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  1. Article ; Online: Promoting COVID-19 Vaccination on Social Media.

    Raza, Fajar / Lantos, John D

    Pediatrics

    2021  Volume 147, Issue 5

    MeSH term(s) COVID-19/prevention & control ; COVID-19 Vaccines/adverse effects ; Health Education/methods ; Humans ; Patient Education as Topic ; Physician's Role ; SARS-CoV-2 ; Social Media
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2021-04-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2021-050049
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  2. Article: The role of arts in moderating mental health-related stigma: views of early career psychiatrists and trainees from different parts of the world.

    El Halabi, Sarah / Fish, Ely / Boroon, Mahsa / de Filippis, Renato / El Hayek, Samer / Larnaout, Amine / Ori, Dorottya / Pinto da Costa, Mariana / Ramalho, Rodrigo / Ransing, Ramdas / Raza, Fajar / Shalbafan, Mohammadreza

    Frontiers in psychiatry

    2024  Volume 15, Page(s) 1293142

    Language English
    Publishing date 2024-02-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564218-2
    ISSN 1664-0640
    ISSN 1664-0640
    DOI 10.3389/fpsyt.2024.1293142
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  3. Article ; Online: Rates of Positive Suicide Screens in the Emergency Department and Outpatient Clinics at a Tertiary Care Children's Hospital.

    Raza, Fajar / Yeh, Hung-Wen / Goggin, Kathy / Connelly, Mark / Sullivant, Shayla

    The Journal of adolescent health : official publication of the Society for Adolescent Medicine

    2023  Volume 72, Issue 4, Page(s) 629–632

    Abstract: Purpose: To provide guidance to hospitals that are developing suicide screening programs, we identified rates of positive screens across outpatient visits within a tertiary care children's hospital.: Methods: Suicide screening results from healthcare ...

    Abstract Purpose: To provide guidance to hospitals that are developing suicide screening programs, we identified rates of positive screens across outpatient visits within a tertiary care children's hospital.
    Methods: Suicide screening results from healthcare encounters occurring between February 2019 and January 2020 were estimated for ambulatory clinics (OP), urgent care (UC) clinics, and the emergency department (ED).
    Results: Positive screens (95% confidence interval [CI]) occurred in 10.8% (10.6, 11.0)%) of visits overall. Rates of positive screens were 14.5 (14.1, 14.9)%, 9.9 (9.7, 10.1)%, and 9.3 (8.9, 9.7)% in the ED, OP, and UC, respectively. Rates of positive screens in outpatient clinics were highest in child abuse (33.4 (28.0, 39.2) %) and adolescent specialty (19.2 (17.3, 21.1) %).
    Discussion: Some outpatient clinics had rates of positive suicide screens that surpass those seen in the ED. These findings could inform targeted suicide screening in hospital systems with limited resources to do universal screening.
    MeSH term(s) Adolescent ; Humans ; Child ; Tertiary Healthcare ; Emergency Service, Hospital ; Suicide ; Ambulatory Care Facilities ; Hospitals
    Language English
    Publishing date 2023-01-14
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1063374-1
    ISSN 1879-1972 ; 1054-139X
    ISSN (online) 1879-1972
    ISSN 1054-139X
    DOI 10.1016/j.jadohealth.2022.11.245
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    Zs.B 2453: Show issues Location:
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  4. Article ; Online: Suicide Risk in Adolescents During the COVID-19 Pandemic.

    Lantos, John D / Yeh, Hung-Wen / Raza, Fajar / Connelly, Mark / Goggin, Kathy / Sullivant, Shayla A

    Pediatrics

    2022  Volume 149, Issue 2

    Abstract: Background: The coronavirus disease 2019 (COVID-19) pandemic created high levels of psychological distress and may have increased suicide risk.: Methods: We used the 4-item Ask Suicide-Screening Questions (ASQ) to assess suicide risk among all ... ...

    Abstract Background: The coronavirus disease 2019 (COVID-19) pandemic created high levels of psychological distress and may have increased suicide risk.
    Methods: We used the 4-item Ask Suicide-Screening Questions (ASQ) to assess suicide risk among all patients 12 to 24 years of age at a children's hospital. We compared demographics, encounter type (telehealth or face-to-face [F2F]), and screening results from April to June 2020 (T2) to those from April to June 2019 (T1).
    Results: Fewer patients were seen at T2 than T1 (17 986 vs 24 863). A greater proportion of visits at T2 were by telehealth (0% vs 43%). The rate of positive suicide screens was higher in T2 than in T1 (12.2% vs 11.1%, adjusted odds ration [aOR], 1.24; 95% confidence interval [CI], 1.15-1.35). The odds of a positive screen were greater for older patients (aOR of 1.12 for age in years; 95% CI, 1.10-1.14), female patients (aOR, 2.23; 95% CI, 2.00-2.48), patients with public versus private insurance (aOR, 1.88; 95% CI, 1.72-2.07), and lower for Black versus White patients (aOR, 0.85; 95% CI, 0.77-0.95). Rates of positive screens were highest among inpatients (20.0%), intermediate for emergency department patients (14.4%), and lowest in outpatient clinics (9.9%) (P < .05).
    Conclusions: Rates of positive suicide risk screens among adolescents rose in the pandemic's early months with differences related to sociodemographics and visit type. Changes in health care delivery highlight the complexities of assessing and responding to mental health needs of adolescents. Additional research might determine the effects of screening methods and patient populations on screening results.
    MeSH term(s) Adolescent ; Age Factors ; Black People ; COVID-19 ; Female ; Hospitals, Pediatric ; Humans ; Insurance, Health ; Male ; Missouri/epidemiology ; Pandemics ; Risk Assessment ; Sex Factors ; Suicidal Ideation ; Surveys and Questionnaires ; White People
    Language English
    Publishing date 2022-01-03
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2021-053486
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Trauma-informed care and ethics consultation in the NICU.

    Hubbard, Dena K / Davis, Patricia / Willis, Tiffany / Raza, Fajar / Carter, Brian S / Lantos, John D

    Seminars in perinatology

    2021  Volume 46, Issue 3, Page(s) 151527

    Abstract: Trauma-informed care responds to our current understanding of the ways in which people's traumatic life experiences influence both their health and their interactions with the health care system. Many ethics consults arise because those past traumatic ... ...

    Abstract Trauma-informed care responds to our current understanding of the ways in which people's traumatic life experiences influence both their health and their interactions with the health care system. Many ethics consults arise because those past traumatic life experiences are not recognized and addressed. In this paper, we present a NICU case that led to an ethics consultation about end-of-life decisions for a dying baby. We illustrate the ways in which a trauma-informed approach helped doctors, nurses and ethics consultants to better understand and care for the mother and baby.
    MeSH term(s) Ethics Consultation ; Female ; Humans ; Infant, Newborn ; Intensive Care Units, Neonatal ; Mothers
    Language English
    Publishing date 2021-11-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 752403-1
    ISSN 1558-075X ; 0146-0005
    ISSN (online) 1558-075X
    ISSN 0146-0005
    DOI 10.1016/j.semperi.2021.151527
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    Zs.A 1339: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  6. Article: Clinical Ethics in Pediatrics: An International Perspective.

    Lantos, John D / Saleem, Sarosh / Raza, Fajar / Syltern, Janicke / Khoo, Erwin J / Iyengar, Arpana / Pais, Priya / Chinnappa, Jagdish / Lezama-Del Valle, Pablo / Kidszun, Andre

    The Journal of clinical ethics

    2019  Volume 30, Issue 1, Page(s) 35–45

    Abstract: In this article, we first review the development of clinical ethics in pediatrics in the United States. We report that, over the last 40 years, most children's hospitals have ethics committees but that those committees are rarely consulted. We speculate ... ...

    Abstract In this article, we first review the development of clinical ethics in pediatrics in the United States. We report that, over the last 40 years, most children's hospitals have ethics committees but that those committees are rarely consulted. We speculate that the reasons for the paucity of ethics consults might be because ethical dilemmas are aired in other venues. The role of the ethics consultant, then, might be to shape the institutional climate and create safe spaces for the discussion of difficult and sometimes contentious issues. Finally, we report how pediatric clinical ethics has evolved differently in a number of other countries around the world.
    MeSH term(s) Child ; Ethicists ; Ethics Committees ; Ethics Committees, Clinical ; Ethics, Clinical ; Ethics, Institutional ; Humans ; Internationality ; Pediatrics/ethics ; United States
    Language English
    Publishing date 2019-03-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1122655-9
    ISSN 1046-7890
    ISSN 1046-7890
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    Zs.A 3456: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  7. Article ; Online: Pre-Existing Autoimmune Disease Increases the Risk of Cardiovascular and Noncardiovascular Events After Immunotherapy.

    Lee, Charlotte / Drobni, Zsofia D / Zafar, Amna / Gongora, Carlos A / Zlotoff, Daniel A / Alvi, Raza M / Taron, Jana / Rambarat, Paula K / Schoenfeld, Sara / Mosarla, Ramya C / Raghu, Vineet K / Hartmann, Sarah E / Gilman, Hannah K / Murphy, Sean P / Sullivan, Ryan J / Faje, Alexander / Hoffmann, Udo / Zhang, Lili / Mayrhofer, Thomas /
    Reynolds, Kerry L / Neilan, Tomas G

    JACC. CardioOncology

    2022  Volume 4, Issue 5, Page(s) 660–669

    Abstract: Background: The use of immune checkpoint inhibitors (ICI) is associated with cardiovascular (CV) events, and patients with pre-existing autoimmune disease are at increased CV risk.: Objectives: The aim of this study was to characterize the risk for ... ...

    Abstract Background: The use of immune checkpoint inhibitors (ICI) is associated with cardiovascular (CV) events, and patients with pre-existing autoimmune disease are at increased CV risk.
    Objectives: The aim of this study was to characterize the risk for CV events in patients with pre-existing autoimmune disease post-ICI.
    Methods: This was a retrospective study of 6,683 patients treated with ICIs within an academic network. Autoimmune disease prior to ICI was confirmed by chart review. Baseline characteristics and risk for CV and non-CV immune-related adverse events were compared with a matched control group (1:1 ratio) of ICI patients without autoimmune disease. Matching was based on age, sex, history of coronary artery disease, history of heart failure, and diabetes mellitus. CV events were a composite of myocardial infarction, percutaneous coronary intervention, coronary artery bypass graft, stroke, transient ischemic attack, deep venous thrombosis, pulmonary embolism, or myocarditis. Univariable and multivariable Cox proportional hazards models were used to determine the association between autoimmune disease and CV events.
    Results: Among 502 patients treated with ICIs, 251 patients with and 251 patients without autoimmune disease were studied. During a median follow-up period of 205 days, there were 45 CV events among patients with autoimmune disease and 22 CV events among control subjects (adjusted HR: 1.77; 95% CI: 1.04-3.03;
    Conclusions: Patients with autoimmune disease have an increased risk for CV and non-CV events post-ICI.
    Language English
    Publishing date 2022-12-20
    Publishing country United States
    Document type Journal Article
    ISSN 2666-0873
    ISSN (online) 2666-0873
    DOI 10.1016/j.jaccao.2022.11.008
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