isaiah johnson | University of Michigan (original) (raw)
Papers by isaiah johnson
Journal for The Study of The Old Testament, 2011
Isaiah 27.2-6, sometimes known as the ‘new song of the vineyard’, is a very difficult text. It ha... more Isaiah 27.2-6, sometimes known as the ‘new song of the vineyard’, is a very difficult text. It has many textual oddities and it can be variously interpreted as a promise of salvation or a warning of judgment. This study proposes to alleviate some of the difficulties of Isa. 27.2-6 by reading them as an intentional device of rhetorical ambiguity which
Social & Cultural Geography, 2006
Following the armistice of the First World War, the allied powers met in Paris in 1919 to establi... more Following the armistice of the First World War, the allied powers met in Paris in 1919 to establish a new political map for Europe and the former German colonies. This reterritorialization drew its rationale from cartographic calculations of borders and populations that depended on a process of assessing citizenship, racial identity and territory. In this paper I examine the role
... members. Page 3. iii This dissertation is dedicated to To my parents, Lillie Ruth and RA McGe... more ... members. Page 3. iii This dissertation is dedicated to To my parents, Lillie Ruth and RA McGee, sister Nicole Anita McGee, and to the memory of Isaiah and Estella McGee, Beatrice and Hillard Miller Page 4. iv ACKNOWLEDGMENTS ...
Clinical & Experimental Metastasis, 1988
Melanoma Research, 1993
The expression of the glycoprotein MUC18 in melanoma biopsies has previously been shown to increa... more The expression of the glycoprotein MUC18 in melanoma biopsies has previously been shown to increase with increasing tumour thickness, and thus to correlate with the probability of metastasis development. We have examined the expression of this molecule by nine human melanoma cell lines with known metastatic ability (both spontaneous and experimental) in nude mice. Examination of the expression of both the MUC18 mRNA and of the glycoprotein on the cell surface revealed a statistically significant correlation (P = 0.040) between its expression and the ability to form metastases in vivo. Although MUC18 shows sequence similarity to neural cell adhesion molecules, no correlation was observed between the site of origin of the metastatic lesions (brain, lymph node) and MUC18 expression.
Journal of Optics-nouvelle Revue D Optique, 2003
This paper discusses various passive millimetre-wave imaging systems. It includes sources of radi... more This paper discusses various passive millimetre-wave imaging systems. It includes sources of radiation, atmospheric transmission and a brief summary of their various applications. This is followed by a review of methods for detecting millimetre-wave radiation. From a cost analysis it is shown that scanned systems are at present far more cost effective than focal plane array of receivers for high-performance systems. Then various types of imaging system available are considered with greater emphasis on recent developments and their methods of beam forming. It is concluded that at present, and for the foreseeable future, optical beam forming and beam steering are the most cost-effective solutions. Some general remarks are included as to how receivers are matched to their collection apertures, followed by a section on optical beam-forming components. The recent development of a lightweight, low-cost, high-performance reflective lens is included. It is then shown how this may be combined with mechanical scanning systems to form high-performance passive millimetre-wave imaging systems.
This report give an introduction to ad hoc networking and presents a list of over 60 ad hoc routi... more This report give an introduction to ad hoc networking and presents a list of over 60 ad hoc routing protocols that have been proposed between 199x and 2002. It also discuss the problems of performance evaluation of these protocols and the experiences gathered during the implementation of a real world evaluation testbed.
Interpretation-a Journal of Bible and Theology, 1990
Journal of Maternal-fetal & Neonatal Medicine, 2004
To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gesta... more To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gestation. This historical cohort study included all immune competent patients managed at our institution from October 1, 1999 to March 31, 2003 with singleton gestations and PROM at 32 or 33 weeks, and without clinical chorioamnionitis at presentation or antenatal diagnosis of a fetal anomaly. If amniotic fluid studies revealed pulmonary maturity, patients were intentionally delivered. Otherwise, they were expectantly managed until intentional delivery at 34 weeks, or labor, chorioamnionitis, or non -reassuring testing led to delivery sooner. For the groups with mature (n = 29) and immature or unobtainable (n = 60) fluid, respectively, rates of neonatal ICU admission (83% vs. 77%; p = 0.51), respiratory distress (41% vs. 45%; p = 0.75), mechanical ventilation (10% vs. 17%; p = 0.53), and proven neonatal infection (4% vs. 2%; p = 0.60) were similar, as were rates of other neonatal and maternal complications. The mature group had shorter mean maternal hospital stays (3.6 +/- 0.6 vs. 6.4 +/- 2.9 d; p < 0.001) and latency periods (30.2 +/- 19.3 vs. 83.8 +/- 68.7 h; p < 0.001). Compared to those managed expectantly due to immature or unavailable fetal lung studies, intentional delivery of patients with PROM at 32 or 33 weeks with mature fetal lung studies did not increase neonatal morbidity in our small cohort.
American Journal of Obstetrics and Gynecology, 2005
OBJECTIVE: To estimate survival and intact survival of infants based on best obstetric estimate o... more OBJECTIVE: To estimate survival and intact survival of infants based on best obstetric estimate of gestational age (GA) and ultrasound estimate of fetal weight (EFW).
Journal of Maternal-fetal & Neonatal Medicine, 2004
To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gesta... more To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gestation. This historical cohort study included all immune competent patients managed at our institution from October 1, 1999 to March 31, 2003 with singleton gestations and PROM at 32 or 33 weeks, and without clinical chorioamnionitis at presentation or antenatal diagnosis of a fetal anomaly. If amniotic fluid studies revealed pulmonary maturity, patients were intentionally delivered. Otherwise, they were expectantly managed until intentional delivery at 34 weeks, or labor, chorioamnionitis, or non -reassuring testing led to delivery sooner. For the groups with mature (n = 29) and immature or unobtainable (n = 60) fluid, respectively, rates of neonatal ICU admission (83% vs. 77%; p = 0.51), respiratory distress (41% vs. 45%; p = 0.75), mechanical ventilation (10% vs. 17%; p = 0.53), and proven neonatal infection (4% vs. 2%; p = 0.60) were similar, as were rates of other neonatal and maternal complications. The mature group had shorter mean maternal hospital stays (3.6 +/- 0.6 vs. 6.4 +/- 2.9 d; p < 0.001) and latency periods (30.2 +/- 19.3 vs. 83.8 +/- 68.7 h; p < 0.001). Compared to those managed expectantly due to immature or unavailable fetal lung studies, intentional delivery of patients with PROM at 32 or 33 weeks with mature fetal lung studies did not increase neonatal morbidity in our small cohort.
American Journal of Obstetrics and Gynecology, 2005
OBJECTIVE: To estimate survival and intact survival of infants based on best obstetric estimate o... more OBJECTIVE: To estimate survival and intact survival of infants based on best obstetric estimate of gestational age (GA) and ultrasound estimate of fetal weight (EFW).
Journal of Maternal-fetal & Neonatal Medicine, 2004
To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gesta... more To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gestation. This historical cohort study included all immune competent patients managed at our institution from October 1, 1999 to March 31, 2003 with singleton gestations and PROM at 32 or 33 weeks, and without clinical chorioamnionitis at presentation or antenatal diagnosis of a fetal anomaly. If amniotic fluid studies revealed pulmonary maturity, patients were intentionally delivered. Otherwise, they were expectantly managed until intentional delivery at 34 weeks, or labor, chorioamnionitis, or non -reassuring testing led to delivery sooner. For the groups with mature (n = 29) and immature or unobtainable (n = 60) fluid, respectively, rates of neonatal ICU admission (83% vs. 77%; p = 0.51), respiratory distress (41% vs. 45%; p = 0.75), mechanical ventilation (10% vs. 17%; p = 0.53), and proven neonatal infection (4% vs. 2%; p = 0.60) were similar, as were rates of other neonatal and maternal complications. The mature group had shorter mean maternal hospital stays (3.6 +/- 0.6 vs. 6.4 +/- 2.9 d; p < 0.001) and latency periods (30.2 +/- 19.3 vs. 83.8 +/- 68.7 h; p < 0.001). Compared to those managed expectantly due to immature or unavailable fetal lung studies, intentional delivery of patients with PROM at 32 or 33 weeks with mature fetal lung studies did not increase neonatal morbidity in our small cohort.
Journal of Maternal-fetal & Neonatal Medicine, 2004
To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gesta... more To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gestation. This historical cohort study included all immune competent patients managed at our institution from October 1, 1999 to March 31, 2003 with singleton gestations and PROM at 32 or 33 weeks, and without clinical chorioamnionitis at presentation or antenatal diagnosis of a fetal anomaly. If amniotic fluid studies revealed pulmonary maturity, patients were intentionally delivered. Otherwise, they were expectantly managed until intentional delivery at 34 weeks, or labor, chorioamnionitis, or non -reassuring testing led to delivery sooner. For the groups with mature (n = 29) and immature or unobtainable (n = 60) fluid, respectively, rates of neonatal ICU admission (83% vs. 77%; p = 0.51), respiratory distress (41% vs. 45%; p = 0.75), mechanical ventilation (10% vs. 17%; p = 0.53), and proven neonatal infection (4% vs. 2%; p = 0.60) were similar, as were rates of other neonatal and maternal complications. The mature group had shorter mean maternal hospital stays (3.6 +/- 0.6 vs. 6.4 +/- 2.9 d; p < 0.001) and latency periods (30.2 +/- 19.3 vs. 83.8 +/- 68.7 h; p < 0.001). Compared to those managed expectantly due to immature or unavailable fetal lung studies, intentional delivery of patients with PROM at 32 or 33 weeks with mature fetal lung studies did not increase neonatal morbidity in our small cohort.
Journal of Maternal-fetal & Neonatal Medicine, 2004
To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gesta... more To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gestation. This historical cohort study included all immune competent patients managed at our institution from October 1, 1999 to March 31, 2003 with singleton gestations and PROM at 32 or 33 weeks, and without clinical chorioamnionitis at presentation or antenatal diagnosis of a fetal anomaly. If amniotic fluid studies revealed pulmonary maturity, patients were intentionally delivered. Otherwise, they were expectantly managed until intentional delivery at 34 weeks, or labor, chorioamnionitis, or non -reassuring testing led to delivery sooner. For the groups with mature (n = 29) and immature or unobtainable (n = 60) fluid, respectively, rates of neonatal ICU admission (83% vs. 77%; p = 0.51), respiratory distress (41% vs. 45%; p = 0.75), mechanical ventilation (10% vs. 17%; p = 0.53), and proven neonatal infection (4% vs. 2%; p = 0.60) were similar, as were rates of other neonatal and maternal complications. The mature group had shorter mean maternal hospital stays (3.6 +/- 0.6 vs. 6.4 +/- 2.9 d; p < 0.001) and latency periods (30.2 +/- 19.3 vs. 83.8 +/- 68.7 h; p < 0.001). Compared to those managed expectantly due to immature or unavailable fetal lung studies, intentional delivery of patients with PROM at 32 or 33 weeks with mature fetal lung studies did not increase neonatal morbidity in our small cohort.
American Journal of Obstetrics and Gynecology, 2005
OBJECTIVE: To estimate survival and intact survival of infants based on best obstetric estimate o... more OBJECTIVE: To estimate survival and intact survival of infants based on best obstetric estimate of gestational age (GA) and ultrasound estimate of fetal weight (EFW).
Journal of Maternal-fetal & Neonatal Medicine, 2004
To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gesta... more To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gestation. This historical cohort study included all immune competent patients managed at our institution from October 1, 1999 to March 31, 2003 with singleton gestations and PROM at 32 or 33 weeks, and without clinical chorioamnionitis at presentation or antenatal diagnosis of a fetal anomaly. If amniotic fluid studies revealed pulmonary maturity, patients were intentionally delivered. Otherwise, they were expectantly managed until intentional delivery at 34 weeks, or labor, chorioamnionitis, or non -reassuring testing led to delivery sooner. For the groups with mature (n = 29) and immature or unobtainable (n = 60) fluid, respectively, rates of neonatal ICU admission (83% vs. 77%; p = 0.51), respiratory distress (41% vs. 45%; p = 0.75), mechanical ventilation (10% vs. 17%; p = 0.53), and proven neonatal infection (4% vs. 2%; p = 0.60) were similar, as were rates of other neonatal and maternal complications. The mature group had shorter mean maternal hospital stays (3.6 +/- 0.6 vs. 6.4 +/- 2.9 d; p < 0.001) and latency periods (30.2 +/- 19.3 vs. 83.8 +/- 68.7 h; p < 0.001). Compared to those managed expectantly due to immature or unavailable fetal lung studies, intentional delivery of patients with PROM at 32 or 33 weeks with mature fetal lung studies did not increase neonatal morbidity in our small cohort.
Journal of Maternal-fetal & Neonatal Medicine, 2004
To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gesta... more To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gestation. This historical cohort study included all immune competent patients managed at our institution from October 1, 1999 to March 31, 2003 with singleton gestations and PROM at 32 or 33 weeks, and without clinical chorioamnionitis at presentation or antenatal diagnosis of a fetal anomaly. If amniotic fluid studies revealed pulmonary maturity, patients were intentionally delivered. Otherwise, they were expectantly managed until intentional delivery at 34 weeks, or labor, chorioamnionitis, or non -reassuring testing led to delivery sooner. For the groups with mature (n = 29) and immature or unobtainable (n = 60) fluid, respectively, rates of neonatal ICU admission (83% vs. 77%; p = 0.51), respiratory distress (41% vs. 45%; p = 0.75), mechanical ventilation (10% vs. 17%; p = 0.53), and proven neonatal infection (4% vs. 2%; p = 0.60) were similar, as were rates of other neonatal and maternal complications. The mature group had shorter mean maternal hospital stays (3.6 +/- 0.6 vs. 6.4 +/- 2.9 d; p < 0.001) and latency periods (30.2 +/- 19.3 vs. 83.8 +/- 68.7 h; p < 0.001). Compared to those managed expectantly due to immature or unavailable fetal lung studies, intentional delivery of patients with PROM at 32 or 33 weeks with mature fetal lung studies did not increase neonatal morbidity in our small cohort.
Journal for The Study of The Old Testament, 2011
Isaiah 27.2-6, sometimes known as the ‘new song of the vineyard’, is a very difficult text. It ha... more Isaiah 27.2-6, sometimes known as the ‘new song of the vineyard’, is a very difficult text. It has many textual oddities and it can be variously interpreted as a promise of salvation or a warning of judgment. This study proposes to alleviate some of the difficulties of Isa. 27.2-6 by reading them as an intentional device of rhetorical ambiguity which
Social & Cultural Geography, 2006
Following the armistice of the First World War, the allied powers met in Paris in 1919 to establi... more Following the armistice of the First World War, the allied powers met in Paris in 1919 to establish a new political map for Europe and the former German colonies. This reterritorialization drew its rationale from cartographic calculations of borders and populations that depended on a process of assessing citizenship, racial identity and territory. In this paper I examine the role
... members. Page 3. iii This dissertation is dedicated to To my parents, Lillie Ruth and RA McGe... more ... members. Page 3. iii This dissertation is dedicated to To my parents, Lillie Ruth and RA McGee, sister Nicole Anita McGee, and to the memory of Isaiah and Estella McGee, Beatrice and Hillard Miller Page 4. iv ACKNOWLEDGMENTS ...
Clinical & Experimental Metastasis, 1988
Melanoma Research, 1993
The expression of the glycoprotein MUC18 in melanoma biopsies has previously been shown to increa... more The expression of the glycoprotein MUC18 in melanoma biopsies has previously been shown to increase with increasing tumour thickness, and thus to correlate with the probability of metastasis development. We have examined the expression of this molecule by nine human melanoma cell lines with known metastatic ability (both spontaneous and experimental) in nude mice. Examination of the expression of both the MUC18 mRNA and of the glycoprotein on the cell surface revealed a statistically significant correlation (P = 0.040) between its expression and the ability to form metastases in vivo. Although MUC18 shows sequence similarity to neural cell adhesion molecules, no correlation was observed between the site of origin of the metastatic lesions (brain, lymph node) and MUC18 expression.
Journal of Optics-nouvelle Revue D Optique, 2003
This paper discusses various passive millimetre-wave imaging systems. It includes sources of radi... more This paper discusses various passive millimetre-wave imaging systems. It includes sources of radiation, atmospheric transmission and a brief summary of their various applications. This is followed by a review of methods for detecting millimetre-wave radiation. From a cost analysis it is shown that scanned systems are at present far more cost effective than focal plane array of receivers for high-performance systems. Then various types of imaging system available are considered with greater emphasis on recent developments and their methods of beam forming. It is concluded that at present, and for the foreseeable future, optical beam forming and beam steering are the most cost-effective solutions. Some general remarks are included as to how receivers are matched to their collection apertures, followed by a section on optical beam-forming components. The recent development of a lightweight, low-cost, high-performance reflective lens is included. It is then shown how this may be combined with mechanical scanning systems to form high-performance passive millimetre-wave imaging systems.
This report give an introduction to ad hoc networking and presents a list of over 60 ad hoc routi... more This report give an introduction to ad hoc networking and presents a list of over 60 ad hoc routing protocols that have been proposed between 199x and 2002. It also discuss the problems of performance evaluation of these protocols and the experiences gathered during the implementation of a real world evaluation testbed.
Interpretation-a Journal of Bible and Theology, 1990
Journal of Maternal-fetal & Neonatal Medicine, 2004
To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gesta... more To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gestation. This historical cohort study included all immune competent patients managed at our institution from October 1, 1999 to March 31, 2003 with singleton gestations and PROM at 32 or 33 weeks, and without clinical chorioamnionitis at presentation or antenatal diagnosis of a fetal anomaly. If amniotic fluid studies revealed pulmonary maturity, patients were intentionally delivered. Otherwise, they were expectantly managed until intentional delivery at 34 weeks, or labor, chorioamnionitis, or non -reassuring testing led to delivery sooner. For the groups with mature (n = 29) and immature or unobtainable (n = 60) fluid, respectively, rates of neonatal ICU admission (83% vs. 77%; p = 0.51), respiratory distress (41% vs. 45%; p = 0.75), mechanical ventilation (10% vs. 17%; p = 0.53), and proven neonatal infection (4% vs. 2%; p = 0.60) were similar, as were rates of other neonatal and maternal complications. The mature group had shorter mean maternal hospital stays (3.6 +/- 0.6 vs. 6.4 +/- 2.9 d; p < 0.001) and latency periods (30.2 +/- 19.3 vs. 83.8 +/- 68.7 h; p < 0.001). Compared to those managed expectantly due to immature or unavailable fetal lung studies, intentional delivery of patients with PROM at 32 or 33 weeks with mature fetal lung studies did not increase neonatal morbidity in our small cohort.
American Journal of Obstetrics and Gynecology, 2005
OBJECTIVE: To estimate survival and intact survival of infants based on best obstetric estimate o... more OBJECTIVE: To estimate survival and intact survival of infants based on best obstetric estimate of gestational age (GA) and ultrasound estimate of fetal weight (EFW).
Journal of Maternal-fetal & Neonatal Medicine, 2004
To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gesta... more To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gestation. This historical cohort study included all immune competent patients managed at our institution from October 1, 1999 to March 31, 2003 with singleton gestations and PROM at 32 or 33 weeks, and without clinical chorioamnionitis at presentation or antenatal diagnosis of a fetal anomaly. If amniotic fluid studies revealed pulmonary maturity, patients were intentionally delivered. Otherwise, they were expectantly managed until intentional delivery at 34 weeks, or labor, chorioamnionitis, or non -reassuring testing led to delivery sooner. For the groups with mature (n = 29) and immature or unobtainable (n = 60) fluid, respectively, rates of neonatal ICU admission (83% vs. 77%; p = 0.51), respiratory distress (41% vs. 45%; p = 0.75), mechanical ventilation (10% vs. 17%; p = 0.53), and proven neonatal infection (4% vs. 2%; p = 0.60) were similar, as were rates of other neonatal and maternal complications. The mature group had shorter mean maternal hospital stays (3.6 +/- 0.6 vs. 6.4 +/- 2.9 d; p < 0.001) and latency periods (30.2 +/- 19.3 vs. 83.8 +/- 68.7 h; p < 0.001). Compared to those managed expectantly due to immature or unavailable fetal lung studies, intentional delivery of patients with PROM at 32 or 33 weeks with mature fetal lung studies did not increase neonatal morbidity in our small cohort.
American Journal of Obstetrics and Gynecology, 2005
OBJECTIVE: To estimate survival and intact survival of infants based on best obstetric estimate o... more OBJECTIVE: To estimate survival and intact survival of infants based on best obstetric estimate of gestational age (GA) and ultrasound estimate of fetal weight (EFW).
Journal of Maternal-fetal & Neonatal Medicine, 2004
To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gesta... more To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gestation. This historical cohort study included all immune competent patients managed at our institution from October 1, 1999 to March 31, 2003 with singleton gestations and PROM at 32 or 33 weeks, and without clinical chorioamnionitis at presentation or antenatal diagnosis of a fetal anomaly. If amniotic fluid studies revealed pulmonary maturity, patients were intentionally delivered. Otherwise, they were expectantly managed until intentional delivery at 34 weeks, or labor, chorioamnionitis, or non -reassuring testing led to delivery sooner. For the groups with mature (n = 29) and immature or unobtainable (n = 60) fluid, respectively, rates of neonatal ICU admission (83% vs. 77%; p = 0.51), respiratory distress (41% vs. 45%; p = 0.75), mechanical ventilation (10% vs. 17%; p = 0.53), and proven neonatal infection (4% vs. 2%; p = 0.60) were similar, as were rates of other neonatal and maternal complications. The mature group had shorter mean maternal hospital stays (3.6 +/- 0.6 vs. 6.4 +/- 2.9 d; p < 0.001) and latency periods (30.2 +/- 19.3 vs. 83.8 +/- 68.7 h; p < 0.001). Compared to those managed expectantly due to immature or unavailable fetal lung studies, intentional delivery of patients with PROM at 32 or 33 weeks with mature fetal lung studies did not increase neonatal morbidity in our small cohort.
Journal of Maternal-fetal & Neonatal Medicine, 2004
To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gesta... more To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gestation. This historical cohort study included all immune competent patients managed at our institution from October 1, 1999 to March 31, 2003 with singleton gestations and PROM at 32 or 33 weeks, and without clinical chorioamnionitis at presentation or antenatal diagnosis of a fetal anomaly. If amniotic fluid studies revealed pulmonary maturity, patients were intentionally delivered. Otherwise, they were expectantly managed until intentional delivery at 34 weeks, or labor, chorioamnionitis, or non -reassuring testing led to delivery sooner. For the groups with mature (n = 29) and immature or unobtainable (n = 60) fluid, respectively, rates of neonatal ICU admission (83% vs. 77%; p = 0.51), respiratory distress (41% vs. 45%; p = 0.75), mechanical ventilation (10% vs. 17%; p = 0.53), and proven neonatal infection (4% vs. 2%; p = 0.60) were similar, as were rates of other neonatal and maternal complications. The mature group had shorter mean maternal hospital stays (3.6 +/- 0.6 vs. 6.4 +/- 2.9 d; p < 0.001) and latency periods (30.2 +/- 19.3 vs. 83.8 +/- 68.7 h; p < 0.001). Compared to those managed expectantly due to immature or unavailable fetal lung studies, intentional delivery of patients with PROM at 32 or 33 weeks with mature fetal lung studies did not increase neonatal morbidity in our small cohort.
Journal of Maternal-fetal & Neonatal Medicine, 2004
To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gesta... more To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gestation. This historical cohort study included all immune competent patients managed at our institution from October 1, 1999 to March 31, 2003 with singleton gestations and PROM at 32 or 33 weeks, and without clinical chorioamnionitis at presentation or antenatal diagnosis of a fetal anomaly. If amniotic fluid studies revealed pulmonary maturity, patients were intentionally delivered. Otherwise, they were expectantly managed until intentional delivery at 34 weeks, or labor, chorioamnionitis, or non -reassuring testing led to delivery sooner. For the groups with mature (n = 29) and immature or unobtainable (n = 60) fluid, respectively, rates of neonatal ICU admission (83% vs. 77%; p = 0.51), respiratory distress (41% vs. 45%; p = 0.75), mechanical ventilation (10% vs. 17%; p = 0.53), and proven neonatal infection (4% vs. 2%; p = 0.60) were similar, as were rates of other neonatal and maternal complications. The mature group had shorter mean maternal hospital stays (3.6 +/- 0.6 vs. 6.4 +/- 2.9 d; p < 0.001) and latency periods (30.2 +/- 19.3 vs. 83.8 +/- 68.7 h; p < 0.001). Compared to those managed expectantly due to immature or unavailable fetal lung studies, intentional delivery of patients with PROM at 32 or 33 weeks with mature fetal lung studies did not increase neonatal morbidity in our small cohort.
American Journal of Obstetrics and Gynecology, 2005
OBJECTIVE: To estimate survival and intact survival of infants based on best obstetric estimate o... more OBJECTIVE: To estimate survival and intact survival of infants based on best obstetric estimate of gestational age (GA) and ultrasound estimate of fetal weight (EFW).
Journal of Maternal-fetal & Neonatal Medicine, 2004
To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gesta... more To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gestation. This historical cohort study included all immune competent patients managed at our institution from October 1, 1999 to March 31, 2003 with singleton gestations and PROM at 32 or 33 weeks, and without clinical chorioamnionitis at presentation or antenatal diagnosis of a fetal anomaly. If amniotic fluid studies revealed pulmonary maturity, patients were intentionally delivered. Otherwise, they were expectantly managed until intentional delivery at 34 weeks, or labor, chorioamnionitis, or non -reassuring testing led to delivery sooner. For the groups with mature (n = 29) and immature or unobtainable (n = 60) fluid, respectively, rates of neonatal ICU admission (83% vs. 77%; p = 0.51), respiratory distress (41% vs. 45%; p = 0.75), mechanical ventilation (10% vs. 17%; p = 0.53), and proven neonatal infection (4% vs. 2%; p = 0.60) were similar, as were rates of other neonatal and maternal complications. The mature group had shorter mean maternal hospital stays (3.6 +/- 0.6 vs. 6.4 +/- 2.9 d; p < 0.001) and latency periods (30.2 +/- 19.3 vs. 83.8 +/- 68.7 h; p < 0.001). Compared to those managed expectantly due to immature or unavailable fetal lung studies, intentional delivery of patients with PROM at 32 or 33 weeks with mature fetal lung studies did not increase neonatal morbidity in our small cohort.
Journal of Maternal-fetal & Neonatal Medicine, 2004
To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gesta... more To assess outcomes of patients with premature rupture of membranes (PROM) at 32 or 33 weeks gestation. This historical cohort study included all immune competent patients managed at our institution from October 1, 1999 to March 31, 2003 with singleton gestations and PROM at 32 or 33 weeks, and without clinical chorioamnionitis at presentation or antenatal diagnosis of a fetal anomaly. If amniotic fluid studies revealed pulmonary maturity, patients were intentionally delivered. Otherwise, they were expectantly managed until intentional delivery at 34 weeks, or labor, chorioamnionitis, or non -reassuring testing led to delivery sooner. For the groups with mature (n = 29) and immature or unobtainable (n = 60) fluid, respectively, rates of neonatal ICU admission (83% vs. 77%; p = 0.51), respiratory distress (41% vs. 45%; p = 0.75), mechanical ventilation (10% vs. 17%; p = 0.53), and proven neonatal infection (4% vs. 2%; p = 0.60) were similar, as were rates of other neonatal and maternal complications. The mature group had shorter mean maternal hospital stays (3.6 +/- 0.6 vs. 6.4 +/- 2.9 d; p < 0.001) and latency periods (30.2 +/- 19.3 vs. 83.8 +/- 68.7 h; p < 0.001). Compared to those managed expectantly due to immature or unavailable fetal lung studies, intentional delivery of patients with PROM at 32 or 33 weeks with mature fetal lung studies did not increase neonatal morbidity in our small cohort.