Honors & Awards
Joshua Lederberg Award for Academic Excellence in Human Biology, Stanford University (2018)
Firestone Medal for Excellence in Undergraduate Research, Stanford University (2018)
Dean’s Award for Academic Achievement, Stanford University (2018)
Education & Certifications
Bachelor of Arts, Stanford University, HUMBI-BAH (2018)
BA with Honors, with Distinction, Stanford University, Human Biology (2018)
- Exploration of Clinician Perspectives on Multidisciplinary Tumor Board Function Beyond Clinical Decision-making. JAMA oncology 2022
- Perioperative Pediatric Anxiety: A Cry for Universal Scale Adoption. Pediatric quality & safety 2022; 7 (2): e542
Development and assessment of an efficient pediatric affect and cooperation scale.
Journal of clinical anesthesia
2021; 76: 110569
STUDY OBJECTIVE: HRAD± was developed to quickly evaluate pediatric preprocedural affect and cooperativity during mask induction of anesthesia and peripheral intravenous (PIV) placement. HRAD± represents: Happy, Relaxed, Anxious, Distressed, with a yes/no answer to cooperativity. The primary aim of this study was to compare HRAD± to previously published scales.DESIGN: We conducted an observational study.SETTING: Videos of pediatric patients were collected in the perioperative environment.PATIENTS: Twenty-four children, twenty-one pediatric anesthesiologists and twenty pediatric perioperative providers were included.INTERVENTIONS: To assess the reliability of HRAD±, standard patient videos were created. Children underwent mask induction or PIV placement, and these interventions were video recorded. Mask induction and PIV placement videos were rated by pediatric anesthesiologists and perioperative non-physician providers respectively using HRAD±.MEASUREMENTS: Two trained researchers provided the modified Yale Preoperative Anxiety Scale (mYPAS), Observation Scale of Behavioral Distress (OSBD), and Induction Compliance Checklist (ICC) scores, and we calculated correlations to HRAD±, inter-rater reliability, and intra-rater reliability.MAIN RESULTS: HRAD± scores strongly correlated with mYPAS (r=0.846, p<0.0001) and OSBD scores (r=0.723, p<0.0001). Cooperativity scores correlated strongly with ICC scores in the mask induction group (r=-0.715, p<0.0001) and in the PIV group (r=-0.869, p<0.0001). HRAD± inter-rater reliability for mask induction was 0.414 (p<0.0001) and for PIV assessment was 0.378 (p<0.0001). Inter-rater reliability for cooperativity on mask induction was 0.797 (p<0.0001) and PIV assessment was 0.683 (p<0.0001). Intra-rater reliability for mask induction was 0.675 and PIV assessments was 0.678. Intra-rater reliability for cooperativity for mask induction was 0.894 and for PIV assessments was 0.765.CONCLUSIONS: HRAD± is an efficient and reliable scale that serves as a practical alternative for measuring pediatric affect during mask induction and PIV placement. The results demonstrate strong correlation with commonly utilized yet more complex affect scales.
View details for DOI 10.1016/j.jclinane.2021.110569
View details for PubMedID 34739949
Development and Validation of an Efficient Pediatric Affect Scale
LIPPINCOTT WILLIAMS & WILKINS. 2021: 751-752
View details for Web of Science ID 000752526600326
Virtual reality for pediatric periprocedural care.
Current opinion in anaesthesiology
2021; 34 (3): 284–91
Commercial availability of virtual reality headsets and software has exponentially grown over the last decade as it has become more sophisticated, less expensive, and portable. Although primarily used by the general public for entertainment, virtual reality has been adopted by periprocedural clinicians to improve patient experiences and treatments. The purpose of this review is to explore recently reported evidence for virtual reality effectiveness for pediatric periprocedural care and discuss considerations for clinical implementation.In the preprocedure setting, practitioners use virtual reality to introduce children to periprocedural environments, distract attention from preprocedural vascular access, and increase cooperation with anesthesia induction. Intraprocedure, virtual reality decreases sedation requirements, and in some instances, eliminates anesthesia for minor procedures. Virtual reality also augments pain reduction therapies in the acute and extended rehabilitation periods, resulting in faster recovery and improved outcomes. Virtual reality seems to be well treated for pediatric use, given close clinical care and carefully curated content.Given the multiple clinical applications of virtual reality to supplement pediatric periprocedural care, practitioners should consider developing clinical programs that reliably provide access to virtual reality. Future research should focus on identification of patient characteristics and types of software that yield optimal patient outcomes.
View details for DOI 10.1097/ACO.0000000000000983
View details for PubMedID 33935176
META-ANALYSIS OF SURVIVAL TRENDS IN GLIOBLASTOMA IN TEMOZOLOMIDE TREATED PATIENTS FROM 2004 TO 2016: NO EVIDENCE FOR INCREASE IN SURVIVAL BENEFIT OVER TIME
OXFORD UNIV PRESS INC. 2017: 108
View details for Web of Science ID 000415152502052