Childrens Mercy - Kansas City

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Sinopse

Can an effective treatment for medically refractive Crohns disease be found in the gastrointestinal tract itself? Dr. Alka Goyal with Childrens Mercy Kansas City is exploring the role of fecal transplant as a rescue therapy for patients whose inflammatory bowel disease has not responded to traditional treatment. Early research showed that a single transplant is relatively safe and can result in a short-term response in young patients with active IBD but doesnt provide long-term relief. Now Dr. Goyal is launching a new study to help determine whether there is an advantage to a stronger induction phase for transplant, and any benefit to performing maintenance therapy for patients with Crohns. Dr. Goyal highlights her research findings recently published in the IBD Journal, reviews her next study and the potential it holds for patients whose disease requires longer-term effective therapy.

Episódios

  • Updated Dermatology Guidelines and Use of Bactrim

    07/03/2024

    Bactrim is a commonly prescribed antibiotic used to treat a variety of conditions, including urinary tract infections, acne and skin and soft tissue infections. The American Academy of Dermatology recently revised its guidelines discouraging the use of Bactrim to treat acne based on research conducted by my next guests – Dr. Jenna Miller, pediatric intensivist, and Dr. Jennifer Goldman, Infectious Diseases, of Children’s Mercy Kansas City.

  • Precision Medicine in Pediatrics: Genetic Testing for Children with Cancer

    19/01/2024

    To accelerate precision medicine for pediatric oncology, Children’s Mercy Kansas City, together with its Research Institute (CMRI), pioneered a new whole-exome-sequencing-based genetic test for all children diagnosed with cancer. While many pediatric research institutions in the country conduct genetic sequencing of tumors, CMRI is one of the few institutions performing both research and clinical sequencing in-house on both tumor and normal DNA samples.

  • Genomic Answers for Kids Expands Sequencing to Clinical Setting

    19/01/2024

    Children’s Mercy Kansas City, one of the nation’s leading independent pediatric health organizations, announced it is the first health care system to use 5-base HiFi sequencing, the world’s most-advanced genomic sequencing technology from PacBio, in the clinical setting to accelerate diagnoses for even more patients and families.

  • Navigating Pediatric Fontan-Associated Liver Disease

    06/12/2023

    Incredible advances in the care of patients born with single-ventricle heart disease have led to significantly better quality of life and survival. Complex surgical palliation culminating in the Fontan procedure is effective and can allow patients to grow and develop similar to their peers. Unfortunately, changes related to Fontan anatomy lead to stress and increased pressure on the liver, known as Fontan-associated liver disease. These stresses can cause scar tissue to form and—rarely—liver cancer to form. Dedicated liver care is vital to providing Fontan patients with the healthiest life possible. 

  • Population Health Management and Pediatric Type 1 Diabetes

    27/11/2023

    In this episode, Dr. Mark Clements leads a discussion focusing on population health management and pediatric type 1 diabetes.

  • Data Science: Informing Better Health Care Decisions

    26/05/2023

    Data science -- often discussed with terms like artificial intelligence, machine learning, big data, data goverernance -- has the potential to transform every aspect of health care, from the patient experience to how, when and where care is provided, and improving outcomes. In this Transformational Pediatrics episode, Mark Hoffman, PhD, Chief Research Information Officer at Children's Mercy Kansas City, discusses the challenges and opportunities for data science within pediatric health care and gives examples where it is already making a difference for children today.

  • Professional Coaching in Medicine and Health Care

    24/05/2023

    The health care sector has begun to embrace coaching to promote resilience and innovation during a time of massive disruption while also cultivating healthier workplace cultures. In this podcast, Alyssa Stephany, MD, Director of the Physician Leadership Center at Children's Mercy Kansas City shares how professional and peer coaching can help reduce burnout, increase job satisfaction, and improve the overall provider experience of health care, while also having a positive effect on patient care.

  • Health and Poverty of Rural Children

    18/07/2022

    Nearly 1 in 5 children in the United States live in rural areas. Rural children experience health and health care disparities compared to their urban peers and represent a unique and vulnerable pediatric patient population. Important disparities exist in all-cause mortality, suicide, firearm-related unintentional injury, and obesity. In this episode, Dr. Jessica Bettenhausen discusses research into these disparities, their causes and potential actions to address them.

  • Health Care Informatics

    28/05/2021

    What is informatics and why is it important in health care? Listen as Jill Westcott, MD, MS, FACOG, Physician Informaticist for the Fetal Health Center at Children's Mercy, shares her expertise on the topic and how informatics is improving patient outcomes in fetal health.

  • Genomic Answers for Kids Establishes New Paradigm in Rare Disease Research

    10/05/2021

    The Children’s Mercy Research Institute® is undertaking a research initiative to build a first-of-its-kind pediatric data repository to facilitate the search for answers and novel treatments for pediatric genetic conditions. Our goal is to collect genomic data and health information for 30,000 children and their families over the next seven years, creating a database of nearly 100,000 genomes.

  • Transforming Pediatric Research

    10/03/2021

    How do we create a healthier future for children?  The Children's Mercy Research Institute with a core focus on genomics, personalized therapeutics, population health, health care innovation and bioethics is positioned to fundamentally transform pediatric research and create a world of well-being for all children. Listen as Thomas Curran, PhD, FRS, Chief Scientific Officer, discusses the institute and the future of pediatric research.

  • Achieving Transplant Excellence Through Personalized Medicine

    16/02/2021

    Children’s Mercy Kansas City is recognized as one of the top 10 nephrology programs in the nation by U.S. News & World Report, and the kidney transplant program has incorporated a number of innovative practices into their management plan that are designed to enhance patient outcomes. Join us as Dr. Bradley Warady discusses how the program’s personalized approach to meeting each patient’s unique needs — including repeated surveillance biopsies, epitope matching and pharmacokinetic assessment of immunosuppressive medication — has contributed to a 100% three-year patient and graft survival rate for the past six years.

  • Pediatric Hemodialysis and Advances in Infection Prevention and Vascular Preservation

    16/02/2021

    To reduce the risk of complications related to hemodialysis, the Children’s Mercy Kansas City Division of Nephrology has implemented several strategies. Listen as Dr. Bradley Warady shares how the institution of standardized infection prevention practices has resulted in more than 1,200 consecutive days without an outpatient central line-associated blood stream infection (CLABSI) in a hemodialysis (HD) patient. In addition, Dr. Warady discusses how vascular preservation protocols also are improving the long-term venous access options for these and future patients.

  • Impact of Race & Ethnicity on Responses to Folic Acid Dosing

    05/01/2021

    Devika Maulik MD shares her translational research as it relates to folic acid and different responses to dosing among women of various races and ethnicities. She is using the information gathered to create recommended guidelines for folic acid dosing. She discusses current literature on this topic, as well as her studies in this area.

  • Pediatric Recurrent Intentional Foreign Body Ingestion: Case Series and Review of the Literature

    05/11/2020

    Dr. Christina Low Kapalu discusses cases and literature surrounding pediatric recurrent intentional foreign body ingestion.

  • Variations in Morning Serum Cortisol Levels Based on Sex and Pubertal Status

    11/09/2020

    Dr. Sarah Tsai discusses his recent findings from his study surround serum morning cortisol levels.

  • Twin to Twin Transfusion Syndrome: Algorithm for Diagnosing and Treating

    31/07/2020

    Dr. Emanuel "Mike" Vlastos discusses the algorithm for diagnosing and trading twin to twin transfusion syndrome.

  • Improved Outcomes for Liver Transplantation with Biliary Atresia

    18/06/2020

    Dr. James Daniel discusses improved outcomes for liver transplantation with Biliary Atresia.

  • Clinical Characteristics of Fractures in Pediatric Patients Exposed to PPIs

    15/05/2020

    Dr. Nathan Fleishman discusses the clinical characteristics of fractures in pediatric patients exposed to PPIs.

  • Pediatric Provider Well-Being and the COVID-19 Pandemic

    30/04/2020

    The COVID-19 pandemic has created an unprecedented work environment for pediatricians and pediatric subspecialists. How we practice medicine has been dramatically changed. When discussing physical precautions such as PPE and social distancing, provider mental well-being also should be a part of the conversation. In this podcast, Jennifer Bickel, MD, pediatric neurologist and Medical Director of the Children’s Mercy Center for Professional Well-Being, discusses how pediatricians have responded to the pandemic on a personal and professional level, the impact on physical and mental health, adjusting to the decrease in patient and peer contact, warning signs of burnout and mental health issues, steps Children’s Mercy is taking to address physician well-being, and more.

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