189 results match your criteria: "Shriners Hospitals for Children - Boston[Affiliation]"
Burns
December 2024
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, MA, USA; Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA. Electronic address:
Background: Burn survivors report limited resources as they transition to their communities after initial hospitalization. The aim of this project is to review literature that identifies resources provided to burn survivors and their supporters after discharge to their communities.
Methods: The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used to examine the following literature databases: PubMed, EMBASE, Web of Science, PsycInfo, and CINAHL.
Elife
September 2024
Department of Surgery, Massachusetts General Hospital, and Harvard Medical School, Boston, United States.
How bacterial pathogens exploit host metabolism to promote immune tolerance and persist in infected hosts remains elusive. To achieve this, we show that () a recalcitrant pathogen, utilizes the quorum sensing (QS) signal 2'-aminoacetophenone (2-AA). Here, we unveil how 2-AA-driven immune tolerization causes distinct metabolic perturbations in murine macrophages' mitochondrial respiration and bioenergetics.
View Article and Find Full Text PDFAnn Intensive Care
August 2024
Department of Surgery, Massachusetts General Hospital and Harvard Medical School, 50 Blossom St., Their 340, Boston, MA, 02114, USA.
Background: Multiple organ failure/dysfunction syndrome (MOF/MODS) is a major cause of mortality and morbidity among severe trauma patients. Current clinical practices entail monitoring physiological measurements and applying clinical score systems to diagnose its onset. Instead, we aimed to develop an early prediction model for MOF outcome evaluated soon after traumatic injury by performing machine learning analysis of genome-wide transcriptome data from blood samples drawn within 24 h of traumatic injury.
View Article and Find Full Text PDFmBio
September 2024
Department of Biological Sciences, Columbia University, New York, New York, USA.
is an opportunistic pathogen that thrives in environments associated with human activity, including soil and water altered by agriculture or pollution. Because L-lactate is a significant product of plant and animal metabolism, it can serve as a carbon source for in the diverse settings that it inhabits. In this study, we evaluate the production and use of two redundant L-lactate dehydrogenases, termed LldD and LldA.
View Article and Find Full Text PDFmBio
July 2024
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Unlabelled: Sepsis and chronic infections with , a leading "ESKAPE" bacterial pathogen, are associated with increased morbidity and mortality and skeletal muscle atrophy. The actions of this pathogen on skeletal muscle remain poorly understood. In skeletal muscle, mitochondria serve as a crucial energy source, which may be perturbed by infection.
View Article and Find Full Text PDFArch Phys Med Rehabil
September 2024
Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA; Rehabilitation Outcomes Center at Spaulding, Boston, MA; Massachusetts General Hospital, Harvard Medical School, Boston, MA. Electronic address:
Objective: To examine the moderation effects of daily behavior on the associations between symptoms and social participation outcomes after burn injury.
Design: A 6-month prospective cohort study.
Setting: Community.
J Surg Res
June 2024
Vascularized Composite Allotransplantation Laboratory, Center for Transplantation Sciences, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, Massachusetts; Shriners Hospitals for Children-Boston, Boston, Massachusetts. Electronic address:
bioRxiv
March 2024
Department of Biological Sciences, Columbia University, New York, NY 10027.
is an opportunistic pathogen that thrives in environments associated with human activity, including soil and water altered by agriculture or pollution. Because L-lactate is a significant product of plant and animal metabolism, it is available to serve as a carbon source for in the diverse settings it inhabits. Here, we evaluate 's production and use of its redundant L-lactate dehydrogenases, termed LldD and LldA.
View Article and Find Full Text PDFAm J Phys Med Rehabil
September 2024
From the Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, Massachusetts (KV, HD, LS, LK, JS); Mass General Cancer Center, Massachusetts General Hospital, Boston, Massachusetts (BK); Division of Trauma, Burn and Critical Care Surgery, University of Washington, Seattle, Washington (BS); Harborview Injury Prevention and Research Center, Seattle, Washington (BS); Department of Surgery, University of Texas Medical Branch, Galveston, Texas (SW); Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas (SM); Department of Rehabilitation Medicine, University of Washington, Seattle, Washington (AB); Division of Trauma, Burn and Surgical Critical Care, Brigham and Women's Hospital, Boston, Massachusetts (AM); Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, Massachusetts (LK); Rehabilitation Outcomes Center at Spaulding, Spaulding Rehabilitation Network, Charlestown, Massachusetts (LK, JS); Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts (CR); Shriners Hospitals for Children-Boston, Boston, Massachusetts (CR); and Department of Physical Medicine and Rehabilitation, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts (JS).
Objective: This study attempts to examine long-term pain medication usage after burn injury and its association with functional and psychosocial outcomes.
Design: This is a multicenter retrospective cohort study utilizing the Burn Model System National Longitudinal Database. Participants injured from 2015 to 2021 were divided into two groups, those taking and not taking prescription pain medication at 12 mos after injury.
Child Adolesc Psychiatry Ment Health
January 2024
Department of Surgery, Massachusetts General Hospital, 50 Blossom St., Their 340, Boston, MA, 02114, USA.
Background: Previous studies on screen use and children's mental health during the Coronavirus Disease 2019 (COVID-19) pandemic focused only on the timeframe during the pandemic, on children between narrow age ranges, only among a subset of children who have previously reported COVID-related severe family economic hardship or worries, or did not distinguish between instructive versus recreational device usage. Thus, in this study, we analyzed trends, specifically related to recreational screen use, and associations with psychological well-being (PWB) in the years before versus during the COVID-19 pandemic, among a wide range of school-aged children, widely across the nation.
Methods: Using the National Survey of Children's Health (NSCH) years 2018-21, we analyzed a large random sample of school-aged children (6-17 years old) across the US (n = 88,823).
Ann Surg
May 2024
Division of Plastic and Reconstructive Surgery, Keck Medicine of USC, Los Angeles, CA.
Objective: The aim of this study was to address the limited understanding of neuropathic pain (NP) among burn survivors by comprehensively examining its prevalence and related factors on a national scale using the Burn Model System (BMS) National Database.
Background: NP is a common but underexplored complaint among burn survivors, greatly affecting their quality of life and functionality well beyond the initial injury. Existing data on NP and its consequences in burn survivors are limited to select single-institution studies, lacking a comprehensive national perspective.
FASEB J
October 2023
Center for Engineering in Medicine and Surgery, Harvard Medical School and Massachusetts General Hospital, Boston, Massachusetts, USA.
Despite decades of effort, the preservation of complex organs for transplantation remains a significant barrier that exacerbates the organ shortage crisis. Progress in organ preservation research is significantly hindered by suboptimal research tools that force investigators to sacrifice translatability over throughput. For instance, simple model systems, such as single cell monolayers or co-cultures, lack native tissue structure and functional assessment, while mammalian whole organs are complex systems with confounding variables not compatible with high-throughput experimentation.
View Article and Find Full Text PDFArch Phys Med Rehabil
February 2024
Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA; Rehabilitation Outcomes Center at Spaulding, Boston, MA; Massachusetts General Hospital, Harvard Medical School, Boston, MA. Electronic address:
Objective: To identify clinical factors (physical and psychological symptoms and post-traumatic growth) that predict social participation outcome at 24-month after burn injury.
Design: A prospective cohort study based on Burn Model System National Database.
Setting: Burn Model System centers.
Stem Cell Rev Rep
August 2023
Innovative Therapies in Haemostasis, INSERM UMR-S 1140, University of Paris, F-75006, Paris, France.
Autologous fat transplantation -i.e., lipofilling- has become a promising and popular technique in aesthetic and reconstructive surgery with several application such as breast reconstruction, facial and hand rejuvenation.
View Article and Find Full Text PDFmBio
April 2023
Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Macrophages are crucial components of the host's defense against pathogens. Recent studies indicate that macrophage functions are influenced by lipid metabolism. However, knowledge of how bacterial pathogens exploit macrophage lipid metabolism for their benefit remains rudimentary.
View Article and Find Full Text PDFIntensive Care Med Exp
March 2023
Charité - Universitätsmedizin Berlin, corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Anesthesiology and Operative Intensive Care Medicine (CVK, CCM), Charitéplatz 1, 10117, Berlin, Germany.
Background: The decline in the downstream signal transduction pathway of anabolic hormone, insulin, could play a key role in the muscle atrophy and insulin resistance observed in patients with intensive care unit acquired weakness (ICUAW). This study investigated the impact of immobilisation via surgical knee and ankle fixation and inflammation via Corynebacterium parvum injection, alone and in combination, as risk factors for altering insulin transduction and, therefore, their role in ICUAW.
Results: Muscle weight was significantly decreased due to immobilisation [estimated effect size (95% CI) - 0.
J Med Syst
February 2023
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, 300 1st Avenue, Boston, MA, 02129, USA.
This review aims to identify and evaluate digital interventions for social participation in the growing population of adults with long-term physical conditions. Articles were sourced from MEDLINE, EMBASE, CINAHL and PsycINFO databases using subject headings and keywords related to "social participation" and "digital technology". Studies that adopted digital technology interventions to improve social participation in adults with long-term physical conditions were included.
View Article and Find Full Text PDFPediatr Crit Care Med
November 2022
Department of Clinical Research, Shriners Hospitals for Children - Boston, Boston, MA.
Objectives: Among burned children who arrive at a burn center and require invasive mechanical ventilation (IMV), some may have prolonged IMV needs. This has implications for patient-centered outcomes as well as triage and resource allocation decisions. Our objective was to identify factors associated with the duration of mechanical ventilation in pediatric patients with acute burn injury in this setting.
View Article and Find Full Text PDFNat Commun
July 2022
Center for Engineering in Medicine and Surgery, Harvard Medical School and Massachusetts General Hospital, Boston, MA, USA.
The limited preservation duration of organs has contributed to the shortage of organs for transplantation. Recently, a tripling of the storage duration was achieved with supercooling, which relies on temperatures between -4 and -6 °C. However, to achieve deeper metabolic stasis, lower temperatures are required.
View Article and Find Full Text PDFBurns
August 2022
Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA, USA; Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. Electronic address:
Adv Healthc Mater
July 2022
Center for Engineering in Medicine and Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, 02114, USA.
Elastin-like peptides (ELPs) are a versatile platform for tissue engineering and drug delivery. Here, micelle forming ELP chains are genetically fused to three therapeutic molecules, keratinocyte growth factor (KGF), stromal cell-derived growth factor 1 (SDF1), and cathelicidin (LL37), to be used in wound healing. Chronic wounds represent a growing problem worldwide.
View Article and Find Full Text PDFPlast Reconstr Surg
April 2022
From the Shriners Hospitals for Children-Boston; Department of Plastic and Oral Surgery, Boston Children's Hospital, Harvard Medical School; and Division of Plastic Surgery, Department of Surgery, University of New Mexico, School of Medicine.
Background: The thumbs of patients with Apert syndrome are characteristically short and radially deviated, contributing to functional hand impairment. The authors report a two-staged technique for distraction lengthening of the Apert thumb using a robust cohort of pediatric patients.
Methods: The authors retrospectively reviewed medical records of pediatric patients with Apert syndrome who underwent thumb distraction lengthening between 1999 and 2019.
PLoS One
March 2022
Department of Research, Shriners Hospitals for Children Boston, Boston, Massachusetts, United States of America.
Early recognition of the clinical signs of bloodstream infection in pediatric burn patients is key to improving survival rates in the burn unit. The objective of this study was to propose a simple scoring criteria that used readily available temperature, heart rate (HR) and mean arterial pressure (MAP) data to accurately predict bloodstream infection in pediatric burn patients. A retrospective chart review included 100 patients admitted to the pediatric burn unit for >20% total body surface area (TBSA) burn injuries.
View Article and Find Full Text PDFActa Pharm Sin B
January 2022
Division of Nuclear Medicine and Molecular Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
Monoacylglycerol lipase (MAGL) is a pivotal enzyme in the endocannabinoid system, which metabolizes 2-arachidonoylglycerol (2-AG) into the proinflammatory eicosanoid precursor arachidonic acid (AA). MAGL and other endogenous cannabinoid (EC) degrading enzymes are involved in the fibrogenic signaling pathways that induce hepatic stellate cell (HSC) activation and ECM accumulation during chronic liver disease. Our group recently developed an F-labeled MAGL inhibitor ([F]MAGL-4-11) for PET imaging and demonstrated highly specific binding and .
View Article and Find Full Text PDFJ Trauma Acute Care Surg
June 2022
From the Department of Physical Medicine and Rehabilitation (C.A.A., A.E.W., R.Z., L.E.K., J.C.S.), Spaulding Rehabilitation Hospital, Boston, Massachusetts; Department of Surgery (G.J.C., N.S.G., B.T.S.), University of Washington, Seattle, Washington; Department of Rehabilitation Medicine (K.A.M), University of Washington, Seattle, Washington; Harborview Injury Prevention and Research Center (B.T.S.), University of Washington, Seattle, Washington; Department of Physical Medicine and Rehabilitation (R.H.), University of Texas South Western Medical Center, Dallas, Texas; Department of Psychiatry (K.R.), University of Texas South Western Medical Center, Dallas, Texas; Department of Physical Medicine and Rehabilitation (F.M.H.), Indiana University School of Medicine, Indianapolis, Indiana; Rehabilitation Hospital of Indiana (F.M.H.), Indianapolis, Indiana; Department of Health Law, Policy, and Management (P.N., L.E.K.), Boston University School of Public Health, Boston, Massachusetts; Department of Surgery (O.S., S.W.), University of Texas Medical Branch, Galveston, Texas; Department of Surgery (O.S., S.W.), Shriners Hospitals for Children Galveston, Galveston, Texas; Department of Physical Medicine and Rehabilitation (R.Z.), Massachusetts General Hospital, Boston, Massachusetts; Department of Surgery (C.M.R.), Massachusetts General Hospital, Boston, Massachusetts; Department of Surgery (C.M.R.), Shriners Hospitals for Children Boston, Boston, Massachusetts; Harvard Medical School (R.Z., L.E.K., C.M.R., J.C.S.), Boston, Massachusetts; and Department of Physical Medicine and Rehabilitation (R.Z., L.E.K., J.C.S.), Spaulding Research Institute, Boston, Massachusetts.