stanford stroke recovery
Â The physicians at the Stanford Stroke Center are always exploringÂ newÂ ways to diagnose andÂ treat stroke. Currently, no medical therapies exist to augment stroke recovery. The long term goal of his research is to decipher the regulatory information in the genome to benefit human health. ITV. The aim of this study is to investigate how resting state connectivity (rs-connectivity) within and between … The lack of oxygen kills brain cells … The stroke rehabilitation team revolves around the patient and family, and helps set short- and long-term treatment goals for recovery. He received his Ph.D. in Mechanical Engineering in 2008 from the University of Michigan, where he performed research on the dynamics and control of human walking with Art Kuo. Lauren Drag, PhD, is a Clinical Assistant Professor (Affiliated) in the Department of Neurology and Neurological Sciences at Stanford University School of Medicine. Director, Stanford Stroke Center Coyote Foundation Professor of Neurology and Neurological Sciences. Engineered stem cell mimics to enhance stroke recovery. Electrical preconditioning of stem cells with a conductive polymer scaffold enhances stroke recovery. Based at Stanford University, the Program is uniquely positioned to bridge the barriers between neuroscience, engineering, and clinical research, to develop new therapies for stroke survivors. Bonus! His work also utilizes biomedical methods to better understand the mechanisms of neuralÂ repair after injury. Chang earned a Ph.D. in Biology from MIT, M.D. Stanford Neuroscience Health Center. Within three to six months, at least 90 percent of all the recovery a stroke patient is likely to experience takes place. Brain stimulation strategies are particularly promising … StrokeCog funds a large prospective cohort study aimed at identifying if … in Mechanical Engineering in 2002 from Cornell University, where he performed research on passive dynamic walking robots with Andy Ruina. Dr. Steinmanâs research focuses on what provokes relapses and remissions in MS and the nature of the genes that serve as a brake on brain inflammation in his quest for a vaccine against multiple sclerosis. Â AÂ multi-disciplinaryÂ team of physiatrists, stroke neurologists, stroke nurses, physical therapists, occupational therapists, speech therapists, neuropsychologists, and social workersÂ works together to provide the best care possible for our patients. Â Our highly-experienced group of clinical scientists conducts trials to tests how effective these new treatments are at improving the symptoms of stroke survivors. The Stanford Stroke Center is a pioneer in using the latest surgical techniques and innovative therapies to rapidly treat individuals experiencing a stroke. “Deb was always worried about Sarah,” remembered [my friend and colleague] Robin Ely. The Stanford Stroke Recovery Program was launchedÂ in 2014 and received its first major funding in 2015. Dr. Henderson obtained his medical degree from Johns Hopkins and a master degree in epidemiology from the University of Washington School of Public Health.Â He trained at Duke University (internal medicine), Washington University (neurology), and Boston University (behavioral neurology).Â He has been a visiting scientist at the Massachusetts Institute of Technology, visiting professor at the University of Melbourne (Australia), and visiting professor at the University of Aarhus (Denmark). Â With grant fundingÂ from the Stanford Neurosciences Institute,Â the Program hasÂ brought together world-renowned scientists from a wide variety of disciplines, including stroke neurology, neurosurgery, neuroscience, mechanical, electrical, and bio-engineering, systems and molecular neuroscience, imaging/radiology, neuroimmunology, and genetics. Dr. Henderson is Professor in the Departments of Health Research & Policy (Epidemiology) and Neurology & Neurological Sciences.Â He directs the graduate program in epidemiology and clinical research.Â Dr. Henderson is principal investigator for the NIH Stanford Alzheimerâs Disease Research Center, whose focus is neurodegenerative processes implicated in Alzheimerâs disease and Parkinsonâs disease, innovative tools for diagnosis, and new approaches to therapy.Â His research interests in the areas of geriatric neurology and neuroepidemiology emphasize risk factors for cognitive aging and Alzheimerâs disease, and therapeutic strategies to maintain and improve cognitive abilities affected by age. Dr. Heilshorn is a materials scientist and bioengineer whose laboratory specializes in interfacing novel biomaterials and microfluidic devices with mammalian cells. He is a past-president of the American Epilepsy Society, prior Editor-in-Chief of the world's main epilepsy journal, Epilepsia, and past Editor of epilepsy.com, the most visited website about epilepsy. Outside of academics, his passions include playing tennis, learning new musical pieces on the cello, and exploring different … Stanford Medicine News Center - August 18th, 2014 - by Bruce Goldman When investigators at the Stanford University School of Medicine applied light-driven stimulation to nerve cells in the brains of mice that had suffered strokes several days earlier, the mice showed significantly greater recovery in motor ability than mice that had His primary current research interests are centered on developing MR methods to detect the earliest effects of experimental and clinical cerebrovascular diseases using functional neuroimaging (DWI, PWI, and fMRI). However, elucidating the cell type and mechanisms mediating recovery has been di … Optogenetic neuronal stimulation promotes functional recovery after stroke Proc Natl Acad Sci … Dr. Kara Flavin is a Clinical Assistant Professor of Orthopedics in the division of Physical Medicine and Rehabilitation at Stanford University. Other research focuses on the ability to repair damage done during a stroke. His research addresses how large sets of genes are turned on or off together, which is important in normal development, cancer, and aging. I am the co-principal investigator of the Stanford Regional Coordinating Center (RCC) for StrokeNet, an NINDS-funded network of 25 RCCs that is responsible for conducting all major NINDS-funded stroke trials. He has served as Deputy Editor of The Spine Journal, and Co-Editor of the Orthopedics Knowledge Update in Spine, 4th edition. He also helped publish the first papers on blood pool contrast agents in 1985 and was the first to show in 1989 that mapping white matter fiber orientation using diffusion MR imaging is a novel measure of neuroimaging and now later as a means of mapping clinical cognitive performance in events such as stroke. George PM(1), Bliss TM(2), Hua T(2), Lee A(3), Oh B(4), Levinson A(4), Mehta S(5), Sun G(2), Steinberg GK(6). 6. Join Study. While zolpidem dramatically improved mice’s rate of recovery from stroke, its ability to increase the extent of their recovery couldn’t be determined because, unlike humans, mice naturally regain most of their pre-stroke function eventually. Our stroke recoveryÂ trials are designedÂ to improve our understanding of how the brain recovers after stroke andÂ to testsÂ new treatmentsÂ aimed at improving the lives of stroke survivors. … These systems interface with the brain and use mathematical models to control computer cursors and robotic arms. Exogenous human neural progenitor cells (hNPCs) are promising stroke therapeutics, but optimal delivery conditions and exact recovery mechanisms remain elusive. The goal here is to develop and then leverage a neural biomarker to guide stroke rehabilitation, with the aim of improving both the rate and total recovery from stroke. Numbness or strange sensations. A graduate of Harvard School of Medicine, Dr. Steinman has been on the Stanford faculty since 1980. Then, try doing it every day for at least 10 minutes. Author Paul Costello Published on May 7, 2019 May 6, 2019 Could a vibrating glove become part of stroke therapy? Recent work has focused on sex-based differences in the genetic risk of Alzheimerâs disease. We have over 20 years of experience in cord blood banking and now offer treatments utilizing allogeneic cord blood. We use state-of-the-art CyTOF technologyÂ to elucidating the modulation of inflammatory responses following injury. Current they are working on movement control in isometric environments aims to create new methods for rehabilitating chronic stroke patients. Currently, limited treatment options are available for stroke patients outside of the acute timeframe. A future approach to neurorehabilitation after stroke : if humans had wings. You may get a clot-dissolving medicine called tissue plasminogen activator (TPA). These may include answering questions about the diagnosis as well as managing treatment and rehabilitation services customized to each individual’s unique needs. StrokeCog is focused on cognitive problems after stroke. He has been named in Best Doctors of America for 16 consecutive years. CBC Health. Stanford study: Commonly used sleeping pill may boost stroke recovery If what works in mice works in people, a widely popular sleeping pill could someday start seeing action as an aid to stroke recovery… This research spans both preclinical models and human clinical studies. Hadi Hosseini is a computational/cognitive neuroscientist investigating large-scale structural and functional brain networks in various neurological and psychiatric conditions using multimodal neuroimaging, graph theoretical and multivariate pattern analyses techniques. Â The center is also home to the Neuroscience Supportive Care Program, whichÂ provides a variety of free support groups, classes, workshops, personal one-on-one consultations and services that are open to all patients and families in the community regardless of where they receive their strokeÂ care.Â, Marion S. Buckwalter, MD, PhD Marion Buckwalter, MD, PhD, & Maarten Lansberg, MD, PhD, developed the Stroke Collaborative Action Network, or SCAN, which brings together clinical & research expertise from across the School of Medicine, Stanford Health Care & Stanford University, to understand the mechanisms of stroke recovery & develop new treatments. Dr. Chang is Director of the Center for Personal Dynamic Regulomes and Professor of Dermatology at Stanford University School of Medicine. States. She also studies methods of non-invasive measurement of cerebral blood flow, oxygenation, and cerebrovascular autoregulation and how these parameters might be targeted to improve outcome in patients with neurologic injury. stroke recovery The ultimate goal of the Shamloo Laboratory is to elucidate the pathological processes underlying malfunction of the nervous system following injury and stroke. stroke treatment, Types Her lab also utilizes human samples from ongoing clinical studies at the Stanford Stroke Center. Dr. George joined the Stanford Stroke Center in 2012 to complete his Vascular Neurology fellowship and has remained as an Assistant Professor. Our Big Idea is to face this challenge head-on, utilizing the resources at Stanford to breach the barriers to understanding stroke recovery, and the differences between young and old stroke victims, and to … Zolpidem, better known by the trade name Ambien, has long been approved by the U.S. You can message your clinic, view lab results, schedule an appointment, and pay your bill. The stroke rehabilitation team consists of a number of skilled professionals, all focused on setting short and long-term goals for recovery. If you are interested in learning more about our studies and becoming a participant, please contact us by filling out the form below or give us a call at +1 650.723.8886. She witnessed my stroke and recovery activities daily through her last three years of high school. He cares for hemorrhagic and ischemic stroke patients in the inpatient and outpatient settings. Stroke rehabilitation works best when the patient, family, and rehabilitation staff works together as a team. Functional recovery can occur after stroke, and strategies such as direct brain stimulations that promote recovery are promising. As the Associate Director of the NIRS Lab at CIBSR, one of his interests is to employ NIRS as a potential cost-effective biomarker for monitoring functional stroke recovery.Â. With grant funding from the Stanford Neurosciences Institute , the Program has brought … Specific areas of interest include microfluidic devices to study neuronal chemotaxis and neurite guidance within gradients, synthetic matrices for three-dimensional neural cultures, and injectable hydrogels to deliver cells, proteins, and drugs to the central nervous system. Rehabilitation of the patient with a stroke begins during the acute treatment phase. She is the Deputy Director of the Wu Tsai Neurosciences Institute, co-founded and now co-leads the Stroke Collaborative Action Network, and is the co-founder of the Stroke Recovery Program at Stanford. The researchers’ ideas are mostly in their infancy, and may sound a bit wacky — injectable, drug-delivering gels, magnetic pulses fired into the brain, even robotic ankles — but, Buckwalter and … CBC Health is introducing an umbilical cord blood cells intravenous infusion for ischemic stroke recovery. Angle distributions indicate that the post-recovery stroke conformation is stabilized by ≥5 k B T of energy. Electronic address: firstname.lastname@example.org. Her lab focuses on exploring the … In this 1:2:1 podcast, Greg Albers, director of the Stanford Stroke Center, joins host Paul Costello in conversation about the latest in stroke research. However, some problems may continue: 1. She really grew past some of her challenges.” Sarah struggled more when she was younger, … These efforts yielded the highest performing communication brain-machine interfaces demonstrated to date. Clinical and research efforts have focused on promoting functional recovery after stroke. We use combinations of electrophysiological, anatomical and pharmacological approaches. Using high parameter single cell technologies (CyTOF) and proteomics approaches for the deep immune profiling of patients undergoing surgery, our research aims at identifying immune mechanisms (cell subsets and associated signaling pathways) that critically determine a patient's ability to heal and recover from surgical trauma. The Etkin Lab strives to understand the neural basis of emotional disorders and their treatment, and to leverage this knowledge to develop novel treatment interventions. The labÂ has focused its efforts on characterizingÂ genes andÂ proteins that areÂ involved in neuroprotective or neurodegenerative pathways. Stroke survivor Debra Meyerson is a former Stanford University professor who taught and wrote about gender, diversity and identity. Ischemic strokes are the most common type of strokes and occur when a clot blocks the flow of blood to the brain. The aim of studying immunity in patients suffering from acute inflammatory conditions such as surgery is to identify immune phenotypes that will predict clinical outcomes, discover maladaptive mechanisms that result in adverse outcomes, and devise immune-modulatory strategies that will improve outcomes. Dr. Dragâs research interests are in cognitive aging and traumatic brain injury. Chang discovered a new class of genes, termed long noncoding RNAs, can control gene activity throughout the genome, illuminating a new layer of biological regulation. Upper motor neuron signs include hyperreflexia, Babinski … He served as Chair of the Immunology Program from 2002 to 2011. The Brain Interfacing Laboratory is interested in the applicability of brain-machine interfaces as a platform technology for a variety of brain-related medical conditions, particularly stroke and epilepsy. from Harvard Medical School, and completed Dermatology residency and postdoctoral training at Stanford University. Stanford Health Careâs nationally-recognized Comprehensive Stroke Program provides comprehensive care and treatment for stroke. Dr. Giffard is an anesthesiologist and basic scientist. Based at Stanford University, the Program is uniquely positioned to bridge the barriers between neuroscience, engineering, and clinical research, to develop new therapies for stroke survivors. stroke rehabilitation Her laboratory is very interested in both acute response to stroke, and factors that affect delayed plasticity, including effects of inflammation on neurogenesis, and the role of organelle interaction and the chaperone network in both acute response and plasticity. We secure you information to the highest degree Email-based verification that restricts access to you and you alone. The Program brings together world-renowned scientists from a wide variety of disciplines, … She is particularly interested in how seizures may be a modifiable risk factor for later consequences after neonatal brain injury. His lab is also interested in clarifying the roles of T lymphocytes in brain injury induced by stroke, as well as the differential roles of blood-derived macrophages and brain resident microglia in acute brain injury after stroke. They are using automated behavioral and functional methods in experimental and transgenic rodent models in conjunction with small molecule therapeutic approaches in order to manipulate the loss of function following ischemic brain injury. Dr. Greicius is an Associate Professor in the Department of Neurology and Neurological Sciences at the Stanford University School of Medicine. HIPAA compliance that meets Stanford School of Medicine high security standards Stanford IRB study approval Together, we can unlock the doors to neurological recovery Christina Mijalski Sells is a board-certified neurologist who joined the Stanford Stroke Center in August of 2016.Â Â She completed the Partners Vascular Neurology fellowship at Harvard Medical School after residency at Brown University.Â Â She also holds a Master of Public Health from the University of California, Los Angeles.Â Â Currently, her clinical and research interests include telemedicine, stroke in women, and healthcare delivery systems.Â Â Dr. Mijalski Sells is developing the telestroke program at Stanford that will extend the delivery of acute stroke care throughout Northern and Central California. Dr. Buckwalter is a stroke clinician and basic scientist, and her laboratory focuses on how inflammation after stroke affects outcomes. The Steinberg laboratory investigates the pathophysiology of cerebral ischemia, develops neuroprotective agents, and employs novel approaches such as stem cell transplantation and optogenetic stimulation to enhance post-stroke functional recovery. The outlook for stroke patients today is more hopeful than ever due to advances in both stroke treatment and rehabilitation. No pharmaceutical therapy has been shown to … The CHARM lab designs and studies haptic systems using both analytical and experimental approaches. He has chaired multiple consensus panels that have published national and international guidelines for stroke treatment and prevention. Stroke Latest News A New Study Uses Umbilical Cord Blood to Accelerate Stroke Recovery . Dr. Karen G. Hirsch is a neurocritical care physician. This investigation leverages multichannel electrode arrays to gather a neural population estimate of the state of the brain. A digital platform for neurological recovery. Trouble controlling or expressing emotions. He is the medical director of the Stanford Center for Memory Disorders and the principal investigator of the Functional Imaging in Neuropsychiatric Disorders (FIND) Lab. Stanford StrokeNet: Regional Stroke Trials Coordinating Center . St. Luke's Hospital Stroke Center Kansas City, MO; Stanford Stroke Center Palo Alto, CA UCLA Stroke Center Los Angeles, CA; University of Texas-Houston Medical School, Department of … Engineered stem cell mimics to enhance stroke recovery. 5. He has taken several therapies from the bench to the bedside, including work directly related to the development of natalizumab, and two experimental therapies, statins and DNA vaccines, are in trials. “And she just stepped up. He has invented new methods for defining the shapes of RNA and DNA genome-wide. Based at Stanford University, the Program is uniquely positioned to bridge the barriers between neuroscience, engineering, and clinical research,Â to develop new therapies for stroke survivors. Â He serves on editorial boards and scientific advisory boards, and he has authored more than 200 scientific articles and chapters. Jul 23, 2015. The Stanford Stroke Recovery Program is dedicated to improving the function and quality of life of stroke survivors. In 2017, he joined the faculty of Mechanical Engineering at Stanford University, where he teaches courses on design and robotics and directs the Stanford Biomechatronics Lab. Good luck! Many skilled professionals are part of the rehabilitation team, including any/all of the following: Stroke Rehabilitation ... Stanford University School of Medicine, Stanford, CA, USA; Stanford Stroke Center and Stanford University School of Medicine, Stanford, CA, USA. However, movement also implicates non-motor regions such as prefrontal and parietal cortex, regions whose integrity may thus be important for motor recovery after stroke. Stanford’s stroke experts offer the most comprehensive, specialized, and leading-edge treatments for every type of stroke. According to the Alzheimer’s Association, vascular dementia is the second most common cause of dementia but it can … The Shamloo labÂ studies normal and pathological brain function with the long-term goal toÂ discover novel therapeutic approaches for neurologic disorders such as stroke, Alzheimerâs disease (AD), and autism. REQUEST A CONSULTATION . Others are working on new ways to deliver drugs right where they're needed in the brain, developing ways to stimulate … He directs the Wearable Health Lab at Stanford, investigating medical applications of mobile technology to improve musculoskeletal and neurologic disease detection, treatment and prevention. As the patient's condition improves, a more extensive rehabilitation program is often begun. Healing Strokes, a free program founded by two Stanford juniors in conjunction with Stanford Healthcare, aims to facilitate art therapy for stroke survivors and their caregivers. Dr. Matthew Smuck is the Chief of PM&R, Associate Professor in the Department of Orthopaedic Surgery and Medical Director of Rehabilitation Services for Stanford Healthcare. His clinical and research interests are centered on acute stroke and stroke recovery. She cares for critically ill patients with neurologic disorders in the intensive care unit and for patients with cerebrovascular disease in the inpatient stroke unit. Dr. Lansberg's research focuses on clinical trials in stroke treatment and recovery. He is a leader in the clinical care of stroke patients as well as cerebrovascular research and education. Our research team has also pioneered the development and testing of stem cell treatments for stroke recovery, a yet unproven but promising … Dr. Albers has published over 300 articles in the medical literature and has been the principal investigator of more than 70 clinical studies. While zolpidem dramatically improved mice’s rate of recovery from stroke, its ability to increase the extent of their recovery couldn’t be determined because, unlike humans, mice naturally regain most of their pre-stroke function eventually. Your privacy is our number one priority. Based at Stanford University, the Program is uniquely positioned to bridge the barriers between neuroscience, engineering, and clinical research, to develop new therapies for stroke survivors. Stanford Stroke Support Group Please join us for a friendly and supportive environment for stroke patients, their family and caregivers. His team is currently conducting an NIH funded cohort study of endovascular stroke treatment.Â In addition, they are participating in multiple other NIH and industry-sponsored clinical stroke trials.Â They were recently awarded an infrastructure grant from the NIH to become a Regional Coordinating Center for the NINDS Clinical Stroke Trial Network. StrokeCog is an extension of the Stroke Collaborative Action Network (SCAN) Big Idea project and is a key component of the Stanford Stroke Recovery Program. Vascular Dementia Treatment: How Lifestyle Changes Are Key to Prevention. The Huguenard Lab focuses on 2 stroke-related questions. Investigators at the Stanford University School of Medicine have shown that removing a matched set of molecules that typically help to regulate the brain’s capacity for forming and eliminating connections between nerve cells could substantially aid recovery from stroke even days after the event. Non-invasive PET imaging of these biochemical processes in living, intact, subjects may lead to an enhanced understanding of a range of brain disorders (including Alzheimerâs disease, multiple sclerosis, and brain injury), ultimately generating effective diagnostic techniques and treatment strategies. Â Â, Our multi-disciplinary team of scientists is constantly innovating to develop new treatments that will improve gait, arm function and cognition after stroke.Â The medical innovations developed in our laboratories span a wide array, including immune-modulating therapies, stem-cell therapies, non-invasive brain stimulation (TMS), and medical devices developed by Stanford engineers.Â Being located in the center of Silicon Valley, the worlds mostÂ well-known hubÂ for technological innovation,Â the Program has alsoÂ established ties with multiple start-up companies that have developedÂ innovative technologiesÂ to help patients recover from stroke. Â Your participation in these trialsÂ will help us develop new rehabilitation therapies for future stroke victims. Department of Neurosurgery and Stanford Stroke Center, Stanford University School of Medicine, Stanford, California 94305, United . This triggers mirror neurons in the brain to fire, which helps improve motor recovery after stroke. It was started with a Big Ideas in Neurosciences Grant from the Wu Tsai Neurosciences Institute at Stanford, and in addition to a Research Accelerator grant from the Wu Tsai Neurosciences Institute, studies are also funded by an American Heart Association/Paul G. Allen Frontiers Group Brain Health Initiative, a Leducq Foundation Transatlantic Networks of Excellence Grant, funding from Neofect, and philanthropy. The Stanford Stroke Center is recognized as a leader in stroke research and treatment. Her research focuses on the cyclooxygenase-2 (COX-2) pathway, which has been found to play a critical role in promoting neuronal death in a number of models of neurological disease. This research has made it possible to individualize stroke treatment and expand the number of patients who can undergo highly effective treatments for their stroke. My research is focused on developing and evaluating molecular imaging agents for visualizing neurological diseases in living subjects. Stem Cells Shown Safe, Beneficial for Chronic Stroke Patients " People disabled by a stroke demonstrated substantial recovery long after the event when modified adult stem cells were injected into their brains." 2. Dr. George joined the Stanford Stroke Center in 2012 to complete his Vascular Neurology fellowship and has remained as an Assistant Professor.Â His clinical and research interests are centered on acute stroke and stroke recovery.Â He cares for hemorrhagic and ischemic stroke patients in the inpatient and outpatient settings.Â His research focuses on the application of novel biotechnologies to improveÂ healingÂ after stroke. He is a member of the Institute of Medicine of the National Academies of Science. Thus, the recovery stroke contributes to unidirectional stepping of myosin Va. Trouble with thinking, awareness, attention, learning, judgment, and memory. His interest is in using advanced functional neuroimaging tools to define causal neural circuit pathways in the brain in health and disease. Dr. Andreassson is a Professor in the Stanford Neurology Department.Â Her laboratory is dedicated to understanding the basic mechanisms by which neurons die in stroke and in neurodegenerative diseases, including Alzheimerâs disease, Parkinsonâs disease, and amyotrophic lateral sclerosis (ALS). StrokeCog is focused on cognitive problems after stroke. 213 Quarry Road. While common, the exact mechanisms of post stroke cognitive decline are not well understood. Dr. Aghaeepour is an expert in analysis of multi-dimensional data sets with training in computer science, artificial intelligence, and machine learning. For this type of stroke, treatment focuses on restoring blood flow to the brain. Here we review how selective stimulation of … Photo by L.A. Cicero: Dr. Gary Steinberg. Â, In addition to advancing research in the field of stroke recovery, we have a strong clinical neurologicÂ rehabilitationÂ programÂ that serves strokeÂ patients from the San Francisco Bay Area and beyond. The Steinberg Lab is investigating the molecular and cellular mechanisms of cerebral injury after ischemia, developing neuroprotective agents including hypothermia to reduce stroke damage, employing novel approaches such as stem cell transplantation and optogenetic stimulation to enhance functional recovery after stroke, and elucidating the genetic basis for intracranial aneurysms, vascular malformations and moyamoya disease. Prior to coming to Stanford, she was a researcher at the VA Palo Alto Medical Center and served as Director of the Neuropsychology Area of Emphasis at Palo Alto University. Email: email@example.com, clinical neurologicÂ rehabilitationÂ program, Stanford Alzheimerâs Disease Research Center, Lewy Body Dementia Research Center of Excellence, Stanford Alzheimer's Disease Research Center, Telestroke and Acute Teleneurology Program, Improvement Capability Development Program, Lucile Packard Children's Hospital Stanford. 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