Jennifer Walter

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BACKGROUND Parents of seriously ill children participate in making difficult medical decisions for their child. In some cases, parents face situations where their initial goals, such as curing the condition, may have become exceedingly unlikely. While some parents continue to pursue these goals, others relinquish their initial goals and generate new goals(More)
Neurologic outcome prediction, or neuroprognostication, after severe brain injury in children is a challenging task and has many ethical dimensions. Neurologists and intensivists are frequently asked by families to predict functional recovery after brain injury to help guide medical decision making despite limited outcome data. Using two clinical cases of(More)
Hepatocyte growth factor (scatter factor) is an angiogenic growth factor that binds to its cellular transmembrane receptor, c-met. Both HGF and c-met are expressed by vascular smooth muscle and endothelial cells, where HGF may exert autocrine and paracrine effects. We have found that human aortic smooth muscle cells (HASMCs) and human umbilical vein(More)
BACKGROUND Physician empathy is both theoretically and empirically critical to patient health, but research indicates that empathy declines throughout medical school and is lower than ideal among physicians. In this paper, we synthesize the published literature regarding interventions that were quantitatively evaluated to detect changes in empathy among(More)
The system considered in this paper is a mobile wireless network, commonly known as an ad hoc network. Mobile nodes in this dynamic topology function both as processors and routers to provide communication between nodes which are not within wireless transmission range. We present a token based mutual exclusion algorithm designed for an ad hoc distributed(More)
Minorities are underenrolled in clinical research trials, and one-third of trials are underenrolled overall. The role of payment has not been studied at the national level as an explanation for enrollment patterns. Our objective was to examine the distribution of self-reported previous research participation across different sociodemographic groups; to(More)
HEALTH CARE RECEIVED BY PATIENTS IN THE UNITED States is of inadequate quality. As part of the federal response to this major shortcoming, ensuring high-quality health care is a central theme throughout the Patient Protection and Affordable Care Act (ACA) signed into law in 2010. The focus on improving quality in the ACA, however, effectively overshadows(More)
The problem addressed is the reconfiguration of a system of hexagonal metamorphic robots from an initial arbitrary shape configuration I, to a straight chain goal configuration, G. This is the first time a fully distributed deterministic algorithm has been written to achieve the parallel reconfiguration of a system of homogeneous modules from an initial(More)
OBJECTIVE Timely, high quality communication with families is essential to family-centered decision-making. Quality communication is represented by widespread documentation of prognostic, goals-of-care conversations (PGOCC) in the pediatric intensive care unit (PICU) and should occur without variation by patient characteristics. METHODS Cohort included(More)