Neonatal hypoxic-ischemic encephalopathy (HIE) is a devastating condition that may result in death or severe neurologic deficits in children. Neuroimaging with cranial ultrasound (US), computed tomography and magnetic resonance imaging are valuable tools in the workup of patients with HIE. The pattern of brain injury depends on the severity and duration of hypoxia and degree of brain maturation...

Hypoxic ischemic encephalopathy (HIE), also known as neonatal encephalopathy (NE), is one systemic manifestation of a broader syndrome of perinatal asphyxia syndrome (PAS). Management of foals presenting with signs consistent with a diagnosis of HIE requires the clinician to fully examine other body systems and provide therapy directed at treating other involved systems [1]. While PAS primarily...

OBJECTIVE To provide a case report of barriers and promoters to implementing a health information exchange (HIE) tool that supports patient transfers between hospitals and skilled nursing facilities. METHODS A multi-disciplinary team conducted semi-structured telephone and in-person interviews in a purposive sample of HIE organizational informants and providers in New York City who implemente...

Recent federal policies and actions support the adoption of health information exchange (HIE) in order to improve healthcare by addressing fragmented personal health information. However, concerted efforts at facilitating HIE have existed for over two decades in this country. The lessons of these experiences include a recurrence of barriers and challenges beyond those associated with technology...

1. List the signs related to problems in labor and immediately following birth used to diagnose hypoxic-ischemic encephalopathy (HIE). 2. Compare and contrast the grade of HIE and Apgar score for predicting outcome. 3. Describe the role of likelihood ratios in altering diagnostic and prognostic probabilities. 4. Compare and contrast the electroencephalogram and newer technologies in assessing o...

BACKGROUND The implementation of a technology such as health information exchange (HIE) through a Regional Health Information System (RHIS) may improve the mobilization of health care information electronically across organizations. There is a need to coordinate care and bring together regional and local stakeholders. OBJECTIVES To describe how HIE had influenced health care delivery in one h...

Hypoxic-ischemic encephalopathy (HIE) remains to be a major cause of morbidity, mortality and severe neurodevelopmental disability in term neonates. Moderate whole body hypothermia is an established, effective neuroprotective therapy reduce long-term associated with HIE, however, research for adjunct therapies still warranted complement the effect hypothermia. In last decade, molecular hydrogen...

The emergence of technology which allows for electronic Healthcare Information Exchange (HIE) has created a need for change in the healthcare industry. Because sensitive health information can be shared electronically between many entities, it is important to re-examine how information should be shared. Recent initiatives have examined HIE technology, with the intention to involve the consumer/...

OBJECTIVE To identify avoidable factors contributing to neonatal morbidity and mortality due to "birth asphyxia" and to ascertain if hypoxic ischemic encephalopathy (HIE) alone could act as a good marker for avoidable factors associated with "birth asphyxia". SETTING Kalafong Hospital, South Africa, a regional hospital unit that caters for mainly indigent urban population but also receives re...

Liljeström, L. 2018. Birth asphyxia. Fetal scalp blood sampling and risk factors for hypoxic ischemic encephalopathy. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1435. 81 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-513-0250-8. Preventing birth asphyxia is a major challenge in delivery care. The aims of this thesis were to evaluate fetal sca...