OBJECTIVES To determine the frequency of hypoxic-ischemic encephalopathy (HIE) in preterm infants of 33 to 35 weeks' gestational age on the basis of physiological screening for perinatal acidosis and neurological assessment of encephalopathy and to correlate neurodevelopmental outcomes with brain magnetic resonance imaging findings. STUDY DESIGN This retrospective cohort study included all in...

OBJECTIVE To examine the impact of health information exchange (HIE) on reducing laboratory tests and radiology examinations performed in an emergency department (ED). MATERIALS AND METHODS The study was conducted in an ED setting in Western New York over a period of 2 months. The care of the patients in the treatment group included an HIE query for every encounter, while the care of other pa...

BACKGROUND Hospital readmissions are common, costly, and offer opportunities for utilization reduction. Electronic health information exchange (HIE) systems may help prevent readmissions by improving access to clinical data by ambulatory providers after discharge from the hospital. OBJECTIVE We sought to determine the association between HIE system usage and 30-day same-cause hospital readmis...

OBJECTIVES The ability to support healthcare document sharing is imperative in a health information exchange (HIE). Sharing imaging documents or images, however, can be challenging, especially when they are stored in a picture archiving and communication system (PACS) archive that does not support document sharing via standard HIE protocols. This research proposes a standard-compliant imaging g...

Neonatal hypoxic-ischemic encephalopathy (HIE) is an injury that often leads to detrimental neurological deficits. Currently, there are no established therapies for HIE and it is critical to develop treatments that provide protection after HIE. The objective of this study was to investigate the ability of interferon beta (IFNβ) to provide neuroprotection and reduce apoptosis after HIE. Postnata...

OBJECTIVE Our purpose was to describe how we prepared 16 nursing homes (NHs) for health information exchange (HIE) implementation. BACKGROUND NH HIE connecting internal and external stakeholders are in their infancy. U.S. initiatives are demonstrating HIE use to increase access and securely exchange personal health information to improve patient outcomes. METHOD To achieve our objectives we...

OBJECTIVE Health information exchange (HIE) is the interorganizational sharing of patient information and is one of many health information technology initiatives expected to transform the U.S. healthcare system. Two outcomes expected to be improved by HIE are patient-provider communication and patient satisfaction . This analysis examined the relationship between the level of HIE engagement an...

OBJECTIVE Health information exchange (HIE) is the process of electronically sharing patient-level information between providers. However, where implemented, reports indicate HIE system usage is low. The aim of this study was to determine the factors associated with different types of HIE usage. DESIGN Cross-sectional analysis of clinical data from emergency room encounters included in an ope...

Consider an infinite homogeneous tree $T_n$ of valence $n+1$, its group $Aut(T_n)$ automorphisms, and the $Hie(T_n)$ spheromorphisms (hierarchomorphisms), i.~e., homeomorphisms boundary that locally coincide with transformations defined by automorphisms. We show subgroup is spherical in $Hie(T_n)$, any irreducible unitary representation contains at most one $Aut(T_n)$-fixed vector. present a co...

BACKGROUND The corpus callosum (CC) is a cerebral structure that reflects cognitive status in several neurological pathologies. Visual inspection of MRI has shown that hypoxic-ischemic encephalopathy(HIE) causes callosal damage. PRIMARY OBJECTIVE To quantify the CC surface in a sample of patients with antecedents of HIE and a group of matched controls. RESEARCH DESIGN Comparisons of CC meas...