Lamia Soghier - Academia.edu (original) (raw)
Papers by Lamia Soghier
Pediatrics, 2020
Background: Parents of preterm infants hospitalized in the neonatal intensive care unit (NICU) of... more Background: Parents of preterm infants hospitalized in the neonatal intensive care unit (NICU) often experience an alteration of their parental role due to the infant’s critical illness, need for life-saving therapies, and prolonged separation. Parental engagement in activities like kangaroo care can help establish the parental role and encourage more secure attachment. However, differences in social support and variation in parental response to stressors can affect their abilities to participate in these activities. Although prior studies have investigated the relationship between kangaroo care and postpartum depression, limited studies have …
2020 IEEE International Symposium on Mixed and Augmented Reality (ISMAR), 2020
Neonatal Endotracheal Intubation (ETI) is a critical resuscitation skill that requires tremendous... more Neonatal Endotracheal Intubation (ETI) is a critical resuscitation skill that requires tremendous practice of trainees before clinical exposure. However, current manikin-based training regimen is ineffective in providing satisfactory real-time procedural guidance for accurate assessment due to the lack of see-through visualization within the manikin. The training efficiency is further reduced by the limited availability of expert instructors, which inevitably results in a long learning curve for trainees. To this end, we propose an intelligent Augmented Reality (AR) training framework that provides trainees with a complete visualization of the ETI procedure for real-time guidance and assessment. Specifically, the proposed framework is capable of capturing the motions of the laryngoscope and the manikin and offer 3D see-through visualization rendered to the head-mounted display (HMD). Furthermore, an attention-based Convolutional Neural Network (CNN) model is developed to automatical...
Pediatrics, 2019
Background: Perinatal mood and anxiety disorders (PMADs), including postpartum depression, are th... more Background: Perinatal mood and anxiety disorders (PMADs), including postpartum depression, are the most common complication of childbirth in the US and are associated with poor maternal, infant, and family outcomes. Identification and early intervention is imperative for successful PMAD treatment. Several professional societies recommend universal PMAD screening in outpatient visits. Objectives: To create a multidisciplinary PMAD collaboration among multiple hospital divisions to focus on systems change and health care policy solutions using …
Here’s the one place to look for normal values and related need-to-know data! Now you no longer h... more Here’s the one place to look for normal values and related need-to-know data! Now you no longer have to search through multiple resources for reference ranges and other critical values you need to optimize patient assessment and management. The new Reference Range Values for Pediatric Care brings all the most vital range data - plus diverse clinical evaluation and calculation tools - all together in one concise, compact handbook. Indispensable pediatric reference ranges - right at your fingertips Custom-designed for today’s busy practitioners, this quick-access resource provides commonly used ranges and values spanning birth through adolescence. Data needed for management of preterm newborns and other neonates is highlighted throughout. Look here for practice-focused help with: - Blood pressure ranges - Body surface area calculation - Bone age metrics - Hematology values - Cerebrospinal fluid values - Lymphocyte subset counts - Clinical chemistry ranges - Thyroid function - Umbilica...
Developmental Medicine & Child Neurology, 2016
ages 10–18, with a diagnosis of either CP or PD were invited into this IRB approved study. Subjec... more ages 10–18, with a diagnosis of either CP or PD were invited into this IRB approved study. Subjects were excluded if unable to read English at a 3rd grade level. Caregivers of eligible participants were also enrolled in the study. Recruitment was through outpatient clinics and a community program for children with PD. Materials/Methods: Surveys were completed by the participant and designated caregiver. Caregiver surveys included demographic information and questions about their child’s motor ability, cognitive function, and comorbidities. The participant survey was a modified version of the California Bullying Victimization Scale (CBVS), 2011. This 11-item questionnaire utilized a Likert-type scale to identify whether participants were “bully-”, “peer-”, or “non-victims” based on the frequency of victimization over the past month and on the presence of a power imbalance. Descriptive statistics were utilized for the preliminary analysis of these surveys. Results: 51 participants met...
Pediatrics, 2019
Background: Resilience is the innate, yet modifiable process of positive adaptation in the settin... more Background: Resilience is the innate, yet modifiable process of positive adaptation in the setting of significant adversity. Parenting an infant in the neonatal intensive care unit (NICU) is oftentimes a crisis for families. Parental psychological distress negatively affects the quality of parent-child interactions and long term child development. Higher resilience has been related to a reduction in psychological distress, but this has not been studied in parents of NICU infants. Objective: 1) To evaluate …
Background: Daily chest X-rays (CXR)s for the sole purpose of verifying the position of the endot... more Background: Daily chest X-rays (CXR)s for the sole purpose of verifying the position of the endotracheal tube (ETT) have been deemed by the American Academy of Pediatrics to be one of the top 5 unnecessary tests that increase cost and utilize resources but do not increase efficacy nor safety. Restricting the frequency of CXRs is not associated with an increase in hospital mortality, increased length of stay, nor an increase in duration of mechanical ventilation. Objective: To evaluate the effectiveness of a restrictive CXR protocol in the Neonatal Intensive Care Unit (NICU) by assessing …
Background: NICU parents are at risk for poor emotional functioning, including mood disorders, an... more Background: NICU parents are at risk for poor emotional functioning, including mood disorders, anxiety, and parental distress. Identifying factors associated with poor emotional functioning can help identify at-risk parents who may benefit from mental health support. Objective: To determine the prevalence of depressive symptoms among parents at NICU discharge, risk factors associated with elevated depression scores, and the relationship between depressive symptoms, anxiety, and NICU parental stress. Methods: Data were collected from parents (n=300) and infants (n=300) enrolled in a randomized trial of peer-to-peer support after NICU discharge. Baseline parent and infant characteristics were …
Pediatrics
Perinatal mood and anxiety disorders (PMADs) are the most common complication of childbirth, with... more Perinatal mood and anxiety disorders (PMADs) are the most common complication of childbirth, with suicide a leading cause of postpartum deaths. PMADs are associated with poor maternal, infant, and family outcomes. Identification and early intervention are imperative for successful treatment. This case study describes the implementation and outcomes of a multidisciplinary Perinatal Mental Health Task Force (“Task Force”) at one urban academic children’s hospital that was created to promote systems change and health care policy solutions for improved identification and treatment of PMADs. Using the social ecological model as a framework, the Task Force addressed care at the individual, interpersonal, organizational, community, and policy levels. The Task Force applied lessons learned from division-specific screening initiatives to create best practices and make hospital-wide recommendations. This foundational work enabled us to build community bridges and break down internal barriers ...
Disaster Medicine and Public Health Preparedness
Objective: To assess the level of neonatal intensive care unit (NICU) disaster preparedness among... more Objective: To assess the level of neonatal intensive care unit (NICU) disaster preparedness among pediatric residents. Methods: A mixed-methods study including qualitative interviews and quantitative surveys was used. Interviews guided survey development. Surveys were distributed to residents who rotated through Children’s National NICU. Questions assessed residents’ background in disaster preparedness, disaster protocol knowledge, NICU preparedness, roles during surge and evacuation, and views on training and education. Results: Survey response was 62.5% (n = 80) with 51.3% of invited residents completing it. Pediatric residents (PGY-2 and PGY-3) (n = 41) had low levels of individual disaster preparedness, particularly evacuations (86%). None were aware of specific NICU disaster protocols. Patient acuity, role ambiguity, knowledge, and training deficits were major contributors to unpreparedness. Residents viewed their role as system facilitators (eg, performing duties assigned, rec...
42nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 2020
Manual assessment from experts in neonatal endotracheal intubation (ETI) training is a time-consu... more Manual assessment from experts in neonatal endotracheal intubation (ETI) training is a time-consuming and tedious process. Such subjective, highly variable, and resource-intensive assessment method may not only introduce inter-rater/intra-rater variability, but also represent a serious limitation in many large-scale training programs. Moreover, poor visualization during the procedure prevents instructors from observing the events occurring within the manikin or the patient, which introduces an additional source of error into the assessment. In this paper, we propose a physics-based virtual reality (VR) ETI simulation system that captures the entire motions of the laryngoscope and the endotracheal tube (ETT) in relation to the internal anatomy of the virtual patient. Our system provides a complete visualization of the procedure, offering instructors with comprehensive information for accurate assessment. More importantly, an interpretable machine learning algorithm was developed to a...
IEEE Conference on Virtual Reality and 3D User Interfaces Abstracts and Workshops (VRW), 2020
Neonatal endotracheal intubation (ETI) is a resuscitation skill and therefore, requires an effect... more Neonatal endotracheal intubation (ETI) is a resuscitation skill and therefore, requires an effective training regimen with acceptable success rates. However, current training regimen faces some challenges , such as the lack of visualization inside the manikin and quantification of performance, resulting in inaccurate guidance and highly variable manual assessment. We present a Cross Reality (XR) ETI simulation system which registers ETI training tools to their virtual counterparts. Thus, our system can capture all aspects of motions and visualize the entire procedure, offering instructors with sufficient information for assessment. A machine learning approach was developed to automatically evaluate the ETI performance for standardizing assessment protocols by using the performance parameters extracted from the motions and the scores from an expert rater. The classification accuracy of the machine learning algorithm is 83.5%.
IEEE Conference on Virtual Reality and 3D User Interfaces (VR), 2020
Neonatal endotracheal intubation (ETI) is a complex procedure. Low intubation success rates for p... more Neonatal endotracheal intubation (ETI) is a complex procedure. Low intubation success rates for pediatric residents indicate the current training regimen is inadequate for achieving positive patient outcomes. Computer-based training systems in this field have been limited due to the complex nature of simulating in real-time, the anatomical structures, soft tissue deformations and frequent tool interactions with large forces which occur during actual patient intubation. This paper addresses the issues of neonatal ETI training in an attempt to bridge the gap left by traditional training methods. We propose a fully interactive physics-based virtual reality (VR) simulation framework for neonatal ETI that converts the training of this medical procedure to a completely immersive virtual environment where both visual and physical realism were achieved. Our system embeds independent dynamics models and interaction devices in separate modules while allowing them to interact with each other w...
Pediatric radiology, 2004
Pediatrics, 2018
Background: Unintended Extubations (UE) are the 4th most common adverse event in the Neonatal Int... more Background: Unintended Extubations (UE) are the 4th most common adverse event in the Neonatal Intensive Care Unit (NICU). They are associated with hypoxia, hypercarbia, airway trauma, subglottic stenosis, intraventricular hemorrhage, and code events. Most notably patients experiencing UEs have almost double the length of stay compared to those who do not. The cost of care increases by $36,000 per patient per admission with each UE. As a quality index for the US News and World Report (USWNR), NICUs strive to keep the UE median rate below the threshold (< 1 events/100 …
Pediatrics, 2018
Background: Unintended Extubations (UE) are the 4th most common adverse event in the Neonatal Int... more Background: Unintended Extubations (UE) are the 4th most common adverse event in the Neonatal Intensive Care Unit (NICU). They are associated with hypoxia, hypercarbia, airway trauma, subglottic stenosis, intraventricular hemorrhage, and code events. Most notably patients experiencing UEs have almost double the length of stay compared to those who do not. The cost of care increases by $36,000 per patient per admission with each UE. As a quality index for the US News and World Report (USWNR), NICUs strive to keep the UE median rate below the threshold (< 1 events/100 …
Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare
Pediatrics, 2020
Background: Parents of preterm infants hospitalized in the neonatal intensive care unit (NICU) of... more Background: Parents of preterm infants hospitalized in the neonatal intensive care unit (NICU) often experience an alteration of their parental role due to the infant’s critical illness, need for life-saving therapies, and prolonged separation. Parental engagement in activities like kangaroo care can help establish the parental role and encourage more secure attachment. However, differences in social support and variation in parental response to stressors can affect their abilities to participate in these activities. Although prior studies have investigated the relationship between kangaroo care and postpartum depression, limited studies have …
2020 IEEE International Symposium on Mixed and Augmented Reality (ISMAR), 2020
Neonatal Endotracheal Intubation (ETI) is a critical resuscitation skill that requires tremendous... more Neonatal Endotracheal Intubation (ETI) is a critical resuscitation skill that requires tremendous practice of trainees before clinical exposure. However, current manikin-based training regimen is ineffective in providing satisfactory real-time procedural guidance for accurate assessment due to the lack of see-through visualization within the manikin. The training efficiency is further reduced by the limited availability of expert instructors, which inevitably results in a long learning curve for trainees. To this end, we propose an intelligent Augmented Reality (AR) training framework that provides trainees with a complete visualization of the ETI procedure for real-time guidance and assessment. Specifically, the proposed framework is capable of capturing the motions of the laryngoscope and the manikin and offer 3D see-through visualization rendered to the head-mounted display (HMD). Furthermore, an attention-based Convolutional Neural Network (CNN) model is developed to automatical...
Pediatrics, 2019
Background: Perinatal mood and anxiety disorders (PMADs), including postpartum depression, are th... more Background: Perinatal mood and anxiety disorders (PMADs), including postpartum depression, are the most common complication of childbirth in the US and are associated with poor maternal, infant, and family outcomes. Identification and early intervention is imperative for successful PMAD treatment. Several professional societies recommend universal PMAD screening in outpatient visits. Objectives: To create a multidisciplinary PMAD collaboration among multiple hospital divisions to focus on systems change and health care policy solutions using …
Here’s the one place to look for normal values and related need-to-know data! Now you no longer h... more Here’s the one place to look for normal values and related need-to-know data! Now you no longer have to search through multiple resources for reference ranges and other critical values you need to optimize patient assessment and management. The new Reference Range Values for Pediatric Care brings all the most vital range data - plus diverse clinical evaluation and calculation tools - all together in one concise, compact handbook. Indispensable pediatric reference ranges - right at your fingertips Custom-designed for today’s busy practitioners, this quick-access resource provides commonly used ranges and values spanning birth through adolescence. Data needed for management of preterm newborns and other neonates is highlighted throughout. Look here for practice-focused help with: - Blood pressure ranges - Body surface area calculation - Bone age metrics - Hematology values - Cerebrospinal fluid values - Lymphocyte subset counts - Clinical chemistry ranges - Thyroid function - Umbilica...
Developmental Medicine & Child Neurology, 2016
ages 10–18, with a diagnosis of either CP or PD were invited into this IRB approved study. Subjec... more ages 10–18, with a diagnosis of either CP or PD were invited into this IRB approved study. Subjects were excluded if unable to read English at a 3rd grade level. Caregivers of eligible participants were also enrolled in the study. Recruitment was through outpatient clinics and a community program for children with PD. Materials/Methods: Surveys were completed by the participant and designated caregiver. Caregiver surveys included demographic information and questions about their child’s motor ability, cognitive function, and comorbidities. The participant survey was a modified version of the California Bullying Victimization Scale (CBVS), 2011. This 11-item questionnaire utilized a Likert-type scale to identify whether participants were “bully-”, “peer-”, or “non-victims” based on the frequency of victimization over the past month and on the presence of a power imbalance. Descriptive statistics were utilized for the preliminary analysis of these surveys. Results: 51 participants met...
Pediatrics, 2019
Background: Resilience is the innate, yet modifiable process of positive adaptation in the settin... more Background: Resilience is the innate, yet modifiable process of positive adaptation in the setting of significant adversity. Parenting an infant in the neonatal intensive care unit (NICU) is oftentimes a crisis for families. Parental psychological distress negatively affects the quality of parent-child interactions and long term child development. Higher resilience has been related to a reduction in psychological distress, but this has not been studied in parents of NICU infants. Objective: 1) To evaluate …
Background: Daily chest X-rays (CXR)s for the sole purpose of verifying the position of the endot... more Background: Daily chest X-rays (CXR)s for the sole purpose of verifying the position of the endotracheal tube (ETT) have been deemed by the American Academy of Pediatrics to be one of the top 5 unnecessary tests that increase cost and utilize resources but do not increase efficacy nor safety. Restricting the frequency of CXRs is not associated with an increase in hospital mortality, increased length of stay, nor an increase in duration of mechanical ventilation. Objective: To evaluate the effectiveness of a restrictive CXR protocol in the Neonatal Intensive Care Unit (NICU) by assessing …
Background: NICU parents are at risk for poor emotional functioning, including mood disorders, an... more Background: NICU parents are at risk for poor emotional functioning, including mood disorders, anxiety, and parental distress. Identifying factors associated with poor emotional functioning can help identify at-risk parents who may benefit from mental health support. Objective: To determine the prevalence of depressive symptoms among parents at NICU discharge, risk factors associated with elevated depression scores, and the relationship between depressive symptoms, anxiety, and NICU parental stress. Methods: Data were collected from parents (n=300) and infants (n=300) enrolled in a randomized trial of peer-to-peer support after NICU discharge. Baseline parent and infant characteristics were …
Pediatrics
Perinatal mood and anxiety disorders (PMADs) are the most common complication of childbirth, with... more Perinatal mood and anxiety disorders (PMADs) are the most common complication of childbirth, with suicide a leading cause of postpartum deaths. PMADs are associated with poor maternal, infant, and family outcomes. Identification and early intervention are imperative for successful treatment. This case study describes the implementation and outcomes of a multidisciplinary Perinatal Mental Health Task Force (“Task Force”) at one urban academic children’s hospital that was created to promote systems change and health care policy solutions for improved identification and treatment of PMADs. Using the social ecological model as a framework, the Task Force addressed care at the individual, interpersonal, organizational, community, and policy levels. The Task Force applied lessons learned from division-specific screening initiatives to create best practices and make hospital-wide recommendations. This foundational work enabled us to build community bridges and break down internal barriers ...
Disaster Medicine and Public Health Preparedness
Objective: To assess the level of neonatal intensive care unit (NICU) disaster preparedness among... more Objective: To assess the level of neonatal intensive care unit (NICU) disaster preparedness among pediatric residents. Methods: A mixed-methods study including qualitative interviews and quantitative surveys was used. Interviews guided survey development. Surveys were distributed to residents who rotated through Children’s National NICU. Questions assessed residents’ background in disaster preparedness, disaster protocol knowledge, NICU preparedness, roles during surge and evacuation, and views on training and education. Results: Survey response was 62.5% (n = 80) with 51.3% of invited residents completing it. Pediatric residents (PGY-2 and PGY-3) (n = 41) had low levels of individual disaster preparedness, particularly evacuations (86%). None were aware of specific NICU disaster protocols. Patient acuity, role ambiguity, knowledge, and training deficits were major contributors to unpreparedness. Residents viewed their role as system facilitators (eg, performing duties assigned, rec...
42nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 2020
Manual assessment from experts in neonatal endotracheal intubation (ETI) training is a time-consu... more Manual assessment from experts in neonatal endotracheal intubation (ETI) training is a time-consuming and tedious process. Such subjective, highly variable, and resource-intensive assessment method may not only introduce inter-rater/intra-rater variability, but also represent a serious limitation in many large-scale training programs. Moreover, poor visualization during the procedure prevents instructors from observing the events occurring within the manikin or the patient, which introduces an additional source of error into the assessment. In this paper, we propose a physics-based virtual reality (VR) ETI simulation system that captures the entire motions of the laryngoscope and the endotracheal tube (ETT) in relation to the internal anatomy of the virtual patient. Our system provides a complete visualization of the procedure, offering instructors with comprehensive information for accurate assessment. More importantly, an interpretable machine learning algorithm was developed to a...
IEEE Conference on Virtual Reality and 3D User Interfaces Abstracts and Workshops (VRW), 2020
Neonatal endotracheal intubation (ETI) is a resuscitation skill and therefore, requires an effect... more Neonatal endotracheal intubation (ETI) is a resuscitation skill and therefore, requires an effective training regimen with acceptable success rates. However, current training regimen faces some challenges , such as the lack of visualization inside the manikin and quantification of performance, resulting in inaccurate guidance and highly variable manual assessment. We present a Cross Reality (XR) ETI simulation system which registers ETI training tools to their virtual counterparts. Thus, our system can capture all aspects of motions and visualize the entire procedure, offering instructors with sufficient information for assessment. A machine learning approach was developed to automatically evaluate the ETI performance for standardizing assessment protocols by using the performance parameters extracted from the motions and the scores from an expert rater. The classification accuracy of the machine learning algorithm is 83.5%.
IEEE Conference on Virtual Reality and 3D User Interfaces (VR), 2020
Neonatal endotracheal intubation (ETI) is a complex procedure. Low intubation success rates for p... more Neonatal endotracheal intubation (ETI) is a complex procedure. Low intubation success rates for pediatric residents indicate the current training regimen is inadequate for achieving positive patient outcomes. Computer-based training systems in this field have been limited due to the complex nature of simulating in real-time, the anatomical structures, soft tissue deformations and frequent tool interactions with large forces which occur during actual patient intubation. This paper addresses the issues of neonatal ETI training in an attempt to bridge the gap left by traditional training methods. We propose a fully interactive physics-based virtual reality (VR) simulation framework for neonatal ETI that converts the training of this medical procedure to a completely immersive virtual environment where both visual and physical realism were achieved. Our system embeds independent dynamics models and interaction devices in separate modules while allowing them to interact with each other w...
Pediatric radiology, 2004
Pediatrics, 2018
Background: Unintended Extubations (UE) are the 4th most common adverse event in the Neonatal Int... more Background: Unintended Extubations (UE) are the 4th most common adverse event in the Neonatal Intensive Care Unit (NICU). They are associated with hypoxia, hypercarbia, airway trauma, subglottic stenosis, intraventricular hemorrhage, and code events. Most notably patients experiencing UEs have almost double the length of stay compared to those who do not. The cost of care increases by $36,000 per patient per admission with each UE. As a quality index for the US News and World Report (USWNR), NICUs strive to keep the UE median rate below the threshold (< 1 events/100 …
Pediatrics, 2018
Background: Unintended Extubations (UE) are the 4th most common adverse event in the Neonatal Int... more Background: Unintended Extubations (UE) are the 4th most common adverse event in the Neonatal Intensive Care Unit (NICU). They are associated with hypoxia, hypercarbia, airway trauma, subglottic stenosis, intraventricular hemorrhage, and code events. Most notably patients experiencing UEs have almost double the length of stay compared to those who do not. The cost of care increases by $36,000 per patient per admission with each UE. As a quality index for the US News and World Report (USWNR), NICUs strive to keep the UE median rate below the threshold (< 1 events/100 …
Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare