scholarly journals Lynn Taylor Staheli (1933 - 2021) - in memory of the outstanding pediatric orthopedic surgeon of our time

2021 ◽  
Vol 9 (3) ◽  
pp. 388-389
Author(s):  
Vladimir M. Kenis ◽  
Alyona N. Melchenko ◽  
Anna V. Zaletina

Lynn Taylor Staheli is Professor Emeritus at the University of Washington, a distinguished pediatric orthopedic surgeon, author of numerous studies and books, and a major contributor to the development of pediatric orthopedics. Professor Staheli was a founding editor of the Journal of Pediatric Orthopaedics and founder of Global HELP. In recent years he has been active in the promotion of modern approaches in pediatric orthopedics. Lynn Taylor Staheli passed away on August 9, 2021. He was 87 years old.

Author(s):  
Jeffrey Kaplan

The wave theory refers to the “Four Waves of Modern Terrorism,” which was published in 2004 by David C. Rapoport, Professor Emeritus at the University of California Los Angeles and a founding editor of the journal Terrorism & Political Violence. Wave theory made a unique contribution to the study of terrorism by positing a generational model that linked contemporaneous global terrorist groups based on their shared characteristics of ideology/theology, strategy/tactics, and visions for the future. Although wave theory is focused on the modern period, from the late 19th century to the present day, it is built on a thorough grounding of the history of terrorism, which dates from the 1st century ad.


2004 ◽  
Vol 171 (4S) ◽  
pp. 401-401
Author(s):  
Robert M. Sweet ◽  
Timothy Kowalewski ◽  
Peter Oppenheimer ◽  
Jeffrey Berkley ◽  
Suzanne Weghorst ◽  
...  

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S79-S80
Author(s):  
Joanne Huang ◽  
Zahra Kassamali Escobar ◽  
Rupali Jain ◽  
Jeannie D Chan ◽  
John B Lynch ◽  
...  

Abstract Background In an effort to support stewardship endeavors, the MITIGATE (a Multifaceted Intervention to Improve Prescribing for Acute Respiratory Infection for Adult and Children in Emergency Department and Urgent Care Settings) Toolkit was published in 2018, aiming to reduce unnecessary antibiotics for viral respiratory tract infections (RTIs). At the University of Washington, we have incorporated strategies from this toolkit at our urgent care clinics. This study aims to address solutions to some of the challenges we experienced. Challenges and Solutions Methods This was a retrospective observational study conducted at Valley Medical Center (Sept 2019-Mar 2020) and the University of Washington (Jan 2019-Feb 2020) urgent care clinics. Patients were identified through ICD-10 diagnosis codes included in the MITIGATE toolkit. The primary outcome was identifying challenges and solutions developed during this process. Results We encountered five challenges during our roll-out of MITIGATE. First, using both ICD-9 and ICD-10 codes can lead to inaccurate data collection. Second, technical support for coding a complex data set is essential and should be accounted for prior to beginning stewardship interventions of this scale. Third, unintentional incorrect diagnosis selection was common and may require reeducation of prescribers on proper selection. Fourth, focusing on singular issues rather than multiple outcomes is more feasible and can offer several opportunities for stewardship interventions. Lastly, changing prescribing behavior can cause unintended tension during implementation. Modifying benchmarks measured, allowing for bi-directional feedback, and identifying provider champions can help maintain open communication. Conclusion Resources such as the MITIGATE toolkit are helpful to implement standardized data driven stewardship interventions. We have experienced some challenges including a complex data build, errors with diagnostic coding, providing constructive feedback while maintaining positive stewardship relationships, and choosing feasible outcomes to measure. We present solutions to these challenges with the aim to provide guidance to those who are considering using this toolkit for outpatient stewardship interventions. Disclosures All Authors: No reported disclosures


1947 ◽  
Vol 9 (2) ◽  
pp. 30 ◽  
Author(s):  
Rayanne D. Cupps ◽  
Norman S. Hayner

Author(s):  
Joanne Huang ◽  
Zahra Kassamali Escobar ◽  
Todd S. Bouchard ◽  
Jose Mari G. Lansang ◽  
Rupali Jain ◽  
...  

Abstract The MITIGATE toolkit was developed to assist urgent care and emergency departments in the development of antimicrobial stewardship programs. At the University of Washington, we adopted the MITIGATE toolkit in 10 urgent care centers, 9 primary care clinics, and 1 emergency department. We encountered and overcame challenges: a complex data build, choosing feasible outcomes to measure, issues with accurate coding, and maintaining positive stewardship relationships. Herein, we discuss solutions to challenges we encountered to provide guidance for those considering using this toolkit.


Children ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 530
Author(s):  
Giovanni Trisolino ◽  
Renato Maria Toniolo ◽  
Lorenza Marengo ◽  
Daniela Dibello ◽  
Pasquale Guida ◽  
...  

Background: We aimed to investigate the variation of medical and surgical activities in pediatric orthopedics in Italy, during the year of the COVID-19 pandemic, in comparison with data from the previous two years. The differences among the first wave, phase 2 and second wave were also analyzed. Methods: We conducted a retrospective multicenter study regarding the clinical and surgical activities in pediatric orthopedics during the pandemic and pre-pandemic period. The hospital databases of seven tertiary referral centers for pediatric orthopedics and traumatology were queried for events regarding pediatric orthopedic patients from 1 March 2018 to 28 February 2021. Surgical procedures were classified according to the “SITOP Priority Panel”. An additional classification in “high-priority” and “low-priority” surgery was also applied. Results: Overall, in 2020, we observed a significant drop in surgical volumes compared to the previous two years. The decrease was different across the different classes of priority, with “high-priority” surgery being less influenced. The decrease in emergency department visits was almost three-fold greater than the decrease in trauma surgery. During the second wave, a lower decline in surgical interventions and a noticeable resumption of “low-priority” surgery and outpatient visits were observed. Conclusion: Our study represents the first nationwide survey quantifying the impact of the COVID-19 pandemic on pediatric orthopedics and traumatology during the first and second wave.


Head & Neck ◽  
2019 ◽  
Vol 42 (3) ◽  
pp. 513-521 ◽  
Author(s):  
Robert F. Stephens ◽  
Christopher W. Noel ◽  
Jie (Susie) Su ◽  
Wei Xu ◽  
Murray Krahn ◽  
...  

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