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Mashup Score: 0009. Call to Action: Addressing School Violence - 5 month(s) ago
In this episode, Pediatric Nursing Journal Editorial Board member, Tedra Smith, DNP, CPNP-PC, CNE, CHSE, talks with Sarah Kelly, PhD, RN, an associate professor at Montclair State University School of Nursing, about school violence and bullying. Dr. Kelly unpacks the latest statistics on youth violence in schools and how targeted interventions can be developed by using the Youth Risk Behavior Survey, which is published every two years by the Centers for Disease Control and Prevention. This episode provides expanded content from the article, “The Effects of Exposure to Violence at School on Youth: An Analysis of the 2019 Youth Risk Behavior Survey,” authored by Dr. Kelly and coauthors Ganga Mahat and Houda Sabeh, and published in the September/October 2023 issue of Pediatric Nursing. Sarah Kelly, PhD, RN, is an Associate Professor at Montclair State University School of Nursing in Montclair, New Jersey. Tedra Smith, DNP, CPNP-PC, CNE, CHSE, is an Associate Professor, the Assistant Dean
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Mashup Score: 2Pediheart Podcast #305: Safety And Efficacy Of ICE For Pediatric And Congenital Ablations - 5 month(s) ago
This week we delve into the world of electrophysiology and review a recent report from the team at Primary Children’s hospital on the use of intravascular ultrasound for EP ablation procedures in children. How is this technology useful for ‘routine’ ablations in kids? Are there some forms of tachycardia where its use is more important than others? How does it lower procedural time or improve efficacy? We speak with Dr. Thomas Pilcher, chief of pediatric electrophysiology at Primary Children’s about his center’s recent report in the use of this technology for ablation in children and those with congenital heart disease. https://doi.org/10.1093/europace/euae047
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Mashup Score: 2Pediheart Podcast #304: Pediatric Cardiology Pioneer Dr. Sylvia Griffiths - An Appreciation - 5 month(s) ago
This past week marked the passing of the great pediatric cardiology pioneer, Dr. Sylvia Griffiths. Dr. Griffiths was a trainee of Dr. Ruth Wittemore of Yale University and was one of the founders of the pediatric cardiology program at NY Presbyterian Hospital in the mid 1950’s with Dr. Sidney Blumenthal. Her career spanned 7 decades, all at NY Presbyterian, Columbia University. She is remembered as a pioneering woman in medicine as well as a pioneer as a pediatric cardiologist. She is also remembered as a kind and warm colleague and friend. In today’s 304th episode of Pediheart we review a 55 year old paper by Dr. Griffiths on outcomes of partial AV canal repair and speak with the present chief of pediatric cardiology at NY Presbyterian, Dr. Christopher Petit about the important role she played at Columbia. We then speak with Professor of Pediatrics at the Albert Einstein College of Medicine, Dr. Christine Walsh about the role she played in Dr. Walsh’s life as well as the lives of so m
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Mashup Score: 3Pediheart Podcast #303: Outcomes Of Heart Transplantation Of The Single Ventricle Adult - 6 month(s) ago
This week we review a recent paper from last 2023 about outcomes of cardiac transplantation in the adult congenital heart patient (ACHD). Little has been written on this topic until this very robust and large scale report. How do single ventricle ACHD patients fair at transplant and how do they compare to non-ACHD heart transplant recipients? Why might 1 and 3 year outcomes not be a ‘fair’ method of assessing outcomes in this very high risk patient group? How do HLHS patient outcomes compare with other single ventricles? Are there better ways to measure risk in this patient group and how might the data in this work inform risk stratification and management of failing Fontan patients in whom transplantation is being considered? These are amongst the questions posed this week to the week’s expert, Dr Daphne Hsu who is Professor of Pediatrics at the Albert Einstein College of Medicine at The Children’s Hospital at Montefiore. https://doi.org/10.1016/j.jacc.2023.06.037 For those intereste
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Mashup Score: 3
This week’s topic is ductal stenting in a low resource environment. We review a recent report from the team at Amrita Institute in Kerala, India about their large, over 10 year experience in ductal stenting. Why has this approach superceded BTTS in this environment? How does the team determine if a patient is a candidate and what morphologies of duct would be inappropriate for intervention? How does the team manage PGE prior to ductal stenting to allow that perfect balance between pulmonary blood flow and ductal constriction to improve procedural success? What can operators in the west learn from the experience of these operators? We review these questions and more with the first author of this work, Dr. Navaneetha Sasikumar who is Associate Professor of Pediatrics at the Amrita Institute. – DOI: https://doi.org/10.1007/s00246-024-03496-8
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Mashup Score: 1Pediheart Podcast #301: A Novel Mortality Risk Score For Repaired Tetralogy of Fallot - 6 month(s) ago
This week we review a novel multivariable model used to predict mortality in the repaired tetralogy of Fallot patient. Can this model identify who amongst the repaired TOF patients is at risk for death in the coming years? What are the most important inputs to this model? Why does the use of a validation cohort provide greater strength to this model and is there still room for improvement in the model? Can the data in this work help inform decisions regarding pulmonary valve replacement timing? These are amongst the questions posed to the senior author of this work, Cardiologist-in-Chief at Boston Children’s Hospital and Professor of Pediatrics at Harvard University, Dr. Tal Geva. Novel risk calculator: https://github.com/rTOF-INDICATOR/MORTALITY-RISK-Score doi: 10.1161/JAHA.123.034871. Epub 2024 Jun 11.
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Mashup Score: 1Pediheart Podcast #300: Discussion With Drs. John Triedman, J. Philip Saul And Edward Walsh - The Origins Of Pediatric EP In Boston - 7 month(s) ago
This week we listen in to a wonderful roundtable discussion with 3 of the pioneers in the world of pediatric electrophysiology, namely Dr. John Triedman, Dr. J. Philip Saul and Dr. Edward P. Walsh. All three were ‘there at the beginning’ and share their memories of how they helped to shape the field of pediatric EP. How did Drs. Walsh and Saul choose to proceed with EP training in a pre-ablation and pre-pediatric EP training era? How did all three decide to start a fellowship program to train the next generation of EP doctors? What sort of ‘technology’ existed to perform ablations in Boston in the early 1990’s and how did these experts come to be the first to perform an RF ablation in any human in Boston? How does the field differ today in comparison to its origins? Amongst their many professional accomplishments, what does each ‘guru’ view as their greatest professional achievement? These are amongst the many questions posed during a wonderful symposium that was held in Boston on 5/16
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Mashup Score: 1Pediheart Podcast #299: Public Reporting In Congenital Heart Surgery - The Good, The Bad And The Opportunities - 7 month(s) ago
This week we review a recent editorial commentary from multiple congenital heart surgical leaders in the US today. The topic of their expert opinion piece is the concept of public reporting of results and their ‘amplification’ through organizations such as US News and World Report, to name one. How has the use of the database from STS been sometimes misinterpreted through public reporting or ranking systems? What was the initial intent of the STS database and how does the present usage of these data differ from the initial intent? Do STS risk adjustment models capture all aspects of risk for patients undergoing surgery and how do deficiencies in this result in unfair ‘rankings’ of programs? Can we ‘take control’ of our data and interpret it more clearly and accurately for the public and reduce misusage or misinterpretation of the data? How can public reporting result in improved outcomes? How can ‘gaming’ of the system be reduced? Dr. Emile Bacha, Professor of Surgery at Columbia Unive
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Mashup Score: 1Pediheart Podcast #298: Do Children Need Aspirin Following Left-Sided SVT Ablations? - 7 month(s) ago
In this week’s podcast, we discuss a work that tries to challenge convention when we review a recent work from the team at Emory University about anticoagulation following left sided ablation of SVT in children. A short course of aspirin is commonly prescribed in this setting but what is the evidence for this? How do patients who receive aspirin fare vs. those who do not? Are there some patients in which aspirin might be more ‘useful’ than others? Is there adequate equipoise to consider a multicenter trial? Is that even necessary? Joining us to discuss this and more about this topic is Dr. Vincent Palmieri, senior electrophysiology fellow at Children’s Healthcare of Atlanta. doi: 10.1016/j.hrthm.2024.01.004.
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Mashup Score: 10Pediheart Podcast #297: Pulmonary Atresia With Intact Ventricular Septum - Present Day Outcomes + Areas For Improvement - 7 month(s) ago
This week we review a recent large scale, multicenter study of the Pediatric Cardiac Intensive Care Society Investigators on outcomes of pulmonary atresia with intact ventricular septum (PA/IVS) in the present era. How are patients faring in the present era in comparison to the prior 1-2 decades? What are the most important factors to account for improvements observed in survival? Are there subtypes of PA/IVS that warrant early referral to heart transplantation? What is the best predictor of a better outcome and what percentage of PA/IVS patients ultimately have a 2 ventricle repair? Where are the areas for improvement in the coming decade to improve upon these already, improved outcomes? These are amongst the many questions reviewed in this week’s episode with the first author, Dr. Ilias Iliopoulos, who is the director of pediatric cardiac critical care at Inova LJ Murphy Children’s Hospital. https://doi.org/10.1007/s00246-022-02954-5
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🎙️ Podcast Episode Highlight! 🎙️ Revisit an important discussion with Pediatric Nursing Journal Editorial Board member, Dr. Tedra Smith as she talks with Dr. Sarah Kelly about the pressing issues of school violence and bullying. 🔗 Listen now: https://t.co/iqEHbwH83t https://t.co/YOYxDiGVIi