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Article ; Online: What do infectious disease specialists think about managing long COVID?

Lyons, Maureen D / Beekmann, Susan E / Polgreen, Philip M / Marschall, Jonas

Antimicrobial stewardship & healthcare epidemiology : ASHE

2023 Volume 3, Issue 1, Page(s) e236

Abstract: This survey of infectious disease providers on long COVID care revealed a lack of familiarity with existing resources, a sentiment of missing guidelines, and scarcity of dedicated care centers. The low response rate suggests that infectious disease ... ...

Abstract	This survey of infectious disease providers on long COVID care revealed a lack of familiarity with existing resources, a sentiment of missing guidelines, and scarcity of dedicated care centers. The low response rate suggests that infectious disease specialists do not consider themselves as the primary providers of long COVID care.
Language	English
Publishing date	2023-12-14
Publishing country	England
Document type	Journal Article
ISSN	2732-494X
ISSN (online)	2732-494X
DOI	10.1017/ash.2023.519
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Listening to the Voices of Gay and Bisexual Men and Other Men Who Have Sex with Men in Kenya: Recommendations for Improved HIV Prevention Programming.

Lyons, Myla / Harper, Gary W / Jadwin-Cakmak, Laura / Beyer, Adrian / Graham, Susan M

The undergraduate journal of public health at the University of Michigan

2024 Volume 7, Page(s) 84–96

Abstract: Young gay and bisexual men and other men who have sex with men (GBMSM) are a key population at high risk for new human immunodeficiency virus (HIV) infections in Kenya; thus, increased efforts are necessary to reduce their health risks. This qualitative ... ...

Abstract	Young gay and bisexual men and other men who have sex with men (GBMSM) are a key population at high risk for new human immunodeficiency virus (HIV) infections in Kenya; thus, increased efforts are necessary to reduce their health risks. This qualitative study describes recommendations offered by young GBMSM in Kenya regarding the development and delivery of culturally appropriate HIV prevention services. Both young GBMSM Community Members and Peer Educators recommend that future HIV prevention efforts enhance economic empowerment, provide mental health and substance use services, and incorporate arts-based health promotion strategies. In addition, participants recommended that public health professionals increase the ease of access to HIV prevention services for GBMSM and that researchers disseminate findings from HIV prevention research back to the community.
Language	English
Publishing date	2024-06-14
Publishing country	United States
Document type	Journal Article
ISSN	2766-7200
ISSN (online)	2766-7200
DOI	10.3998/ujph.3949
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: What do infectious disease specialists think about managing long COVID?

Maureen D. Lyons / Susan E. Beekmann / Philip M. Polgreen / Jonas Marschall

Antimicrobial Stewardship & Healthcare Epidemiology, Vol

2023 Volume 3

Abstract	This survey of infectious disease providers on long COVID care revealed a lack of familiarity with existing resources, a sentiment of missing guidelines, and scarcity of dedicated care centers. The low response rate suggests that infectious disease specialists do not consider themselves as the primary providers of long COVID care.
Keywords	Infectious and parasitic diseases ; RC109-216 ; Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2023-01-01T00:00:00Z
Publisher	Cambridge University Press
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Examining the Interplay between the Cognitive and Emotional Aspects of Gender Differences in Spatial Processing.

Fioriti, Cynthia M / Martell, Raeanne N / Daker, Richard J / Malone, Eleanor P / Sokolowski, H Moriah / Green, Adam E / Levine, Susan C / Maloney, Erin A / Ramirez, Gerardo / Lyons, Ian M

Journal of Intelligence

2024 Volume 12, Issue 3

Abstract: Women reliably perform worse than men on measures of spatial ability, particularly those involving mental rotation. At the same time, females also report higher levels of spatial anxiety than males. What remains unclear, however, is whether and in what ... ...

Abstract	Women reliably perform worse than men on measures of spatial ability, particularly those involving mental rotation. At the same time, females also report higher levels of spatial anxiety than males. What remains unclear, however, is whether and in what ways gender differences in these cognitive and affective aspects of spatial processing may be interrelated. Here, we tested for robust gender differences across six different datasets in spatial ability and spatial anxiety (N = 1257, 830 females). Further, we tested for bidirectional mediation effects. We identified indirect relations between gender and spatial skills through spatial anxiety, as well as between gender and spatial anxiety through spatial skills. In the gender → spatial anxiety → spatial ability direction, spatial anxiety explained an average of 22.4% of gender differences in spatial ability. In the gender → spatial ability → spatial anxiety direction, spatial ability explained an average of 25.9% of gender differences in spatial anxiety. Broadly, these results support a strong relation between cognitive and affective factors when explaining gender differences in the spatial domain. However, the nature of this relation may be more complex than has been assumed in previous literature. On a practical level, the results of this study caution the development of interventions to address gender differences in spatial processing which focus primarily on either spatial anxiety or spatial ability until such further research can be conducted. Our results also speak to the need for future longitudinal work to determine the precise mechanisms linking cognitive and affective factors in spatial processing.
Language	English
Publishing date	2024-03-04
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2721035-2
ISSN	2079-3200 ; 2079-3200
ISSN (online)	2079-3200
ISSN	2079-3200
DOI	10.3390/jintelligence12030030
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Article ; Online: Harnessing the Power of Generative AI for Clinical Summaries: Perspectives From Emergency Physicians.

Barak-Corren, Yuval / Wolf, Rebecca / Rozenblum, Ronen / Creedon, Jessica K / Lipsett, Susan C / Lyons, Todd W / Michelson, Kenneth A / Miller, Kelsey A / Shapiro, Daniel J / Reis, Ben Y / Fine, Andrew M

Annals of emergency medicine

2024

Abstract: Study objective: The workload of clinical documentation contributes to health care costs and professional burnout. The advent of generative artificial intelligence language models presents a promising solution. The perspective of clinicians may ... ...

Abstract	Study objective: The workload of clinical documentation contributes to health care costs and professional burnout. The advent of generative artificial intelligence language models presents a promising solution. The perspective of clinicians may contribute to effective and responsible implementation of such tools. This study sought to evaluate 3 uses for generative artificial intelligence for clinical documentation in pediatric emergency medicine, measuring time savings, effort reduction, and physician attitudes and identifying potential risks and barriers. Methods: This mixed-methods study was performed with 10 pediatric emergency medicine attending physicians from a single pediatric emergency department. Participants were asked to write a supervisory note for 4 clinical scenarios, with varying levels of complexity, twice without any assistance and twice with the assistance of ChatGPT Version 4.0. Participants evaluated 2 additional ChatGPT-generated clinical summaries: a structured handoff and a visit summary for a family written at an 8th grade reading level. Finally, a semistructured interview was performed to assess physicians' perspective on the use of ChatGPT in pediatric emergency medicine. Main outcomes and measures included between subjects' comparisons of the effort and time taken to complete the supervisory note with and without ChatGPT assistance. Effort was measured using a self-reported Likert scale of 0 to 10. Physicians' scoring of and attitude toward the ChatGPT-generated summaries were measured using a 0 to 10 Likert scale and open-ended questions. Summaries were scored for completeness, accuracy, efficiency, readability, and overall satisfaction. A thematic analysis was performed to analyze the content of the open-ended questions and to identify key themes. Results: ChatGPT yielded a 40% reduction in time and a 33% decrease in effort for supervisory notes in intricate cases, with no discernible effect on simpler notes. ChatGPT-generated summaries for structured handoffs and family letters were highly rated, ranging from 7.0 to 9.0 out of 10, and most participants favored their inclusion in clinical practice. However, there were several critical reservations, out of which a set of general recommendations for applying ChatGPT to clinical summaries was formulated. Conclusion: Pediatric emergency medicine attendings in our study perceived that ChatGPT can deliver high-quality summaries while saving time and effort in many scenarios, but not all.
Language	English
Publishing date	2024-03-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	603080-4
ISSN	1097-6760 ; 0196-0644
ISSN (online)	1097-6760
ISSN	0196-0644
DOI	10.1016/j.annemergmed.2024.01.039
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Zs.A 1344: Show issues

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Article ; Online: Sex Differences in Forebrain Monoaminergic Response to Song Performance.

Lyons, Susan M / Sockman, Keith W

Brain, behavior and evolution

2017 Volume 89, Issue 3, Page(s) 219–230

Abstract: In many species, successful reproduction is dependent on the ability to adjust social behavior in response to an ever-changing social environment. Because a sexual signal's value and meaning can differ between females and males, responses to those ... ...

Abstract	In many species, successful reproduction is dependent on the ability to adjust social behavior in response to an ever-changing social environment. Because a sexual signal's value and meaning can differ between females and males, responses to those signals should also differ. One way individuals can modulate social behavior is through experience-dependent modulation of the sensory systems that process social signals. Central monoamines (norepinephrine, dopamine, serotonin) modulate neural sensitivity to social stimuli and are key regulators of experience-dependent neuroplasticity in vertebrate sensory systems. However, few studies have examined how exposure to different sexual signals influences monoaminergic activity in female compared to male sensory systems. We used Lincoln's sparrows (Melospiza lincolnii) to examine sex differences in how variation in the trill performance of song influences central monoaminergic activity in the auditory telencephalon. Trill performance measures the rate at which a song syllable is produced relative to the syllable's frequency bandwidth and is thought to reflect the difficulty with which songs are produced. High-performance trills are more threatening to males but more attractive to females. We found that the effects of trill performance on monoaminergic activity were sex-dependent. Relative to the response to low-performance songs, exposure to high-performance songs decreased noradrenergic activity in the caudomedial nidopallium, and tended to decrease serotoninergic activity in the caudomedial mesopallium and caudomedial nidopallium of the auditory telencephalon in females, but in males, the monoamine measurements were indistinguishable between song treatments. These results suggest that the mechanisms underlying sensory processing of male sexual signals differ between the sexes.
Language	English
Publishing date	2017
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	1199-x
ISSN	1421-9743 ; 0006-8977
ISSN (online)	1421-9743
ISSN	0006-8977
DOI	10.1159/000471784
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Article ; Online: How Song Experience Affects Female Mate-Choice, Male Song, and Monoaminergic Activity in the Auditory Telencephalon in Lincoln's Sparrows.

Sockman, Keith W / Lyons, Susan M

Integrative and comparative biology

2017 Volume 57, Issue 4, Page(s) 891–901

Abstract: A sexual signal can indicate not only the signaler's attractiveness as a potential mate but also the signaler's competitiveness relative to rivals. As the attractiveness or competitiveness of the prevailing signaling environment increases, individuals ... ...

Abstract	A sexual signal can indicate not only the signaler's attractiveness as a potential mate but also the signaler's competitiveness relative to rivals. As the attractiveness or competitiveness of the prevailing signaling environment increases, individuals prospecting for mates should change their choice threshold, whereas competing individuals should shift resources toward elevating their own competitiveness. Previous studies show that experimental elevations of song competition increase male competitive behavior in Lincoln's sparrows (Melospiza lincolnii) and European starlings (Sturnus vulgaris). Through a series of experimental manipulations using laboratory-housed Lincoln's sparrows, we have also discovered that females change the strength of their song preferences depending on the attractiveness of the song environment to which they have recently been exposed; compared to a less-attractive environment, a highly-attractive environment elevates the threshold for releasing phonotaxis behavior toward male song. These behavioral adjustments are associated with changes in forebrain monoaminergic activity that are triggered by experimental manipulations of the quality of the song environment. Findings from these studies suggest possible neural mechanisms for the regulation of adaptive behavioral plasticity associated with dynamic sexual signaling environments.
MeSH term(s)	Animals ; Female ; Male ; Mating Preference, Animal ; Songbirds/physiology ; Sparrows/physiology ; Telencephalon/physiology ; Vocalization, Animal
Language	English
Publishing date	2017-10-09
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2159110-6
ISSN	1557-7023 ; 1540-7063
ISSN (online)	1557-7023
ISSN	1540-7063
DOI	10.1093/icb/icx080
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Infection of Feral Phenotype Swine with Japanese Encephalitis Virus.

Park, So Lee / Huang, Yan-Jang S / Lyons, Amy C / Ayers, Victoria B / Hettenbach, Susan M / McVey, D Scott / Noronha, Leela E / Burton, Kenneth R / Higgs, Stephen / Vanlandingham, Dana L

Vector borne and zoonotic diseases (Larchmont, N.Y.)

2023 Volume 23, Issue 12, Page(s) 645–652

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Animals ; Swine ; Humans ; Child ; Encephalitis Virus, Japanese/genetics ; Encephalitis, Japanese/epidemiology ; Encephalitis, Japanese/veterinary ; Swine, Miniature ; Birds ; Culex ; Culicidae ; Phenotype
Language	English
Publishing date	2023-09-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	2047199-3
ISSN	1557-7759 ; 1530-3667
ISSN (online)	1557-7759
ISSN	1530-3667
DOI	10.1089/vbz.2023.0030
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Article: Exploring Nurse Practitioner Students' Perceptions of a Sleep e-Learning Program.

Watach, Alexa J / McPhillips, Miranda V / Saconi, Bruno / Lang-Gallagher, Rebecca / Lyons, M Melanie / Renz, Susan M / Rosen, Ilene M / Sawyer, Amy M

Nursing education perspectives

2023 Volume 44, Issue 4, Page(s) 229–236

Abstract: Aim: The aim of this study was to explore nurse practitioner (NP) students' perceptions of a sleep e-learning program.: Background: Sleep assessment is uncommon as nursing curricula lack sleep education. By preparing NPs to conduct sleep assessment ... ...

Abstract	Aim: The aim of this study was to explore nurse practitioner (NP) students' perceptions of a sleep e-learning program. Background: Sleep assessment is uncommon as nursing curricula lack sleep education. By preparing NPs to conduct sleep assessment and screening and understand basic sleep diagnostics, sleep health is more likely to be part of the differential diagnosis. Method: The study is a qualitative descriptive study utilizing two focus groups. A directed content analysis, guided by the Kirkpatrick model, was used for analysis. Results: Twenty-four students participated in focus groups. Two overarching themes emerged: perceptions of course design and content. Asynchronous, case-based scenarios and quizzes were favorable. Students spoke of content relevance to themselves and patients and intentions to adopt sleep assessment practices. Conclusion: NP students embraced sleep education and declared intention to apply learned skills in practice. This study highlights the feasibility of increasing curricular exposure to sleep education and ensuring NPs have skills to recognize implications of poor and disordered sleep in patients.
MeSH term(s)	Humans ; Computer-Assisted Instruction ; Education, Nursing ; Qualitative Research ; Students ; Sleep ; Nurse Practitioners ; Students, Nursing ; Education, Nursing, Baccalaureate
Language	English
Publishing date	2023-07-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	2075410-3
ISSN	1943-4685 ; 1536-5026
ISSN (online)	1943-4685
ISSN	1536-5026
DOI	10.1097/01.NEP.0000000000001132
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 3023: Show issues

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Article: Association of cancer diagnosis with disability status among older survivors of colorectal cancer: a population-based retrospective cohort study.

Zhang, Shiming / Chou, Lin-Na / Swartz, Michael D / Mehta, Hemalkumar B / Goodwin, James S / Kuo, Yong-Fang / Giordano, Sharon Hermes / Tucker, Carole A / Basen-Engquist, Karen M / Lyons, Elizabeth J / Downer, Brian / Peterson, Susan K / Cao, Tru / Swartz, Maria C

Frontiers in oncology

2024 Volume 14, Page(s) 1283252

Abstract: Background: Older cancer survivors likely experience physical function limitations due to cancer and its treatments, leading to disability and early mortality. Existing studies have focused on factors associated with surgical complications and mortality ...

Abstract	Background: Older cancer survivors likely experience physical function limitations due to cancer and its treatments, leading to disability and early mortality. Existing studies have focused on factors associated with surgical complications and mortality risk rather than factors associated with the development of poor disability status (DS), a proxy measure of poor performance status, in cancer survivors. We aimed to identify factors associated with the development of poor DS among older survivors of colorectal cancer (CRC) and compare poor DS rates to an age-sex-matched, non-cancer cohort. Methods: This retrospective cohort study utilized administrative data from the Texas Cancer Registry Medicare-linked database. The study cohort consisted of 13,229 survivors of CRC diagnosed between 2005 and 2013 and an age-sex-matched, non-cancer cohort of 13,225 beneficiaries. The primary outcome was poor DS, determined by Davidoff's method, using predictors from 12 months of Medicare claims after cancer diagnosis. Multivariable Cox proportional hazards regression was used to identify risk factors associated with the development of poor DS. Results: Among the survivors of CRC, 97% were 65 years or older. After a 9-year follow-up, 54% of survivors of CRC developed poor DS. Significant factors associated with future poor DS included: age at diagnosis (hazard ratio [HR] = 3.50 for >80 years old), female sex (HR = 1.50), race/ethnicity (HR = 1.34 for Hispanic and 1.21 for Black), stage at diagnosis (HR = 2.26 for distant metastasis), comorbidity index (HR = 2.18 for >1), and radiation therapy (HR = 1.21). Having cancer (HR = 1.07) was significantly associated with developing poor DS in the pooled cohorts; age and race/ethnicity were also significant factors. Conclusions: Our findings suggest that a CRC diagnosis is independently associated with a small increase in the risk of developing poor DS after accounting for other known factors. The study identified risk factors for developing poor DS in CRC survivors, including Hispanic and Black race/ethnicity, age, sex, histologic stage, and comorbidities. These findings underscore the importance of consistent physical function assessments, particularly among subsets of older survivors of CRC who are at higher risk of disability, to prevent developing poor DS.
Language	English
Publishing date	2024-03-15
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2649216-7
ISSN	2234-943X
ISSN	2234-943X
DOI	10.3389/fonc.2024.1283252
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