Publications by authors named "H M Dumas"

Introduction: Language that assumes gender and sex are binary and aligned is pervasive in medicine and is often used when teaching on physiology and pathology. Information presented through this lens oversimplifies disease mechanisms and poorly addresses the health of gender and sexually diverse (GSD) individuals. We developed a training session to help faculty reference gender and sex in a manner that would be accurate and inclusive of GSD health.

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Objective: This study aimed to describe daytime and nighttime use and outcome of non-invasive respiratory intervention (NIRI) for infants born prematurely and for children with medical complexity (CMC) during a post-acute care hospital (PACH) admission.

Methods: Thirty-eight initial PACH admissions (October 2018 through September 2020) for premature infants (< 1 year; n = 19) and CMC (> 1 year; n = 19) requiring NIRI during the day and/or at night were retrospectively examined. Measures included: 1) daytime and nighttime NIRI use by type (supplemental oxygen therapy via low-flow nasal cannula or positive airway pressure [PAP] via high-flow nasal cannula, continuous positive airway pressure, or biphasic positive airway pressure at admission and discharge) and 2) daytime and nighttime NIRI outcome-reduction, increase, or no change from admission to discharge.

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Purpose: The purpose of this study was to investigate the Head Control Scale's (HCS's) responsiveness and concurrent validity with the Alberta Infant Motor Scale (AIMS).

Methods: The HCS and the AIMS were administered to 50 infants and young children. Thirty children were reevaluated at hospital discharge or at 18 months of age.

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Article Synopsis
  • Children with medical complexity (CMC) are characterized by chronic health issues and a reliance on technology, leading to high healthcare use; this study explores the role of point-of-care ultrasound (POCUS) in diagnosing and managing these patients.
  • A total of 104 POCUS scans were carried out on 33 CMC patients, with the majority of cases related to congenital anomalies and neurologic conditions; lung and diaphragmatic evaluations made up the bulk of requests.
  • The results showed high abnormality rates in diaphragmatic (82%) and lung (73%) scans, indicating that POCUS is valuable for clinical assessments, follow-ups, and establishing baselines in postacute care settings.
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