syndrome. Am J Med Genet Part A 149A:1569–1570. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article.Citing Literature Volume149A, Issue7July 2009Pages 1569-1570 RelatedInformation

The Joint Committee on Infant Hearing (JCIH) Year 2019 Position Statement, “Principles and Guidelines for Early Hearing Detection and Intervention Programs,” continues to recommend early identification and immediate access to hearing device technology for infants with hearing loss (JEHDI. 2019;4[2]:1-44). Infants who require medical care in the neonatal intensive care unit (NICU) are at a higher risk not only for hearing loss but also for delayed intervention until after they are discharged from the hospital. While the JCIH recommendations acknowledge this delay, an interdisciplinary approach to hearing health care may promote improvements in timely access to early intervention for these most fragile patients.iStock/andresr, pediatrics, hearing loss, audiology.At Cincinnati Children's Hospital Medical Center (CCHMC), one goal of our inpatient audiology program is to focus on early diagnostic testing and appropriate sensory intervention for infants with hearing loss. Our team plays an important role in educating the NICU staff and families about sensory development and appropriate sensory stimulation during hospitalization of premature and critically ill infants as well as those with hearing loss. Infants need access to their mothers’ voice because it is familiar and provides more consistency and security compared with recorded voice or music. Access to the mother's voice can result in increased oxygen saturations, increased nonnutritive sucking (promoting feeding), weight gain, improved sleep state, and decreased parental stress (Pediatrics. 2016 Sep;138[3]:e20160971.; Pediatrics. 2013 May;131[5]:902-18). These benefits contribute to an infant's clinical stability. With careful considerations and customized recommendations, our team has been able to provide families with the opportunity to utilize a hearing device with their child shortly after hearing loss is identified, providing benefits recognized by both parents and staff. AUDIOLOGY CARE IN THE NICU For almost 20 years, our inpatient audiologists have been active members of both the NICU medical and developmental teams. They incorporate hearing status into developmental care plans when appropriate, measure NICU environmental noise, determine appropriate auditory and vestibular stimulation based on gestational age, assist in hearing device equipment selection, and provide education in areas such as sensory development, the detriments of environmental noise in the NICU environment, and the importance of rapid eye movement (REM) sleep for brain growth and sensory development. Infants who can go home with their parents after birth commonly experience sensory stimulation with a comforting touch and familiar sounds of their parent's voice and environment. Infants who require NICU care have a very different sensory experience, which includes many unfamiliar providers, excessive ambient noise with competing backgrounds, and noxious smells and tastes during medical care. Infants rely on their hearing and vision to help them organize their environment, anticipate daily routines, and develop appropriate bonding with caregivers. Much of an infant's vision develops after 40 weeks of gestation, causing infants to rely more on their hearing during their time in the NICU. When an infant has hearing loss, additional factors must be considered to help the infant adjust to his or her environment. These include: Awareness of environmental cues and impending medical care Ensuring the infant is aware that someone is approaching the bed or preparing to start an assessment, diaper change, etc. Benefit from interventions to support calming, sucking, weight gain, and sleep such as: Providing familiar or calming voice, music therapy, sound machines, toys and mobiles when developmentally appropriate, hand containment, and snoedel with the parent scent. Support parent bonding Offering kangaroo care and access to the parent's voice, which is the most important sound for infants. Vestibular support Gently transfer an infant out of the bed space or roll him or her to the side since these movements can be difficult to anticipate especially with an associated vestibular involvement. Speech and language development Providing opportunities to allow for missed incidental language learning These scenarios should be considered for NICU infants with hearing loss demonstrating the need for earlier intervention even during their hospitalization. EARLIER INTERVENTION Infants can be in the NICU for several months, and upon discharge, may be transferred to another unit in the hospital where they can remain throughout the first year of life or longer. To approximate the 1-3-6 guideline recommended by JCIH (hearing screening by 1 month of age, definitive diagnosis by 3 months of age, and access to early intervention as soon as possible following diagnosis), it is critical to move beyond the newborn hearing screening in the NICU. Early intervention in the hospital setting will need to be modified, but it can be initiated. Providing support to infants with hearing loss and their caregivers may include recommendations for communication strategies, working with speech pathologists on early language skills, and in some situations, providing hearing devices. At CCHMC, audiologists complete a limited diagnostic auditory brainstem response (ABR) on all infants and move immediately to a complete diagnostic test battery at the initial evaluation when hearing loss is suspected. Therefore, the intervention can be initiated shortly after diagnosis. In 2003, our audiology team created the Cincinnati Children's Sensory Care Plan, a guideline for families and staff that offers modifications on ways to communicate and interact with the infant using various modes of sensory input. The individualized plan is developed with families and bedside caregivers, including neonatologists, nurses, speech pathologists, etc. All bedside nurses receive education on infant hearing, sensory development, and the Cincinnati Children's Sensory Care Plan during their NICU nursing orientation. This document includes recommendations for communication such as: “Please approach my bed slowly and gently. If I am awake, let me see you before you touch me. If I am asleep, please place your hands firmly beside me on my mattress so I sense your presence. Then touch me gently on my legs and work your way up to my head and face where I am most sensitive. This will help me from being startled.” “When you hold me, please sit or stand near an overhead light so that your face is softly illuminated. This helps me focus on your face and use my vision as well as my hearing.” “Please give me time to use my sense of touch to know what is coming next. Give me a tactile cue for activities whenever you can. For example, before a diaper change, please let me see the diaper, then touch it gently on the back of my hand. This will help me learn what is coming next.” All infants with hearing loss have a Cincinnati Children's Sensory Care Plan with specific criteria and customized recommendations. In some situations, a hearing device may be offered to patients while they are in the NICU. These devices include hearing aids and bone conduction devices. However, many factors need to be considered prior to hearing device fitting during hospitalization. In addition to the type and configuration of the hearing loss, inpatient audiologists work with the medical team to determine when an infant is medically appropriate for a hearing device fitting. The medical stability of the infant must be discussed with the neonatology team, and all should agree to proceed before offering the device to the family. Device fitting may need to be avoided during treatments that involve the head or neck, such as mandibular distraction or newly placed ventriculoperitoneal shunt. If a device is deemed appropriate and timely, parents can choose to utilize a hearing device for their infant on a loaner basis or proceed with a personal device. If a parent is not interested in a hearing device, the Cincinnati Children's Sensory Care Plan is followed, and speech pathologists provide ongoing education regarding early language acquisition and communication options. Many of our patients who have been fitted with a hearing device are infants with a conductive hearing loss craniofacial anomaly. Therefore, a bone conduction device (BCD) with a softband is the most appropriate for several reasons such as: Appropriate treatment for the type of hearing loss Ease of placement and use Flexibility of device position for reduced feedback Adjustable softband for child growth Consistent auditory access with frequent or fluctuating middle ear fluid Our inpatient hearing device program offers loaner bone conduction devices or hearing aids that can be fitted shortly after diagnosis. The parents and the medical team are educated regarding device care and recommended use. Hearing device recommendations are specific to certain times during communication and adult supervision. Communication opportunities for hearing device use include: while caregivers are talking, reading, or singing to the infant, during longer periods of medical care and developmental therapies, including occupational, physical, speech, and music therapy. Parents and staff are taught to monitor the infant's cues for discomfort or overstimulation and remove the device when warranted. When the infant is not wearing a hearing device, recommendations within the Cincinnati Children's Sensory Care Plan should be supported. Frequent audiologic follow-up and monitoring are completed with the infant, family, nursing staff, and therapists who manage the device. Unfortunately, no appropriate validated outcome measurements are available for infants admitted to the hospital. To determine the perceived benefit, our inpatient audiologists have developed a set of qualitative questions appropriate for parents and the caregiving team. Questions include the patient's auditory awareness of environmental sounds and voices, comfort level, the benefit of therapies, and parent bonding and communication. Data regarding the infant's responses to medical care and parent bonding are collected, discussed, and documented. PARENT FEEDBACK & KEY CONSIDERATIONS Parents and the staff find the benefit of utilizing the Cincinnati Children's Sensory Care Plan and hearing devices with the infant population. Comments from parent and staff questionnaires include the following: On the Cincinnati Children's Sensory Care Plan: The staff used to approach my child and startle him, making him upset. Sometimes it would make him upset for a while. Once the staff approached him gently, by touching his feet first, he would not become upset. Positive responses with the hearing device: My child is more engaged, gets excited, and has more eye contact with me. My child startles when her vent pops off, which I didn't realize that she was not able to hear before. Negative responses with the hearing device: I think we needed to slowly build up his tolerance and if the monitors started beeping or too many people were talking, he would let us know he was overwhelmed by crying. When he was done with wearing it, he would swat at it with his hand to take it off. On the perceived benefit of being fitted with a hearing device while in the hospital: He wasn't able to hear people and know what was going on. He was more engaged and interested in me talking instead of just going to sleep. We have received incredibly positive responses from families and the medical team regarding the Sensory Care Plan and the opportunity of providing hearing devices to our inpatient population (read more parent feedback online: https://bit.ly/32RIqWF) Our experience resulted in significant learnings, including these considerations regarding an inpatient device program: Careful selection and programming of devices for medically fragile infants Ongoing communication regarding medical stability with the managing medical team Structured education with the family, nurses, and therapy staff. Written plans at the bedside should include pictures and how to access audiology staff with questions Portable equipment for bedside hearing device programming Loaner hearing device availability and management Availability and flexibility of audiology staff In our experience with fitting many infants, a successful inpatient device program is dependent on timing, communication, and parent motivation: Is the infant medically able to tolerate additional sensory stimulation? Are the parents ready and motivated to proceed with a device? And are the audiologists, inpatient care team, and parents available and dedicated to ongoing communication to support the infant throughout hospitalization? With significant commitment and considerations, an inpatient team can provide earlier hearing intervention for medically fragile infants in a hospital setting.

Antihypertensive therapy and unplanned maternal postpartum healthcare utilization in patients with mild chronic hypertension

Pediatric Blood & CancerVolume 53, Issue 2 p. 133-135 Highlight Adenovirus gene therapy for pediatric cancers: Shall we gather at the liver? James I. Geller MD, James I. Geller MD Division of Hematology/Oncology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OhioSearch for more papers by this authorTimothy P. Cripe MD, PhD, Corresponding Author Timothy P. Cripe MD, PhD timothy.cripe@cchmc.org Division of Hematology/Oncology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OhioCincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229.===Search for more papers by this author James I. Geller MD, James I. Geller MD Division of Hematology/Oncology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OhioSearch for more papers by this authorTimothy P. Cripe MD, PhD, Corresponding Author Timothy P. Cripe MD, PhD timothy.cripe@cchmc.org Division of Hematology/Oncology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OhioCincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229.===Search for more papers by this author First published: 07 April 2009 https://doi.org/10.1002/pbc.22033Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Volume53, Issue2August 2009Pages 133-135 RelatedInformation

BackgroundPreterm infants may remain in neonatal intensive care units (NICUs) to receive proper nutrition via nasogastric tube feedings. However, prolonged NICU stays can have negative effects for the patient, the...

12000 Background: Unplanned health care utilization due to poorly controlled cancer symptoms is common and important to avoid during the Covid-19 pandemic. In a randomized trial we evaluated whether remote symptom monitoring and management utilizing Symptom Care at Home (SCH), would reduce symptom burden, improve quality of life, and decrease unplanned health care use in cancer patients receiving active treatment. Methods: Patients (n = 252) receiving chemotherapy and/or radiation therapy were randomized to the SCH intervention (n = 128) or usual care (UC) (n = 124). Daily, those in the intervention group, utilized the SCH system to report the presence and severity of 9 common symptoms during treatment. For symptoms endorsed, SCH participants received immediate, tailored automated self-management coaching. Symptoms at moderate to severe levels were automatically reported to oncology nurse practitioners who called the SCH patients to improve symptom management based on a decision support dashboard. Participants from both groups were assessed at baseline and monthly for up to 5 months on symptom burden (MDASI), mental health well-being and social isolation (PROMIS; HADS) and Health-related Quality of Life (HRQoL) (Penedo Covid-19 HRQoL subscale). Unplanned health care use was extracted from the EHR. Descriptive statistics examined equivalency between groups. Mixed effects models with random intercepts were utilized to examine group differences over time with post-hoc analyses to determine specific timepoint differences. Results: Participants did not differ on demographic or baseline measures. On average participants were 61 years of age, predominantly female (61%) and white (93%). A variety of cancers were represented with colon, breast and ovarian most common and 60% had stage 3 or 4 disease. Longitudinal mixed effects models found significant effects for lower symptom burden (p =.018) and better HRQoL (p =.007) for SCH participants versus UC at months 1 and 2 with improvements subsiding over the remaining months. Mental health wellbeing and social isolation were not significantly different. There were a total of 71 unplanned health care episodes with 28 for SCH and 43 for UC. Unplanned episode types included: unplanned clinic visit- 3 SCH vs 2 UC; ED visit- 10 SCH vs 16 UC and unplanned hospitalizations-15 SCH vs 25 UC. More SCH participants had no unplanned health care episodes than UC participants (χ2 4.08; p =.04). Conclusions: Remote monitoring and management of patients’ cancer and treatment-related symptoms during the Covid-19 pandemic reduced symptom burden and improved quality of life during the first two months of monitoring. Unplanned health care utilization trended lower for those remotely monitored. Extending care to the home during the pandemic can decrease demand on the health care system and improve cancer patients’ symptom experience. Clinical trial information: NCT04464486.

Objectives: The study aim to evaluate nursing performance during nasogastric tube feeding in neonatal intensive care unit. Methodology: A descriptive study was carried out in Neonatal Intensive Care Unit at al–Batool Teaching Hospital, for the purpose of evaluate of quality of nursing performance for premature baby during nasogastric tube feeding in neonatal intensive care unit. The study consumed the period from 4th of December 2017 to the 24nd of April 2018, Non-probability purposive sample of (25) nurses working in the neonatal intensive care unit. The data were collected through the use of Observational instrument which consist of socio-demographic characteristics, quality of nursing care. Results: The study shows that the majority of participants was female with age (20-29) years with diploma and more half was married with somewhat sufficient of monthly income, years of experience in nursing and neonatal intensive care unit were, quality of care before, during, and after at fair level Recommendations: Advanced video programs, specific meetings, programs, workshops, training activities and seminars, and Booklet are should be provided for nurses on how to use global standards to placement of the nasogastric feeding tube in NICU. And it's recommended to provide the necessary advanced supplies and equipment for nasogastric feeding tube procedure.

Journal of Hospital MedicineVolume 18, Issue 2 p. 163-163 LEADERSHIP & PROFESSIONAL DEVELOPMENT Leadership & professional development: Using our voice to promote and redefine leadership and professional development Karen E. Jerardi MD, Med, Corresponding Author Karen E. Jerardi MD, Med karen.jerardi@cchmc.org orcid.org/0000-0002-3773-8792 @KJerardiMD Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center and University of Cincinnati School of Medicine, Cincinnati, Ohio, USA Correspondence Karen E. Jerardi, MD, Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center and University of Cincinnati School of Medicine, Cincinnati, OH, USA. Email: karen.jerardi@cchmc.org; Twitter: @KJerardiMDSearch for more papers by this authorKimberly D. Manning MD, Kimberly D. Manning MD orcid.org/0000-0002-0521-5583 Emory University School of Medicine, Atlanta, Georgia, USASearch for more papers by this author Karen E. Jerardi MD, Med, Corresponding Author Karen E. Jerardi MD, Med karen.jerardi@cchmc.org orcid.org/0000-0002-3773-8792 @KJerardiMD Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center and University of Cincinnati School of Medicine, Cincinnati, Ohio, USA Correspondence Karen E. Jerardi, MD, Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center and University of Cincinnati School of Medicine, Cincinnati, OH, USA. Email: karen.jerardi@cchmc.org; Twitter: @KJerardiMDSearch for more papers by this authorKimberly D. Manning MD, Kimberly D. Manning MD orcid.org/0000-0002-0521-5583 Emory University School of Medicine, Atlanta, Georgia, USASearch for more papers by this author First published: 30 January 2023 https://doi.org/10.1002/jhm.13049Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume18, Issue2February 2023Pages 163-163 RelatedInformation

Pediatric Blood & CancerVolume 50, Issue 4 p. 737-738 Commentary Can less really be more? Using lessons from leukemia and cancer stem cells to make sense of oral maintenance for metastatic sarcoma Timothy P. Cripe MD, PhD, Corresponding Author Timothy P. Cripe MD, PhD timothy.cripe@cchmc.org Division of Hematology/Oncology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Ave., Cincinnati, Ohio 45229Division of Hematology/Oncology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Ave., Cincinnati, OH 45229.===Search for more papers by this author Timothy P. Cripe MD, PhD, Corresponding Author Timothy P. Cripe MD, PhD timothy.cripe@cchmc.org Division of Hematology/Oncology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Ave., Cincinnati, Ohio 45229Division of Hematology/Oncology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Ave., Cincinnati, OH 45229.===Search for more papers by this author First published: 16 October 2007 https://doi.org/10.1002/pbc.21364Citations: 1Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article.Citing Literature Volume50, Issue4April 2008Pages 737-738 RelatedInformation

A Toddler With Severe Anemia, Pica, and Extremity Swelling