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Article ; Online: Insomnia symptoms and postoperative healthcare utilization in veterans undergoing decompressive laminectomy for lumbar spinal stenosis.

Tighe, Caitlan A / Bachrach, Rachel L / Perera, Subashan / Weiner, Debra K

Sleep advances : a journal of the Sleep Research Society

2023 Volume 4, Issue 1, Page(s) zpad005

Abstract: Study objectives: Lumbar spinal stenosis is an age-related spine condition that contributes to pain and disability. Decompressive laminectomy (DL) is regularly performed to alleviate symptoms. Insomnia symptoms are common among people living with ... ...

Abstract	Study objectives: Lumbar spinal stenosis is an age-related spine condition that contributes to pain and disability. Decompressive laminectomy (DL) is regularly performed to alleviate symptoms. Insomnia symptoms are common among people living with chronic pain and may affect key DL outcomes, such as healthcare utilization. We examined associations of insomnia symptom severity with post-DL healthcare utilization in veterans with lumbar spinal stenosis. Methods: Veterans ( Results: Approximately 51% of participants endorsed insomnia symptoms of at least mild severity. Participants who reported at least mild insomnia symptoms had more healthcare office visits (IRR = 1.23, Conclusions: Insomnia symptoms are associated with postoperative healthcare utilization lending support for future work to examine the value of assessing and intervening on insomnia symptoms prelaminectomy.
Language	English
Publishing date	2023-01-22
Publishing country	United States
Document type	Journal Article
ISSN	2632-5012
ISSN (online)	2632-5012
DOI	10.1093/sleepadvances/zpad005
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Pediatric disaster preparedness curriculum across emergency medicine residencies.

Cahan, Lea Ohana-Sarna / Hart, Alexander / Hertelendy, Attila J / Voskanyan, Amalia / Weiner, Debra L / Ciottone, Gregory R

American journal of disaster medicine

2024 Volume 19, Issue 1, Page(s) 53–58

Abstract: Objective: To assess pediatric disaster medicine (PDM) instruction in emergency medicine (EM) residency programs and to identify barriers to integrating these skills into EM training.: Methods: National survey study of United States EM Residency ... ...

Abstract	Objective: To assess pediatric disaster medicine (PDM) instruction in emergency medicine (EM) residency programs and to identify barriers to integrating these skills into EM training. Methods: National survey study of United States EM Residency Program Directors (PDs) and Assistant PDs during the 2021-2022 academic year. Results: Of the 186 EM residency programs identified, a total of 24 responses were recorded with a response rate of 12.9 percent. Importance of training was rated 5.79 (standard deviation 2.51) using the Likert scale ranging from 1 to 10. Out of 24 programs, 17 (70.8 percent) do not have any PDM training as part of residency training. Live drill, simulation, and tabletop were identified as most effective methods to deliver PDM training with the Likert scale score of 4.78, 4.6, and 4.47, respectively. Senior trainees' level of -knowledge/skills with family reunification (Likert 2.09/5; chemical-biological-radiological-nuclear explosive 2.95/5) and mass casualty preparation of the emergency department (3.3/5) as assessed by the respondents. The main barrier to education included logistics, eg, space and costs (Likert 3.7/5), lack of didactic time (3.7/5), and limited faculty knowledge, skill, or experience (3.3/5). Conclusion: PDM training is lacking and requires standardization. This study highlights the opportunity for the creation of a model for EM resident education in PDM.
MeSH term(s)	Humans ; United States ; Child ; Internship and Residency ; Curriculum ; Mass Casualty Incidents ; Emergency Medicine/education ; Disaster Medicine/education ; Surveys and Questionnaires
Language	English
Publishing date	2024-04-10
Publishing country	United States
Document type	Journal Article
ISSN	1932-149X
ISSN	1932-149X
DOI	10.5055/ajdm.0463
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Article ; Online: Development and evaluation of a novel knowledge assessment tool for pediatric emergency medicine clerkships.

Zhao, Xian / Khilnani, Aneka / Weiner, Debra L / Donnelly, Katie A / Lindgren, Christina E / Chapman, Jennifer / Zaveri, Pavan / Prince, William Benjamin / Thomas-Mohtat, Rosemary

AEM education and training

2024 Volume 8, Issue 1, Page(s) e10938

Abstract: Objectives: This study seeks to determine validity evidence for a newly developed multiple-choice examination (MCE) tool to assess retention and application of medical knowledge of students enrolled in a pediatric emergency medicine (PEM) clerkship.: ... ...

Abstract	Objectives: This study seeks to determine validity evidence for a newly developed multiple-choice examination (MCE) tool to assess retention and application of medical knowledge of students enrolled in a pediatric emergency medicine (PEM) clerkship. Methods: A team of PEM physicians created a 110-item MCE covering the range of clinical topics in PEM relevant for medical students. The researchers determined examination content using the report of Clerkship Directors in Emergency Medicine and PEM Interest Group of the Society for Academic Emergency Medicine (SAEM). The authors administered the MCE to fourth-year medical students at the end of their PEM rotation from May 2020 to April 2023 at four institutions and then analyzed the examination using four of Messick's five sources of validity evidence: content, response process, internal structure, and relation to other variables. Results: A total of 158 students took the test. In academic year (AY)20-21, 47 students took the test and scored, on average, 81%. After revision of poor and indeterminate questions, the 111 medical students who took the revised version of the test in AY21-AY23 scored on average 77.3% with a standard deviation of 5.7% with a normal distribution in scores. The revised questions were rated as excellent (10.0%), good (26.4%), fair (34.5%), poor (24.5%), or indeterminate (4.5%) based on test item discrimination. There was a positive correlation between MCE scores and students' clinical evaluations but no correlation between MCE scores and scores that students received on their clinical notes or patient presentations during case conference. Conclusions: This novel PEM clerkship examination is a reliable test of medical knowledge. Future directions involve evaluating consequences of the MCE and offering the test to medical students in a dedicated PEM rotation at the national level.
Language	English
Publishing date	2024-02-21
Publishing country	United States
Document type	Journal Article
ISSN	2472-5390
ISSN (online)	2472-5390
DOI	10.1002/aet2.10938
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Article ; Online: COVID-19 impact on research, lessons learned from COVID-19 research, implications for pediatric research.

Weiner, Debra L / Balasubramaniam, Vivek / Shah, Shetal I / Javier, Joyce R

Pediatric research

2020 Volume 88, Issue 2, Page(s) 148–150

MeSH term(s)	Betacoronavirus ; COVID-19 ; Child ; Clinical Trials as Topic ; Coronavirus Infections/epidemiology ; Coronavirus Infections/therapy ; Humans ; National Institute of Child Health and Human Development (U.S.) ; Pandemics ; Pediatrics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/therapy ; Research/trends ; SARS-CoV-2 ; United States
Keywords	covid19
Language	English
Publishing date	2020-06-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	4411-8
ISSN	1530-0447 ; 0031-3998
ISSN (online)	1530-0447
ISSN	0031-3998
DOI	10.1038/s41390-020-1006-3
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Zs.A 564: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article: COVID-19 impact on research, lessons learned from COVID-19 research, implications for pediatric research

Weiner, Debra L / Balasubramaniam, Vivek / Shah, Shetal I / Javier, Joyce R

Pediatr Res

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #601642
Database	COVID19

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Article ; Online: COVID-19 impact on research, lessons learned from COVID-19 research, implications for pediatric research

Weiner, Debra L. / Balasubramaniam, Vivek / Shah, Shetal I. / Javier, Joyce R.

Pediatric Research

2020 Volume 88, Issue 2, Page(s) 148–150

Keywords	Pediatrics, Perinatology, and Child Health ; covid19
Language	English
Publisher	Springer Science and Business Media LLC
Publishing country	us
Document type	Article ; Online
ZDB-ID	4411-8
ISSN	1530-0447 ; 0031-3998
ISSN (online)	1530-0447
ISSN	0031-3998
DOI	10.1038/s41390-020-1006-3
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Article ; Online: Emergency Laboratory Evaluations for Patients With Inborn Errors of Metabolism.

Gold, Nina B / Kritzer, Amy / Weiner, Debra L / Michelson, Kenneth A

Pediatric emergency care

2019 Volume 37, Issue 12, Page(s) e1154–e1159

Abstract: Background: Children with inborn errors of metabolism (IEM) are at risk for metabolic crises triggered by acute illnesses. Crises are identified through laboratory evaluations.: Objectives: Our objective was to determine national adherence to minimum ...

Abstract	Background: Children with inborn errors of metabolism (IEM) are at risk for metabolic crises triggered by acute illnesses. Crises are identified through laboratory evaluations. Objectives: Our objective was to determine national adherence to minimum laboratory evaluations for patients with IEM in emergency departments (EDs), as well as factors associated with laboratory evaluation adherence. Methods: Using the Pediatric Health Information System, we identified visits to 48 EDs from 2012 to 2017 by children with IEM. We analyzed visits for catabolic conditions (dehydration, gastroenteritis, or vomiting) and determined variation in minimum laboratory evaluation adherence. Multivariable models were created to determine predictors of adherence. Results: Among the visits by children with disorders of the urea cycle, organic acid metabolism, and fatty acid oxidation, 1457 (76.3%) of 1909 adhered to the minimum laboratory evaluation. Median ED-level adherence was 78.2% (interquartile range, 67.4-92.5). Factors associated with adherence were disorder [fatty acid oxidation vs urea cycle disorder; adjusted odds ratio (aOR), 9.35; 95% confidence interval (CI), 4.07-21.47], annual ED volume of patients with IEM (quartile 4 vs 1; aOR, 3.58; 95% CI, 1.51-8.49), and presence of a biochemical genetics fellowship (aOR, 0.29; 95% CI, 0.14-0.62). Conclusions: Patients with IEM frequently did not receive minimum laboratory evaluations for catabolic conditions. Measures to improve laboratory use in children with IEM should be undertaken.
MeSH term(s)	Child ; Emergency Service, Hospital ; Humans ; Laboratories ; Metabolism, Inborn Errors/diagnosis ; Odds Ratio ; Urea Cycle Disorders, Inborn
Language	English
Publishing date	2019-11-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	632588-9
ISSN	1535-1815 ; 0749-5161
ISSN (online)	1535-1815
ISSN	0749-5161
DOI	10.1097/PEC.0000000000001936
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Zs.A 2083: Show issues

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Article: Trends of Low Back Pain Research in Older and Working-Age Adults from 1993 to 2023: A Bibliometric Analysis.

Zheng, Daniel K Y / Kawchuk, Gregory N / Bussières, André E / Al Zoubi, Fadi M / Hartvigsen, Jan / Fu, Siu Ngor / de Luca, Katie / Weiner, Debra K / Karppinen, Jaro / Samartzis, Dino / Ferreira, Manuela L / Wu, Jinlong / Dennett, Liz / Wong, Arnold Y L

Journal of pain research

2023 Volume 16, Page(s) 3325–3341

Abstract: Although the number of publications focusing on low back pain in older adults (LBP-O) and working-age adults (LBP-W) has been growing for decades, comparative research trends in these two populations, which may help to guide future investigation, have ... ...

Abstract	Although the number of publications focusing on low back pain in older adults (LBP-O) and working-age adults (LBP-W) has been growing for decades, comparative research trends in these two populations, which may help to guide future investigation, have not been rigorously explored. This analysis aimed to describe publication patterns and trends of research targeting LBP-O and LBP-W over the last three decades. Peer-reviewed LBP-O and LBP-W articles published between 1993 and 2023 were retrieved from the Web of Science, which provided the details of annual publication volume, and prominent journals/countries/institutions. The relationship between the annual publication volumes and years was analyzed by Spearman correlation analysis. The hot topics and emerging trends were analyzed by VOSviewer and CiteSpace, respectively. A total of 4217 LBP-O-related and 50,559 LBP-W-related documents were included. The annual publication volumes of LBP-O and LBP-W articles increased over the years (
Language	English
Publishing date	2023-10-02
Publishing country	New Zealand
Document type	Journal Article ; Review
ZDB-ID	2495284-9
ISSN	1178-7090
ISSN	1178-7090
DOI	10.2147/JPR.S425672
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Article ; Online: Pediatric Casualties in Terrorist Attacks: A Semi-Quantitative Analysis of Global Events.

Ohana Sarna Cahan, Lea / Tin, Derrick / Markovic, Vesna / Ciottone, Robert G / Issa, Fadi / Kane, Ashley E D / Hart, Alexander / Weiner, Debra L / Ciottone, Gregory R

Prehospital and disaster medicine

2022 , Page(s) 1–6

Abstract: Background: Terrorism remains a major threat and concern in many countries around the world. Pediatric populations represent approximately 30% of the world population, and in the event of a terrorist attack, can either be primary targets, to include the ...

Abstract	Background: Terrorism remains a major threat and concern in many countries around the world. Pediatric populations represent approximately 30% of the world population, and in the event of a terrorist attack, can either be primary targets, to include the possibility of abduction, or unintended victims. They are unique in their vulnerabilities and, therefore, require special consideration. Methods: This study is a semi-quantitative, epidemiological analysis of all terrorism-related pediatric fatalities and injuries sustained from 1970-2019. Data collection was performed using a retrospective database search through the Global Terrorism Database (GTD). Summaries of events including search terms associated with pediatric population were individually reviewed and those describing the deaths, injuries, or abductions were tallied. Results: Of the over 200,000 terror events, 2,302 events met inclusion criteria. This represented 1.14% of total events which involved death, injury, or abduction. Of 2,032 events, a total of 2,275 pediatric fatal injuries (FI) were recorded, as well as 2,280 pediatric non-fatal injuries (NFI). The most common weapons used in all attacks involving the pediatric population were explosives (1,539 [66.8%]), firearms (543 [23.5%]), other (169 [7.3%]), and melee (83 [3.6%]). A total of 275 of the 2,032 events were related to abductions, with 71 cases involving the abduction of 10 individuals or more. Conclusion: Pediatric casualties in terrorist events represent a small proportion of overall victims. However, it should be understood that the pediatric population has unique vulnerabilities, and when directly impacted by terrorism, can have long-term physical and psychosocial sequelae, as well as a devastating emotional impact on the community.
Language	English
Publishing date	2022-12-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	1025975-2
ISSN	1945-1938 ; 1049-023X
ISSN (online)	1945-1938
ISSN	1049-023X
DOI	10.1017/S1049023X22002291
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Zs.A 2859: Show issues

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Article ; Online: Aging Back Clinics-a Geriatric Syndrome Approach to Treating Chronic Low Back Pain in Older Adults: Results of a Preliminary Randomized Controlled Trial.

Weiner, Debra K / Gentili, Angela / Rossi, Michelle / Coffey-Vega, Katherine / Rodriguez, Keri L / Hruska, Kristina L / Hausmann, Leslie / Perera, Subashan

Pain medicine (Malden, Mass.)

2019 Volume 21, Issue 2, Page(s) 274–290

Abstract: Objective: Treating chronic low back pain (CLBP) with spine-focused interventions is common, potentially dangerous, and often ineffective. This preliminary trial tests the feasibility and efficacy of caring for CLBP in older adults as a geriatric ... ...

Abstract	Objective: Treating chronic low back pain (CLBP) with spine-focused interventions is common, potentially dangerous, and often ineffective. This preliminary trial tests the feasibility and efficacy of caring for CLBP in older adults as a geriatric syndrome in Aging Back Clinics (ABC). Design: Randomized controlled trial. Setting: Outpatient clinics of two VA Medical Centers. Subjects: Fifty-five English-speaking veterans aged 60-89 with CLBP and no red flags for serious underlying illness, prior back surgery, dementia, impaired communication, or uncontrolled psychiatric illness. Methods: Participants were randomized to ABC care or usual care (UC) and followed for six months. ABC care included 1) a structured history and physical examination to identify pain contributors, 2) structured participant education, 3) collaborative decision-making, and 4) care guided by condition-specific algorithms. Primary outcomes were low back pain severity (0-10 current and seven-day average/worst pain) and pain-related disability (Roland Morris). Secondary outcomes included the SF-12 and health care utilization. Results: ABC participants experienced significantly greater reduction in seven-day average (-1.22 points, P = 0.023) and worst pain (-1.70 points, P = 0.003) and SF-12 interference with social activities (50.0 vs 11.5%, P = 0.0030) at six months. ABC participants were less likely to take muscle relaxants (16.7 vs 42.3%, P = 0.0481). Descriptively, UC participants were more likely to experience pain-related emergency room visits (45.8% vs 30.8%) and to be exposed to non-COX2 nonsteroidal anti-inflammatory drugs (73.1% vs 54.2%). Conclusions: These preliminary data suggest that ABC care for older veterans with CLBP is feasible and may reduce pain and exposure to other potential morbidity.
MeSH term(s)	Aged ; Aged, 80 and over ; Aging ; Algorithms ; Chronic Pain/therapy ; Female ; Humans ; Low Back Pain/therapy ; Male ; Middle Aged ; Pain Management/methods ; Patient Education as Topic/methods ; Pilot Projects ; Treatment Outcome ; Veterans
Language	English
Publishing date	2019-10-01
Publishing country	England
Document type	Journal Article ; Randomized Controlled Trial ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	2015903-1
ISSN	1526-4637 ; 1526-2375
ISSN (online)	1526-4637
ISSN	1526-2375
DOI	10.1093/pm/pnz179
Database	MEDical Literature Analysis and Retrieval System OnLINE

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