Monitoring abdominal near-infrared spectroscopy during feeds in neonates with CHD recovering from surgery: a feasibility study.

Objective: Monitoring cerebral and renal near-infrared spectroscopy for regional venous oxygenation is a common practice in the postoperative care of neonates recovering from surgery for CHD. In this study, we aimed to test the feasibility of using this technology for monitoring changes in splanchnic perfusion during feeds in infants recovering from cardiac surgery.

Methods: We monitored renal and splanchnic near-infrared spectroscopy in 29 neonates once recovered from the critical postoperative state and tolerating full enteral nutrition.

An aligned framework of actively collected and passively monitored clinical outcome assessments (COAs) for measure selection.

Regulators increasingly require clinical outcome assessment (COA) data for approval. COAs can be collected via questionnaires or digital health technologies (DHTs), yet no single resource provides a side-by-side comparison of tools that collect complementary or related COA measures. We propose how to align ontologies for actively collected and passively monitored COAs into a single framework to allow for rapid, evidence-based, and fit-for-purpose measure selection.

Does clinical research account for diversity in deploying digital health technologies?

Digital health technologies (DHTs) should expand access to clinical research to represent the social determinants of health (SDoH) across the population. The frequency of reporting participant SDoH data in clinical publications is low and is not known for studies that utilize DHTs. We evaluated representation of 11 SDoH domains in 126 DHT-enabled clinical research publications and proposed a framework under which these domains could be captured and subsequently reported in future studies.

Pregnancy-related outcomes among women with physical disabilities: A systematic review.

Background: Disability among women of reproductive age is common; many of these women desire children and do not have impaired fertility.

Objectives: To examine the epidemiological literature on perinatal health outcomes among women with physical disabilities.

Data Sources: We searched Medline and CINAHL for articles published January 2009-April 2020 following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

The Business Case for Evidence-Based Design in Radiology Departments.

Large sums of money are being spent on new construction and remodeling of radiology workspaces, with often disappointing results. Poorly designed radiology environments can contribute to medical error, safety risks to patients and staff, costly inefficiency, and avoidable stress to families and health care workers. Evidence-based design seeks to apply hypothesis-driven, literature-based methodology to the process of creating medical environments that make it easier, not harder, to provide safe and high-quality care to patients.