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Pam Georgiana

Challenges in Medication Titration in Children with Heart Failure
 Challenges in Medication Titration in Children with Heart Failure 1024 537 Pam Georgiana
By: Pam Georgiana

Beyond the guidelines: implementing consensus-based care for complex patients. Pediatric heart failure is a complex clinical diagnosis, with a growing body of evidence to suggest there are critical differences between pediatric and adult heart failure. In a recent review published in JHLT Open, Jessie Yester, MD, PhD and Deipanjan Nandi, MD highlight the unique challenges…

Defining Urinary Tract Infection: Why Standardization Matters for Research and Care
 Defining Urinary Tract Infection: Why Standardization Matters for Research and Care 1024 683 Pam Georgiana
By: Pam Georgiana

Urinary tract infections (UTIs) are one of the most common bacterial infections worldwide, affecting an estimated 150 million people annually and costing more than $5 billion in the United States alone. However, despite their prevalence, there is still no universally accepted definition of what constitutes a UTI. This lack of clarity complicates both research and…

Food-Based Tube Feeding: Balancing Parental Demand With Pediatric Nutrition Science
 Food-Based Tube Feeding: Balancing Parental Demand With Pediatric Nutrition Science 1024 575 Pam Georgiana
By: Pam Georgiana
Color image of enteral complete liquid nutritional products of several brands

New research from Nationwide Children’s reveals significant differences in nutrient adequacy across commercial food-based formulas. In the last two decades, enteral nutrition has undergone a significant transformation. Fifteen to 20 years ago, pediatric patients requiring gastrostomy tube feeding had only one option: synthetic, cow milk-based formulas designed to meet caloric and macronutrient needs but containing…

Closing the Treatment Gap: Opioid Use Disorder Medications in Adolescents and Young Adults
 Closing the Treatment Gap: Opioid Use Disorder Medications in Adolescents and Young Adults 1024 683 Pam Georgiana
By: Pam Georgiana
silhouette girl portrait

Findings from the PROUD trial highlight the need for youth-centered prescription strategies in primary care. Adolescents and young adults are far less likely than older adults to receive evidence-based medications for opioid use disorder (OUD), even though buprenorphine and extended-release naltrexone are recommended treatments. Despite their effectiveness, these therapies remain consistently underutilized in youth. To…

Choosing a Continuous Glucose Monitor After TPIAT: When Research Directly Impacts Clinical Practice
 Choosing a Continuous Glucose Monitor After TPIAT: When Research Directly Impacts Clinical Practice 1024 683 Pam Georgiana
By: Pam Georgiana
Device for monitoring glucose placed on girl's arm

Nationwide Children’s study highlights hydroxyurea interference with Dexcom, but not with Libre, and the clinical implications for glycemic management. Total pancreatectomy with islet autotransplantation (TPIAT) is the definitive surgical treatment for acute recurrent and chronic pancreatitis. Nationwide Children’s Hospital is one of the very few pediatric medical centers in the nation to offer this complex…

Real-Life Impact of ETI Therapy in Cystic Fibrosis: Insights From a Large Treatment Center
 Real-Life Impact of ETI Therapy in Cystic Fibrosis: Insights From a Large Treatment Center 706 470 Pam Georgiana
By: Pam Georgiana

Greater clinical gains observed in patients with severe lung disease, regardless of genotype. A recent prospective observational study led by Shahid I. Sheikh, MD, pediatric pulmonologist at Nationwide Children’s Hospital and professor of Pediatrics at The Ohio State University College of Medicine, offers insights into the effectiveness of a new medication for adolescents and adults…

Dynamic Contrast-Enhanced Ultrasound Shows Promise for Diagnosing Renal Obstruction
 Dynamic Contrast-Enhanced Ultrasound Shows Promise for Diagnosing Renal Obstruction 480 320 Pam Georgiana
By: Pam Georgiana

Feasibility study demonstrates DCEUS may be a safer, more accessible alternative to nuclear medicine. In a recent study, Bryan S. Sack, MD, chief of Pediatric Urology at Nationwide Children’s Hospital – Toledo, and colleagues demonstrated the potential of dynamic contrast-enhanced ultrasound (DCEUS) to diagnose ureteropelvic junction obstruction or blockages where the kidney connects to the…

Comparing Two Diagnostic Tools for Upper Gastroenterology Symptoms
 Comparing Two Diagnostic Tools for Upper Gastroenterology Symptoms 1024 680 Pam Georgiana
By: Pam Georgiana
Close up color photo of little boy holding hands on his belly

A retrospective analysis of the clinical correlation between gastric emptying scintigraphy and antroduodenal manometry in pediatric patients with upper GI symptoms. Children with persistent nausea, vomiting or abdominal pain often undergo extensive testing to evaluate for underlying etiologies such as pediatric intestinal pseudo-obstruction, rumination or gastroparesis. Two primary diagnostic tools, gastric emptying scintigraphy (GES) and…

Studying the Clinical Progression of Congenital Hypopituitarism
 Studying the Clinical Progression of Congenital Hypopituitarism 1024 683 Pam Georgiana
By: Pam Georgiana
Black baby smiling up at his mother

New research reveals the clinical progression and evolution of pituitary hormone deficiencies in the first 3 years of life. In a recent retrospective study published in Clinical Endocrinology, Jennifer M. Ladd, MD, MSc, pediatric physician in the Division of Endocrinology and associate program director of the Endocrinology Fellowship Program at Nationwide Children’s Hospital, and colleagues…

Assessing Sleep Disturbances Across the Lifespan in Myotonic Dystrophy Type 1
 Assessing Sleep Disturbances Across the Lifespan in Myotonic Dystrophy Type 1 1024 683 Pam Georgiana
By: Pam Georgiana
physicians in white coats looking at a tablet

Pilot study supports the use of sleep questionnaires to identify underrecognized symptoms in children and adults with DM1. Myotonic Dystrophy Type 1 (DM1) is a genetic, multisystemic neuromuscular disorder that affects skeletal muscle, cardiac function, the endocrine system and the central nervous system. In addition to myotonia (the inability to relax muscles) and progressive muscle…

Improving Fertility Discussions and Decision-Making for Adolescent Males With Cancer
 Improving Fertility Discussions and Decision-Making for Adolescent Males With Cancer 1024 683 Pam Georgiana
By: Pam Georgiana

 A pilot study shows promise in enhancing shared decision-making and patient satisfaction through family-centered support. Fertility preservation is a critical yet underutilized aspect of cancer care for adolescent males. Despite being a medically low-risk and effective option, only a minority of young patients attempt sperm banking. Barriers exist at both the system and individual/family levels,…

National Study Reveals Gaps in Antidepressant Treatment Quality for Youth
 National Study Reveals Gaps in Antidepressant Treatment Quality for Youth 1024 683 Pam Georgiana
By: Pam Georgiana

Findings highlight critical disparities and opportunities to improve care. A national study led by Cynthia A. Fontanella, PhD, principal investigator in the Center for Suicide Prevention and Research in the Abigail Wexner Research Institute at Nationwide Children’s Hospital and professor of Psychiatry and Behavioral Health at the Ohio State University, finds that many young people…

Cystic Fibrosis: Screening, Diagnosis and Therapy
 Cystic Fibrosis: Screening, Diagnosis and Therapy 1024 522 Pam Georgiana
By: Pam Georgiana
Healthcare, pediatrician and child heart doctor with a patient at hospital, exam on chest with a stethoscope. Black girl smile at pediatric surgeon, talking to a friendly, caring physician she trust.

Since the implementation of universal newborn screening for cystic fibrosis in all states by 2010, the expectation has been that every child with cystic fibrosis would be identified early and benefit from life-extending treatments. The reality, however, is more complex. “Because of the complexities of the genetic causes of cystic fibrosis and significant variations in…

A New Path to Relief: Gastrostomy Tubes Offer Treatment for Children With Autism and Chronic Constipation
 A New Path to Relief: Gastrostomy Tubes Offer Treatment for Children With Autism and Chronic Constipation 1024 680 Pam Georgiana
By: Pam Georgiana
Close up color photo of little boy holding hands on his belly

A groundbreaking study reveals how a low-risk intervention dramatically improves quality of life. Children with autism spectrum disorder often struggle with chronic constipation due to behavioral, sensory and dietary challenges. Uncontrolled constipation can cause poor school functioning, eating challenges and sleeping issues. In many cases, due to oral sensory issues, children with autism cannot reliably…

Treating Severe Pediatric Kidney Disease with Simultaneous Bilateral Native Nephrectomy
 Treating Severe Pediatric Kidney Disease with Simultaneous Bilateral Native Nephrectomy 480 320 Pam Georgiana
By: Pam Georgiana

A 15-year review of indications, approaches and outcomes. A recent study published in Pediatric Transplantation and led by Christina B. Ching, MD, pediatric urologist in the Department of Pediatric Urology at Nationwide Children’s Hospital, offers valuable insights into a very rare clinical procedure: simultaneous bilateral native nephrectomies, or the removal of both kidneys at the…

Harnessing the Power of Antimicrobial Peptides: A New Frontier in Infection Prevention
 Harnessing the Power of Antimicrobial Peptides: A New Frontier in Infection Prevention 1024 683 Pam Georgiana
By: Pam Georgiana

Research offers promising solutions for urinary tract infection treatment and antibiotic resistance. Urinary tract infections affect millions of people and can contribute to significant morbidity. Research into innate immunity mechanisms has shown great promise for improving urinary tract infection prevention and treatment strategies, especially in populations at high risk, such as patients with insulin resistance.…

Preventing Pediatric Suicide Through Systems-Level Collaboration
 Preventing Pediatric Suicide Through Systems-Level Collaboration 1024 576 Pam Georgiana
By: Pam Georgiana

How primary care, schools and communities are working together to address pediatric suicide rates through early intervention and collaborative care. Suicide is the second leading cause of death for youth aged 10 to 24 in the United States, and rates have been steadily rising across the country since 2007. Since the COVID-19 pandemic, the issue…

Depression is the New Predictor of Diabetes Control in Teens
 Depression is the New Predictor of Diabetes Control in Teens 1024 683 Pam Georgiana
By: Pam Georgiana
Diabetic girl with an insulin pump connected to her leg

A new study reveals that depressive symptoms, not diabetes-specific stress, forecast long-term glycemic outcomes in adolescents with type 1 diabetes. Managing type 1 diabetes is challenging at any age, but for adolescents, the burden can be especially overwhelming. Previous cross-sectional studies have shown a link between diabetes-specific emotional distress, or the frustration and stress related…

6 Key Insights for Understanding Pediatric Pulmonary Hypertension
 6 Key Insights for Understanding Pediatric Pulmonary Hypertension 1024 575 Pam Georgiana
By: Pam Georgiana

Nationwide Children’s pulmonary hypertension expert offers insights into the condition. Sarah P. Cohen, MD, physician in the Division of Pulmonary, Sleep Medicine and Cystic Fibrosis at Nationwide Children’s and assistant professor of Pediatrics at The Ohio State University, recently shared six essential insights for understanding pulmonary hypertension, a rare yet serious condition characterized by abnormally…

Evaluating the Mental Health Impact of a Promising New Treatment for Cystic Fibrosis
 Evaluating the Mental Health Impact of a Promising New Treatment for Cystic Fibrosis 706 470 Pam Georgiana
By: Pam Georgiana

Insights from Nationwide Children’s study on how Trikafta affects children with cystic fibrosis. In response to the promising clinical benefits of elexacaftor/tezacaftor/ivacaftor (Trikafta) in adults with cystic fibrosis, a team in Nationwide Children’s Hospital Cystic Fibrosis Clinic recently investigated the effects of the drug in pediatric patients. Kimberly Pasley, PsyD, mental health coordinator in the…

Understanding Treatment Outcomes in Pediatric Bipolar Disorder
 Understanding Treatment Outcomes in Pediatric Bipolar Disorder 1024 575 Pam Georgiana
By: Pam Georgiana
Teen girl with backpack

New study compares minimally adequate behavioral health treatments and clinical outcomes. Pediatric bipolar disorder, which affects approximately 3.9% of youth globally, is the fourth leading cause of years of life lost due to disability and premature death for young people between the ages of 10 and 24. Effective treatment is critical to reduce these risks and…

Bridging the Gap: Aligning Aspirations with Workforce Reality in Pediatric Endocrinology
 Bridging the Gap: Aligning Aspirations with Workforce Reality in Pediatric Endocrinology 1024 683 Pam Georgiana
By: Pam Georgiana

Recent survey reveals a mismatch in career expectations and realities, calling for enhanced mentorship and policy reform. Pediatric endocrinology, like many pediatric subspecialities, is struggling to sustain an adequate workforce. When Leena Nahata, MD, served on the Research Affairs Committee of the Pediatric Endocrine Society in 2024, a topic of interest for the upcoming annual…

Harnessing the Power of Antimicrobial Peptides: A New Frontier in Infection Prevention
 Harnessing the Power of Antimicrobial Peptides: A New Frontier in Infection Prevention 1024 602 Pam Georgiana
By: Pam Georgiana

Research offers promising solutions for urinary tract infection treatment and antibiotic resistance. Urinary tract infections affect millions of people and can contribute to significant morbidity. Research into innate immunity mechanisms has shown great promise for improving urinary tract infection prevention and treatment strategies, especially in populations at high risk, such as patients with insulin resistance.…

Congenital Hypothyroidism: What Endocrinologists Need to Know
 Congenital Hypothyroidism: What Endocrinologists Need to Know 1024 585 Pam Georgiana
By: Pam Georgiana

Your top 10 questions are answered by Nationwide Children’s experts from the Division of Endocrinology. Congenital hypothyroidism (CH) is a common endocrine disorder, affecting approximately 1 in every 2,000 to 4,000 live births globally. Confusion regarding proper screening and follow-up protocols for this serious yet preventable condition impact clinical care and outcomes for children with…

Meet Amy Brown Schlegel, MD, Section Chief of Neonatology
 Meet Amy Brown Schlegel, MD, Section Chief of Neonatology 1024 603 Pam Georgiana
By: Pam Georgiana

After over a decade in Neonatology at Nationwide Children’s Hospital, Dr. Schlegel has been appointed section chief of Neonatology. We recently sat down to talk with Dr. Schlegel about her time at Nationwide Children’s and her plans for leading the next phase of growth in Neonatal care. Amy Brown Schlegel, MD, practices Neonatology in the…

Breaking New Ground in Cancer Immunotherapy
 Breaking New Ground in Cancer Immunotherapy 1024 683 Pam Georgiana
By: Pam Georgiana

Nationwide Children’s researchers develop a scalable, targeted approach to overcoming cancer’s toughest challenges. Despite significant advances in treatments, cancer remains one of the leading causes of death globally. Traditional therapies, while improving patient outcomes, still have limitations — such as the need for frequent dosing, complex and costly manufacturing and severe side effects. These challenges…

Linaclotide: A New Option For Chronic Pediatric Constipation
 Linaclotide: A New Option For Chronic Pediatric Constipation 1024 668 Pam Georgiana
By: Pam Georgiana

Phase 3 Trial at Nationwide Children’s Supports Safety and Efficacy in Children Aged 6–17. Constipation, a common issue for children, can be a source of prolonged struggle and distress for young patients and their families. Despite many treatments being available, some children continue to battle with this condition for years. There is a lack of…

Real-Time Arrhythmia Detection in Adults With Fontan Palliation
 Real-Time Arrhythmia Detection in Adults With Fontan Palliation 1024 683 Pam Georgiana
By: Pam Georgiana

Evaluating the Utility and Accuracy of Patient-Driven Wearable EKG Monitoring Devices Patient-driven diagnostic wearables, such as personal EKG devices, are popular among adults interested in heart health. However, little is known about the accuracy of these devices for adults with congenital heart disease. “Research supports smartphone-based heart monitors for detecting normal rhythms and atrial fibrillation…

Nephrotoxic-Associated Acute Kidney Injury (NAKI) Is Avoidable
 Nephrotoxic-Associated Acute Kidney Injury (NAKI) Is Avoidable 375 280 Pam Georgiana
By: Pam Georgiana

Quality improvement initiative at Nationwide Children’s Hospital leads to significant reductions in NAKI. Nephrotoxic-associated acute kidney injury (NAKI) — an under-recognized but serious risk in pediatric hospital care — affects up to 25% of hospitalized children. It occurs when medications or toxins reduce kidney function by disrupting blood flow, damaging renal cells or triggering inflammation.…

Bridging the Fertility Awareness Gap in Adolescents With PCOS
 Bridging the Fertility Awareness Gap in Adolescents With PCOS 1024 683 Pam Georgiana
By: Pam Georgiana

Assessing knowledge, concerns and quality of life to inform early clinical counseling While polycystic ovary syndrome (PCOS) is common in adolescent females, little is known about how the potential for long-term complications like infertility affect young patients’ well-being. Research with adult PCOS patients has found links between fertility challenges and diminished psychosocial well-being. However, there…

Childhood-Onset Rumination Syndrome: Insights from 15 Years of Research
 Childhood-Onset Rumination Syndrome: Insights from 15 Years of Research 1024 680 Pam Georgiana
By: Pam Georgiana
Close up color photo of little boy holding hands on his belly

Education is needed to improve diagnostic timelines and treatment outcomes for pediatric patients. Childhood-onset rumination syndrome presents significant diagnostic challenges, even for gastroenterologists. Physicians often misdiagnose the symptoms as gastroesophageal reflux disease. Initial treatments frequently fail, leading to delays in accurate diagnosis. Patients can experience symptoms for 2 to 3 years before receiving an accurate…

Advancing Care for Infants with Hypoplastic Left Heart Syndrome: New Insights into Maternal and Community Health Factors
 Advancing Care for Infants with Hypoplastic Left Heart Syndrome: New Insights into Maternal and Community Health Factors 1024 537 Pam Georgiana
By: Pam Georgiana

Nationwide Children’s Heart Center explores the impact of maternal and social determinants of health on congenital heart disease. While maternal-fetal environment factors are known to impact outcomes in babies who receive the traditional Norwood surgery to treat hypoplastic left heart syndrome (HLHS), there is little research on how the maternal-fetal environment affects outcomes after the…

What Is Insulin’s Role in Diabetes-Related Urinary Tract Infections?
 What Is Insulin’s Role in Diabetes-Related Urinary Tract Infections? 1024 575 Pam Georgiana
By: Pam Georgiana

Two studies reveal how impaired insulin receptors compromise immunity in people with diabetes. While excess glucose in the urine is often thought to be the main factor behind urinary tract infections in people with diabetes, two recent studies led by Laura L. Schwartz, PhD, principal investigator in the Kidney and Urinary Tract Center at Nationwide…

Pediatric Bladder Dysfunction: What to Do When Nothing Is Working
 Pediatric Bladder Dysfunction: What to Do When Nothing Is Working 1024 575 Pam Georgiana
By: Pam Georgiana

Experts review the options, helping providers and families choose the right third-line treatment for their child. Pediatric non-neurogenic bladder dysfunction, or disordered voiding, can harm patients’ self-esteem and cause stress on the family dynamic and routine. The standard pediatric treatment involves behavioral modifications such as diet, bladder training, timed voiding and pelvic floor exercises. When…

Optimizing Outpatient Epilepsy Care With Digital Seizure Action Plans
 Optimizing Outpatient Epilepsy Care With Digital Seizure Action Plans 1024 683 Pam Georgiana
By: Pam Georgiana

Customized seizure action plans enhance care and family use. Many schools and caregivers require families of children with epilepsy to provide a written seizure action plan (SAP) signed by their primary care provider. The Epilepsy Foundation provides a printable PDF form to fill out, print and sign. However, the form is limited in providing space…

Weighing the Risk of Blood Clots With Reward of Less Pain
 Weighing the Risk of Blood Clots With Reward of Less Pain 1024 683 Pam Georgiana
By: Pam Georgiana

For people with sickle cell disease who menstruate, hormonal contraception can be effective against SCD-related pain, but it also raises the risk of thrombosis.   As people with sickle cell disease (SCD) transition into their reproductive years, health care providers are increasingly focused on optimizing their overall health, including the safe management of contraception. For…

How Do Treatments for Adolescent Obesity Compare?
 How Do Treatments for Adolescent Obesity Compare? 1024 682 Pam Georgiana
By: Pam Georgiana

A recent review of the literature highlights current treatment strategies for adolescent obesity. According to the American Academy of Pediatrics (AAP), obesity and severe obesity are chronic health conditions with increasing incidence in adolescents, putting them at risk for associated comorbidities. Obesity affects approximately 21% of adolescents (12 to 18 years of age) in the…

Uncovering the Alarming Rise in Death by Suicide Among Preteens
 Uncovering the Alarming Rise in Death by Suicide Among Preteens 1024 657 Pam Georgiana
By: Pam Georgiana

Data from a new study implies that gender and race/ethnicity play a role in increasing suicide rates. Youth suicide is a significant public health concern. When the National Institute of Mental Health convened a research roundtable series to address the rising rates of death by suicide in preteens in 2021, the Center for Suicide Prevention…

Can Artificial Intelligence (AI) Improve Access to Social Resources for Better Patient Outcomes?
 Can Artificial Intelligence (AI) Improve Access to Social Resources for Better Patient Outcomes? 1024 540 Pam Georgiana
By: Pam Georgiana

A recent study tests the ability of the DAPHNE© Chatbot to do just that. Health care providers and organizations recognize the impact of social factors on health and are increasingly addressing social determinants to improve health outcomes and equity. However, integrating social care into health practices remains challenging due to structural barriers such as staffing,…

Long-Term Bladder Management and Continence in Girls With Cloacal Malformation
 Long-Term Bladder Management and Continence in Girls With Cloacal Malformation 1024 683 Pam Georgiana
By: Pam Georgiana
Molly Fuchs, MD

New insights on outcomes and quality of life from Nationwide Children’s comprehensive study of pediatric patients. Over the last decade, surgical innovation has revolutionized the treatment of cloacal malformation, a congenital anomaly affecting the development of the gastrointestinal, urinary and reproductive systems in girls. This condition occurs when the rectum, vagina and urinary tracts fail…

Is Surfactant Treatment at Birth Associated With Severe Bronchopulmonary Dysplasia?
 Is Surfactant Treatment at Birth Associated With Severe Bronchopulmonary Dysplasia? 1024 683 Pam Georgiana
By: Pam Georgiana

An observational study reviews a contemporary cohort of preterm infants. Recently, Leif D. Nelin, MD, division chief of neonatology at Nationwide Children’s and a professor of pediatrics at The Ohio State University College of Medicine, and a team of doctors in the Bronchopulmonary Dysplasia (BPD) Collaborative Registry speculated that the use of surfactant treatment in…

Evaluating Teaching Methods in Pulmonary Physiology
 Evaluating Teaching Methods in Pulmonary Physiology 1024 683 Pam Georgiana
By: Pam Georgiana

Does the flipped classroom or engaging lecture technique create better learning outcomes? In the Pediatric Pulmonary Physiology fellowship program at Nationwide Children’s, the flipped classroom approach was primarily used to teach pulmonary physiology. This necessary curriculum component can be challenging to teach and learn, particularly due to the complex nature of the subject matter and…

How Common is the Duffy Null Polymorphism Among Children With Sickle Cell Disease? Does It Affect Treatment?
 How Common is the Duffy Null Polymorphism Among Children With Sickle Cell Disease? Does It Affect Treatment? 1024 683 Pam Georgiana
By: Pam Georgiana

Recent research shows that a commonly inherited polymorphism could impact outcomes. At a recent hematology team meeting, Susan E. Creary, MD, and colleagues found themselves discussing the Duffy null, a common genetic condition in which the Duffy antigen is not found on red blood cells, might affect children with sickle cell disease. This is because…

Does Coinfection Lead to Longer Ventilation Times?
 Does Coinfection Lead to Longer Ventilation Times? 1024 683 Pam Georgiana
By: Pam Georgiana

New multicenter study evaluates treatments and diagnoses of respiratory infections in young patients.    Lower respiratory tract infection, or bronchiolitis, is one of the most common reasons for intensive care unit (ICU) admissions and mechanical ventilation in children younger than two years old. Despite this, little current research exists regarding the most effective treatment when…

Early Detection and Multidisciplinary Care: Successful Management of Duodenal Atresia
 Early Detection and Multidisciplinary Care: Successful Management of Duodenal Atresia 1024 737 Pam Georgiana
By: Pam Georgiana
person in scrubs holding a baby

The team in the Fetal Center at Nationwide Children’s Hospital shares their comprehensive approach for best possible outcomes.  When a routine ultrasound reveals two enlarged, fluid-filled bubbles in the baby’s abdomen, known as the “double bubble” sign, pregnant patients and their families often feel scared and concerned. These bubbles indicate duodenal atresia, a congenital condition…

Comparing Outcomes Between Direct and ED Admissions for Neonatal Hyperbilirubinemia
 Comparing Outcomes Between Direct and ED Admissions for Neonatal Hyperbilirubinemia 1024 681 Pam Georgiana
By: Pam Georgiana
sleeping infant

Does the method of admission affect care for patients with neonatal hyperbilirubinemia? Neonatal hyperbilirubinemia, with jaundice as its primary symptom, can be scary for parents of newborns. This condition requires a blood test to measure bilirubin levels for diagnosis. Despite its concerning appearance, hyperbilirubinemia is very treatable, and patients are usually at low risk for…

How Does Hodgkin Lymphoma Differ With Age?
 How Does Hodgkin Lymphoma Differ With Age? 150 150 Pam Georgiana
By: Pam Georgiana

A new study reveals age-related differences in pathology and medical management. When Anthony N. Audino, MD, a pediatric oncologist in the Division of Pediatric Hematology/Oncology/BMT at Nationwide Children’s, first met a preschool-aged patient with Hodgkin lymphoma, he was surprised. “It was startling to see someone so young with this disease because it’s typically diagnosed between…

Breaking the Cycle of Chronic Pain and Discomfort in Young Patients
 Breaking the Cycle of Chronic Pain and Discomfort in Young Patients 1024 575 Pam Georgiana
By: Pam Georgiana
Teen girl with backpack

The Comfort Ability Program at Nationwide Children’s brings specialized care to patients with chronic pain and discomfort. In January 2023, the wait for patients to see a pediatric pain psychologist at Nationwide Children’s was approximately nine months. This delay was due to the limited number of providers available. While they waited for treatment, these young…

Reducing Hospital Stays After Fontan Procedures by More Than 66%
 Reducing Hospital Stays After Fontan Procedures by More Than 66% 1024 575 Pam Georgiana
By: Pam Georgiana
Black and white photo of boy sitting up on hospital bed

A new quality improvement initiative implements new guidelines using an innovative chest tube commonly used in adults.   Before April 2020, the average length of hospital stay for patients undergoing the Fontan procedure at Nationwide Children’s was about 23 days. This prolonged hospitalization stay was longer than many other institutions due to prolonged chest tube…

Trauma and Resilience in Youth With Opioid Use and Eating Disorders
 Trauma and Resilience in Youth With Opioid Use and Eating Disorders 1024 575 Pam Georgiana
By: Pam Georgiana
Teen girl with backpack

Health care providers should expect patients to have hidden traumas and reduced resilience.   When treating adolescents and young adults in the Substance Use Treatment and Recovery program at Nationwide Children’s, medical director Erin R. McKnight, MD, MPH, noticed that while most of her young patients had experienced some trauma in their lives, some patients…

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