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  1. Article ; Online: Amygdalar Excitation of Hippocampal Interneurons Can Lead to Emotion-driven Overgeneralization of Context.

    John, Yohan J / Wang, Jingyi / Bullock, Daniel / Barbas, Helen

    Journal of cognitive neuroscience

    2024  , Page(s) 1–20

    Abstract: Context is central to cognition: Detailed contextual representations enable flexible adjustment of behavior via comparison of the current situation with prior experience. Emotional experiences can greatly enhance contextual memory. However, sufficiently ... ...

    Abstract Context is central to cognition: Detailed contextual representations enable flexible adjustment of behavior via comparison of the current situation with prior experience. Emotional experiences can greatly enhance contextual memory. However, sufficiently intense emotional signals can have the opposite effect, leading to weaker or less specific memories. How can emotional signals have such intensity-dependent effects? A plausible mechanistic account has emerged from recent anatomical data on the impact of the amygdala on the hippocampus in primates. In hippocampal CA3, the amygdala formed potent synapses on pyramidal neurons, calretinin (CR) interneurons, as well as parvalbumin (PV) interneurons. CR interneurons are known to disinhibit pyramidal neuron dendrites, whereas PV neurons provide strong perisomatic inhibition. This potentially counterintuitive connectivity, enabling amygdala to both enhance and inhibit CA3 activity, may provide a mechanism that can boost or suppress memory in an intensity-dependent way. To investigate this possibility, we simulated this connectivity pattern in a spiking network model. Our simulations revealed that moderate amygdala input can enrich CA3 representations of context through disinhibition via CR interneurons, but strong amygdalar input can impoverish CA3 activity through simultaneous excitation and feedforward inhibition via PV interneurons. Our model revealed an elegant circuit mechanism that mediates an affective "inverted U" phenomenonv: There is an optimal level of amygdalar input that enriches hippocampal context representations, but on either side of this zone, representations are impoverished. This circuit mechanism helps explain why excessive emotional arousal can disrupt contextual memory and lead to overgeneralization, as seen in severe anxiety and posttraumatic stress disorder.
    Language English
    Publishing date 2024-01-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1007410-7
    ISSN 1530-8898 ; 0898-929X ; 1096-8857
    ISSN (online) 1530-8898
    ISSN 0898-929X ; 1096-8857
    DOI 10.1162/jocn_a_02109
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Safe Sex After Total Hip Arthroplasty: Using Computed Tomography-Based Robotics to Evaluate "At-Risk" Sexual Positions.

    Stegelmann, Samuel D / Butler, Justin T / Hiatt, John L / Bullock, Matthew W

    The Journal of arthroplasty

    2023  Volume 39, Issue 2, Page(s) 433–440.e4

    Abstract: Background: Total hip arthroplasty (THA) can improve sexual satisfaction, but fear of dislocation can lead to sexual difficulties following this procedure. Previous kinematic research identified 4 sexual positions in women and 2 in men that were ... ...

    Abstract Background: Total hip arthroplasty (THA) can improve sexual satisfaction, but fear of dislocation can lead to sexual difficulties following this procedure. Previous kinematic research identified 4 sexual positions in women and 2 in men that were considered at risk for impingement. This study aimed to validate these findings using current robotic THA simulations.
    Methods: The 3-dimensional renderings from 12 patients who received computed tomography (CT)-based robotic THA were used to assess for prosthetic and/or bony impingement among 12 popular sexual positions. There were 9 cup orientations tested for each position (a combination of anteversion [0 °, 15 °, and 30 °] and inclination [40 °, 45 °, and 60 °]). The at-risk positions were tested again using the unique hip positions and cup orientations where previous geometric modeling data found impingement to occur.
    Results: Using mean hip positions, impingement occurred in at least 1 patient in 1 of the 12 positions for women (position 5) and 5 of the 12 positions for men (positions 1, 5, 8, 10, and 11). Among the at-risk positions, impingement occurred in none of the 2 at-risk women positions (0 of 17 cup orientations) and in both at-risk men positions (9 of 9 cup orientations for position 8 and 1 of 1 for position 11).
    Conclusion: Recreating popular and at-risk sexual positions following THA with a CT-based robotics system yielded results that were inconsistent with previous geometric modeling data. Resolving these discrepancies is crucial for surgeons to provide accurate postoperative patient education. The CT-based robotic systems may provide necessary input to feasibly individualize such recommendations, but current limitations in CT-based robotics require continued attention and innovation.
    MeSH term(s) Male ; Humans ; Female ; Arthroplasty, Replacement, Hip/methods ; Hip Joint/diagnostic imaging ; Hip Joint/surgery ; Hip Prosthesis ; Safe Sex ; Tomography, X-Ray Computed
    Language English
    Publishing date 2023-08-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632770-9
    ISSN 1532-8406 ; 0883-5403
    ISSN (online) 1532-8406
    ISSN 0883-5403
    DOI 10.1016/j.arth.2023.08.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: The tale of 2 pancreases: Jejunal mesenteric ectopic pancreas causing recurrent ectopic pancreatitis.

    Bullock, Catherine / Amiraian, Dana / Almerey, Tariq / Stauffer, John / Komforti, Miglena K / LeGout, Jordan D

    Radiology case reports

    2023  Volume 19, Issue 1, Page(s) 464–467

    Abstract: Ectopic pancreas, or the presence of pancreatic tissue separate from the anatomic pancreas, is rarely reported in locations other than the stomach or duodenum. A 43-year-old female was found to have a large jejunal mesenteric ectopic pancreas causing ... ...

    Abstract Ectopic pancreas, or the presence of pancreatic tissue separate from the anatomic pancreas, is rarely reported in locations other than the stomach or duodenum. A 43-year-old female was found to have a large jejunal mesenteric ectopic pancreas causing ectopic pancreatitis during workup for frequent episodes of abdominal pain. We present the imaging findings and postresection pathology findings of a rare jejunal ectopic pancreas and discuss the potential complications of this unique condition.
    Language English
    Publishing date 2023-11-17
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2406300-9
    ISSN 1930-0433
    ISSN 1930-0433
    DOI 10.1016/j.radcr.2023.10.049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Recurrent Fevers and Neuro-ophthalmic Disorders in a Mathematical Genius.

    Bullock, John D / Warwar, Ronald E / Bradford Hawley, H

    Neuro-ophthalmology (Aeolus Press)

    2021  Volume 45, Issue 2, Page(s) 131–138

    Abstract: Horner's syndrome coexisting with an ipsilateral fourth cranial nerve palsy is a rare occurrence and likely localises to pathology in the cavernous sinus. One such case may have occurred in the ... ...

    Abstract Horner's syndrome coexisting with an ipsilateral fourth cranial nerve palsy is a rare occurrence and likely localises to pathology in the cavernous sinus. One such case may have occurred in the 18
    Language English
    Publishing date 2021-03-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 604820-1
    ISSN 1744-506X ; 0165-8107
    ISSN (online) 1744-506X
    ISSN 0165-8107
    DOI 10.1080/01658107.2020.1835993
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Temporal patterns in vital sign recording within and across general hospital wards.

    Noë, Beryl / Bullock, Alison / Frankish, John / Turner, Liam D

    Resuscitation plus

    2022  Volume 10, Page(s) 100247

    Abstract: Introduction: The use of mobile devices on hospital wards to record patient vital signs and Early Warning Scores provides opportunity for secondary analysis of the data collected. This research investigated how such analysis can contribute to the ... ...

    Abstract Introduction: The use of mobile devices on hospital wards to record patient vital signs and Early Warning Scores provides opportunity for secondary analysis of the data collected. This research investigated how such analysis can contribute to the understanding of the complexities of managing clinical care in hospital environments.
    Methods: The influence of ward type and the distribution of patient observation intervals was evaluated in relation to the timing of vital signs observation patterns in data collected from eight adult in-patient wards over a 12-month period. Actual and projected observation times were compared across patients with higher and lower National Early Warning Scores (NEWS).
    Results: Both ward type and the distribution of patient observation intervals were significant predictors of temporal observation patterns. Observation patterns showed evidence of grouping of observation recordings. This was, however, not found for observations of patients with higher NEWS scores (3 or more).
    Conclusions: Secondary analysis of vital signs observation data can reveal insights into how ward operate. The patterns of observation recordings within a ward are a reflection of ward type and the distribution of patient observation intervals. The grouping of observation recordings of patients with low NEWS (<3) result in late or early observations to fit activity peaks characteristic of the ward culture.
    Language English
    Publishing date 2022-05-21
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2666-5204
    ISSN (online) 2666-5204
    DOI 10.1016/j.resplu.2022.100247
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Oxidized Zirconium Versus Cobalt Chromium for Primary TKA: No Difference in Midterm Revision Rates From the American Joint Replacement Registry.

    Gowd, Anirudh K / Bang, Katrina E / Bullock, Garrett S / Luo, Tianyi D / Matthews, John H / Rosas, Samuel / Shields, John S / Plate, Johannes F

    Clinical orthopaedics and related research

    2023  Volume 481, Issue 8, Page(s) 1553–1559

    Abstract: Background: Cobalt chromium (CoCr) is the most commonly used material in TKA; however, the use of oxidized zirconium (OxZr) implants has increased. The advantages to this material demonstrated in basic science studies have not been borne out in clinical ...

    Abstract Background: Cobalt chromium (CoCr) is the most commonly used material in TKA; however, the use of oxidized zirconium (OxZr) implants has increased. The advantages to this material demonstrated in basic science studies have not been borne out in clinical studies to date.
    Question/purpose: In the setting of the American Joint Replacement Registry (AJRR), how do revision rates differ between CoCr and OxZr after primary TKA?
    Methods: The AJRR was accessed for all primary TKAs performed between 2012 and 2020 for osteoarthritis, resulting in 441,605 procedures (68,506 with OxZr and 373,099 with CoCr). The AJRR is the largest joint replacement registry worldwide and collects procedure-specific details, making it ideal for large-scale comparisons of implant materials in the United States. Competing risk survival analyses were used to evaluate the all-cause revision rates of primary TKAs, comparing CoCr and OxZr implants. Data from the Centers for Medicare and Medicaid Services claims from 2012 to 2017 were also cross-referenced to capture additional revisions from other institutions. Revision rates were tabulated and subclassified by indication. Multivariate Cox regression was used to account for confounding variables such as age, gender, region, and hospital size.
    Results: After controlling for confounding variables, there were no differences between the OxZr and CoCr groups in terms of the rate of all-cause revision at a mean follow-up of 46 ± 23 months and 44 ± 24 months for CoCr and OxZr implants, respectively (hazard ratio 1.055 [95% confidence interval 0.979 to 1.137]; p = 0.16) The univariate analysis demonstrated increased rates of revisions for pain and instability in the OxZr group (p = 0.003 and p < 0.001, respectively).
    Conclusion: These findings suggest there is no difference in all-cause revision between OxZr and CoCr implants in the short-term to mid-term. However, further long-term in vivo studies are needed to monitor the safety and all-cause revision rate of OxZr implants compared with those of CoCr implants. OxZr implants may be favorable in patients who have sensitivity to metal. Despite similar short-term to mid-term all-cause revision rates to CoCr implants, because of the limitations of this study, definitive recommendations for or against the use of OxZr cannot be made.
    Level of evidence: Level III, therapeutic study.
    MeSH term(s) Humans ; Aged ; United States ; Arthroplasty, Replacement, Knee/adverse effects ; Arthroplasty, Replacement, Knee/methods ; Knee Prosthesis ; Zirconium ; Cobalt ; Chromium ; Prosthesis Design ; Medicare ; Registries ; Reoperation ; Prosthesis Failure
    Chemical Substances Zirconium (C6V6S92N3C) ; Cobalt (3G0H8C9362) ; Chromium (0R0008Q3JB)
    Language English
    Publishing date 2023-02-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80301-7
    ISSN 1528-1132 ; 0009-921X
    ISSN (online) 1528-1132
    ISSN 0009-921X
    DOI 10.1097/CORR.0000000000002585
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Temporal patterns in vital sign recording within and across general hospital wards

    Beryl Noë / Alison Bullock / John Frankish / Liam D. Turner

    Resuscitation Plus, Vol 10, Iss , Pp 100247- (2022)

    2022  

    Abstract: Introduction: The use of mobile devices on hospital wards to record patient vital signs and Early Warning Scores provides opportunity for secondary analysis of the data collected. This research investigated how such analysis can contribute to the ... ...

    Abstract Introduction: The use of mobile devices on hospital wards to record patient vital signs and Early Warning Scores provides opportunity for secondary analysis of the data collected. This research investigated how such analysis can contribute to the understanding of the complexities of managing clinical care in hospital environments. Methods: The influence of ward type and the distribution of patient observation intervals was evaluated in relation to the timing of vital signs observation patterns in data collected from eight adult in-patient wards over a 12-month period. Actual and projected observation times were compared across patients with higher and lower National Early Warning Scores (NEWS). Results: Both ward type and the distribution of patient observation intervals were significant predictors of temporal observation patterns. Observation patterns showed evidence of grouping of observation recordings. This was, however, not found for observations of patients with higher NEWS scores (3 or more). Conclusions: Secondary analysis of vital signs observation data can reveal insights into how ward operate. The patterns of observation recordings within a ward are a reflection of ward type and the distribution of patient observation intervals. The grouping of observation recordings of patients with low NEWS (<3) result in late or early observations to fit activity peaks characteristic of the ward culture.
    Keywords Vital signs ; Early warning score ; Observations ; Care strategy ; CareFlow ; Specialties of internal medicine ; RC581-951
    Subject code 310
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article: "Pure and wholesome".

    Bullock, John D

    The Pharos of Alpha Omega Alpha-Honor Medical Society. Alpha Omega Alpha

    2013  Volume 76, Issue 2, Page(s) 53

    MeSH term(s) Cholera/history ; City Planning/history ; Epidemics/history ; Humans ; Public Health/history ; Water Supply/history
    Language English
    Publishing date 2013
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 604131-0
    ISSN 0031-7179
    ISSN 0031-7179
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Shedding light on subungual digital mucous cysts.

    Bullock, Taylor / Michalik, Daniel / Unwala, Rashmi / Anthony, John

    Cleveland Clinic journal of medicine

    2021  Volume 88, Issue 8, Page(s) 426–427

    MeSH term(s) Cysts/diagnostic imaging ; Fingers ; Humans ; Nail Diseases/diagnosis
    Language English
    Publishing date 2021-08-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639116-3
    ISSN 1939-2869 ; 0891-1150
    ISSN (online) 1939-2869
    ISSN 0891-1150
    DOI 10.3949/ccjm.88a.20125
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Henry B. Stallard, MD: The 1924 Paris Olympics, and Chariots of Fire.

    Bullock, John D

    Survey of ophthalmology

    2011  Volume 56, Issue 5, Page(s) 466–471

    Abstract: Hyla Bristow Stallard was one of the greatest middle-distance runners in British athletic history. While an English medical student, he won the bronze medal in the 1500-meter run at the 1924 Paris Olympics, immortalized in the critically acclaimed 1981 ... ...

    Abstract Hyla Bristow Stallard was one of the greatest middle-distance runners in British athletic history. While an English medical student, he won the bronze medal in the 1500-meter run at the 1924 Paris Olympics, immortalized in the critically acclaimed 1981 epic British film, Chariots of Fire. He later became one of the most famous ophthalmologists in the world for his pioneering work in radiation therapy of malignant eye disease. He was an inspiring role model for both athletes and physicians. As a gifted individual who enjoyed two international careers, he is worthy of great admiration and emulation.
    MeSH term(s) Athletes/history ; History, 20th Century ; Humans ; Motion Pictures/history ; Ophthalmology/history ; Paris ; Sports/history ; United Kingdom
    Language English
    Publishing date 2011-09
    Publishing country United States
    Document type Biography ; Historical Article ; Journal Article ; Portraits
    ZDB-ID 391346-6
    ISSN 1879-3304 ; 0039-6257
    ISSN (online) 1879-3304
    ISSN 0039-6257
    DOI 10.1016/j.survophthal.2011.03.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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