Home Hospital for Surgery: An Emerging Option for Perioperative Care

Headshot of Thomas C. Tsai, MD, MPH on black background

Home hospital programs are a safer, cheaper and more efficacious alternative to inpatient hospital admission for many medical conditions. The Brigham is at the forefront of efforts to extend this delivery model to perioperative care, including for GI and bariatric surgery. Thomas C. Tsai, MD, MPH, discusses this work.

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Brigham Neurosurgery Leads Revival in the Use of Ultrasound for Brain Tumor Resection

Dr. Golby and Team Using Ultrasound in Operating Room

Intraoperative magnetic resonance imaging is an extremely useful tool in guiding surgical brain tumor resection but also has significant drawbacks. The Brigham’s Department of Neurosurgery is turning to an older alternative: ultrasound. Alexandra J. Golby, MD, director of image-guided neurosurgery, explains.

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What Clinician Mentorship Programs Can Learn From Online Dating

Group of surgeons in operating room

The COVID-19 pandemic has dealt a blow to faculty membership and sponsorship programs at many healthcare institutions. In response, the Brigham is piloting a new Faculty Mentorship and Sponsorship Network Program. Laryngologist and associate surgeon Anju K. Patel, MD, who spearheads the program, discusses its impact.

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How Trauma-informed Care Improves the Patient Experience

Robert Wood Johnson Foundation Clinical Scholars Program Team

In the past two years, the COVID-19 pandemic and a renewed emphasis on issues surrounding racial justice have brought the need for trauma-informed healthcare into greater focus. Consultation-liaison psychiatrist Nomi Levy-Carrick, MD, MPhil, has been involved in expanding such programs across more areas of the Brigham.

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Brain Circuit Mapping Refines Targets for Neurostimulation

Researchers at Brigham and Women’s Hospital have developed a novel brain mapping method that suggests lesions, TMS and DBS converge on a common brain circuit for depression—which may represent a better target for therapeutic neurostimulation. The approach seems to be generalizable to other neuropsychiatric diseases.

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Stem Cell-derived Neurons Facilitate Study of Alzheimer’s Disease Mechanisms, Treatments

3D rendering of pluripotent stem cells

Tracy Young-Pearse, PhD, Valentina Lagomarsino, Richard V. Pearse II, PhD, and colleagues have created a system that fills the gap between autopsy studies and genetic studies. They’ve shown that neurons derived from induced pluripotent stem cells (iPSCs) reflect molecular mechanisms underlying late-onset AD.

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‘Disease Deconstruction’ Approach Yields Insights on Autoimmune Diseases

Arthritic hand of a patient with rheumatoid arthritis

Brigham experts have taken a molecular-driven, single-cell approach to studying the underpinnings of autoimmune diseases—specifically rheumatoid arthritis and systemic lupus erythematosus. Much of the work by Michael B. Brenner, MD, relies on “disease deconstruction,” an approach grounded in discovery-based research.

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Galectin-mediated Immunity Is Dysregulated in Protozoan–Viral–Bacterial Female Genital Tract Infections

3D Rendering Galectin-3

Raina N. Fichorova, MD, PhD, and Hidemi S. Yamamoto, BA, of the Laboratory of Genital Tract Biology in the Department of Obstetrics and Gynecology at the Brigham, and colleagues have discovered concurrent exposure to Trichomonas vaginalis and bacterial vaginosis dysregulates the expression of galectins.

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Laparoscopic Sleeve Gastrectomy Has Profound Effects on Immune Cells

3D rendering of laparoscopic sleeve gastrectomy

Research at Brigham and Women’s Hospital explored how laparoscopic sleeve gastrectomy improves the systemic inflammatory profile and found pronounced improvement in immune cell composition, function and metabolism, as measured by both biomarkers and gene expression, as soon as three months after the procedure.

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Anorectal Dysfunction Can Have a Role in Chronic Opioid-induced Constipation

Walter Chan, MD, MPH, director of the Center for Gastrointestinal Motility at the Brigham, Nayna Lodhia, MD, associate physician in the Division of Gastroenterology, Hepatology and Endoscopy, and colleagues have documented anorectal dysfunction in patients with chronic constipation who used opioids.

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