Ask the Pediatrician: How firearm safety begins at home – Union Democrat

Firearm violence has become the leading killer of children and young adults under 24, surpassing deaths from vehicle collisions since 2017. And while daily headlines emphasize news of mass shootings, most firearms-related deaths and injuries are preventable and occur in a familiar place -- at home.

June is National Gun Violence Awareness Month and the American Academy of Pediatrics is not only calling attention to the sobering statistics, but is also offering tools and tips for families, communities and governmental entities to help prevent gun violence. Parents can learn more at HealthyChildren.org.

About 80% of firearm-related suicides take place in the home of a youth or a relative, with the firearm belonging to either the youth or parent or caregiver in 90% of cases. Approximately 40% of U.S. households with children have firearms, of which 15% stored at least one firearm loaded and unlocked, the storage method with the highest risk.

Between 2015 and 2022, there were at least 2,802 unintentional shootings by children 17 years old and younger. These resulted in 1,083 deaths and 1,815 nonfatal firearm injuries, nearly all among other kids. And at least 895 preschoolers and toddlers managed to find a firearm and unintentionally shoot themselves or someone else during this time.

Firearms are pervasive in America but we do have reason for hope. Research has shown us there are effective ways to prevent or reduce the risks of harm, just as our country did to improve motor vehicle safety. This is a public health epidemic that we can do something about, through a combination of regulation, legislation, product design, education and individual steps like securely storing firearms in the home.

Pediatric practitioners are encouraged to counsel families, offer mental health screenings and promote secure firearm storage as part of routine patient visits. As with other consumer products, the AAP supports regulating firearms for safety and notes that national requirements could be established for safe storage, training, licensing, insurance coverage and registration of individuals purchasing firearms.

Extreme risk protection order (ERPO) laws, also known as "red flag laws," which prohibit individuals at risk of harming themselves or others from purchasing or owning a firearm by a court order, are also becoming more common among states.

If there are firearms in the home, evidence shows that the risk of injury or deathboth unintentional as well as from an intentional shooting-- is greatly reduced when they are securely stored. This means storing the firearm unloaded and locked away from children, with the ammunition locked in a separate place that youth cant access. For households who store their firearms loaded, firearm lockboxes and safes can be used so curious children or teenagers at risk for suicide or homicide, cant access them without an adult. When there are individuals at risks of suicide or homicide in the household, storing firearms outside of the home (e.g. shooting range, firearm seller) is another option.

One study demonstrated that if 20% of parents who currently store their firearms unlocked instead stored their firearm and ammunition locked away separately, there would be an estimated decrease of up to 122 pediatric firearm-related fatalities and 201 injuries annually nationwide.

Even when they've been trained not to touch firearms, we know that young children are curious and will often pick up a firearmand even pull the triggerif they find it. Make sure, wherever your child is going this summer for playdates and vacationincluding the homes of relativesthat you ask about how firearms are secured in the home.

You can frame this as a safety conversation and first talk about food allergies and car seats. And then ask about how any firearms in the home are stored. But also think about your other options if you have concerns about how firearms are stored in the homeperhaps offer to meet at a park or museum or at your house instead.

Ultimately, we will need a multipronged approach to substantially decrease firearm injuries and deaths to U.S. youth. This is a public health epidemic that requires urgent, deliberative action. We must do better our children deserve it.

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Lois Lee, MD, MPH, FAAP, Chair of the American Academy of Pediatrics Council on Injury, Violence and Poison Prevention, is a pediatric emergency medicine physician at Boston Childrens Hospital and Associate Professor of Pediatrics and Emergency Medicine at Harvard Medical School. Dr. Lee has published seminal research on pediatric emergency medicine, health disparities and injury prevention, including related to firearms. Dr. Lees expertise was recognized with her election to the National Academy of Medicine in 2023.

2024 Tribune Content Agency, LLC.

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Pediatric chiropractic boosta physical, emotional well-being – The Times of Northwest Indiana

Carrie Steinweg Times correspondent

Dr. Michael Kehoe of Health from Within in Orland Park explains how chiropractic adjustments can help children with autism, ADHD and other special needs.

Pediatric chiropractic treatment is a specialized form of chiropractic care that focuses on assessing and adjusting the spine and nervous system of children. It involves gentle, safe adjustments performed by a specially trained pediatric chiropractor who understands the unique anatomy of children, said Dr. Matt Hammett, who with his wife, Dr. Trish Hammett, operates the New Family Life Chiropractic Center in Merrillville. The couple are also co-authors of the book "Inspire Chiropractic."

Dr. Michael Kehoe has been practicing at Health From Within in Orland Park for more than 5 years, the last twodedicating "ourselves to seeing more pediatrics and specializing in taking care of kids.

More specifically, we really specialize in taking care of what we call Perfect Storm' kidsautism, sensory processing disorder, ADHD, behavioral struggles, he said. Other common reasons parents seek out our help are for colic, sleep issues, constipation, diarrhea, immune struggles, chronic ear infections, asthma, headaches and allergies.

Kehoe said pediatric chiropractic focuses on optimizing the function of the central nervous system and the autonomic nervous system.

The nervous system (brain, spinal cord and peripheral nerves) perceives our environment and then coordinates every action in the body, he explained. If our body and nervous system are holding on to too much stress and tension, that diminishes the body's capacity to adapt. And when we aren't adapting as well as we can, that's when symptoms start to appear.

Hammett noted that pediatric chiropractic can be beneficial for infants through adolescents. It can address a wide range of conditions, including musculoskeletal issues, developmental delays, sensory processing issues, ADHD, asthma, allergies, cranial asymmetries (flat head), tongue tie and more.

We see kids as young as days old, and every age above that. We see infants due to the fact that a high percentage of infants are born with physical strain to their spine, particularly the upper neck, said Kehoe. This is what can set the stage for a host of issues down the line.

And not all benefits are physical.

It can also contribute to a child's overall well-being and help them reach their full potential, said Hammett. It is vital for parents to do their own research and feel confident in their decision to pursue chiropractic care for their child.

Kristina Pop of Valparaiso has been a patient of the Hammetts for several years, who have treated every member of the family including four children ages 10, 8, 6 and 3.

Our four children look forward to their adjustments and know that Dr. Matt helps keep their bodies aligned, happy and healthy as they play and grow through childhood, said Pop.

Pop began seeing Hammett during her third pregnancy and then sought treatment for her daughter whod had an occasional twitch in her leg from being cramped in utero. She also brought her fourth child, a girl born with cephalohematoma, a usually harmless birth injury that causes blood to pool at the scalp.

We were told it would take up to three months to heal. She also had some difficulty breastfeeding. I brought her in to Dr. Matt at about a week old, and I wish I hadnt waited so long, said Pop. With his gentle care and regular visits, she was able to nurse comfortably and with ease immediately after her first adjustment and the cephalohematoma had completely resolved within a month.

Andrea Florer, a Valparaiso mother of four (ages 4, 9, 12 and 14), also has been a patient at New Life Family Chiropractic.

All of my children receive chiropractic care for overall health and wellness. Weve seen benefits for all my children even when they were small babies, she said. Chiropractic has helped with projectile vomiting when my son was under a year old. My 12-year-old was found to have his hip out of place from a hockey injury. My 14-year-old had adjustments after receiving a concussion from an ice skating fall, and my 9-year-old had adjustments to help alleviate neck pain from using his school laptop/tablet on a regular basis. They all enjoy the chiropractic adjustments and look forward to their visits.

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Expert consensus and guidance for integrating discussions of racism in pediatric care – News-Medical.Net

Extensive research shows the link between exposure to racism during childhood and adolescence and increased risks of depression and metabolic health issues, such as obesity, diabetes and heart disease. Conversely, racial socialization, described as behaviors and practices that teach children about race and ethnic identity, has shown potential in mitigating these negative effects, and discussions like these could be effective in pediatric clinics, according to the first expert consensus guidance on this topic published in Pediatrics.

Over the years, numerous calls to action have been made to address racism in medicine. However, there's been little guidance on how to have these conversations within clinical settings. Pediatric clinicians, in particular, have a unique opportunity to incorporate crucial conversations about race and racism into clinical visits, as these interactions occur during key developmental stages of a child's life."

Nia Heard-Garris, MD, MBA, MSc, senior author,researcher and pediatrician at Ann & Robert H. Lurie Children's Hospital of Chicago and Assistant Professor of Pediatrics at Northwestern University Feinberg School of Medicine

Dr. Shawnese Clark, lead study author, and research team conducted the consensus study. It involved a panel of pediatric clinicians and psychologists with expertise in racism and child health, as well as parents and adolescents with lived experience of racism. They identified overarching themes to consider before, during, and after discussions with patients, as well as barriers that clinicians may encounter.

Consensus was reached on the necessity for pediatric clinicians to have a thorough understanding of the systemic nature of racism and the importance of both learning from patients and addressing intersectionality during these conversations. Panelists agreed on the short- and long-term benefits these conversations could bring to patient appointments, including building greater trust and affirmation.

"Racism is a strong determinant of health and longevity of life so talking about it, feeling affirmed and perhaps even receiving support will go a long way to social, mental, and emotional wellbeing of patients and care providers too," said one panelist.

Panelists also emphasized the potential negative consequences if clinicians lack adequate training.

"As research in this field continues to evolve, it is imperative to maintain ongoing dialogue about the key principles guiding conversations about race and racism, and to equip clinicians with the necessary tools to provide care that fully considers the impact of race on the patient population," said Dr. Heard-Garris.

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JAMA Pediatrics Published Study Rise in Infant Deaths in Texas to Abortion Ban – ASEAN NOW

A recent study published in JAMA Pediatrics links a significant rise in infant deaths in Texas to the state's stringent abortion ban enacted in 2021. The study, conducted by analysts from Johns Hopkins University and Michigan State University, investigated infant mortality rates following the implementation of the Texas heartbeat law, which effectively banned abortions around 5 to 6 weeks into pregnancy. This law, passed in September 2021, was one of the most restrictive in the nation at the time, prohibiting abortions after the detection of a fetal heartbeat, typically around six weeks of gestation.

The researchers found a troubling increase in infant deaths in Texas between 2021 and 2022. The number of infant deaths rose from 1,985 to 2,240, representing a 12.8 percent increase, compared to a 1.8 percent increase across the rest of the United States during the same period. This spike in Texas's infant mortality rate significantly outpaced the national average, which only saw a modest increase.

Prior to this law, Texas permitted abortions up to 22 weeks of pregnancy. The new restrictions, however, made no exceptions for cases of rape or incest, nor for congenital anomalies or birth defects. The study also highlighted a notable rise in congenital anomalies in Texas, which increased by 22.9 percent, contrasting sharply with a 3.1 percent decrease in such cases across the rest of the country.

The researchers noted that the Texas heartbeat law's implementation appeared to correlate with increased infant deaths, particularly due to congenital anomalies among infants who were in early gestation when the law took effect. This correlation suggests that the restrictive abortion policies may have unintended and severe consequences on infant health.

The study's findings were released on the two-year anniversary of the Supreme Court decision overturning Roe v. Wade, which had previously granted a constitutional right to abortion since 1973. This landmark ruling empowered states to impose their own abortion regulations, leading to a wave of restrictive abortion laws in several Republican-led states, including Texas.

Dr. Alison Gemmill, one of the study's lead authors, emphasized the relevance of these findings in light of the Supreme Court's ruling. She stated, "These findings suggest that restrictive abortion policies may have important unintended consequences in terms of infant health and the associated trauma to families and medical costs." This study underscores the broader implications of such policies, indicating that they may not only impact women's reproductive rights but also have far-reaching effects on infant mortality and family well-being.

Researchers employed statistical modeling and analyzed publicly available death-certificate data from January 2018 to December 2022 to arrive at these conclusions. Another research paper published last year corroborated these findings, linking nearly 10,000 additional live births in Texas to the state's abortion ban. The studys release and its alarming findings provide a crucial perspective on the real-world impacts of restrictive abortion legislation, highlighting the need for further examination and discussion on the implications for public health and policy.

Credit: Hill 2024-06-26

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Supreme Court Will Take Up State Bans on Gender Care for Minors: Here’s What to Know – Medpage Today

The Supreme Court on Monday jumped into the fight over transgender rights, agreeing to hear an appeal from the Biden administration seeking to block state bans on gender-affirming care.

The justices' action comes as Republican-led states have enacted a variety of restrictions on healthcare for transgender people, school sports participation, bathroom usage, and drag shows. The administration and Democratic-led states have extended protections for transgender people, including a new federal regulation that seeks to protect transgender students.

The case before the high court involves a law in Tennessee that restricts puberty blockers and hormone therapy for transgender minors. The federal appeals court in Cincinnati allowed laws in Tennessee and Kentucky to take effect after they had been blocked by lower courts. (The high court did not act on a separate appeal from Kentucky.)

Arguments will take place in the fall.

The issue of gender-affirming care in minors has emerged as a big one in the past few years. While transgender people have gained more visibility and acceptance in many respects, half the states have pushed back with laws banning certain healthcare services for transgender kids.

Things to know about the issue:

What Is Gender-Affirming Care?

Gender-affirming care includes a range of medical and mental health services to support a person's gender identity, including when it's different from the sex they were assigned at birth.

The services are offered to treat gender dysphoria, the unease a person may have because their assigned gender and gender identity don't match. The condition has been linked to depression and suicidal thoughts.

Gender-affirming care encompasses counseling and treatment with medications that block puberty, and hormone therapy to produce physical changes. Those for transgender men cause periods to stop, increase facial and body hair, and deepen voices, among others. The hormones used by transgender women can have effects such as slowing growth of body and facial hair and increasing breast growth.

Gender-affirming care can also include surgery, including operations to transform genitals and chests. These surgeries are rarely offered to minors.

What Laws Are States Passing?

Over the past 3 years, 26 Republican-controlled states have passed laws restricting gender-affirming care for minors. Most of the laws ban puberty blockers, hormone treatment, and surgery for those under 18. Some include provisions that allow those already receiving treatment to continue.

The laws also make exceptions for gender-affirming treatments that are not part of a gender transition, such as medications to stop breast growth in boys and excessive facial hair in girls.

One of the laws -- in Arkansas -- was nixed by a federal court and is not being enforced.

Meanwhile, at least 14 Democratic-controlled states have adopted laws intended to protect access to gender-affirming care.

The gender-affirming care legislation is a major part of a broader set of laws and policies that has emerged in Republican-controlled states that rein in rights of transgender people. Other policies, adopted in the name of protecting women and girls, bar transgender people from school bathrooms and sports competitions that align with their gender.

What Have Courts Said So Far?

Most of the bans have faced court challenges, and most are not very far along in the legal pipeline yet.

The law in Arkansas is the only one to have been struck down entirely, but the state has asked a federal appeals court to reverse that ruling.

The 6th U.S. Circuit Court of Appeals, one step below the Supreme Court, last year ruled that Kentucky and Tennessee can continue to enforce their bans amid legal challenges. The high court has agreed to hear the Tennessee case in the term that starts later this year.

The U.S. Supreme Court in April ruled that Idaho can enforce its ban while litigation over it proceeds. A lower court had put it on hold.

What Does the Medical Community Think?

Every major U.S. medical group, including the American Academy of Pediatrics and the American Medical Association, has opposed the bans and said that gender-affirming treatments can be medically necessary and are supported by evidence.

But around the world, medical experts and government health officials are not in lockstep. Some European countries in recent years have warned about overdiagnosis of gender dysphoria.

In England, the state-funded National Health Service commissioned a review of gender identity services for children and adolescents, appointing retired pediatrician Hilary Cass, MD, to lead the effort. The final version of the Cass Review, published in April, found "no good evidence on the long-term outcomes of interventions to manage gender-related distress."

England's health service stopped prescribing puberty blockers to children with gender dysphoria outside of a research setting, following recommendations from Cass' interim report.

The World Professional Association for Transgender Health and its U.S. affiliate issued a statement in May saying they're deeply concerned about the process, content, and consequences of the review, saying it "deprives young trans and gender diverse people of the high-quality care they deserve and causes immense distress and harm to both young patients and their families."

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Rawlins named head of bariatric staff at SMC – The Post and Courier

Summerville Medical Center has added bariatric and general surgeon Dr. Michael Logan Rawlins as the new Bariatric Medical Director to lead the hospitals 13-plus year bariatric program providing high-quality bariatric and weight loss care for our community.

Rawlins is a board-certified and fellowship-trained bariatric and general surgeon with more than 12 years in practice and 14 years of active duty service in the United States Air Force. He received his medical degree at Eastern Virginia Medical School, a General Surgery Residency at Wright State University and Wright Patterson Air Force Base, and an Advanced Minimally Invasive and Bariatric Surgery Fellowship at the University of Virginia. Rawlins is a fellow of the American College of Surgeons (FACS) and the American Society for Metabolic and Bariatric Surgery (FASMBS).

In the past 12 years, Rawlins has saved countless lives through weight loss surgery, medical weight loss programs and a focus on helping communities live healthier lifestyles.

I was drawn to the field of bariatric surgery because it was one of the few surgical specialties where I felt I could make a long-lasting impact in patients lives, Rawlins said. When one of my patients loses over 100 pounds, their life is transformed, and barriers they once felt in the world evaporate; life longevity is extended, allowing people to enjoy their life more fully.

As a 14-year veteran of the United States Air Force, Lt. Col. Rawlins served his country both stateside and with two deployments abroad; first in the Middle East as the surgeon and team Lead for a Mobile Field Surgical Team (MFST) providing life-saving surgical support for deployed units and then secondly as a Critical Care Air Transport Team (CCATT) physician, transporting critically ill service members anywhere in the globe to higher level care facilities.

While stationed at Travis Air Force Base in California, he served as the Chief of Minimally Invasive Surgery, Director of the Bariatric Surgery program and Program Director for the General Surgery Residency. He received the USAF Meritorious Service Medal in 2020 and the USAF Commendation Medal in 2014.

I am thrilled to welcome Dr. Rawlins to the Lowcountry and Summerville Medical Center, said Stephen Chandler, CEO of Summerville Medical Center. He is joining our exceptional medical staff with a strong passion for providing world-class care. Offering weight loss services close to home is critically important for the community we serve to help our patients maintain a happy and healthy life.

Rawlins is joining Coastal Carolina Bariatrics & Surgical Center at Summerville Medical Centers campus at 295 Midland Parkway, Suite 260. He will be offering a variety of bariatric, general and reflux care with a focus on minimally invasive surgery options, including:

To learn more about Rawlins services and to schedule an appointment, visit ccbariatricandsurgical.com/ or call 843-875-8994.

Summerville Medical Center launched its minimally invasive robotic surgery program in 2012 and currently operates five robotic surgery systems that provide more precise surgical procedures, less need for pain medication, and faster recovery times that get patients back to their families and normal daily activities.

The hospitals team of fellowship-trained, board-certified surgeons offers a variety of surgical procedures, including spine, gynecology, orthopedic, pediatric, reflux, weight loss, breast, vascular and more. More than 6,750 minimally invasive robotic surgeries have been performed since starting the robotic surgery program in 2012.

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Boosting vaccines for the elderly with ‘hyperactivators’ – Boston Children’s Answers – Boston Children’s Discoveries

As we age our immune systems start to flag, leaving us more susceptible to cancer and infections and less responsive to vaccines and cancer immunotherapies.

Going to the heart of the problem, Jonathan Kagan, PhD, a researcher in immunology at Boston Childrens Hospital, has identified a way to rejuvenate the elderly immune system. His teams findings, published this month in the journal Cell, could lead to stronger vaccine adjuvants to help fight cancer and infectious diseases in older people.

For our immune systems to effectively defend against cancer or infections, certain key things need to happen. Dendritic cells, also known as antigen-presenting cells, are first responders: They take a snapshot of the invader, travel to the lymph nodes, and show T cells the snapshot. T cells then rally: CD4 T cells activate other types of immune cells, while CD8 T cells fight invaders directly.

However, with age, dendritic cells lose their ability to migrate, so T cells never receive their intelligence. When dendritic cells cant migrate, its like having a house invader and having no phone to call the cops, Kagan says.

On top of that, older people also make fewer T cells, in particular fewer killer CD8 T cells.

Using an elderly mouse model of cancer, Kagans team turned to hyperactivators, naturally occurring fatty molecules found in inflamed tissue that stimulate immune responses. Could some of these responses be useful for immunization?

Weve investigated hyperactivators for quite a while, Kagan says. We began isolating them in 2014 or 2015 and asked how they behave when added to dendritic cells.

When the team gave hyperactivators to elderly mice, dendritic cells did indeed migrate to the lymph nodes at more than 250 times the rate seen with commercially available vaccine adjuvants like alum and LPS.

Although CD8 T cells were largely depleted in elderly mice, the hyperactivated dendritic cells somewhat surprisingly were able to induce CD4 T cells, which acquired long-lasting killer functions and were able to eradicate implanted tumors. In contrast, checkpoint inhibitors a common type of cancer immunotherapy did not protect elderly mice.

Kagan is further investigating how the hyperactivators mobilize dendritic cells and broader immune responses. In this study, the compounds increased numbers of a receptor called CCR7 on dendritic cells. CCR7 senses chemokines produced in the lymph nodes, Kagan explains. Without the receptor, dendritic cells cant see the signals to migrate.

Boston Childrens has filed patent applications on Kagans work and licensed them to Corner Therapeutics, co-founded by Kagan in 2019. (Kagan currently serves as an advisor and board member.) The company is focused on developing proprietary versions of the hyperactivators that can be used clinically.

In the lab, Kagan now wants to demonstrate that hyperactivators are effective in more human-like cancer models, as well as in infectious diseases starting with influenza. His ultimate goal is to create cancer vaccines as well as next-generation infectious disease vaccines that mobilize dendritic cells.

The last 10 years have been the age of T cell-targeting therapies, he says. But because T cells are diminishing with age, these therapies lose their usefulness as people get older. We need to diversify the targets of immunotherapies.

Learn more about Kagans research

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Boosting vaccines for the elderly with 'hyperactivators' - Boston Children's Answers - Boston Children's Discoveries

How Ragon Institute’s new building aids its mission Harvard Gazette – Harvard Gazette

On its 15th anniversary, the Ragon Institute celebrates the opening of a 300,000-square-foot building to house its engineers, scientists, and doctors. The Cambridge-based Ragon a collaboration between Massachusetts General Hospital, MIT, and Harvard enables cross-disciplinary biomedical research aimed at solving global health problems. We spoke with Ragon Director Bruce Walker about the Institutes next steps.

This interview was edited for clarity and length.

The Ragon Institute was founded to bring about collaboration between scientists, doctors, and engineers. How does the new building facilitate this?

Traditionally, these scientific disciplines have been siloed. So one objective is to bring these different disciplines together, but unless theyre interacting you havent accomplished much. What weve done is to create an environment where the incentive is to leave your office and go to common spaces that we refer to as collaboration spaces where you have those chance encounters, where the scientists are visible. The Institute is built so that you can see people. Its got a very large central atrium and catwalks on each level and a spiral staircase, so you know who else is in the building. In my experience, those random encounters are where innovation and creativity are spawned.

You can work really hard to create something through the application of science and engineering, but if you cant deliver it to people you havent accomplished much.

Do you see any new disciplines or technologies being added to this collaboration?

Were all studying how the immune system functions and how it malfunctions. Whether youre a physicist or a computational biologist or an immunologist, were all working toward a common goal of understanding those processes. The immune system is beyond the capacity of the human brain to understand that whole complex system, but its not beyond the ability with AI and machine learning. In the new building there will be multiple spaces for computational biologists, AI, and machine learning.

As you celebrate the Ragons 15th anniversary, do you see its focus changing?

We have three major programmatic areas now going forward. We have just the beginning of an understanding of how the immune system works, but we know that that the immune system is in every nook and cranny in our bodies and keeping us healthy. In fact, its eliminating cancerous cells as they arise. The more we can understand about it, the better we can come up with therapies. So trying to understand the physiology of the immune system is one focus.

Immune engineering is another, and the third is patient-centered immunology. You can work really hard to create something through the application of science and engineering, but if you cant deliver it to people you havent accomplished much. One of the things that we have in the new building is a clinical center. Well be able to do patient follow-up right in the institute.

What new challenges will the Institute take on?

A major challenge looking forward is the family of neurodegenerative diseases like Parkinsons and Alzheimers. Theres a lot of evidence suggesting that those are inflammatory in nature, in other words, mediated in some way or modulated in some way by the immune system. And so neuroimmunology is one of the areas that were specifically trying to extend into. We started out 15 years ago as an HIV institute, we rapidly expanded as Ebola and then Zika came along, and COVID-19, influenza, malaria, and in addition to that, autoimmunity and cancer. Its all under the umbrella of how the immune system functions and malfunctions.

What has the partnership between Harvard, MIT, and Massachusetts General Hospital made possible?

It has enabled us to implement our strategy, which was to bring together scientists from different disciplines and give them the flexibility to take innovative ideas forward with flexible funding. Traditional funding sources are loath to fund things if they havent been shown to already work, and our view is that if we arent failing in some projects, were not pushing the envelope hard enough. The flexible funding is really critical because it enables us to take an idea and immediately sprint with it, taking high-risk, high-impact ideas forward.

For years when I was working at Mass General, I would have conversations with different people outside of the HIV field and wed talk about, Wow, wouldnt it be great to apply your skills to this HIV problem? And it never went anywhere because we never had funding. Were enabling those connections to happen by catalyzing them with flexible funding.

How do you see this partnership growing?

We are MGH, MIT, and Harvard, but we welcome people from all the other affiliated hospitals. We collaborate with UMass and Tufts and Boston University.

Our educational mission is not just local, it extends out to other places in the world, particularly South Africa, which has the greatest burden of TB and HIV infection in the world. We partner closely with two research institutes there, and our goal is to transfer the knowledge and technologies that were developing to the African continent and to help in training the next generation of African scientists.

Were in the process of establishing new collaborations in South America and others in Africa. And we are establishing a formal collaboration with a new institute in Australia. Again, we really want to take down the walls.

What difference will this new facility make?

The expanded facilities allow us to cover more dimensions of immunology, recruit more faculty, and provide an expanded number of better-equipped labs to support the scientists. It was built for collaboration, which is the reason that the Ragon Institute was built: to bring together scientists and engineers and medical doctors from multiple disciplines and use their creativity and knowledge in a pooled way to solve some of the biggest global health problems of our generation and future generations.

The Institute also has a childcare center, to support young faculty with families, and educational spaces to teach the next generation of scientists and engineers and medical doctors. We actually overbuilt things, so its got a very large biosafety Level 3 facility, which will service people in this incredible square mile of scientific innovation thats unmatched anywhere in the world.

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How Ragon Institute's new building aids its mission Harvard Gazette - Harvard Gazette

Immunologists Want You to Know These Dust Mite Allergy Facts – Yahoo Lifestyle UK

Because microscopic dust mites are invisible to the naked eye, they seem like an elusive storybook creature that may or may not loom among our homes. But their presence quickly becomes known when theyre responsible for an unexplained allergic reactionwhich brings us to the question: Do dust mites bite? Below, an immunologist and allergist explain everything you need to know.

Meet the Experts: Sharlene Llanes, M.D., an allergist and immunologist with AllerVie Health, Loxahatchee and James Faix, M.D., medical director of immunology at Quest Diagnostics.

Dust mites are microscopic, insect-like creatures that are found in homes, explains Sharlene Llanes, M.D., an allergist and immunologist with AllerVie Health, Loxahatchee. James Faix, M.D., medical director of immunology at Quest Diagnostics adds that they are found in house dust corralled in soft surfaces like rugs, sofas, bedding, and clothing where they live on a diet of shed human skinkeyword being shed, meaning they do not bite to feed. They dont bite, but they feed off the dead skin of humans and pets, says Dr. Llanes. With that being said, contact with dust mites can cause uncomfortable allergic reactions.

A dust mite allergy might take on the appearance of insect bites, or a skin rash, says Dr. Faix. It also can manifest as asthma or allergy-like upper respiratory symptoms. Heres a comprehensive list of signs to watch for, per Dr. Faix and Dr. Llanes:

Treatment of a dust mite allergy depends on the symptomsallergic rhinitis, or your typical seasonal allergy qualms, can be addressed with over-the-counter antihistamines and decongestants, Dr. Faix says. Patients with moderate symptoms may require intranasal corticosteroids, and patients with severe symptoms who do not respond to these measures may be candidates for immunotherapy, he adds, which gradually exposes a person to dust mites to get their immune system accustomed to them.

Asthma-like symptoms need treated on an individual basis by a primary care doctor or immunologist, says Dr. Faix, but may include steroids and/or an albuterol inhaler.

With all of that being said, both Dr. Faix and Dr. Llanes say that the most effective treatment of a dust mite allergy is eliminating the source of the allergenmeaning getting rid of carpets, drapes, stuffed toys, and other soft surfaces, generally cleaning and decluttering, and installing an air purifier with a HEPA filter.

In short: Cleanliness is key, says Dr. Faix. That means vacuuming at least weekly and washing bedding and other upholstery in hot water regularly, he recommends. You can also minimize places for them to dwell by opting for hardwood floors and leather furniture. HEPA air purifiers and dehumidifiers can also help keep the air in your home dry and clean. To learn more, check out our guide on how to get rid of dust mites.

You can prevent excess dust mites by maintaining cleanliness, minimizing soft surfaces and textiles like stuffed toys and carpet, and using an air purifier with a HEPA filter, Dr. Llanes says. She also suggests keeping household humidity at 50% because dust mites thrive in warm, humid environments. Even if you check all of those boxes, though, Dr. Llanes stresses that its nearly impossible to completely eliminate dust mites from the home. They are everywhere, she says. As long as there is a human in a home, dust mites are there to stay.

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Insights into CRS and NPs: Visual and Bibliometric Analysis – Physician’s Weekly

The following is a summary of Visual and bibliometric analysis of chronic rhinosinusitis and nasal polyps, published in the May 2024 issue of Allergy & Immunology by Liu, et al.

Chronic rhinosinusitis (CRS) is characterized by persistent nasal and sinus passages inflammation and an imbalance in the sinus microbiome. Nasal polyps (NPs) are a significant manifestation of CRS, contributing to various clinical symptoms. For a study, researchers sought to perform a bibliometric and visual analysis of research articles on CRS and NPs published from 2003 to 2022 to provide insights into the current state of research and identify future directions.

The Web of Science database searched relevant articles published between 2003 and 2022. The bibliometric analysis was conducted using VOSviewer and the Bibliometrix R package.

The analysis included 3,907 publications. The United States was the most significant contributor to global research, followed by China. Northwestern University had the highest number of publications. C. Bachert was identified as the most prolific author, with R. P. Schleimer and R. J. Schlosser also notable. The most frequently co-cited authors were C. Bachert, W. J. Fokkens, and P. Gevaert. The International Forum of Allergy & Rhinology had the most publications, while the Journal of Allergy and Clinical Immunology was the most cited. Current research hotspots included Covid-19, biologics, and type 2 inflammation.

The United States and Northwestern University were identified as leading contributors to CRS and NP research. C. Bachert emerged as the most influential researcher. The International Forum of Allergy & Rhinology and the Journal of Allergy and Clinical Immunology were prominent journals in the field. Emerging research areas included Covid-19, biologics, and type 2 inflammation.

Reference: jaci-global.org/article/S2772-8293(24)00007-9/fulltext

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Insights into CRS and NPs: Visual and Bibliometric Analysis - Physician's Weekly