The psychological impact of the COVID-19 pandemic on physicians in Puerto Rico: a cross-sectional study after the second wave in 2021.

Introduction: Health care providers faced a challenge with the emergence of COVID-19 and its rapid spread. Early studies measuring the psychological impact of COVID-19 on the general population found high levels of anxiety and sleep disorders. The primary goal of this project was to assess the psychological impact of COVID-19 on physicians in Puerto Rico.

Long-Term Pediatric Outcomes of Decompressive Craniectomy after Severe Traumatic Brain Injury.

Objective: There is no consensus on the use of decompressive craniectomy (DC) to manage severe traumatic brain injury (sTBI). We evaluated the profile of pediatric patients admitted with sTBI and assessed functional outcomes, 6 months posttrauma, in patients who had a DC and in those who had not, and the functional outcomes of early versus late DCs.

Patients And Methods: This case-control observational study evaluated pediatric patients admitted for sTBI in Puerto Rico (June 2016-October 2018); we included patients admitted within 24 hours of injury and had a Glasgow Coma Scale (GCS) of 8 or lower.

Pediatric Risk, Injury, Failure, Loss, End-Stage renal disease score identifies acute kidney injury and predicts mortality in critically ill children: a prospective study.

Objectives: To determine whether Pediatric Risk, Injury, Failure, Loss, End-Stage renal disease (pRIFLE) criteria serve to characterize the pattern of acute kidney injury in critically ill pediatric patients. To identify if pRIFLE score will predict morbidity and mortality in our patient's cohort.

Design: Prospective cohort.

Efficacy, safety and cost-efficiency of using an alternative technique for automated exchange transfusion in pediatric patients with sickle cell disease.

Background: Sickle cell disease (SCD) patients suffer complications requiring simple and/or exchange transfusion. In 1999 we developed an automated exchange technique using infusion pumps and vascular catheters (IV Pump Method).

Objective: To prove that IV Pump Method is cost-efficient, and as safe and effective as automated cell separators.

Diabetic ketoacidosis in pediatrics: management update.

The management of diabetic ketoacidosis has remained unchanged for several years. Lately, as more evidence has been available, practice has been modified to simplify the management and avoid complications. For the last twenty years patients admitted to the Pediatric Intensive Care Unit (PICU) at the University Pediatric Hospital, were managed following a protocol where the patient's volume deficit was calculated based on the degree of dehydration (mild, moderate, and severe) and then administered accordingly over 36 hours.