Research Offers Insight into Option for Vaginal Versus Cesarean Delivery for Twins

In the face of rising Cesarean section rates – including nearly all twin births, obstetrician Daniela Anne Carusi, MD, MSc, and colleagues at Brigham and Women’s Hospital (BWH) questioned whether Cesarean delivery was warranted for all twins.

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Comprehensive NICU Follow-Up Program Addresses Patient Needs, Fosters Innovation

The multidisciplinary NICU Follow-Up Program at Brigham and Women’s Hospital now provides close, frequent monitoring and needed services including care for neurological development to ensure that children thriving and meeting developmental milestones. Additionally, specialists in the Program help parents navigate a transition to continued care after their baby leaves the hospital.

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Infant Brain Monitoring Brings NICU Care to New Level

In the newly expanded NICU at Brigham and Women’s Hospital (BWH), advanced monitoring of newborn brain activity and oxygen saturation in the brain tissue provides optimal care and protection.

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Center for Oncoendocrinology Provides Care for Cancer Patients with Endocrine Conditions

The Center for Oncoendocrinology at Brigham and Women’s Hospital was established to provide expert endocrine care for cancer patients during and after treatment. Endocrinologists at the Center, a program of Dana-Farber/Brigham and Women’s Cancer Center, can provide specialized knowledge of endocrine issues that may affect your cancer patient.

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Intensive Diabetes Management Program Lowers A1C Levels in Complex Patients

The Setting Targets Achieving Results Diabetes Mellitus (STAR-DM) Program at Brigham and Women’s Hospital (BWH) offers your high-risk diabetes patients an intensive management program to meet their clinical targets, such as achieving their A1C target or avoiding too-low blood glucose.

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Slow-Release Pill Developed to Deliver Multiple Drugs at Once

Medication non-adherence remains a major challenge across nearly all diseases. To address complex medication regimens and combination therapies, researchers from Brigham and Women’s Hospital (BWH) have developed a “mini pill box” that can stay in the stomach for one week and provide a long-lasting dose of multiple medications.

In a study published online in Nature Communications in Januaryresearchers from BWH, Massachusetts Institute of Technology and their collaborators describe success in delivering three anti-retrovirals for HIV in a pig model.

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A Novel Diagnostic Model for Chronic Pancreatitis

 

To address the challenge of accurately diagnosing chronic pancreatitis (CP), researchers at Brigham and Women’s Hospital (BWH) have introduced a novel prediction model that combines findings of endoscopic ultrasound (EUS) with pancreatitis-specific behavioral risk factors.

“We asked, can we come up with a more objective way to diagnose chronic pancreatitis?” says Linda Lee, MD, a gastroenterologist in the Division of Gastroenterology, Hepatology and Endoscopy at BWH. “If radiological findings are not obvious for chronic pancreatitis, how do we clinch the diagnosis?”

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Automated Texting Tool Improves Patient Preparedness for Colonoscopy

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When a patient arrives for their colonoscopy inadequately prepped, the procedure takes longer to perform, or must be canceled, which interrupts clinical workflow at significant cost.

“To improve patient preparations and decrease no-show rates, a multidisciplinary team at the Endoscopy Center at Brigham and Women’s Hospital (BWH) conducted a three-month pilot study using a texting tool to provide patients with a digital colonoscopy prep guide before their procedure,” said Jennifer Nayor, MD, an attending physician in the Division of Gastroenterology, Hepatology and Endoscopy at BWH.

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Exercise enhancement among Rheumatoid Arthritis patients: Research from the Brigham and Women’s Hospital Rheumatoid Arthritis Sequential Study

Iverson MD, Frits M, von Heideken J, Weinblatt M, Shadick NA.  Physical activity and correlates of physical activity participation over three years in adults with rheumatoid arthritis.  Arthritis Care Res (Hoboken) 2017;69(10):1535-1545. PMCID:PMC5436948

The Brigham and Women’s Hospital Rheumatoid Arthritis Sequential Study (BRASS) was founded 14 years ago by Drs. Nancy A. Shadick and Michael Weinblatt to study genetic and clinical predictors of disease activity, biomarkers of disease response, and the natural history of patients with rheumatoid arthritis (RA) treated in the biologic DMARD era. Over 1,400 patients with either new onset or established RA disease have been recruited from the practices of Brigham and Women’s Hospital rheumatologists.  At annual visits, information is collected on multiple variables, including demographics, disease activity score (DAS), medication use, co-morbidities, and functional status. More than 1,200 clinical variables are collected at each six month timepoint, which allows for the generation of extensive phenotyping and clinical analyses.

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Over 40 Years of Rheumatology Clinical Research at Brigham and Women’s Hospital

Brigham and Women’s Hospital Division of Rheumatology, Immunology and Allergy

In 1977, Dr. Matthew Liang founded the clinical research group in rheumatology at Brigham and Women’s Hospital (BWH).  The original funding for this group derived from the NIH Multipurpose Arthritis Center program.  Dr. Lawren Daltroy, a behavioral scientist, joined Dr Liang in 1982, and they pursued several innovative behavioral trials focusing on lupus, back pain, and Lyme disease. The faculty grew during the 1980s and 1990s with the addition of Drs. Jeffrey Katz, Nancy Shadick, and Elizabeth Karlson.

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