Spring 2023

USF Health Pediatrics Spring 2023

Chair's Message

When the CDC Director, who oversees the fellowship program that I am enrolled in, has people introduce themselves, he asks them to describe what they’re doing to change the world. I just love thinking about what we’re doing, individually and as an institution, to change the world. The world is very complicated right now, and there’s so much bad news. But there are also so many good things happening on the micro and macro levels. We are all “works in progress” as we struggle to adapt to new technologies, threats, and challenges — but also to new opportunities.

I recently transitioned several patients into adult care and had the opportunity and privilege to receive notes from them. These were notes sent to our YYC team because our young adult patients require team effort. These patients can be challenging, and individual patients may connect better with one team member versus another. As a team, we keep each other grounded in our expectations of what we can achieve but are frequently surprised at the transformation over 3-5 years as the youth matures into adulthood. Despite challenges, it is very satisfying when we can successfully transition a patient into adult care, enabling them to manage their own healthcare and to better understand what that entails. In doing so, we change the world on a micro level by helping one person. When we change systems or policies, we influence the world at a macro level. Both levels of influence are critically important and interrelated. It is our patients and each other that inspire us to improve. I hope that you view all our department’s accomplishments highlighted in this spring newsletter as steps, no matter how small, towards improving our healthcare environment. As a collective we are changing the world — through our actions towards each other, our patients, and our communities.  

Barness Lecture

The 2023 Lewis A. Barness Lecture was delivered on April 6 by Dr. Richard Brilli, Endowed Chair in Medical Leadership and Pediatric Quality and Safety, and Professor Emeritus at Ohio State University. He gave an excellent lecture titled Quality is Not Extra Work – It is THE Work, and he attended the Fellows Forum following the lecture.

Kudos

Dr. Jade Walter has been named Chair of the Florida Chapter AAP Resident Section. The Florida Chapter has been very active in advocacy initiatives. Dr. Walter recently participated in the AAP National Advocacy meeting in Washington DC.

Drs. Andy Brinn, Meredith Plant, Jake Miller and Constance Bindernagel were inducted into the AOA during a ceremony held May 10th. Congratulations!

Judy Maraj celebrated 35 years of dedicated service at USF. Congratulations Judy!

Victoria Salinas, a COPH master’s student who has been working with the YYC for over a year, won the USF Golden Bull Award, which is given to students who encompass the spirit of USF and have demonstrated its values.

USF Neonatology fellows came in second place nationally in the Organization of Neonatal-Perinatal Training Program Directors Neonatology Quiz on May 10th.

Dr. Karyn Gerstle was awarded $250 from the American Academy of Pediatrics Eatable Alphabet Resident Grant Opportunity. The award will provide resources to be given to families during their well visits. The resources, created by the AAP, support pediatricians in engaging families in conversations regarding healthy active living behaviors.

Farewells

Denise Casey, RN, retired this month after serving as the senior research nurse for the Peds clinical research team for over 20 years. She helped execute many clinical trials for our department, and helped obtain approval for many lifesaving drugs. Best of luck, Denise!

Gifts

An anonymous gift of $137,000.00 was made to support the development of physician investigators to conduct basic and translational research in the Department of Pediatrics. We will be convening a research committee to develop criteria for Research pilot awards for Junior faculty and fellows.  

Clinical Team Members of the Month

March: Andres Vasquez, RN at the Curran Children’s Health Center. Nominators noted his excellent clinical skills, strong critical thinking, and his gentle, kind and friendly manner with patients and their families. He is passionate about his job and loves to train others - he is a remarkable preceptor.

April: Shanna Utterback, RN at the Riverview Clinic. Nominators noted her broad range of knowledge, and her excellent clinical and leadership skills. She has an outstanding work ethic, is a great team player, and easily multi-tasks her various job duties. Patients and families adore her.

May: Lori Head, RN at the Curran Children’s Health Center. Nominators noted her exemplary performance, kindheartedness, graciousness and positive energy. She is resourceful and creative, wonderful with patients and their families, and she brightens the day of others.

Happenings

New Employees

Christa Bartkok, MSW; Pulmonology and General Pediatrics, 17 Davis

Cheri Mitchell, MPH; YYC Program Planner Analyst directing Community Engagement the Adolescent Trails Network. 



Psychology Internship Match

Three interns were matched for the Association of Psychology Postdoctoral and Internship Center's Internship Program. They will spend the last year of the doctoral program in USF Health's Internship in Professional Psychology, directed by Dr. Heather Agazzi.

* Tiffany Dangleben, North Carolina State University

* Julia Jordan, Chicago School of Professional Psychology

* Dhara Patel, University of Indianapolis

Student Awards

Publications

Dr. Tanner Wright is an author on Eat, Sleep, Console Approach or Usual Care for Neonatal Opioid Withdrawal, published in the NEJM on April 30.

Hajjar J, Voigt A, Conner M, Swennes A, Fowler S, Calarge C, Mendonca D, Armstrong D, Chang CY, Walter J, Butte M, Savidge T, Oh J, Kheradmand F, Petrosino J. Common Variable Immunodeficiency Patient Fecal Microbiota Transplant Recapitulates Gut Dysbiosis. Res Sq. 2023 Mar 13:rs.3.rs-2640584. Preprint.

DiGiovanni LK, Lim AC, Kosyluk K, Loecher N, Lewald DL, Rodriguez CA, Sanders LJ. Novel application of dot survey methodology at a youth health clinic: A pilot study. J Adolesc Health, 72(4), 616-22, 2023

Lafnitzegger A, Dickinson S, Plant R. Anxiety Disorders: A Facilitator Guide. In: Talwalkar JS, Fenick AM, eds. Yale Primary Care Pediatrics Curriculum, 16th Edition. 2023. Available from: http://pcpc.yale.edu

Lafnitzegger A, Dickinson S, Plant R. Anxiety Cognitive Behavioral Therapy Resource Guide. In: Talwalkar JS, Fenick AM, eds. Yale Primary Care Pediatrics Curriculum, 16th Edition. 2023. Available from: http://pcpc.yale.ed

Lim SJ, Jithpratuck W, Wasylik K, Sriaroon P, Dishaw LJ. Associations of Microbial Diversity with Age and Other Clinical Variables among Pediatric Chronic Rhinosinusitis (CRS) Patients. Microorganisms 2023, 11(2), 422

Murguia-Favela L, Suresh S, Wright N, Alvi S, Tehseen S, Hernandez-Trujillo V, Seroogy CM, Haddad E, Nieves D, Walter JE, Pettiford L, Kamani NR, Keller MD, Pham-Huy A, Grunebaum E. Long-term immune reconstitution in ADA-deficient patients treated with elapegademase: a real-world experience. J Allergy Clin Immunol Pract. 2023 Feb 1:S2213-2198(23)00114-9.

Carlson JC, Hajirawala M, Hein N. Diagnosis and Management of Insect Allergy: Barriers and Facilitators in the United States J Asthma Allergy. 2022 Dec 15;15:1773-1781.

Hajjar J, Voigt A, Conner M, Swennes A, Fowler S, Calarge C, Mendonca D, Armstrong D, Chang CY, Walter J, Butte M, Savidge T, Oh J, Kheradmand F, Petrosino J. Common Variable Immunodeficiency Patient Fecal Microbiota Transplant Recapitulates Gut Dysbiosis. Res Sq. 2023 Mar 13:rs.3.rs-2640584. Preprint



Presentations

Barnett-Staines L, Steward K, Flores-Torres J, John JB, Wickline K. Duration of Hypotension and Risk of Severe Intraventricular Hemorrhage in Periviable Infants

Sotoudeh S, Yilmaz M, Gordon S, Alas E, Ujhazi B, Dasso J, Csomos K, Walter JE, Sriaroon P. Th2A Cells in Peanut Allergic Patients with or Without Immunotherapy

Riley V, Cain M, Randis T, Ford S. Body Composition in Low Birth Weight Preterm Infants Born to Mothers with Hypertensive Disorders

Eiges A, Flores-Torres J. The Impact of Visual Aids on Parental Anxiety and Understanding During Prenatal Consults for Prematurity Between 22-32 Weeks Gestation

Nguyen M, Sotoudeh S, Gordon S, Yilmaz M, Dasso J, Csomos K, Ujhazi B, Walter J, Sriaroon P. The Roles of T-cell Subsets in Peanut-Allergic Patients Undergoing Immunotherapy

Perez-Sanfeliz C, Panzarino V, Mauriello D, Randis T, Donda K. Early Acute Kidney Injury is not Associated with Development of Pulmonary Artery Hypertension in Very Low Birth Weight Premature Infants with Bronchopulmonary Dysplasia

Patel P, Chinga ML, Yilmaz M, Joychan S, Shaker AB, Ujhazi B, Ellison M, Gordon S, Nieves D, Nguyen AT, Csomos K, Eslin D, Afify ZA, Meznarich J, Bohnsack J, Walkovich K, Seidel MG, Sharapova S, Boyarchyk O, Latysheva E,Tuzankina I, Vlasova E, Mayer J, Ayala I, Sriaroon P, Westermann-Clark E, Walter JE. Clinical and Treatment History of Patients with Partial DiGeorge Syndrome and Autoimmune Cytopenia at Multiple Centers

Carre C, Miller J, Dabrow S, Plant M. Resident as Educators: Impact of a Curriculum on Observed Structured Teaching Encounters.

Abel E, Miller J, Dabrow S, Paulina K. Innovative Program to Celebrate Resident Diversity and Foster an Inclusive Learning Community

Dr. Spoto-Cannons and colleagues presented a workshop titled: Do We Know It When We See It? Using a Novel Framework to Evaluate and Improve Medical Student Professional Behaviors

Spoto-Cannons A.C., Mhaskar R., Gonzalez V.M., Hannum C., Pomeroy, B., Joyce P. DeWolfe C. Poster: COMSEP Survey of Clerkship Leaders to Mitigate Bias from Student Summative Narrative Assessments (picture: SpotoCannonsPoster)

Carre C, Mill J, Dabrow S, Plant M. Poster: Resident as Educators: Impact of a Curriculum on Observed Structured Teaching Encounters

Abel E, Miller J, Dabrow S, Paulina K. Poster: Innovative Programs to Celebrate Resident Diversity and Foster an Inclusive Learning Community

The Resident Forum on Quality Improvement and Research: April 20.

The underlined poster titles were scored highest by the judges (Drs. Donda, Emmanuel, Panagos, Panzarino, Plant, Randis and Wickline) and were presented at Grand Rounds on May 25. 

Bindernagel C. Evaluating knowledge and implementation of the AAP-endorsed early peanut introduction guidelines

Pudhocode R, Blanco P, Cho S, Jordan J, Steward K. Implementation of routine screening for ACEs in pediatric resident continuity clinics: A quality improvement project

Lazarra M. Improving continuity in pediatric ambulatory clinics

Klein D, Clark C, Ragu A, Wilson I. Increasing resident confidence during the NICU golden hour

Shahrestani J, DeMayo K, Smart L. Needs assessment of point of care ultrasound training in pediatrics residents

Patel C, Soviravong S. Lecture based and skill training education on pediatric BP measurement and diagnosis by residents and nursing staff in the ambulatory setting

Finley K. P.R.E.P. for discharge: A discharge prioritization

Carre C, Miller J. Resident as educators: Impact of a curriculum on observed structured teaching encounters

Perry A, Dinescu-Munoz N. Screening for social determinants of health in continuity clinic

Blanco P. Abdominal pain, diarrhea, nausea and weight loss related to mucinous neoplasm: A rare diagnosis in a pediatric patient

Dinescu-Munoz, N. Determinants of HPV vaccine hesitancy in pediatrics

Finley K. Heart-wrenching case of ischemic stroke secondary to left ventricular thrombus formation in MIS-C

Havlicek E. Hospital-acquired venous thromboembolism in invasive mechanical ventilation

Huang S. Large scale analysis of human gut microbiota patterns across geography and pediatric to geriatric ages

Schley A. Milrinone as a bridge to allogeneic hematopoietic stem cell transplantation in patients with anthracycline-related cardiotoxicity

Patel C. Use of combination pulmonary vasodilatory therapy in pediatric patients with bronchopulmonary dysplasia and pulmonary hypertension

Jordan J. Routine Holter Monitoring in Congenital Heart Disease (ACHD) Patients with Cardiac Implantable Electronic Devices (CIED)

Shin H, Huang S. Vaccinate with Confidence: Targeting Vaccine Influenza Uptake in Pediatric Clinics.

USF Health Research Day, March 3

*award winners

Nagy B, Khoury E, Lewald D, Sanders LJ. Ybor Youth Clinic Patient Navigation and Referral Services: Connecting Youth to Community Resources through a Sexual Health Clinic, A Quality- Improvement Initiative. *Community Research Award from COPH

Shin H, Huang S, Pasha F, Garcia S, Takagishi J, Blakeman O, Gaviria-Agudelo C. Vaccinate with Confidence: Targeting Influenza Vaccine Uptake at Two Pediatrics Clinics in Hillsborough County.  *Outstanding Medical Resident Research Award

Andrews JL, Dickinson S, Agazzi H. Investigating referral source trends for a Behavioral Parent Training Program. Doctoral Student Research Award

Rosinski L, Dickinson S, Agazzi H. Socioeconomic risk and intervention effects on child disruptive behavior: Mediation by homework completion

Scarimbolo K, Agazzi H. The Integration of Mental and Physical Health: An Examination of Integrated Behavioral Healthcare in a Local Clinic

McCoy T, Dickinson S, Agazzi H. Is two better than one? Differences in outcomes for dual versus single HOT DOCS attendees 

Sawangkum A, Dickinson S, Agazzi H. Do satisfaction rates differ by race among caregivers who attended a parent management training program

Patrusky L, Rosinski L, Agazzi H, Dickinson S, Smith, N. Case study: Adaptations and modifications to Parent-Child Interaction Therapy for a caregiver and child diagnosed with Autism Spectrum Disorder. *Other Clinical Research

Sullivan S, Timothy P, Yilmaz M, Alas E, Gordon S, Ujhazi B, Dasso J, Csomos K, Sriaroon P, Walter J. TH2A Cells in Peanut Allergic Patients With or Without Oral Immunotherapy

Patel P, Yilmaz M, Ujhazi Bm Potts DE, Gordon S, Blair G, Alas E, Sriaroon P, Csomos K, Walter J. Evaluation of a Panel of Cellular Biomarkers for Immune Dysregulation in Inborn Errors of Immunity

Nguyen M. Successful Sebelipase Alfa Desensitization in a Patient with Wolman Disease and Secondary HLH. *Outstanding Clinical Fellow Research Award

Csomos K, Ujhazi B, Blazso P, Gordon S, Tipton CM, Scharer C, Dasso JF, Notarangelo LD, Cancro MP, Walter JE. Partial RAG deficiency favors expansion of T-bethigh CD21low B cells

Blair G, Alas E. Yilmaz M, Potts DE, Sotoudeh S, Ujhazi B, Di Verniere M, Franklin Y, Huang L, Semmelman AD, Butte M, Csomos K, Milner JD, Walter JE. Challenges of Diagnostic Approach in a Hyper-IgE Syndrome family

Yilmaz M, Ujhazi B, Sotoudeh S, Patel P, Nguyen M, Csomos K, Wang JY, Farmer JR, Lucas C, Walter JE. Characterizing A Novel Variant in ABCB1 in a Family with APDS-like Presentation

Klein D, Vargas J, Panzarino V, Gaviria-Agudelo C. Renal Function and Injury Assessment in Preterm Infants

Tragresser T, Major C. Hematuria and Dysuria in a 5-Year Old Girl

Carre C, Hoyt B, Patel C, Soviravong S, Blanco M, Soylu L, Straub D. Improving Pediatric Ambulatory Blood Pressure Measurement and Diagnosis Through Educational Interventions

Shin H, Huang S, Pasha F, Garcia S, Takagishi J, Blakeman O, Kuzmin N, Ford ST, Kocksleban F, Gaviria C. Vaccinate with Confidence: Targeting Influenza Vaccine Uptake in Pediatric Clinics

Klein D, Wilson I, Rago ARP, Clark C, Ford S. Increasing Resident Competency and Involvement in the NICU Golden Hour

Smart L, Shahrestani J, DeMayo K, Plant R, Abrahan D. POCUS in Pediatric Residency

Shahrestani J, Tragresser T, Bula-Rudas F. Shocking Source of Toxic Shock Syndrome in an Adolescent Female: A Case Report



Boby A, Natarelli N, Abraham J, Wei G, Hennessy K, Moore S, Bindernagel C, Dabrow S, Soylu L , Brinker T, Seminario_Vidal L, Albers S. A Photoaging Smartphone App to Promote Sun Safety in Young Children

Heideman E, Cheng J, Espinosa C, Zeitler K, Piccicacco N, Gaviria-Agudelo C. Use of Monoclonal Antibodies for the Treatment of COVID-19 in Pediatrics: Single Center Study



Pediatric Academic Societies Mtg, April 27-May 1 in Washington, DC

Ho T, Gibbons J, Carter R. Poster: A Multiomics Approach to Characterize the Effects of Severe Anemia in Very Low Birth Weight Infants

Ho T, Lindo C, Eddins A, Szalacha L. Platform: Factors Affecting Iron Storage in Very Low Birth Weight Infants: Data From a Clinical Trial

Heideman E, Cheng J, Espinosa C, Zeitler K, Piccicacco N, Gaviria-Agudelo C. Poster: Use of Monoclonal Antibodies for the Treatment of COVID-19 in Pediatrics: Single Center Study

Wood C, Walter E, Espinosa C, Enriquez-Bruce ME, Budhecha S, Elliott A, Domachowske J, Daniels D, Wolf Z, Waddell EB, Suh M, Fryzek JP, Nelson CB. Poster: Seasonality of Infant Lower Respiratory Tract Infections, Including Those Caused by RSV, was Altered During the COVID-19 Pandemic: Results from Four US Health Systems

Wood C, Walter E, Espinosa C, Enriquez-Bruce ME, Budhecha S, Elliott A, Domachowske J, Daniels D, Wolf Z, Waddell EB, Suh M, Fryzek JP, Nelson CB. Poster: Infant Hospitalizations and ICU Admissions for Bronchiolitis and RSV-Bronchiolitis are at Historic Highs during 2022 Early Seasonal Disease

Doshi H, Bhatt P, Dapaah-Siackwan F, Parmar N, Kwaartemaa Nti B, Donda K. Platform: Regional Variation in Short-term In-hospital Outcomes of Periviable Preterm Infants in the United States

Staines L, Steward K, Flores-Torres J, John JB, Wickline K. Poster: Duration of Hypotension and Risk of Severe Intraventricular Hemorrhage in Periviable Infants

Lindon AK, Domínguez K, Deall T, Randis TM. Platform: Candida Promotes GBS Colonization of the Neonatal Gut

Dominguez K, Lindon AK, Gibbons J, Darch SE, Randis TM. Poster: Group B Streptococcus Intestinal Colonization Induces Major Transcriptomic Changes in the Colonic Epithelium

Vallabhaneni N. Poster: Macrolide Therapy As Immunomodulation in Critical Asthma: Observational Single Center and Registry-Based Assessments

Donda K, Bhatt P, Doshi H, Dapaah-Siakwan F, Rastogi D, Rastogi S. Poster: Utilization of Non-Invasive Ventilation in the Management of Pneumothorax in Near-term and Term Neonates is Less Resource Intensive in the United States

Hoyt B, Balakrishnan M, Shakeel F, O’Hara K. Poster: A Quality Improvement Curriculum with Experiential Learning and Coaching for Pediatric Residents

European Society for Paediatric Infectious Diseases, Lisbon Portugal and online, May 8-12

Dinescu-Munoz N, Lafnitzegger A, Clare A, Takagishi J, Garcia S, Klcoksieben F, Gaviria-Agudelo C. Poster: Determinants of Human Papillomavirus Vaccine Hesitancy in Pediatrics

Zuhdi O, Gaviria-Agudelo C. e-Poster: Patterns of Seasonal Respiratory Pathogens in Pediatrics Before and During the COVID-19 Pandemic 

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Please send content for the next newsletter to [email protected] by 9/23/2023.