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Article: Understanding the impact of children's and young people's self-harm on parental well-being: a systematic literature review of qualitative and quantitative findings.

Martin, Faith / Ferrey, Anne / Hobbs, Laura / Lascelles, Karen / van Even, Suzanne / Oliver, Thomas

2024

Abstract: Background: Self-harm in children and young people is increasing. Parents are vital in supporting young people; however, parents may experience distress linked to the self-harm. Previous reviews have highlighted the emotional impact and need for ... ...

Abstract	Background: Self-harm in children and young people is increasing. Parents are vital in supporting young people; however, parents may experience distress linked to the self-harm. Previous reviews have highlighted the emotional impact and need for information and support, however, have not elucidated the relationships between these themes, nor examined the quantitative data examining parents' well-being. Methods: We conducted a mixed methods review, with qualitative meta-synthesis focusing on links between themes and quantitative synthesis of parental well-being findings, including pooled means. PsycInfo, Medline, EMBASE, AMED, CINHAL and Web of Science were searched to identify relevant records. References of included studies were also searched. Every abstract was screened by two authors. Data were extracted by one author and checked by another. Results: We identified 39 reports of 32 studies: 16 with qualitative data and 17 with quantitative data (one had both). Qualitative findings showed how parents' emotions were associated to their knowledge and beliefs about self-harm. Parents' emotions often evidenced the need to self-care, but emotions of guilt reduced engagement in self-care. How parents supported their young person was linked to their knowledge, and the management of their own emotions, and influenced if they could engage in self-care. Quantitative findings were mixed, however suggested poor general mental health amongst these parents. Conclusions: Further good quality quantitative studies are needed, with measurement of psychological mechanisms that may underpin parental distress. Current evidence supports peer-support and interventions that go beyond information provision to address the connected factors of knowledge, emotion, self-care, and parenting behaviours.
Language	English
Publishing date	2024-02-16
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2073663-0
ISSN	1475-3588 ; 1475-357X
ISSN (online)	1475-3588
ISSN	1475-357X
DOI	10.1111/camh.12692
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Impact of standardization on racial and socioeconomic disparities in non-accidental trauma evaluations in infants in a pediatric emergency department.

Elliott, Laura Even / Gittelman, Michael A / Kurowski, Eileen M / Duma, Elena M / Pomerantz, Wendy J

Injury epidemiology

2023 Volume 10, Issue Suppl 1, Page(s) 31

Abstract: Background: Studies have illustrated racial and socioeconomic disparities in evaluation of non-accidental trauma (NAT). We aimed to investigate how implementation of a standardized NAT guideline in a pediatric emergency department (PED) impacted racial ... ...

Abstract	Background: Studies have illustrated racial and socioeconomic disparities in evaluation of non-accidental trauma (NAT). We aimed to investigate how implementation of a standardized NAT guideline in a pediatric emergency department (PED) impacted racial and socioeconomic disparities in NAT evaluation. Results: 1199 patients (541 pre- and 658 post-guideline) were included for analysis. Pre-guideline, patients with governmental insurance were more likely than those with commercial insurance to have a social work (SW) consult completed (57.4% vs. 34.7%, p < 0.001) and a Child Protective Services (CPS) report filed (33.4% vs. 13.8%, p < 0.001). Post-guideline, these disparities were still present. There were no differences in race, ethnicity, insurance type, or social deprivation index (SDI) in rates of complete NAT evaluations pre- or post-guideline implementation. Overall adherence to all guideline elements increased from 19.0% before guideline implementation to 53.2% after (p < 0.001). Conclusion: Implementation of a standardized NAT guideline led to significant increase in complete NAT evaluations. Guideline implementation was not associated with elimination of pre-existing disparities in SW consults or CPS reporting between insurance groups.
Language	English
Publishing date	2023-07-03
Publishing country	England
Document type	Journal Article
ZDB-ID	2764253-7
ISSN	2197-1714
ISSN	2197-1714
DOI	10.1186/s40621-023-00441-w
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Impact of standardization on racial and socioeconomic disparities in non-accidental trauma evaluations in infants in a pediatric emergency department

Laura Even Elliott / Michael A. Gittelman / Eileen M. Kurowski / Elena M. Duma / Wendy J. Pomerantz

Injury Epidemiology, Vol 10, Iss S1, Pp 1-

2023 Volume 8

Abstract: Abstract Background Studies have illustrated racial and socioeconomic disparities in evaluation of non-accidental trauma (NAT). We aimed to investigate how implementation of a standardized NAT guideline in a pediatric emergency department (PED) impacted ... ...

Abstract	Abstract Background Studies have illustrated racial and socioeconomic disparities in evaluation of non-accidental trauma (NAT). We aimed to investigate how implementation of a standardized NAT guideline in a pediatric emergency department (PED) impacted racial and socioeconomic disparities in NAT evaluation. Results 1199 patients (541 pre- and 658 post-guideline) were included for analysis. Pre-guideline, patients with governmental insurance were more likely than those with commercial insurance to have a social work (SW) consult completed (57.4% vs. 34.7%, p < 0.001) and a Child Protective Services (CPS) report filed (33.4% vs. 13.8%, p < 0.001). Post-guideline, these disparities were still present. There were no differences in race, ethnicity, insurance type, or social deprivation index (SDI) in rates of complete NAT evaluations pre- or post-guideline implementation. Overall adherence to all guideline elements increased from 19.0% before guideline implementation to 53.2% after (p < 0.001). Conclusion Implementation of a standardized NAT guideline led to significant increase in complete NAT evaluations. Guideline implementation was not associated with elimination of pre-existing disparities in SW consults or CPS reporting between insurance groups.
Keywords	Non-accidental trauma ; Infant ; Standardization ; Disparities ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9 ; Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2023-07-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Pediatric emergency department volumes and throughput during the COVID-19 pandemic.

Even, Laura / Lipshaw, Matthew J / Wilson, Paria M / Dean, Preston / Kerrey, Benjamin T / Vukovic, Adam A

The American journal of emergency medicine

2020 Volume 46, Page(s) 739–741

MeSH term(s)	COVID-19/epidemiology ; Child ; Emergency Service, Hospital/statistics & numerical data ; Hospitalization/trends ; Humans ; Pandemics ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-09-28
Publishing country	United States
Document type	Letter
ZDB-ID	605890-5
ISSN	1532-8171 ; 0735-6757
ISSN (online)	1532-8171
ISSN	0735-6757
DOI	10.1016/j.ajem.2020.09.074
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Article ; Online: Qualitative Analysis of a Virtual Near-Peer Pediatric Boot Camp Elective.

Elliott, Laura Even / Petosa, John J / Guiot, Amy B / Klein, Melissa D / Herrmann, Lisa E

Medical science educator

2022 Volume 32, Issue 2, Page(s) 473–480

Abstract: Objective: To explore fourth-year medical students' experience with a virtual, near-peer facilitated pediatric boot camp through the lens of self-determination theory (SDT).: Methods: We developed a virtual pediatric boot camp elective for fourth- ... ...

Abstract	Objective: To explore fourth-year medical students' experience with a virtual, near-peer facilitated pediatric boot camp through the lens of self-determination theory (SDT). Methods: We developed a virtual pediatric boot camp elective for fourth-year medical students pursuing pediatric residency using Kern's six steps of curriculum development. The two-week virtual elective consisted of facilitated video conferences and small group discussions led by two senior pediatric residents. Semi-structured focus groups were conducted after elective completion. Using SDT as our conceptual framework, we explored participants' experience with the near-peer facilitation of the boot camp. Focus group recordings were transcribed and thematically analyzed using deductive coding for SDT, with inductive coding for themes outside the theory's scope. Saturation was reached after three focus groups. The codebook was iteratively revised through peer debriefing between coders and reviewed by other authors. Credibility was established through member checking. Results: Ninety-two percent of eligible medical students ( Conclusions: Medical students' experience with our virtual boot camp closely aligned with SDT. Near-peer relatedness emerged as a unique theme which could be further investigated in other aspects of medical student education. Future research could evaluate higher-level learning outcomes from near-peer educational opportunities. Supplementary information: The online version contains supplementary material available at 10.1007/s40670-021-01466-w.
Language	English
Publishing date	2022-01-17
Publishing country	United States
Document type	Journal Article
ISSN	2156-8650
ISSN (online)	2156-8650
DOI	10.1007/s40670-021-01466-w
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Perioperative factors associated with survival following surgery for pancreatic cancer - a nationwide analysis of 473 cases from Denmark.

Spore, Laura Marr / Dencker, Emilie Even / Kvanner, Eske Aasvang / Hansen, Carsten Palnaes / Burgdorf, Stefan Kobbelgaard / Krohn, Paul Suno / Kollbeck, Sophie Louise Gisela / Storkholm, Jan Henrik / Sillesen, Martin

BMC surgery

2024 Volume 24, Issue 1, Page(s) 76

Abstract: Background: Pancreatic ductal adenocarcinoma (PDAC) remains one of the most lethal cancers worldwide, with an overall 5-year survival rate of only 5%. The effect of perioperative treatment factors including duration of surgery, blood transfusions as ... ...

Abstract	Background: Pancreatic ductal adenocarcinoma (PDAC) remains one of the most lethal cancers worldwide, with an overall 5-year survival rate of only 5%. The effect of perioperative treatment factors including duration of surgery, blood transfusions as well as choice of anesthesia and analgesia techniques on overall survival (OS) following pancreatic resections for PDAC, is currently not well known. We hypothesized that these perioperative factors might be associated with OS after pancreatic resections for PDAC. Methods: This is a retrospective study from a nationwide cohort of patients who underwent surgery for PDAC in Denmark from 2011 to 2020. Kaplan-Meier 1, 2 and 5-year survival estimates were 73%, 49% and 22%, respectively. Data were obtained by joining the national Danish Pancreatic Cancer Database (DPCD) and the Danish Anaesthesia Database (DAD). Associations between the primary endpoint (OS) and perioperative factors including duration of surgery, type of anesthesia (intravenous, inhalation or mixed), use of epidural analgesia and perioperative blood transfusions were assessed using Hazard Ratios (HRs). These were calculated by Cox regression, controlling for relevant confounders identified through an assessment of the current literature. These included demographics, comorbidities, perioperative information, pre and postoperative chemotherapy, tumor staging and free resection margins. Results: Overall, data from 473 resected PDAC patients were available. Multivariate Cox regression indicated that perioperative blood transfusions were associated with shorter OS (HR 2.53, p = 0.005), with survival estimates of 8.8% in transfused vs. 28.0% in non-transfused patients at 72 months after surgery. No statistically significant associations were identified for the duration of surgery or anesthesia/analgesia techniques. Conclusion: In this study, the use of perioperative blood transfusions was associated with shorter OS.
MeSH term(s)	Humans ; Retrospective Studies ; Pancreatic Neoplasms/surgery ; Pancreatic Neoplasms/pathology ; Carcinoma, Pancreatic Ductal/surgery ; Carcinoma, Pancreatic Ductal/pathology ; Pancreatectomy ; Denmark/epidemiology ; Prognosis
Language	English
Publishing date	2024-03-02
Publishing country	England
Document type	Journal Article
ZDB-ID	2050442-1
ISSN	1471-2482 ; 1471-2482
ISSN (online)	1471-2482
ISSN	1471-2482
DOI	10.1186/s12893-024-02369-4
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Article: Pediatric emergency department volumes and throughput during the COVID-19 pandemic

Even, Laura / Lipshaw, Matthew J / Wilson, Paria M / Dean, Preston / Kerrey, Benjamin T / Vukovic, Adam A

Am. j. emerg. med

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #813419
Database	COVID19

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Article ; Online: Pediatric emergency department volumes and throughput during the COVID-19 pandemic

Even, Laura / Lipshaw, Matthew J. / Wilson, Paria M. / Dean, Preston / Kerrey, Benjamin T. / Vukovic, Adam A.

The American Journal of Emergency Medicine ; ISSN 0735-6757

2020

Keywords	Emergency Medicine ; General Medicine ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
DOI	10.1016/j.ajem.2020.09.074
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Divergent responses of pelagic and benthic fish body-size structure to remoteness and protection from humans.

Letessier, Tom B / Mouillot, David / Mannocci, Laura / Jabour Christ, Hanna / Elamin, Elamin Mohammed / Elamin, Sheikheldin Mohamed / Friedlander, Alan M / Hearn, Alex / Juhel, Jean-Baptiste / Kleiven, Alf Ring / Moland, Even / Mouquet, Nicolas / Nillos-Kleiven, Portia Joy / Sala, Enric / Thompson, Christopher D H / Velez, Laure / Vigliola, Laurent / Meeuwig, Jessica J

Science (New York, N.Y.)

2024 Volume 383, Issue 6686, Page(s) 976–982

Abstract: Animal body-size variation influences multiple processes in marine ecosystems, but habitat heterogeneity has prevented a comprehensive assessment of size across pelagic (midwater) and benthic (seabed) systems along anthropic gradients. In this work, we ... ...

Abstract	Animal body-size variation influences multiple processes in marine ecosystems, but habitat heterogeneity has prevented a comprehensive assessment of size across pelagic (midwater) and benthic (seabed) systems along anthropic gradients. In this work, we derive fish size indicators from 17,411 stereo baited-video deployments to test for differences between pelagic and benthic responses to remoteness from human pressures and effectiveness of marine protected areas (MPAs). From records of 823,849 individual fish, we report divergent responses between systems, with pelagic size structure more profoundly eroded near human markets than benthic size structure, signifying greater vulnerability of pelagic systems to human pressure. Effective protection of benthic size structure can be achieved through MPAs placed near markets, thereby contributing to benthic habitat restoration and the recovery of associated fishes. By contrast, recovery of the world's largest and most endangered fishes in pelagic systems requires the creation of highly protected areas in remote locations, including on the High Seas, where protection efforts lag.
MeSH term(s)	Animals ; Body Size ; Fishes ; Oceans and Seas ; Endangered Species ; Conservation of Natural Resources
Language	English
Publishing date	2024-02-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	128410-1
ISSN	1095-9203 ; 0036-8075
ISSN (online)	1095-9203
ISSN	0036-8075
DOI	10.1126/science.adi7562
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Book ; Online: Influence of Surface Roughness Geometry on Trailing Edge Wall Pressure Fluctuations and Noise

Santos, Fernanda L. dos / Even, Nikolaj A. P. / Botero-Bolívar, Laura / Venner, Cornelis H. / de Santana, Leandro D.

2021

Abstract: Surface roughness elements are commonly used in wind tunnel testing to hasten the laminar-turbulent transition of the boundary layer in model tests to mimic the aerodynamic effects present in the full-scale application. These devices can alter the ... ...

Abstract	Surface roughness elements are commonly used in wind tunnel testing to hasten the laminar-turbulent transition of the boundary layer in model tests to mimic the aerodynamic effects present in the full-scale application. These devices can alter the characteristics of the turbulent boundary layer, such as the spanwise correlation length, the boundary layer thickness, etc. This not only affects the aerodynamic performance but also the aeroacoustic characteristics of the tested model. Few studies have investigated the effects of surface roughness elements on the trailing edge near- and far-field noise. So far, the influence of roughness on the wall pressure fluctuations and spanwise coherence at the trailing edge has been left unexplored. Thus, this research addresses the effects of surface roughness geometries of different heights on the trailing edge wall pressure fluctuations, the spanwise coherence, and the far-field noise. Wind tunnel experiments were performed adopting zigzag strips and novel sharkskin-like surface roughness installed in a NACA 0012 at zero angle of attack. The tested surface roughness heights ranged from 29% to 233% of the undisturbed boundary layer thickness. The wall pressure fluctuations and the far-field noise were measured for Reynolds numbers from 1.3x10^5 to 3.3x10^5. It was observed that the surface roughness affects the low- and high-frequency range of the wall pressure spectrum, with trip heights in the range from 50% to 110% of the undisturbed boundary layer thickness having a slight level increase for low frequencies and no difference for high frequencies. The far-field noise increased for low and high frequencies as the trip height increased. The low-frequency increase is a consequence of the trip effects on the trailing edge wall pressure fluctuations, whereas for high frequencies the increase is due to the noise generated by the trip itself.
Keywords	Physics - Fluid Dynamics
Subject code	621
Publishing date	2021-07-30
Publishing country	us
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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