Browsing by Author "Miller, Katherine"

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    Pseudo-monoamniotic Pregnancy: Case Report and Review of Etiologic Considerations
    (Taylor and Francis, 2015) Patil, Avinash S.; Martin, Jessica; Tsukahara, Katharine; Skljarevski, Anja; Miller, Katherine; Towns, Rachel; Schubert, Frank P.; Department of Obstetrics and Gynecology, IU School of Medicine
    Pseudomonoamniotic gestations are increasingly recognized through sonographic surveillance of monochorionic twins, though etiologic factors remain undefined. We present a case of spontaneous pseudomonoamniotic twins and propose umbilical cord insertion proximity as a sonographic marker. Systematic review of the literature was performed and additional cases with similar findings were noted. Approximately 75% of reported cases (28/37) were deemed spontaneous and several included short inter-cord distances. Shunting of blood away from the membranes in the region between the cord insertions may be responsible for membrane rupture. Further investigation is needed into short inter-cord distance as a marker for monochorionic twins at risk to become a pseudomonoamniotic gestation.
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    State Policy Responses to COVID-19 in Nursing Homes
    (LSE Press, 2021) Van Houtven, Courtney; Miller, Katherine; Gorges, Rebecca; Campbell, Hilary; Dawson, Walter; McHugh, John; McGarry, Brian; Gilmartin, Ryan; Boucher, Nathan; Kaufman, Brystana; Chisholm, Latarsha; Beltran, Susanny; Fashaw, Shekinah; Wang, Xiaochuan; Reneau, Olivia; Chun, Alice; Jacobs, Josephine; Abrahamson, Kathleen; Unroe, Kathleen; Bishop, Christine; Arling, Gregory; Kelly, Sheila; Werner, Rachel M.; Konetzka, R. Tamara; Norton, Edward C.; Medicine, School of Medicine
    Context: COVID-19 has a high case fatality rate in high-risk populations and can cause severe morbidity and high healthcare resource use. Nursing home residents are a high-risk population; they live in congregate settings, often with shared rooms, and require hands-on care. Objectives: To assess state responses to the coronavirus pandemic related to nursing homes in the first half of 2020. Methods: An in-depth examination of 12 states’ responses to the COVID-19 pandemic in nursing homes through June 2020, using publicly reported information such as government decrees, health department guidance, and news reports. Findings: No state emerged as a model of care. All states faced difficulty with limited availability of testing and Personal Protective Equipment (PPE). State-level efforts to increase pay and benefits as a strategy to enable infected staff to quickly physically separate from residents were minimal, and other separation strategies depended on the ability to obtain test results rapidly and on state rules regarding accepting discharged COVID-19 patients into nursing homes. Visitor restrictions to reduce risk were ubiquitous, though based on a slim evidence-base. Limitations: The information used was limited to that which was publicly available. Implications: Overall, the results suggest that the states that handle the ongoing pandemic in nursing homes best will be those that find ways to make sure nursing homes have the resources to follow best practices for testing, PPE, separation, and staffing. Evidence is needed on visitor restrictions and transmission, as states and their citizens would benefit from finding safe ways to relax visitor restrictions.