MacCutcheon Family’s Gift Continues Legacy of Supporting Kids with Hereditary Cardiovascular Disease

WASHINGTON—With a $two million gift from James A. “Jim” MacCutcheon and the family, Children’s National Health System has built the MacCutcheon Family Professorship in Cardiac Critical Care Medicine to make sure world-class take care of children within the cardiac intensive care unit (CICU). The present is made by Mr. MacCutcheon and the kids, Megan MacCutcheon, Candice Kessler, and Colleen Crowley.

This endowed professorship enables Children’s National to determine a brand new position, Chief of Cardiac Critical Care Medicine and Co-Director of the Children’s National Heart Institute, to assist optimize outcomes for vulnerable cardiac patients and pursue new treatments, therapies, and cures. Yearly, Children’s National treats nearly 20,000 patients looking for specialized cardiac care, including children within the CICU facing and dealing with cardiovascular surgery, experiencing advanced heart failure, or looking for mechanical circulatory support.

Kurt Newman, MD, President and Ceo of Children’s National, stated, “We are grateful for that MacCutcheon family’s tremendous leadership and philanthropic support of Children’s National in the last 30 years. By creating this latest professorship, Jim and the kids are helping elevate the amount of care we are able to offer our sickest cardiac patients.”

This generous gift develops 34 many years of support and leadership from Jim MacCutcheon, who presently serves around the Children’s Hospital Foundation Board and also the Bearacuda Board, an economic advisory board for that hospital.  Among other generous gifts to Children’s National, the MacCutcheon family established the Halle MacCutcheon Playroom and also the MacCutcheon Family Cardiovascular Operating Suite.

Contact: Morgan McKean  (301) 565-8427

About Children’s National Health System

Children’s National Health System, located in Washington, D.C., continues to be serving the nation’s children since 1870. Children’s National is #1 for babies and rated in each and every niche evaluated by U.S. News & World Report including placement within the top ten for: Cancer (#7), Neurology and Neurosurgery (#9) Orthopedics (#9) and Nephrology (#10). Children’s National continues to be designated two occasions like a Magnet® hospital, a designation provided to hospitals that report the greatest standards of nursing and patient care delivery. This pediatric academic health system offers expert care via a convenient, community-based primary care network and niche outpatient centers. The place to find the Children’s Research Institute and also the Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National is among the nation’s top NIH-funded pediatric institutions. Children’s National is acknowledged for its expertise and innovation in pediatric care so that as a powerful voice for kids through advocacy in the local, regional and national levels. To learn more, visit ChildrensNational.org, or follow us on Twitter and facebook.

Anti snoring in youngsters impairs memory consolidation

Little boy asleep in a sunny room
New information sheds light on anti snoring in youngsters.
New research examined how osa in youngsters may interfere with memory consolidation, and in addition it uncovered a potential method of predicting the level of disruption brought on by the connected sleep loss.

Through the years, science has delved in to the nature and function of sleep. Although there are many unanswered questions, gradually, slumber is quitting its secrets.

One role that sleep appears to play a component was the consolidation of recollections. And even though rapid eye movement (REM) sleep has lengthy been considered important, non-REM (NREM) sleep has acquired more interest lately.

When we conclude that sleep is necessary for firming up memories, it makes sense that damaged sleep must have a harmful effect.

Lately, several researchers ran a study investigating whether kids with disturbed sleep demonstrate impaired memory. Additionally they hunted for just about any related neural activity.

Sleep-disordered breathing and memory

Within the new study, they centered on kids with sleep-disordered breathing (SDB), which describes a variety of symptoms involving different levels of upper airway collapse.

At the milder finish from the spectrum is snoring, and also at another is osa (OSA), in which the airways collapse enough to avoid breathing for brief periods while asleep.

With OSA, an individual can often stop breathing for 20–40 seconds at any given time, many occasions every night — as well as many occasions each hour — without having to be aware. These pauses in breathing also cause a decrease in bloodstream oxygen levels.

SDB is relatively common. Some estimate that around 10 % children have some degree of SDB. And even though OSA continues to be very well studied in grown-ups, research in youngsters is missing.

Some research has proven that SDB can negatively impact children’s academic success, but short-term memory deficits inside a pediatric population haven’t consistently been measured. This can be because neuropsychiatric tests depend on short-term memory, whereas academic performance also depends on lengthy-term memory.

Memory can be damaged lower into three phases: understanding the task, or encoding consolidation and recall. Throughout the consolidation phase, the memory trace is stabilized, which makes it more prone to “stick.”

In grown-ups, fragmented sleep continues to be proven to hinder memory consolidation, but little studies have explored this effect in youngsters.

The brand new study, that has been printed within the journal PLOS ONE, attempted to decide if specific memory deficits might be measured in youngsters with OSA. Also, they wanted to educate yourself regarding the particular phases rest which are disrupted.

Earlier studies demonstrated that NREM Stage 2 (N2) sleep spindles — short bursts of brain activity that occur during NREM sleep — might be important. NREM slow oscillations will also be regarded as involved.

They desired to know whether or not these two sleep characteristics were disrupted in children with SDB.

For that study, the team recruited 36 children aged 5–9 and split them into three groups: a control group children that snored and kids with OSA. Each child was evaluated overnight at Boston Children’s Hospital Pediatric Sleep Laboratory in Massachusetts.

Cognitive testing

Prior to the study, the kids were trained and tested on the spatial declarative memory task, which involved generating cards to locate matching pairs. This looked like the most popular game referred to as “Memory” or “Concentration.”

Additionally they transported out a psychomotor vigilance task in which the participants were requested to press a control button each time a red circle made an appearance in the center of the black monitor. Ps3 slim measure attention levels before the memory task.

The kids were first tested half an hour after waking within the laboratory. Then, 7 days later, these were tested in your own home half an hour after waking, and on the other hand 10 hrs later.

Not surprisingly, the team discovered that “participants with mild OSA had impaired memory consolidation.” This deficit was measured throughout the tests in the sleep center and in individuals transported out in the participants’ homes.

They discovered that the amount of deficit correlated with reduced figures of N2 sleep spindles. Additionally they noted that N2 sleep spindles were reduced more in individuals who snored probably the most. However, unlike their expectations, no relationship was discovered between NREM slow oscillations and memory consolidation.

The authors conclude:

[T]his study provides needed evidence that memory processes are disrupted at even low severity amounts of SDB and shows that management of mild OSA might be advantageous for memory processes in youngsters.Inch

Even though the study was just transported on a comparatively select few of kids, the outcomes increase the current knowledge of sleep disturbance and it is effects on memory.

They think that later on, N2 sleep spindles may well be a helpful method to predict the cognitive results of SDB in youngsters. And since SDB impacts a lot of children, understanding potential deficits and designing methods to reverse options are vital.

Infared imaging much better than touch at discovering defects in protective lead aprons

Stanley Fricke and lead aprons.

WASHINGTON – The fingertips are some of the body’s most sensitive areas and be capable of identify very subtle changes towards the the surface of an item. Because of this, inspectors searching for defects in lead aprons that are utilized to shield patients’ vital organs from radiation exposure have run their fingers within the aprons, counting on tactile inspection coupled with visual inspection to locate defects.

Infrared (IR) thermal imaging is a far greater detective, with 50 % of study participants choosing all holes intentionally drilled right into a test apron in contrast to just 6 % of participants who detected exactly the same defects while using tactile method, based on research printed online November. 8, 2017  in Journal from the American College of Radiology. Additionally to as being a better method to identify subtle defects, the IR imaging technology also reduces ionizing radiation exposure for inspectors examining the protective power lead aprons.

“When I researched how lead aprons are inspected, I found that a mix of tactile and visual inspection is the defacto standard. Quite a few the tiniest holes could be missed by doing this,Inches states Stanley Thomas Fricke, Nucl. Eng., Ph.D., radiation safety officer at Children’s National Health System and focus senior author. “Unlike the fingertips, infrared light can penetrate charge apron’s protective outer fabric and illuminate defects which are smaller sized compared to defect size now accustomed to reject a safety apron. The work challenges conventional knowledge while offering an affordable, easily available alternative.”    

Based on the study team, an increasing number of healthcare settings use radiation-emitting imaging, in the operating room towards the dentist’s office. Lead aprons and gonadal shields lower radiation doses felt by healthcare staff and patients. In compliance with regulators, these protective products are inspected regularly. A layer of lead inside keeps patients’ contact with ionizing radiation in the cheapest detectable level. The aprons are engrossed in nylon or polyester fabric for that patients’ comfort as well as for easy cleaning.

“It is standard for healthcare institutions to utilize a tactile-visual method of inspect radiation protective apparel,” Fricke states. “While more and more common, that inspection method makes it possible for aprons with holes and tears to slide by undetected because of the large area that should be inspected, the outer fabric that encloses the protective apron along with other factors.” 

Fricke remembered a news clip from years back a good IR camera accustomed to film swimmers by the pool that, like Superman’s effective vision, often see through pool-goers’ clothing. The maker rapidly remembered your camera. However the IR technology is an ideal fit for inspectors searching for defects hidden within lead apron’s fabric cover.

To validate this inspection alternative, they drilled a number of nine holes varying from 2 mm to 35 mm across right into a “phantom” lead apron and enclosed it within fabric that typically covers the protective shielding. The study team stapled the phantom apron to some wooden frame and placed dry wall underneath the frame. 

A couple of 31 radiation workers selected out all nine holes by touch and recorded the holes as well as their locations on written questionnaires.

For that IR method, they used an infrared light to light up charge apron from behind and trusted an infrared imaging camera to record ten seconds of video that still images were exported. Ten of 20 radiation technologists, radiology nurses and physicians identified all nine holes using individuals color photographs and recorded their records on the questionnaire. Yet another 20 % identified eight of nine intentional defects towards the phantom apron.

Both in the tactile and IR groups, all participants found the biggest hole and properly recorded its location.

“Using the tactile way of inspection, most staff who work regularly with radiation-emitting devices could identify defects that will result in a lead apron to become rejected, that is 11 mm holes for thyroid shields and 15 mm holes for aprons,” Fricke states. “However, it’s standard of these well-used aprons to build up smaller sized holes—which, with time, become bigger holes. At Children’s National, we love them about every photon that touches a young child.Inches

Within the next phase from the research, they will explore infrared flash photography, cooling the apron material and also the impact of high-resolution cameras with greater depth of field. 

Media contact: Diedtra Henderson  (443) 610-9826 (202) 476-4500

About Children’s National Health System

Children’s National Health System, located in Washington, D.C., continues to be serving the nation’s children since 1870. Children’s National is #1 for babies and rated in each and every niche evaluated by U.S. News & World Report including placement within the top ten for: Cancer (#7), Neurology and Neurosurgery (#9) Orthopedics (#9) and Nephrology (#10). Children’s National continues to be designated two occasions like a Magnet® hospital, a designation provided to hospitals that report the greatest standards of nursing and patient care delivery. This pediatric academic health system offers expert care via a convenient, community-based primary care network and niche outpatient centers. The place to find the Children’s Research Institute and also the Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National is among the nation’s top NIH-funded pediatric institutions. Children’s National is acknowledged for its expertise and innovation in pediatric care so that as a powerful voice for kids through advocacy in the local, regional and national levels. To learn more, visit ChildrensNational.org, or follow us on Twitter and facebook.

Trump Says He Loves Miners. Critics Say He’s Putting Their Lives in Danger.

Image: A man lights candles at the base of crosses for four miners killed in the Sago Mine explosion in 2006

A man lights candles at the base of crosses for four miners killed in the Sago Mine explosion, on Jan. 6, 2006, in Philippi, West Virginia. Ed Reinke / AP file

Worker-safety advocates say there are early signs that the Trump administration isn’t responding effectively to the spike in deaths, putting miners at greater risk by going soft on potential bad actors. In June, MSHA

started a new “compliance assistance” program that would provide additional training and support for less experienced coal miners, who are at higher risk of being injured on the job. The Obama administration ran similar educational programs, but critics say there are some troubling differences.

Under the program, MSHA officials are being told to leave their inspection credentials behind before entering mines to conduct compliance assistance, which means they can’t issue citations on the spot if they see a safety violation or other hazards.

“The inspectors have no ability to enforce the law,” said Phil Smith, a spokesman for the United Mine Workers of America, the leading labor union representing coal miners.

Sen. Joe Manchin, D-W.Va., echoed the union’s concerns in a

letter to the Trump administration, pointing out that MSHA inspectors are required by law to carry their credentials to be able to enforce the law. If they leave them behind, “one is essentially removing the ability of that inspector to issue an order to remove miners from the unsafe area and issue a violation which, particularly in the event of an imminent dangers, can prove perilous,” Manchin wrote in September.

Under the program, miners also do not have the right to designate their own representatives to accompany MSHA officials during compliance visits, as is required by law during official inspections. “This is particularly alarming because no one is better suited to spot inconsistencies or unsafe conditions than the very people who work at the mine day in and day out,” Manchin said.

The Trump administration says there’s a difference between compliance assistance — educational and training efforts — and legally mandated mine inspections that are the backbone of the agency’s enforcement efforts.

MSHA officials carrying out compliance assistance “are not considered authorized representatives or inspectors,” Holland said, explaining why the agency believes that they should leave their credentials behind and don’t need miner reps to accompany them. The agency is still encouraging mine operators to permit miners’ reps to come along on the visits, as it did under Obama, the Labor Department added.

Union leaders remain concerned: Previously, if MSHA officials left their credentials behind, miners’ reps would be allowed to accompany them, or else the visits just wouldn’t happen, said Smith.

Some advocates believe these early initiatives are a sign the Trump administration is more interested in going easy on the mining industry than punishing companies who put their miners at risk.

“The whole theory behind ‘compliance assistance’ is that mine operators are good guys and all they need is a little bit of help to better understand what their obligations are,” said Tony Oppegard, a miner’s rights attorney and former MSHA inspector.

Previous Republican administrations also emphasized “compliance assistance” over enforcement, said Oppegard. While mine safety improved by certain measures under George W. Bush, there were also

mining catastrophes after the agency took a more industry-friendly approach.

“The last time we went down the compliance assistance road was right before the Sago mine explosion in West Virginia,” said UMWA’s Smith, referring to the

2006 disaster that killed 12 coal miners.

Trump nominee under fire

Both supporters and critics of the policy shifts under Trump say the real test is yet to come, as MSHA still doesn’t have permanent leadership in place. Trump didn’t choose his nominee to lead the agency until early September, and the president’s pick — former coal executive David Zatezalo — is expected to have a confirmation vote in the Senate on Wednesday. Wayne Palmer, a former GOP congressional aide and Labor Secretary Acosta’s chief of staff, is the acting head of the agency.

The retired chairman and CEO of Rhino Resources, Zatezalo has faced criticism for Rhino’s record of serious health and safety violations under his leadership.

In 2011, a coal miner was

killed by falling rock in a Rhino mine that MSHA had just put on its “Pattern of Violations” list — one of the agency’s toughest enforcement actions. Shortly after the death, MSHA sent a second violations notice to Rhino, saying the company had failed to maintain earlier improvements in health and safety. MSHA issues such sanctions only to mines “that pose the greatest risk to the health and safety of miners,” the agency has said, and it’s rare for a company to receive two notices.

Rhino’s record prompted Manchin — one of the coal industry’s most vocal advocates — to

come out against Zatezalo’s nomination.

Image: Former coal mining executive David Zatezalo

Image: Former coal mining executive David Zatezalo

Former coal mining executive David Zatezalo, nominated by President Donald Trump to serve as the next head of the U.S. Mine Safety and Health Administration, sits on his porch at his Wheeling, W.Va. home. John McCabe / The Intelligencer via AP file

At his confirmation hearing before the Senate Committee on Health, Education, Labor and Pensions, Zatezalo blamed local managers for the violations and said he replaced them soon afterward, noting that his company did not contest the sanctions.

“I did not try to lawyer-up and stop anything from happening,” he

said. “If you haven’t done your job, we should be big kids and deal with it as such.”

Zatezalo insisted at the hearing that he would continue the agency’s efforts to conduct mandatory inspections and enforce new Obama-era

rules on coal dust. (MSHA is legally required to inspect every underground mine four times a year, and every surface mine twice a year.) He also stressed the need to investigate the impact of silica dust on miners’ health, given the recent rise of black lung and silicosis among workers.

Those remarks encouraged worker advocates who have criticized some of the recent policy shifts at MSHA, though they stressed the need to remain vigilant.

“He said a lot of good things in his confirmation hearing, that he wasn’t interested in rolling back regulations,” said Smith, of the United Mine Workers. “But the proof’s got to be in the pudding — we’ll be keeping an eye on that.”

Diabetes: Sudden cardiac dying risk sevenfold greater in youthful people

young man with chest pain
The outcomes of research conducted recently claim that youthful individuals with diabetes have a greater probability of sudden cardiac dying.
The preliminary findings of the study on Denmark claim that children and youthful adults with diabetes might have seven occasions the chance of sudden cardiac dying of youthful men and women without it.

The research — brought by researchers at Copenhagen College Hospital in Denmark — was presented in the American Heart Association’s Scientific Sessions 2017, held now in Anaheim, CA.

Its findings also says children and youthful adults with diabetes might have eight occasions the chance of dying from any kind of cardiovascular disease in contrast to peers without diabetes.

They claim that the reason behind the elevated risk may be because diabetes causes abnormalities in bloodstream vessels.

“Although we’ve become better at helping people manage both type 1 and diabetes type 2,Inch states study contributor Jesper Svane, a postgraduate scientific research student at Copenhagen College Hospital, “it’s still connected with elevated chance of dying, especially among youthful people.”

Sudden cardiac dying

Sudden cardiac dying is the fact that which occurs because of sudden cardiac event, a deadly condition in which the center all of a sudden stops pumping and can’t send bloodstream towards the lung area, brain, along with other organs.

It leads to a nearly instant lack of pulse and awareness, adopted by certain dying in a few minutes if the individual doesn’t receive immediate treatment.

The trigger for sudden cardiac event is regarded as a rapid malfunction within the heart’s electrical system, which maintains the steady rhythm of pumping required for effective bloodstream circulation. This type of malfunction brings about irregular heartbeat, or arrhythmia, also it can happen without any warning.

Sudden cardiac event is totally different from cardiac arrest, that is a condition that arises once the bloodstream supply that nourishes the center is all of a sudden blocked — frequently due to a bloodstream clot. A useful method to distinguish the 2 conditions would be to see sudden cardiac event being an “electrical” fault, and cardiac arrest like a “circulation” fault.

From the greater than 350,000 cardiac arrests believed to happen outdoors of hospitals within the U . s . States each year, nearly 90 % lead to dying. This figure includes around 7,000 annual installments of cardiac event in youngsters.

You will find issues with giving accurate statistics on sudden cardiac event and sudden cardiac dying, though, despite it as being a leading reason for dying within the U.S. It’s because the truth that different areas follow different standards for monitoring cases and outcomes, alongside challenges in defining “unpredicted” or “sudden” dying.

Rates of diabetes rising among youthful people

Diabetes arises once the body cannot effectively use or produce insulin, that is an enzyme that cells use to be able to convert bloodstream sugar, or glucose, into energy. This leads to an excessive amount of sugar within the blood stream, which, within the longer-term, can result in health issues which include harm to bloodstream vessels and nerves, including individuals that control the center and bloodstream vessels.

Within the U.S., you will find around 29.a million individuals with diabetes, a lot of whom are not aware they have it. This figure includes 208,000 people aged 20 and under who’ve diagnosed diabetes, rates which are rising within this group.

They behind the brand new study explain that although there’s evidence to point out that individuals with diabetes possess a greater chance of premature dying than individuals within the general population, nobody had examined — inside a “nationwide setting” — rates and results in of dying among youthful people and kids with type 1 and diabetes type 2.

For his or her nationwide analysis, they studied records on all youthful individuals Denmark who have been aged between 1 and 35 throughout the years 2000–2009, and between age 36 and 49 during 2007–2009.

Within the 10-year period, there have been 14,294 deaths within the sample, and also the team could uncover the reason for dying in every situation from records of dying and autopsies.

Of individuals who died, five percent (669 people) had diabetes. As well as these, 70 % (471) had your body and 30 % (198) had diabetes type 2.

Cardiac illnesses are leading reason for dying

They calculated the rate of dying all causes within the ten years in people aged 1 to 49 was 235 per 100,000 in individuals with diabetes, in contrast to 51 per 100,000 in individuals who was without the condition.

They discovered that cardiac illnesses were the key reason for dying in individuals with diabetes which eight occasions more and more people with diabetes died of the cause than men and women without diabetes.

Sudden cardiac dying — listed as the reason for dying in 17 % of individuals with diabetes (118 people) — was discovered to be seven occasions more prevalent for the reason that group compared to individuals without diabetes.

They highlights that since the study was limited to individuals residing in Denmark, the findings might not apply abroad — even western ones like the U.S. The reason behind this is not merely due to demographic variations, but additionally due to variations in healthcare systems.

Rates of sudden cardiac dying are recognized to vary greatly among different ethnic groups, therefore the findings might be less relevant to countries with populations which are more diverse than Denmark, where 90 % of individuals are Caucasian.

Nonetheless, coronary disease is easily the most common diabetes-related complication, and there’s lots of evidence to point out that intensive control over the danger factors leads to reductions at the begining of deaths.

This strengthens the situation for monitoring individuals with diabetes and identifying individuals at greater chance of heart-related dying.

Considering the outcomes out of this study, tight control and efficient management of bloodstream lipids, bloodstream pressure, and bloodstream glucose can also be important among children and youthful persons with diabetes.”

Jesper Svane

Children’s National becomes first pediatric medical institution in the United States to receive combined FACT accreditation related to cellular immunotherapy

WASHINGTON – Today Children’s National Health System became the first pediatric medical institution in the United States to receive accreditations for both immune effector cells and more than minimal manipulation from the Foundation for the Accreditation of Cellular Therapy (FACT). Considered the threshold for excellence in cellular therapy, FACT establishes standards for high-quality medical and laboratory practice in the field.   

“We are proud to receive these critically important seals of approval,” said David Jacobsohn, M.D., ScM, division chief of the Division of Blood and Marrow Transplantation at Children’s National. “Our patients are our highest priority and having these accreditations only further demonstrates our commitment to providing the most innovative care.”

The first new designation, FACT Accreditation for Immune Effector Cells, certifies that Children’s National is able to safely administer cutting-edge cellular therapies and monitor and report patient outcomes. The designation applies to CAR-T cells and therapeutic vaccines, among other therapies.

“We continuously set high standards for cellular therapy within the walls of Children’s National, and we are thrilled to be recognized for our leadership in this field,” said Catherine Bollard, M.D., M.B.Ch.B., director of the Center for Cancer and Immunology Research within the Children’s Research Institute. “Cell therapies represent the next generation of cancer treatment, and we are excited to continue our journey in revolutionizing patient care.”

Children’s National also received FACT Accreditation for More than Minimal Manipulation, a designation that is unique to only a few pediatric institutions in the United States. This accreditation certifies that Children’s National is prepared to safely manufacture its own cellular therapies.

“Being accredited for More than Minimal Manipulation is a tremendous achievement for us as a stand-alone pediatric institution; it exemplifies our ability to manufacture our own innovative cellular therapy products for patients in need,” said Patrick Hanley, Ph.D., director of the Cellular Therapy Laboratory where the cells are manufactured for clinical use. “These two accreditations allow Children’s National to serve as a complex immunotherapy center that is capable of providing immunotherapies and gene therapies from external groups and companies.”

FACT is a non-profit corporation co-founded by the International Society for Cellular Therapy and the American Society of Blood and Marrow Transplantation. FACT accreditation was originally intended to standardize bone marrow transplants but has since become a standard of care that informs patients, medical professionals, health insurance companies and the government that the organization exceeds standards in patient care and laboratory practices. 

Media Contact: Rebecca Porterfield Siddon | 202-476-4500

About Children’s National Health System
Children’s National Health System, based in Washington, D.C., has been serving the nation’s children since 1870. Children’s National is #1 for babies and ranked in every specialty evaluated by U.S. News & World Report including placement in the top 10 for: Cancer (#7), Neurology and Neurosurgery (#9) Orthopedics (#9) and Nephrology (#10). Children’s National has been designated two times as a Magnet® hospital, a designation given to hospitals that demonstrate the highest standards of nursing and patient care delivery. This pediatric academic health system offers expert care through a convenient, community-based primary care network and specialty outpatient centers. Home to the Children’s Research Institute and the Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National is one of the nation’s top NIH-funded pediatric institutions. Children’s National is recognized for its expertise and innovation in pediatric care and as a strong voice for children through advocacy at the local, regional and national levels. For more information, visit ChildrensNational.org, or follow us on Facebook and Twitter.

Children’s Law Center and IMPACT Electricity partner to enhance bronchial asthma outcomes in Southeast D.C.

Washington – Children’s Law Center and Improving Pediatric Bronchial asthma Care within the District of Columbia (IMPACT Electricity) happen to be selected with a coalition of 12 funding organizations to have fun playing the BUILD Health Challenge, a nationwide program that leverages multi-sector community partnerships to be able to improve health for everybody. Their Washington-specific project, “Healthy Together Medical-Legal Partnership for Improving Bronchial asthma in Southeast D.C.,” will concentrate on improving housing conditions for kids and youth struggling with out of control bronchial asthma in Southeast D.C.
 
“Asthma is probably the most common chronic disease in youngsters. Also it disproportionately affects our most vulnerable children: Disadvantaged and minority youngsters with poor use of primary care who live in substandard housing within the southeastern areas of our city,” states Stephen J. Educate, M.D., M.P.H., chair from the Department of Pediatrics at Children’s National Health System and principal investigator of IMPACT Electricity. “Helping these kids as well as their families succeed is our collective passion. This project will tackle among the root reasons for bronchial asthma flare-ups: Substandard housing problems that play location of a variety of bronchial asthma triggers, for example mold, rodents, cockroaches and dirt mites.”

For fifteen years, IMPACT Electricity has targeted kids and families disconnected from primary care who have been excessively dependent on hospital Emergency Departments for bronchial asthma treatment, Dr. Educate adds. This program partners together to educate the basic principles of excellent bronchial asthma care, including how you can recognize signs and symptoms, how you can control bronchial asthma triggers and the way to use medications correctly. Additionally, it connects kids and families with primary care doctors. The work has dramatically elevated school attendance and dramatically decreased Emergency Department visits at Children’s National because of bronchial asthma.

“Through our medical-legal partnerships, our lawyers regularly work alongside with pediatricians to locate and connect the main reasons for a child’s health condition,Inches states Judith Sandalow, executive director of Children’s Law Center. “We’re thrilled this partnership will empower us to achieve more families and try to find data-driven methods to the systemic problems with housing and bronchial asthma our clients face every day.” 

Children’s Law Center includes a 20-year good reputation for helping children as well as their families—including certainly one of every nine from the poorest children within the city’s poorest neighborhoods— tackle apparently impossible problems every year.

Children’s Law Center and IMPACT Electricity are among 19 community projects selected to have fun playing the BUILD Health Challenge. BUILD awards funding, capacity-building support and use of a nationwide peer learning network. This program emphasizes mix-sector collaboration among local non-profit organizations, hospitals and public health departments to deal with upstream problems that create possibilities for much better health. BUILD selected Children’s Law Center and IMPACT Electricity due to their Bold, Upstream, Integrated, Local and knowledge-driven (BUILD) suggestions to improve the healthiness of Southeast D.C. residents.

Within the two-year period taught in grant, IMPACT Electricity and Children’s Law Center works together— with guidance from BUILD advisers—to identify and implement innovative methods to community challenges. Matching funds from Children’s National, coupled with BUILD’s $250,000 grant, will further extend the partnership’s ability to help pediatric patients with out of control bronchial asthma residing in Southeast D.C. access greater-quality housing.

“Every community faces its very own group of challenges and possibilities with regards to improving the healthiness of its residents,” states Emily Yu, executive director from the BUILD Health Challenge. “With this award, hopefully to catalyze the job of IMPACT Electricity and Children’s Law Center and produce together residents and organizations from across sectors to deal with the main reasons for health problems in Washington—and ultimately transform the way we consider health in the usa.Inches

Tweet this:
Children’s Law Center and IMPACT Electricity @childrenshealth selected to sign up in BUILD Health Challenge

$250K grant will tackle among the root reasons for bronchial asthma flare-ups: Substandard housing conditions

Contact: Diedtra Henderson Children’s National Health System c: 443-610-9826/o: 202-476-4500

About Children’s National Health System

Children’s National Health System, located in Washington, D.C., continues to be serving the nation’s children since 1870. Children’s National is #1 for babies and rated in each and every niche evaluated by U.S. News & World Report including placement within the top ten for: Cancer (#7), Neurology and Neurosurgery (#9) Orthopedics (#9) and Nephrology (#10). Children’s National continues to be designated two occasions like a Magnet®hospital, a designation provided to hospitals that report the greatest standards of nursing and patient care delivery. This pediatric academic health system offers expert care via a convenient, community-based primary care network and niche outpatient centers. The place to find the Children’s Research Institute and also the Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National is among the nation’s top NIH-funded pediatric institutions. Children’s National is acknowledged for its expertise and innovation in pediatric care so that as a powerful voice for kids through advocacy in the local, regional and national levels. To learn more, visit ChildrensNational.org, or follow us on Facebook and Twitter.

About Children’s Law Center

Children’s Law Center fights so every District child can develop having a loving family, a healthy body along with a quality education. Idol judges, pediatricians and families use Children’s Law Center is the voice for kids who’re mistreated or neglected, who aren’t learning in class or who’ve health issues that can’t be solved by medicine alone. With 100 staff and countless pro bono lawyers, it reaches one inch every nine children in D.C.’s poorest neighborhoods—more than 5,000 children and families every year. More details can be obtained at world wide web.ChildrensLawCenter.org.

About BUILD

BUILD seeks to produce a new norm within the U . s . States by addressing upstream factors affecting health. It’s based on a distinctive collaborative of local and national funders, including the Advisory Board, Nowhere Mix and Blue Shield of New York Foundation, the Colorado Health Foundation, the de Beaumont Foundation, The Episcopal Health Foundation, Interact for Health, The Kresge Foundation, Mid-Iowa Health Foundation, Nj Health Initiatives, the Robert Wood Manley Foundation, Telligen Community Initiative and also the W.K. Kellogg Foundation.  To learn more, visit buildhealthchallenge.org or follow at @BUILD_Health.  

New Treatment Approach Considerably Improves Outcomes for Pediatric Patients with Kidney Cancer

Washington – A brand new method of treating children identified as having bilateral Wilms tumors (BWT) considerably improved event-free survival (EFS), or the amount of time someone doesn’t experience complications or recurrence of cancer following treatment, and overall survival (OS) rates after 4 years in comparison with historic rates, based on a Children’s Oncology Group study printed within the September publication of the Annals of Surgery. Jeffrey Dome, M.D., Ph.D., V . P . from the Center for Cancer and Bloodstream Disorders at Children’s National Health System was co-senior author of the first-ever, multi-institutional prospective study of kids with BWT.

Also referred to as nephroblastoma, Wilms tumor is easily the most common pediatric kidney cancer, typically observed in children ages 3 to 4. When compared with patients with unilateral Wilms tumors, kids with BWT have poorer EFS and therefore are at greater risk later on effects for example kidney failure. Treating BWT is challenging since it involves surgery from the cancer, while preserving just as much healthy kidney tissue as you possibly can to prevent the requirement for a body organ transplant.

In the past, patients with BWT have experienced poor outcomes especially should they have tumors with unfavorable histology, that is based on specific Wilms tumor cell types seen underneath the microscope. Within this study, Dr. Dome and 18 other clinical researchers adopted a brand new treatment approach composed of three chemotherapy drugs before surgery as opposed to the standard two drug regimen, surgery of cancerous tissue within 12 days of diagnosis, and postoperative chemotherapy which was adjusted according to histology. 

The research discovered that preoperative chemotherapy expedited surgical procedure, with 84 percent of patients getting surgery within 12 days of diagnosis. The brand new treatment approach also vastly improved EFS and OS rates for patients taking part in the research. EFS rates were 82.1 %, when compared with 56 percent inside a 2002 study, a noticable difference of 46.6 %. OS rates were 94.9 %, when compared with 80.8 percent within the 2002 study, a noticable difference of 16.6 %. 

“The data reveal that event-free and overall survival rates could be considerably improved using a technique for enhance tumor response, expedite surgical resection and adjust therapy according to histology,” states Dr. Dome. “I am very encouraged by these results, that we believe will function as a benchmark for future studies and result in additional treatment enhancements, giving more children the opportunity to overcome this diagnosis and lead healthy lives.”

As many as 189 patients at children’s hospitals, universities, and cancer centers within the U . s . States and Canada took part in this research. These patients will still be adopted for ten years to trace kidney failure rates. This research was funded by grants in the National Institutes of Health towards the Children’s Oncology Group. 

Contact: Rebecca Porterfield Siddon  301-244-6737

About Children’s National Health System

Children’s National Health System, located in Washington, D.C., continues to be serving the nation’s children since 1870. Children’s National is #1 for babies and rated in each and every niche evaluated by U.S. News & World Report including placement within the top ten for: Cancer (#7), Neurology and Neurosurgery (#9) Orthopedics (#9) and Nephrology (#10). Children’s National continues to be designated two occasions like a Magnet®hospital, a designation provided to hospitals that report the greatest standards of nursing and patient care delivery. This pediatric academic health system offers expert care via a convenient, community-based primary care network and niche outpatient centers. The place to find the Children’s Research Institute and also the Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National is among the nation’s top NIH-funded pediatric institutions. Children’s National is acknowledged for its expertise and innovation in pediatric care so that as a powerful voice for kids through advocacy in the local, regional and national levels. To learn more, visit ChildrensNational.org, or follow us on Facebook and Twitter.

Finalists selected for $250K pediatric medical device competition

WASHINGTON – (Sept. 7, 2017) – Twelve finalists happen to be selected to pitch their pediatric medical device innovation throughout the National Capital Consortium for Pediatric Device Innovation (NCC-PDI) competition in the Fifth Annual Pediatric Device Innovation Symposium. Located through the Sheikh Zayed Institute for Pediatric Surgical Innovation at Children’s National Health System, the Symposium is going to be held on Sunday, Sept. 24, 2017 in San Jose, Calif. As much as six prizes totaling $250,000 is going to be awarded towards the winning presentations and every awardee will get services in the Food and drug administration-funded consortium.

The aim of your competition would be to provide financial support along with services that can help bring pediatric devices to promote faster by bridging the space that frequently follows the prototyping phase within the device development existence cycle. 

Selected from the record quantity of 98 applications caused by over the U.S. and worldwide, the finalists are:

• Anecare, LLC, Salt Lake City, Utah – disposable device to be used by pediatric anesthesiologists to get rid of undesirable anesthetics in the finish of surgery to prevent negative effects
• ApnoSystems, Buenos Aires, Argentina – wearable and wireless pulse-oximetry-based save device to identify an issue throughout a baby’s sleep and interrupt via mild stimulation
• CorInnova, Houston, Texas – soft automatic, non-bloodstream-contacting biventricular cardiac assist device to treat heart failure in youngsters
• Deton Corp., Pasadena, Calif. – “cough collector” device that captures airborne bacteria from the cough to assist in detecting cystic fibrosis in youngsters
• Eco-friendly Sun Medical, Fort Collins, Colo. – novel device that gives necessary pressure for that correction of spine deformity while supplying real-time feedback to clinicians
• Hub Hygiene, Atlanta, Ga. – low-cost, single-use cleaning technology to avoid central line-connected bloodstream stream infections (CLABSI), a medical facility-acquired infection by pediatric ICU patients
• Kite Medical, Dublin, Ireland – novel device to identify kidney reflux using a single-use electrode belt, staying away from rays contact with children under current standard-of-care
• Moyarta 2, LLC, The Plains, Veterans administration. – adjustable device that seamlessly fits inside the brace of the scoliosis patient, supplying inflation and deflation controlled by patient smartphone, to enhance comfort and supply optimal correction
• NAVi Medical Technologies, Houston, Texas – device to supply accurate details about the localization of the umbilical venous catheter (UVC) utilized in critically-ill newborns to prevent catheter malposition
• Oculogica, Corporation., New You are able to, N.Y. – novel, non-invasive eye tracking device to quickly and precisely identify the results of elevated intracranial pressure (ICP) carrying out a traumatic brain injuries
• Prapela, LLC, Boston, Mass. – novel “baby box” that will permit for any non-medicinal method of help drug-uncovered infants relax and sleep during withdrawal and publish-withdrawal care
• X-Biomedical, Corporation., Philadelphia, Pa. – portable surgical microscope to be used in surgeries for treatable reasons for blindness in low-earnings countries and under-resourced settings

“The impressive quantity of qualified applications we received from around the globe talks to the passion of medtech innovators to build up and test devices particularly to deal with unmet needs for kids,Inches stated Kolaleh Eskandanian, Ph.D., executive director from the Sheikh Zayed Institute and NCC-PDI. “We are dedicated to building about this momentum and maintaining your conversation choosing all who applied and can provide services as needed.Inches

Each finalist may have 5 minutes to provide their proposal towards the knowing panel, including Susan Alpert, M.D., of SFA Talking to, an old director from the Food and drug administration Office of Device Evaluation and former senior v . p . and chief regulatory officer of Medtronic Charles Berul, M.D., of Children’s National Andrew Elbardissi, M.D., of Deerfield Management Ron Greenwald, Ph.D., from the Colonial Pediatric Device Consortium (NEPDC) Josh Makower, M.D., of NEA Jennifer McCaney, Ph.D., of MedTech Innovator and Jackie Phillips, M.D., of Manley & Johnson and Tracy Warren, M.B.A, of Astarte Ventures.

Through this competition up to now, NCC-PDI and also the Sheikh Zayed Institute have supported 67 startups and research labs and awarded funding to 26.
The “Make Your Medical Device Pitch for children!Inches competition, funded through the Fda (Food and drug administration) through NCC-PDI, is part of the Sheikh Zayed Institute’s Fifth Annual Pediatric Device Innovation Symposium. 

New this season, the nation’s leading pediatric innovation symposium is co-locating in San Jose, Calif. inside a joint effort with The MedTech Conference operated by AdvaMed. The main one-day symposium includes medical device innovators, investors, researchers, clinicians and policy makers to stimulate pediatric device innovation and produce methods to market faster for the advantage of children everywhere. 2010 theme is “partnering for breakthroughs in pediatric surgery and care.” Keynote loudspeakers include Daniel Kraft, M.D., faculty chair of drugs & Neuroscience, Singularity College and executive director, Exponential Medicine Vasum Peiris, M.D., chief medical officer, Pediatrics and Special Populations, Food and drug administration and Alan Flake, M.D., director of Center for Fetal Research, Children’s Hospital of Philadelphia. 

For that symposium agenda and registration, visit pediatric-device-symposium.org. 

Contact: Debbie Asrate (202) 476-4500 

About Children’s National Health System
Children’s National Health System, located in Washington, D.C., continues to be serving the nation’s children since 1870. Children’s National is #1 for babies and rated in each and every niche evaluated by U.S. News & World Report including placement within the top ten for: Cancer (#7), Neurology and Neurosurgery (#9) Orthopedics (#9) and Nephrology (#10). Children’s National continues to be designated two occasions like a Magnet® hospital, a designation provided to hospitals that report the greatest standards of nursing and patient care delivery. This pediatric academic health system offers expert care via a convenient, community-based primary care network and niche outpatient centers. The place to find the Children’s Research Institute and also the Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National is among the nation’s top NIH-funded pediatric institutions. Children’s National is acknowledged for its expertise and innovation in pediatric care so that as a powerful voice for kids through advocacy in the local, regional and national levels. To learn more, visit ChildrensNational.org, or follow us on Twitter and facebook.

Racial and ethnic variations observed in antibiotics prescribed for viral illnesses in pediatric EDs

WASHINGTON – Non-Latino white-colored children seeking strategy to infections within the Emergency Department have to do with two times as prone to get an antibiotic unnecessarily in contrast to non-Latino black children or Latino children, a multi-center study signifies. The study, brought by Monika K. Goyal, M.D., M.S.C.E., director of research within the Division of Emergency Medicine at Children’s National Health System, was printed online Sept. 5, 2017 in Pediatrics and echoes similar racial and ethnic variations for acute respiratory system infections however care setting.
 
“It is encouraging that simply 2.6 % of kids treated in pediatric Emergency Departments (EDs) nationwide received antibiotics for viral acute respiratory system infections since antibiotics are ineffective for infections,Inches Dr. Goyal states. “However, it’s troubling to determine such persistent racial and ethnic variations in how medications are prescribed, within this situation within the Erectile dysfunction. Additionally to supplying the very best evidence-based care, we make an effort to provide equitable choose to all patients.”

Acute respiratory system infections are signs reasons youngsters are rushed towards the Erectile dysfunction for treatment, Dr. Goyal and co-authors write. Overprescribing antibiotics can also be rampant with this viral condition, with antibiotics erroneously prescribed for 13 % to 75 % of pediatric patients. 

Within the retrospective cohort study, the study team pored over deidentified electronic health data for that 2013 twelve months from seven geographically diverse pediatric EDs, recording 39,445 encounters of these infections that met the study’s inclusion criteria. The patients’ mean age was 3.three years old. Some 4.3 % of non-Latino white-colored patients received dental, intravenous or intramuscular antibiotics within the Erectile dysfunction or upon discharge, in contrast to 2.6 % of Latino patients and 1.9 % of non-Latino black patients. 

“A quantity of research has shown disparities in relation to how kids of different ethnicities and races are treated within our nation’s pediatric EDs, including frequency of computed tomography scans for minor mind trauma, laboratory and radiology tests, and discomfort management. Regrettably, today’s results provide further proof of racial and ethnic variations in supplying healthcare within the Erectile dysfunction setting,” Dr. Goyal states. “Although, within this situation, minority children received evidence-based care, more study is required to explain why variations in care exist whatsoever.Inches

At any given time of accelerating antibiotic resistance, the research authors underscored the important to decrease excess antibiotic use within kids. Because the 1940s, the country has trusted antibiotics to deal with illnesses for example strep throat. Yet, based on the Cdc and Prevention, a minimum of two million individuals the U . s . States are have contracted antibiotic-resistant bacteria every year. 

Based on the study authors, future research should explore the reason why that underlie racial and ethnic variations in antibiotic prescribing, including Erectile dysfunction clinicians wanting to appease anxious parents in addition to implicit clinical bias. Dr. Goyal lately received a nationwide Institutes of Health grant to help study racial and ethnic variations in how children seeking treatment at hospital EDs are managed.

“It will come lower to factors as easy as providers or parents believing that ‘more is much better,’ regardless of the obvious public health problems of prescribing children antibiotics unnecessarily,” Dr. Goyal adds. “In this situation, an intervention that educates parents and providers about appropriate antibiotic use may help the pediatric patients we love them for today plus the long run.Inches

Tweet this:
Study: Racial and ethnic variations observed in antibiotics prescribed for viral illnesses in pediatric emergency departments

As antibiotic resistance increases, non-Latino white-colored children roughly two times as prone to receive antibiotics unnecessarily in pediatric EDs

Media contact: Diedtra Henderson   Children’s National Health System c: 443-610-9826/o: 202-476-4500

About Children’s National Health System

Children’s National Health System, located in Washington, D.C., continues to be serving the nation’s children since 1870. Children’s National is #1 for babies and rated in each and every niche evaluated by U.S. News & World Report including placement within the top ten for: Cancer (#7), Neurology and Neurosurgery (#9) Orthopedics (#9) and Nephrology (#10). Children’s National continues to be designated two occasions like a Magnet®hospital, a designation provided to hospitals that report the greatest standards of nursing and patient care delivery. This pediatric academic health system offers expert care via a convenient, community-based primary care network and niche outpatient centers. The place to find the Children’s Research Institute and also the Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National is among the nation’s top NIH-funded pediatric institutions. Children’s National is acknowledged for its expertise and innovation in pediatric care so that as a powerful voice for kids through advocacy in the local, regional and national levels. To learn more, visit ChildrensNational.org, or follow us on Facebook and Twitter.