16 results match your criteria: "Boston Children's Hospital and Harvard University[Affiliation]"

Background: Neonatal infections due to Paenibacillus species have increasingly been reported over the last few years.

Methods: We performed a structured literature review of human Paenibacillus infections in pediatric and adult patients to compare the epidemiology of infections between these distinct patient populations.

Results: Forty reports describing 177 infections were included.

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Objective: To examine the effectiveness of an education intervention for reducing physician diagnostic error in identifying pediatric burn and bruise injuries suspicious for abuse, and to determine case-specific variables associated with an increased risk of diagnostic error.

Study Design: This was a multicenter, prospective, cross-sectional study. A convenience sample of pediatricians and other front-line physicians who treat acutely injured children in the United States and Canada were eligible for participation.

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Article Synopsis
  • - This research investigates different mechanical ventilation strategies for infants with severe bronchopulmonary dysplasia (BPD) to improve care and clinical trial design.
  • - A secondary analysis of data from 78 infants across 14 centers used clustering techniques to categorize ventilator settings into three distinct approaches based on specific physiological measures.
  • - The findings show significant differences in ventilation settings among the identified clusters, suggesting a need for further studies to link these practices to BPD clinical outcomes.
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Article Synopsis
  • Childhood and adolescence are critical periods for preventing atherosclerotic cardiovascular disease (ASCVD), as early atherogenesis begins in these stages due to factors like obesity and hypertension.
  • Children with obesity have a significantly higher risk of ASCVD mortality later in life, underlining the importance of early intervention in cardiovascular health.
  • A variety of pediatric disorders, such as chronic inflammatory conditions and congenital heart diseases, increase ASCVD risk even more than obesity, highlighting the need for comprehensive cardiovascular risk management in pediatric healthcare.
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Neurodevelopmental impairments are the most common extracardiac morbidities among patients with complex congenital heart disease (CHD) across the lifespan. Robust clinical research in this area has revealed several cardiac, medical, and social factors that can contribute to neurodevelopmental outcome in the context of CHD. Studies using brain magnetic resonance imaging (MRI) have been instrumental in identifying quantitative and qualitative difference in brain structure and maturation in this patient population.

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Background And Objectives: The coronavirus disease 2019 (COVID-19) pandemic has impacted hospitals, potentially affecting quality and safety. Our objective was to compare pediatric hospitalization safety events during the pandemic versus previous years.

Methods: In this retrospective cohort study of hospitalizations in the Pediatric Health Information System, we compared Pediatric Quality Indicator (PDI) rates from March 15 to May 31, 2017-2019 (pre-COVID-19), with those from March 15 to May 31, 2020 (during COVID-19).

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Background: Podocyte dysfunction is the main pathologic mechanism driving the development of FSGS and other morphologic types of steroid-resistant nephrotic syndrome (SRNS). Despite significant progress, the genetic causes of most cases of SRNS have yet to be identified.

Methods: Whole-genome sequencing was performed on 320 individuals from 201 families with familial and sporadic NS/FSGS with no pathogenic mutations in any known NS/FSGS genes.

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Although norm-referenced scores are essential to the identification of disability, they possess several features which affect their sensitivity to change. Norm-referenced scores often decrease over time among people with neurodevelopmental disorders who exhibit slower-than-average increases in ability. Further, the reliability of norm-referenced scores is lower at the tails of the distribution, resulting in floor effects and increased measurement error for people with neurodevelopmental disorders.

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A 15-year-old girl is scheduled to undergo an upper lobectomy to debulk metastatic Ewing sarcoma. The anesthesiologist recommended placement of a thoracic epidural catheter to provide postoperative analgesia. The patient did not want a needle to be placed near her spine.

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Article Synopsis
  • - The National Cancer Institute held a think-tank meeting to gather expert insights on using multiomic single-cell analyses, particularly single-cell proteomics, to create advanced cancer biomarkers for risk assessment, early detection, diagnosis, and treatment targets.
  • - The discussion covered challenges in single-cell analysis, including methods for analyzing cells from different tissue states, detecting secreted molecules, identifying new cell types, and integrating multiple types of data effectively.
  • - Experts also explored technical improvements needed for single-cell proteomics, including enhancing measurement sensitivity, achieving adequate data coverage, and effectively visualizing complex data sets to better understand intercellular communication in cancerous tissues.
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Slow phosphorylation of a tyrosine residue in LAT optimizes T cell ligand discrimination.

Nat Immunol

November 2019

Division of Rheumatology, Rosalind Russell and Ephraim P. Engleman Arthritis Research Center, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.

Article Synopsis
  • Self-non-self discrimination is a key part of how T cells work in our immune system.
  • A specific process involving a protein called LAT and a part of it called Y132 is really important for T cells to tell the difference between what’s friendly and what’s harmful.
  • Changing a nearby part of LAT can speed up this process, making T cells better at responding to weaker signals, which helps them act more accurately when fighting infections.
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Human tumor genomics and zebrafish modeling identify loss as a driver of mucosal melanoma.

Science

November 2018

Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, San Francisco, CA 94158, USA.

Melanomas originating from mucosal surfaces have low mutation burden, genomic instability, and poor prognosis. To identify potential driver genes, we sequenced hundreds of cancer-related genes in 43 human mucosal melanomas, cataloging point mutations, amplifications, and deletions. The gene, which encodes a negative regulator of mitogen-activated protein kinase (MAPK) signaling, was inactivated in 37% of the tumors.

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Objective: Callous-unemotional (CU) traits in childhood are a developmental precursor to psychopathy, yet the origins and etiology of CU traits are not known. We examined CU traits among 12-year-old children exposed to severe early deprivation and evaluated whether a high-quality foster care intervention mitigated the development of high levels of CU traits.

Method: Participants were from the Bucharest Early Intervention Project, a randomized controlled trial of foster care for children in institutions.

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Shear-Activated Nanoparticle Aggregates Combined With Temporary Endovascular Bypass to Treat Large Vessel Occlusion.

Stroke

December 2015

From the New England Center for Stroke Research, Department of Radiology, University of Massachusetts, Worcester (M.G.M., M.J.G., S.V., E.T.L., O.W.B., A.S.P., J.-Y.C., A.K.W.); Wyss Institute for Biologically Inspired Engineering, Harvard University, Boston, MA (N.K., O.U., A.-L.P., C.J., D.B., M.K., B.R.B., D.E.I.); Department of Biomedical Engineering, Technion, Israel (N.K.); Vascular Biology Program, Boston Children's Hospital and Harvard University, Boston, MA (D.E.I.); and Harvard John A. Paulson School of Engineering and Applied Sciences, Cambridge, MA (D.E.I.).

Background And Purpose: The goal of this study is to combine temporary endovascular bypass (TEB) with a novel shear-activated nanotherapeutic (SA-NT) that releases recombinant tissue-type plasminogen activator (r-tPA) when exposed to high levels of hemodynamic stress and to determine if this approach can be used to concentrate r-tPA at occlusion sites based on high shear stresses created by stent placement.

Methods: A rabbit model of carotid vessel occlusion was used to test the hypothesis that SA-NT treatment coupled with TEB provides high recanalization rates while reducing vascular injury. We evaluated angiographic recanalization with TEB alone, intra-arterial delivery of soluble r-tPA alone, or TEB combined with 2 doses of intra-arterial infusion of either the SA-NT or soluble r-tPA.

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