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  1. Article ; Online: Reply to M. Koehler et al.

    Efficace, Fabio / Cottone, Francesco / Lo-Coco, Francesco

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology

    2015  Volume 33, Issue 9, Page(s) 1091–1092

    MeSH term(s) Antineoplastic Agents/therapeutic use ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Arsenicals/therapeutic use ; Humans ; Leukemia, Promyelocytic, Acute/drug therapy ; Oxides/therapeutic use ; Quality of Life ; Tretinoin/therapeutic use
    Chemical Substances Antineoplastic Agents ; Arsenicals ; Oxides ; Tretinoin (5688UTC01R)
    Language English
    Publishing date 2015-03-20
    Publishing country United States
    Document type Comment ; Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 604914-x
    ISSN 1527-7755 ; 0732-183X
    ISSN (online) 1527-7755
    ISSN 0732-183X
    DOI 10.1200/JCO.2014.60.3597
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Navigating Care for Patients With Terminal Illnesses as First-Year Medical Students.

    Cottone, Michael C / Shah, Mohammed M

    Academic medicine : journal of the Association of American Medical Colleges

    2023  

    Language English
    Publishing date 2023-10-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 96192-9
    ISSN 1938-808X ; 1040-2446
    ISSN (online) 1938-808X
    ISSN 1040-2446
    DOI 10.1097/ACM.0000000000005534
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Harnessing the open access version of ChatGPT for enhanced clinical opinions.

    Tenner, Zachary M / Cottone, Michael C / Chavez, Martin R

    PLOS digital health

    2024  Volume 3, Issue 2, Page(s) e0000355

    Abstract: With the advent of Large Language Models (LLMs) like ChatGPT, the integration of Generative Artificial Intelligence (GAI) into clinical medicine is becoming increasingly feasible. This study aimed to evaluate the ability of the freely available ChatGPT-3. ...

    Abstract With the advent of Large Language Models (LLMs) like ChatGPT, the integration of Generative Artificial Intelligence (GAI) into clinical medicine is becoming increasingly feasible. This study aimed to evaluate the ability of the freely available ChatGPT-3.5 to generate complex differential diagnoses, comparing its output to case records of the Massachusetts General Hospital published in the New England Journal of Medicine (NEJM). Forty case records were presented to ChatGPT-3.5, prompting it to provide a differential diagnosis and then narrow it down to the most likely diagnosis. The results indicated that the final diagnosis was included in ChatGPT-3.5's original differential list in 42.5% of the cases. After narrowing, ChatGPT correctly determined the final diagnosis in 27.5% of the cases, demonstrating a decrease in accuracy compared to previous studies using common chief complaints. These findings emphasize the necessity for further investigation into the capabilities and limitations of LLMs in clinical scenarios while highlighting the potential role of GAI as an augmented clinical opinion. Anticipating the growth and enhancement of GAI tools like ChatGPT, physicians and other healthcare workers will likely find increasing support in generating differential diagnoses. However, continued exploration and regulation are essential to ensure the safe and effective integration of GAI into healthcare practice. Future studies may seek to compare newer versions of ChatGPT or investigate patient outcomes with physicians integrating this GAI technology. Understanding and expanding GAI's capabilities, particularly in differential diagnosis, may foster innovation and provide additional resources, especially in underserved areas in the medical field.
    Language English
    Publishing date 2024-02-05
    Publishing country United States
    Document type Journal Article
    ISSN 2767-3170
    ISSN (online) 2767-3170
    DOI 10.1371/journal.pdig.0000355
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A controlled trial assessing the acceptability and efficacy of a yoga-based eating disorder prevention program among division I athletes: Eat Breathe Thrive (EBT).

    Cook-Cottone, Catherine / Rovig, Stephanie / Cottone, Maya / Evelyn Estey, Esther Ellyn / Guyker, Wendy / Roff, Chelsea

    Eating disorders

    2024  , Page(s) 1–19

    Abstract: Objective: This study evaluated the acceptability and effectiveness of the Eat Breathe Thrive (EBT) program as an eating disorder prevention intervention among women collegiate athletes.: Method: Change over time in eating disorder risk and ... ...

    Abstract Objective: This study evaluated the acceptability and effectiveness of the Eat Breathe Thrive (EBT) program as an eating disorder prevention intervention among women collegiate athletes.
    Method: Change over time in eating disorder risk and competencies of positive embodiment were examined in 94 women (
    Results: Repeated measures ANOVAS revealed EBT participants reported experiencing significantly less state anxiety and greater interoceptive body trusting over time relative to matched-controls. No other significant interactions were found. Respondents found the EBT program acceptable.
    Discussion: Acceptability and partial support for integrative, yoga-based, interventions targeting Division I student-athletes is indicated.
    Language English
    Publishing date 2024-02-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1209799-8
    ISSN 1532-530X ; 1064-0266 ; 1067-1633
    ISSN (online) 1532-530X
    ISSN 1064-0266 ; 1067-1633
    DOI 10.1080/10640266.2024.2313296
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: (B)On(e)-cohistones and the epigenetic alterations at the root of bone cancer.

    Salomoni, Paolo / Flanagan, Adrienne M / Cottone, Lucia

    Cell death and differentiation

    2023  

    Abstract: Identification of mutations in histones in a number of human neoplasms and developmental syndromes represents the most compelling evidence to date for a causal role of epigenetic perturbations in human disease. In most cases, these mutations have gain of ...

    Abstract Identification of mutations in histones in a number of human neoplasms and developmental syndromes represents the most compelling evidence to date for a causal role of epigenetic perturbations in human disease. In most cases, these mutations have gain of function properties that cause deviation from normal developmental processes leading to embryo defects and/or neoplastic transformation. These exciting discoveries represent a step-change in our understanding of the role of chromatin (dys)regulation in development and disease. However, the mechanisms of action of oncogenic histone mutations (oncohistones) remain only partially understood. Here, we critically assess existing literature on oncohistones focussing mainly on bone neoplasms. We show how it is possible to draw parallels with some of the cell-autonomous mechanisms of action described in paediatric brain cancer, although the functions of oncohistones in bone tumours remain under-investigated. In this respect, it is becoming clear that histone mutations targeting the same residues display, at least in part, tissue-specific oncogenic mechanisms. Furthermore, it is emerging that cancer cells carrying oncohistones can modify the surrounding microenvironment to support growth and/or alter differentiation trajectories. A better understanding of oncohistone function in different neoplasms provide potential for identification of signalling that could be targeted therapeutically. Finally, we discuss some of the main concepts and future directions in this research area, while also drawing possible connections and parallels with other cancer epigenetic mechanisms.
    Language English
    Publishing date 2023-10-12
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1225672-9
    ISSN 1476-5403 ; 1350-9047
    ISSN (online) 1476-5403
    ISSN 1350-9047
    DOI 10.1038/s41418-023-01227-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Otolaryngologic sequelae of Ehlers Danlos Syndrome in pediatric patients.

    Cottone, Chloe / Nanu, Douglas / Gawel, Erin M / Corbin, Alexandra F / Clausen, Sean / Carr, Michele

    International journal of pediatric otorhinolaryngology

    2024  Volume 180, Page(s) 111959

    Abstract: Objective: As outlined by the NIH, Ehlers Danlos Syndrome (EDS) is a group of hereditary connective tissue disorders characterized by skin hyperelasticity, joint hypermobility, atrophic scarring, and blood vessel fragility, with no otolaryngological ... ...

    Abstract Objective: As outlined by the NIH, Ehlers Danlos Syndrome (EDS) is a group of hereditary connective tissue disorders characterized by skin hyperelasticity, joint hypermobility, atrophic scarring, and blood vessel fragility, with no otolaryngological criteria for diagnosis. We aimed to compare otolaryngological disorders between children with EDS and those not affected by EDS.
    Methods: A retrospective chart review was conducted using the US collaborative network within TriNetX. The EDS group was defined by ICD-10 code G47.33, while the non-EDS group excluded any patients with an EDS diagnosis. Cohorts were matched by age, sex, and race using propensity score matching. Pathologies analyzed included hearing loss (ICD-10H90, H91), otitis media (ICD-10H66, H65), allergic rhinitis, acute tonsillitis (ICD-10 J03), sinusitis (ICD-10 J32, J01), and obstructive sleep apnea (OSA) (ICD-10 G47.33). Chi-square and relative risk within a 95 % confidence interval were calculated.
    Results: Propensity score matching yielded 6440 patients (male: N = 2,523, 39.2 %; female: N = 3,893, 60.5 %; unknown: N = 24, 0.37 %) with a mean age of 9.28 years (SD = 4.38). Children with EDS were 2.04 times more likely to be diagnosed with hearing loss, occurring in 286 (4.4 %) EDS children versus 140 (2.1 %) controls (P < 0.001). Children with EDS were 1.6 times more likely to be diagnosed with allergic rhinitis, occurring in 436 (6.8 %) EDS children versus 274 (4.2 %) controls (P < 0.001). Children with EDS were also 1.52 times (EDS: N = 350, 5.4 %; control: N = 231, 3.6 %) and 4.24 times (EDS: N = 335, 5.2 %; control: N = 79, 1.2 %) more likely to develop sinusitis and be diagnosed with OSA, respectively, compared to children without EDS (P < 0.001). However, children with EDS were only 0.71 times as likely to develop acute tonsillitis, with 101 (1.6 %) of EDS children compared to 142 (2.2 %) of control children being diagnosed (P = 0.009). No statistical difference was found in risk of developing otitis media.
    Conclusions: Children with EDS are at higher risk of developing hearing loss, allergic rhinitis, acute sinusitis, and OSA, possibly due to underlying immune dysfunction. Pediatric otolaryngologists should be vigilant about these otolaryngologic sequela in EDS patients.
    Language English
    Publishing date 2024-04-22
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 754501-0
    ISSN 1872-8464 ; 0165-5876
    ISSN (online) 1872-8464
    ISSN 0165-5876
    DOI 10.1016/j.ijporl.2024.111959
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Working with older adults impacts training preferences of counselors.

    Schmidt, Nicholas E / Cottone, R Rocco / Steffen, Ann M

    Gerontology & geriatrics education

    2022  Volume 45, Issue 1, Page(s) 86–91

    Abstract: Clinicians specializing in working with older adults make up a very small portion of providers, and the majority of the service provision falls on general practitioners. Licensed Professional Counselors (LPCs) have heavily focused on Multicultural ... ...

    Abstract Clinicians specializing in working with older adults make up a very small portion of providers, and the majority of the service provision falls on general practitioners. Licensed Professional Counselors (LPCs) have heavily focused on Multicultural Competency in training and practice, but the profession has not specified standards of competence for work with older adults. Efforts to increase competency for generalists providing care for older adults are needed. A random sampling of LPCs was surveyed regarding demographic variables, work characteristics, perceived competence for working with older adults, and interest in aging-specific continuing education (CE). About half of the sample reported engaging in practice with older adults over the previous year. Counselors who reported practicing with older adults over the last year were more interested in aging-specific CE and reported higher perceived competence for working with older adults.
    MeSH term(s) Humans ; Aged ; Counselors ; Geriatrics/education ; Education, Continuing ; Clinical Competence ; Surveys and Questionnaires
    Language English
    Publishing date 2022-11-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 605726-3
    ISSN 1545-3847 ; 0270-1960
    ISSN (online) 1545-3847
    ISSN 0270-1960
    DOI 10.1080/02701960.2022.2139693
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Increases in preventable diseases due to antivaccination beliefs: Implications for schools.

    Cottone, Dina M / McCabe, Paul C

    School psychology (Washington, D.C.)

    2022  Volume 37, Issue 4, Page(s) 319–329

    Abstract: Human history is replete with pandemics caused by virulent diseases that have produced overwhelming suffering and death. Our future will require swift, sensible, and near-universal vaccine response as viruses evolve and thrive. When viruses like COVID-19, ...

    Abstract Human history is replete with pandemics caused by virulent diseases that have produced overwhelming suffering and death. Our future will require swift, sensible, and near-universal vaccine response as viruses evolve and thrive. When viruses like COVID-19, SARS-CoV-2 emerge and mutate, vaccine researchers must be nimble and responsive to quickly develop effective vaccines. However, averting a preventable disease and consequent pandemic also requires the participation of all members of society, and there remain a considerable number of individuals who refuse to accept vaccination as a safe and effective prophylaxis. This refusal stems from deeply rooted fears and values and is further reinforced by antivaccination propaganda circulating the internet and media. By considering the psychological underpinnings of antivaccination attitudes, vaccination advocates, scientists, and policy makers can adapt and target their vaccination campaigns to appeal to those with doubts and concerns about vaccines. Schools serve an important role in promoting and mandating vaccinations to help prevent disease, and vaccinations are vital in school settings where densely populated classrooms facilitate the propagation of disease. School administrators and school nurses have important roles in establishing vaccination requirements and ensuring compliance, and school psychologists and mental health staff can help address vaccination concerns, doubts, and fears among school staff, parents, and students. It is vital that scientists, health care providers, and school staff work collaboratively to communicate with families and children about vaccination and counter antivaccination narratives with emotionally compelling stories that promote vaccine uptake and prevent disease outbreaks. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
    MeSH term(s) COVID-19 ; Child ; Humans ; Pandemics ; SARS-CoV-2 ; Vaccination/psychology ; Vaccines
    Chemical Substances Vaccines
    Language English
    Publishing date 2022-04-28
    Publishing country United States
    Document type Journal Article
    ISSN 2578-4226
    ISSN (online) 2578-4226
    DOI 10.1037/spq0000504
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Improving the Design of Undergraduate Biology Courses toward the Goal of Retention: The Case of Real-World Inquiry and Active Learning through Metagenomics.

    Cottone, Amanda M / Yoon, Susan

    Journal of microbiology & biology education

    2020  Volume 21, Issue 1

    Abstract: Retention in science is low in undergraduate populations, especially for under-represented minority (URM) and first generation (FG) college students. Thus, educators have been called upon to design curricula to counteract this trend. This study examined ... ...

    Abstract Retention in science is low in undergraduate populations, especially for under-represented minority (URM) and first generation (FG) college students. Thus, educators have been called upon to design curricula to counteract this trend. This study examined variables most likely to lead to retention, such as increased achievement, improved attitudes, and self-efficacy beliefs, through participation in active learning and real-world research experiences in an introductory biology course. The research experience was embedded in metagenomics content and processes that have increasingly gained focus in microbiology. This study also investigated differences in learning outcomes when the curriculum was infused with more active learning. The active learning components included integrating interactive technology into the pre-lab lectures, providing students with authentic protocols to conduct lab work, and allowing students to rerun problematic samples. Results showed increased achievement for URM/FG students, although this was not strongly tied to the active learning elements incorporated into the three-week metagenomics research experience. However, students participating in research with more active learning did report higher frequencies of engaging in mastery experiences (an important source of self-efficacy) when compared with students engaged in research with less active learning. This analysis can aid in identifying specific curricular design features associated with promoting retention in undergraduate biology and science programs in general.
    Language English
    Publishing date 2020-04-10
    Publishing country United States
    Document type Journal Article
    ISSN 1935-7877
    ISSN 1935-7877
    DOI 10.1128/jmbe.v21i1.1965
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Weight Loss Effects of Glucagon-Like Peptide-One Receptor Analog Treatment in a Severely Obese Patient During Hospital Admission.

    Figueredo, Yaiseli / Cottone, Claudia / Ferreira, Tanira / Gonzalez, Jesus / Iacobellis, Gianluca

    Cureus

    2023  Volume 15, Issue 1, Page(s) e34331

    Abstract: ... 314 kg) with a body mass index (BMI) of 108 kg/m ...

    Abstract Obesity is considered an independent risk factor for increased hospital length of stay and can be an obstacle to a safe discharge. Although typically prescribed in the outpatient setting, initiating glucagon-like peptide-one receptor agonists (GLP-1RAs) in the inpatient setting can be efficacious in reducing weight and increasing functional status. We report the use of GLP-1RA therapy with liraglutide and subsequent transition to subcutaneous semaglutide weekly in a 37-year-old female with severe obesity, weighing 694 lbs (314 kg) with a body mass index (BMI) of 108 kg/m
    Language English
    Publishing date 2023-01-29
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.34331
    Database MEDical Literature Analysis and Retrieval System OnLINE

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