A5068094615- Neonatal Respiratory Health Research
- Global Maternal and Child Health
- Infant Development and Preterm Care
- Cardiac Arrest and Resuscitation
- Congenital Diaphragmatic Hernia Studies
- Maternal and Neonatal Healthcare
- Emergency and Acute Care Studies
- Child Nutrition and Water Access
- Child and Adolescent Health
- Family and Patient Care in Intensive Care Units
- Neuroscience of respiration and sleep
- Pregnancy and preeclampsia studies
- Preterm Birth and Chorioamnionitis
- Maternal and Perinatal Health Interventions
- Birth, Development, and Health
- Simulation-Based Education in Healthcare
- Global Health and Epidemiology
- Neonatal and fetal brain pathology
- Infant Nutrition and Health
- Mechanical Circulatory Support Devices
- Healthcare Systems and Reforms
- Trauma and Emergency Care Studies
- Maternal and fetal healthcare
- Disaster Response and Management
- Neonatal Health and Biochemistry
American Academy of Pediatrics
2018-2025
Cincinnati Children's Hospital Medical Center
2013-2022
University of Cincinnati Medical Center
2017-2022
University of Cincinnati
2012-2022
University of California, San Francisco
2022
University Research Co (United States)
2022
St. John's School
2022
University of Michigan–Ann Arbor
2021
Resuscitation Council
2021
Perinatal Institute
2018-2019
xisting American Heart Association cardiopulmonary resuscitation (CPR) guidelines do not address the challenges of providing in setting coronavirus disease 2019 (COVID-19) global pandemic, wherein rescuers must continuously balance immediate needs patients with their own safety.To this gap, Association, collaboration Academy Pediatrics, for Respiratory Care, College Emergency Physicians, The Society Critical Care Anesthesiologists, and support Nurses National EMS has compiled interim...
Respiratory distress syndrome (RDS) is a major contributor to neonatal mortality worldwide. However, little information available regarding rates of RDS-specific in low-income countries, and technologies for RDS treatment are used inconsistently different health care settings. Our objective was better understand the interventions that have decreased high-income countries over past 60 years. We then estimated effects on low-resource Of sequential introduction therapies RDS, widespread use...
The first minutes after birth are critical to reducing neonatal mortality. Helping Babies Breathe (HBB) is a simulation-based resuscitation program for low resource settings. We studied the impact of initial HBB training followed by refresher on knowledge and skills attendants in facilities. conducted trainings 71 facilities NICHD Global Network research sites (Nagpur Belgaum, India Eldoret, Kenya), with 6:1 ratio facility trainees Master Trainers (MT). Because staff turnover, some (BA) were...
In Brief OBJECTIVE: To examine the outcomes of neonates born by elective repeat cesarean delivery compared with vaginal birth after (VBAC) in women one prior and to evaluate cost differences between VBAC. METHODS: We conducted a retrospective cohort study 672 singleton pregnancy at or 37 weeks gestation. Women were grouped according their intention have an VBAC (successful failed). The primary outcome was neonatal intensive care unit (NICU) admission measures respiratory morbidity. RESULTS:...
Although a number of randomized controlled trials erythropoietin administration to preterm infants have been performed, few studies reported 2-year or longer neurodevelopmental outcomes, and no evaluated outcomes receive Darbepoetin.WHAT THIS STUDY ADDS: This is the first prospectively designed study evaluate neurocognitive Darbepoetin compared with placebo.Infants in ESA groups had significantly higher cognitive scores placebo group.abstract BACKGROUND: We previously decreased transfusions...
BACKGROUND: A novel erythropoiesis stimulating agent (ESA), darbepoetin alfa (Darbe), increases hematocrit in anemic adults when administered every 1 to 3 weeks. Weekly Darbe dosing has not been evaluated preterm infants. We hypothesized that infants would respond by decreasing transfusion needs compared with placebo, less-frequent than erythropoietin (Epo). METHODS: Preterm 500 1250 g birth weight and ≤48 hours of age were randomized (10 μg/kg, time per week subcutaneously), Epo (400 U/kg,...
<h3>Background:</h3> Helping Babies Breathe (HBB), a skills-based program in neonatal resuscitation for birth attendants resource-limited settings, has been implemented over 80 countries since 2010. Implementation studies of HBB incorporating low-dose high-frequency practice and quality improvement show substantial reductions fresh stillbirth first-day mortality. Revision the aimed to further augment provider facilitator skills address gaps implementation with goal improving survival....
Helping Babies Breathe (HBB), a basic neonatal resuscitation curriculum, improves early mortality in low-resource settings. Our goal was to determine retention of skills by different cadres providers using the approved HBB Spanish translation rural clinic and community hospital Honduras.Twelve 37 were trained 1 d workshops followed from July 2012 February 2014. Resuscitation evaluated objective structured clinical evaluations (OSCEs) at regular intervals. Clinic practiced monthly, whereas...
To evaluate the impact of heart rate-guided basic resuscitation compared to Helping Babies Breathe on neonatal outcomes and practices in Democratic Republic Congo. We conducted a pre-post clinical trial comparing three facilities, enrolling in-born neonates ≥28 weeks gestation. collected observational data during convenience sample resuscitations extracted from medical record for all participants. evaluated our primary outcome effective breathing at minutes after birth among newborns not...
Background Global health (GH) interest is rising among graduate medical education (GME) trainees, yet GH engagement marred by the impact of colonization or racism, and there remains a lack training to confront these challenges. Objective To develop modular, open-access curriculum that provides in decolonization for GME evaluate its feasibility on learners' critical reflection decolonization. Methods From 2019 2022, 40 educators, including international indigenous scholars from diverse...
In Brief OBJECTIVE: To estimate whether antenatal corticosteroids given after fetal lung immaturity in pregnancies at 34 weeks of gestation or more would improve neonatal outcomes and, particular, respiratory outcomes. METHODS: We compared 362 neonates born maturity testing: 102 with immature indices were treated followed by planned delivery within 1 week; 76 managed expectantly; and 184 delivered mature amniocentesis. Primary composites morbidity. RESULTS: Compared corticosteroid-exposed...
Objectives Helping Babies Breathe is an evidence-based curriculum designed to teach basic neonatal resuscitation in low-resource countries. The purpose of this study was evaluate the acquisition knowledge and skills following training correlation learner characteristics performance a Spanish-speaking setting.
 Methods Thirty-one physicians 39 nurses completed at Honduran community hospital. Trainee were evaluated before after using multiple-choice questionnaire, bag-mask ventilation...
Abstract Objective Preeclampsia/eclampsia ( PE /E) remains a major cause of maternal death in low‐income countries. We evaluated interventions to reduce /E‐related mortality sub‐Saharan Africa. Design Mathematical model assess impact on morbidity and mortality. Setting Sub‐Saharan Africa Population Pregnant women 2012. Methods A systematic literature review populated decision‐tree mathematical with diagnose, prevent, treat /E. The increased use [diagnostics, transfer hospital, magnesium...
The Helping Babies Breathe (HBB) programme is known to decrease neonatal mortality in low-resource settings but gaps care still exist. This study describes the use of quality improvement sustain gains birth asphyxia-related after HBB.Tenwek Hospital, a rural referral hospital Kenya, identified high rates asphyxia (BA). They developed goal suspected hypoxic-ischaemic encephalopathy (SHIE) rate by 50% within six months HBB. Rapid cycles change were used test interventions including training,...