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4 results on '"Ismee, Williams"'

1. This Train Is Being Held

Author

Ismée Williams and Ismée Williams

Subjects
Dating--Fiction, Social classes--Fiction, Hispanic Americans--Fiction, Family life--New York (State)--New York--Fic
Abstract

“A captivating, classic story about two people who ‘shouldn't'be together... readers will be cheering them on until its satisfying conclusion.” —Booklist Alex is a baseball player. A great one. His papi is pushing him to go pro, but Alex maybe wants to be a poet. Not that Papi would understand that—or allow it... Isa is a dancer. She'd love to go pro, if only her Havana-born mom weren't dead set against it... just like she's dead set against her daughter falling for a Latino. And Isa's privileged private-school life—with her dad losing his job and her older brother struggling with mental illness—is falling apart. Not that she'd ever tell that to Alex. Fate—and the New York City subway—have brought Alex and Isa together. Is it enough to keep them together when they need each other most?

Published
2020

2. Water in May

Author

Ismée Williams and Ismée Williams

Subjects
Family problems--Fiction, Dominican Americans--Fiction, Heart--Abnormalities--Fiction, Friendship--Fiction, Pregnancy--Fiction
Abstract

Fifteen-year-old Mari Pujols believes that the baby she's carrying will finally mean she'll have a family member who will love her deeply and won't ever leave her—not like her mama, who took off when she was eight; or her papi, who's in jail; or her abuela, who wants as little to do with her as possible. But when doctors discover a potentially fatal heart defect in the fetus, Mari faces choices she never could have imagined. Surrounded by her loyal girl crew, her off-and-on boyfriend, and a dedicated doctor, Mari navigates a decision that could emotionally cripple the bravest of women. But both Mari and the broken-hearted baby inside her are fighters; and it doesn't take long to discover that this sick baby has the strength to heal an entire family.

Published
2017

3. Neurodevelopmental outcomes after cardiac surgery in infancy

Author

J William, Gaynor, Christian, Stopp, David, Wypij, Dean B, Andropoulos, Joseph, Atallah, Andrew M, Atz, John, Beca, Mary T, Donofrio, Kim, Duncan, Nancy S, Ghanayem, Caren S, Goldberg, Hedwig, Hövels-Gürich, Fukiko, Ichida, Jeffrey P, Jacobs, Robert, Justo, Beatrice, Latal, Jennifer S, Li, William T, Mahle, Patrick S, McQuillen, Shaji C, Menon, Victoria L, Pemberton, Nancy A, Pike, Christian, Pizarro, Lara S, Shekerdemian, Anne, Synnes, Ismee, Williams, David C, Bellinger, and Jane W, Newburger

Subjects
Heart Defects, Congenital, Male, medicine.medical_specialty, Pediatrics, Time Factors, Heart disease, Birth weight, Developmental Disabilities, Clinical Trials and Supportive Activities, Population, Cardiovascular, Medical and Health Sciences, Bayley Scales of Infant Development, Nervous System, neurodevelopmental outcomes, Hypoplastic left heart syndrome, Congenital, Postoperative Complications, Clinical Research, Risk Factors, Medicine, Humans, International Cardiac Collaborative on Neurodevelopment (ICCON) Investigators, Cardiac Surgical Procedures, education, Heart Defects, Pediatric, Psychomotor learning, education.field_of_study, business.industry, Psychology and Cognitive Sciences, Infant, Perinatal Period - Conditions Originating in Perinatal Period, medicine.disease, congenital heart defects, Confidence interval, Cardiac surgery, Quality Education, Heart Disease, Pediatrics, Perinatology and Child Health, Multivariate Analysis, Congenital Structural Anomalies, Female, cardiopulmonary bypass, business, cardiac surgery
Abstract

BACKGROUND: Neurodevelopmental disability is the most common complication for survivors of surgery for congenital heart disease (CHD). METHODS: We analyzed individual participant data from studies of children evaluated with the Bayley Scales of Infant Development, second edition, after cardiac surgery between 1996 and 2009. The primary outcome was Psychomotor Development Index (PDI), and the secondary outcome was Mental Development Index (MDI). RESULTS: Among 1770 subjects from 22 institutions, assessed at age 14.5 ± 3.7 months, PDIs and MDIs (77.6 ± 18.8 and 88.2 ± 16.7, respectively) were lower than normative means (each P < .001). Later calendar year of birth was associated with an increased proportion of high-risk infants (complexity of CHD and prevalence of genetic/extracardiac anomalies). After adjustment for center and type of CHD, later year of birth was not significantly associated with better PDI or MDI. Risk factors for lower PDI were lower birth weight, white race, and presence of a genetic/extracardiac anomaly (all P ≤ .01). After adjustment for these factors, PDIs improved over time (0.39 points/year, 95% confidence interval 0.01 to 0.78; P = .045). Risk factors for lower MDI were lower birth weight, male gender, less maternal education, and presence of a genetic/extracardiac anomaly (all P < .001). After adjustment for these factors, MDIs improved over time (0.38 points/year, 95% confidence interval 0.05 to 0.71; P = .02). CONCLUSIONS: Early neurodevelopmental outcomes for survivors of cardiac surgery in infancy have improved modestly over time, but only after adjustment for innate patient risk factors. As more high-risk CHD infants undergo cardiac surgery and survive, a growing population will require significant societal resources.

Published
2015

4. Early Fetal Echocardiography: Ready for Prime Time?

Author

Fadi Mirza, Samuel Bauer, Ismee Williams, and Lynn Simpson

Subjects
CONGENITAL heart disease diagnosis, CONFIDENCE intervals, ECHOCARDIOGRAPHY, PREDICTIVE tests, RETROSPECTIVE studies, EARLY diagnosis, DESCRIPTIVE statistics, FETUS
Abstract

The objective of this study was to examine the performance of early fetal echocardiography as a screening tool for major cardiac defects in a high-risk population. Fetal echocardiograms performed at 12 to 16 weeks were reviewed. Cases that did not undergo a follow-up echocardiogram at 18 to 22 weeks were excluded. Results of the early and follow-up echocardiograms were compared. Over a 4-year period, 119 early fetal echocardiograms were recorded. Of those, 81 (68%) had follow-up fetal echocardiograms. Results of the early echocardiogram were normal in 77 of 81 (95.1%) cases. Of these, the follow-up was normal in 75 of these 77 cases; in the remaining 2, the follow-up raised suspicion for a ventricular septal defect (VSD) in one and persistent left superior vena cava in the other. On the other hand, the early echocardiogram was abnormal in 4 (4.9%) cases: (1) atrioventricular canal defect, with the follow-up demonstrating a VSD; (2) hypoplastic right ventricle and transposition of the great arteries, confirmed on follow-up; (3) VSD and coarctation of the aorta, confirmed on follow-up. In the fourth case, the early echocardiogram suspected a VSD and right-left disproportion, yet the follow-up was normal. In conclusion, early fetal echocardiography appears to be a reasonable screening tool for major cardiac defects. [ABSTRACT FROM AUTHOR]

Published
2012
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