- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- Anesthesia and Pain Management
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiovascular Issues in Pregnancy
- Pregnancy and preeclampsia studies
- Ecology and Vegetation Dynamics Studies
- Plant and animal studies
- Reproductive Health and Contraception
- Grief, Bereavement, and Mental Health
- Parasitic Infections and Diagnostics
- Spinal Dysraphism and Malformations
- Pregnancy-related medical research
- Sarcoma Diagnosis and Treatment
- Assisted Reproductive Technology and Twin Pregnancy
- Medical History and Innovations
- Enhanced Recovery After Surgery
- Congenital Heart Disease Studies
- Vascular Anomalies and Treatments
- Hormonal and reproductive studies
- Prenatal Screening and Diagnostics
- Coccidia and coccidiosis research
- Corneal Surgery and Treatments
- Nausea and vomiting management
- Congenital heart defects research
Boston Children's Hospital
1994-2024
Boston Children's Museum
2024
University of Tennessee at Knoxville
2016-2021
South Tyneside and Sunderland NHS Foundation Trust
2019
University of Sunderland
2019
University of Oxford
2019
Bradford Teaching Hospitals NHS Foundation Trust
2019
Birmingham Women’s and Children’s NHS Foundation Trust
2013-2019
Birmingham Women's Hospital
2009-2019
Auburn University
2014
BackgroundRisk factors for maternal infection are clearly recognised, including caesarean section and operative vaginal birth. Antibiotic prophylaxis at is widely recommended because there clear systematic review evidence that it reduces incidence of infection. Current WHO guidelines do not recommend routine antibiotic women undergoing birth insufficient effectiveness. We aimed to investigate whether prevented after birth.MethodsIn a blinded, randomised controlled trial done 27 UK obstetric...
Despite current medical and surgical therapy, infants with symptomatic congenital mitral stenosis (CMS) continue to have high rates of morbidity mortality. Catheter balloon dilation has been successful in relieving symptoms a few older children CMS but not evaluated infants.We reviewed the records 85 assess severity CMS, associated cardiac lesions, echocardiographic morphological appearance valve, treatment, outcome. There were five valve morphologies identified: "typical" hypoplastic...
Excessive haemorrhage at cesarean section requires donor (allogeneic) blood transfusion. Cell salvage may reduce this requirement.We conducted a pragmatic randomised controlled trial (at 26 obstetric units; participants recruited from 4 June 2013 to 17 April 2016) of routine cell use (intervention) versus current standard care without (control) in among women risk haemorrhage. Randomisation was stratified, using random permuted blocks variable sizes. In an intention-to-treat analysis, we...
Background Caesarean section is associated with blood loss and maternal morbidity. Excessive requires transfusion of donor (allogeneic) blood, which a finite resource. Cell salvage returns lost during surgery to the mother. It may avoid need for transfusion, but reliable evidence its effects lacking. Objectives To determine if routine use cell caesarean in mothers at risk haemorrhage reduces rates postpartum morbidity, cost-effective, comparison standard practice without use. Design...
Epistaxis is very common in children but its cause remains unknown. We postulate that nasal colonization with Staphylococcus aureus leads to inflammation, crusting, and ultimately new vessel formation.A prospective case-control study.Sixty-seven were recruited, 42 epistaxis (22 had crusting the vestibule; 20 did not) 25 control subjects. A microbiology swab was taken from anterior cavity of each child.All groups equally likely have a positive culture. S more group (P = 0.008) compared group....
Objectives To evaluate the cost-effectiveness of routine use cell salvage during caesarean section in mothers at risk haemorrhage compared with current standard care. Design Model-based evaluation alongside a multicentre randomised controlled trial. Three main analyses were carried out on trial data: (1) based intention-to-treat principle; (2) per-protocol (3) only participants who underwent an emergency section. Setting 26 obstetric units UK. Participants 3028 women recruited between June...
Background Sepsis is a leading cause of direct and indirect maternal death in both the UK globally. All forms operative delivery are associated with an increased risk sepsis, National Institute for Health Care Excellence’s guidance recommends use prophylactic antibiotics at all caesarean deliveries, based on substantial randomised controlled trial evidence clinical effectiveness. A Cochrane review, updated 2017 (Liabsuetrakul T, Choobun Peeyananjarassri K, Islam QM. Antibiotic prophylaxis...
Pityopsis ruthii is a federally endangered plant, endemic to riparian areas of the Hiwassee and Ocoee rivers in southeastern Tennessee. The population size spatial distribution this species along River has been documented since 1985, yet about 90% P. plants are recorded within portion River. Our ongoing census these localities delineates 57 discrete site occurrences constitutes first baseline for Evidence indicates that populations either stable or increasing Augmentation natural flow...
Abstract A four‐year‐old neutered male Labrador retriever presented to Portland Veterinary Specialists Ophthalmology Service for evaluation of a pigmented mass oculus sinister ( OS ) approximately 4‐month duration. Complete ophthalmic examination revealed large, pigmented, raised, well‐demarcated, epibulbar appearing originate from the nasodorsal limbal region. The was smooth and roughly circular, extending 4 mm into sclera 14 cornea. Gonioscopy directly under not possible due size. visible...
Besnoitia spp. are coccidian parasites that infect a variety of wild and domestic mammals as well some reptiles. Although infection with is common in Virginia opossums (Didelphis virginiana), clinical signs or death due to rare. This manuscript describes four had severe disease inflammation associated besnoitiosis. Clinical included trembling, incoordination, circling, blindness, poor body condition, sudden death. Gross lesions parasitic cysts eyes, skin, visceral organs. Histologically,...
This case report describes a diagnosis of iatrogenic fluorescein dosing error in girl aged 10 months who presented for routine angiography examination the setting incontinentia pigmenti.
Summary We investigated whether the increase in epidural pressure produced by jugular compression could be used as a test for correct placement of catheters 20 postpartum women who had good analgesia during labour. measured using catheter manometer, and rise meniscus response to vein whilst was still space. The then withdrawn until tip lay just outside space reassessed. In all subjects, only Jugular is useful confirming catheter.
Pityopsis ruthii (Small) Small (Asteraceae: Asterales) is a federally endangered aster that only grows along short stretches of the Hiwassee and Ocoee Rivers in southeastern Tennessee, U.S.A. The species self-incompatible genetic drift inbreeding depression have been reported. Multiple investigators observed highly variable sexual reproductive capacity P. ruthii. To better understand which insect may be contributing roles as potential pollinators, floral visitation to was assessed at situ ex...