Recent Publications by CFE Educators
Recent Published articles, books, and other scholarship by Academy members, CFE Education Scientists, and CFE Faculty.
Utility of Multi-institutional Pediatric Chart Rounds in the Age of Telemedicine.
2021
Authors: Feng CH, Braunstein SE, MacEwan I
Playground Equipment-related Genital Injuries in Children: An Analysis of United States Emergency Departments Visits, 2010-2019.
2021
Authors: Nabavizadeh B, Namiri NK, Hakam N, Li KD, Amend GM, Breyer BN
OBJECTIVE
To evaluate the demographics, epidemiology, and common mechanisms associated with playground equipment-related genital injuries in children.
METHODS
We examined the National Electronic Injury Surveillance System database to obtain playground-related genital injuries sustained in children ≤17 years from 2010 to 2019. Demographics of the patients and injury characteristics were analyzed using sample weights to produce national estimates.
RESULTS
During the study period, an estimated 27,738 (95% confidence interval 18,602-36,874) emergency department visits with an average annual incidence of 3.8 (95% confidence interval 2.5-5) per 100,000 United States population ≤17 years were reported. The mean age was 6.6 (standard error 0.152) years with most injuries occurring in pre-school children (48.1%) and females (81.1%). Over ½ of genital injuries (55.2%) were associated with climbing apparatus. This was followed by slides (10.7%), swings (9%), and seesaws (4.8%). Most genital injuries occurred at public (41.4%) and school settings (36.3%). Straddling and/or falling was the most common mechanism leading to genital injuries (84.4%). The incidence of injuries remained constant during the 10-year study period (change = + 2.6%; r = 0.121, P = .326). Monthly variations in the number of injuries existed with peak injuries in April-May, and September-October.
CONCLUSION
Despite current safety standards, genital injuries arising from playground equipment have remained stable since 2010. By defining common devices, mechanisms, and conditions associated with genital injuries, this study may help guide efforts aimed at the prevention of such injuries in various locations.
View on PubMedBuilding Back Better: Applying Lessons from the COVID-19 Pandemic to Expand Critical Information Access.
2021
Authors: Schwartz HEM, Stark NR, Sowa CS, Singh MK, Peabody CR
Race, Ethnicity and Disparities in Rheumatology Educational Materials.
2021
Authors: Strait A, Graf J, Margaretten M, Yazdany J, Goglin S
UpToDate
2021
Authors: Jeffrey M. Gelfand, Jinoos Yazdany.
UpToDate
2021
Authors: Jeffrey M. Gelfand, Jinoos Yazdany.
Perioperative use and safety of cephalosporin antibiotics in patients with documented penicillin allergy.
2021
Authors: Anstey KM, Anstey JE, Doernberg SB, Chen LL, Otani IM
Reply by Authors.
2021
Authors: Namiri NK, Lee AW, Rios N, Enriquez A, Nabavizadeh B, Agochukwu-Mmonu N, Shindel A, Breyer BN
Acral Changes in pediatric patients during COVID 19 pandemic: Registry report from the COVID 19 response task force of the society of pediatric dermatology (SPD) and pediatric dermatology research alliance (PeDRA).
2021
Authors: Castelo-Soccio L, Lara-Corrales I, Paller AS, Bean E, Rangu S, Oboite M, Flohr C, Ahmad RC, Calberg V, Gilliam A, Pope E, Reynolds S, Sibbald C, Shin HT, Berger E, Schaffer J, Siegel MP, Cordoro KM
BACKGROUND/OBJECTIVE
In spring 2020, high numbers of children presented with acral pernio-like skin rashes, concurrent with the coronavirus disease 2019 (COVID-19) pandemic. Understanding their clinical characteristics/ infection status may provide prognostic information and facilitate decisions about management.
METHODS
A pediatric-specific dermatology registry was created by the Pediatric Dermatology COVID-19 Response Task Force of the Society for Pediatric Dermatology (SPD) and Pediatric Dermatology Research Alliance (PeDRA) and was managed by Children's Hospital of Philadelphia using REDCap.
RESULTS
Data from 378 children 0-18 years entered into the registry between April 13 and July 17, 2020 were analyzed. Data were drawn from a standardized questionnaire completed by clinicians which asked for demographics, description of acral lesions, symptoms before and after acral changes, COVID-19 positive contacts, treatment, duration of skin changes, laboratory testing including SARS-CoV-2 PCR and antibody testing, as well as histopathology. 229 (60.6%) were male with mean age of 13.0 years (± 3.6 years). Six (1.6%) tested positive for SARS-CoV-2. Pedal lesions (often with pruritus and/or pain) were present in 96%. 30% (114/378) had COVID-19 symptoms during the 30 days prior to presentation. Most (69%) had no other symptoms and an uneventful course with complete recovery.
CONCLUSIONS AND RELEVANCE
Children with acral pernio-like changes were healthy and all recovered with no short-term sequelae. We believe these acral changes are not just a temporal epiphenomenon of shelter in place during the spring months of the first wave of the COVID-19 pandemic and may be a late phase reaction that needs further study.
View on PubMed