The Stillbirth Collaborative Research Network Postmortem Examination Protocol

AbstractBackgroundStillbirth often remains unexplained, mostly due to a lack of any postmortem examination or one that is incomplete and misinterpreted.MethodsThis retrospective cohort study was conducted at the Department of Obstetrics and Gynecology, Helsinki University Hospital, Finland, and comprised 214 antepartum singleton stillbirths from 2003 to 2015. Maternal and fetal characteristics and the results of the systematic postmortem examination protocol were collected from medical records. Causes of death were divided into 10 specific categories. Re-evaluation of the postmortem examination results followed.ResultsBased on our systematic protocol, the cause of death was originally defined and reported as such to parents in 133 (62.1%) cases. Re-evaluation of the postmortem examination results revealed the cause of death in an additional 43 (20.1%) cases, with only 23 (10.7%) cases remaining truly unexplained. The most common cause of stillbirth was placental insufficiency in 56 (26.2%) cases. A higher proportion of stillbirths that occurred at ≥39 gestational weeks remained unexplained compared to those that occurred earlier (24.1% vs. 8.6%) (P = 0.02).ConclusionA standardized postmortem examination and a re-evaluation of the results reduced the rate of unexplained stillbirth. Better knowledge of causes of death may have a major impact on the follow-up and outcome of subsequent pregnancies. Also, closer examination and better interpretation of postmortem findings is time-consuming but well worth the effort in order to provide better counseling for the grieving parents.

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535: Stillbirth, inflammatory markers and obesity: results from the stillbirth collaborative research network (scrn)

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2016.11.270 ◽

2017 ◽

Vol 216 (1) ◽

pp. S315-S316

Author(s):

margo harrison ◽

Vanessa Thorsten

Keyword(s):

Collaborative Research ◽

Inflammatory Markers ◽

Research Network

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Portuguese Inguinal Hernia Cohort (PINE) study

10.1101/2020.12.19.20247585 ◽

2020 ◽

Author(s):

◽

J Simões ◽

AA João ◽

JM Azevedo ◽

M Peyroteo ◽

...

Keyword(s):

Chronic Pain ◽

Cohort Study ◽

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Collaborative Research ◽

Research Network ◽

Hernia Surgery ◽

Inguinal Pain ◽

Chronic Postoperative Inguinal Pain

AbstractPurposeRecent comprehensive guidelines have been published on the management of inguinal hernia. Contrary to other European countries, no Portuguese hernia registry exists. This represents an opportunity to assess outcomes of hernia surgery in the Portuguese population. The primary aim is to define the prevalence of chronic pain after elective inguinal hernia repair. The secondary aims are to identify risk factors for chronic pain after elective inguinal hernia repair, to characterise the management of elective inguinal hernia in public Portuguese hospitals.MethodsProspective national cohort study of patients submitted to elective inguinal hernia repair. The primary outcome is the prevalence of chronic postoperative inguinal pain, according to the EuraHS QoL questionnaire at 3 months postoperatively. The study will be delivered in all Portuguese regions through a collaborative research network. Four 2-week inclusion periods will be open for recruitment. A site-specific questionnaire will capture procedure volume and logistical facilities for hernia surgery.ConclusionThis protocol describes the methodology of a prospective cohort study on the elective management of inguinal hernia. It discusses key challenges and describes how the results will impact future investigation. The study will be conducted across a nationwide collaborative research network, with prospective quality assurance and data validation strategies. It will provide the basis for a more accurate prediction of chronic postoperative inguinal pain and the research on adequate patient selection strategies for surgery and therapeutic strategies for postoperative pain.

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Outreach from the IAI Collaborative Research Network on Climate Variability and Human Health Impacts in the Tropical Americas

Seasonal Forecasts, Climatic Change and Human Health ◽

10.1007/978-1-4020-6877-5_12 ◽

2008 ◽

pp. 189-201

Author(s):

Joan L. Aron

Keyword(s):

Climate Variability ◽

Human Health ◽

Collaborative Research ◽

Research Network ◽

Health Impacts ◽

Human Health Impacts

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Indonesia-Kobe University Collaborative Research Center for Emerging and Reemerging Infectious Diseases (CRC-ERID) J-GRID (Japan Initiative for Global Research Network on Infectious Diseases)

Journal of Disaster Research ◽

10.20965/jdr.2014.p0828 ◽

2014 ◽

Vol 9 (5) ◽

pp. 828-835

Author(s):

Toshiro Shirakawa ◽

◽

Kazufumi Shimizu ◽

Takako Utsumi ◽

Masanori Kameoka ◽

...

Keyword(s):

Infectious Diseases ◽

Medical Research ◽

Graduate School ◽

Research Program ◽

Collaborative Research ◽

Infectious Hepatitis ◽

Research Network ◽

Research Center ◽

School Of Medicine ◽

Global Research

The Center for Infectious Diseases (CID), Kobe University Graduate School of Medicine, has led an Asia-related medical research program for over 50 years. The Japan Initiative for Global Research Network on Infectious Diseases (J-GRID) established the Indonesia-Kobe University Collaborative Research Center for Emerging and Reemerging Infectious Diseases (CRC-FRID), which is staffed by Japanese researchers from the CID, Kobe University Graduate School of Medicine, and Indonesian researchers from the Institute of Tropical Disease (ITD) of Airlangga University, Surabaya, Indonesia. There they focus on five disease types – influenza, infectious hepatitis, dengue fever, HIV/AIDS, and infectious diarrheal diseases – in collaborative research. This paper summarizes research results for these 5 diseases as published in previous papers.

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