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2 results on '"Katherine Scheidler"'

1. Management of pediatric appendicitis during the COVID-19 pandemic: A nationwide multicenter cohort study

Author

Brittany Hegde, Elisa Garcia, Andrew Hu, Mehul Raval, Sanyu Takirambudde, Derek Wakeman, Ruth Lewit, Ankush Gosain, Raphael H. Parrado, Robert A. Cina, Krista Stephenson, Melvin S Dassinger, Daniel Zhang, Moiz M. Mustafa, Donna Koo, Aaron M. Lipskar, Katherine Scheidler, Kyle J. Van Arendonk, Patrick Berg, Raquel Gonzalez, Daniel Scheese, Jeffrey Haynes, Alexander Mina, Irving J. Zamora, Monica E. Lopez, Steven C. Mehl, Elizabeth Gilliam, Katrina Lofberg, Brianna Spencer, Afif N. Kulaylat, Brian C Gulack, Matthew Johnson, Matthew Laskovy, Pavan Brahmamdam, Aoi Shimomura, Therese Blanch, KuoJen Tsao, and Bethany J. Slater

Subjects
Pediatrics, Perinatology and Child Health, Surgery, General Medicine
Abstract

The COVID-19 pandemic has impacted timely access to care for children, including patients with appendicitis. This study aimed to evaluate the effect of the COVID-19 pandemic on management of appendicitis and patient outcomes.A multicenter retrospective study was performed including 19 children's hospitals from April 2019-October 2020 of children (age≤18 years) diagnosed with appendicitis. Groups were defined by each hospital's city/state stay-at-home orders (SAHO), designating patients as Pre-COVID (Pre-SAHO) or COVID (Post-SAHO). Demographic, treatment, and outcome data were obtained, and univariate and multivariable analysis was performed.Of 6,014 patients, 2,413 (40.1%) presented during the COVID-19 pandemic. More patients were managed non-operatively during the COVID-19 pandemic compared to before the pandemic (147 (6.1%) vs 144 (4.0%), p0.001). Despite this change, there was no difference in the proportion of complicated appendicitis between groups (1,247 (34.6%) vs 849 (35.2%), p = 0.12). COVID era non-operative patients received fewer additional procedures, including interventional radiology (IR) drain placements, compared to pre-COVID non-operative patients (29 (19.7%) vs 69 (47.9%), p0.001). On adjusted analysis, factors associated with increased odds of receiving non-operative management included: increasing duration of symptoms (OR=1.01, 95% CI: 1.01-1.012), African American race (OR=2.4, 95% CI: 1.3-4.6), and testing positive for COVID-19 (OR=10.8, 95% CI: 5.4-21.6).Non-operative management of appendicitis increased during the COVID-19 pandemic. Additionally, fewer COVID era cases required IR procedures. These changes in the management of pediatric appendicitis during the COVID pandemic demonstrates the potential for future utilization of non-operative management.

Published
2022

2. Standards Matter : The Why and What of Common Core State Standards in Reading and Writing

Author

Katherine Scheidler and Katherine Scheidler

Subjects
Education--Standards--United States, Academic achievement--United States
Abstract

While critics rail against Common Core State Standards for national school learning guides, few know exactly what these Standards are, and fewer can assess if these Standards are a positive step for education.Standards are simply the high-level literacy skills and understandings that have been traditionally taught, but only in some schools and for some students. Standards focus on careful close reading and critical analysis, help students develop ideas well in writing, boost research understandings, create skills to discern and write valid argument, spark creative writing, and release ability to learn on one's own, for continued success in life, and to help bring a brighter future to all students.Do these Standards'dumb down'learning? Do they stifle teachers'creativity and independence? Are they a low-ceiling straitjacket for teachers? Are'bubble tests'poor tests? Are Standards unfair for urban and traditionally underperforming students?In this brief volume, the author spells out each Reading and Writing Standard to show that the Common Core State Standards simply guide high-level achievement for all students, invite teacher innovation and creativity, and make school a more exciting place of learning. The national tests include extensive writing and evaluate the understanding of ideas. These Standards and tests ask students to investigate and learn to make their own decisions, as we all should, based on evidence. The evidence provided here sheds light on excellent guides to help each child succeed. Common Core State Standards are an opportunity to develop a common national base of high-quality learning. We must seize this chance to raise the bar in American education.

Published
2015

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