Disparities and Biases in Food Insecurity Screening Among Admitted Children.

Background And Objectives: Food insecurity (FI) has increasingly become a focus for hospitalized patients. The best methods for screening practices, particularly in hospitalized children, are unknown. The purpose of the study was to evaluate results of an electronic medical record (EMR) embedded, brief screening tool for FI among inpatients.

Histopathologic diagnosis and patient characteristics in cats with small intestinal obstructions secondary to trichobezoars.

Objectives: The aim of the present study was to describe the distribution of gastrointestinal histopathology findings associated with gastrointestinal obstructions secondary to trichobezoar formation in cats.

Methods: A total of 100 surgical gastrointestinal biopsies were obtained from 44 cats with gastrointestinal obstructions secondary to a trichobezoar. Medical records, including signalment, type and duration of clinical signs, surgical reports and histopathologic analysis, were reviewed for each cat.

Computed tomography angiography aids in predicting resectability of isolated liver tumors in dogs.

Objective: To assess the accuracy of CT angiography (CTA) in predicting resectability, degree of surgical difficulty, and individual factors that may impact resectability of isolated hepatic masses in dogs.

Animals: Prospective study of 20 dogs with 21 isolated hepatic masses.

Procedures: All CTAs and surgeries were performed between June 16, 2013, and November 30, 2016, at The Animal Medical Center in New York.

Important Advances in Pediatric Injury Prevention.

In children, injuries are the leading cause of death, a major source of disability, and the number one cause of death for children after the first year of life. The principles of injury prevention include surveillance, coalitions, communication, interventions, and evaluation. This article discusses a number of common pediatric injuries and their prevention strategies.

Food Insecurity Screening of Hospitalized Patients: A Descriptive Analysis.

Objectives: The purpose of this study is to describe an advocacy effort to implement a food insecurity (FI) screening during hospital admission and describe characteristics of hospitalized patients with household FI.

Methods: This is a descriptive study after the implementation of FI screening at a quaternary-care children's hospital in the Southeastern United States between August 2020 and April 2021. The Hunger Vital Sign, a 2-question screening tool for FI, was added to the intake questionnaire performed on inpatient admissions.

Assessment of Pediatric Residents' Comfort Level With CellScope Oto to Examine Pediatric Ear Exams.

Examining a child's tympanic membrane (TM) is challenging, but crucial for proper management of acute otitis media (AOM). CellScope Oto (CSO) is an attachment that turns a smartphone into an otoscope. We aimed to assess pediatric resident comfort level with ear exams using CSO to see whether comfort level and accuracy of diagnosis of AOM improved.

Utilization of Monitored Beds for Children Admitted With Unintentional Poisonings.

Objectives: Children with unintentional poisonings (UPs) are frequently admitted to monitored beds (MBs), though most require minimal interventions. We aimed to (1) describe clinical factors and outcomes for children admitted for UPs and (2) identify clinical factors associated with MB placement.

Methods: In this single-center retrospective cohort study, we studied patients younger than 6 years admitted from the emergency department (ED) for UPs over a 5-year period to a quaternary-care children's hospital.

Mandibular Distraction Osteogenesis as a Primary Intervention in Infants With Pierre Robin Sequence.

Background: Pierre Robin sequence (PRS) is a triad of congenital facial abnormalities that can present as a syndrome (syndromic PRS [sPRS]) or an isolated entity (isolated PRS [iPRS]). Patients with PRS can develop airway and feeding problems that may result in failure to thrive. Mandibular distraction osteogenesis (MDO) is a method for improving the functional issues associated with breathing and feeding.

Examining Pediatric Residency Voting Practices.

Objective: Voting is one of our civic duties, yet many Americans do not vote, and physician voter participation is even lower than that of the general public. We aimed to explore pediatric residents' attitudes and behaviors in regard to voting and assess the impact of interventions aimed at increasing resident participation.

Methods: Pediatric residents were given preelection surveys regarding interest in voting, plans to vote in the November 2016 national election, and barriers to participation.

Child passenger safety education in the emergency department: teen driving, car seats, booster seats, and more.

Background: The leading cause of death in children less than 19 years old is motor vehicle crashes (MVC). Non-use or improper use of motor vehicle car seats significantly adds to the morbidity and mortality. Emergency department (ED) encounters provide an opportunity for caregiver education.

Evidence of Leptospiral Presence in the Cumberland Gap Region.

Background: Leptospirosis is a widespread zoonotic disease that causes reproductive losses and/or hepatorenal failure in a number of animal species. Wild reservoirs of the disease, such as rodents, harbor the causative bacterium, Leptospira spp., in their kidneys and contaminate the environment by excreting infected urine.

Evaluation of the Beckman Coulter DxC 700 AU chemistry analyzer.

Objectives: We evaluated and defined the analytical performance of the Beckman Coulter DxC 700 AU analyzer compared to the Siemens Dimension Vista 500 analyzer.

Design: and Methods: Performance characteristics included intra and inter-run precision, linearity/analytical measurement range, method correlation, and reference range verification. A total of 53 assays including 11 critical care, 19 general chemistries, 11 proteins, 10 urines, and 2 CSF analytes were tested.

Splenic infarction from vascular torsion in a child with normal splenic anatomy.

This is a case of an 8-year-old, Caucasian boy with a complex prior medical history who presented with worsening, acute, left-sided abdominal pain and fever after empiric treatment for a urinary tract infection. Repeat urinalysis was negative for infection. A renal ultrasound assessing for occult perinephric abscess or nephronia revealed normal kidneys but found a tubular structure adjacent to the left kidney.

Quality Improvement Project to Improve Screening for Tobacco Use in Adolescent Inpatients at a Children's Hospital.

Tobacco use begins in adolescence for the majority of smokers. The purpose of this study was to increase screening and reporting of tobacco use in hospitalized adolescents at a tertiary care children's hospital. We completed a nursing focus group to understand challenges and completed four iterative Plan-Do-Study-Act cycles, which included: (1) in-person nursing education regarding tobacco use screening, (2) addition of an e-cigarette-specific screening question, (3) the creation and dissemination of an educational video for nursing, and (4) adding the video as a mandatory component of nursing orientation.

[About the problem of radial tunnel syndrome or "where does the tennis elbow end and where does the radial tunnel syndrome begin?"].

Tennis elbow or epicondylitis lateralis humeri is a commonly seen pain-syndrome. Radial tunnel syndrome is generally assumed to be a rare nerve compression syndrome. This study intents to demonstrate that tennis elbow is the most common manifestation of radial tunnel syndrome or in other words, tennis elbow is nothing else but radial tunnel syndrome.

[Performance following liver, spleen and intestinal ruptures].

In order to extend the knowledge about posttraumatic possibility of action after blunt abdominal traumas, 34 patients mostly having sustained isolated ruptures of the liver, spleen and the intestines, were interviewed after their recovery; the results obtained were separated by the organs involved. Essential result: In general, there is a close correlation between the acuteness of pain, the patient's assessment of severity of the injury and the degree of the ability to act during the first posttraumatic minutes. In the further course of the injury, the capacity to act was limited by the extent and the developmental speed of the loss of blood into the abdominal cavity, provided that it was not limited or cancelled primarily by the acuteness of pain.

[Performing ability after kidney contusions and kidney ruptures].

30 casualties who had sustained a kidney contusion (23 patients) or a kidney rupture (7 patients) were questioned about their posttraumatic possibility of action after their recovery. Essential result: Fundamental differences were detected between the two groups. The high degree of the ability to act for a longer period of time may be explained by the comparatively low acuteness of pain after kidney contusions and the impression of most casualties of not being seriously injured.