April 2024 Pediatric Pulse
Cliff Notes: From the Chair
Dear Yale Pediatrics Family,
Post-eclipse, there's not much more I can say besides the future is BRIGHT in Pediatrics! Sorry, I had to.
But really, we're making great progress with our department's strategic plan, seeing incredible research published by our faculty, proving exceptional care to kids across Connecticut, and bringing on more talented faculty and staff each month. Thanks to everyone for your commitment to making Pediatrics a great place to be.
Warmly,
Cliff
Pulse Spotlight
Dr. Leslie Sude and the team at the Yale School of Medicine Community Health Care Van; Mother Infant Program (MIP) were winners of the HHS Challenge to Address Racial Equity in Postpartum Care. The Van provides curbside postpartum care, a program that uses mobile support and evidence-based data to address priority health needs, including behavioral health services, screening for postpartum depression and substance use disorder, and connecting patients to treatment and care, increased program accessibility and doubled the number of referrals made to behavioral health and healthcare services for women at risk for postpartum depression or hypertension.
In March, many of our General Pediatrics faculty volunteered to work at a “pop-up” refugee clinic at 150 Sargent Drive to see 24 children that otherwise would have been waiting months to get clearance to start school. It was a great collaboration with Fair Haven! Organizational kudos go to Camille Brown and Julia Rosenberg, as well as the 2 nurses Lori Wallach and Shannon Hughes that administered > 100 immunizations during the clinic!
Our team consisted of amazing Yale Medical Students and Pediatric Residents (Alex Green and Snimar Kaur) as well as: Karen Dorsey Sheares, Mona Sharifi, Leslie Sude, Katie Swec and Maryellen Flaherty-Hewitt, seeing patients while Camille and Julia made sure we stayed on track! We also had providers from the other Fair Haven locations helping out.
In March, Dr. Lexi Dias from Pediatric Endocrinology & Diabetes, and her husband, Ian, were the keynote speakers at the She ROCKS 2nd Annual Shamrock Shindig! The event helps to raise funds for ovarian cancer research.
Top Stories
Yale Pediatricians Share What to Know During Child Abuse Prevention Month in April
April has been designated Child Abuse Prevention Month in the United States since 1983.
8 Apr 2024Yale Research Team Awarded $4 Million Grant to Evaluate New Immunizations for Infant RSV
A multidisciplinary team of Yale scientists has received a $4-million federal grant to study the effectiveness of a new vaccine and monoclonal antibody shot designed to prevent respiratory syncytial virus (RSV) in infants.
1 Apr 2024Contraceptive Access for Adolescents and Young Adults Varies Across Different Demographics
A new study led by Yale researchers reveals patterns in sources of contraception among adolescents and young adults
25 Mar 2024Neonatal Sepsis in the NICU: New Study Offers Insight for More Accurate Diagnoses of Early-onset Cases
Clinicians diagnose neonatal sepsis by taking a blood culture. New research evaluates factors that influence diagnostic utility while taking blood from infants in the NICU.
21 Mar 2024
FLAME Award Winners
The Department of Pediatrics is pleased to announce that the recipients of this quarter’s FLAME Educator Award: Drs. Camille Brown & Jasmine Gujral.
The FLAME Award is given to Faculty members who enhance the Learning environment and go Above and beyond for Mentorship and Education.
Associate Clinical Professor of Pediatrics
At the Pediatric Primary Care Center, Camille Brown, MD provides health care for children from birth to teen years and teaches pediatric residents. Dr. Brown also direct the Yale Pediatric Refugee Clinic, caring for children from various nations whose families have resettled in the city. She performs an initial health assessment, sees them frequently during their first year, and creates a medical home for them in the PCC. She interacts with a dedicated team of nurses, social workers, case managers and other staff. Dr. Brown loves being a pediatrician because she can create relationships with patients, and their families, and follow them as they grow and develop.
Assistant Professor
Dr. Jasmine Gujral is an Assistant Professor of Pediatrics in the Division of Pediatric Endocrinology at the Yale School of Medicine and the Yale New Haven Hospital. She received her medical degree at Lokmanya Tilak Municipal Medical College, Mumbai, India and completed her residency in Pediatrics at the Children's Hospital at Saint Peter's University Hospital, New Jersey. She completed her fellowship training at the Icahn School of Medicine at Mount Sinai, New York, where her main research was focused on characterizing growth hormone - immune interactions by means of using multi-omic techniques such as mass spectrometry, proteomics, metabolomics and transcriptomics. Dr. Gujral's research interests include growth disorders, adrenal disorders and disorders of sexual development.
Grants and Awards
- Nina Brodsky – The Hartwell Foundation – Targeted Immunotherapies for RSV Bronchiolitis
- Project period: 6/1/24-5/31/27
- Total awarded to Yale $300,000
- Michael Cappello – NIH/NIAID R01 – Genomic Approaches to Define Hookworm Population Diversity and Deworming Drug Response
- Project period: 3/11/24-1/31/29
- Total awarded to Yale $3,544,692
- Cristian Ionita – Cure SMA – SMA Care Center Network
- Project period: 1/1/24-12/31/24
- Total awarded to Yale $9,910
- Tom Murray – NIH/CDC NU50 – COVID-High Impact Pathogens: Surveillance, Training, and Emergency Response (CHIPSTER), a supplement to the HIPSTER award
- Project period: 4/1/24-7/31/27
- Total awarded to Yale $2,720,000
- Jim Nugent – American Heart Association, Career Development Award – Improving the Detection of Hypertension in Children and Adolescents Outside the Clinic
- Project period: 4/1/24-3/31/27
- Total awarded to Yale $229,761
- Sundes Kazmir – National Foundation to End Child Abuse and Neglect – Implementing Universal Education and Empowerment for Intimate Partner Violence (IPV) in Pediatric Primary Care
- Project period: 4/1/24-3/31/26
- Total awarded to Yale $36,000
- Jason Greenberg – NIH R01 Subaward with Johns Hopkins – Kidney-Associated Diseases after Congenital Heart Disease Surgery in Children
- Project period: 3/15/24-1/31/28
- Total awarded to Yale $694,996
Kudos & Congrats!
- The following promotions were approved:
- John Giuliano, Jr, MD, promotion to Professor of Pediatrics (Critical Care Medicine), in the Clinician Educator-Scholar Track with a continuing appointment, effective July 1, 2024.
- Annette Cameron, MD, promotion to Associate Professor of Pediatrics, (General Pediatrics), in the Academic Clinician Track, July 1, 2024 to June 30, 2029.
- Britton Keeshan, MD, MPH, promotion to Associate Professor of Pediatrics, in the Academic Clinician Track, July 1, 2024 to June 30, 2029.
- Richard Pierce, MD, MS, promotion to Associate Professor of Pediatrics (Critical Care Medicine) in the Clinician-Scientist Track, July 1, 2024 to June 30, 2029.
- Lawrence Siew, MD, MBA, promotion to Associate Professor of Pediatrics, in the Academic Clinician Track, July 1, 2024 to June 30, 2029.
- Elizabeth Considine, postgraduate associate from MFM who works jointly with our team in Pediatric Endocrinology, had a Presentation: E-poster discussion at the Advanced Diabetes Technologies & Treatments for Diabetes Annual Meeting. Florence, Italy. March 2024. Entitled “A Systematic Review: Real-world evidence of automated insulin delivery (AID) systems confirm pivotal trial findings.”
- Eugene Shapiro, MD is the recipient of the second annual award from the Fund for Physician-Scientist Mentorship. This award was created to honor mentors who support early career physician-scientists and help to advance their career development. Exceptional mentorship benefits the mentee, the mentor, and the school, contributing to the personal and professional development of future leaders in science and medicine.
- CF Center Recognition: XoC is a national CFF patient and family experience program where patients and family provide direct feedback to their clinic and hospital experience in close to real time, so we can work together to provide the highest quality care and improve care in real time. In the last 3 months, patient families who have completed the survey rated the overall quality of care as 10/10 100% of the time, compared to a national average of 82.2%. The survey also gives the opportunity for feedback which we listen to and act upon. We are happy that our infection prevention and control protocols are being followed a reported 100% of the time.
- Pnina Weiss, MD, MHPE, is the new Chair-Elect of the Vice Chairs of Education Executive Committee for a 3-year term at the Association of Pediatric Program Directors (APPD).
- Starting July 1, Rabia Malik, MD is our new PEM Medical Director at Greenwich Hospital.
- Vinita Misra Knight, MD, FAES, helped Yale Comprehensive Pediatric
Epilepsy Center gain accreditation from The National Association of Epilepsy Centers (NAEC) as a level 4 epilepsy center for 2024 and 2025.
April: Celebrate Pride
Honor Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ+) communities through Pride celebrations. Yale celebrates Pride starting in April (to include our student community) and continuing through June. Learn how to get involved, learn, and celebrate on campus and in New Haven here.
Strategic Planning
Click here to see upcoming pillar sessions for the strategic plan. You can join via zoom here for all sessions.
A version of the plan with all comments received is available to all faculty members on the Strategic Planning link on the department intranet site.
Write for Paw Prints Blog
Paw Prints works to connect with and strengthen our community through the power of storytelling. The blog hopes to highlight blog posts from a diverse array of people, perspectives, and experiences with a focus on social justice and advocacy topics. Long or short form writing, drawings, poems, photos, and different media are welcome. To submit, please email molly.markowitz@yale.edu. Read the latest submissions here.
In Memoriam
With profound sadness, Yale School of Nursing (YSN) shares the news of the passing of Elyse Borsuk ’90 MSN, CPNP-PC, APRN, a Pediatric Nurse Practitioner specialty faculty member.
Call for Medical Abstract Workshops for the 2024 Annual Conference
Presenters Wanted on Medical Health Topics For the 2024 Annual CASBHC Conference
Topics Include:
- Treating military populations
- Adolescent gynecology and birth control options
- Covid-related research and challenges from Covid
- Orthopedics: basics for primary care
- Autoimmune disorders: diagnosis, treatment, referrals
- Conversations with guardians around religion and treatment
- Caring for immigrant populations/Immigrant health
- Eating disorders
- How to improve student nutrition in a kid friendly/adolescent-friendly way
Download & compete the proposal form here and email it to MelanieWilde-Lane@CtSchoolHealth.org. Learn more here.
Yale Pediatrics in the News
POCUS Workshop Educates and Empowers Doctors
On April 5, Yale Pediatricians hosted a POCUS (point-of-care ultrasound) Workshop at Yale's West Campus.
12 Apr 2024Yale Cancer Center Faculty and Trainees Present at AACR Annual Meeting
The AACR Annual Meeting is the focal point of the cancer research community, where scientists, clinicians, other health care professionals, survivors, patients, and advocates gather to share the latest advances in cancer science and medicine. From population science and prevention; to cancer biology, translational, and clinical studies; to survivorship and advocacy; the AACR Annual Meeting highlights the work of the best minds in cancer research from institutions all over the world.
12 Apr 2024Some hospitals are changing their response when babies are born exposed to drugs By Mira Cheng, CNN
Drug overdoses are one of the main causes of preventable death among pregnant and postpartum women in the United States. Overdose deaths among this population increased 81% between 2017 and 2020 — resulting in the deaths of more than 1,200 pregnant and postpartum women in 2020. Yet limited resources and stigma prevent pregnant women who struggle with substance use from seeking or accessing care. Those who do seek care and start taking medications to assist their recovery, like Puccio, are often reported to welfare services for child abuse and neglect under legal mandate. But in some hospitals, the response is changing.
Source: CNN11 Apr 2024New Moms Live & Die By Wake Windows, But There’s No Proof They Work
If TikTok has you stressed about your baby’s sleep schedule, you aren’t alone.
Source: Romper10 Apr 2024Yale Faculty Present Groundbreaking Clinical Research at the 2024 American College of Cardiology Scientific Sessions
Yale faculty and trainees will present clinical research at the upcoming American College of Cardiology Scientific Meeting.
1 Apr 2024Yale Students Finish First at Emory Global Health Case Competition
A team from the Yale Institute for Global Health (YIGH) bested teams from 30 other schools around the world to win the annual Emory Morningside Global Health Case Competition, held March 21-23 on the Emory University campus in Atlanta. It's the second time in three years that a team from YIGH has won this prestigious event.
28 Mar 2024March Fellow Spotlight – Lexi Dias, DO
Pediatric endocrinology has always felt like the perfect fit for me, and it may come as no surprise that I am extremely passionate about type 1 diabetes.
Source: Pediatric Endocrine Society25 Mar 2024New way for states to cover pricey gene therapies will start with sickle cell disease
Dr. Lakshmanan Krishnamurti, chief of pediatric hematology and oncology at Smilow Cancer Hospital at Yale New Haven Hospital, called the model “path-breaking.” “This is an initiative the government has taken to responsibly shepherd resources, but at the same time, maintaining access. From a racial equity, health equity perspective, it’s really important that we make this work,” said Krishnamurti, whose sickle cell patients have participated in clinical trials testing gene therapies.
Source: The Hartford Courant24 Mar 2024Yale Cancer Center Experts Present New Research on Obesity, Tobacco, Evolution, and Early Onset Cancers at Leading Oncology Conference
Yale Cancer Center (YCC) and Smilow Cancer Hospital physicians and scientists will share new data for breakthrough and emerging cancer treatments as well as new discoveries in obesity, tobacco, evolution, and early onset cancers in early April at the American Association for Cancer Research (AACR) annual meeting.
18 Mar 2024New YSM Colleges Enhance Community and Mentorship
In January, Yale School of Medicine’s six new colleges held inaugural dinners in Café Med, with MD and MD-PhD students, residents, fellows, faculty, and alumni gathering for socializing and networking. The colleges already are enhancing community and mentorship.
18 Mar 2024Find Yale Pediatrics at the 2024 Pediatric Academic Societies (PAS) Meeting
Check out where our faculty will be presenting at the 2024 Pediatric Academic Societies Meeting in Toronto, Canada.
28 Feb 2024Yale Pediatrics Poster Presenters at PAS 2024
Check out which of our faculty will be presenting posters at the 2024 Pediatric Academic Societies Meeting in Toronto, Canada.
28 Feb 2024180 chief medical officers to know | 2024
Becker's Healthcare is thrilled to honor 180 exceptional chief medical officers in healthcare.
Source: Beckers Hospital Review10 Apr 2024Tackling Anxiety and Sleep Issues in Children: A Psychologist’s Perspective
In this episode, Dr. Canapari and Arielle welcome their first guest, pediatric psychologist Dr. Danielle Garay from the Yale Pediatric Sleep Program to discuss the role of psychology in treating children’s sleep difficulties, focusing on anxiety, nighttime fears, tantrums, and separation anxiety.
Source: Craig Canapari, MD18 Mar 2024Real-Life Hacks Lead to DIY Movement to Manage Glucose
John Costik was a software engineer in New York who had a 4-year-old child with type 1 diabetes (T1D). In February 2013, his child's diabetes management was transformed from a dozen tiny pinpricks a day to a new continuous glucose monitoring (CGM) device that took readings every 5 minutes, but there were no commercial applications allowing for remote CGM monitoring. Remote CGM monitoring would allow for parents to view their child's sensor glucose values in real time from wherever they were, giving parents an extra level of security when their children are at school, at a friend's house, or even asleep in a different room overnight.
Source: Medscape29 Mar 2024
Publications
- Developing and Testing the Usability of a Novel Child Abuse Clinical Decision Support System: Mixed Methods StudyThomas A, Asnes A, Libby K, Hsiao A, Tiyyagura G. Developing and Testing the Usability of a Novel Child Abuse Clinical Decision Support System: Mixed Methods Study. Journal Of Medical Internet Research 2024, 26: e51058. PMID: 38551639, PMCID: PMC11015363, DOI: 10.2196/51058.
- High Body Mass Index and Response to Anti-Tumor Necrosis Factor Therapy in Pediatric Crohn's Disease.Ebach D, Jester T, Galanko J, Firestine A, Ammoury R, Cabrera J, Bass J, Minar P, Olano K, Margolis P, Sandberg K, Linnville T, Kaplan J, Pitch L, Steiner S, Bass D, Moses J, Adler J, Gulati A, Wali P, Pashankar D, Ivanova A, Herfarth H, Wohl D, Benkov K, Strople J, Sullivan J, Tung J, Molle-Rios Z, Saeed S, Bousvaros A, Kappelman M. High Body Mass Index and Response to Anti-Tumor Necrosis Factor Therapy in Pediatric Crohn's Disease. The American Journal Of Gastroenterology 2024 PMID: 38445644, DOI: 10.14309/ajg.0000000000002741.
- Impact of Arginine Therapy on Kyotorphin in Children with Sickle Cell Disease and Vasoocclusive PainKorman R, Hatabah D, Brown L, Harris F, Wilkinson H, Rees C, Bakshi N, Archer D, Dampier C, Morris C. Impact of Arginine Therapy on Kyotorphin in Children with Sickle Cell Disease and Vasoocclusive Pain. Blood Advances 2024 PMID: 38527291, DOI: 10.1182/bloodadvances.2023012209.
- Abstract 3086: NAPRT silencing in oncometabolite-producing cancers confers therapeutic vulnerabilities to NAD+ depletionNoronha K, Lucas K, Zhao S, Edmonds J, Friedman S, Murray M, Liu S, Liang J, Paradkar S, Zeng H, Sundaram R, Spurrier J, Raponi M, Sajed D, Shuch B, Vasquez J, Bindra R. Abstract 3086: NAPRT silencing in oncometabolite-producing cancers confers therapeutic vulnerabilities to NAD+ depletion. Cancer Research 2024, 84: 3086-3086. DOI: 10.1158/1538-7445.am2024-3086.
- Abstract 2866: NAPRT silencing in rhabdomyosarcoma confers therapeutic vulnerabilities to NAD+depletionZhao S, Noronha K, Bhardwaj P, Lucas K, Sundaram R, Heer C, Morotti R, Spurrier J, Raponi M, Bindra R, Vasquez J. Abstract 2866: NAPRT silencing in rhabdomyosarcoma confers therapeutic vulnerabilities to NAD+depletion. Cancer Research 2024, 84: 2866-2866. DOI: 10.1158/1538-7445.am2024-2866.
- Response to: MiniMed 780G System Outperforms Other Automated Insulin Systems Due to Algorithm Design, Not Bias—Response to Inaccurate AllegationsForlenza G, Sherr J. Response to: MiniMed 780G System Outperforms Other Automated Insulin Systems Due to Algorithm Design, Not Bias—Response to Inaccurate Allegations. Diabetes Technology & Therapeutics 2024 PMID: 38512386, DOI: 10.1089/dia.2024.0125.
- Maternal Education and Child Self-Regulation: Do Maternal Self-Regulation and Responsiveness Mediate the Association?Duyile B, LoCasale-Crouch J, NeSmith T, Turnbull K, Colson E, Corwin M, Mateus M, Forbes E, Geller N, Heeren T, Hauck F, Jaworski B, Kellams A, Kerr S, Moon R. Maternal Education and Child Self-Regulation: Do Maternal Self-Regulation and Responsiveness Mediate the Association? Academic Pediatrics 2024 PMID: 38513966, DOI: 10.1016/j.acap.2024.03.012.
- Predictors of Invasive Bacterial Infection in Febrile Infants Aged 2 to 6 Months in the Emergency DepartmentGreen R, Sartori L, Florin T, Aronson P, Lee B, Chamberlain J, Hunt K, Michelson K, Nigrovic L. Predictors of Invasive Bacterial Infection in Febrile Infants Aged 2 to 6 Months in the Emergency Department. The Journal Of Pediatrics 2024, 270: 114017. PMID: 38508484, DOI: 10.1016/j.jpeds.2024.114017.
- Cost-Effectiveness of Closed-Loop Automated Insulin Delivery Using the Cambridge Hybrid Algorithm in Children and Adolescents with Type 1 Diabetes: Results from a Multicenter 6-Month Randomized Trial.Fox D, Ware J, Boughton C, Allen J, Wilinska M, Tauschmann M, Denvir L, Thankamony A, Campbell F, Wadwa R, Buckingham B, Davis N, DiMeglio L, Mauras N, Besser R, Ghatak A, Weinzimer S, Kanapka L, Kollman C, Sibayan J, Beck R, Hood K, Hovorka R. Cost-Effectiveness of Closed-Loop Automated Insulin Delivery Using the Cambridge Hybrid Algorithm in Children and Adolescents with Type 1 Diabetes: Results from a Multicenter 6-Month Randomized Trial. Journal Of Diabetes Science And Technology 2024, 19322968241231950. PMID: 38494876, DOI: 10.1177/19322968241231950.
- Cardiac phenotype in adolescents and young adults with long-chain 3-hydroxyacyl CoA dehydrogenase (LCHAD) deficiencyElizondo G, Saini A, Gonzalez de Alba C, Gregor A, Harding C, Gillingham M, Vinocur J. Cardiac phenotype in adolescents and young adults with long-chain 3-hydroxyacyl CoA dehydrogenase (LCHAD) deficiency. Genetics In Medicine 2024, 26: 101123. PMID: 38501492, DOI: 10.1016/j.gim.2024.101123.
Updates & Reminders
Important Masking Update
The mask use requirement for staff in all patient interactions will be discontinued Monday, April 15, 2024.
Staff will continue to be required to mask when indicated by standard or transmission-based precautions, including during the care of any patient who may have an acute respiratory infection. Read more.
Why we should all care about measles: Campus Health
Cases of measles in the U.S. have increased, primarily among unvaccinated individuals. Be aware of signs, symptoms, and circumstances that increase the risk of infection. Learn more here.
COVID isolation and respiratory illness updates: Campus Health
New respiratory illness guidance from the CDC
The CDC has updated their recommendations for steps individuals should follow if they develop symptoms of any respiratory infection, including COVID. The new recommendations represent a notable change in policy, as they eliminate the five-day isolation period for COVID and align recommendations for all respiratory viral illness. Those recommendations are the following:
- STAY HOME until you have been fever-free for 24 hours without fever-lowering medications AND your symptoms are improving.
- This is the period where you are most contagious.
- Staying home is also important for respiratory viral infections without fever
- Return to routine activities but take ADDITIONAL PRECAUTIONS for five days to prevent the spread of infection to others: wear a well-fitting mask, take steps to improve air flow, distance from others, and wash hands frequently.
- If fever returns or symptoms worsen, return to the stay-at-home phase.
Importantly, the new guidance does NOT apply to healthcare settings, which continue to follow existing guidance. Yale healthcare workers with respiratory symptoms should test for COVID and should remain in isolation for seven days from symptom onset if they test positive. If symptomatic but COVID negative, healthcare workers should follow the general respiratory viral guidance above.
Read more in the latest Campus Health Update here.
Reminder: Faculty, staff, and students with a valid Yale ID can pick up a maximum of two free rapid antigen test kits at a time at these locations on campus during business hours.
Consolidation of Travel Booking Services
Beginning May 1, 2024, the University is consolidating its travel booking service providers. World Travel will replace Egencia for all Yale business travel booking needs. Note that World Travel is already available for travel booking now. Please contact the Yale Travel Management team (travel@yale.edu) with questions.
Please refer to this email from Suzanne Monk for more details.
Need a New Head Shot?
Need a new head shot for your YSM profile? Click here to book an appointment for a photo session with the YSM Communications office.
Strategic Planning
The Department has embarked on a strategic planning phase that will help create a clear, creative, and concrete strategic plan that will guide Yale Pediatrics’ next five years.
A good strategic plan will:
- Help Yale Pediatrics to continue to manifest its mission
- Attract resources and energy, including faculty, residents, students, and staff
- Support a positive work culture
- Foster agreed upon organizational values
You can keep up with updates and event information on the Pediatrics intranet, here.
Do You Need Help?
Print or save this flyer if you need assistance on campus during an emergency, to get support or make a report about misconduct, reach mental health counseling, or report other concerns.
Pediatric Medical Education Research Collaborative (P-MERC)
The Pediatric Medical Education Research Collaborative (P-MERC) can be found here. P-MERC provides resources and support to members of the Department of Pediatrics who are interested in engaging in educational research and scholars. If you have suggestions for the site, please reach out to Melissa Langhan, MD, MHS at Melissa.Langhan@yale.edu.
Pediatric Community Education Series
This series is held every Thursday at either 7 a.m., noon, or 6 p.m. on a rotating schedule. If you'd like to fill a slot, please email Dr. Greg Germain. These sessions are held on Zoom and qualify for CME.
Zoom Rooms
Reminder: The Trask (LMP 3108) and LLCI 400 conference rooms have been upgraded to Zoom Rooms! This was done to standardize rooms across the University, improve functionality, enable room monitoring by IT, and allow for easy upgrades to the infrastructure in the future. Please note, ALL speakers will need to bring a laptop with them to the Zoom Rooms to be able to present. Save a copy of the instructions for these rooms here.
Let's Get Social!
HYLITEs in Pediatrics
Scan the QR code on any of the posted signs around the Department or text “Peds1” to (831) 222-2333 to send a Hylite. You can also send a Hylite HERE anytime from a web browser. Happy Hyliting!