189 results match your criteria: "Shriners Hospitals for Children - Boston[Affiliation]"

REsource Support To Optimize REcovery (RESTORE) scoping review: Evaluating aftercare resources for burn survivors.

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.

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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.

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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.

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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.

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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.

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Moderation Effects of Daily Behavior on Associations Between Symptoms and Social Participation Outcomes After Burn Injury: A 6-Month Digital Phenotyping Study.

Arch 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.

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Acute Rejection Rates in Vascularized Composite Allografts: A Systematic Review of Case Reports.

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:

Article Synopsis
  • Vascularized Composite Allografts (VCA) face risks of acute rejection due to full histocompatibility mismatch, relying on different immunosuppression therapies and graft preservation quality.* -
  • A systematic review analyzed 211 VCA cases, finding a combination of antithymocyte globulins, mycophenolate mofetil (MMF), tacrolimus, and steroids was most commonly used, with burn patients at a higher risk for acute rejection.* -
  • The field of VCA lacks a standardized immunosuppression regimen, indicating a need for more data and comprehensive reporting to better understand the immune responses and optimize treatment strategies.*
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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.

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Chronic Use of Prescription Pain Medication and Outcomes in Patients With Burn Injury: A Burn Model System National Database Study.

Am 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.

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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).

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Neuropathic Pain After Burn Injury: A Severe and Common Problem in Recovery.

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.

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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.

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Predictors at 6 and 12 Months for Social Participation Outcome at 24 Months in the Adult Burn Injury Population: A Burn Model System National Database Study.

Arch 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.

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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.

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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.

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Insulin signaling in skeletal muscle during inflammation and/or immobilisation.

Intensive 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.

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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.

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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.

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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.

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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.

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Distraction Lengthening of the Apert Thumb.

Plast 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.

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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.

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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 .

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Are burns a chronic condition? Examining patient reported outcomes up to 20 years after burn injury-A Burn Model System National Database investigation.

J 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.

Article Synopsis
  • - The study investigates the long-term effects of burn injuries on health, life satisfaction, and community integration for up to 20 years post-injury, highlighting a gap in existing research on this topic.
  • - Data from 421 adult burn survivors showed that factors like longer hospital stays, older age at injury, and greater time since injury correlated with worse physical and mental health over time, as well as reduced life satisfaction and community integration.
  • - Findings indicate that burn survivors experienced a decline in physical and mental health and life satisfaction over the years, suggesting the need for future research focused on long-term clinical follow-up and interventions.
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