Publications by authors named "Gerhardt C"

Objective: Pediatric brain tumor survivors (PBTS) are at risk for neurocognitive late effects that can resemble symptoms of cognitive disengagement syndrome (CDS). In the current study, we compared the CDS symptoms of PBTS to those of healthy comparison classmates (CC) and examined whether CDS might explain group differences in depressive symptoms. We also explored whether CDS symptoms were associated with engagement-based coping strategies and stress responses, thereby testing one mechanism by which CDS could lead to affective difficulties.

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Purpose: The aim of the study was to determine preoperative patient- and fracture-related risk factors for estimating the risk of fracture sequelae after surgically treated proximal humerus fractures (PHF) using locking plate osteosynthesis. The purpose was to develop a fracture sequelae risk score as an additional tool to facilitate the treatment strategy for PHF.

Methods: All patients with PHF who underwent surgery with locking plate osteosynthesis were included.

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Navigating pediatric advanced cancer is challenging for children and parents, resulting in increased risk for psychological distress. While research has explored parent worries/concerns, few studies have included children's perspectives. To explore worries/concerns in children with advanced cancer and their parents.

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Objectives: Although pediatric cancer often causes significant stress for families, most childhood cancer survivors are resilient and do not exhibit severe or lasting psychopathology. Research demonstrates some survivors may report benefit-finding or positive outcomes following this stressful life event. However, considerably less research has included families of children who are unlikely to survive their illness.

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  • High medication non-adherence rates (52-73%) in pediatric stem cell transplant patients create significant health risks, motivating the development of a mobile health app.
  • The BMT4me© app was designed using feedback from caregiver-child dyads and healthcare providers through interviews and focus groups, ensuring user-centered improvements.
  • Usability testing showed a high SUS score of 84.2 from healthcare providers, indicating the app's effectiveness in enhancing engagement and safety for families managing pediatric transplant care.
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  • Over 350,000 U.S. infants are admitted to the NICU each year, but there are limited tools for nurses to assess infant discomfort and quality of life.
  • The study focused on the Nurse Perception of Infant Condition (NPIC) scale, collecting data from 237 nurses over 28 months to evaluate its reliability and structure.
  • The results showed a reliable two-factor scale with strong internal consistency, but there's a need for further refinement and development to enhance its practical use in assessing infant care.
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Objectives: To characterize caregiver experiences in the context of advanced pediatric cancer by identifying individual (i.e., demographic factors, stress) and family context factors (i.

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Introduction: Leadership development programs are the key for engaging physicians as partners in health-care administration. These programs have become common; however, one potential consequence of leadership training is attrition.

Methods: Using a prospectively collected database, Kaplan-Meier curves were used to analyze attrition of physician faculty following an intramural leadership program at an academic health center.

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  • There is currently no gold standard for the best graft choice in treating chronic elbow instability, prompting research into the suitability of fascia lata allografts compared to triceps autografts.
  • The study involved biomechanical testing of fascia lata allografts and a cohort analysis of clinical outcomes, focusing on pain, motion range, and stability post-reconstruction.
  • Results showed that both graft types had similar pain levels and functional outcomes, with no significant differences in stability metrics between the fascia lata and triceps groups.
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Social contexts (e.g., family, friends) are important in predicting and preventing loneliness in middle childhood (MC) and adolescence; however, these social contexts were disrupted during the COVID-19 pandemic.

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  • Patients with osteoarthritis experience chronic pain and reduced function, affecting their quality of life and increasing psychological stress.
  • This study focused on understanding patients' expectations for shoulder joint replacements compared to surgeons' perceptions of those expectations, involving 50 patients and 10 surgeons.
  • Key findings revealed that both patients and surgeons prioritized pain relief, movement, and strength in surgical outcomes, but there was a gap in the importance placed on empathy, with patients valuing it more than surgeons did.
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Background: Rising admission rates of Hispanic/Latinx families to the neonatal intensive care unit (NICU) have increased the number of non-English-speaking individuals who may wish to participate in research studies. However, a lack of appropriately translated research study materials may limit the opportunity for these families to be involved in research that could impact the care that infants and families receive in the NICU.

Purpose: The primary purpose was to pilot test study materials that were transcreated from English to Spanish with the assistance of a bilingual community advisory board with Spanish-speaking parents of NICU infants.

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Background: While most research has largely focused on medical risks associated with reduced health-related quality of life (HRQOL) in survivors, sociodemographic and family factors may also play a role. Thus, we longitudinally examined sociodemographic factors and family factors associated with survivor HRQOL, including adolescent's cancer-specific stress, mother's general stress, and mother-adolescent communication.

Methods: Mothers (N = 80) and survivors (ages 10-23, N = 50) were assessed 5 years following initial diagnosis.

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COVID-19 public health measures caused significant disruptions to child and caregivers' mental and physical well-being, including quality of life (QoL). However, in samples outside the United States (U.S.

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  • - The scoping review focused on the psychosocial outcomes of parents whose children died from medical conditions, analyzing 106 studies published between 2011 and 2022, emphasizing the need for comprehensive research in this area.
  • - Most studies were qualitative (60%) or quantitative (29%), with a significant representation of cancer cases (58%) and a predominantly White mother demographic (66%).
  • - The review highlighted a gap in research regarding diverse populations and resilience-based outcomes, suggesting that future studies should adopt varied methodologies to better assess both risk and resilience across different demographics.
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Background: Impending and complete pathologic fractures of the distal humerus are rare complications of metastatic cancer. Surgical treatment aims to quickly restore function and minimize pain. Plate and screw fixation (PSF) is a common method for addressing these lesions, but unlike in orthopaedic trauma, there are no clear guidelines for best management.

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Objectives: Adolescents with cancer often experience significant symptom burden and aggressive treatment near end-of-life. Increased adolescent involvement in care and decision-making may benefit health outcomes. Limited research has examined factors associated with adolescents' involvement in care in the context of advanced disease.

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Pediatric brain tumor survivors (PBTS) commonly experience mental health challenges, which can be exacerbated during adolescence and emerging adulthood (AEA). We examined survivors and caregivers' perceived need for mental health services and barriers to receiving mental health care. Families completed surveys to assess perceived need for mental health services, socioemotional impairment, and barriers to mental health services.

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Objective: Limited research has characterized cancer-related stress (CRS) among families of childhood cancer survivors. We examined the prevalence of CRS among survivors and caregivers, as well as its association with health risk perceptions (i.e.

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Little is known about the COVID-19 pandemic and its impact on the quality of life (QoL) of children with cancer who may be more vulnerable to the pandemic's effects. We examined associations between COVID-19 exposure and impact on parent-proxy reported QoL in children with cancer, and potential moderation based on the child's cancer status (i.e.

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  • This study investigates the effectiveness of neuromuscular electrical stimulation (NMES) combined with physical therapy for treating functional posterior shoulder instability (FPSI) in teens and young adults, hypothesizing it leads to better outcomes than physical therapy alone.
  • Patients were split into two groups for six weeks: one received standard physical therapy while the other received physical therapy with NMES, with data collected at multiple time points.
  • Results showed that the NMES group had significantly better improvements in shoulder instability and function compared to the standard therapy group, prompting many dissatisfied patients from the latter to switch to NMES treatment after three months.
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Background: Plate osteosynthesis with implants made of carbon-fibre-reinforced polyetheretherketone (CFR-PEEK) has recently been introduced for the treatment of fractures of the proximal humerus (PHFs). The advantages of the CFR-PEEK plate are considered to be its radiolucency, its favourable modulus of elasticity, and the polyaxial placement of the screws with high variability of the angle. The primary aim of this study is to investigate the influence of calcar screw positioning on the complication and revision rates after CFR-PEEK plating of PHFs.

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