Publications

ABSTRACT

The Military Health System (MHS) has historically been at the forefront of innovation in medicine and science, but it has also historically struggled to implement battlefield innovations or civilian technologies for wider domestic use. Artificial intelligence (AI) has emerged as a transformative force in health care with civilian health systems and institutions at the forefront of these innovations.

Abstract

Background: Widely published findings from the COVID-19 pandemic show adverse effects on body mass index (BMI) and behavioral health in both adults and children, due to factors such as illness, job loss, and limited opportunity for physical and social activity.

Abstract

Importance: Gonadotropin-releasing hormone analogue (GnRHa) use during puberty improves mental health among transgender and gender-diverse (TGD) adolescents. In previous studies, most (96.5%-98.1%) TGD adolescents who started GnRHa subsequently started gender-affirming hormones (GAH), raising concerns that GnRHa use promotes later use of GAH.

Abstract

Introduction: Concerns about future regret and treatment discontinuation have led to restricted access to gender-affirming medical treatment for transgender and gender-diverse (TGD) minors in some jurisdictions. However, these concerns are merely speculative because few studies have examined gender-affirming hormone continuation rates among TGD individuals.

Medication administration errors that take place in the home are common, especially when liquid preparations are used and complex medication schedules with multiple medications are involved; children with chronic conditions are disproportionately affected. Parents and other caregivers with low health literacy and/or limited English proficiency are at higher risk for making errors in administering medications to children in their care.

ABSTRACT

Objective: Transgender and gender-diverse (TGD) adolescents experience increased mental health risk compared to cisgender peers. Limited research suggests improved outcomes following gender-affirmation. This study examined mental healthcare and psychotropic medication utilization among TGD youth compared to their siblings without gender-related diagnoses and explored utilization patterns following gender-affirming care.

On January 19, 2020, the first cases of coronavirus disease 2019 (COVID-19) were introduced by travelers from Wuhan, China, the initial epicenter, into both South Korea and the United States.

To turn the tide on the COVID-19 pandemic, the new administration will have to do a number of things beginning on January 20, 2021. First and foremost, a comprehensive response strategy and detailed plan must be communicated across the federal government, among states and local communities, and to the public.

Abstract

To build and maintain an effective, agile force that is ready at a moment’s notice to deploy for national security missions, the US military must recruit approximately 150,000 new personnel annually while adhering to stringent medical standards. Given a target recruitment population of young adults ages 18–24, the health of the nation’s children is critical to US national security.

There is ample precedent for public health officials directing the control of emerging pandemics. Perhaps most notably, in the early 1960s, Alexander D. Langmuir, MD, Director of the Epidemic Intelligence Service and Epidemiology Program at the Centers for Disease Control and Prevention (CDC) began to work closely with Donald A. Henderson, MD, Chief of the Virus Disease Surveillance Program at the CDC.

Abstract

The Military Health System is one of the largest integrated health care systems in the United States. It is composed of a “direct care” system of military treatment facilities managed in a federated manner by the Army, Navy, Air Force, and Defense Health Agency and a “purchased care” component that consists of a network of health care providers managed through TRICARE.

Abstract: Quality measures are used for a variety of purposes in health care, including clinical care improvement, regulation, accreditation, public reporting, surveillance, and maintenance of certification. Most quality measures are 1 of 3 types: structure, process, or outcome.

In the United States, approximately 0.7% of the population identifies as transgender. Transgender and gender-diverse (TGD) youth may experience poor health outcomes and identity-based discrimination within the health care setting.

Pediatricians render care in an increasingly complex environment, which results in multiple opportunities to cause unintended harm. National awareness of patient safety risks has grown since the National Academy of Medicine (formerly the Institute of Medicine) published its report “To Err Is Human: Building a Safer Health System” in 1999.

Pediatric patients cared for in emergency departments (EDs) are at high risk of medication errors for a variety of reasons. A multidisciplinary panel was convened by the Emergency Medical Services for Children program and the American Academy of Pediatrics Committee on Pediatric Emergency Medicine to initiate a discussion on medication safety in the ED.

Abstract

The Military Health System (MHS) is an integrated health care system composed of direct care and purchased care that serves over 9.4 million beneficiaries including 2 million children. The current MHS quality measures dashboard includes few measures specific to children and may not reflect the needs of military children.

Abstract

Introduction: In 2014, 45 Indian Health Service (IHS)/Tribal emergency departments serving American Indian and Alaskan Native communities treated approximately 650,000 patients of which, 185,000 (28%) were children and youth younger than 19 years. This study presents the results of the National Pediatric Readiness Project (NPRP) assessment of the 45 IHS/Tribal emergency departments

Despite increasing attention to issues of patient safety, preventable adverse events (AEs) continue to occur, causing direct and consequential injuries to patients, families, and health care providers. Pediatricians generally agree that there is an ethical obligation to inform patients and families about preventable AEs and medical errors.

Abstract

The purpose of this article is to commemorate the 30th anniversary of the Emergency Medical Services for Children (EMSC) program. For the last 30 years, the EMSC has had a significant impact on transforming emergency care for children.

On March 23, 2010, the President signed into law the Affordable Care Act (Public Law 111-148), which included an amendment of Title V of the Social Security Act authorizing the creation of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program.

Abstract

It is estimated that 30million children in the US participate in organised sports programmes. As more and more children participate in sports and recreational activities, there has been an increase in acute and overuse injuries.

Abstract

Background: Orthopedic reductions are commonly performed procedures requiring sedation in the pediatric emergency department (PED). Ketamine is a widely used agent for pediatric procedural sedation, but its use may present difficulties in select populations, such as those with psychiatric diagnoses. In such a case, alternative agents that are safe and effective are needed.

Because September 11, 2001, demonstrated that the United States is vulnerable to terrorist attack and Hurricane Katrina exhibited gaps in our disaster response system, there has been a large investment in ensuring that our population is better protected. The purpose of this article is to discuss the opportunities for improvement in preparedness for children that span all levels of government, private institutions, and individuals.