We conducted a systematic review to develop an international clinical practice guideline in accord with the World Health Organization’s Handbook for Guideline Development15 and the Institute of Medicine’s standards.16 We followed the Equator Network reporting recommendations outlined in the Appraisal of Guidelines, Research and Evaluation (AGREE) II instrument17 (link) and the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement.18 We systematically searched MEDLINE (1956–2016), EMBASE (1980–2016), CINAHL (1983–2016), and the Cochrane Library (1988–2016) and hand searched using the following terms: cerebral palsy, diagnosis, detection, prediction, identification, predictive validity, accuracy, sensitivity, and specificity. We included systematic reviews with or without meta-analyses, criteria of diagnostic accuracy, and evidence-based clinical guidelines. Quality was appraised using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) methodological rating checklist for systematic reviews of diagnostic accuracy.19 (link)The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework was used to assess quality and formulate recommendations along a 4-part continuum, including strong for, conditional for, conditional against, and strong against.20 (link) As per the GRADE method, we weighed (1) the balance between desirable and undesirable consequences of different management strategies or not acting; (2) family preferences, including benefits vs risks and inconvenience; and (3) cost. Recommendations were discussed face-to-face among all authors, and the manuscript was reviewed, edited, and agreed on by all coauthors. Authors were clinicians involved in the diagnosis of cerebral palsy, including neurologists, pediatricians, neonatologists, rehabilitation specialists, general practitioners, neuroradiologists, psychiatrists, physical therapists, psychologists, occupational therapists, speech pathologists, nurses, and early educators. Individuals with cerebral palsy and parents also contributed as equal authors, ensuring that recommendations addressed their views and preferences.
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Neonatologists
Neonatologists
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Most cited protocols related to «Neonatologists»
cDNA Library
Cerebral Palsy
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Neonatologists
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Parent
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Neonatologists
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Parent
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The manual segmentation of the NeoBrainS12 images was carried out using T2-weighted images and in-house software, “either by MDs who were working toward a PhD in neonatology, or by trained medical students. The segmentations were verified independently by three neonatologists with each at least seven years of experience in reading neonatal MRI scans” (Isgum et al., 2015 (link)). Details of the manual segmentation protocol are available at http://neobrains12.isi.uu.nl/reference.php and in the NeoBrainS12 publication (Isgum et al., 2015 (link)). Eight tissue classes were manually delineated; the cortical gray matter (including hippocampus and amygdala), myelinated white matter, unmyelinated white matter, deep nuclear gray matter (i.e., basal ganglia and thalami), brainstem, cerebellum, CSF in the ventricles and CSF in the extracerebral space. For the purpose of comparison with the MANTiS segmentation, myelinated and unmyelinated white matter classes were combined, and the two CSF classes were combined.
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Amygdaloid Body
Basal Ganglia
Brain Stem
Cerebellum
Cortex, Cerebral
Gray Matter
Heart Ventricle
Infant, Newborn
MRI Scans
Neonatologists
Seahorses
Students, Medical
Thalamus
Tissues
White Matter
Autopsy
Birth
Childbirth
Ethics Committees, Research
Generic Drugs
Gestational Age
Infant
Infant, Newborn
Infection
Legal Guardians
Menstruation
Neonatologists
Parent
Patient Discharge
Physical Examination
Trauma, Nervous System
Ultrasonography, Prenatal
Three lead authors, one neonatologist (YS), one paediatric intensivist (DDL) and one paediatric cardiologist (CT), identified expert colleagues who significantly contributed with publications in the POCUS field and/or have developed POCUS training courses in the last 10 years, similarly to what had been done with previous ESPNIC guidelines [12 (link)]. Panellists selection was performed prior to the literature search and for logistic reasons, the number of participants was limited to a maximum of 20. These colleagues should have been fairly representative of all POCUS fields and both Europe and North America and include also non-ESPNIC members. Moreover, at least one co-author should have been an expert in guidelines development and supervised the whole methodology, while literature search was performed by each panellist for their sub-section. All invited experts agreed to participate. Details of the methods used to produce these guidelines are given in the additional file for online supplementary material (see Additional file 1 ). These guidelines followed relevant ESPNIC internal procedures for manuscript endorsement, and this included an external review by ESPNIC officers not included among the panellists. Guidelines have been prepared according to the international Appraisal of Guidelines, Research and Evaluation (AGREE) [13 (link)]. Each recommendation is intended to be applied both for paediatric and neonatal patients, unless otherwise specified.
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Cardiologists
Infant, Newborn
Neonatologists
Patients
Most recents protocols related to «Neonatologists»
Two pairs in the research team (one neonatologist and one paediatrician in the first pair, one paediatrician and one general physician in the other pair) analysed the relevance of the identified problems and actions taken based on facilitators’ diaries from the 52 facilities. The independent scoring of each analyst was discussed to reach a consensus. A maximum score of 22 points could be obtained in the knowledge assessment (1 point for each correctly answered question). Baseline and endline results were compared across levels of the health systems (commune health centres and hospitals) and categories of health workers (physician, midwife and nurse). Data from the antenatal care observations were compared before and after the 12 months of PeriKIP intervention. Data from knowledge assessment and observations were entered using EpiData (version 3.1) and analysed in SAS (version 9.4). Descriptive statistics included proportions, means with 95% confidence intervals and t-tests with p-values.
The qualitative data were transcribed verbatim, translated into English and analysed by content analysis with both inductive and deductive features [45 (link)]. First, each interview of each type (midwives, village health workers, PeriKIP groups at hospitals, facilitators) was read several times to get a naïve understanding. This step informed the decision to approach the material as one data set. After that, open coding was undertaken. Codes were written in the margin of each interview describing aspects of the content. Codes were sorted into sub-categories; thereafter, sub-categories were sorted under categories, and finally, categories were placed under four main categories, i.e. the i-PARIHS dimensions (Innovation, Recipients, Facilitation and Context). One relevant category, Gaining knowledge and insights, as identified in the qualitative analysis, could not be sorted under the i-PARIHS dimensions. This category is presented together with the study outcomes.
The qualitative data were transcribed verbatim, translated into English and analysed by content analysis with both inductive and deductive features [45 (link)]. First, each interview of each type (midwives, village health workers, PeriKIP groups at hospitals, facilitators) was read several times to get a naïve understanding. This step informed the decision to approach the material as one data set. After that, open coding was undertaken. Codes were written in the margin of each interview describing aspects of the content. Codes were sorted into sub-categories; thereafter, sub-categories were sorted under categories, and finally, categories were placed under four main categories, i.e. the i-PARIHS dimensions (Innovation, Recipients, Facilitation and Context). One relevant category, Gaining knowledge and insights, as identified in the qualitative analysis, could not be sorted under the i-PARIHS dimensions. This category is presented together with the study outcomes.
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Care, Prenatal
General Practitioners
Health Personnel
Midwife
Neonatologists
Nurses
Pediatricians
Physicians
Village Health Workers
The control group parents received the standard perinatal care offered by the hospitals they were recruited from, which consisted of antenatal checkups, optional antenatal classes, care during their stay in the ward, and a postnatal review scheduled 6 weeks post partum. Perinatal care was provided to the parents by obstetricians, nurses, neonatologists, and lactation consultants. The intervention group parents received the standard perinatal care as well, but they were also granted access to the mHealth intervention SPA upon recruitment into the study. In addition, they were matched with trained peer volunteers, who were experienced mothers trained by the research team to provide peer support for the parents in the RCT.
SPA included a variety of pregnancy-, childbirth-, postpartum-, and infant care–related information. This included articles, audio files, and videos about birth preparation, bonding and attachment across the perinatal period, breastfeeding, baby care–related tasks (from bathing to safe sleep habits), and involvement of both fathers and mothers in baby care tasks. The information was curated by the health care professionals involved in the study so that parents could conveniently access reliable and accurate information. Expert advice, discussion forums, and frequently asked questions were also features of the mobile app that aimed to resolve any pregnancy- or childcare-related queries that the parents might have. The parents were encouraged to interact with the peer volunteer with whom they were matched if they needed emotional or informational support from experienced mothers who had previously had and recovered from postnatal depression. Detailed features of the SPA mobile app and peer volunteer intervention can be found in the published development study [26 (link)]. The SPA intervention was made available to the intervention group parents from the point of recruitment until 6 months post partum.
SPA included a variety of pregnancy-, childbirth-, postpartum-, and infant care–related information. This included articles, audio files, and videos about birth preparation, bonding and attachment across the perinatal period, breastfeeding, baby care–related tasks (from bathing to safe sleep habits), and involvement of both fathers and mothers in baby care tasks. The information was curated by the health care professionals involved in the study so that parents could conveniently access reliable and accurate information. Expert advice, discussion forums, and frequently asked questions were also features of the mobile app that aimed to resolve any pregnancy- or childcare-related queries that the parents might have. The parents were encouraged to interact with the peer volunteer with whom they were matched if they needed emotional or informational support from experienced mothers who had previously had and recovered from postnatal depression. Detailed features of the SPA mobile app and peer volunteer intervention can be found in the published development study [26 (link)]. The SPA intervention was made available to the intervention group parents from the point of recruitment until 6 months post partum.
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Childbirth
Depression, Postpartum
Emotions
Fathers
Health Care Professionals
Mobile Health
Mothers
Neonatologists
Nurses
Obstetric Delivery
Obstetrician
Parent
Perinatal Care
Pregnancy
Voluntary Workers
The inclusion criteria for participation in the study were (1) being a neonatologist currently working in a Greek NICU and (2) having worked in a Greek NICU for at least one year prior to the interview. The exclusion criterion for participation in the study was the inability to communicate effectively in the Greek language.
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Neonatologists
The present work was a prospective qualitative research study based on in-depth interviews conducted with neonatologists who had worked in Greek neonatal intensive care units (NICUs) for at least one year prior to the interview. This qualitative descriptive study was conducted from March 2022 to August 2022. Thematic analysis was selected as the methodological orientation of the study.
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Neonatologists
An interview guide was developed based on a review of the relevant literature [1 –3 (link), 6 (link)–10 (link), 13 (link), 15 (link)–18 (link)]. To obtain a deep and comprehensive understanding of the concepts under investigation (neonatologists’ moral distress), the interviews covered a number of topics intended to capture a wide range of the participants’ lived experiences. Below, we specify a few questions that were included in the interview guide:
1) If you have ever face the question of whether the treatment you provided or recommended was the right one, how did you respond to these situations? Why did you respond as you did?
2) Please describe to me in detail any significant difficulties you encountered in making a clear judgement regarding what course of action should be taken.
a) Please describe to me in detail real past case(s) (if any) in which you felt constrained from acting on what you knew to be right. Please describe to me in detail your related experiences.
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Face
Feelings
Neonatologists
Top products related to «Neonatologists»
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More about "Neonatologists"
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This cutting-edge tool empowers you to easily locate protocols from literature, pre-prints, and patents, and leverage AI-powered comparisons to identify the best protocols and products for your neonatal research.
Streamline your research process with PubCompare.ai's intuitive interface, which integrates seamlessly with tools like MiniMuffs, Paper pH strip, Prosoundα7 Premier, and Ingenia.
Leverage the power of SPSS Statistics, MATLAB 7.0, and 1.5-Tesla GE scanners to analyze your data and uncover insights, all while staying up-to-date with the latest research using SPSS version 21 and GESigna HDxt 1.5 tesla magnetic resonance imaging.
Discover how PubCompare.ai can transform your neonatal research by providing a one-stop-shop for protocol discovery, comparison, and optimization.
Unlock new possibilities and drive breakthroughs in neonatal care with this innovative AI-powered platform.