- Neonatal Respiratory Health Research
- Infant Development and Preterm Care
- Congenital Heart Disease Studies
- Telemedicine and Telehealth Implementation
- Retinopathy of Prematurity Studies
- Mobile Health and mHealth Applications
- Ultrasound in Clinical Applications
- Congenital Diaphragmatic Hernia Studies
- Gastrointestinal disorders and treatments
- Cardiac Arrest and Resuscitation
- Phonocardiography and Auscultation Techniques
- Mechanical Circulatory Support Devices
- Neuroscience of respiration and sleep
- Prenatal Substance Exposure Effects
- Healthcare Systems and Technology
- Neonatal Health and Biochemistry
- Ethics in Clinical Research
- Child and Adolescent Health
- Non-Invasive Vital Sign Monitoring
- Cannabis and Cannabinoid Research
- Gestational Diabetes Research and Management
- Transplantation: Methods and Outcomes
- Opioid Use Disorder Treatment
- Intestinal Malrotation and Obstruction Disorders
- Forensic Entomology and Diptera Studies
The University of Texas Southwestern Medical Center
2024-2025
University of Oklahoma Health Sciences Center
2018-2023
University of Oklahoma Medical Center
2018
Magee-Womens Research Institute
2014
University of Pittsburgh
2014
Penn State Milton S. Hershey Medical Center
2012
More than 90% of neonatal intensive care units (NICUs) in the United States are urban areas, denying rural residents' easy NICU access. Telemedicine use for patient contact and management, although studied adults children, is understudied neonates. A hybrid telemedicine system, with 24/7 nurse practitioner coverage a neonatologist physically present 3 days per week remaining days, was recently implemented at Comanche County Memorial Hospital's (CCMH) Level II NICU.To compare outcomes...
Objective: To evaluate the safety and efficacy of premature infant treatment managed by hybrid telemedicine versus conventional care.Methods: Prospective, noninferiority study comparing outcomes infants at Comanche County Memorial Hospital's (CCMH) Level II neonatal intensive care unit (NICU) with OU Medical Center's (OUMC) IV NICU.All 32-35 weeks gestational age (GA) admitted between May 2015 October 2017 were included.Infants requiring mechanical ventilation >24 h or advanced subspecialty...
Veno-venous (VV) extracorporeal membrane oxygenation (ECMO) is associated with fewer neurological complications and decreased mortality compared to veno-arterial (VA) ECMO in neonatal respiratory failure. The Crescent right atrial (RA) cannula the only dual-lumen for VV designed have tip atrium. purpose of this study describe experience early use RA cannula. We performed a retrospective cohort 58 neonates infants cannulated from September 2021 through August 2023 at 15 institutions...
Background: During the COVID-19 pandemic, telemedicine plays a critical role in providing safe, effective healthcare services, while reinforcing social distancing and optimizing use of personal protective equipment. In this context, Oklahoma Children's Hospital implemented virtual neonatology prenatal visits for pregnant women with diagnosis fetal anomalies. While tele-consultations have been broadly used high degree acceptance rural remote areas, satisfaction has not assessed particular...
Introduction:The nationwide shortage of pediatric cardiologists in medically underserved areas poses a challenge to congenital heart disease (CHD) screening requiring echocardiography, resulting transfer neonates regional Level III/IV Neonatal Intensive Care Units (NICUs). This study aimed evaluate the accuracy, safety, and cost-effectiveness tele-echocardiography for advanced CHD at II NICU managed by hybrid telemedicine system.Methods:Retrospective chart review infants NICU. Patient...
Glycogen storage disease type IV (GSD-IV), or Andersen disease, is a rare autosomal recessive disorder that results from the deficiency of glycogen branching enzyme (GBE). This in turn accumulation abnormal molecules have longer outer chains and fewer branch points. GSD-IV manifests wide spectrum, with variable phenotypes depending on degree tissues which this accumulates. Typically, presents rapidly progressive liver cirrhosis death early childhood. However, there severe congenital...
We aimed to measure provider perspectives on the acceptability, appropriateness, and feasibility of teleneonatology in neonatal intensive care units (NICUs) community hospitals.Providers from five academic tertiary NICUs 27 hospitals were surveyed using validated implementation measures assess teleneonatology. For each 12 statements, scale values ranged 1 5 (1 = strongly disagree; agree), with higher scores indicating greater positive perceptions. Survey results summarized, differences...
Genome sequencing (GS) has been increasingly utilized as a first-tier test for acutely ill infants in intensive care units (ICUs) to improve clinical outcomes. Yet, there remains significant uncertainty about the timing and selection of test. Therefore, it difficult optimize implementation GS some payers remain reluctant cover costs. To overcome these challenges, we postulated that infants' illness severity may serve primary criterion regardless suspicion genetic disease.
Objective Retinopathy of prematurity (ROP) is detected in preterm infants by standardized screening programs, but general, they have poor sensitivity. The Postnatal Growth and Prematurity (G-ROP) algorithm uses weight gain to predict ROP superior reported Our objectives are (1) independently validate the sensitivity G-ROP criteria for detection born at >28 weeks' gestation a tertiary care unit United States (2) calculate cost savings associated with potential reduction examinations. Study...
Background Managing critically ill neonates has unique challenges, and the transport team plays an important role in stabilizing facilitating transfer of these from lower-level nurseries to tertiary centers, use telemedicine (tele-transport) can potentially benefit patient care. We conducted a multicenter study assess readiness for utilizing as adjunct guide care among physicians members (TTMs). This is first that explored physicians’ TTMs’ perceptions usage its value neonatal transport....
In 2013, the Section of Neonatal and Perinatal Medicine at University Oklahoma's Children's Hospital began providing advanced care to a regional level II neonatal intensive unit (NICU), using hybrid telemedicine program. This project compares health providers' parents' assessments quality this
We aimed to measure provider perspectives on the acceptability, appropriateness, and feasibility of teleneonatology in neonatal intensive care units (NICUs) community hospitals. Providers from five academic tertiary NICUs 27 hospitals were surveyed using validated implementation measures assess teleneonatology. For each 12 statements, scale values ranged 1 5 (1 = strongly disagree; agree), with higher scores indicating greater positive perceptions. Survey results summarized, differences...
Background/Aims: Clinical trials evaluating facility-to-facility telemedicine may include sites that have limited research experience. For the trial to be successful, these must correctly perform research-related tasks. This study aimed determine whether health care professionals at community hospitals could accurately identify simulated eligible patients and submit data a coordinating center. Methods: Twenty-seven in United States Canada participated this study. An electronic survey was...