Archive for research
A path forward for genetic testing in unexplained epilepsy
The number of genes implicated in epilepsy has grown rapidly in the past decade. This raises questions about what tests to offer to people with unexplained epilepsy and whether those tests would yield actionable information. Now, practice guidelines developed by genetic counselors at Boston Children’s Hospital offer a way forward. In the first systematic evidence ... Read More
A heart valve that grows along with a child could reduce invasive surgeries
Clinical trials have started for the first prosthetic pulmonary valve replacement that is specifically designed for pediatric patients and can expand over time inside a child’s anatomy. Instead of having invasive replacement surgeries every few years, as is the practice now, a child can have the valve fitted to their individual body size and, if ... Read More
Research opens a window into understanding deadly brain tumors
Formerly known as diffuse intrinsic pontine gliomas, diffuse midline gliomas (DMGs) are highly aggressive tumors found in the midline of the brain. Their prognosis is very poor, in part because they don’t respond well to treatments such as chemotherapy and radiation. Now, research by Mariella Filbin, MD, PhD, and others in the Brain Tumor Center ... Read More
Understanding BRUEs: Recent study sheds light
Brief resolved unexplained events (BRUEs) are episodes marked by concerning changes in breathing, consciousness, muscle tone, and skin color (cyanosis or paleness). They tend to occur in previously healthy infants and send worried parents racing to the emergency department. However, researchers know little about the risk of persistent symptoms after BRUE hospitalizations. To learn more, ... Read More
‘On fire’ with sJIA: When arthritis is much more than joint pain
Georgia is finally living her best life. Her toddler years were challenging: At 15 months old, a series of high fevers landed her at Boston Children’s Hospital for two weeks. After many rounds of tests looking for infection and a bone marrow biopsy to rule out cancer, she was diagnosed with systemic juvenile idiopathic arthritis ... Read More
Predicting feeding difficulties in children with esophageal atresia: A proactive approach
Children with esophageal atresia are at risk for developing anastomotic strictures, or areas of esophageal narrowing, following surgical repair. Clinicians have long assumed that such strictures can cause dysphagia and feeding difficulties, but it isn’t clear whether the severity of feeding difficulties is related to the severity of a stricture. Now, findings of a recent ... Read More
Breaking down barriers: How interpreters can enhance patient care
Sharing medical concerns with clinicians can be hard for anyone — a challenge that’s amplified in patients when English isn’t their first language. The results are troubling: One recent study by Boston Children’s pediatric hospitalist and researcher Alisa Khan, MD, MPH, found that patients and families who have limited English proficiency are three to five ... Read More
COVID-19’s devastating toll: An increase in adolescent suicides and mental health crises
The past decade has seen worrisome increases in self-harm, suicidal ideation, and suicide attempts among adolescents. Two new studies from Boston Children’s Hospital show that the situation became even more acute with the onset of COVID-19. Epidemiologist Maimuna Majumder, PhD, and colleagues at the Computational Health Informatics Program (CHIP) at Boston Children’s partnered with public health ... Read More
Climate and children’s health: A conversation with Dr. Aaron Bernstein
When Boston Children’s Hospital pediatrician Dr. Aaron Bernstein was in medical school, he was told that climate change — an interest of his since 7th grade — belonged in the realm of politics, not medicine. One professor told him flat out, “You’re trying to fit a square peg in a round hole.” But another professor ... Read More
At the intersection of research and clinical care: Celebrating our female gastroenterologists
In honor of Women’s History Month and National Doctor’s Day, we’re celebrating just a few of the amazing female gastroenterologists at Boston Children’s Hospital. Elizabeth Hait, MD, MPH Elizabeth Hait, MD, MPH Clinical director, Division of Gastroenterology, Hepatology, and Nutrition Co-Medical director, Eosinophilic Gastrointestinal Disease Program Why did you want to become a physician? In ... Read More