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COVID-19 Updates and Telehealth Information For Patients & Families Updates and Telehealth Information For Patients & Families2020-05-11T05:00:00Z<p>​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​At Boys Town National Research Hospital, our top priority is the health and​ safety of our patients, youth and employees. With the outbre​ak of coronavirus (COVID-19), Boys Town is taking measures to ensure we continue to protect those in our care.<br></p><p>Boys Town is active​ly monitoring​ information about COVID-19 from the Centers for Disease Control and Prevention (CDC) as well as updates from state and local health officials. </p><h2>Universal Masking</h2><p>Every person entering Boys Town National Research Hospital or one of the primary or specialty clinic locations is required to wear a mask. We ask that you bring a mask with you. See <a href="" target="_blank">CDC: How to Make and Use a Cloth Face Cover</a>.</p><h2>Patient and Visitor Screening</h2><p>As a precaution, all patients and visitors coming to Boys Town Hospital and clinics will be screened upon arrival. Our screening questions include the following:</p><ol><li>Do you have any of the following symptoms? <strong>Yes or No</strong></li><ul><li>Fever of 100.4 degrees F or higher</li><li>Cough</li><li>Shortness of breath or difficulty breathing</li><li>Chills</li><li>Muscle pain</li><li>Sore throat</li><li>New loss of taste or smell</li></ul><li>Have you or anyone in your househ​old traveled in the last 2 weeks (domestic or international)? <strong>Yes or No</strong></li><li>Have you had any known contact with any individual with a suspected or confirmed case of COVID-19? <strong>Yes or No</strong></li></ol><p>If you are concerned that you may have COVID-19, it’s impo​​rtant to remember to call ahead to your healthcare provider to be screened over the phone. The provi​der can evaluate and determine if testing is necessary.</p><p>The Nebraska Health Department urges you to self-monitor and contact your healthcare provider (via phone) first to discuss if your symptoms are significant enough to warrant a trip to the medical office. Following this guidance will allow those with the imminent need to get​ treatment, reduce your potential exposure and minimize the load on health​care providers. </p><h2>Visitor Policy Updates</h2><p>Limiting visitors within our facilities will help protect our patients​ and healthcare staff.</p><p>For clinic visits, one healthy parent/guardian/designated adult visitor is permitted to be with each patient. No visitors under the age of 18.</p><p>For the Hospital, only the same two healthy adults – parent/guardian/designated adult visitor – will be permitted to be with the patient throughout the hospital stay. No visitors under the age of 18.</p><p>For the Residential Treatment Center, visits and passes for our youth have been put on hold until further notice​. We understand seeing your child is important and we are making video conferencing technology accessible. Thank you for being a partner with us in keeping your child, your family and our staff protected during this time.</p><h2>Scheduling Appointments</h2><p>If you or a family member needs to schedule an appointment, contact your Boys Town doctor’s office directly, or call our main line at <a class="js-phone">(531) 355-1234</a>. Depending on your medical needs, our nurses will assist you in scheduling an office visit, virtual visit or provide instructions for in-home care. Our pediatric and internal medicine clinics are each operating a single location for acute care visits to help decrease exposures.</p><h2>Virtual Visits</h2><p> <a href="/services/virtual-care-visits">Virtual visits, also known as telehealth</a>, may be scheduled for pediatric and internal medicine routine well checks, sick appointments, chronic care follow-up and medication checks. Specialty care virtual visits are also available. <a href="/services/virtual-care-visits">Click here for a list</a> of all available clinics.</p><p>Patients and families should contact the clinic directly to request a visit. Depending on the patient’s medical need(s), our nurses will work with families to determine if a virtual visit or clinic visit is most appropriate. We have designated staff​ who will work with the families to help them set up the virtual visit on their end.</p><h2>Consolidating Locations</h2><p>Boys Town Pediatrics and Internal Medicine is operating dedicated acute care clinic locations. This is to help decrease patient and staff exposures.</p><h3>Pediatrics</h3><ul><li>Acute/sick care is available at our Lakeside Pediatric Clinic.</li><li>Well visits, chronic care and specialty care will take place at our Harrison Street Clinic, 72nd Street Clinic and Pacific Street Clinic.</li></ul><h3>Internal Medicine</h3><ul><li>Acute/sick care is available at our Downtown Clinic, 555 North 30th Street.</li><li>Well visits, chronic care and specialty care will take place at our 72nd Street Clin​ic and Pacific Street Clinic.</li></ul><h3>Same Day Pediatrics</h3><ul><li>All Same Day Pediatrics visits will consolidate to the Pacific Street Clinic.</li><li>Virtual visits are now available at Same Day Pediatrics.</li><li>Same Day Pediatrics is not acceptin​g walk-in appointments at this time. Please call <a class="js-phone">(531) 355-7425</a> to schedule.</li></ul><p>Boys Town Pediatrics - Pacific Street Clinic <br>14080 Boys Town Hospital Rd <br>Boys Town, NE 68010</p><p>Hours:<br>Monday – Friday 6:00 ​p.m. - 10:00 p.m.<br> Saturday and ​Sunday – 12:00​ p.m. - 10:00 p.m. ​​<br>Holidays - 12:00 p.m. - 6:00 p.m.</p><h2>Resources</h2><ul><li> <a href="/knowledge-center/coronavirus-covid-19-faq">Coronavirus Disease 2019 (COVID-19) FAQ</a></li><li> <a href="" target="_blank">Coronavirus Summary (CDC)</a></li><li> <a href="" target="_blank">CDC Fact Sheet: Coronavirus disease 2019 (COVID-19)</a></li><li> <a href="" target="_blank">How to Wash Your Hands (CDC)</a></li><li> <a href="" target="_blank">How to Talk to Kids about Coronavirus</a></li><li> <a href="/knowledge-center/preventing-viruses" target="_blank">How to P​reven​t Viruses from Spreading in Your Home</a></li><li> <a href="" target="_blank">CDC: 10 Ways to Manage Respiratory Symptoms at Home</a></li><li> <a href="" target="_blank">CDC: How to Make and Use a Cloth Face Cover</a></li></ul><p>Nebraska Department of Health and Human Services COVID-19 Information Line <br> <a class="js-phone">(402) 552-6645</a>, 8:00 a.m. from 8:00 p.m. 7 days a week</p><p> Douglas County COVID-19 Information Line <br> <a class="js-phone">(402) 444-3400</a>, weekdays f​rom 8:30 a.m. to 4:00 p.m. </p><h2>State and Local Health Information</h2><ul><li> <a href="" target="_blank">Nebraska Department of Health and Human Services</a></li><li> <a href="" target="_blank">Iowa Department of Public Health</a></li><li> <a href="" target="_blank">Douglas County (Nebraska) Health Department</a></li><li> <a href="" target="_blank">Lincoln-Lancaster County (Nebraska) Health Department</a></li><li> <a href="" target="_blank">Central District (Nebraska) Health Department</a></li></ul><h2>Diagnostic Testing for COVID–19</h2><p>Boys Town National Research Hospital is conducting diagnostic testing for COVID-19. The cash price for these tests is $114. In some cases, testing may be covered by insurance. If you have any questi​ons about billing, please contact our <a href="/patients/billing">Patient Financial Services department</a>.</p>
Residential Care for At-Risk Youth has Long-Term Economic Benefits for Governments and Society Care for At-Risk Youth has Long-Term Economic Benefits for Governments and Society2020-04-27T05:00:00Z<p>​Residential care for youth with severe emotional or behavioral issues involves intensive treatment and around-the-clock care. This makes the cost of care high and policy makers often want to know if there are other ways to provide this care or to reduce the amount of services in order to reduce costs. However, young people typically end up in these programs only after multiple other forms of care have been tried and failed, making group residential care programs very important. Therefore, it is vital to show the value of these services and to advocate for continued support.</p><p>Researchers at Boys Town and elsewhere have been looking at ways to place the context of residential care in relationship to the costs of not providing these services. In a recent study, Jonathan C. Huefner and his colleagues adapted a previously developed Return on Investment Tool (ROI tool) for use with Boys Town’s Family Home Program data [1]. The ROI tool relates the cost of care to projected government fiscal and societal impacts, including increased economic contributions after treatment, tax revenue increases from employment gains, and costs associated with criminal recidivism and dependency on safety-net programs like unemployment [2].</p><p>The study looked at 141 individuals who had been treated for less than 6 months (median stay of 3.7 months) and 1031 who had been in treatment for longer than 6 months (median stay of 18.4 months). Outcomes were assessed by a 35-question assessment that was given 24 months after treatment. To compare the 2 groups, the authors normalized the data for the smaller group to the cost of similarly treating 1031 youth. Costs can only be compared for shorter treatment vs. longer treatment because it would be unethical to have a comparison group of young people needing treatment that do not receive it.</p><p>When it comes to cost, one thing that policy makers are often concerned about is whether there is really a need for longer, more costly stays; represented here as stays longer than 6 months. They reasonably want to know if a shorter stay could produce similar results while saving expense. In this study, the authors report that there was a definite benefit for kids who were in treatment for longer than 6 months, with higher educational achievement, better employment outcomes, and​ reduced recidivism. Here is a brief summary of the findings in this paper [1]:</p><ul><li>The estimated cost to care for 1031 kids for 6 months or less was approximately $29 million, whereas the estimated cost for the same number of youth in treatment for more than 6 months was $153 million.</li><li>The net benefit to government is estimated at $44 million through increased revenue and decreased expenditures in the future. However, with the increased cost of care for longer treatment amounts to an $80 million additional cost to the government.</li><li>The societal savings through increased productivity, better employment, and other contributions over a 40-year adult lifetime increased for the more-than-6-month group by $325 million.</li><li>For the group that received more than 6 months of care, the authors calculate that for every $1 spent the societal lifetime return is $3.61.</li></ul><p>A short-term perspective which focuses only on governmental expenditure might conclude that the cost of care is greater than the fiscal returns. This perspective ignores the real human impacts of not taking care of these kids, which most people would not advocate. However, adult lifetime societal savings that are realized by giving kids who need it more care, training and education makes it clear that complete treatment has financial benefits that exceed any arbitrary cutoff. Such improvements (e.g., increased productivity and wages) have a direct impact on the community through spending and investment by these individuals over time. These outcomes should be of concern to policy makers who we need to support these programs.</p><h2>References</h2><ol><li>Huefner J.C., Jay L. Ringle J.L., Thompson R.W., and Wilson F.A., (2018) Economic evaluation of residential length of stay and long-term outcomes. Residential Treatment for Children & Youth, 35(3), 192–208.</li><li>Wilson F.A., Araz O.M., Thompson R.W., Ringle J.L., et. al. (2016) A decision support tool​ to determine cost-to-benefit of a family-centered in-home program for at-risk adolescents. Eval Program Plann, 56, 43–49.</li></ol><h2>Research Newsletter</h2><p>Please sign up to receive occasional research news and events emails from Boys Town National Research Hospital.</p><div align="center"> <a class="button is-primary" href="">Newsletter Sign-Up</a></div>
Virtual Learning Begins for Children who are Deaf/Hard of Hearing at Preschool Learning Begins for Children who are Deaf/Hard of Hearing at Preschool2020-04-23T05:00:00Z<p>As our communities and nation face the extraordinary and unprecedented challenges posed by the coronavirus crisis, we at Boys Town are changing our services to adjust to the pandemic. Because we are currently unable to serve children in a fixed learning environment, we are using technology to reach the children.​</p><p>Boys Town National Research Hospital’s Early Education Services – part of the <a href="/services/center-for-childhood-deafness-language-learning">Center for Childhood Deafness, Language and Learning</a> – is working hard to develop virtual lesson plans and recording videos for the families they serve. The two programs that are providing virtual e-learning are the <a href="/services/center-for-childhood-deafness-language-learning/preschool-program">Preschool Program</a> and the <a href="/services/center-for-childhood-deafness-language-learning/early-intervention-program">Parent-Infant Early Intervention Program</a>. Each of these services provides comprehensive programs and learning for infants and young children who are deaf or hard of hearing.</p><p>Children who are deaf or hard of hearing are at risk for speech and language delays which may impact their current and future academic success. They often require intensive educational intervention​s to make sure their learning keeps pace with their peers who are hearing. Providing services during this time is critical to support their ongoing growth and development.</p><p>“We want to make sure families can continue to support their children’s development during this time.,” said Cathy Carotta, Director of Clinical, Educational and Outreach Programs at the Center for Childhood Deafness, Language and Learning. “We can do this naturally by providing parents with suggestions for supporting their children’s language and listening development using regular home routines.”</p><p>Our counseling team for deaf or hard of hearing students is also providing tele-counseling services to those students who were previously enr​olled in services. These services are provided through a contract with ESU #3.</p><p>The Center for Childhood Deafness, Language and Learning is also continuing to provide <a href="/services/pediatric-speech-language-therapy">Pediatric Speech-Language Therapy</a> for their students as well as community patients via virtual visits. Early intervention for children who struggle with speech and language development is important for their future success with reading, talking and learning. Our mission with these services is to make sure any child with speech, language, or communication needs can access support during the COVID-19 outbreak.</p><p>To learn more about the programs and services offered for children at the Center for Childhood Deafness, Language and Learning, <a href="/services/center-for-childhood-deafness-language-learning">visit our website</a>.</p><h2>Resources for Families</h2><p>Check out these examples of at home activities provided by our preschool teachers. These sensory, art and music guides can be enjoyed by families regardless of hearing ability.</p><ul><li><a href="">Music Art Ideas for Home Learning</a></li><li><a href="">At Home Sensory Play</a><br></li></ul>
Awareness of Developmental Language Disorder is Improved by Using Clear Terminology of Developmental Language Disorder is Improved by Using Clear Terminology2020-04-10T05:00:00Z<p>​Millions of people in the United States struggle to learn language because of an underlying difference in how their brain develops. Despite the large numbers of people affected, many people are not aware of this because of a confusing array of diagnostic terms and inconsistent criterion for diagnosis. Additionally, better awareness and clear terminology will make it easier to get resources for treatment and new research into causes and therapies.</p><p>Boys Town National Research Hospital is a leader in hearing and communications related research. Our research team, led by <a href="">Karla McGregor, Ph.D.</a> and others are working to raise awareness of Developmental Language Disorder (DLD), as well as developing tools to help clinicians, families, and educators to deal with associated challenges.</p><p>In a recently published paper, Dr. McGregor and her colleagues define DLD, describe the difference between DLD and specific language impairment (SLI), and discuss advantages of for using DLD over other terms, including SLI. They define DLD as ‘a language problem that endures into middle childhood and beyond and that has a significant impact on social or educational function DLD is a spectrum disorder where some individuals have relatively exclusive language deficits and normal non-verbal IQ scores, while others have co-occurring deficits or low-normal-range IQs” [1].</p><div class="is-clearfix"><div class="inline-image is-size-7">​​​​​​​​<img src="" alt="What is Developmental Language Disorder infographic" class="inline-image__image" /> <h2 class="is-size-5">What is Developmental Language Disorder?</h2><p>Source: <a href="" target="_blank"></a></p></div>​ <p>One of the major benefits of using DLD as the diagnostic term is that it includes and emphasizes the social and educational influences of language problems. These are the most challenging problems individuals face with language disorders and will be the reason many will seek help. These functional consequences of DLD can also lead to kids acting out or become depressed and isolated. Unlike a more simplistic approach of using cutoff scores from language or intelligence testing, including functional aspects into the definition improves overall understanding and, hopefully, will open the door to greater availability of resources for affected individuals. The recommendation from the authors of this paper is to emphasize the severity of the impact of DLD on social interactions and academic success over scores when diagnosing DLD [1].</p><p>A key aspect of this paper is to improve awareness of the DLD terminology. With a myriad of terms used to describe developmental language conditions, it is hard for people outside of speech-language pathologists and researchers to understand the scale of the problem. The authors emphasize the use DLD as a unifying term that is widely used and understood, to create an international platform for information, education, advocacy, and resources. Indeed, the authors and their colleagues at Raising Awareness of Developmental La​nguage Disorder (<a href="" target="_blank">RADLD</a>) and <a href="" target="_blank"></a> have already made quite a bit of progress to increase awareness and provide resources to those who need it. Check out the full, open-access article in Perspectives of the ASHA Special Interest Groups, at [1].</p><h2>References</h2><ol><li>1. Karla K. McGregor, K. K., Goffman, L., Van Horne, A. O., et. al. (2020) <i> <a href="">Developmental Language Disorder: Applications for Advocacy, Research, and Clinical Service</a></i>. Perspectives of the ASHA Special Interest Groups; 5(1) 38–46.</li></ol><h2>Research Newsletter</h2><p>Please sign up to r​eceive occasional research news and events emails from Boys Town National Research Hospital.</p><div align="center"> <a class="button is-primary" href="">Newsletter Sign-Up</a></div></div>
Virtual Visits Now Available at Boys Town National Research Hospital Visits Now Available at Boys Town National Research Hospital2020-04-06T05:00:00Z<p>​Boys Town Pediatrics and many of the specialty care clinics at Boys Town National Research Hospital started offering <a href="/services/virtual-care-visits">virtual care visits</a> last week as a response to the COVID-19 health crisis.</p><p>“At this time whe​n social distancing and limitin​g outside exposure are critical, especially to those with underlying medical conditions, offering virtual visits is one more way we can help protect our patients, providers and medical staff, and do our part to help protect our entire community,” said Edward Kolb, M.D., MBA, Executive Vice President of Health Care at Boys Town, Director and Chief Medical Officer at Boys Town National Research Hospital.</p><p>Virtual visits, al​so known as telehealth, are available for new and current patients. Services include same day sick appointments, as well as care from many of the specialty clinics, including: </p><ul><li>​Allergy, Asthma & Immunology</li><li>Behavioral Health</li><li>Child & Adolescent Psychiatry</li><li>Ear, Nose & Throat</li><li>Internal Medicine</li><li>Pediatric Gastroenterology</li><li>Pediatric General & Thoracic Surgery</li><li>Pediatric Neurology</li><li>Pediatric Rhe​umatology</li><li>Pediatric Speech-Language Therapy</li><li>Pediatrics</li><li>Same Day Pediatrics</li></ul><p>Patients will need an internet accessible smartphone, tablet or computer with audio and camera. Visits can be scheduled by calling the Boys Town medical clinic directly at <a class="js-phone">(531) 355-1234</a> or by <a href="/services/virtual-care-visits">requesting a telehealth visit</a> online.</p>
Social Problem-Solving Skills are Protective for Youth Exposed to Trauma Problem-Solving Skills are Protective for Youth Exposed to Trauma2020-03-31T05:00:00Z<p>​​​​​Childhood trauma changes the way that children’s brains function, and many traumatized kids end up with post-traumatic stress disorder (PTSD). Researching and developing methods ​to ​provide the best care for these kids is the role of the Child and Family Translational Research Center at Boys Town. The research that we do directly informs our staff, and other organizations, who are responsible for caring for kids who have experienced trauma.</p><p>​A major challenge to providing effective therapies is that the type and th​e severity of trauma experienced affect young brains differently [1]. Boys Town has developed a screening instrument to identify possible symptoms youth may have related to past trauma [2] and uses a <a href="">trauma-informed care model</a> to avoid further traumatization. Boys Town care providers use the questionnaire to determine the suppo​rts and services youth need to help children heal. However, more research is always needed to support existing practices and to help us to continually improve how we take care of at-risk kids.</p><p>In a recent publication, Patrick Tyler, Ph.D., Director of Research Translation, and his colleagues evaluated outcomes for 667 youth, ages 10–18 years old, who received social skills training as part of our trauma informed care model. For this study, the researchers were also focused on kids with more severe trauma and PTSD. The social training was broken down into 3 focus categories: self-advocacy, emotional regulation, and problem solving. The youth in this study were receiving group home services in the Boys Town Family Home Program, which involves direct-care staff residing with them in a family-type setting [3]. The social skills training is also an integral part of their treatment to help them manage their emotions and develop skills for healthy interactions in the home and after they leave. Duration of treatment was a significant factor, with kids who were in treatment longer showing more improvement that those with shorter stays.</p><p>Social skills training for the children was conducted by following established practices at Boys Town. The specific social skills training varied for each child based on the assessment of their needs by their care providers. The researchers were looking for improvements in behavioral incidents, self-injury, conduct, and emotional problems. </p><p>From the 3 categories of social skills t​raining that were examined, the authors noted that all types helped to some degree with behavioral problems. However, problem-solving training had the biggest effect on both behavioral incidents and emotional problems, such as anxiety and depression. This suggests that prioritizing problem-solving skills is an approach that could help a large proportion of traumatized kids. It also offers a narrowed set of skills that can be supp​orted by educators or other caregivers who could receive focused training in this area. Having this support to maintain these skills after a child leaves clinical or residential care may be the best way to help these kids stay healthy.</p><p>You can read more about this study, currently in press, in the journal, <i>Psychological Trauma: Theory, Research, Practice and Policy</i> [3].</p><h2>References</h2><ol><li>Blair K.S., Aloi J., Crum K., et. al. (2019) Association of Different Types of Childhood Maltreatment With Emotional Responding and Response Control Among Youths. 2(5). JAMA Netw Open.</li><li>Tyler, P.M., Mason, W.A., Chmelka, M.B., et. al. (2019) Psycho​metrics of a Brief Trauma Symptom Screen for Youth in residential care Journal of Traumatic Stress. doi: 10.1002/jts.22442.</li><li>Tyler, P.M., Aitken, A.A., Ringle, J.L., et. al. (2020) Evaluating Social Skills Training for Youth with Trauma Symptoms in Residential Programs. (In Press). Psychological Trauma: Theory, Research, Practice and Policy.</li></ol><h2>Research Newsletter</h2><p>Please sign up to receive occasional research news and events emails from Boys Town National Research Hospital.</p><div align="center"> <a class="button is-primary" href="">Newsletter Sign-Up</a></div>
Boys Town Physicians Voted Best Doctors in America Town Physicians Voted Best Doctors in America2020-03-11T05:00:00Z<p>​​​Every year Omaha Magazine releases a list of the Best Doctors i​n ​America<sup>®</sup>. This list includes the nation’s most respected specialists and outstanding primary care physicians in our country. Multiple Boys Town physicians and our partnering physicians made the list for 2020:</p><p>Congratulations to all the physicians recognized as Best Doctors in America and thank you for providing the best care for our patients and families.</p>​ <div class="columns is-multiline has-text-centered"><div class="column is-4"> <a href="/physicians/robert-cusick"> <img class="custom-is-rounded" src="" alt="Robert A. Cusick, M.D." /><span class="is-block"> <span class="is-size-4 has-text-primary">Robert A. Cusick, M.D.</span><br> Pediatric General and Thoracic Surgery</span>​</a></div><div class="column is-4"> <a href="/physicians/mark-domet"> <img class="custom-is-rounded" src="" alt="Mark J. Domet, M.D." /> <span class="is-block"> <span class="is-size-4 has-text-primary">Mark J. Domet, M.D.</span><br> Boys Town Pediatrics</span></a></div><div class="column is-4"> <a href="/physicians/jane-emanuel"> <img class="custom-is-rounded" src="" alt="Jane M. Emanuel, M.D." /> <span class="is-block"> <span class="is-size-4 has-text-primary">Jane M. Emanuel, M.D.</span><br> Ear, Nose and Throat</span></a></div><div class="column is-4"> <a href="/physicians/cynthia-ferris"> <img class="custom-is-rounded" src="" alt="Cynthia A. Ferris, M.D." /> <span class="is-block"> <span class="is-size-4 has-text-primary">Cynthia A. Ferris, M.D.</span><br> Anesthesiology</span></a></div><div class="column is-4"> <a href="/physicians/jane-kugler"> <img class="custom-is-rounded" src="" alt="Mark Domet" /> <span class="is-block"> <span class="is-size-4 has-text-primary">Jane A. Kugler, M.D.</span><br> Pediatric Anesthesiology</span></a></div><div class="column is-4"> <img class="custom-is-rounded" src="" alt="William M. Lydiatt, M.D." /> <span class="is-block"> <span class="is-size-4 has-text-primary">William M. Lydiatt, M.D.</span><br> Pediatric Thyroid</span></div><div class="column is-4"> <a href="/physicians/kevin-murphy"> <img class="custom-is-rounded" src="" alt="Kevin R. Murphy, M.D." /> <span class="is-block"> <span class="is-size-4 has-text-primary">Kevin R. Murphy, M.D.</span><br> Allergy, Asthma, and Immunology & Pediatric Pulmonology</span></a></div><div class="column is-4"> <a href="/physicians/mohan-mysore"> <img class="custom-is-rounded" src="" alt="Mohan Mysore, M.D., FAAP, FCCM" /> <span class="is-block"> <span class="is-size-4 has-text-primary">Mohan Mysore, M.D., FAAP, FCCM</span><br> Pediatric Advanced Care Unit</span></a></div><div class="column is-4"> <img class="custom-is-rounded" src="" alt="Mark J. Puccioni, M.D." /> <span class="is-block"> <span class="is-size-4 has-text-primary">Mark J. Puccioni, M.D.</span><br> Pediatric Neurosurgery</span></div><div class="column is-4"> <a href="/physicians/stephen-raynor"> <img class="custom-is-rounded" src="" alt="Stephen C. Raynor, M.D." /><span class="is-block"> <span class="is-size-4 has-text-primary">Stephen C. Raynor, M.D.,</span><br> Pediatric General and Thoracic Surgery</span>​</a></div><div class="column is-4"> <a href="/physicians/adam-reinhardt"> <img class="custom-is-rounded" src="" alt="Adam Reinhardt, M.D." /><span class="is-block"> <span class="is-size-4 has-text-primary">Adam Reinhardt, M.D.</span><br> Pediatric Rheumatology</span>​</a></div><div class="column is-4"> <a href="/physicians/robert-schwab"> <img class="custom-is-rounded" src="" alt="Robert J. Schwab, M.D." /><span class="is-block"> <span class="is-size-4 has-text-primary">Robert J. Schwab, M.D.</span><br> Internal Medicine</span>​</a></div><div class="column is-4"> <a href="/physicians/charles-sprague"> <img class="custom-is-rounded" src="" alt="Charles J. Sprague, M.D." /><span class="is-block"> <span class="is-size-4 has-text-primary">Charles J. Sprague, M.D.</span><br> Pediatrics</span>​</a></div><div class="column is-4"> <a href="/physicians/robert-troia"> <img class="custom-is-rounded" src="" alt="Robert Troia, M.D." /><span class="is-block"> <span class="is-size-4 has-text-primary">Robert Troia, M.D.</span><br> Pediatric Ophthalmology</span>​</a></div><div class="column is-4"> <a href="/physicians/sebastian-troia"> <img class="custom-is-rounded" src="" alt="Sebastian Troia, M.D." /><span class="is-block"> <span class="is-size-4 has-text-primary">Sebastian Troia, M.D.</span><br> Pediatric Ophthalmology</span>​</a></div><div class="column is-4"> <a href="/physicians/jon-vanderhoof"> <img class="custom-is-rounded" src="" alt="Jon A. Vanderhoof, M.D." /><span class="is-block"> <span class="is-size-4 has-text-primary">Jon A. Vanderhoof, M.D.</span><br> Pediatric Gastroenterology</span>​</a></div><div class="column is-4"> <a href="/physicians/nancy-vandersluis"> <img class="custom-is-rounded" src="" alt="Nancy L. VanderSluis, M.D." /><span class="is-block"> <span class="is-size-4 has-text-primary">Nancy L. VanderSluis, M.D.</span><br> Pediatrics</span>​</a></div><div class="column is-4"> <a href="/physicians/heather-zimmerman"> <img class="custom-is-rounded" src="" alt="Heather L. Zimmerman, M.D." /><span class="is-block"> <span class="is-size-4 has-text-primary">Heather L. Zimmerman, M.D.</span><br> Pediatrics</span>​</a></div></div>
School Success as an Adult is Influenced by Childhood Trauma Success as an Adult is Influenced by Childhood Trauma2020-03-11T05:00:00Z<p>​​Success as an adult is associated with educational achievement. Unfortunately, kids who experience childhood trauma and maltreatment are more likely to struggle academically and later in life. There are many ways that kids experience maltreatment, including neglect, emotional, physical, and sexual abuse. These events affect many aspects of development. Furthermore, different types of trauma can be associated with different outcomes that need to be understood in order to correctly focus resources and therapies.</p><p>In a recent paper Jay Ringle, M.A., at the Boys Town Child and Family Translational Research Center, and his colleagues tested a developmental cascades model for potential direct and indirect effects of childhood maltreatment on adult educational achievement [1]. The developmental cascades model essentially means that a traumatic event or series of events can alter or disrupt a child’s developmental transitions, thus creating a cascading effect of maladaptation. One result of this can be lower adult academic achievement [2]. For this study, the researchers used longitudinal data on a sample of children and their families assessed 4 times over 30 years, starting in the 1970s [3, 4]. The data were a mix of self-report measures and agency-reported case information.</p><p>Finding direct impacts of any event over a long period of time is difficult, largely due to the number and variety of events that individuals experience. With that in mind, this study only found a direct effect of agency-reported cases of maltreatment — which are likely to be made up of more severe cases than just self-reported cases — and adult educational achievement. Further, the researchers did find several indirect impacts. For example, neglect predicted adolescent engagement academic engagement, which in turn predicted adult educational achievement. Adolescent school discipline reports were also predictive of adult educational achievement.</p><p>With regards to the different categories of abuse, the stud​y found that physical, emotional, and sexual abuse predicted early school-age attention problems that then predicted discipline issues. On the other hand, neglect indirectly impacted adult education achievement through lower ​school engagement in adolescence.</p><p>Perhaps the most important thing to take away from this study is that a case-specific educational approach will more benefi​cial to kids exposed to childhood trauma than a one-size-fits-all approach. This study provides some perspective on different types of childhood maltreatment and how it effects adult educational achievement through different pathways (e.g., attention problems, poor school engagement) The findings also provide a starting point for creating appropriate interventions. For example, positive school-based interventions for kids who have experienced maltreatment are likely to be a more effective approach than punishment. Additionally, developing alternative approaches to get kids who have suffered neglect to engage in school has the potential to make a difference in where they end up.</p><p>Boys Town has been taking care of at-risk kids for more than 100 years. Scientists at Boys Town National Research Hospital also conduct influential research on youth care programs so we can provide the best care possible here and help other schools and youth-care organizations to do the same. The findings from this study are published in Childhood Maltreatment [1]. Find more about our youth care and related research by visiting <a href="" target="_blank">Child and Family Translational Research Center</a>.</p><h2>References</h2><ol><li>Jay L Ringle, J.L., Mason, W.A., Todd I Herrenkohl H.I., et. al. (2020) Prospective Associations of Child Maltreatment Subtypes With Adult Educational Attainment: Tests of Mediating Mechanisms Through School-Related Outcomes. Child Maltreat. EPUB ahead of print.</li><li>Masten, A. S., Roisman, G. I., Long, J. D., et. al. (2005). Developmental cascades: Linking academic achievement and externalizing and internalizing symptoms over 20 years. Dev Psychol, 41(5), 733–746.</li><li>Herrenkohl, R. C., Herrenkohl, E. C., Egolf, B. P., et. al. (1991) The developmental consequences of child abuse: The Lehigh Longit​udinal Study. In R. H. J. Starr & D. A. Wolfe (Eds.), The effects of child abuse and neglect: Issues and research (pp. 57–81). Guilford Press.</li><li>Herrenkohl, R. C., and Herrenkohl, T. I. (2009) Assessing a child’s experience of multiple maltreatment types: Some unfinished business. J. Fam Violence, 24(7), 485–496.</li></ol><h2>Research Newsletter</h2><p>Please sign up to receive occasional research news and events emails from Boys Town National Research Hospital.</p><div align="center"> <a class="button is-primary" href="">Newsletter Sign-Up</a></div>
Boys Town's Mohan Mysore, M.D., Earns Another Prestigious Honor Town's Mohan Mysore, M.D., Earns Another Prestigious Honor2020-03-09T05:00:00Z<p>​​​​​For the second year in a row, <a href="/_layouts/15/Catalog.aspx?Url=https%3A%2F%2Fauthoring%2Eboystown%2Eorg%2FLists%2FNewsCatalog%2Fphysicians%2Fmohan%2Dmysore">Dr. Mohan Mysore, Medical Director, Pediatric Critical Care at Boys Town National Research Hospital®</a>, has bee​n honored by the Society of Critical Care Medicine (SCCM). </p><p>​​​Dr. Mysore was awarded the 2020 Barry A. Shapiro Memorial Award for Excellence in Critical Care Management at the Society’s 49th Critical Care Congress in Orlando. The honor is given to a member of the Society who “has made significant contributions to the design and/or implementation of an evidence-based practice that has significantly impacted clinical, operational or fiscal outcomes within his/her area of expertise.” </p><p>​​​“To get nominated by the Pediatric Section so soon after last year’s award was a little more than I ever anticipated or expected,” Dr. Mysore humbly admits. </p><div class="is-clearfix"><div class="inline-image is-size-7">​​​​​​​​<img src="" alt="Mohan Mysore, M.D. holds Excellence in Critical Care Management award plaque" class="inline-image__image" /> <h2 class="is-size-5">Mohan Mysore, M.D., FCCM</h2><p>Barry A. Shapiro Memorial Award for Excellence in Critical Care Management</p></div>​ <p>​​​This year, the Society recognized Dr. Mysore for his tireless efforts in creating the pediatric intensive care unit at Boys Town National Research Hospital. The six-bed Advanced Care Unit has cared for more than 150 critically ill children since opening in June 2019. </p><p>​​​The Advanced Care Unit serves children who have undergone neurosurgical procedures and require intensive monitoring, as well as those suffering from respiratory distress, viral infections and other conditions requiring critical care services. </p><p>​​​Dr. Mysore credits the success of the pediatric intensive care unit to his “exceptionally talented and dedicated” multidisciplinary team of nurses, respiratory therapists, pediatric pharmacists and advance practice providers. </p><p>​​​“I’m really blessed that people I’ve known and worked with for many years at other institutions decided to take a leap of faith and join in helping us build this unit,” Dr. Mysore said. “It’s been a great experience.” </p><p>​​​Before joining Boys Town, Dr. Mysore was Division Chief of Pediatric Critical Care at Children’s Hospital in Omaha and a Professor of Pediatrics at the University of​ Nebraska College of Medicine. </p><p>​​​The Society of Critical Care Medicine is one of the largest medical organizations with members in more than 100 countries dedicated to promoting excellence in the practice of critical care. The Society bestowed Dr. Mysore with its Distinguished Service Award in 2019. </p></div>
Boys Town National Research Hospital Researchers Investigate Hearing and Speech Perception in Down Syndrome Town National Research Hospital Researchers Investigate Hearing and Speech Perception in Down Syndrome2020-03-03T06:00:00Z<p>​It takes years of consistent, high-quality auditory information to develop the ability to effectively “hear out" one person talking (for example, a teacher) when other people are talking in the background (for example, classmates).  Children with Down syndrome may be at risk for disruptions in this developmental process because of the high prevalence of middle ear infections and hearing loss that occur in this population. Despite these risk factors, very few research studies have looked at how well children with Down syndrome understand speech in noisy environments, such as the classroom.</p><p>Lori Leibold, Ph.D. and Heather Porter, Ph.D., along with their colleagues at the Center for Hearing Research at Boys Town National Research Hospital, are working to identify factors that improve listening-in-noise difficulties so we can increase the likelihood of success for children with Down syndrome. Dr. Porter explains that, “In general, kids have a harder time than adults when listening to speech if other people speaking. This is partly because we develop the ability to tune out background noise through experience. Problems with hearing get in the way of the brain learning to filter out distracting sounds. Therefore, we expect to see that this developmental process is impacted in kids with Down syndrome, and that it will be influenced differently for individuals by their varying sensory, language, and cognitive characteristics." </p><div class="is-clearfix"><div class="inline-image is-size-7"> <img src="" alt="computer screen children see when listening to speech-in-noise task" class="inline-image__image" style="max-width:100%;" /> <p>Figure 1. Example of the computer screen children see when listening to the speech-in-noise task.</p></div><p style="margin-bottom:1rem;">The team of researchers at Boys Town National Research Hospital has established Project INCLUDE to learn more about the communication abilities of children with Down Syndrome. Children who participate in this study complete a series of measures that assess hearing, language, and problem-solving abilities. Hearing assessments are completed using developmentally-appropriate, game-like tasks and children have the ability to demonstrate their listening skills using a touchscreen computer application (see Figure 1). The research team has decades of experience working with children with developmental delays, which they use to ensure participants and their families are also welcomed to a friendly and engaging environment. </p></div><p>Families of children with Down syndrome ages 5 to 17 years old are invited to participate in this study.  The study includes up to three visits that last 1–2 hours each. In addition, children receive hearing and language assessments by licensed professionals with expertise working with children with developmental delays. Information from this study will help us to determine influences on the developmental timeline for listening-in-noise in children with Down syndrome and serve as the basis for future funding applications to support work in this area. Compensation for this study is $15 per hour.</p><p>Boys Town National Research Hospital is dedicated to improv​ing care for children and families around the world. This research is important because Down syndrome is a common condition, affecting about 1 in 1000 people in the US, and gaps in our knowledge could have a negative impact on the care and services people receive. As we increase our understanding, we anticipate that we will be able to improve the services children with Down syndrome receive both locally and nationally.</p><p>This study is funded by the National Institutes of Health INCLUDE (INvestigation of Co-occurring conditions across the Lifespan to Understand Down syndromE) Project, launched in June 2018 in support of a Congressional initiative to investigate critical health and quality-of-life needs for individuals with Down syndrome [1]. The results from Project INCLUDE at Boys Town National Research Hospital will contribute to national INCLUDE goals by identifying factors associated with successful speech understanding in less-than-optimal listening environments and result in opportunities for improved communication outcomes for individuals with Down syndrome.</p><h2>References:</h2><ol><li> <a href=""></a></li></ol><h2>Research Newsletter</h2><p>Please sign up to receive occasional research news and events emails from Boys Town National Research Hospital.</p><div align="center"> <a class="button is-primary" href="">Newsletter Sign-Up</a></div>
Two New Providers Added to Boys Town Pediatric Neuroscience Team New Providers Added to Boys Town Pediatric Neuroscience Team2020-02-14T06:00:00Z<p>​Boys Town National ​Research Hospital is excited to welcome <a href="/physicians/janice-mcallister">Janice McAllister, M.D.</a> and <a href="/physicians/nazira-usmanova">Nazira Usmanova, APRN-NP</a>, to the <a href="/services/pediatric-neuroscience">Pediatric Neuroscience team</a>.</p><p>Janice McAllister, M.D. is a board-certified neurologi​st. Dr. McAllister received her medical degree from the University of Iowa Carver College of Medicine in Iowa City, IA and completed her pediatric residency at University of Texas Health Science Center in San Antonio, TX. Dr. McAllister also completed a fellowship in child neurology at the University of Chicago Hospital in Chicago, IL.</p><p>Nazira received her Doctor of Nursing Practice at the University of Nebraska Medical Center and received her Bachelor of Science degree from the University of Nebraska Medical Center.</p><div style="width:500px;margin:0px auto;display:table;"><div style="display:table-row;text-align:center;"> <span style="display:table-cell;"> <img src="" alt="" style="border-radius:8px;width:200px;" /></span> <span style="display:table-cell;"> <img src="" alt="" style="border-radius:8px;width:200px;" /></span></div><div style="display:table-row;text-align:center;"><p style="display:table-cell;text-align:center;">Janice McAllister, M.D.</p><p style="display:table-cell;text-align:center;">Nazira Usmanova, APRN-NP</p></div></div>​
Remarkable New Sound Research Facility added at Boys Town National Research Hospital New Sound Research Facility added at Boys Town National Research Hospital2020-01-20T06:00:00Z<p>​​​The first thing you notice when entering the new anechoic chamber at Boys Town National Research Hospital is how big the chamber is. The large white cube stands over 18 feet high and occupies roughly 400 square feet of floor space. The anechoic chamber is the newest addition to our sound research facilities and is also the most advanced facility of its kind in the region.</p><p>The chamber is isolated from outside noise and vibrations by thick walls and sound-deadening insulation. The walls, floor, and ceiling inside the chamber are also completely covered by triangular shaped structures called anechoic wedges that are 19 inches tall. The shape, size and arrangement of the wedges are designed to control all but the lowest frequency​ sound reflections inside the booth. (Figure 1). Finally, a floating, mesh floor suspends occupants above the same wedges in the floor of the structure. These features make the inside of the chamber very quiet with virtually none of the reflected environmental sounds that we hear without thinking about every day. It’s an interesting location to talk to G. Christopher (Chris) Stecker, PhD, the director of the Spatial Hearing Lab, about the new facility.</p><div class="embed-container"> <iframe width="560" height="315" src="" frameborder="0"></iframe> </div>​ <p>Inside, the chamber is configured with a 96-channel speaker system to enable a range of sound simulations and experiments. Dr. Stecker explains that “the array is used for research on hearing and localization of sounds in 3-dimensional spaces. For example, the system can simulate classroom sound environments that helps researchers understand how children develop the ability to focus on one person who is speaking without being confused or distracted by other speakers or noises. This research is relevant for things like refining hearing aid and cochlear implant technology so that they convey the best possible spatial and voice information. Interestingly, the same equipment can also be used to demonstrate for others how a noisy world sounds through a hearing aid or cochlear im​plant."</p><div class="is-clearfix"><div class="inline-image is-size-7">​​​​​​​​<img src="" alt="anechoic chamber wedges installation details" class="inline-image__image" /> <h2 class="is-size-5">Figure 1.</h2><p>Anechoic wedges, 19 inches measured from base to apex of the triangle, cover the walls floor and ceiling to eliminate all but the lowest frequency sound reflections inside the chamber.</p></div>​ <p>In another type of experiment, tiny microphones can be placed on the ear to measure the influence of head position and ear anatomy on our perception of sound location with assistance from the large speaker array. One use of this capability according to Dr. Stecker is testing by companies developing virtual reality applications. “In order to create convincing virtual environments, it is necessary to know how sound coming from different locations is affected by the ear anatomy so sound cues can be simulated by headphones placed physically on the ear.”</p><p>The described experiments are only some examples of what is possible in the anechoic chamber. We expect that othe​r labs and other research institutions will want to answer a wide range of sound related questions in this space. Support services for the anechoic chamber will also be available through our technology core services. Those interested in conducting research using the anechoic chamber can contact Dr. Chris Stecker in the Spatial Hearing Lab at Boys Town Hospital.</p><p>We are grateful to the National Institutes of Health (NIH), and the Great Plains Institutional Development​ Award for Clinical and Trans​lational Research (IDeA-CTR) for the financial support that helped make the chamber a reality. The Great Plains IDeA-CTR is an NIH-funded program to increase training, collaboration, development of core facilities, and resources for clinical and translational research at in our region. </p><h2>Research Newsletter</h2><p>Please sign up to receive occasional research news and events emails from Boys Town National Research Hospital.</p><div align="center"> <a class="button is-primary" href="">Newsletter Sign-Up</a></div></div>
Checking Speech Audibility is Important When Assessing Kids with Mild Bilateral Hearing Loss Speech Audibility is Important When Assessing Kids with Mild Bilateral Hearing Loss2020-01-19T06:00:00Z<p>​​​​​​​​​​The ability to hear is directly connected with children’s development of the written and spoken language skills that are essential for many aspects of life. However, there is some confusion and disagreement regarding whether children with mild, bilateral hearing loss should receive hearing aids. Compared to young children with moderate or severe hearing loss, children with mild hearing loss may be able to hear some speech sounds without the use of hearing aids. The impact of mild hearing loss on early speech and language development can be subtle and easy to miss by parents and doctors alike, but without intervention these children may still be at risk for later language delays. Therefore, providing better assessment of the impact of hearing aids for children with mild hearing loss would be a great benefit to families and audiologists who are working to help them.</p><p> <a href="">Ryan McCreery, Ph.D., Director of Research at Boys Town National Research Hospital</a>, and his team have been looking at how amplification, language, and cognition support speech perception in children who are hard of hearing in order to improve outcomes. In a recent paper, Dr. McCreery and colleagues specifically examined the use of a standardized Speech Intelligibility Index (SII) score <sup>[1]</sup>, measured without hearing amplification, as a new tool for assessing hearing aid candidacy for children with mild hearing loss<sup>[2]</sup>. Their goal was to develop an evidence-based criterion for when children with mild hearing loss would benefit from hearing aids.</p><p>The SII uses audiological measurements and takes into account individual ear acoustics to predict a child’s access to speech sounds <sup>[1]</sup>. Children with scores less than 80 on the unaided SII should be consid​ered candidates for amplification because of risks for language problems. This score would correspond to pure tone averages of 20 to 30 dB of hearing loss but is more informative than just measuring dB of hearing loss from the audiogram <sup>[2]</sup>.</p>​ <p>Another goal of the study was to determine how much hearing loss poses a risk to language development. Dr. McCreery and his team found that children who were able to hear 80% of speech sounds, or less, without hearing aids were at risk of delays in language and vocabulary development, emphasizing the need for more meaningful testing <sup>[2]</sup>.</p><p>Based on the results from the study, Dr. McCreery and colleagues recommend that clinical audiologists include speech audibility as part of a standard for hearing aid fitting instead of the hearing test. Specifically, the authors found th​at hearing aids could support language development for children with mild hearing loss who hear 80% or less of regular speech sounds. In addition to providing a clear criteria for fitting hearing aids, discussing hearing loss in terms of speech audibility can help families of children with mild hearing loss better understand the benefits of consistent hearing aid use on language development.</p><p>The authors’ complete findings can be found in the journal, <em>Language, Speech, and Hearing Services in Schools</em>.</p><div class="embed-container"> <iframe width="560" height="315" src="" frameborder="0"></iframe> </div><h3>References</h3><ol><li>American National Standards Institute. (1997). <em>American National Standard: Methods for calculation of the speech intelligibility index</em>. Acoustical Society of America.</li><li>McCreery R.W., Walker E.A., Stiles D.J., Spratford M., et. al. (2020) <em>Audibility-based hearing aid fitting criteria for children with mild bilateral hearing loss</em>. Lang S​peech Hear Serv Sch. 51(1): 55–67.<br></li></ol><h2>Research Newsletter</h2><p>Please sign up to receive occasional research news and events emails from Boys Town National Research Hospital.</p><div align="center"> <a class="button is-primary" href="">Newsletter Sign-Up</a></div>
Boys Town Nurses Honored at Annual Nurse of the Year Awards Town Nurses Honored at Annual Nurse of the Year Awards 2019-12-11T06:00:00Z<div class="is-clearfix"><div class="inline-image is-size-7">​​​​​​​​​​<img src="" alt="Boys Town Nurses awarded for Nurse of the Year" class="inline-image__image" /> <h2 class="is-size-5">Nurse of the Year Recipients</h2><p>Morgan Swanda, Karen Conboy, Rachelle Ambler<br>Boys Town National Research Hospital and Medical Clinics<br>Omaha, Nebraska</p></div>​ <p>Boys Town National Research Hospital would like to recognize our nurses who were nominated for Nurse of the Year. March of Dimes, an organization started by Frank​lin D. Roosevelt to improve the health of mothers and their babies, hosted the Nurse of the Year Banquet to help thank the amazing nurses in Omaha.</p><p>Nominees were scored by a volunteer committee based on credentials​, certifications, their proudest outcomes, leadership, professional associations, and achievements. Three outstanding nurses from Boys Town National Research Hospital were nominated: </p><p>Boys Town Hospital’s nominated nurses are:</p><ul><li>Rachelle Ambler</li><li>Karen Conboy</li><li>Morgan Swanda</li></ul><p>Congratulations to our nurses! Thank you for your commitment to the children and families we serve.</p></div>
Serving a Critical Community Need, Pediatric Weight Management Clinic Opens Downtown a Critical Community Need, Pediatric Weight Management Clinic Opens Downtown2019-11-22T06:00:00Z<p>Boys Town National Research Hospital is once again responding to a critical community healthcare service need with the opening of the <a href="/services/pediatric-weight-management">Pediatric Weight Management Clinic</a>.</p><p>According to the 2018 Community Health Needs Assessment, an Omaha area health survey, nearly 30% of children in our community have excess body weight that affects their health, making pediatric obesity a top concern of pediatricians and parents.</p><p>The Pediatric Weight Management Clinic, which opened November 19, will provide a comprehensive team approach to help children and families reach personal health goals.</p><p>"We are seeing more and more children in our care with weight-related health conditions that used to be considered adult health problems," said <a href="/physicians/m-kelly-mccarthy">Kelly McCarthy, M.D.</a>, Boys Town pediatrician and director of the Clinic. "Diabetes, elevated cholesterol and liver conditions at a young age can lead to serious life-long complications for a developing child. The clinic will bring together not only the medical aspects, but will also focus on the individual social and emotional needs of every child and family to help guide impactful change."</p><p>The Pediatric Weight Management Clinic is designed to meet children and families where they are on their health journey, focusing on four key areas:</p><ul><li>Medical management addressing and treating medical conditions due to weight</li><li>Nutrition knowledge through counseling and meal planning to teach healthy eating</li><li>Activity and exercise training in a variety of settings to encourage participation</li><li>Behavioral and mental healthcare to identify and replace unhealthy habits</li></ul><p>Patients and families will work directly with a pediatrician, child psychologist, dietician and physical therapist to create a unique plan for their needs. Our multidisciplinary team will meet with families monthly to coordinate care and services, including nutrition education, cooking classes, age-appropriate fitness classes and to provide motivation and support to keep them on track.</p><p>For some children, bariatric surgery may be an option. The child will require a medical evaluation to determine if he or she qualifies. If surgery is indicated, a Boys Town board-certified pediatric surgeon experienced in bariatric surgery will perform the surgery.</p><p>"Weight change happens over time and with a lot of encouragement and support," said Dr. McCarthy. "We want families to know we are here every step of the way, helping and guiding them toward a lifetime of good health."</p><p>The Clinic is now scheduling appointments at the downtown location, 555 North 30th Street (30th & California). If you believe your family could benefit from this service, talk to your primary care provider for a referral to the clinic.</p>
Rose Pauley, APRN Receives First-Ever Excellence in Nursing Practice Award Pauley, APRN Receives First-Ever Excellence in Nursing Practice Award2019-11-20T06:00:00Z<p>​​​​On October 18, <a href="/services/pediatric-gastroenterology">Boys Town Pediatric Gastroenterology’s</a> ​<a href="/physicians/rosemary-pauley">Rose Pauley, APRN-NP</a>, was awarded the first-ever Excellence in Nursing Practice Award by the Association for Pediatric Gastroenterology and Nutrition Nurses at the Annual Conference in Chicago, IL.<br></p><div class="is-clearfix"><div class="inline-image is-size-7">​​​​​​​​<img src="" alt="Rose Pauley, APRN and Jon Vanderhoof, M.D. shake hands as she accepts her award" class="inline-image__image" /> <h2 class="is-size-5">Rose Pauley, APRN and Jon Vanderhoof, M.D.</h2><p>Pediatric Gastroenterology<br>Boys Town National Research Hospital and Medical Clinics<br>Omaha, Nebraska</p></div>​ <p>The award recognizes a nurse who is a member of the association and provides high quality care to patients, models professionalism, assists colleagues, actively guides and assists with clinical work and research, and has promoted or expanded the role of nursing in gastroenterology, hepatology and nutrition. Rose has been an active member of the association since its inception, serving in several officer roles including president and secretary/treasurer. </p><p>“It means so much to be recognized on a national level for my work in pediatric gastroenterology over the last 37 years,” said Rose Pauley. “I was truly humbled by the nomination and proud I was able to represent Boys Town on a national level as well.”</p><p>Helping Boys Town National Research Hospital shine in a national spotlight does not even begin to cover all that Rose has done for the organization. Rose sees patients thre​e times a week in a clinic setting at outreach locations in three cities outside of Omaha, building trust and changing lives wherever she goes. As one patient said in his nomination letter, “Rose took a disease that was overwhelming and helped me learn to thrive.”​<br></p><p>And the respect between patient and provider is mutual. When asked about her favorite part of the job, Rose stated, “For sure the kids. I love interacting with the babies up to the teenagers, I strive to get them to trust me and know that I am there to help them. I try to keep things upbeat and provide hope to them. I have followed several kids over an extensive time and I get a lot of fulfillment from getting a graduation invitation or a wedding announcement.” </p><p>Boys Town National Research Hospital congratulates Rose Pauley for her much-deserved Excellence in Nursing Practice Award! </p></div>
Pediatric Neurosurgeon Joins Boys Town Hospital Neurosurgeon Joins Boys Town Hospital2019-11-12T06:00:00Z<div class="is-clearfix"><div class="inline-image is-size-7">​​​​​​​<img src="" alt="Linden Fornoff" class="inline-image__image" /> <h2 class="is-size-5">Linden Fornoff, M.D.</h2><p>Pediatric Neurosurgeon<br>Boys Town National Research Hospital and Medical Clinics</p></div><p>On August 15, Boys Town National Research Hospital welcomed <a href="/physicians/linden-fornoff">Linden Fornoff, M.D.</a>, to the Pediatric Neuroscience department at Boys Town National Research Hospital.​​<br></p><p>A Fremont, NE native, Dr. Fornoff received her medical degree from the University of Nebraska Medical Center and completed her neurosurgery residency there as well. In addition, she completed a pediatric neurosurgery fellowship at Stanford University, Stanford, California. Choosing the surgical route, rather than clinical, allowed for a deeper connection to pediatric patients.</p>​ <p>“Pediatric neurosurgery called to me because not only can you help the patients via the operating room, but you develop lifelong relationships with the patients and their families akin to their primary care physicians,” Dr. Fornoff said. “I love forming these relationships with patients and their families. Seeing them grow and develop makes my heart swell.”</p><p>Dr. Fornoff will be seeing patients at Boys Town National Research Hospital on Boys Town campus at 14080 Boys Town Hospital Rd.</p></div>
Pediatric Rheumatologist Joins Boys Town Hospital; Only Pediatric Rheumatologist in Nebraska Rheumatologist Joins Boys Town Hospital; Only Pediatric Rheumatologist in Nebraska2019-11-12T06:00:00Z<div class="is-clearfix"><div class="inline-image is-size-7">​​​​​​​​​​<img src="" alt="Adam Reinhardt, M.D." class="inline-image__image" /> <h2 class="is-size-5">Adam Reinhardt, M.D.</h2><p>Pediatric Rheumatologist<br>Boys Town National Research Hospital and Medical Clinics<br>Omaha, Nebraska</p></div>​ <p><a href="/physicians/adam-reinhardt">​​​​Adam Reinhardt, M.D.</a>​, board certified pediatric rheumatologist, joined B​oys Town National Research Hospital on August 8, 2019. He will be the only pediatric rheumatologist in Nebraska. </p><p>Dr. Reinhardt has received nine UNMC student and resident teaching awards for his commitment to teaching, mentoring and advancing medical education, including the Pediatric Residency Training Program’s Lifetime Distinguished Medical Education Award, the Hirschmann Prize for Teaching Excellence and the Hobart E. Wiltse Excellence in Medical Education Award. </p><p>His passion for education isn’t just for his students. </p><p>“Over years of practice, I found that in orde​r to provide the best patient care, I really must serve primarily in the role of an educator providing families and patients with the education necessary for them to make decisions that they are comfortable with but also allow them to achieve their primary goals and outcomes,” said Dr. Reinhardt. </p><p>​Dr. Reinhardt received his medical degree from the University of Nebraska Medical Center and completed his pediatric residency at the University of Colorado School of Medicine. Dr. Reinhardt completed a pediatric rheumatology residency at Children’s Hospital of Pittsburgh, Pennsylvania. He is located at Boys Town National Research Hospital on Boys Town campus at 14040 Boys Town Hospital Rd. </p></div>
Boys Town Researchers Find that Cannabis Changes how the Brain Responds to Threats Town Researchers Find that Cannabis Changes how the Brain Responds to Threats2019-11-08T06:00:00Z<p>​​​​Cannabis use is becoming increasingly acceptable in the United States with several states legalizing cannabis for medical uses, and some states moving to decriminalization of recreational usage. However, increased access to cannabis is also creating potential harms, especially for adolescents whose brains are still developing.</p><p>James Blair, Ph.D., Susan and George Haddix Endowed Chair in Neurobehavioral Research, and his research team at Boys Town National Research Hospital are interested in how cannabis and alcohol use affects neurodevelopment. They recently published a study where they measured brain activity in 43 male and 44 female adolescents, ages 14–18, who volunteered for the study.​<br></p><p>The researchers specifically looked at how the brain responds to threatening stimuli in young people with different levels of alcohol use disorder (AUD) or cannabis use disorder (CUD) symptoms [1]. The teens saw threatening (angry faces, predatory animals) or neutral images. These appeared to loom towards (or recede from) the adolescents who were lying in a magnetic resonance imaging (MRI) scanner. This scanner detects brain activity through localized changes in blood flow.<br></p><p>Dr. Blair’s team found that more severe CUD, but not AUD, symptoms were related to less responding to looming threats within brain structures such as the rostral frontal cortex and the amygdala. These are brain regions critically involved in emotional processing.<br></p><p>The ability to respond to threats is important for guiding people away from dangerous or risky choices. In other work conducted previously by Dr. Blair’s team, reduced responding to threat on the same task has been related to an increased risk for aggression and antisocial behavior. The link between increased CUD and reduced threat processing may underpin some of the recent findings linking cannabis abuse to aggression. There remains a lot that we don’t know how cannabis and alcohol affect developing brains, and what changes may become long-term changes. For a more detailed review of these findings see the paper Threat Responsiveness as a Function of Cannabis and Alcohol Use Disorder Severity [1].</p><h2>References</h2><ol><li>​Blair R.J.R., White S.F., Tyler P.M., Johnson K., et. al., (2019) <em>Threat Responsiveness as a Function of Cannabis and Alcohol Use Disorder Severity</em>. J Child Adolesc Psychopharmacol. 29(7):526–534.</li><li>Coker-Appiah D.S., White S.F., Clanton R., Yang J., Martin A., Blair R.J. (2013) <em>Looming animate and inanimate threats: The response of the amygdala and periaqueductal gray</em>. Soc Neurosci 8:621–630.<br></li></ol><h2>About Boys Town National Research Hospital</h2><p>Boys Town National Research Hospital offers a broad range of hospital and clinic services, backed by 40 years of life-changing research to provide the latest, most innovative care to our patients. The Hospital is internationally recognized as a leader in hearing research and clinical care and is leading research efforts in language and neuroscience to improve the lives of children and families across America.</p>​<br>
Caring Kind Award Nomination for Dave McAtee Kind Award Nomination for Dave McAtee2019-10-23T05:00:00Z<p>Care and compassion are most often used to describe direct patient care. For those of us in health fields, we know patient care is part of every encounter and every touchpoint, and that environments have healing powers, too. </p><p>This year, Boys Town National Research Hospital nominated Dave McAtee, Director of Facilities at Boys Town National Research Hospital-West in Boys Town, Nebraska for the Nebraska Hospital Association’s Caring Kind Award. </p><p>Positive, cheerful, problem-solver and respectful and just a few words used by colleagues to describe Dave. Since joining Boys Town Hospital in 2011, he has been instrumental in facility planning to meet the needs of our growing services, such as the hospital’s Residential Treatment Centers, Neuroscience Clinic, Advanced Care Unit, Hospital Inpatient Unit, 72nd Street Medical Clinics, Psychiatric Inpatient Unit and several clinics across the metro area. </p><p>Keeping patients and families first, Dave is insightful and forthcoming with any concerns or potential issues that may have an impact on the care our community has come to know and trust from us. Hospital leaders value his input, problem-solving and collaboration with clinical teams to arrive at regulatory compliant solutions. </p><div class="is-clearfix"><div class="inline-image is-size-7">​​​​​​​​<img src="" alt="Dave McAtee" class="inline-image__image" /> <h2 class="is-size-5">Dave McAtee</h2><p>Director of Facilities<br>Boys Town National Research Hospital-West</p></div>​<p>“Dave is fully committed to supporting quality patient care and patient safety,” said Lori Umberger, Chief Nurse Executive at Boys Town National Research Hospital. </p><p>Examples of Dave’s behind-the-scenes care included working round-the-clock to address an air conditioning issue to make sure care areas remained cool and operable. In addition to supporting patient care, Dave has given many off-duty hours to make sure our facilities are first-impression ready for Boys Town hosted community events. </p><p>“Dave is the go-to guy who you can count on to get the job done,” said Roger Ernst, Associate Administrator of Facilities. “Nothing is too big or too small when it comes to supporting patient care and our mission. Dave is a huge asset to Boys Town Hospital.” </p><p>Dave’s caring kind is also shared internally. He leads a team of facility engineers and maintenance support and takes the time to help educate and train his team to give the best service to our internal customers and the patients we serve. Dave also serves on the Village of Boys Town safety committee. </p><p>On call 24/7, handing emergency calls, planning for facility growth, problem-solving rising engineering concerns all while ensuring a safe and clean environment - that’s what Dave McAtee does each and every day to support best care and safety practices at Boys Town National Research Hospital. </p><p>​Congratulations Dave, on your deserving nomination for the Caring Kind Award. </p></div>
Boys Town National Research Hospital Receives NIH HEAL Initiative Grant to Address the Opioid Epidemic Town National Research Hospital Receives NIH HEAL Initiative Grant to Address the Opioid Epidemic2019-10-10T05:00:00Z<p>​​​Boys Town National Research Hospital, Omaha NE,​​ has been awarded a grant from the National Institutes of Health (NIH) in the amount of $552,000 as part of its Helping to End Addiction Long-term Initiative, or the NIH HEAL Initiative. Boys Town Hospital is one of 29 sites that will be taking part in the HEALthy Brain and Child Development Study (HBCD) as part of the NIH HEAL Initiative.  </p><p>The HBCD Study will establish a large cohort of pregnant women from regions of the country that have been significantly affected by the opioid crisis and follow them and their children for at least 10 years. Findings from this cohort will help researchers understand normative childhood brain development as well as the long-term impact of prenatal and postnatal opioid and other drug and environmental exposures. Boys Town Hospital has a long history of working with children and families dealing with sensitive health issues and is uniquely suited to help with this important research. </p><p>Led by James Blair, Ph.D.—Susan and George Haddix Endowed Chair in Neurobehavioral Research and Director, Center for Neurobehavioral Research in Children—Boys Town Hospital researchers will be investigating the impact of pre-natal exposure to opioids on brain, cognition and hearing development using a variety of imaging, behavioral testing and advanced statistics. According to Dr. Blair, “Children exposed to prenatal and postnatal drug abuse face considerable difficulties. To help these children, we need to understand how this exposure affects brain development. The HBCD study is an unprecedented opportunity to achieve this goal.”</p><p>According to Dr. Blair, “Recent work has told us much about how the first few years of life are a period of exponential brain growth and development. However, the effects of early exposure to opioids on normal infant and child development are unknown.”</p><p>The NIH launched the Helping to End Addiction Long-term Initiative, or NIH HEAL Initiative, to improve prevention and treatment strategies for opioid misuse and addiction and enhance pain management. The NIH HEAL Initiative has multiple focus areas and aims to improve treatments for chronic pain, curb the rates of opioid use disorder and overdose, and achieve long-term recovery from opioid addiction.</p><p>“It’s clear that a multi-pronged scientific approach is needed to reduce the risks of opioids, accelerate development of effective non-opioid therapies for pain and provide more flexible and effective options for treating addiction to opioids,” said NIH Director Francis S. Collins, M.D., Ph.D., who launched the initiative in early 2018. “This unprecedented investment in the NIH HEAL Initiative demonstrates the commitment to reversing this devastating crisis.”</p><div><h2>About Boys Town National Research Hospital</h2><p>Boys Town National Research Hospital offers a broad range of hospital and clinic services, backed by 40 years of life-changing research to provide the latest, most innovative care to our patients. The Hospital is internationally recognized as a leader in hearing research and clinical care and is leading research efforts in language and neuroscience to improve the lives of children and families across America.</p>​<br></div>
The Vocal Development Landmarks Interview Helps Clinicians and Families Track Vocal Developmental Milestones Vocal Development Landmarks Interview Helps Clinicians and Families Track Vocal Developmental Milestones2019-09-18T05:00:00Z<div class="embed-container">​​​ <iframe src="" width="560" height="330" frameborder="0"></iframe> </div> ​ <p>Monitoring how babies progress through the early stages of vocal development is important for professionals and families, especially when infants have developmental challenges, such as cerebral palsy, hearing loss, down syndrome, cleft palate, or other special needs. It is essential that children who are at risk for speech and language delays are identified as early as possible so interventions can be tailored to minimize developmental risk. Drs. Mary Pat Moller and Sophie Ambrose at Boys Town National Research Hospital, along with Dr. Anne Thomas of the University of Nebraska-Lincoln, developed the Vocal Development Landmarks Interview (VDLI) for this purpose. </p><p>They recognized that the best way for professionals to monitor an infants' vocal development is to ask the parents about the child's vocal productions. However, they also realized that a better tool was needed to allow professionals to do that. The VDLI is a parent-report instrument for infants and young children who are not developmentally ready to cooperate with more structured testing [1]. It incorporates what has been learned from years of laboratory-based observations about the orderly stages of vocal development that babies go through and involves parents as the best resource for understanding if their child is meeting these vocal milestones. </p><p>The VDLI design uses a series of digital slides with audio files containing authentic infant vocalizations to ensure parents know exactly what vocal behavior the professional is asking them to report on. The vocal behaviors are also arranged in developmental order, beginning with those typically observed by 6 months of age and ending with those typically observed by 21 months of age.</p><p>According to Dr. Ambrose, “The feedback we've gotten is that the tool really helps both parents and clinicians learn about behaviors to watch for and which behaviors to encourage the development of next in early intervention." She also indicated that clinicians reported wanting a tool that was easy to use with families in homes, which led the team to collaborate with the Technology Core at Boys Town National Research Hospital to create the VDLI as an iOS App that allows for maximum accessibility and portability. For more information on the VDLI, watch the included video in this article or access their recent publication cited below. For help with downloading the app and its related resources, you can contact Dr. Ambrose at </p><h1>References</h1><ol><li>Moeller, M. P., Thomas, A. E., Oleson, J., & Ambrose, S. E. (2019). Validation of a parent report tool for monitoring early vocal stages in infants. <em>Journal of Speech, Language, and Hearing Research, 62</em>(7), 2245–​2257. <a href=""></a>​<br></li></ol>​​​​ <br>
Trauma-Informed Care is Critical for Youth Needing Residential Services Care is Critical for Youth Needing Residential Services2019-08-26T05:00:00Z<p>​​​​​​​​​Repeated exposure to trauma is extremely common for youth that end up in residential programs. Exposure to trauma changes these kids, <a href=""> even altering their brain development [1], </a>in ways that affect their responses to many aspects of their environment, including how they will respond to those people who are attempting to help them. In some cases, this means that attempts to treat kids unintentionally ends up traumatizing them further.</p><p>Boys Town, however, uses a trauma-informed car​e model that takes past trauma exposure into account in order to prevent the treatment from causing additional trauma. Additionally, Boys Town developed a screening instrument to identify possible symptoms youth may have related to past trauma [2]. Boys Town clinicians use this information to determine the supports and services youth need to help them heal. While this approach is widely accepted as the recommended approach for improving care in residential programs, research is also needed to support existing practices and to help us further improve how we take care of at-risk kids.</p><p>To help understand the benefits of our trauma-informed model, researchers at Boys Town, led by Patrick Tyler, Ph.D., recently conducted a study examining records for 1,096 youth from 9 to 18 years old who received Boys Town services. Their goals were to assess how trauma was associated with behavioral incidents, as well as the effects of trauma on psychological health at intake and when youth discharged from our program. [3]</p><p>Among the discoveries from their study, the researchers found that trauma symptoms were the best predictor of emotional problems and self-injury. Additionally, girls had higher rates of self-injurious behaviors than boys, whereas boys had higher rates of conduct problems at intake than girls in this study. Younger children also had higher rates of disruptive behavior compared to older children.</p><p>This study also showed that boys and girls who were grouped into either high or low trauma categories responded favorably to the trauma-informed program. Overall decreases were observed in disruptive and self-injurious incidents while in care, as well as conduct and emotional problems from intake to discharge for all of the groups. However, youth whom clinicians identified as having lower levels of trauma did have greater decreases in emotional problems.</p><p>A primary goal of Dr. Tyler’s team for this study was to determine how well the trauma-informed model has been working for youth that receive Boys Town services. Future studies will build on this by looking at best practices for incorporating trauma screening and assessment into the admission process in order to plan and provide the most effective care for our youth. Research is currently ongoing to identify strategies that can help youth with higher levels of trauma make even greater improvement.</p><h2>References<br></h2><ol><li>Blair K.S., Aloi J., Crum K., et. al. (2019) <em>Association of Different Types of Childhood Maltreatment With Emotional Responding and Response Control Among Youths</em> 2019 <strong>2</strong>(5). JAMA Netw Open.</li><li>Tyler, P.M., Mason, W.A., Chmelka, M.B., et. al. (2019) <em>Psychometrics of a Brief Trauma Symptom Screen for Youth in residential care</em> Journal of Traumatic Stress. doi: 10.1002/jts.22442. </li><li>Tyler P.M., Patwardan I., Ringle J.L., et. al., (2019) <em> <a href=""> Youth Needs at Intake into Trauma-Informed Group Homes ​and Response to Services: An Examination of Trauma Exposure, Symptoms, and Clinical Impression​</a>.</em> doi: 10.1002/ajcp.12364. Am J Community Psychol</li><ol></ol></ol>
Safe Sleep Certification Awarded to Boys Town Hospital Sleep Certification Awarded to Boys Town Hospital2019-08-16T05:00:00Z<p>The Nebraska Department of Health and Human Services recently awarded Boys Town National Research Hospital with two champion certificates: Safe Sleep Hospit​al Champion and Abusive Head Trauma/Shaken Baby Prevention Education Champion. These certifications are part of the Nebraska Safe Sleep Hospital Campaign and the Nebraska Abusive Head Trauma Prevention Campaign.</p><p>Jackie Moline, Maternal Infant Health Program Coordinator for the State of Nebraska, presented the certificates to staff at the Inpatient Unit at Boys Town Medical Campus – Pacific Street.</p><p>“We need to make sure to continue to increase awareness on these safety issues,” said Lori Umberger, Chief Nurse Executive. “It’s a big deal for patient safety and quality patient care.”</p><p>Boys Town Hospital is the only non-birthing hospital in Nebraska to receive this recognition. Congratulations to our nursing staff on these certifications!</p><div class="embed-container"> <iframe width="560" height="315" src="" frameborder="0"></iframe> </div>​
Boys Town Hospital and Shriners Healthcare for Children Collaborate through Telehealth and Outreach Clinic Location; First in Nebraska Town Hospital and Shriners Healthcare for Children Collaborate through Telehealth and Outreach Clinic Location; First in Nebraska2019-08-08T05:00:00Z<p>​​​Boys Town National Research Hospital announces a collaboration with Shriners Healthcare for Children of Minneapolis, Minnesota, to help provide greater access to orthopaedic care for children across Nebraska and surrounding areas.</p><p>There are currently more than 500 patients from Nebraska who travel to Minneapolis on a regular basis to be seen at Shriners Healthcare for Children — Twin Cities. The goal of this collaboration is to make care provided by Shriners Healthcare for Children's specialty pediatric orthopaedic more convenient for these families and to provide additional access services to them through the wide range of expertise available at Boys Town National Research Hospital. </p><p>This collaboration includes several initiatives:</p><ul><li> <strong>Telehealth</strong> – Boys Town Hospital is a new telehealth location for Shriners Healthcare, and will provide an opportunity for patients in Nebraska and beyond to receive consultations from physicians at Twin Cities Shriners Healthcare, without the added travel to Minneapolis. </li><li> <strong>Regular outreach clinics</strong> – Shriners Healthcare will hold outreach clinics located at Boys Town Hospital. At these clinics, pediatric orthopaedic surgeons, nurses, pediatric orthotic and prosthetic (POPS) staff, and support staff from Shriners Healthcare will travel to Boys Town Hospital to provide face-to-face care to patients. The staff at Boys Town Hospital will provide support and additional care for patients, particularly radiology services, if needed. </li></ul><p>“We are excited and energized by this opportunity to w​ork closely together to provide care for more children. Each organization has unique capabilities that when joined in collaboration allow us to reach and serve more children across the Nebraska region. Our missions are very much aligned," said Charles Lobeck, Shriners Healthcare for Children — Twin Cities Administrator.​</p><p>“This alignment with Shriners Healthcare on orthopaedic services is another example of our hospital being a community resource for Omaha and the surrounding area," said Edward Kolb, M.D., MBA, Director and Chief Medical Officer at Boys Town National Research Hospital. “More children and families will have greater access to care and when that happens, we all win." </p><p>Shriners Healthcare for Children has been treating children from Nebraska since it opened in 1923.</p><p> <strong>About Shriners Healthcare for Children:</strong> </p><p> <em>The primary mission of Shriners Hospitals for Children is to help children who need specialized medical care - wherever they may live. Although our locations are primarily in North America, our compassionate health care system has treated children from more than 150 countries, and conducts more than 100 medical outreach clinics outside of the U.S. every year. Our highly-skilled medical teams treat children with neuromusculoskeletal conditions, burn injuries and other complex health care needs. To learn more, please visit </em> <a href=""> <em></em></a>.</p><p> <em>Shriners Hospitals for Children is a 501(c)(3) nonprofit organization and relies on the generosity of donors. All donations are tax deductible to the fullest extent permitted by law. </em></p><p> <strong>About Boys Town National Research Hospital:</strong></p><p>Boys Town National Research Hospital offers a broad range of hospital and clinic services, backed by 40 years of life-changing research to provide the latest, most innovative care to our patients. The Hospital is internationally recognized as a leader in hearing research and clinical care and is leading research efforts in language and neuroscience to improve the lives of children and families across America. ​</p>​
Functional Brain Imaging Shows How Maltreatment Affects Brain Development Brain Imaging Shows How Maltreatment Affects Brain Development2019-06-20T05:00:00Z<p>Boys Town is recognized as a world leader in caring for kids in trouble, many of whom have been subjected to childhood trauma. Boys Town National Research Hospital is also home to research investigating the impacts of maltreatment on developing brains. Karina Blair, Ph.D. and her team at Boys Town Hospital recently published a paper titled, <em>Association of Different Types of Childhood Maltreatment</em><em> </em> <em>With</em><em> Emotional Responding and Response Control Among Youths</em> [1] that examines some of these issues. </p><p style="text-align:left;">Specifically, the authors looked at measures of brain function and behavior for 116 young people from 10–18 years of age who reported and rated their personal experiences with different types of abuse and neglect. The children and adolescents were either enrolled in Boys Town programs or from the surrounding community, and their families gave consent to the study with the option to withdraw at any time. The kids' brain activity was monitored while they performed a number counting task in the presence of distracting emotional images. This allowed Dr. Blair to determine the association of different forms of maltreatment on brain systems critical for task performance as well as emotional responding.  </p><p style="text-align:left;">The main findings of this study were the association of abuse, rather than neglect—at least, within this group of participants—with both difficulties with response control and heightened emotional responding.  Moreover, physical abuse was particularly associated with heightened threat responding. Sexual abuse was associated with a cascade of difficulties that were present even after the influence of other forms of maltreatment was statistically accounted for (Figure 1). </p> <img src="" alt="Brain MRI" /> <p> <strong>Figure 1. The anterior cingulate region of the brain is importantly involved in emotional processing and shows overly increased responding in kids who have suffered sexual abuse. </strong>The colored areas in this image show the regions showing greater responding in kids who have suffered sexual abuse relative to those who have not.  The “hotter" the color, the more overly responding the region. </p><p style="text-align:left;"> </p><p style="text-align:left;">These findings are important because we know these kids need help. They may find themselves in dangerous situations and sometimes legal trouble.  We need to understand exactly what problems they face. Understanding their brain level-difficulties are part of the picture.  Moreover, the findings of this work suggest that maltreatment may have different impacts according to the form of maltreatment.  Indeed, sexual abuse may be associated with particularly severe brain-level difficulties.  Potential findings such as these may become the basis for assessing treatment success at the level of the individual. For a much more detailed description of their findings <a href="" target="_blank"> <span style="text-decoration:underline;">see the article in JAMA Network Open</span></a> [1]. </p> <p>References </p><ol><li>Blair KS1, Aloi J2, Crum K3, Meffert, et. al. (2019) <em>Association of Different Types of Childhood Maltreatment </em> <em>With</em><em> Emotional Responding</em><em> </em> <em>and Response Control Among Youths</em>, 2019 <strong>2</strong>(5). JAMA Netw Open.  </li></ol>
Discussing the Neuroscience of Kids Facing Adult Justice System the Neuroscience of Kids Facing Adult Justice System2019-06-12T05:00:00Z<p>The adult criminal justice system is often charged with determining the appropriate response to young children who have done bad things. However, these young child offenders are often also victims of abuse, pre-natal drug exposure and neglect. Trauma may change the brain's response to stressful situations and alter the child's ability to control unwanted behaviors. Courts must weigh these circumstances when considering whether the child should be charged as an adult.</p><p>Boys Town researchers are working to understand typical brain development as well as how this may be altered by stress using behavioral assessment tools and functional neuroimaging. In addition, for more than 100 years, Boys Town has been helping at risk youth and their families to change outcomes for the better. This combined experience puts us in an ideal position to provide judges with information relevant to their decisions about what to do with kids who end up in their courtrooms.</p><p>In partnership with the National Courts and Science Institute, Boys Town recently hosted a Neuroscience and the Law Workshop. Led by James Blair, Ph.D., Susan and George Haddix Endowed Chair for Neurobehavioral Research at Boys Town National Research Hospital, the judges were given an overview of current science on brain development and childhood trauma. In addition, judges and Boys Town staff held round table discussions covering case examples and how current knowledge may be applicable to judicial decision making. The judges were given a tour of facilities and technologies they may hear about in cases, and what those technologies can and cannot tell us about developing brains and mental health.</p><p>Advocating for youth, including those who end up in the criminal justice system but might be better served by therapy and intervention, is part of Boys Town's mission to help at risk youth. We appreciate the participation of the judges and hope that this meeting will be a model for future workshops as new discoveries are made.</p><div class="embed-container"> <iframe src="" width="560" height="315" frameborder="0"></iframe> </div>​
Findings on Safe Vestibular Evoked Myogenic Potential Testing in Children on Safe Vestibular Evoked Myogenic Potential Testing in Children 2019-06-11T05:00:00Z<p>The vestibular evoked myogenic potential (VEMP) test is something you may encounter if you or a family member are experiencing issues with balance or dizziness. The VEMP is a non-invasive test that uses short, intense sound stimuli to produce a muscle reflex in the eye or neck muscles. The muscle reflex is recorded with surface electrodes that attach to the skin over the muscle. The test specifically informs clinicians about the health of vestibular components of the balance system—the utricle and saccule organs of the inner ear (Figure 1).<br></p><p style="text-align:center;"> <img class="ms-rtePosition-4" alt="inner-ear-v2.jpg" src="" style="margin:auto;width:340px;height:268px;" />  </p> <strong style="font-size:0.87em;">Figure 1. Diagram of the inner ear. </strong> <span style="font-size:0.87em;">The inner ear in humans contains the auditory and balance systems. The utricle, saccule and semi-circular canals are central components of the balance system and process information about the head's position and movement in space. The cochlea is a central component of the auditory system.</span> <div> <span style="font-size:12.25px;"><br></span><span style="font-size:0.87em;"></span> <p>In children, VEMP responses are correlated with development of standing, walking, and posture control [1, 2]. Children with impaired vestibular function are more likely to achieve these milestones at a later age [3], and can benefit from rehabilitation.</p><p>While the VEMP test is used with children, most of what we know about the test is from research and clinical experience with adults. It is not uncommon for doctors to need to rely information from adults for pediatric procedures but, because children are physically different, this can come with risks. For the VEMP test, there is some risk that the intensity of sound stimuli used for testing in adults is too loud in children and can damage the specialized cells in the ear that are crucial for hearing in children. It's also possible that children will respond better to different frequencies of sound than adults.</p><p>Understanding how the balance system works and develops is the focus of Kristen Janky, Ph.D, in her Vestibular and Balance Laboratory at Boys Town National Research Hospital. In a recent paper, Janky and Amanda Rodriguez explored optimum conditions for completing VEMP testing in children and young adults. They found that young children, ages 4–9, required significantly lower sound levels to elicit normal VEMP responses compared to adolescents or young adults. However, they found that there were no differences in response to the standard 500 Hz and 750 Hz frequencies that are used in testing [4].</p><p> <strong>TABLE 1. Mean (SD) VEMP thresholds at 500 Hz and 750 Hz for adults, adolescents, and children.</strong></p><table class="ms-rteTable-default" width="100%" cellspacing="0"><tbody><tr><td class="ms-rteTable-default" style="width:20%;"> <strong> </strong></td><td class="ms-rteTable-default" style="width:20%;"> <span style="text-decoration:underline;"><strong>500 Hz</strong></span></td><td class="ms-rteTable-default" style="width:20%;">​</td><td class="ms-rteTable-default" style="width:20%;"> <span style="text-decoration:underline;"><strong>750 Hz</strong></span></td><td class="ms-rteTable-default" style="width:20%;">​</td></tr><tr><td class="ms-rteTable-default"> </td><td class="ms-rteTable-default">Mean <br>(dB SPL)</td><td class="ms-rteTable-default">Standard Deviation<br> (dB SPL)</td><td class="ms-rteTable-default">Mean <br>(dB SPL)</td><td class="ms-rteTable-default">Standard Deviation<br> (dB SPL)</td></tr><tr><td class="ms-rteTable-default">Cervical VEMP Threshold<br> Response (dB SPL)</td><td class="ms-rteTable-default"> <strong> </strong></td><td class="ms-rteTable-default"> <strong> </strong></td><td class="ms-rteTable-default"> <strong> </strong></td><td class="ms-rteTable-default"> <strong> </strong></td></tr><tr><td class="ms-rteTable-default">Adults</td><td class="ms-rteTable-default"> <strong>111.5</strong></td><td class="ms-rteTable-default"> <strong>3.25</strong></td><td class="ms-rteTable-default"> <strong>112</strong></td><td class="ms-rteTable-default"> <strong>2.61</strong></td></tr><tr><td class="ms-rteTable-default">Adolescents</td><td class="ms-rteTable-default">107.5</td><td class="ms-rteTable-default">4.85</td><td class="ms-rteTable-default">109.5</td><td class="ms-rteTable-default">3.68</td></tr><tr><td class="ms-rteTable-default">Children</td><td class="ms-rteTable-default"> <strong>106</strong></td><td class="ms-rteTable-default"> <strong>4.63</strong></td><td class="ms-rteTable-default"> <strong>106</strong></td><td class="ms-rteTable-default"> <strong>3.91</strong></td></tr><tr><td class="ms-rteTable-default">Ocular VEMP Threshold Response (dB SPL)</td><td class="ms-rteTable-default"> <strong> </strong></td><td class="ms-rteTable-default"> <strong> </strong></td><td class="ms-rteTable-default"> <strong> </strong></td><td class="ms-rteTable-default"> <strong> </strong></td></tr><tr><td class="ms-rteTable-default">Adults</td><td class="ms-rteTable-default"> <strong>116</strong></td><td class="ms-rteTable-default"> <strong>3.94</strong></td><td class="ms-rteTable-default"> <strong>117</strong></td><td class="ms-rteTable-default"> <strong>3.49</strong></td></tr><tr><td class="ms-rteTable-default">Adolescents</td><td class="ms-rteTable-default">112.5</td><td class="ms-rteTable-default">4.81</td><td class="ms-rteTable-default">114.5</td><td class="ms-rteTable-default">2.83</td></tr><tr><td class="ms-rteTable-default">Children</td><td class="ms-rteTable-default"> <strong>111.1</strong></td><td class="ms-rteTable-default"> <strong>4.10</strong></td><td class="ms-rteTable-default"> <strong>112.2</strong></td><td class="ms-rteTable-default"> <strong>4.17</strong></td></tr></tbody></table><p> <em>Bold values represent significant differences. Children showed lower cervical and ocular VEMP thresholds compared to adults.</em></p><p>This research will help children by providing guidelines for safe VEMP testing in children, and keeping children's ears safe from possible injury. Experienced audiologists will already be careful with the ears of their young patients, but this knowledge will give them a better testing range, and information about what is normal responsiveness. For additional experiments, details and the authors' conclusions check out their paper, <em>Air-Conducted Vestibular Evoked Myogenic Potential Testing in Children, Adolescents, and Young Adults: Thresholds, Frequency Tuning, and Effects of Sound Exposure</em>.</p><p>Thanks to the research volunteers for this study. Our volunteers included 10 children, ages 4–9, 10 adolescents, ages 10–19, and 10 young adults, ages 20–29.</p><h2>References<br></h2><ol><li>Wiener-Vacher, S.R., F. Toupet, and P. Narcy, <em>Canal and otolith vestibulo-ocular reflexes to vertical and off vertical axis rotations in children learning to walk.</em> Acta Otolaryngol, 1996. <strong>116</strong>(5): p. 657-65.</li><li>Wang, S.J., W.S. Hsieh, and Y.H. Young, <em>Development of ocular vestibular-evoked myogenic potentials in small children.</em> Laryngoscope, 2013. <strong>123</strong>(2): p. 512-7.</li><li>Inoue, A., et al., <em>Effect of vestibular dysfunction on the development of gross motor function in children with profound hearing loss.</em> Audiol Neurootol, 2013. <strong>18</strong>(3): p. 143-51.</li><li>Rodriguez, A.I., M.L.A. Thomas, and K.L. Janky, <em>Air-Conducted Vestibular Evoked Myogenic Potential Testing in Children, Adolescents, and Young Adults: Thresholds, Frequency Tuning, and Effects of Sound Exposure.</em> Ear Hear, 2019. <strong>40</strong>(1): p. 192-203.</li></ol></div>
Changing the Way America Cares for Children with Asthma the Way America Cares for Children with Asthma2019-05-06T05:00:00Z<p>Kevin Murphy, M.D., Allergist and Pediatric Pulmonologist at Boys Town National Research Hospital, gave the keynote presentation at the American Lung Association’s Richard Cushing, M.D., Memorial Medical Lecture in Minneapolis on May 7, 2019. His presentation, <em>A New Era in Asthma Management in Preschool Children</em>, focused on the updated guidelines for uncontrollable asthma in children called the Pediatric Asthma Yard Stick, which he co-authored and co-developed with nine physicians and researchers across the country in 2018.</p><p>“It’s an honor to be selected among my peers to present at the Richard Cushing Memorial Lecture,” said Dr. Murphy. “This was a wonderful opportunity to share the new guidelines in asthma care to an influential group of physicians and providers who will help disseminate this information and provide the latest, most innovative care for children with uncontrollable asthma.” </p><p>The lecture is an invitation-only event for pulmonary and allergy physicians and healthcare professionals in the asthma community. Keynote speakers are experts chosen based on their contributions to the field of allergy and asthma. </p><p>Dr. Richard Cushing is known for founding Camp Superkids, a week-long camp to help build self-esteem and confidence in kids with asthma while educating them and their families on how to better manage their disease. The camp first opened in Minnesota and has since expanded to Nebraska and South Dakota.</p><p>Dr. Murphy was president of the American Lung Association – Nebraska Chapter and was involved in the Nebraska Camp Superkids. He is nationally recognized for contributions to the Pediatric Asthma Yard Stick and for his position as the lead author of the TRACK tool, which is used to assess asthma control in children under 5 years of age. The TRACK tool has been translated in several languages for global accessibility. </p><p>We congratulate Dr. Murphy on his recognition as an expert in pediatric asthma and for his ongoing commitment to help change the way America cares for children and families. </p>
Pediatric General and Thoracic Surgery Expansion General and Thoracic Surgery Expansion2019-05-01T05:00:00Z<p>​Boys Town National Research Hospital is growing! We have expanded the care you have come to know and trust to include higher levels of hospital care for kids. We are pleased to introduce <a href="/services/hospital-care/pediatric-general-thoracic-surgery">Pediatric General and Thoracic Surgery</a> and welcome four board certified pediatric general surgeons.</p><p>Pediatric General and Thoracic Surgery specializes in the diagnosis, preoperative, operative and postoperative management of general to highly-specialized surgical problems in infants, children and adolescents. </p><p>"We're pleased to announce the addition of pediatric general and thoracic surgery at Boys Town National Research Hospital," said Edward Kolb, M.D., MBA, Director and Chief Medical Officer at Boys Town National Research Hospital. "Pediatric general and thoracic surgery complements our existing pediatric specialty and surgical care and will help us care for even more children and families."</p><p>Pediatric general surgeons have extra years of training specifically in children's surgery and additional certifications ​to care for the unique needs of a growing child. </p><p>Click below to learn more about the new service and meet our surgeons. </p><p class="has-text-centered"> <a href="/services/hospital-care/pediatric-general-thoracic-surgery" class="button is-primary has-text-weight-semibold">Pediatric General and ​Thoracic Surgery</a></p>
NIH awards $11 Million Grant to Boys Town National Research Hospital to Study Communication and Perception in Children awards $11 Million Grant to Boys Town National Research Hospital to Study Communication and Perception in Children2019-04-16T05:00:00Z<p>Boys Town National Research Hospital has received an $11 million grant from the National Institute of General Medical Sciences (NIGMS), part of the National Institutes of Health (NIH). </p><p>The five-year Centers of Biomedical Research Excellence (COBRE) grant is set to expand the range of existing, highly successful research programs at the Boys Town National Research Hospital and tackle more complex issues that directly address the problems encountered by children with hearing loss.</p><p>Core research programs covered by the grant will investigate issues related to: </p><ul><li>Speech understanding for young listeners with cochlear implants</li><li>Diagnosis and outcomes for children with otitis media, an inflammatory condition of the inner ear</li><li>Strategies used by children to overcome working memory limitations</li></ul><p>Related projects that will receive funding cover multiple labs and include, examining the impact of hearing loss in real-world environments like classrooms, the contributions of bottom-up and top-down processing in children learning English as a second language, how visual and auditory information work together in speech and language learning, and the consequences for visual processing of vestibular deficits associated with hearing loss.</p><p>Lori Leibold, Ph.D., is the primary investigator on the grant and Director of the Center for Hearing Research. Dr. Leibold notes that, "Our goal is to become the national leader for research on speech, language, hearing, and cognitive development in ​children with communication disorders. We believe we are close to achieving this goal, in large part due to this NIH award that has allowed us to grow our research program and provide the resources these young investigators need to be successful."</p><p>This is the second round of COBRE grant funding for Boys Town Hospital. The first $11.3 million grant was awarded in 2014 and has contributed to Boys Town Hospital recruiting several world-class senior scientists, hosting more than 60 experts from around the country for research talks, sparking many new collaborations. The 2014 grant also established a state-of-the-art Auditory-Visual Core facility that supports research using techniques such as augmented and virtual reality.</p><p>"Scientists and other professionals supported by this grant are the next generation in the 40-year legacy of Boys Town Research," states Director of Research, Ryan McCreery, Ph.D., who also notes that "this additional five years of support from the National Institute of General Medical Sciences (NIGMS) is recognition for the high-impact translational research that our scientists do every day. Their research has the potential to improve the lives of people with hearing and communication problems."</p><p>The new COBRE grant award will have lasting impacts on research in Nebraska and the surrounding region by providing mentoring and resources for the young investigators needed to sustain a thriving research community. The grant also includes a strategic sustainability and development plan for core facilities that expand the technical capabilities of individual labs at Boys Town National Research Hospital and collaborating institutions. The benefits of this grant will be far reaching for Boys Town and for Nebraska, supporting our scientific community and high-skill jobs in Omaha and beyond.​</p>
Chatterjee Group Study Published in Nature Scientific Reports Group Study Published in Nature Scientific Reports2019-02-08T06:00:00Z<p>​Monita Chatterjee, Ph.D., Director of Auditory Prostheses and Perception lab, recently co-authored an article published in Nature Scientific Reports. Dr. Chatterjee worked with collaborators in Canada, Taiwan and San Francisco to test children with cochlear implants on their ability to differentiate pitch inflections.<br></p><p>One downside of cochlear implants is that they don't adequately transmit pitch information, which can be problematic in languages where tone is crucial to comprehension.</p><p>In tone languages such as Mandarin Chinese, the lexical tone (pitch inflections within spoken syllables) can define a word. For example, the same word spoken with a rising or falling pitch might have very different meanings. Dr. Chatterjee's group set out to determine if native Mandarin-speaking children with cochlear implants have a greater sensitivity to changes in pitch compared to English-speaking children with cochlear implants. They hypothesized that immersion in a tone-language environment from birth would help the Mandarin-speaking children to process pitch changes better than English-speaking children in the US.</p><p>"Even for children who are implanted early, the adaptability of their brains to catch the differences in pitch is very limited," Dr. Chatterjee said. "It's a major device limitation."</p><p>Dr. Chatterjee and her collaborators tested 97 children in Taiwan and 97 children in the US on two pitch perception tasks. Each test group had both normal hearing children and children with cochlear implants.</p><p>"Compared to children speaking English in the US, children with normal hearing in Taiwan who speak a Mandarin showed an advantage in both tasks," Dr. Chatterjee said. "Children with cochlear implants who spoke Mandarin showed large deficits in both tasks, which was expected, but even they showed the tone-language advantage in labeling the changes in pitch."</p><p>Results of the study have concluded that the demands of a tonal language have helped Mandarin-speaking children with cochlear implants develop a better ability to determine pitch changes. While their ability is limited and the sound quality is still highly degraded, the results suggest that the natural training provided by one's native language can substantially affect young brains' ability to perceive sounds.</p><p> <a href="">The full report can be read here.</a></p><p>According to their website, Nature Scientific Reports is a weekly international publication for peer-reviewed research in scientific and technological fields. The research is published based on originality, importance, interdisciplinary interest, timeliness, accessibility, elegance and surprising conclusions.<br></p><p> <br> </p>
Chatterjee Article Awarded as 2018 Technical Area Pick Article Awarded as 2018 Technical Area Pick2018-11-21T06:00:00Z<p>​The "musician advantage effect" is an auditory phenomenon used to explain how musicians can sometimes achieve better speech recognition in noisy backgrounds than non-musicians. A recent article co-authored by Monita Chatterjee, Ph.D., Director of the Auditory Prostheses and Perception Laboratory at Boys Town National Research Hospital, titled <a href=""><em>Similar abilities of musicians and non-musicians to segregate voices by fundamental frequency</em></a><em> </em>was selected as the Technical Area Pick for Psychological and Physiological Acoustics. The article was chosen among all the articles from the same technical field published in the past year in the Journal of the Acoustical Society of America (JASA).</p><p>It is not known what causes the "musician advantage", but one hypothesis is that it arises from better pitch processing by musicians, which might allow them to better track the target talker's voice and separate it out from competing talkers or background noise. The authors conducted a series of studies with musicians and non-musicians to test this hypothesis.</p><p>In these studies, they tested listeners' ability to detect target voices embedded in competing backgrounds. In addition, listeners heard a beeping tone with the same pitch as the target voice, presented before they heard the speech and designed to focus the listener's attention specifically to the target voice. In another case, the pitch of the tone was designed to deliberately mislead the listeners. If musicians benefit from pitch processing, they should show a stronger response to these helpful or confusing tones than non-musicians. The results confirmed the musician advantage, but did not show the predicted effects of manipulating the pitch cues. The authors concluded that the musicians' advantage in hearing speech in background noise does not in fact stem from a better ability to process the target speaker's voice pitch.</p><p>Dr. Chatterjee is the principal investigator and lab director of the <a href="">Auditory Prostheses and Perception Laboratory</a> at Boys Town National Research Hospital. She also co-directs the Technology Core, as part of the <a href="">Center for Perception and Communication in Children</a>. The primary goal of her research is to understand basic mechanisms underlying auditory and speech perception by individuals with normal hearing, hearing loss, and cochlear implants. Experiments include psychophysical measures of listeners' sensitivity to subtle differences between sounds, measures of listeners' sensitivity to speech intonation and lexical tone recognition, and the processing of degraded speech by the normal and impaired auditory system.<br></p><p><br></p>
Pediatric Physician To Lead Boys Town National Research Hospital Physician To Lead Boys Town National Research Hospital2018-11-06T06:00:00Z<p>​​Boys Town National Research Hospital has a new leader but the focus of the hospital remains – provide great patient care to families. On November 1,<sup> </sup>Edward Kolb, MD, MBA, will assume leadership responsibilities as Executive Vice President of Health Care at Boys Town and Director and Chief Medical Officer of Boys Town National Research Hospital and Medical Clinics.</p><p>Dr. Kolb is board certified in Pediatrics and board certified in Anesthesiology with a subspecialty certification in Pediatric Anesthesiology. In addition to his leadership position, Dr. Kolb will continue to serve with the first title he earned many years ago – physician.</p><p>“It's all about the patients," said Dr. Kolb. “It's important to me to stay involved with the day-to-day practice of medicine because everything we do at Boys Town Hospital is about providing the best patient care."</p><p>Dr. Kolb has been a key member of Boys Town Hospital's executive leadership team since 2006, when he first joined the hospital as Medical Director of Boys Town National Research Hospital – West. Dr. Kolb vows to continue the hospital's commitment of pursuing innovative patient care and translating research to change the way America cares for children and families.</p><p>I want to continue and expand on what we have done really well for the past 40 years, and that is to deliver hope and healing to the families we serve," said Dr. Kolb. “We have a great team here at Boys Town National Research Hospital and I'm proud to be a part of it."</p><p>Dr. Kolb earned his Master of Business Administration degree from the University of Massachusetts Amherst. He is a member of the American Association for Physician Leadership and a Fellow of the American Academy of Pediatrics, having served on the executive board for the Nebraska Chapter of AAP from 2008-2010.<br></p><p><br></p>
Renovation at Boys Town Hospital Downtown Medical Campus at Boys Town Hospital Downtown Medical Campus2018-09-04T05:00:00Z<h2>New Clinics. More Services. Better Access. Right Here.</h2><p>Boys Town National Research Hospital is growing and updating clinics at our 555 N 30th location to offer even more specialized care for you and your family. New clinics are:</p><ul><li><a href="/services/behavioral-health/child-adolescent-psychiatry">Child & Adolescent Psychiatry Clinic</a> – specializing in the diagnosis and treatment of developmental, behavioral and mental health problems in young children and adolescents, such as ADHD/ADD, developmental delays, neurodevelopmental conditions and spectrum disorders.</li><li><a href="/services/pediatric-weight-management">Pediatric Weight Management Clinic</a>​ – a comprehensive team approach to help children and families reach personal health goals through medical management, nutrition counseling, physical therapy and activity and behavioral and mental health services. Our multidisciplinary team works to provide motivation and support to keep patients and families on track to a lifetime of good health.</li></ul><p>“We are committed to staying at our downtown location and also growing services to provide better access to healthcare for our patients and families,” said Edward Kolb, MD, MBA, Executive Vice President of Health Care for Boys Town and Chief Medical Officer at Boys Town National Research Hospital and Medical Clinics. </p><p>In addition to our new clinics, we have recently invested more than $5 million in renovations, including a remodel to Boys Town Pediatrics and Pediatric Ophthalmology clinics and a new front entrance with access to front-door parking, patient drop off areas and convenient patient check-in.</p><h2>Specialty Medical Care for Your Family</h2><p>Right here, you’ll find one place for preventive well checks and same day sick visits for children and adults, plus specialized care for you and your family.</p><ul><li><a href="/services/pediatrics">Boys Town Pediatrics</a></li><li><a href="/services/internal-medicine">Internal Medicine (adult primary care)</a></li><li><a href="/services/behavioral-health/child-adolescent-psychiatry">Child & Adolescent Psychiatry</a></li><li><a href="/services/ear-nose-throat-institute">Ear, Nose and Throat</a></li><li><a href="/services/ear-nose-throat-institute/hearing-balance">Hearing and Balance (including hearing aids)</a></li><li><a href="/services/pediatric-ophthalmology">Pediatric Eye Clinic</a></li><li><a href="/services/pediatric-speech-language-therapy">Pediatric Speech-Language Therapy</a></li><li><a href="/services/pediatric-weight-management">Pediatric Weight Management</a></li></ul>
Understanding Brain Responses of Alcohol and Cannabis Abuse Disorders in Adolescents Brain Responses of Alcohol and Cannabis Abuse Disorders in Adolescents2018-08-15T05:00:00Z<p>​​​Across the country, many adolescents struggle with alcohol and cannabis abuse. While the U.S. Department of Health and Human Services (HHS) notes that alcohol use among teens is decreasing, still 3 out of 5 high school students have reported having a drink within the past 30 days, and 23% of high school seniors have used marijuana within the last month. Brain-imaging work by scientists at <a href="">Boys Town Center for Neurobehavioral Research</a> indicate that abuse of alcohol and cannabis can have lasting negative effects on a child's or teen's brain development.</p><p>Executive attention and response control are critical for impulse control.  They rely on regions at the front of the brain like dorsolateral frontal cortex and dorsomedial frontal cortex.  A recent study at Boys Town National Research Hospital shows a difference in function in these regions among youth with alcohol and cannabis substance abuse disorders. This study published in <em>Neuroimage Clinical</em>, titled, "Adolescents show differential dysfunctions related to Alcohol and Cannabis Use Disorder severity in emotion and executive attention neuro-circuitries." Adolescents reporting more severe substance abuse disorder symptoms, particularly those associated with alcohol abuse, show problems using these brain areas during response control.  This likely leads to further difficulties.  If these regions are not working well, an individual is less likely to control his/her impulses and may be more likely to abuse substances in the future. Behavior also generally becomes more impulsive.</p><p>Joseph Aloi, Ph.D., a research student at the Boys Town Center for Neurobehavioral Research, led the study that investigated the brain's executive attention and response control systems in youth with varying levels of alcohol and cannabis use problems.  The study used an MRI machine to measure youths' brain responses during a type of response control task and then related this information to their levels of alcohol and cannabis problems. </p><p>The findings from the study are important for several reasons.  First, they show that substance abuse problems in adolescents are associated with demonstrable brain level-difficulties, which may require intervention to improve function.  Second, the findings reinforce the importance of considering a person's substance abuse history.  Brain-level difficulties associated with alcohol abuse disorder may require specific intervention strategies.  Third, the data suggests that we might assess substance abuse treatment success, not only by abstinence, but also whether these brain-level difficulties have been reduced.</p><p style="text-align:justify;">This work is a first step in our goal to improve the care of children with substance abuse. By better understanding how substance abuse affects brain function, Boys Town scientists can develop better interventions and treatments to help more children.  To follow the progress of this work, please see our website at <br></p><p><br></p>
Research Helps Target Behavioral Interventions for Aggressive Youth Helps Target Behavioral Interventions for Aggressive Youth2018-08-09T05:00:00Z<p>​​​Across the county, many adolescents struggle with disruptive behavior ranging from aggression or rage toward others to outbursts in the classroom. These behaviors appear similar, but a recent brain-imaging study at Boys Town National Research Hospital suggests a youth's prior exposure to abuse or neglect may impact the way that youth emotionally responds to the pain of others. </p><p>"If you could not empathize with another's pain or distress, you would be less concerned by hurting another individual," said <a href="" data-ytta-id="-">James Blair, Ph.D.</a>, Susan and George Haddix Endowed Chair in Neurobehavioral Research at Boys Town National Research Hospital. "Empathy can act as a barrier against aggressive behavior."</p><p>The study, published in <em>Psychological Medicine</em>, is titled "Moderation of prior exposure to trauma on the inverse relationship between callous-unemotional traits and amygdala responses to fearful expressions: an exploratory study."</p><p>Previous research by Blair showed many adolescents with disruptive behavior have problems expressing empathy and guilt, which means they have difficulty emotionally responding to the distress of others. This background led researchers at Boys Town Hospital to explore the relationship of past traumatic experiences, such as abuse and neglect, with emotional responses, such as empathy and guilt.<br></p><p> <a href="" data-ytta-id="-">Harma Meffert, Ph.D.</a>, scientist at the <a href="" data-ytta-id="-">Boys Town Center for Neurobehavioral Research</a>, led a study that investigated how the amygdala (brain region central to empathy) responds to distress in others in youth with varying levels of prior trauma. The study used an MRI machine to measure youths' brain responses to fearful expressions in others.  The youth also filled out a questionnaire and received a psychological interview on prior traumatic events (abuse and neglect).<br></p><p>The study indicated that not everyone showing the behavioral signs of reduced empathy/guilt also shows the brain signs of reduced empathy/guilt.  In particular, youth that are exposed to significant prior trauma do not show the brain signs of reduced empathy/guilt, despite similar behavioral signs of reduced empathy/guilt.<br> </p><p>The findings revealed results that may help map new behavioral interventions.  </p><ol><li>The data suggests that not all youth with disruptive disorder face the same difficulty – and therefore need different interventions.  </li><li>The data reinforced the importance of considering an individual's trauma history. As other work by this Boys Town research team is beginning to show, trauma has a very negative impact on brain development. </li><li>The data indicates that behavioral symptoms alone may not be sufficient to accurately guide treatment decisions. </li></ol><p style="text-align:justify;">Currently, all youth with problems in expressing empathy and guilt receive the same interventions. Mental health assessments mostly rely on observed behaviors and information the patient and their family share with the clinician. This makes it difficult to tell apart an individual who is aggressive because they are prone to rage and another individual who uses aggression, including anger outbursts, to achieve their goals.  </p><p style="text-align:justify;">The work by Boys Town Center for Neurobehavioral Research in Children is a first step in our goal to improve the care of children with emotional and behavioral problems by developing better assessments in order to find the best interventions for each child individually. <br></p>
Christopher Conway, Ph.D. joins Language Research Team at Boys Town National Research Hospital Conway, Ph.D. joins Language Research Team at Boys Town National Research Hospital2018-08-03T05:00:00Z<p>​Boys Town Hospital continues to expand its communication research to include language learning and development for all children. The Hospital's Center for Childhood Deafness, Language and Learning is pleased to announce Christopher Conway, Ph.D., will be joining the team on August 8.<br></p><p>Having spent his career in the academic setting, most recently as an Associate Professor of Psychology at Georgia State University, Dr. Conway will lead the Brain, Learning, and Language Laboratory, focusing on the brain's ability to process speech and language.</p><p>"I'm very excited to be able to focus full-time on research," said Dr. Conway. "Our research will help us understand the processes and mechanisms of language acquisition and will have a real impact on helping children who experience a language delay or have a communication disorder."</p><p>Dr. Conway and his research team will be working on many initial studies including neuromodulation – directly stimulating brain networks to help facilitate children's language learning.</p><p>"There is some research to suggest that such neuromodulation techniques can help stimulate plasticity in the brain, allowing it to be more adaptive and better able to learn complex patterns of information in the environment," said Dr. Conway. "Our lab will have such neuromodulation capabilities and will allow us to start investigating the possible benefits this could have on the brain's ability to learn language and other complex domains."<br></p><p><br></p>
Announcing First Endowed Research Chair at Boys Town National Research Hospital First Endowed Research Chair at Boys Town National Research Hospital2018-01-16T06:00:00Z<p>​Boys Town National Research Hospital has received a gift of $2 million to establish the Susan and George Haddix Endowed Chair for the Center of Neurobehavioral Research, to support and expand efforts to improve the lives of children with behavioral and mental health problems.</p><p>This is the first endowed research chair at Boys Town Hospital. It has been created as part of the organization's ongoing commitment to enhance translational pediatric neuroscience research – meaning discoveries found by researchers in the lab are directly applied to improve outcomes in behavioral healthcare. </p><p> "We are truly grateful for Susan and George's deep understanding and compassion toward helping children in need of behavioral and mental health care, and for their generous contribution that will help sustain neuroscience research at Boys Town Hospital for many years to come," said John Arch, Hospital Director and Executive Vice President of Health Care at Boys Town.  "I am pleased to announce Dr. James Blair will be appointed to the Susan and George Haddix Endowed Chair for Neurobehavioral Research."</p><p>Dr. Blair, Director of the Center for Neurobehavioral Research in Children, joined Boys Town Hospital in August 2016, after 12 years at the National Institute of Mental Health. He is internationally recognized for his contributions toward better understanding conduct disorders in children and adolescents by using brain imaging technology to study behavioral traits.</p><p>"I am honored to be appointed to this prestigious position and grateful that the need for this research is being recognized," said Blair. "Our work is just beginning. What we uncover today can be applied to new studies tomorrow, in hopes that one day we will know how to help all children who have behavioral and mental health problems."</p><p>Childhood behavioral and mental health problems, if left untreated, have profound implications for the individuals as well as society. The goal of the Center for Neurobehavioral Research is to understand what is physiologically happening in the brain of a troubled child so that the right interventions can be applied for that individual child. This research moves beyond mere observation of behaviors to developing scientific ways of diagnosing and treating problems like depression, anxiety, aggression and ADHD.</p><p>"I was excited to hear of the neuroscience research at Boys Town Hospital," said Susan Haddix. "To me, the real problem is that we expect a troubled child to function the same as a child without behavioral concerns. This research is going to look deeper into understanding why children are having these problems. Then, one at a time, we will know how to help each child and family, and in doing so, make a real change."</p><p>Susan has been actively working to help troubled children and adolescents in the Omaha community for more than 20 years. She has been a long-time volunteer with Child Saving Institute and currently serves on their Board of Directors. She also has been serving on the Nebraska Foster Care Review Board for 20 years and was recently appointed to serve on their newly formed Probation Review Board. This spring, Susan will join the Boys Town National Board of Trustees, serving on the national youth care committee.</p><p>George Haddix, Ph.D., has been a prominent leader in computer engineering and software, having served as CEO for PKWare Inc., Applied Communications, CSG Systems International and US West.</p><p>The new era of neurobehavioral research couples George's interest in science and technology with Susan's passion to help children and families.</p><p> "We're proud to help this new endeavor at Boys Town Hospital," said Haddix. "This research is ground-breaking and shows great promise that the emotional and behavioral problems that stem from childhood neglect and abuse don't have to be a lifetime diagnosis. We can make a difference and change the future for these vulnerable children."</p><p>As benefactors of the first endowed research chair at Boys Town Hospital, Susan and George Haddix hope to influence others to give. Ongoing support will help Boys Town Hospital continue to lead the charge in neurobehavioral research and improve the lives of children with behavioral and mental health disorders. </p>
Neuroscientist Expands Research To Study PTSD Expands Research To Study PTSD2017-10-24T05:00:00Z<p> Posttraumatic Stress Disorder is a disorder that effects an estimated 21 million Americans, including many adolescents. Of those 21 million cases, it is estimated that 30% of patients do not respond to treatment. PTSD can be challenging to treat, as its biology is not fully understood. </p><p>Stuart White, Ph.D., Director of the Decision-Making Program, is hoping to change that. </p><p>Dr. White has received a four-year grant from the National Institute of Mental Health to study the interaction between the neural and hormonal mechanisms implicated in children with PTSD in order to improve treatment methods. Current treatment strategies for pediatric PTSD do not consider the role of testosterone. </p><p>Utilizing the hospital's functional MRI, Dr. White will be analyzing both healthy adolescent patients and those with PTSD from within the Boys Town Residential Program. Both groups of youth will complete tasks in the fMRI designed to assess brain responses to threats in the environment and observe neural processes associated with emotion regulation. Each child will complete a series of tasks, which will either raise or not raise their testosterone level.  </p><p>"We know that PTSD involves changes in hormonal and neural responses, but we don't really understand how these systems work together," said White. "Better understanding the way different biological systems contribute to PTSD will give us more and better ways to help these youth."</p><p>Understanding the biological processes behind PTSD will be useful for cognitive behavioral therapies and different pharmacological treatments. </p><p>"There are a lot of pieces to this puzzle," said White. "This work will be an important step towards making sure that clinicians have all the tools to help youth with ​PTSD that we can give them." ​​</p><div class="embed-container"><iframe width="640" height="360" src="" frameborder="0"></iframe>​​</div>
Boys Town National Research Hospital Expands Communication Research to Help more Children Town National Research Hospital Expands Communication Research to Help more Children2017-08-10T05:00:00Z<p>​For more than 40 years, Boys Town National Research Hospital has been internationally recognized for hearing research, education and clinical care. Starting this August, Boys Town Hospital is expanding its communication research to include language learning and development for all children. The Hospital's Center for Childhood Deafness program has been renamed Center for Childhood Deafness, Language and Learning to reflect the new focus that will help more children and families.<br></p><p>Leading the charge is Karla McGregor, Ph.D., newly appointed senior scientist and director of the Word Learning Lab. McGregor joins Boys Town Hospital this August, after spending 12 years at the University of Iowa as a Professor of Communication Sciences and Disorders.<br></p><p>“We are excited to welcome Dr. Karla McGregor to Boys Town Hospital," said John Arch, Hospital Director and Executive Vice President of Health Care at Boys Town. “Her experience and expertise in speech pathology will help guide the hospital's expansion of translational research in language development."​<br></p><p>McGregor was previously the director of the Word Learning Lab at the University of Iowa. The research of the Word Learning Lab focuses on how individuals learn, remember and use words, and how these functions can be supported for those who have developmental language disorders.<br></p><p>The work began at the University of Iowa and will continue at its original location and at the Center for Childhood Deafness, Language and Learning when McGregor arrives at Boys Town Hospital.<br></p><p>“I want to spend some time listening to the clinicians at the Center for Childhood Deafness, Language and Learning to learn about the work they do and their visions for the future," McGregor said. “It's important to me to connect the clinical and research mission in ways that are meaningful and exciting to both parties."<br></p><p>Center for Childhood Deafness, Language and Learning Director, Mary Pat Moeller, Ph.D, shares McGregor's excitement in seeing the research go beyond deafness and address the needs of hearing children with developmental language disorders.<br></p><p>“I have long recognized that to serve children with hearing loss we must pay considerable attention to the theories and methods of child language researchers like Dr. McGregor," Moeller said. “I see this as a rare and special opportunity to collaborate with a giant in our field."<br></p><p>McGregor finished at the University of Iowa at the end of June and will begin work in the Word Learning Lab in August. Upon arrival, McGregor will be working with Moeller and Cathy Carotta, Ed.D., Associate Director of the Center for Childhood Deafness, Language and Learning, to learn the administrative processes and procedures. McGregor will assume acting director of the Center for Childhood Deafness, Language and Learning in August 2018.<br></p><p>“As we grow our research programs, we are able to better serve our mission and change the way America cares for children, families and communities," said Arch.  <br><br></p><p><a href="">Read the full article</a> <br></p><p><br></p>
Daniel Rasetshwane Awarded Great Plains IDeA-CTR Scholars Grant Rasetshwane Awarded Great Plains IDeA-CTR Scholars Grant2017-07-21T05:00:00Z<p>​Daniel Rasetshwane, Ph.D., Director of the Auditory Signal Processing <br>Laboratory at Boys Town National Research Hospital, has been awarded the Great Plains Institutional Development Award for Clinical and Translational Research (IDeA-CTR) Scholars Program grant.</p><p>This program is administered through an National Institutes of Health (NIH)/National Institute of General Medical Sciences (NIGMS) grant to the Great Plains IDeA-Clinical Translational Research (CTR) Network. The network is a collaborative effort between nine institutions in Nebraska, South Dakota, North Dakota and Kansas designed to reach medically underserved populations and transform health delivery and outcomes in the Great Plains region.  Institutions in the network include University of Nebraska Medical Center, Boys Town National Research Hospital, University of Kansas Medical Center, North Dakota State University, University of North Dakota, University of South Dakota, University of Nebraska at Kearney, and University of Nebraska-Lincoln.</p><p>One of the primary goals of the program is to develop successful clinical and translational research (CTR) investigators. To achieve this goal, selected Scholars are provided with the protected time and seed grant funding to develop competitive CTR projects for submission to the NIH.  The award provides partial salary support and up to $50,000 annually to support preliminary research efforts for up to four years. This competitive Request for Application ( RFA) received an overwhelming response in which four scholars were chosen.</p><p>Dr. Rasetshwane's project focuses on a physiologically-based and technically rigorous approach to treating hearing loss. Rasetshwane states, “Many people with hearing loss who could benefit from hearing aids choose not to use them because of limited benefit and poor sound quality. We have developed a fitting algorithm that utilizes categorical loudness scaling data and a signal-processing algorithm that restores suppression (referred to as the suppression hearing aid), and evaluation of both algorithms resulted in promising outcomes. Ultimately, we believe that work from our laboratory will lead to improved quality in hearing aids and patient satisfaction with their use."<br><br>To learn more about the Great Plains IDeA-CTR Network and our educational and funding opportunities, visit <a href=""></a> or call our office at 402-552-2260.<br></p><p><br></p>
Research Aims to Improve Speech Perception Testing for Spanish Speaking Children Aims to Improve Speech Perception Testing for Spanish Speaking Children2017-06-27T05:00:00Z<p>​Speech perception testing is a critically important tool for assessing children's auditory skills, determining candidacy for sensory devices, and guiding language intervention. A large number of children in the US are raised in Spanish-speaking households (>15%), but speech perception testing is typically performed in English or omitted altogether, due to a lack of appropriate test materials and a shortage of Spanish-speaking audiologists. Moreover, speech perception testing is typically performed in quiet or in relatively steady state noise despite the prevalence of complex and time varying sounds in children's real-world listening environments. The proposed work will develop an easy-to-administer clinical test of speech perception, allowing audiologists (regardless of their language proficiency) to appropriately evaluate Spanish- and English-speaking children in both noise and two-talker backgrounds.</p><h2><strong>Specific Aims</strong></h2><ul style="list-style-type:circle;"><li> <strong><em>Aim 1: Refine test materials and streamline procedures</em></strong></li><li><strong><em>Aim 2: Establish reliability and validity across listener age and hearing status</em></strong></li><li><strong><em>Aim 3: Evaluate procedures in a clinical setting</em></strong></li></ul><p><strong>IMPACT:</strong> The research team assembled to carry out the proposed work includes expertise in basic hearing science, auditory development, speech perception, clinical research, bilingualism, biostatistics, language assessment, and audiology, ensuring the final produce will be a clinical instrument that is both rigorous and practical. The end result is expected to improve our ability to evaluate and thus treat hearing loss in children. </p><p><strong><em>Speech perception testing is one of the most important clinical tools we have for evaluating children's communication abilities.</em></strong><strong> </strong><strong><em>The current failure to comprehensively evaluate speech perception in bilingual children is a significant public health problem that restricts our ability to differentially diagnose auditory disorders, monitor performance over time, and evaluate the effectiveness of interventions in this population. </em></strong>Assessment and intervention resources for pediatric audiologists have fallen behind the rapidly changing demographics in the US. We are under both ethical and legal obligation to address this service gap: the Individuals With Disabilities Education Act specifies that children be assessed in their native language whenever feasible (<a href="">US Department of Education, 1997</a>).</p><p><strong><em>There is growing consensus that speech recognition performance in a complex speech masker is a better predictor of children's functional listening skills than performance in steady noise or multi-talker babble. </em></strong>Speech perception tests are typically administered in quiet, in relatively steady-state noise, or in multi-talker babble. Informational masking is widely believed to reflect a failure of higher-order auditory processes such as sound source segregation and selective attention; thus, inclusion of a complex speech masker provides an opportunity to tap into the perceptual and cognitive processes that underlie speech understanding in real-world environments containing complex and time-varying sounds (e.g., Hillock-Dunn et al. 2014). </p><h2><strong>Innovation</strong></h2><p><strong><em>The proposed work will yield a scientifically rigorous and clinically efficient test of children's English and Spanish speech perception. </em></strong><strong><em>The development of this speech perception tool takes into account the fact that most audiologists in the US are not fluent in Spanish.</em></strong>  The proposed clinical tool offers an innovative solution for audiologists with limited Spanish proficiency. Specifically, the audiologist administering the test does not need to speak the test language to obtain a valid score. The development of the present tool avoids these problems by using recorded materials for task instruction and stimulus familiarization, and asking children to respond by pointing to the picture associated with the target word. This general approach has been used with some success in the past to evaluate bilingual children's speech perception in quiet (e.g., Comstock and Martin, 1984); the present work is novel in that it evaluates<em>masked </em>speech perception with English and Spanish stimuli that are rigorously controlled and balanced across languages</p><p><strong><em>The proposed test will allow pediatric audiologists, for the first time, to characterize </em></strong><strong><em>speech-in-noise performance as well as functional hearing</em></strong><strong><em> in a two-talker masker.</em></strong> Completion of this work will yield a speech perception tool used to measure performance in the presence of speech-shaped noise or two-talker speech.</p><p><strong><em>Our approach of adapting masker level and using a closed-set response extends the range of ages and auditory abilities of children than can be tested using the same clinical test. </em></strong>Several features of the proposed speech perception measure facilitate its use with children spanning a wide range of ages and auditory skills. Closed-set word recognition reduces the impact of working memory and linguistic familiarity, which can impact sentence recognition (<a href="">e.g., memory or linguistic familiarity; Klem et al., 2015</a>). Limiting the set of alternative responses makes the task relatively easy (<a href="">Miller et al., 1951</a>), such that all but the most severely impaired children can perform the task in quiet, whereas adapting the masker level prevents ceiling effects in the best performers. The forced-choice, picture-pointing response eliminates scoring errors associated with speech production problems or non-native accents (<a href="">Ross and Lerman, 1970</a>;<a href="">Rimikis et al., 2013</a>), and this type of task has been used successfully for evaluating monolingual English-speaking children as young as 4 years of age. <br></p><p><br></p>
Center for Neurobehavioral Research Awarded Grant for Neurobehavioral Research Awarded Grant2017-05-27T05:00:00Z<h2><strong>​Identification of neural and endocrinological biomarkers in posttraumatic stress disorder</strong></h2><p><a href="">Dr. Stuart White, Ph.D.</a> has been awarded a Research Career Program grant from the NIH's National Institute of Mental Health. Dr. White is the Director of the Decision-Making Research Program at Boys Town National Research Hospital's <a href="">Center for Neurobehavioral Research</a>. The grant, totaling over $450,000 over 4 years, will examine the relationship between hormone levels and neural functioning in youth with posttraumatic stress disorder (PTSD).</p><p>PTSD is associated with disruption in emotional response to threat cues and in emotion regulation, as well as increased levels of testosterone. Increased testosterone is associated with increased emotional response to threat cues in the environment and decreases in emotion regulation. However, the way in which the interactions between testosterone and neural functioning might contribute to PTSD is unclear.</p><p>The grant will fund Dr. White, an expert in neural dysfunction underpinning mental illness, to develop skills in hormone research sufficient to address this question. Upon completion of the grant, Dr. White will be well positioned to expand this approach to understanding other mental health and behavioral problems faced by youth, including youth served by the Boys Town Family Home Program and In-Home Family Services.<br></p><p><br></p>
Residential Treatment Center Expansion Treatment Center Expansion2017-05-22T05:00:00Z<p>​More than 100 people were present for the Boys Town Residential Treatment Center open house and ribbon-cutting ceremony on Thursday, May 18. Guided tours were available to guests to see the updated modern bedrooms, playrooms and amenities for children from 5 years old up to age 17 with severe behavioral and mental health problems. The expanded 80-bed facility, located at 14092 Boys Town Hospital Road, will welcome youth at the end of May.</p><p>The ribbon-cutting ceremony featured short speeches by members of administratio​n who played a critical role in bringing this expansion project to fruition. Speakers included John Arch, Executive Vice President of Healthcare; Pat Connell, Vice President of Behavioral Health; Douglas Spellman, M.D., Medical Director, Boys Town Behavioral Health Services; and Father Steven Boes, Executive Director of Boys Town.</p><p>The Omaha World Herald <a href="" target="_blank">reports on the $16 million renovation</a>.</p><p>KETV Channel 7 <a href="" target="_blank">attended the ribbon-cutting and shared the story</a> with viewers.</p><div class="embed-container"> <iframe src="" frameborder="0" width="640" height="360"></iframe> </div>​<br>
Travis Teetor, M.D., Awarded Young Physician of the Year Teetor, M.D., Awarded Young Physician of the Year2016-10-17T05:00:00Z<p>On September 16, Travis Teetor, M.D., Anesthesiologist at Boys Town National Research Hospital, was named the 2016 Nebraska Medical Association's (NMA) Young Physician of the Year. Dr. Teetor was nominated and awarded for his medical contributions to the practice of medicine in Nebraska communities.  </p><p>Nominated by the Metro Omaha Medical Society, Dr. ​Teetor's active presence started during his early training years and he continues to be an advocating force by sharing his knowledge of medicine and public health with patients, peers and community health organizations.</p><p>Dr. Teetor regularly meets with senators and state legislative members to review regulatory and legislative health care issues and has worked on the implementation of dental anesthesia training protocols. These training protocols are instrumental in setting examples on how to work as a team in an interdisciplinary fashion with other health care providers. He attends medical events in the community, recently attending the Metro Omaha Medical Society Early Career Physicians group. He has authored an article about advocating and advancing the medical profession in Physician's Bulletin, a publication for all Omaha-area physicians.</p><p>In the past, he has served as the president of the University of Nebraska Medical Center's (UNMC) House Officer Association. Currently, Dr. Teetor serves on the Nebraska State Board of Health. He also serves on the NMA Legislative Committee, the NMA Specialty and Subspecialty Societies Committee, is on the board of directors of the Metro Omaha Medical Society, is president-elect for the Nebraska Society of Anesthesiologists and serves as a volunteer mentor for the Metro Omaha Medical Society student mentoring event.</p><p>Dr. Teetor obtained his Bachelor of Science in Education with degrees in both Exercise Science and Athletic Training from the University of Nebraska-Lincoln. He graduated medical school and completed his residency training at UNMC and is board certified in both anesthesiology and pediatric anesthesiology.</p><p>Boys Town National Research Hospital congratulates Dr. Teetor on his deserving recognition as Young Physician of the Year.  </p>
Telepractice Study for Cochlear Implants Aimed at Extending Access to Care Study for Cochlear Implants Aimed at Extending Access to Care2016-10-03T05:00:00Z<p>​​​​​​​Because cochlear implants are a specialty, implant centers are few and sparsely located. Cochlear implant programming, testing and follow-up require frequent visits and substantial time commitments from patients and their families. Many families must travel long distances to reach their clinic appointment, which can be costly and often results in missed time from school and work. And, if a child is unable or unwilling to engage in the programming process, additional appointments would be necessary. </p><p>Boys Town National Research Hospital researcher, <a href="" target="_blank">Michelle Hughes, Ph.D.</a>, Director of the <a href="" target="_blank">Cochlear Implant Research Laboratory</a>, is studying the effectiveness of remote cochlear implant service delivery.</p><p>“Our research on remote cochlear implant service delivery will hopefully provide an avenue for increased access to clinical services and better outcomes for all cochlear implant recipients, especially for children who are still developing listening skills,” said Dr. Hughes. </p><p>Dr. Hughes and her team are currently conducting three studies that make up the research project, <i>Telepractice for Cochlear Implants</i>. The studies focus on how to effectively deliver a range of cochlear implant services through remote technology for individuals in varying geographical locations. </p><p>The first study focuses on validating the use of telepractice for pediatric-specific hearing testing procedures that are used to program the cochlear implant. Remote programming of cochlear implant sound processors for adults has been validated in earlier studies, but test methods for young children are much more challenging. Young children do not understand the concepts of soft and loud, nor do they have the language to tell the audiologist about what they hear through the implant. </p><p>Because of this barrier, audiologists use behavioral conditioning methods in a clinic setting that either engage the child with games or reinforce certain behaviors that indicate when they hear a sound. This method requires two clinicians – one who is manipulating the cochlear implant programming software and one who is engaging the child and watching for responses. Recreating the behavioral conditioning for a remote setting adds to the complexity of the task because both clinicians must coordinate communication and timing efforts. Lapses or delays during remote testing may alter results.</p><p>Two other studies in this project are examining ways to test speech understanding with the implant in a remote setting and evaluating outcomes of aural rehabilitation conducted in person versus remotely via videoconferencing. </p><p>“While we still have more work to do, our recent research shows promising results that we believe will greatly expand access to specialized cochlear implant services,” said Dr. Hughes.</p><p>Dr. Hughes’s research team includes Sangsook Choi, Ph.D., Sara Robinson, M.A., CCC-SLP, and Alexis Mills. The Telepractice for Cochlear Implant research project is part of a $212,500 per-year five-year grant funded by the National Institute on Deafness and other Communication Disorders (NIDCD) at the National Institutes of Health (NIH). </p><div class="embed-container"> <iframe width="560" height="315" src="" frameborder="0"></iframe>​ </div>​​ ​
Kathryn Beauchaine Becomes an American Speech-Language-Hearing Association Fellow Beauchaine Becomes an American Speech-Language-Hearing Association Fellow2016-09-30T05:00:00Z<p>​Kathryn L. Beauchaine, B.S., M.A., CCC-A, Clinical Coordinator in Audiology at Boys Town National Research Hospital, was elected as a Fellow of the American Speech-Language-Hearing Association (ASHA).<br></p><p>The recognition is one of the highest forms of acknowledgement ASHA bestows, honoring an individual's professional and scientific accomplishments. Every year, only 10 to 12 professionals are chosen by colleagues, marking a lifetime achievement in the field of audiology.</p><p>Beauchaine's contributions include research and publications contributing to the educational knowledge for state Speech-Language-Hearing Associations and national organizations. She has given more than 65 professional presentations and through her collaborations with other professionals in the scientific field, she has co-authored 59 published articles and has appeared in Tier 1 journals, nationally.</p><p>Allan O. Diefendorf, Ph.D., FASHA, and Professor Emeritus at the Indiana University School of Medicine, recently explained why Beauchaine was deserving of this distinguished achievement.</p><p>“Kathy and I are contemporaries and because of our mutual clinical and research interests, we have enjoyed working together over the past 15 years," said Dr. Diefendorf. “Through my collaborations and time with her at events, I've seen her continued national leadership shine. She has a reputation for delivering what her audiences have come to expect from a seasoned authority with experience and knowledge. Based not only on scholarly pursuits, but through thoughtful studies and laboratory research, she has shown how much she truly cares about the advancements toward the field of audiology."</p><p>Beauchaine first started at Boys Town Hospital as a student in the spring of 1979. After an internship with the Mayo Clinic, she returned as an employee and has been an integral part of the audiology team for 37 years. She dedicates her time to working on the daily operations of the audiology clinics, provides quality patient care and participates in hearing research projects. She has served on committees and working groups including ASHA, Nebraska Early Hearing Detection and Intervention (EHDI), Nebraska Department of Health and Human Services and the Centers for Disease Control and Prevention.</p><p>“I love being a part of the Boys Town mission and incorporating my love of audiology and research to the change that helps communities across the world," said Beauchaine. “I am honored to join the dedicated Fellows of ASHA and will continue collaboration with my wonderful colleagues and friends!"</p><p>Her work with pediatric audiology has impacted and accelerated service provision to many infants, young children and families. Congratulations to Kathy Beauchaine on her Fellowship Award!<br></p><p><br></p>
Michael Gorga, Ph.D. Earns High Honor for His Impact on Audiology Research Gorga, Ph.D. Earns High Honor for His Impact on Audiology Research2016-09-22T05:00:00Z<p>​On March 3, 2016, Michael Gorga, Ph.D., Director of the Human Sensory Physiology Laboratory at Boys Town National Research Hospital, gave the Carhart Memorial Lecture at the annual meeting of the American Auditory Society.  T his lecture, named after the "father of audiology," Raymond Carhart, is considered the most prestigious lecture in audiology.</p><p>During his lecture, Michael presented a sampling of 35 years of high-impact translational research from his laboratory.  Work from his group has had major influences on the implementation of universal newborn hearing screening and the identification and quantification of hearing loss in infants, young children and patients with developmental disabilities who are unable to provide voluntary responses to sound. In addition, Michael has contributed to research that has increased our understanding of auditory function in both individuals with normal hearing and those with hearing loss. </p><p>Michael began working at Boys Town Hospital i n 1981, spending much of his early career focused on directing clinical services.  This direct clinical experience led to his observations of the inadequacies of assessment tools and the need for translational research to improve the services provided to patients. To address this important clinical issue, Michael sought and received funding from the National Institutes of Health (NIH-NIDCD), which has been continuous for the past 20 years. </p><p>With support from the NIH and Boys Town Hospital, Michael has been able to lead a creative and productive research program.  He has produced over 130 publications in archival, refereed and scientific journals, which is the second-highest level of published research in the history of Boys Town Hospital.  Michael frequently acknowledges the contributions of his colleagues at Boys Town Hospital have made to his success.  He considers himself fortunate to have had so many smart colleagues throughout his career.  This group includes co-investigators, postdoctoral fellows and graduate students.  Michael readily admits that without the help of these individuals and the environment at Boys Town Hospital, any success he has had would have been greatly diminished. </p><p>As Michael's career winds down, he looks back fondly on his work experiences and is thankful for the opportunities he has had to contribute to the body of knowledge related to the identification and diagnosis of hearing loss.  He considers his invitation to give the Carhart Memorial Lecture a wonderful recognition and a fitting capstone to a career well-spent.   Those who have worked with him can't help but agree.</p><p> "Michael deserves this award not only because he has done good work, but because he has mentored a lot of scientists, including me," said Ryan McCreery, Ph.D., Director of the Center for Audiology. "If you just look at the people who have worked with him - students and postdocs – they have gone on to be very successful in their own right. He has that academic family tree that shows he not only did a lot of great work himself, but he enabled other people to do really amazing work as well."</p><p>Michael Gorga epitomizes translational science. Boys Town National Research Hospital thanks Michael for his contributions to the mission and the impact he had on the field of audiology and congratulates him for his accomplishments locally, nationally and internationally, as recognized by this prestigious award. <br></p><p><br></p>
Brain Imaging Research Aims to Improve Outcomes for Children with Behavioral and Mental Health Problems Imaging Research Aims to Improve Outcomes for Children with Behavioral and Mental Health Problems2016-09-06T05:00:00Z<p>A new era of childhood behavioral health is underway at Boys Town. Boys Town National Research Hospital and Boys Town Youth Care Services are collaborating in neuroscience research in the hopes of understanding what is physically and biologically happening in the brain of a troubled child.</p><p>Many of the children who come to Boys Town have serious mental health problems such as mood disorder​s, problems with impulse control, self-harm and aggression. The goal of this research is to improve behavioral assessment, distinguish individual types of cognitive difficulties and identify novel, evidence-based interventions to increase positive outcomes for all children with behavioral and mental health problems.</p><p>Boys Town has assembled some of the brightest minds in cognitive neuroscience including James Blair, Ph.D., as Director of the Center for Neurobehavioral Research in Children. Dr. Blair joins Boys Town after 12 years at the National Institute of Mental Health, where he served as Chief of the Unit on Affective Cognitive Neuroscience. Dr. Blair is internationally known for his significant insights into conduct disorders in children and adolescents and his talent in using brain imaging technology to study behavior traits.</p><p>“Dr. Blair's expertise in conduct disorder research fits directly into our strategic goals and our mission to help more children and families," said John Arch, Executive Vice President of Healthcare and Director of Boys Town National Research Hospital. “The future of behavioral health care will be guided by a greater understanding of brain activity and biology. This pairing will lead to better, more effective treatments for all children with behavioral and mental health problems."</p><p>Dr. Blair brings a team of highly-regarded neuroscientists from his previous research laboratory: Stuart White, Ph.D.; Karina Blair, Ph.D. and Harma Meffert, Ph.D. The team is conducting research studies focused on mood and anxiety disorders, disruptive disorders, substance abuse and web and computer-based therapeutics.</p><p>“Boys Town offers a unique environment with access to cutting-edge neuroscientific techniques and a population of youth facing the sorts of difficulties that have been largely neglected by researchers," said Dr. Blair. “Given that Boys Town is spread across the country, our discoveries can be translated to a broad base of clinicians faster and more efficiently, getting the best intervention methods to more children who need help."</p><p>To enable the work of Dr. Blair and his team, Boys Town Hospital has purchased the latest functional magnetic resonance (fMRI) technology that offers a safe, noninvasive way to better understand the functioning of the brain. The fMRI uses magnets, not radiation, to take real-time pictures to determine well a child's brain is functioning. Photos are taken before and after interventions to help researchers determine the best evidence-based solution for a child.</p><p>“Two children may show very similar defiant or problematic behaviors, but for very different reasons," said Dr. Blair. “Our research will help develop assessment tools that will uncover the cause of children's difficulties so we can more precisely target the intervention to really help the individual child."</p><p>Boys Town is on the leading edge of this work that will change the way America will care for children with beh​avioral and mental health disorders.<br></p><p style="text-align:center;"> <a href=""> <strong>Watch Video Overview: Center for Neurobehavioral Research</strong></a></p><p style="text-align:center;"> <a href="/services/hospital-care/imaging"> <strong>Boys Town National Research Hospital 3T MRI and Patient Caring ​Suite</strong></a></p><p>To schedule an interview with James Blair, Ph.D., or to request photos or b-roll of the research, contact:</p><p>Colin Crawford<br>Video Producer and Media Coordinator<br> 531-355-6624<br><a href=""></a></p>