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  1. Article ; Online: School Nurses on the Front Lines of Healthcare: The Approach to Maintaining Student Health and Wellness During COVID-19 School Closures.

    Rothstein, Rachel / Olympia, Robert P

    NASN school nurse (Print)

    2020  Volume 35, Issue 5, Page(s) 269–275

    Abstract: In response to the novel coronavirus disease 2019 (COVID-19) pandemic, most states in the United States enacted statewide school closures, ranging in duration from 1 month to the remainder of the academic year. The extended durations of these closures ... ...

    Abstract In response to the novel coronavirus disease 2019 (COVID-19) pandemic, most states in the United States enacted statewide school closures, ranging in duration from 1 month to the remainder of the academic year. The extended durations of these closures present unique challenges, as many families rely on the school as a source of physical activity, mental health services, psychosocial support, child care, and food security. While the school doors may be closed, the school nurse can still play a vital role in emergency management. This article discusses challenges and proposes solutions to maintaining student health and wellness during extended school closures due to the COVID-19 pandemic. Furthermore, it is inevitable that until a vaccine for coronavirus is developed and readily available, many schools will continue to see future closures, though likely for shorter periods of time, as they respond to local outbreaks.
    MeSH term(s) Adolescent ; Adult ; Attitude of Health Personnel ; Betacoronavirus ; COVID-19 ; Child ; Coronavirus Infections/prevention & control ; Coronavirus Infections/psychology ; Disease Outbreaks/prevention & control ; Female ; Health Personnel/psychology ; Humans ; Male ; Mental Health Services/organization & administration ; Middle Aged ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/psychology ; SARS-CoV-2 ; School Nursing/organization & administration ; United States
    Keywords covid19
    Language English
    Publishing date 2020-06-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2445634-2
    ISSN 1942-6038 ; 1942-602X
    ISSN (online) 1942-6038
    ISSN 1942-602X
    DOI 10.1177/1942602X20935612
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: School Nurses on the Front Lines of Healthcare

    Rothstein, Rachel / Olympia, Robert P.

    NASN School Nurse

    The Approach to Maintaining Student Health and Wellness During COVID-19 School Closures

    2020  Volume 35, Issue 5, Page(s) 269–275

    Abstract: In response to the novel coronavirus disease 2019 (COVID-19) pandemic, most states in the United States enacted statewide school closures, ranging in duration from 1 month to the remainder of the academic year. The extended durations of these closures ... ...

    Abstract In response to the novel coronavirus disease 2019 (COVID-19) pandemic, most states in the United States enacted statewide school closures, ranging in duration from 1 month to the remainder of the academic year. The extended durations of these closures present unique challenges, as many families rely on the school as a source of physical activity, mental health services, psychosocial support, child care, and food security. While the school doors may be closed, the school nurse can still play a vital role in emergency management. This article discusses challenges and proposes solutions to maintaining student health and wellness during extended school closures due to the COVID-19 pandemic. Furthermore, it is inevitable that until a vaccine for coronavirus is developed and readily available, many schools will continue to see future closures, though likely for shorter periods of time, as they respond to local outbreaks.
    Keywords General Medicine ; covid19
    Language English
    Publisher SAGE Publications
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2445634-2
    ISSN 1942-6038 ; 1942-602X
    ISSN (online) 1942-6038
    ISSN 1942-602X
    DOI 10.1177/1942602x20935612
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: School Nurses on the Front Lines of Healthcare: The Approach to Maintaining Student Health and Wellness During COVID-19 School Closures

    Rothstein, Rachel / Olympia, Robert P

    NASN Sch Nurse

    Abstract: In response to the novel coronavirus disease 2019 (COVID-19) pandemic, most states in the United States enacted statewide school closures, ranging in duration from 1 month to the remainder of the academic year. The extended durations of these closures ... ...

    Abstract In response to the novel coronavirus disease 2019 (COVID-19) pandemic, most states in the United States enacted statewide school closures, ranging in duration from 1 month to the remainder of the academic year. The extended durations of these closures present unique challenges, as many families rely on the school as a source of physical activity, mental health services, psychosocial support, child care, and food security. While the school doors may be closed, the school nurse can still play a vital role in emergency management. This article discusses challenges and proposes solutions to maintaining student health and wellness during extended school closures due to the COVID-19 pandemic. Furthermore, it is inevitable that until a vaccine for coronavirus is developed and readily available, many schools will continue to see future closures, though likely for shorter periods of time, as they respond to local outbreaks.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #601007
    Database COVID19

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  4. Article ; Online: Acuity-appropriate triage of chief complaints found on urgent care center organization websites.

    Rothstein, Rachel / Zhen, Kevin / Kim, Raymond Y / Olympia, Robert P

    The American journal of emergency medicine

    2020  Volume 43, Page(s) 276–280

    MeSH term(s) Advertising/standards ; Ambulatory Care Facilities/organization & administration ; Ambulatory Care Facilities/statistics & numerical data ; Emergencies/classification ; Emergency Service, Hospital/organization & administration ; Emergency Service, Hospital/standards ; Humans ; Internet ; Severity of Illness Index ; Triage/standards
    Language English
    Publishing date 2020-06-26
    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.2020.06.050
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Ventricular arrhythmias prior to continuous flow left ventricular assist device implantation were not associated with reduced 1-year mortality: a single-center experience.

    Pandat, Summit / Rothstein, Peter / Laird, Rachel / Islam, Momin / Zaid, Syed / Truman, Amy / Bhimaraj, Arvind / Yousefzai, Rayan / Guha, Ashrith / Schurmann, Paul / Dave, Amish / Valderrábano, Miguel / Mathuria, Nilesh

    Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing

    2023  

    Language English
    Publishing date 2023-11-23
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 1329179-8
    ISSN 1572-8595 ; 1383-875X
    ISSN (online) 1572-8595
    ISSN 1383-875X
    DOI 10.1007/s10840-023-01698-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: School Nurses on the Front Lines of Medicine: When You Don't Need to "STOP AT AN ER STAT!"-The Role of Urgent Care Centers in the Management of Students With Nonemergent Chief Complaints.

    Rothstein, Rachel / Zhen, Kevin / Olympia, Robert P

    NASN school nurse (Print)

    2019  Volume 35, Issue 1, Page(s) 24–29

    Abstract: In the midst of our nation's growing primary care provider shortage and subsequent overutilization of the emergency room (ER), urgent care centers represent an accessible, convenient, and affordable alternative for the management of "urgencies" or ... ...

    Abstract In the midst of our nation's growing primary care provider shortage and subsequent overutilization of the emergency room (ER), urgent care centers represent an accessible, convenient, and affordable alternative for the management of "urgencies" or nonemergent illnesses and injuries. Despite the presence of competent healthcare providers and a wide array of services at urgent care centers, patients continue to pursue care in the ER for urgencies. School nurses may utilize urgent care centers for the evaluation and management of students with nonemergent medical or traumatic chief complaints. This article discusses the field of urgent care medicine, describes the pediatric services provided at urgent care centers, and summarizes the capabilities of centers to deal with potential urgencies versus emergencies in children and adolescents based on their chief complaint.
    MeSH term(s) Ambulatory Care Facilities ; Child ; Emergencies/nursing ; Humans ; Referral and Consultation ; School Nursing ; United States
    Language English
    Publishing date 2019-10-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2445634-2
    ISSN 1942-6038 ; 1942-602X
    ISSN (online) 1942-6038
    ISSN 1942-602X
    DOI 10.1177/1942602X19878888
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Partnering with parents to improve outcomes for substance exposed newborns-a pilot program.

    Singh, Rachana / Rothstein, Rachel / Ricci, Karen / Visintainer, Paul / Shenberger, Jeffrey / Attwood, Eilean / Friedmann, Peter

    Journal of perinatology : official journal of the California Perinatal Association

    2020  Volume 40, Issue 7, Page(s) 1041–1049

    Abstract: Objective: Assess impact of parental involvement in care provision for term substance exposed newborns (SENs).: Study design: Prospective observational cohort study included mothers with opioid use disorder and their SENs over 4 year study period. ... ...

    Abstract Objective: Assess impact of parental involvement in care provision for term substance exposed newborns (SENs).
    Study design: Prospective observational cohort study included mothers with opioid use disorder and their SENs over 4 year study period. Maternal-Infant dyads enrolled in EMPOWER and rooming-in (RI) programs were included and received care 24/7 in a private room until newborn's discharge. Outcomes were compared for dyads participating in EMPOWER/RI with historical controls.
    Results: Ninety of 156 historical SENs were RI eligible, while 49 of 108 SENs born during RI period had mothers enrolled in EMPOWER. EMPOWER/RI SENs had lower rates for and duration of pharmacotherapy, shorter neonatal intensive care unit (NICU) and hospital lengths of stay. EMPOWER/RI increased initiation and continuation of breastfeeding at discharge.
    Conclusions: Parental participation was associated with a decrease in initiation and duration of pharmacotherapy, NICU admission, length of stay and hospital charges while increasing breastfeeding initiation and continuation at discharge.
    MeSH term(s) Breast Feeding ; Female ; Humans ; Infant ; Infant, Newborn ; Intensive Care Units, Neonatal ; Parents ; Pilot Projects ; Prospective Studies
    Language English
    Publishing date 2020-03-23
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 645021-0
    ISSN 1476-5543 ; 0743-8346
    ISSN (online) 1476-5543
    ISSN 0743-8346
    DOI 10.1038/s41372-020-0662-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Interhospital Variability in Perioperative Red Blood Cell Ordering Patterns in United States Pediatric Surgical Patients.

    Thompson, Rachel M / Thurm, Cary W / Rothstein, David H

    The Journal of pediatrics

    2016  Volume 177, Page(s) 244–249.e5

    Abstract: Objective: To evaluate perioperative red blood cell (RBC) ordering and interhospital variability patterns in pediatric patients undergoing surgical interventions at US children's hospitals.: Study design: This is a multicenter cross-sectional study ... ...

    Abstract Objective: To evaluate perioperative red blood cell (RBC) ordering and interhospital variability patterns in pediatric patients undergoing surgical interventions at US children's hospitals.
    Study design: This is a multicenter cross-sectional study of children aged <19 years admitted to 38 pediatric tertiary care hospitals participating in the Pediatric Health Information System in 2009-2014. Only cases performed at all represented hospitals were included in the study, to limit case mix variability. Orders for blood type and crossmatch were included when done on the day before or the day of the surgical procedure. The RBC transfusions included were those given on the day of or the day after surgery. The type and crossmatch-to-transfusion ratio (TCTR) was calculated for each surgical procedure. An adjusted model for interhospital variability was created to account for variation in patient population by age, sex, race/ethnicity, payer type, and presence/number of complex chronic conditions (CCCs) per patient.
    Results: A total of 357 007 surgical interventions were identified across all participating hospitals. Blood type and crossmatch was performed 55 632 times, and 13 736 transfusions were provided, for a TCTR of 4:1. There was an association between increasing age and TCTR (R(2) = 0.43). Patients with multiple CCCs had lower TCTRs, with a stronger relationship (R(2) = 0.77). There was broad variability in adjusted TCTRs among hospitals (range, 2.5-25).
    Conclusions: The average TCTR in US children's hospitals was double that of adult surgical data, and was associated with wide interhospital variability. Age and the presence of CCCs markedly influenced this ratio. Studies to evaluate optimal preoperative RBC ordering and standardization of practices could potentially decrease unnecessary costs and wasted blood.
    MeSH term(s) Adolescent ; Blood Banks ; Blood Grouping and Crossmatching ; Child ; Child, Preschool ; Cross-Sectional Studies ; Erythrocyte Transfusion/statistics & numerical data ; Erythrocytes ; Female ; Hospitals, Pediatric ; Humans ; Infant ; Male ; Perioperative Period ; Purchasing, Hospital/statistics & numerical data ; United States
    Language English
    Publishing date 2016-07-22
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Multicenter Study
    ZDB-ID 3102-1
    ISSN 1097-6833 ; 0022-3476
    ISSN (online) 1097-6833
    ISSN 0022-3476
    DOI 10.1016/j.jpeds.2016.06.080
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Secukinumab in the treatment of moderate to severe hidradenitis suppurativa: Results of an open-label trial.

    Casseres, Rachel G / Prussick, Lisa / Zancanaro, Pedro / Rothstein, Brooke / Joshipura, Deep / Saraiya, Ami / Turkowski, Yana / Au, Shiu Chung / Alomran, Abdulaziz / Abdat, Rana / Abudu, Minawaer / Kachuk, Courtney / Dumont, Nicole / Gottlieb, Alice B / Rosmarin, David

    Journal of the American Academy of Dermatology

    2020  Volume 82, Issue 6, Page(s) 1524–1526

    MeSH term(s) Adult ; Antibodies, Monoclonal, Humanized/therapeutic use ; Female ; Hidradenitis Suppurativa/drug therapy ; Humans ; Male ; Middle Aged ; Severity of Illness Index
    Chemical Substances Antibodies, Monoclonal, Humanized ; secukinumab (DLG4EML025)
    Language English
    Publishing date 2020-02-07
    Publishing country United States
    Document type Clinical Trial ; Letter
    ZDB-ID 603641-7
    ISSN 1097-6787 ; 0190-9622
    ISSN (online) 1097-6787
    ISSN 0190-9622
    DOI 10.1016/j.jaad.2020.02.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Prevalence and Outcomes of High versus Low Ratio Plasma to Red Blood Cell Resuscitation in a Multi-Institutional Cohort of Severely Injured Children.

    Mehl, Steven C / Vogel, Adam M / Glasgow, Amy E / Moody, Suzanne / Kotagal, Meera / Williams, Regan F / Kayton, Mark L / Alberto, Emily C / Burd, Randall S / Schroeppel, Thomas J / Baerg, Joanne E / Munoz, Amanda / Rothstein, William B / Boomer, Laura A / Campion, Eric M / Robinson, Caitlin / Nygaard, Rachel M / Richardson, Chad J / Garcia, Denise I /
    Streck, Christian J / Gaffley, Michaela / Petty, John K / Greenwell, Cynthia / Pandya, Samir / Waters, Alicia M / Russell, Robert T / Yorkgitis, Brian K / Mull, Jennifer / Pence, Jeffrey / Santore, Matthew T / MacArthur, Taleen A / Klinkner, Denise B / Safford, Shawn D / Trevilian, Tanya / Cunningham, Megan / Black, Christa / Rea, Jessica / Spurrier, Ryan G / Jensen, Aaron R / Farr, Bethany J / Mooney, David P / Ketha, Bavana / Dassinger, Melvin S / Goldenberg-Sandau, Anna / Roman, Janika San / Jenkins, Todd M / Falcone, Richard A / Polites, Stephanie F

    The journal of trauma and acute care surgery

    2024  

    Abstract: Background: The benefit of targeting high ratio fresh frozen plasma (FFP):red blood cell (RBC) transfusion in pediatric trauma resuscitation is unclear as existing studies are limited to patients who retrospectively met criteria for massive transfusion. ...

    Abstract Background: The benefit of targeting high ratio fresh frozen plasma (FFP):red blood cell (RBC) transfusion in pediatric trauma resuscitation is unclear as existing studies are limited to patients who retrospectively met criteria for massive transfusion. The purpose of this study is to evaluate the use of high ratio FFP:RBC transfusion and the association with outcomes in children presenting in shock.
    Methods: A post-hoc analysis of a 24-institution prospective observational study (4/2018-9/2019) of injured children <18 years with elevated age-adjusted shock index was performed. Patients transfused within 24 hours were stratified into cohorts of low (<1:2) or high (>1:2) ratio FFP:RBC. Nonparametric Kruskal-Wallis and chi-square were used to compare characteristics and mortality. Competing risks analysis was used to compare extended (≥75th percentile) ventilator, intensive care, and hospital days while accounting for early deaths.
    Results: Of 135 children with median (IQR) age 10 (5,14) years and weight 40 (20,64) kg, 85 (63%) received low ratio transfusion and 50 (37%) high ratio despite similar activation of institutional massive transfusion protocols (MTP; low-38%, high-46%, p = .34). Most patients sustained blunt injuries (70%). Median injury severity score was greater in high ratio patients (low-25, high-33, p = .01); however, hospital mortality was similar (low-24%, high-20%, p = .65) as was the risk of extended ventilator, ICU, and hospital days (all p > .05).
    Conclusion: Despite increased injury severity, patients who received a high ratio of FFP:RBC had comparable rates of mortality. These data suggest high ratio FFP:RBC resuscitation is not associated with worst outcomes in children who present in shock. MTP activation was not associated with receipt of high ratio transfusion, suggesting variability in MTP between centers.
    Level of evidence: Prospective cohort study, Level II.
    Language English
    Publishing date 2024-03-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2651070-4
    ISSN 2163-0763 ; 2163-0755
    ISSN (online) 2163-0763
    ISSN 2163-0755
    DOI 10.1097/TA.0000000000004301
    Database MEDical Literature Analysis and Retrieval System OnLINE

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