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  1. Article ; Online: Umbilical cord prolapse: rate of fetal acidosis.

    Ross, Michael G

    American journal of obstetrics and gynecology

    2021  Volume 226, Issue 5, Page(s) 747

    MeSH term(s) Acidosis ; Female ; Fetal Diseases ; Heart Rate, Fetal ; Humans ; Pregnancy ; Prolapse ; Umbilical Cord
    Language English
    Publishing date 2021-12-13
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80016-8
    ISSN 1097-6868 ; 0002-9378
    ISSN (online) 1097-6868
    ISSN 0002-9378
    DOI 10.1016/j.ajog.2021.12.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Forensic Analysis of Umbilical and Newborn Blood Gas Values for Infants at Risk of Cerebral Palsy.

    Ross, Michael G

    Journal of clinical medicine

    2021  Volume 10, Issue 8

    Abstract: Cerebral palsy litigation cases account for the highest claims involving obstetricians/gynecologists, a specialty that ranks among the highest liability medical professions. Although epidemiologic studies indicate that only a small proportion of cerebral ...

    Abstract Cerebral palsy litigation cases account for the highest claims involving obstetricians/gynecologists, a specialty that ranks among the highest liability medical professions. Although epidemiologic studies indicate that only a small proportion of cerebral palsy (10-20%) is due to birth asphyxia, negligent obstetrical care is often alleged to be the etiologic factor, resulting in contentious medical-legal conflicts. Defense and plaintiff expert opinions regarding the etiology and timing of injury are often polarized, as there is a lack of established methodology for analysis. The objective results provided by umbilical cord and newborn acid/base and blood gas values and the established association with the incidence of cerebral palsy provide a basis for the forensic assessment of both the mechanism and timing of fetal neurologic injury. Using established physiologic and biochemical principles, a series of case examples demonstrates how an unbiased expert assessment can aid in both conflict resolution and opportunities for clinical education.
    Language English
    Publishing date 2021-04-14
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm10081676
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Potential benefits of maternal supplemental oxygen.

    Ross, Michael G

    American journal of obstetrics and gynecology

    2020  Volume 224, Issue 3, Page(s) 337–338

    MeSH term(s) Blood Gas Analysis ; Female ; Humans ; Oxygen ; Parturition ; Pregnancy ; Umbilical Cord
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2020-11-02
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80016-8
    ISSN 1097-6868 ; 0002-9378
    ISSN (online) 1097-6868
    ISSN 0002-9378
    DOI 10.1016/j.ajog.2020.11.001
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  4. Article ; Online: Tenth anniversary of J DOHaD.

    Ross, Michael G

    Journal of developmental origins of health and disease

    2019  Volume 10, Issue 6, Page(s) 606–607

    MeSH term(s) Anniversaries and Special Events ; Developmental Biology/history ; History, 21st Century ; Humans ; Periodicals as Topic/history ; Publishing/history
    Language English
    Publishing date 2019-10-30
    Publishing country England
    Document type Editorial ; Historical Article
    ZDB-ID 2554780-X
    ISSN 2040-1752 ; 2040-1744
    ISSN (online) 2040-1752
    ISSN 2040-1744
    DOI 10.1017/S204017441900059X
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  5. Article ; Online: Forensic Analysis of Umbilical and Newborn Blood Gas Values for Infants at Risk of Cerebral Palsy

    Michael G. Ross

    Journal of Clinical Medicine, Vol 10, Iss 1676, p

    2021  Volume 1676

    Abstract: Cerebral palsy litigation cases account for the highest claims involving obstetricians/gynecologists, a specialty that ranks among the highest liability medical professions. Although epidemiologic studies indicate that only a small proportion of cerebral ...

    Abstract Cerebral palsy litigation cases account for the highest claims involving obstetricians/gynecologists, a specialty that ranks among the highest liability medical professions. Although epidemiologic studies indicate that only a small proportion of cerebral palsy (10–20%) is due to birth asphyxia, negligent obstetrical care is often alleged to be the etiologic factor, resulting in contentious medical-legal conflicts. Defense and plaintiff expert opinions regarding the etiology and timing of injury are often polarized, as there is a lack of established methodology for analysis. The objective results provided by umbilical cord and newborn acid/base and blood gas values and the established association with the incidence of cerebral palsy provide a basis for the forensic assessment of both the mechanism and timing of fetal neurologic injury. Using established physiologic and biochemical principles, a series of case examples demonstrates how an unbiased expert assessment can aid in both conflict resolution and opportunities for clinical education.
    Keywords acidosis ; hypoxic-ischemic encephalopathy ; cerebral palsy ; base deficit ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2021-04-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Association of Breastfeeding and Child IQ Score at Age 5 Years.

    Ross, Michael G / Desai, Mina

    Obstetrics and gynecology

    2021  Volume 138, Issue 1, Page(s) 135

    MeSH term(s) Breast Feeding ; Child ; Child Development ; Child, Preschool ; Family ; Female ; Humans
    Language English
    Publishing date 2021-09-28
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Comment
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000004459
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  7. Article ; Online: Ultrasound estimated fetal weight.

    Ross, Michael G

    American journal of obstetrics and gynecology

    2017  

    Language English
    Publishing date 2017-09-08
    Publishing country United States
    Document type Letter
    ZDB-ID 80016-8
    ISSN 1097-6868 ; 0002-9378
    ISSN (online) 1097-6868
    ISSN 0002-9378
    DOI 10.1016/j.ajog.2017.08.104
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  8. Article ; Online: Current and Emerging Techniques in Articular Cartilage Repair.

    Ross, Keir A / Ferati, Sehar Resad / Alaia, Michael J / Kennedy, John G / Strauss, Eric J

    Bulletin of the Hospital for Joint Disease (2013)

    2024  Volume 82, Issue 1, Page(s) 91–99

    Abstract: Osteochondral lesions (OCL) of the knee are a common pathology that can be challenging to address. Due to the innate characteristics of articular cartilage, OCLs generally do not heal in adults and often progress to involve the subchondral bone, ... ...

    Abstract Osteochondral lesions (OCL) of the knee are a common pathology that can be challenging to address. Due to the innate characteristics of articular cartilage, OCLs generally do not heal in adults and often progress to involve the subchondral bone, ultimately resulting in the development of osteoarthritis. The goal of articular cartilage repair is to provide a long-lasting repair that replicates the biological and mechanical properties of articular cartilage, but there is no widely adopted technique that results in true pre-injury state hyaline cartilage. Current treatment modalities have seen reasonable clinical success, but significant limitations remain. Microfracture provides short-term benefit with a fibrocartilage-based repair. While osteochondral autograft or allograft and autologous chondrocyte implantation can be effective, each have their strengths and shortcomings. Emerging concepts in cartilage repair, including scaffold engineering and one stage cell-based options, are continually advancing. These have the benefits of reduced surgical morbidity and potentially improved integration with surrounding articular cartilage but have not yet reached widespread clinical application. Tissue engineering strategies and gene therapy have the potential to advance the field, however, they remain in the early stages. The current article reviews the structure and physiology of articular cartilage, the strengths and limitations of present treatment modalities, and the newer ongoing innovations that may change the way we approach osteochondral lesions and osteoarthritis.
    MeSH term(s) Adult ; Humans ; Cartilage, Articular/surgery ; Knee Joint ; Osteoarthritis ; Orthopedic Procedures
    Language English
    Publishing date 2024-01-01
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 390411-8
    ISSN 2328-5273 ; 1936-9727 ; 1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
    ISSN (online) 2328-5273 ; 1936-9727
    ISSN 1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
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  9. Article ; Online: Perceptions of an acceptance-based weight management treatment among adults living in rural areas.

    Bauman, Viviana / Swanson, Taylor N / Eastman, Abraham J / Ross, Kathryn M / Perri, Michael G

    Clinical obesity

    2024  , Page(s) e12662

    Abstract: Obesity and obesity-related comorbidities disproportionately affect rural communities. Research has emerged in support of a novel acceptance-based behavioural weight management treatment (ABT) that integrates the principles and procedures of acceptance- ... ...

    Abstract Obesity and obesity-related comorbidities disproportionately affect rural communities. Research has emerged in support of a novel acceptance-based behavioural weight management treatment (ABT) that integrates the principles and procedures of acceptance-commitment therapy (ACT) with traditional components of standard behavioural treatment (SBT). The current study assessed the perceptions of community stakeholders in rural areas to session materials of a commercially available ABT program. Surveys and focus groups were used to solicit feedback from three former interventionists with experience delivering SBTs in rural counties and from 17 former participants in these programs. Qualitative responses encompassed four overarching themes: (1) recommendations to support participant engagement, (2) comments about preferences for specific ABT and SBT strategies, (3) concerns about specific aspects of treatment delivery, and (4) requests for aesthetic changes to session materials to enhance clarity and engagement. Overall, participants viewed ABT materials and concepts favourably but believed it would be important to begin the intervention with rapport building and training in traditional SBT strategies prior to delving into ACT strategies. Future studies should investigate the efficacy of ABT for weight loss in adults with obesity living in rural communities and continue to solicit feedback from rural community stakeholders.
    Language English
    Publishing date 2024-04-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2625816-X
    ISSN 1758-8111 ; 1758-8103
    ISSN (online) 1758-8111
    ISSN 1758-8103
    DOI 10.1111/cob.12662
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  10. Article ; Online: Threshold of metabolic acidosis associated with newborn cerebral palsy: medical legal implications.

    Ross, Michael G

    American journal of obstetrics and gynecology

    2018  Volume 220, Issue 4, Page(s) 348–353

    Abstract: Obstetricians and gynecologists belong to 1 of the medical specialties with the highest rate of litigation claims. Among birth injury cases, those cases with cerebral palsy outcomes account for litigation settlements or judgments often in the millions of ...

    Abstract Obstetricians and gynecologists belong to 1 of the medical specialties with the highest rate of litigation claims. Among birth injury cases, those cases with cerebral palsy outcomes account for litigation settlements or judgments often in the millions of dollars. In cases of potential perinatal asphyxia, a threshold level of metabolic acidosis (base deficit ≥12 mmol/L) is necessary to attribute neonatal encephalopathy to an intrapartum hypoxic event. With increasing duration or severity of a hypoxic stress resulting in metabolic acidosis, newborn infant umbilical artery base deficit increases. It may be alleged that, as base deficit levels increase beyond 12 mmol/L, there is an increased likelihood and severity of cerebral palsy. As a corollary, it may be claimed that an earlier delivery (by minutes) would reduce the base deficit and prevent or reduce the severity of cerebral palsy. This issue is of relevance to obstetricians as defendants, because retrospective "expert" analysis of cases may suggest that optimal management decisions would have resulted in an earlier delivery. In addressing the association of metabolic acidosis and cerebral palsy, base deficit should be measured as the extracellular component (base deficit
    MeSH term(s) Acidosis/blood ; Acidosis/epidemiology ; Birth Injuries/blood ; Birth Injuries/epidemiology ; Cerebral Palsy/blood ; Cerebral Palsy/epidemiology ; Female ; Fetal Blood ; Humans ; Hypoxia, Brain/blood ; Hypoxia, Brain/epidemiology ; Incidence ; Infant, Newborn ; Infant, Newborn, Diseases ; Jurisprudence ; Liability, Legal ; Obstetrics ; Pregnancy ; Umbilical Arteries
    Language English
    Publishing date 2018-12-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80016-8
    ISSN 1097-6868 ; 0002-9378
    ISSN (online) 1097-6868
    ISSN 0002-9378
    DOI 10.1016/j.ajog.2018.11.1107
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