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Gerald F Joseph - One of the best experts on this subject based on the ideXlab platform.
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periviable birth executive summary of a joint workshop by the eunice kennedy shriver national institute of child health and human development society for maternal fetal medicine american academy of pediatrics and american college of obstetricians and
American Journal of Obstetrics and Gynecology, 2014Co-Authors: Tonse N.k. Raju, David J. Burchfield, Brian M Mercer, Gerald F JosephAbstract:This is an executive summary of a workshop on the management and Counseling issues of women anticipated to deliver at a periviable gestation (broadly defined as 20 0/7 through 25 6/7 weeks of gestation) and the treatment options for the newborn infant. Upon review of the available literature, the workshop panel noted that the rates of neonatal survival and neurodevelopmental disabilities among the survivors vary greatly across the periviable gestations and are significantly influenced by the obstetric and neonatal management practices (eg, antenatal steroid, tocolytic agents, and antibiotic administration; cesarean birth; and local protocols for perinatal care, neonatal resuscitation, and intensive care support). These are, in turn, influenced by the variations in local and regional definitions of limits of viability. Because of the complexities in making difficult management decisions, obstetric and neonatal teams should confer prior to meeting with the Family, when feasible. Family Counseling should be coordinated with the goal of creating mutual trust, respect, and understanding and should incorporate evidence-based Counseling methods. Since clinical circumstances can change rapidly with increasing gestational age, Counseling should include discussion of the benefits and risks of various maternal and neonatal interventions at the time of Counseling. There should be a plan for follow-up Counseling as clinical circumstances evolve. The panel proposed a research agenda and recommended developing educational curricula on the care and Counseling of families facing the birth of a periviable infant.
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Periviable birth: executive summary of a Joint Workshop by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Society for Maternal-Fetal Medicine, American Academy of Pediatrics, and American College of Obstetricians
Journal of Perinatology, 2014Co-Authors: Tonse N.k. Raju, David J. Burchfield, Brian M Mercer, Gerald F JosephAbstract:This is an executive summary of a workshop on the management and Counseling issues of women anticipated to deliver at a periviable gestation (broadly defined as 20 0/7 through 25 6/7 weeks of gestation), and the treatment options for the newborn. Upon review of the available literature, the workshop panel noted that the rates of neonatal survival and neurodevelopmental disabilities among the survivors vary greatly across the periviable gestations and are significantly influenced by the obstetric and neonatal management practices (for example, antenatal steroid, tocolytic agents and antibiotic administration; cesarean birth; and local protocols for perinatal care, neonatal resuscitation and intensive care support). These are, in turn, influenced by the variations in local and regional definitions of limits of viability. Because of the complexities in making difficult management decisions, obstetric and neonatal teams should confer prior to meeting with the Family, when feasible. Family Counseling should be coordinated with the goal of creating mutual trust, respect and understanding, and should incorporate evidence-based Counseling methods. Since clinical circumstances can change rapidly with increasing gestational age, Counseling should include discussion of the benefits and risks of various maternal and neonatal interventions at the time of Counseling. There should be a plan for follow-up Counseling as clinical circumstances evolve. The panel proposed a research agenda and recommended developing educational curricula on the care and Counseling of families facing the birth of a periviable infant.
Tonse N.k. Raju - One of the best experts on this subject based on the ideXlab platform.
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periviable birth executive summary of a joint workshop by the eunice kennedy shriver national institute of child health and human development society for maternal fetal medicine american academy of pediatrics and american college of obstetricians and
American Journal of Obstetrics and Gynecology, 2014Co-Authors: Tonse N.k. Raju, David J. Burchfield, Brian M Mercer, Gerald F JosephAbstract:This is an executive summary of a workshop on the management and Counseling issues of women anticipated to deliver at a periviable gestation (broadly defined as 20 0/7 through 25 6/7 weeks of gestation) and the treatment options for the newborn infant. Upon review of the available literature, the workshop panel noted that the rates of neonatal survival and neurodevelopmental disabilities among the survivors vary greatly across the periviable gestations and are significantly influenced by the obstetric and neonatal management practices (eg, antenatal steroid, tocolytic agents, and antibiotic administration; cesarean birth; and local protocols for perinatal care, neonatal resuscitation, and intensive care support). These are, in turn, influenced by the variations in local and regional definitions of limits of viability. Because of the complexities in making difficult management decisions, obstetric and neonatal teams should confer prior to meeting with the Family, when feasible. Family Counseling should be coordinated with the goal of creating mutual trust, respect, and understanding and should incorporate evidence-based Counseling methods. Since clinical circumstances can change rapidly with increasing gestational age, Counseling should include discussion of the benefits and risks of various maternal and neonatal interventions at the time of Counseling. There should be a plan for follow-up Counseling as clinical circumstances evolve. The panel proposed a research agenda and recommended developing educational curricula on the care and Counseling of families facing the birth of a periviable infant.
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Periviable birth: executive summary of a Joint Workshop by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Society for Maternal-Fetal Medicine, American Academy of Pediatrics, and American College of Obstetricians
Journal of Perinatology, 2014Co-Authors: Tonse N.k. Raju, David J. Burchfield, Brian M Mercer, Gerald F JosephAbstract:This is an executive summary of a workshop on the management and Counseling issues of women anticipated to deliver at a periviable gestation (broadly defined as 20 0/7 through 25 6/7 weeks of gestation), and the treatment options for the newborn. Upon review of the available literature, the workshop panel noted that the rates of neonatal survival and neurodevelopmental disabilities among the survivors vary greatly across the periviable gestations and are significantly influenced by the obstetric and neonatal management practices (for example, antenatal steroid, tocolytic agents and antibiotic administration; cesarean birth; and local protocols for perinatal care, neonatal resuscitation and intensive care support). These are, in turn, influenced by the variations in local and regional definitions of limits of viability. Because of the complexities in making difficult management decisions, obstetric and neonatal teams should confer prior to meeting with the Family, when feasible. Family Counseling should be coordinated with the goal of creating mutual trust, respect and understanding, and should incorporate evidence-based Counseling methods. Since clinical circumstances can change rapidly with increasing gestational age, Counseling should include discussion of the benefits and risks of various maternal and neonatal interventions at the time of Counseling. There should be a plan for follow-up Counseling as clinical circumstances evolve. The panel proposed a research agenda and recommended developing educational curricula on the care and Counseling of families facing the birth of a periviable infant.
Metin N Gurcan - One of the best experts on this subject based on the ideXlab platform.
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digital otoscopy videos versus composite images a reader study to compare the accuracy of ent physicians
Laryngoscope, 2020Co-Authors: Hamidullah Binol, Theodoros N Teknos, Garth F Essig, Charles A Elmaraghy, Nazhat Tajschaal, Jay Shah, Jameson K Mattingly, Michael S Harris, Muhammad Khalid Khan Niazi, Metin N GurcanAbstract:Objectives/hypothesis With the increasing emphasis on developing effective telemedicine approaches in Otolaryngology, this study explored whether a single composite image stitched from a digital otoscopy video provides acceptable diagnostic information to make an accurate diagnosis, as compared with that provided by the full video. Study design Diagnostic survey analysis. Methods Five Ear, Nose, and Throat (ENT) physicians reviewed the same set of 78 digital otoscope eardrum videos from four eardrum conditions: normal, effusion, retraction, and tympanosclerosis, along with the composite images generated by a SelectStitch method that selectively uses video frames with computer-assisted selection, as well as a Stitch method that incorporates all the video frames. Participants provided a diagnosis for each item along with a rating of diagnostic confidence. Diagnostic accuracy for each pathology of SelectStitch was compared with accuracy when reviewing the entire video clip and when reviewing the Stitch image. Results There were no significant differences in diagnostic accuracy for physicians reviewing SelectStitch images and full video clips, but both provided better diagnostic accuracy than Stitch images. The inter-reader agreement was moderate. Conclusions Equal to using full video clips, composite images of eardrums generated by SelectStitch provided sufficient information for ENTs to make the correct diagnoses for most pathologies. These findings suggest that use of a composite eardrum image may be sufficient for telemedicine approaches to ear diagnosis, eliminating the need for storage and transmission of large video files, along with future applications for improved documentation in electronic medical record systems, patient/Family Counseling, and clinical training. Level of evidence 3 Laryngoscope, 2020.
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digital otoscopy videos versus composite images a reader study to compare the accuracy of ent physicians
medRxiv, 2020Co-Authors: Hamidullah Binol, Theodoros N Teknos, Garth F Essig, Charles A Elmaraghy, Nazhat Tajschaal, Khalid Khan M Niazi, Jay Shah, Jameson K Mattingly, Michael S Harris, Metin N GurcanAbstract:Objectives: With the increasing emphasis on developing effective telemedicine approaches in Otolaryngology, this study explored whether a single composite image stitched from a digital otoscopy video provides acceptable diagnostic information to make an accurate diagnosis, as compared with that provided by the full video. Methods: Five Ear, Nose, and Throat (ENT) physicians reviewed the same set of 78 digital otoscope eardrum videos from four eardrum conditions: normal, effusion, retraction, and tympanosclerosis, along with the composite images generated by a SelectStitch method that selectively uses video frames with computer-assisted selection, as well as a Stitch method that incorporates all the video frames. Participants provided a diagnosis for each item along with a rating of diagnostic confidence. Diagnostic accuracy for each pathology of SelectStitch was compared with accuracy when reviewing the entire video clip and when reviewing the Stitch image. Results: There were no significant differences in diagnostic accuracy for physicians reviewing SelectStitch images and full video clips, but both provided better diagnostic accuracy than Stitch images. The inter-reader agreement was moderate. Conclusion: Equal to using full video clips, composite images of eardrums generated by SelectStitch provided sufficient information for ENTs to make the correct diagnoses for most pathologies. These findings suggest that use of a composite eardrum image may be sufficient for telemedicine approaches to ear diagnosis, eliminating the need for storage and transmission of large video files, along with future applications for improved documentation in electronic medical record systems, patient/Family Counseling, and clinical training.
David J. Burchfield - One of the best experts on this subject based on the ideXlab platform.
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periviable birth executive summary of a joint workshop by the eunice kennedy shriver national institute of child health and human development society for maternal fetal medicine american academy of pediatrics and american college of obstetricians and
American Journal of Obstetrics and Gynecology, 2014Co-Authors: Tonse N.k. Raju, David J. Burchfield, Brian M Mercer, Gerald F JosephAbstract:This is an executive summary of a workshop on the management and Counseling issues of women anticipated to deliver at a periviable gestation (broadly defined as 20 0/7 through 25 6/7 weeks of gestation) and the treatment options for the newborn infant. Upon review of the available literature, the workshop panel noted that the rates of neonatal survival and neurodevelopmental disabilities among the survivors vary greatly across the periviable gestations and are significantly influenced by the obstetric and neonatal management practices (eg, antenatal steroid, tocolytic agents, and antibiotic administration; cesarean birth; and local protocols for perinatal care, neonatal resuscitation, and intensive care support). These are, in turn, influenced by the variations in local and regional definitions of limits of viability. Because of the complexities in making difficult management decisions, obstetric and neonatal teams should confer prior to meeting with the Family, when feasible. Family Counseling should be coordinated with the goal of creating mutual trust, respect, and understanding and should incorporate evidence-based Counseling methods. Since clinical circumstances can change rapidly with increasing gestational age, Counseling should include discussion of the benefits and risks of various maternal and neonatal interventions at the time of Counseling. There should be a plan for follow-up Counseling as clinical circumstances evolve. The panel proposed a research agenda and recommended developing educational curricula on the care and Counseling of families facing the birth of a periviable infant.
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Periviable birth: executive summary of a Joint Workshop by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Society for Maternal-Fetal Medicine, American Academy of Pediatrics, and American College of Obstetricians
Journal of Perinatology, 2014Co-Authors: Tonse N.k. Raju, David J. Burchfield, Brian M Mercer, Gerald F JosephAbstract:This is an executive summary of a workshop on the management and Counseling issues of women anticipated to deliver at a periviable gestation (broadly defined as 20 0/7 through 25 6/7 weeks of gestation), and the treatment options for the newborn. Upon review of the available literature, the workshop panel noted that the rates of neonatal survival and neurodevelopmental disabilities among the survivors vary greatly across the periviable gestations and are significantly influenced by the obstetric and neonatal management practices (for example, antenatal steroid, tocolytic agents and antibiotic administration; cesarean birth; and local protocols for perinatal care, neonatal resuscitation and intensive care support). These are, in turn, influenced by the variations in local and regional definitions of limits of viability. Because of the complexities in making difficult management decisions, obstetric and neonatal teams should confer prior to meeting with the Family, when feasible. Family Counseling should be coordinated with the goal of creating mutual trust, respect and understanding, and should incorporate evidence-based Counseling methods. Since clinical circumstances can change rapidly with increasing gestational age, Counseling should include discussion of the benefits and risks of various maternal and neonatal interventions at the time of Counseling. There should be a plan for follow-up Counseling as clinical circumstances evolve. The panel proposed a research agenda and recommended developing educational curricula on the care and Counseling of families facing the birth of a periviable infant.
Brian M Mercer - One of the best experts on this subject based on the ideXlab platform.
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periviable birth executive summary of a joint workshop by the eunice kennedy shriver national institute of child health and human development society for maternal fetal medicine american academy of pediatrics and american college of obstetricians and
American Journal of Obstetrics and Gynecology, 2014Co-Authors: Tonse N.k. Raju, David J. Burchfield, Brian M Mercer, Gerald F JosephAbstract:This is an executive summary of a workshop on the management and Counseling issues of women anticipated to deliver at a periviable gestation (broadly defined as 20 0/7 through 25 6/7 weeks of gestation) and the treatment options for the newborn infant. Upon review of the available literature, the workshop panel noted that the rates of neonatal survival and neurodevelopmental disabilities among the survivors vary greatly across the periviable gestations and are significantly influenced by the obstetric and neonatal management practices (eg, antenatal steroid, tocolytic agents, and antibiotic administration; cesarean birth; and local protocols for perinatal care, neonatal resuscitation, and intensive care support). These are, in turn, influenced by the variations in local and regional definitions of limits of viability. Because of the complexities in making difficult management decisions, obstetric and neonatal teams should confer prior to meeting with the Family, when feasible. Family Counseling should be coordinated with the goal of creating mutual trust, respect, and understanding and should incorporate evidence-based Counseling methods. Since clinical circumstances can change rapidly with increasing gestational age, Counseling should include discussion of the benefits and risks of various maternal and neonatal interventions at the time of Counseling. There should be a plan for follow-up Counseling as clinical circumstances evolve. The panel proposed a research agenda and recommended developing educational curricula on the care and Counseling of families facing the birth of a periviable infant.
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Periviable birth: executive summary of a Joint Workshop by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Society for Maternal-Fetal Medicine, American Academy of Pediatrics, and American College of Obstetricians
Journal of Perinatology, 2014Co-Authors: Tonse N.k. Raju, David J. Burchfield, Brian M Mercer, Gerald F JosephAbstract:This is an executive summary of a workshop on the management and Counseling issues of women anticipated to deliver at a periviable gestation (broadly defined as 20 0/7 through 25 6/7 weeks of gestation), and the treatment options for the newborn. Upon review of the available literature, the workshop panel noted that the rates of neonatal survival and neurodevelopmental disabilities among the survivors vary greatly across the periviable gestations and are significantly influenced by the obstetric and neonatal management practices (for example, antenatal steroid, tocolytic agents and antibiotic administration; cesarean birth; and local protocols for perinatal care, neonatal resuscitation and intensive care support). These are, in turn, influenced by the variations in local and regional definitions of limits of viability. Because of the complexities in making difficult management decisions, obstetric and neonatal teams should confer prior to meeting with the Family, when feasible. Family Counseling should be coordinated with the goal of creating mutual trust, respect and understanding, and should incorporate evidence-based Counseling methods. Since clinical circumstances can change rapidly with increasing gestational age, Counseling should include discussion of the benefits and risks of various maternal and neonatal interventions at the time of Counseling. There should be a plan for follow-up Counseling as clinical circumstances evolve. The panel proposed a research agenda and recommended developing educational curricula on the care and Counseling of families facing the birth of a periviable infant.
