Follow

• 

  Pediatric Obesity: A Survey Study of Patients and Caregivers’ Concern and Interest in Specialized Programs

  Dina Abdo, Ryan Rogers, Susan Edlibi, Aimee Pollak, Stacey Shubeck, and Kerry P. Mychaliska

  Publication Date: 5-2-2022

  INTRODUCTION
  Body mass index (BMI) ≥ the 85th percentile for age and sex is considered overweight in the pediatric population. Pediatric obesity is defined as a BMI at or above the 95th percentile. According to the Centers for Disease Control (CDC), obesity prevalence has tripled over the past 50 years; 1 in 5 school-aged children has a diagnosis of obesity. The purpose of this study is to survey caregivers’ perceptions and concerns about their child’s weight and patient and caregiver interest in a comprehensive healthy lifestyle program.

• 

  Death Exposure Influence on Medical Students’ Attitudes Toward End-of-Life Care

  Sara J. Barlow, Nelia Alfonso, and Jason A. Wasserman

  Publication Date: 5-5-2022

  INTRODUCTION
  Advance directives help guide individuals and their families in making end-of-life decisions that physicians must respect and carry out on behalf of patients to provide optimal care that aligns with their wishes. The facilitation of end-of-life care and the application of advance directives are impacted by physicians’ attitudes and knowledge regarding this topic. Current studies focus on the perspective that practicing physicians have toward advance directives. Our goal is to examine the end-of-life preferences of medical students at Oakland University William Beaumont (OUWB) School of Medicine before and after clinical exposure to better appreciate how and when opinions regarding end-of-life care develop during physician’s education.

  
  
  

• 

  Detection of Enterotoxin Gene Cluster in Staphylococcus epidermidis Recovered from Neonatal Liver Abscess

  Bishara J. Freij, Barbara E. Robinson-Dunn, and Patrick M. Schlievert

  Publication Date: 6-2022

  • Neonatal pyogenic liver abscesses are rare • Potential routes of hepatic infection include: portal vein, biliary ducts, hepatic artery during sepsis, or direct spread from infected contiguous structures • Risk factors may include bloodstream infection, abdominal surgery, umbilical vein catheterization, total parenteral nutrition, necrotizing enterocolitis, and/or immune deficiencies • More common in premature infants at present • Variety of etiologic agents for neonatal liver abscess: Staphylococcus aureus (methicillin-susceptible and resistant), coagulase-negative staphylococci (CONS), streptococci, Escherichia coli, Klebsiella, Pseudomonas, Enterobacter, Serratia, and Candida • Umbilical stump and catheter exit site hub often colonized with CONS • CONS colonize nearly all human skin and are often considered contaminants when recovered from blood cultures and may be dismissed as non-pathogens when isolated from tissues and other body fluids • CONS, including Staphylococcus epidermidis, have been found to harbor genes that encode for adhesion factors and exotoxins, among others • Staphylococcal superantigens are exotoxins produced by S. aureus strains which contribute to the pathology of various serious diseases such as toxic shock syndrome, infective endocarditis, and other conditions such as Kawasaki disease and atopic dermatitis; some have been identified in CONS, including S. epidermidis • We describe a premature newborn with hepatic abscess from whom a S. epidermidis strain was isolated that harbored multiple superantigen genes

• 

  Vampirism for the Microbiologist

  Joudeh B. Freij and Bishara J. Freij

  Publication Date: 6-2022

  Vampirism has been a means to explain the cause of communicable diseases throughout the centuries.

• 

  Prehospital Use of Ketamine in the Pediatric Population

  Ashima Goyal, Revelle Gappy, Remle Crowe, John Frawley, Nai-Wei Chen, and Robert Swor

  Publication Date: 1-2022

• 

  Effect of SARS-COV2 on Adolescent PHQ-9 Screening Result

  Anisah Hashmi, Aimee Pollak, Leah Ludwig, Kerry P. Mychaliska, Mara Rubenstein, Olufunke Adeyemo, Stacey Shubeck, Liu Qu, and Mary Coffey

  Publication Date: 5-2-2022

  INTRODUCTION
  The SARS-COV2 pandemic created numerous stressors for adolescents including financial insecurities, family illness or death, home schooling, discontinuation of group activities, and decreased peer interaction. Prior studies have shown an increased risk for self-reported depression symptoms in pediatric patients following traumatic events. The purpose of this study is to compare rates of newly diagnosed depression in adolescents and self-reported depression symptoms prior to and during the pandemic.

• 

  Development of Verbal Behavior in Early, Intensive Behavioral Therapy for Autism Spectrum Disorder

  Mthya Jayakumar, Lesly Hendershot, Lori Warner, and James F. Grogan

  Publication Date: 5-2-2022

  INTRODUCTION
  The current study will explore the relationships between motor imitation (MI) and verbal requesting skills in children who are diagnosed with autism spectrum disorder (ASD). With nearly half of children with ASD evidencing minimal verbal skills, supporting language development is crucial in interventions. Early, intensive behavioral intervention (EIBI) is recommended to help children achieve better developmental outcomes. Functional language training often begins with the verbal requesting skill, MAND. Research suggests that a series of rapid motor imitations before a vocal model could facilitate vocal speech, but little is known about how MI can longitudinally influence functional language development. This retrospective, cohort study with MI skill level subgroups (low, medium and high) will explore whether the development of MI skills correlates with greater MAND progress in pediatric patients with ASD.

• 

  ConstiPatED: Evaluation in the Pediatric ED – Practice Patterns and Trends Amongst Provider Types

  Dharshana Krishnaprasadh, Margaret Samberg, Lara Fawaz, Sara Grant, and Margaret Menoch

  Publication Date: 4-28-2022

  Objectives

  -The aim of this study is to describe practice trends by provider type: Pediatric Emergency Medicine (PEM) physicians, Emergency Medicine (EM) physicians, advanced practice providers (APP) and resident/fellows for evaluation and treatment of pediatric constipation.

• 

  Emergency Department Recidivism Due to Skin Lesions Among the Homeless Population

  Kylee JB Kus and Jason A. Wasserman

  Publication Date: 5-2-2022

  INTRODUCTION
  Ample research supports the correlation between homelessness and poor health generally. Individuals experiencing homelessness face a higher risk of dermatological health problems due to exposure and sanitation concerns and comprise a disproportionately large share of emergency department (ED) visits. This study assesses whether and how the interaction between homelessness and dermatological health contributes to ED recidivism.

• 

  Nasopharyngeal Swabs Gone Wrong: An Unexpected Complication of a Common Procedure

  Moyosoreoluwa Laditan, Riya Kalra, Laurene Reed, and Paras Khandhar

  Publication Date: 10-2022

• 

  Factors Influencing Reintubation in Self Extubated Pediatric Intensive Care Unit Patients

  Ahmed Naseem, Ameer Al-Hadidi, Morta Lapkus, Patrick Karabon, Begum Akay, and Paras Khandar

  Publication Date: 5-2-2022

  NTRODUCTION
  Intubated pediatric patients that self-extubate may be particularly susceptible to reintubation. Identifying factors that increase risk of reintubation allows for better monitoring and response in cases of self-extubation and can potentially identify patients needing reintubation.

• 

  The Influence of BLM and the Death of George Floyd on Medical and Pre-med Students and Their Views on Institutional Racism

  Asia Susko and Jason A. Wasserman

  Publication Date: 5-2-2022

  INTRODUCTION
  Racial inequalities present in medical education in a multitude of ways, including basing disease prevalence on majority populations and using images that disproportionately represent white patients. George Floyd’s death was not only a sentinel event of police violence, but underscored broader systemic racism, including medicine’s potential for complicity. This study highlights the perspectives of premedical and medical students in light of George Floyd’s death and the Black Lives Matter movement. Their views help elaborate ways to better support students and staff of color in medical education.

• 

  The divergence of medical ethics and state laws regarding life sustaining treatment

  Hannah VanDusen and Jason A. Wasserman

  Publication Date: 5-2-2022

  INTRODUCTION
  Research reveals that cardiopulmonary resuscitation (CPR) rarely leads to prolonged survival in patients with chronic illnesses in whom death is expected in the relative near-term. There is strong ethical consensus favoring a physician’s right to refuse to provide CPR when it is physiologically futile or medically inappropriate. State laws governing medical treatment, however, sometimes diverge from this guidance. This study examines laws related to life sustaining treatment, analyzing both physician and surrogate authority in decision making about resuscitation orders in the national context.

• 

  Gauging the Impact of Interactions with Autistic Children Early in Medical Education

  Emily W. Yuen, Helen E. Huetterman, Jessica Korneder, Jason A. Wasserman, and Mary O. Dereski

  Publication Date: 5-2-2022

  INTRODUCTION
  One in fifty-nine children in the United States are currently diagnosed with Autism Spectrum Disorder (ASD). Despite this high prevalence, medical students receive little training on this unique population. This project aims to determine the impact on first-year medical students’ attitudes toward treatment of children diagnosed with ASD following small group interactions in an Applied Behavior Analysis (ABA) clinic.