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  1. Article ; Online: Simulation in a blended learning curriculum for neonatology.

    Chang, Catherine L / Dyess, Nicolle Fernández / Johnston, Lindsay C

    Seminars in perinatology

    2023  Volume 47, Issue 7, Page(s) 151824

    Abstract: Blended learning is a learner-centered educational method that combines online and traditional face-to-face educational strategies. Simulation is a commonly utilized platform for experiential learning and an ideal component of a blended learning ... ...

    Abstract Blended learning is a learner-centered educational method that combines online and traditional face-to-face educational strategies. Simulation is a commonly utilized platform for experiential learning and an ideal component of a blended learning curriculum. This section describes blended learning, including its strengths and limitations, educational frameworks, uses within health professions education, best practices, and challenges. Also included is a brief introduction to simulation-based education, along with theoretical and real-world examples of how simulation may be integrated into a blended learning curriculum. Examples of blended learning in Neonatal-Perinatal Medicine, specifically within the Neonatal Resuscitation Program, procedural skills training, and the National Neonatology Curriculum, are reviewed.
    MeSH term(s) Humans ; Infant, Newborn ; Neonatology ; Resuscitation ; Curriculum ; Learning ; Problem-Based Learning
    Language English
    Publishing date 2023-09-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 752403-1
    ISSN 1558-075X ; 0146-0005
    ISSN (online) 1558-075X
    ISSN 0146-0005
    DOI 10.1016/j.semperi.2023.151824
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Use of a Novel Manikin for Neonatal Resuscitation Ventilation Training.

    Chang, Catherine / Perlman, Jeffrey / Abramson, Erika

    Children (Basel, Switzerland)

    2022  Volume 9, Issue 3

    Abstract: All providers who attend deliveries independently should be well versed in the performance of effective ventilation, assessment of the quality of ventilation/interventions supplied and able to troubleshoot in situations where these may be ineffective. A ... ...

    Abstract All providers who attend deliveries independently should be well versed in the performance of effective ventilation, assessment of the quality of ventilation/interventions supplied and able to troubleshoot in situations where these may be ineffective. A novel manikin serves as a unique ventilation-focused training tool to practice these clinical skills and decision-making. The data generated by the manikin, with the aid of a facilitator, may be used for formative and summative feedback on an individual level or curricular development on a larger level. This communication describes the importance of focused ventilation training for front-line providers and illustrates how this manikin can be incorporated into an individualized ventilation training program.
    Language English
    Publishing date 2022-03-04
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2732685-8
    ISSN 2227-9067
    ISSN 2227-9067
    DOI 10.3390/children9030364
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Deformations of the Ear and Their Nonsurgical Correction.

    Chang, Catherine S / Bartlett, Scott P

    Clinical pediatrics

    2019  Volume 58, Issue 7, Page(s) 798–805

    Abstract: The incidence of congenital ear deformities has been documented to be as high as 58% of all newborns. Unfortunately, the majority of these deformations do not spontaneously self-correct, leaving the child with a permanent deformity that can only be ... ...

    Abstract The incidence of congenital ear deformities has been documented to be as high as 58% of all newborns. Unfortunately, the majority of these deformations do not spontaneously self-correct, leaving the child with a permanent deformity that can only be corrected through surgery. With the evolving simplicity of ear molding that can be done in the office, this can obviate the need for unnecessary surgery that comes with its own set of complications and a higher cost. Early detection and early treatment is key for successful ear molding. The purpose of this article is to review the types of deformational ear deformities and the most up-to-date literature on ear molding, increase awareness to this topic, and ultimately increase patient and parental satisfaction with their overall care.
    MeSH term(s) Congenital Abnormalities/therapy ; Cosmetic Techniques ; Ear, External/abnormalities ; Female ; Humans ; Infant, Newborn ; Male
    Language English
    Publishing date 2019-04-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 207678-0
    ISSN 1938-2707 ; 0009-9228
    ISSN (online) 1938-2707
    ISSN 0009-9228
    DOI 10.1177/0009922819844296
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Anticipation and preparation for delivery room emergencies.

    Chang, Catherine / Perlman, Jeffrey

    Seminars in fetal & neonatal medicine

    2019  Volume 24, Issue 6, Page(s) 101031

    Abstract: Effective communication is the keystone in the management of delivery room emergencies. A clearly defined framework and "shared mental model" optimize team collaboration and are essential when anticipating and preparing for high-stakes emergent cases. ... ...

    Abstract Effective communication is the keystone in the management of delivery room emergencies. A clearly defined framework and "shared mental model" optimize team collaboration and are essential when anticipating and preparing for high-stakes emergent cases. This review defines a framework to build shared mental models using dialogue, pre-briefing, checklists, simulation, debriefing and structured feedback to maintain a cohesive high functioning team. Strategies to approach different emergency lead-times will be discussed, and case examples will be used to illustrate concepts outlined.
    MeSH term(s) Delivery Rooms/organization & administration ; Emergencies ; Emergency Treatment/methods ; Female ; Humans ; Interdisciplinary Communication ; Models, Organizational ; Obstetric Labor Complications/therapy ; Patient Care Team/organization & administration ; Patient Care Team/standards ; Pregnancy
    Language English
    Publishing date 2019-09-23
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 2174416-6
    ISSN 1878-0946 ; 1744-165X
    ISSN (online) 1878-0946
    ISSN 1744-165X
    DOI 10.1016/j.siny.2019.101031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Large-Volume Fat Grafting: Identifying Risk Factors for Fat Necrosis.

    Chang, Catherine S / Lanni, Michael A / Mirzabeigi, Michael N / Bucky, Louis P

    Plastic and reconstructive surgery

    2022  Volume 150, Issue 5, Page(s) 941e–949e

    Abstract: Background: Fat necrosis is a well-recognized complication following autologous fat grafting. The purpose of this study was to evaluate the incidence of fat necrosis after large-volume fat grafting and identify risk factors for fat necrosis.: Methods!# ...

    Abstract Background: Fat necrosis is a well-recognized complication following autologous fat grafting. The purpose of this study was to evaluate the incidence of fat necrosis after large-volume fat grafting and identify risk factors for fat necrosis.
    Methods: A retrospective review was performed on 83 consecutive patients who underwent large-volume fat grafting (>100 cc) to the breast performed by the senior author (L.P.B.) between September of 2011 and May of 2016. Fat necrosis was defined as palpable nodules, or nodules seen on imaging.
    Results: A total of 148 breasts underwent 170 autologous fat transplantations. Indications included the following: 72 reconstructions after surgical therapy and 98 cosmetic augmentations. Mean age was 48 years, median graft volume was 300 cc, and median length of follow-up 423 days. Overall incidence of necrosis was 32.9 percent, with 47.8 percent in previously irradiated patients. Increased incidence of necrosis was associated with increasing fat graft volumes (OR, 1.002; p = 0.032), increasing body mass index (OR, 1.13; p = 0.04), and simultaneous implant exchange with fat ( p = 0.003). Fat grafting volumes greater than 450 cc in a single breast were also associated with an increase in fat necrosis ( p = 0.04). Within a group of six patients who had bilateral fat grafting with unilateral radiation therapy, there was a significant increase in necrosis on the irradiated side ( p = 0.015). In a cohort of non-BRAVA patients, reconstruction (compared to augmentation) was associated with fat necrosis ( p = 0.039).
    Conclusions: Increased rates of fat necrosis were associated with volumes greater than 450 cc, patients undergoing concurrent implant exchange with fat grafting, and fat grafting after a history of lumpectomy or mastectomy without preexpansion. In addition, radiation therapy may be associated with a higher rate of complications.
    Clinical question/level of evidence: Risk, III.
    MeSH term(s) Humans ; Middle Aged ; Female ; Fat Necrosis/epidemiology ; Fat Necrosis/etiology ; Mammaplasty/adverse effects ; Mammaplasty/methods ; Mastectomy/adverse effects ; Breast Neoplasms/etiology ; Adipose Tissue/transplantation ; Transplantation, Autologous/adverse effects ; Retrospective Studies ; Risk Factors ; Treatment Outcome
    Language English
    Publishing date 2022-08-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0000000000009655
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Impact of Type 1 Versus Type 2 Diabetes on Developing Herpes Zoster and Post-herpetic Neuralgia: A Population-based Cohort Study.

    Wen, Su-Ying / Ou-Yang, Chao / Chang, Catherine / Chen, Chu-Chieh / Chang, Hung-Yu

    Acta dermato-venereologica

    2023  Volume 103, Page(s) adv9400

    Abstract: Type 2 diabetes is associated with an increased risk of herpes zoster and postherpetic neuralgia. However, the association of type 1 diabetes with herpes zoster or postherpetic neuralgia remains unclear. This retrospective cohort study using Taiwan's ... ...

    Abstract Type 2 diabetes is associated with an increased risk of herpes zoster and postherpetic neuralgia. However, the association of type 1 diabetes with herpes zoster or postherpetic neuralgia remains unclear. This retrospective cohort study using Taiwan's Health Insurance Research Database included 199,566 patients with type 1 diabetes and 1,458,331 with type 2 diabetes, identified during the period 2000 to 2012. Patients with type 1 diabetes had a significantly higher risk of developing herpes zoster than those with type 2 diabetes (p < 0.001). Across all age groups, the impact of diabetes on herpes zoster was greater in type 1 than in type 2 diabetes. Patients with both type 1 and type 2 diabetes had a 1.45-fold higher risk of post-herpetic neuralgia than those without diabetes (hazard ratio 1.45, 95% confidence interval 1.28-1.65; hazard ratio 1.45, 95% confidence interval 1.37-1.52, respectively), and there was no difference between the 2 types of diabetes (hazard ratio 1.06; 95% confidence interval 0.93-1.21). The results recommend consideration of herpes zoster vaccination at an earlier age in patients with type 1 diabetes.
    MeSH term(s) Humans ; Neuralgia, Postherpetic/diagnosis ; Neuralgia, Postherpetic/epidemiology ; Neuralgia, Postherpetic/complications ; Cohort Studies ; Diabetes Mellitus, Type 2/diagnosis ; Diabetes Mellitus, Type 2/epidemiology ; Retrospective Studies ; Diabetes Mellitus, Type 1/complications ; Diabetes Mellitus, Type 1/diagnosis ; Diabetes Mellitus, Type 1/epidemiology ; Herpes Zoster/epidemiology ; Herpesvirus 3, Human
    Language English
    Publishing date 2023-10-03
    Publishing country Sweden
    Document type Journal Article
    ZDB-ID 80007-7
    ISSN 1651-2057 ; 0001-5555
    ISSN (online) 1651-2057
    ISSN 0001-5555
    DOI 10.2340/actadv.v103.9400
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Reimagining Leadership: Amplifying Diverse Voices and Welcoming Healthy Conflict.

    Han, Peggy / Chang, Catherine / Yemane, Lahia / Jackson, Joseph A / Omoruyi, Emma A / Umoren, Rachel A

    Academic pediatrics

    2023  Volume 24, Issue 2, Page(s) 197–198

    MeSH term(s) Humans ; Leadership ; Voice
    Language English
    Publishing date 2023-12-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2483385-X
    ISSN 1876-2867 ; 1876-2859
    ISSN (online) 1876-2867
    ISSN 1876-2859
    DOI 10.1016/j.acap.2023.12.005
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  8. Article ; Online: The Impact of Bariatric Surgery Compared to Metformin Therapy on Pregnancy Outcomes in Patients with Polycystic Ovarian Syndrome: a Systematic Review and Meta-analysis.

    Chang, Catherine / Chang, Steven / Poles, Jillian / Popov, Violeta

    Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

    2021  Volume 25, Issue 2, Page(s) 378–386

    Abstract: Background: Polycystic ovarian syndrome (PCOS) is a leading cause of infertility among women of reproductive age. The interplay between hyperinsulinemia and obesity results in many of the reproductive and hormonal changes seen in PCOS including abnormal ...

    Abstract Background: Polycystic ovarian syndrome (PCOS) is a leading cause of infertility among women of reproductive age. The interplay between hyperinsulinemia and obesity results in many of the reproductive and hormonal changes seen in PCOS including abnormal menses, infertility, and pregnancy loss. While bariatric surgery has been found to be an effective treatment strategy for morbid obesity, its role in the management of PCOS-related infertility compared to standard therapy (metformin) is less clear.
    Aims: To assess the impact of bariatric surgery on pregnancy outcomes in women with PCOS compared to metformin therapy in a systematic review and meta-analysis.
    Methods: MEDLINE, EMBASE, PubMed, and Google Scholar were searched from inception to August 2019. Studies that reported quantitative data on pregnancy outcomes on women of reproductive age with PCOS with at least a 3-month follow-up and a minimum of 5 or more sample size were included. The primary outcome was pregnancy rate, expressed as an event rate and 95% confidence interval (95% CI).
    Results: Ten studies with a total of 587 patients were included in the final analyses (Metformin: 5 studies, n = 192; Bariatric surgery (BS): 5 studies (2 Roux-en-Y gastric bypass, 2 sleeve gastrectomy, 1 Roux-en-Y gastric bypass + sleeve gastrectomy), n = 186). The average time to follow-up was 18.25 months (range 3-36) with a shorter time to follow-up in the metformin group compared to the bariatric surgery group (Metformin: 11.2 vs BS: 24.5 months). While metformin increased the likelihood of pregnancy compared to placebo or non-surgical interventions (OR = 3.08, 95% CI 1.29-7.37, p = 0.01), the pregnancy rate after bariatric surgery was greater than metformin (34.9%, 95% CI 0.20-0.53 vs 17.1%, 95% CI 0.12-0.23, p = 0.026 for the difference). Additionally, there was a trend to a greater improvement in menstrual irregularity in the bariatric group compared to the metformin group with a reduction of 92% in the bariatric cohort compared to a reduction of 54% in the metformin cohort, but the data was limited.
    Conclusion: Bariatric surgery appears to be a more effective treatment strategy for patients with PCOS and class 3 obesity compared to metformin alone. Women with PCOS and infertility should consider bariatric surgery for weight loss and improvement in pregnancy outcomes.
    MeSH term(s) Bariatric Surgery ; Female ; Humans ; Metformin/therapeutic use ; Polycystic Ovary Syndrome ; Pregnancy ; Pregnancy Outcome ; Pregnancy Rate
    Chemical Substances Metformin (9100L32L2N)
    Language English
    Publishing date 2021-01-22
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 2012365-6
    ISSN 1873-4626 ; 1934-3213 ; 1091-255X
    ISSN (online) 1873-4626 ; 1934-3213
    ISSN 1091-255X
    DOI 10.1007/s11605-020-04900-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Effectiveness of Body Mass Index-Based Prophylactic Enoxaparin Dosing in Bariatric Surgery Patients.

    Chang, Catherine K / Higgins, Rana M / Rein, Lisa / Peppard, William J / Herrmann, David J / Kindel, Tammy

    The Journal of surgical research

    2023  Volume 287, Page(s) 168–175

    Abstract: Introduction: Enoxaparin is administered for venous thromboembolic (VTE) prophylaxis in bariatric surgery patients. There is concern whether body mass index (BMI)-based enoxaparin dosing consistently achieves prophylactic targets in patients with severe ...

    Abstract Introduction: Enoxaparin is administered for venous thromboembolic (VTE) prophylaxis in bariatric surgery patients. There is concern whether body mass index (BMI)-based enoxaparin dosing consistently achieves prophylactic targets in patients with severe obesity.
    Methods: This retrospective study included patients who underwent bariatric surgery at an academic medical center from Jan 2015-May 2021 and had an anti-Xa level drawn 2.5-6 h after ≥3 doses of BMI-based prophylactic enoxaparin. The primary outcome was the percentage of patients who achieved a target anti-Xa level. Secondary outcomes were prevalence of venous thromboembolic and bleeding events within 30 d post-operatively.
    Results: Overall, 137 patients were included. Mean BMI was 59.1 ± 10.4 kg/m
    Conclusions: Target range anti-Xa levels were achieved in 85% of patients using BMI-based enoxaparin dosing. Patients with above target anti-Xa levels were significantly shorter by nearly 3 inches, suggesting an increased risk of overdosing enoxaparin in shorter, obese patients. An EBV-based dosing regimen may better account for patient height and is supported by a greater correlation with anti-Xa levels with dosing based on EBV than BMI.
    MeSH term(s) Humans ; Female ; Adult ; Middle Aged ; Male ; Enoxaparin ; Body Mass Index ; Anticoagulants/adverse effects ; Retrospective Studies ; Venous Thromboembolism/etiology ; Venous Thromboembolism/prevention & control ; Heparin, Low-Molecular-Weight/therapeutic use ; Hemorrhage/chemically induced ; Hemorrhage/prevention & control ; Bariatric Surgery/adverse effects
    Chemical Substances Enoxaparin ; Anticoagulants ; Heparin, Low-Molecular-Weight
    Language English
    Publishing date 2023-03-16
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2023.01.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Commentary on: Integrated Forehead and Temporal Augmentation Using 3D Printing-Assisted Methyl Methacrylate Implants.

    Chang, Catherine S / Yaremchuk, Michael J

    Aesthetic surgery journal

    2018  Volume 38, Issue 11, Page(s) 1169–1171

    MeSH term(s) Forehead ; Methacrylates ; Methylmethacrylate ; Printing, Three-Dimensional ; Prostheses and Implants
    Chemical Substances Methacrylates ; Methylmethacrylate (196OC77688)
    Language English
    Publishing date 2018-06-28
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2087022-X
    ISSN 1527-330X ; 1090-820X ; 1084-0761
    ISSN (online) 1527-330X
    ISSN 1090-820X ; 1084-0761
    DOI 10.1093/asj/sjy113
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