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  1. Article ; Online: Impact of a focused review course in cardiovascular and thoracic surgery on test performance.

    Doty, John R / Nguyen, Michael / Snyder, Richard J / McCann, Ulysse G / Doty, Donald B

    JTCVS open

    2021  Volume 7, Page(s) 274–285

    Abstract: Background: The Core Curriculum Review Course in Cardiovascular and Thoracic Surgery is a 4-day educational program consisting of 77 didactic lectures that provide a comprehensive review of the material required for surgeons preparing for the American ... ...

    Abstract Background: The Core Curriculum Review Course in Cardiovascular and Thoracic Surgery is a 4-day educational program consisting of 77 didactic lectures that provide a comprehensive review of the material required for surgeons preparing for the American Board of Thoracic Surgery competency written examination. The lectures are supplemented with a written syllabus and interactive audience participation system. We sought to determine whether participation in this course could improve participants' performance on a cardiothoracic subject-based test.
    Methods: Sixty-five participants attended the 2018 course. Before beginning the course lectures, a multiple-choice pretest consisting of 77 questions was administered via mobile application to gauge the participants' baseline knowledge. A second multiple-choice posttest was made available beginning 7 weeks after the course, also by mobile application.
    Results: Twenty-nine participants completed both the pretest and the posttest. The median pretest score was 47% (36 of 77 correct answers). The median posttest score was 61% (47 of 77 correct answers), representing an increase of 14%. The Wilcoxon signed-rank test indicated a significant difference between the pretest and posttest scores (
    Conclusions: The core curriculum review course was successful in improving participants' performance on the course tests, indicating that the participants' fund of knowledge was likely increased by attendance at the program. Additional strategies should be considered to address particular areas of study both for individual participants and for residents currently in training.
    Language English
    Publishing date 2021-07-16
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2666-2736
    ISSN (online) 2666-2736
    DOI 10.1016/j.xjon.2021.07.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Muscle Activation Patterns of the Proximal Medial and Distal Biceps Femoris and Gluteus Maximus Among 6 Hip Extension and Knee Flexion Exercises in Trained Women.

    Stevens, Bryn M / Nichols, Ben R / Doty, Holly I / Korak, J Adam

    International journal of exercise science

    2022  Volume 15, Issue 1, Page(s) 1179–1189

    Abstract: The biceps femoris (BF) is a double-jointed muscle that performs both hip extension and knee flexion, making it a challenging muscle to train during common resistance training movements. An imbalance between the posterior and anterior chain increases the ...

    Abstract The biceps femoris (BF) is a double-jointed muscle that performs both hip extension and knee flexion, making it a challenging muscle to train during common resistance training movements. An imbalance between the posterior and anterior chain increases the risk of lower-extremity injury. The purpose of this study was to compare BF proximal (BFprox), BF medial (BFmed), and BF distal (BFdist) peak and mean muscle activation among four hip hinging movements and two knee flexion movements. A secondary variable was gluteus maximus (GMax) muscle activation among the same six movements. Fifteen trained females completed three repetitions at 75% estimated 1-repetition max among the following exercises: Romanian-deadlift (RDL), step-up, hip-extension, kickbacks, Nordic hamstring curls (Nordics), and legcurls. Repetition voltage was normalized to percent maximal voluntary isometric contractions. Eight separate one-way repeated measures ANOVAs with Sidak post hoc analysis indicated the BFprox elicited greater voltage in the kickback, Nordic, and leg-curl exercise compared to the RDL, step-up and hip-extension (
    Language English
    Publishing date 2022-08-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2411342-6
    ISSN 1939-795X
    ISSN 1939-795X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Does Self-Reassurance Reduce Neural and Self-Report Reactivity to Negative Life Events?

    Kim, Jeffrey J / Doty, James R / Cunnington, Ross / Kirby, James N

    Frontiers in psychology

    2021  Volume 12, Page(s) 658118

    Abstract: Whilst research has shown how self-criticism may increase both neural and self-report markers of negative emotion, less well-known is how self-reassurance-a compassionately-motivated cognitive self-relating style-may regulate negative emotion. Using fMRI, ...

    Abstract Whilst research has shown how self-criticism may increase both neural and self-report markers of negative emotion, less well-known is how self-reassurance-a compassionately-motivated cognitive self-relating style-may regulate negative emotion. Using fMRI, we invited participants to engage in self-criticism and self-reassurance toward written descriptions of negative life events (mistakes, setbacks, failures). Our results identify that neural markers of negative emotion and self-report markers of trial intensity during fMRI are down-regulated under conditions of self-reassurance, relative to self-criticism. Future work to control for autobiographical memory during this fMRI task is needed, as are controls for how well participants can engage in both thinking styles, to explore how memory/task engagement can contribute to self-reassurance and self-criticism. Engagement in self-reassurance can reduce the "sting" of negative life-events, both neural and self-report, which holds important implications for therapy.
    Language English
    Publishing date 2021-09-28
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2021.658118
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Unlocking Performance Excellence: Review of Evidence-Based Mindful Meditation.

    Safran, Tyler / Vorstenbosch, Joshua / Doty, James R / Davison, Peter

    Plastic and reconstructive surgery

    2022  Volume 150, Issue 4, Page(s) 903e–908e

    Abstract: Summary: Mindfulness has recently been implemented by advanced military combatants, firefighters, and those in other very intellectually demanding and fast-paced professions. A surgeon, similarly, is faced with many difficult challenges, whether it be a ...

    Abstract Summary: Mindfulness has recently been implemented by advanced military combatants, firefighters, and those in other very intellectually demanding and fast-paced professions. A surgeon, similarly, is faced with many difficult challenges, whether it be a complex and meticulous surgery, extensive clinical responsibilities, or simply the challenges faced in residency. In current curricula, there is no training to introspectively deal with these stressors. Regardless of what we face in our personal lives, the lives of patients are literately in our hands. Would it not be prudent and wise to train our brain to not only deliver care to our patients but also be able to take care of us and maybe even improve our performance? Regular practice of mindfulness has been shown to decrease rates of burnout, decrease medical errors, improve sleep, and even improve surgical performance. With the ever-changing pandemic situation and increasing stressors in the hospital, mindful meditation is perfectly primed to be added to our armamentarium as surgeons and physicians. This review aims to explain how mindfulness can enhance a surgeon's performance, mindset, interactions, and execution through a review of recent scientific advancements and evidence.
    MeSH term(s) Brain ; Burnout, Professional ; Humans ; Meditation ; Mindfulness ; Surgeons
    Language English
    Publishing date 2022-08-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0000000000009500
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Serotonin syndrome in the acute treatment landscape of migraine: the lasmiditan experience.

    Blumenfeld, Andrew / Tepper, Stewart J / Khanna, Rashna / Doty, Erin / Vincent, Maurice / Miller, Sheila I

    Frontiers in neurology

    2023  Volume 14, Page(s) 1291102

    Abstract: Background: Serotonin syndrome (SS) symptoms overlap with adverse events associated with lasmiditan, a 5-HT (serotonin): Methods: Results of eight phase 2 and phase 3 lasmiditan trials (: Results: Of 6,004 lasmiditan-treated clinical trial ... ...

    Abstract Background: Serotonin syndrome (SS) symptoms overlap with adverse events associated with lasmiditan, a 5-HT (serotonin)
    Methods: Results of eight phase 2 and phase 3 lasmiditan trials (
    Results: Of 6,004 lasmiditan-treated clinical trial patients, 15 reported ≥1 treatment-emergent adverse event consistent with signs and symptom(s) of SS. After review, one case met Sternbach and Hunter criteria, two cases potentially met Sternbach criteria, and three cases reported as SS had limited/no information to determine if either criterion was met. During post-marketing surveillance (approximately 13,400 lasmiditan prescriptions), 17 cases with symptom complexes consistent with SS were reported; 3/17 cases had adequate case descriptions to apply predefined criteria. Of these, two met Sternbach and Hunter criteria, and one met Sternbach criteria.
    Conclusion: Awareness of clinical symptomatology and diagnostic criteria of SS can help clinicians with recognition of rare instances of SS that may occur with lasmiditan.
    Clinical trial registration: NCT03670810, NCT00384774, NCT00883051, NCT02565186.
    Language English
    Publishing date 2023-10-27
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2023.1291102
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Evaluating Stage Motion for Automated Electron Microscopy.

    Fiedler, Kevin R / Olszta, Matthew J / Yano, Kayla H / Doty, Christina / Hopkins, Derek / Akers, Sarah / Spurgeon, Steven R

    Microscopy and microanalysis : the official journal of Microscopy Society of America, Microbeam Analysis Society, Microscopical Society of Canada

    2023  Volume 29, Issue 6, Page(s) 1931–1939

    Abstract: Precise control is an essential and elusive quality of emerging self-driving transmission electron microscopes (TEMs). It is widely understood these instruments must be capable of performing rapid, high-volume, and arbitrary movements for practical self- ... ...

    Abstract Precise control is an essential and elusive quality of emerging self-driving transmission electron microscopes (TEMs). It is widely understood these instruments must be capable of performing rapid, high-volume, and arbitrary movements for practical self-driving operation. However, stage movements are difficult to automate at scale, owing to mechanical instability, hysteresis, and thermal drift. Such difficulties pose major barriers to artificial intelligence-directed microscope designs that require repeatable, precise movements. To guide design of emerging instruments, it is necessary to understand the behavior of existing mechanisms to identify rate limiting steps for full autonomy. Here, we describe a general framework to evaluate stage motion in any TEM. We define metrics to evaluate stage degrees of freedom, propose solutions to improve performance, and comment on fundamental limits to automated experimentation using present hardware.
    Language English
    Publishing date 2023-10-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 1385710-1
    ISSN 1435-8115 ; 1431-9276
    ISSN (online) 1435-8115
    ISSN 1431-9276
    DOI 10.1093/micmic/ozad108
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The Ross operation after removal of a transcatheter aortic valve replacement in pediatric patients.

    Eckhauser, Aaron W / Nonu, J Luti / Hobbs, Reilly D / Griffiths, Eric R / Husain, S Adil / Doty, John

    JTCVS techniques

    2022  Volume 17, Page(s) 129–132

    Language English
    Publishing date 2022-12-06
    Publishing country United States
    Document type Journal Article
    ISSN 2666-2507
    ISSN (online) 2666-2507
    DOI 10.1016/j.xjtc.2022.10.020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The Weekly Calendar Planning Activity to Assess Functional Cognition in Parkinson Disease.

    Foster, Erin R / Carson, Lisa / Jonas, Jill / Kang, Eunyoung / Doty, Tasha / Toglia, Joan

    OTJR : occupation, participation and health

    2022  Volume 42, Issue 4, Page(s) 315–323

    Abstract: The Weekly Calendar Planning Activity (WCPA) may improve understanding of functional cognition in people with Parkinson disease (PwPD) without dementia. We aimed to determine if WCPA performance (a) discriminates between PwPD with and without cognitive ... ...

    Abstract The Weekly Calendar Planning Activity (WCPA) may improve understanding of functional cognition in people with Parkinson disease (PwPD) without dementia. We aimed to determine if WCPA performance (a) discriminates between PwPD with and without cognitive impairment and healthy controls and (b) correlates with other indicators of cognition and daily function. This was a cross-sectional study. Parkinson disease (PD) participants without dementia were divided into normal cognition (PD-NC,
    MeSH term(s) Cognition ; Cross-Sectional Studies ; Dementia ; Humans ; Neuropsychological Tests ; Parkinson Disease/psychology
    Language English
    Publishing date 2022-06-17
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2081243-7
    ISSN 1938-2383 ; 1539-4492 ; 0276-1599
    ISSN (online) 1938-2383
    ISSN 1539-4492 ; 0276-1599
    DOI 10.1177/15394492221104075
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Sleep duration prior to an enterotoxigenic Escherichia coli challenge predicts diarrhea severity during infection.

    Mantua, Janna / Gutierrez, Ramiro L / Isidean, Sandra D / Alcala, Ashley N / Testa, Kayla J / Talaat, Kawsar R / Doty, Tracy Jill / Porter, Chad K

    Sleep medicine

    2022  Volume 100, Page(s) 404–409

    Abstract: Background: Acute diarrhea is the most frequent diagnosis among ill travelers. Sleep loss may weaken the body's defense against pathogens and increase susceptibility to infection. The relationship between sleep and infectious diarrhea has not been ... ...

    Abstract Background: Acute diarrhea is the most frequent diagnosis among ill travelers. Sleep loss may weaken the body's defense against pathogens and increase susceptibility to infection. The relationship between sleep and infectious diarrhea has not been studied and was assessed utilizing data from a controlled human infection model (CHIM) for enterotoxigenic Escherichia coli (ETEC).
    Methods: During a CHIM assessing the efficacy of an immunoprophylactic targeting ETEC against moderate-to-severe diarrhea (MSD) following challenge, we measured sleep via actigraphy over an 8-day inpatient period. We hypothesized better sleep pre-challenge would predict illness symptomatology following challenge.
    Results: Among 57 participants (aged 34.4 ± 8.1 years, 64% male), there was no relationship between sleep metrics and incidence of MSD. However, longer total sleep time the night preceding ETEC challenge was associated with lower maximum 24 h diarrhea volume (B = -1.80, p = 0.01) and total diarrhea volume (B = -2.45, p = 0.01).
    Conclusions: This novel study showed that shorter sleep duration predicted diarrhea severity over the course of an ETEC infection. Future work should experimentally manipulate sleep to further clarify its impact on diarrhea-related outcomes for ETEC and other important enteric pathogens.
    MeSH term(s) Male ; Humans ; Female ; Enterotoxigenic Escherichia coli ; Antibodies, Bacterial ; Diarrhea/prevention & control ; Escherichia coli Infections/prevention & control ; Sleep
    Chemical Substances Antibodies, Bacterial
    Language English
    Publishing date 2022-09-16
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2012041-2
    ISSN 1878-5506 ; 1389-9457
    ISSN (online) 1878-5506
    ISSN 1389-9457
    DOI 10.1016/j.sleep.2022.09.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Feasibility of gabapentin as an intervention for neurorecovery after an acute spinal cord injury: Protocol.

    Wilson, James R / Doty, Samuel / Petitt, Jordan C / El-Abtah, Mohamed / Francis, John J / Sharpe, Megan G / Kelly, Michael L / Anderson, Kim D

    Frontiers in neurology

    2022  Volume 13, Page(s) 1033386

    Abstract: Introduction: This protocol is describing the first ever prospective, mock-efficacy, dose exploration trial design testing the feasibility of administering gabapentin in the acute setting as an intervention for neurorecovery. Gabapentin is an FDA- ... ...

    Abstract Introduction: This protocol is describing the first ever prospective, mock-efficacy, dose exploration trial design testing the feasibility of administering gabapentin in the acute setting as an intervention for neurorecovery. Gabapentin is an FDA-approved medication for treating seizures and postherpetic neuralgia and is used broadly off-label for neuropathic pain management for many conditions, including spinal cord injury. Emerging data suggests that when given early after spinal cord injury onset and in low-medium doses, gabapentin may have properties that promote recovery of neurological function. The objective of this trial is to assess the feasibility of conducting an efficacy trial in which gabapentin is started early after injury, is restricted in its dose, and is not used for pain management.
    Methods and analysis: Forty-two people aged 18 years or older with any level and any severity of spinal cord injury induced by a trauma will be enrolled, randomized, and have the first dose of study medication by 120 h post-injury onset. Participants will be randomly assigned to one of three groups: 600, 1,800 mg/day gabapentin, or placebo. Study medication will be given for a 90-day duration. Blinded assessments will be obtained at 7 days post-injury (baseline), 30 days post-injury (interim), after the 90-day treatment duration/approximately 3 months post-injury (end of treatment), and at 6 months post-injury (end of study). The key analysis parameters will evaluate feasibility of recruitment of target population, delivery of drug treatment protocol, maintenance of blinding, and retention of participants.
    Discussion: Outputs from this trial will inform research and clinical practice on the effects of manipulating gabapentin for non-pain management purposes in the acute setting and will guide the development of a properly powered efficacy trial of gabapentin as an intervention for neurorecovery in spinal cord injury.
    Ethics and dissemination: The study was approved by the MetroHealth Institutional Review Board (IRB21-00609) and registered at clinicaltrials.gov prior to enrolling any participants. Dissemination will include peer-reviewed publications, presentations at professional conferences and in the community, and through other healthcare and public venues.
    Clinical trial registration: www.ClinicalTrials.gov, identifier: NCT05302999; protocol version 1.1 approved 05/23/2022.
    Trial funding: National Institute on Disability, Independent Living and Rehabilitation Research.
    Language English
    Publishing date 2022-11-07
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2022.1033386
    Database MEDical Literature Analysis and Retrieval System OnLINE

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