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Article ; Online: Examining the Potential of Vitamin C Supplementation in Tissue-Engineered Equine Superficial Digital Flexor Tendon Constructs.

Mienaltowski, Michael J / Callahan, Mitchell / Gonzales, Nicole L / Wong, Angelique

International journal of molecular sciences

2023 Volume 24, Issue 23

Abstract: Because equine tendinopathies are slow to heal and often recur, therapeutic strategies are being considered that aid tendon repair. Given the success of utilizing vitamin C to promote tenogenesis in other species, we hypothesized that vitamin C ... ...

Abstract	Because equine tendinopathies are slow to heal and often recur, therapeutic strategies are being considered that aid tendon repair. Given the success of utilizing vitamin C to promote tenogenesis in other species, we hypothesized that vitamin C supplementation would produce dose-dependent improvements in the tenogenic properties of tendon proper (TP) and peritenon (PERI) cells of the equine superficial digital flexor tendon (SDFT). Equine TP- and PERI-progenitor-cell-seeded fibrin three-dimensional constructs were supplemented with four concentrations of vitamin C. The gene expression profiles of the constructs were assessed with 3'-Tag-Seq and real-time quantitative polymerase chain reaction (RT-qPCR); collagen content and fibril ultrastructure were also analyzed. Moreover, cells were challenged with dexamethasone to determine the levels of cytoprotection afforded by vitamin C. Expression profiling demonstrated that vitamin C had an anti-inflammatory effect on TP and PERI cell constructs. Moreover, vitamin C supplementation mitigated the degenerative pathways seen in tendinopathy and increased collagen content in tendon constructs. When challenged with dexamethasone in two-dimensional culture, vitamin C had a cytoprotective effect for TP cells but not necessarily for PERI cells. Future studies will explore the effects of vitamin C on these cells during inflammation and within the tendon niche in vivo.
MeSH term(s)	Animals ; Horses ; Tendons/metabolism ; Collagen/metabolism ; Tissue Engineering/methods ; Tendinopathy/drug therapy ; Tendinopathy/metabolism ; Ascorbic Acid/pharmacology ; Ascorbic Acid/metabolism ; Dexamethasone/pharmacology ; Dexamethasone/metabolism
Chemical Substances	Collagen (9007-34-5) ; Ascorbic Acid (PQ6CK8PD0R) ; Dexamethasone (7S5I7G3JQL)
Language	English
Publishing date	2023-12-04
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2019364-6
ISSN	1422-0067 ; 1422-0067 ; 1661-6596
ISSN (online)	1422-0067
ISSN	1422-0067 ; 1661-6596
DOI	10.3390/ijms242317098
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Article ; Online: Health Status and Health Care Access Among Lesbian, Gay, and Bisexual Adults in the US, 2013 to 2018.

Liu, Michael / Sandhu, Sahil / Reisner, Sari L / Gonzales, Gilbert / Keuroghlian, Alex S

JAMA internal medicine

2023 Volume 183, Issue 4, Page(s) 380–383

MeSH term(s)	Female ; Adult ; Humans ; Sexual and Gender Minorities ; Homosexuality, Female ; Bisexuality ; Health Status ; Health Services Accessibility
Language	English
Publishing date	2023-02-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	2699338-7
ISSN	2168-6114 ; 2168-6106
ISSN (online)	2168-6114
ISSN	2168-6106
DOI	10.1001/jamainternmed.2022.6523
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Article ; Online: Feasibility and Preliminary Efficacy of American Elderberry Juice for Improving Cognition and Inflammation in Patients with Mild Cognitive Impairment.

Curtis, Ashley F / Musich, Madison / Costa, Amy N / Gonzales, Joshua / Gonzales, Hyeri / Ferguson, Bradley J / Kille, Briana / Thomas, Andrew L / Wei, Xing / Liu, Pei / Greenlief, C Michael / Shenker, Joel I / Beversdorf, David Q

International journal of molecular sciences

2024 Volume 25, Issue 8

Abstract: Despite data showing that nutritional interventions high in antioxidant/anti-inflammatory properties (anthocyanin-rich foods, such as blueberries/elderberries) may decrease risk of memory loss and cognitive decline, evidence for such effects in mild ... ...

Abstract	Despite data showing that nutritional interventions high in antioxidant/anti-inflammatory properties (anthocyanin-rich foods, such as blueberries/elderberries) may decrease risk of memory loss and cognitive decline, evidence for such effects in mild cognitive impairment (MCI) is limited. This study examined preliminary effects of American elderberry (Sambucus nigra subsp. canadensis) juice on cognition and inflammatory markers in patients with MCI. In a randomized, double-blind, placebo-controlled trial, patients with MCI (
MeSH term(s)	Humans ; Cognitive Dysfunction ; Male ; Aged ; Female ; Fruit and Vegetable Juices ; Cognition/drug effects ; Inflammation/blood ; Double-Blind Method ; Sambucus/chemistry ; Aged, 80 and over ; Biomarkers/blood ; Feasibility Studies ; Sambucus nigra/chemistry
Chemical Substances	Biomarkers
Language	English
Publishing date	2024-04-15
Publishing country	Switzerland
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	2019364-6
ISSN	1422-0067 ; 1422-0067 ; 1661-6596
ISSN (online)	1422-0067
ISSN	1422-0067 ; 1661-6596
DOI	10.3390/ijms25084352
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Article ; Online: Fusion of myofibre branches is a physiological feature of healthy human skeletal muscle regeneration.

Højfeldt, Grith / Sorenson, Trent / Gonzales, Alana / Kjaer, Michael / Andersen, Jesper L / Mackey, Abigail L

Skeletal muscle

2023 Volume 13, Issue 1, Page(s) 13

Abstract: Background: The occurrence of hyperplasia, through myofibre splitting, remains a widely debated phenomenon. Structural alterations and fibre typing of skeletal muscle fibres, as seen during regeneration and in certain muscle diseases, can be challenging ...

Abstract	Background: The occurrence of hyperplasia, through myofibre splitting, remains a widely debated phenomenon. Structural alterations and fibre typing of skeletal muscle fibres, as seen during regeneration and in certain muscle diseases, can be challenging to interpret. Neuromuscular electrical stimulation can induce myofibre necrosis followed by changes in spatial and temporal cellular processes. Thirty days following electrical stimulation, remnants of regeneration can be seen in the myofibre and its basement membrane as the presence of small myofibres and encroachment of sarcolemma and basement membrane (suggestive of myofibre branching/splitting). The purpose of this study was to investigate myofibre branching and fibre type in a systematic manner in human skeletal muscle undergoing adult regenerative myogenesis. Methods: Electrical stimulation was used to induce myofibre necrosis to the vastus lateralis muscle of one leg in 5 young healthy males. Muscle tissue samples were collected from the stimulated leg 30 days later and from the control leg for comparison. Biopsies were sectioned and stained for dystrophin and laminin to label the sarcolemma and basement membrane, respectively, as well as ATPase, and antibodies against types I and II myosin, and embryonic and neonatal myosin. Myofibre branches were followed through 22 serial Sects. (264 μm). Single fibres and tissue blocks were examined by confocal and electron microscopy, respectively. Results: Regular branching of small myofibre segments was observed (median length 144 μm), most of which were observed to fuse further along the parent fibre. Central nuclei were frequently observed at the point of branching/fusion. The branch commonly presented with a more immature profile (nestin + , neonatal myosin + , disorganised myofilaments) than the parent myofibre, together suggesting fusion of the branch, rather than splitting. Of the 210 regenerating muscle fibres evaluated, 99.5% were type II fibres, indicating preferential damage to type II fibres with our protocol. Furthermore, these fibres demonstrated 7 different stages of "fibre-type" profiles. Conclusions: By studying the regenerating tissue 30 days later with a range of microscopy techniques, we find that so-called myofibre branching or splitting is more likely to be fusion of myotubes and is therefore explained by incomplete regeneration after a necrosis-inducing event.
MeSH term(s)	Male ; Adult ; Infant, Newborn ; Humans ; Muscle Fibers, Skeletal/pathology ; Muscle, Skeletal/pathology ; Regeneration/physiology ; Myosins ; Necrosis/pathology
Chemical Substances	Myosins (EC 3.6.4.1)
Language	English
Publishing date	2023-08-12
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2595637-1
ISSN	2044-5040 ; 2044-5040
ISSN (online)	2044-5040
ISSN	2044-5040
DOI	10.1186/s13395-023-00322-2
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Article ; Online: Examining the Potential of Vitamin C Supplementation in Tissue-Engineered Equine Superficial Digital Flexor Tendon Constructs

Michael J. Mienaltowski / Mitchell Callahan / Nicole L. Gonzales / Angelique Wong

International Journal of Molecular Sciences, Vol 24, Iss 23, p

2023 Volume 17098

Abstract	Because equine tendinopathies are slow to heal and often recur, therapeutic strategies are being considered that aid tendon repair. Given the success of utilizing vitamin C to promote tenogenesis in other species, we hypothesized that vitamin C supplementation would produce dose-dependent improvements in the tenogenic properties of tendon proper (TP) and peritenon (PERI) cells of the equine superficial digital flexor tendon (SDFT). Equine TP- and PERI-progenitor-cell-seeded fibrin three-dimensional constructs were supplemented with four concentrations of vitamin C. The gene expression profiles of the constructs were assessed with 3′-Tag-Seq and real-time quantitative polymerase chain reaction (RT-qPCR); collagen content and fibril ultrastructure were also analyzed. Moreover, cells were challenged with dexamethasone to determine the levels of cytoprotection afforded by vitamin C. Expression profiling demonstrated that vitamin C had an anti-inflammatory effect on TP and PERI cell constructs. Moreover, vitamin C supplementation mitigated the degenerative pathways seen in tendinopathy and increased collagen content in tendon constructs. When challenged with dexamethasone in two-dimensional culture, vitamin C had a cytoprotective effect for TP cells but not necessarily for PERI cells. Future studies will explore the effects of vitamin C on these cells during inflammation and within the tendon niche in vivo.
Keywords	equine ; tendon ; peritenon ; vitamin C ; three-dimensional construct ; Biology (General) ; QH301-705.5 ; Chemistry ; QD1-999
Subject code	610
Language	English
Publishing date	2023-12-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Flourishing and the Prioritization of Workplace Elements in General Surgery Residents.

Nguyen, Elaine T / Berler, Michael H / Gonzales, Paul A / Greenberg, Anya L / Lebares, Carter C

The Journal of surgical research

2023 Volume 291, Page(s) 488–495

Abstract: Introduction: To explore and begin to operationalize workplace elements that influence general surgery (GS) resident wellbeing. Tailoring workplace wellbeing interventions is critical to their success. Occupational science has revealed that a person- ... ...

Abstract	Introduction: To explore and begin to operationalize workplace elements that influence general surgery (GS) resident wellbeing. Tailoring workplace wellbeing interventions is critical to their success. Occupational science has revealed that a person-centered approach to identifying positive and negative workplace influences can inform tailoring while accounting for individual differences. To our knowledge, this approach has not been applied to the surgical training environment. Methods: A national sample of GS residents from 16 Accreditation Council for Graduate Medical Education training programs ranked the importance of workplace elements via an anonymous survey. Latent profile analysis was performed to identify shared patterns of workplace element prioritization and their relation to levels of flourishing, a measure of global wellbeing. Results: GS trainee respondents (n = 300, 34% response rate - average for studies with this sample population) expressed a hierarchy of workplace element importance which differed by gender and race. "Skills to manage stress" and "a team you feel a part of" were prioritized higher by non-males than males. Residents of color and residents underrepresented in medicine, respectively, prioritized "recognition of work/effort" and "skills to manage stress" more than White and overrepresented in medicine residents. Flourishing prevalence varied by 40% with small differences in the specific profile of workplace element prioritization. Conclusions: Differences in prioritization of workplace elements reveal subtle but important differences that may guide the design of wellbeing interventions for different populations within surgery.
MeSH term(s)	Humans ; Internship and Residency ; Workplace ; Education, Medical, Graduate ; Surveys and Questionnaires ; Emotions ; General Surgery/education
Language	English
Publishing date	2023-08-02
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80170-7
ISSN	1095-8673 ; 0022-4804
ISSN (online)	1095-8673
ISSN	0022-4804
DOI	10.1016/j.jss.2023.06.039
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Article ; Online: Operationalizing the Culture of Burnout and Well-Being: Multicenter Study of Value Congruence and Flourishing in General Surgery Residency.

Cevallos, Jenny R / Gonzales, Paul Adam / Berler, Michael H / Greenberg, Anya L / Lebares, Carter C

Journal of the American College of Surgeons

2023 Volume 237, Issue 3, Page(s) 397–407

Abstract: Background: Value congruence (VC) is the degree of alignment between worker and workplace values and is strongly associated with reduced job strain and retention. Within general surgery residency, the impact of VC and how to operationalize it to improve ...

Abstract	Background: Value congruence (VC) is the degree of alignment between worker and workplace values and is strongly associated with reduced job strain and retention. Within general surgery residency, the impact of VC and how to operationalize it to improve workplace well-being remain unclear. Study design: This 2-part mixed-methods study comprised 2 surveys of US general surgery residents and qualitative interviews with program directors. In Part 1, January 2021, mixed-level surgical residents from 16 ACGME-accredited general surgery residency programs participated in survey #1. This survey was used to identify shared or conflicting perspectives on VC concerning well-being initiatives and resources. In April 2021, interviews from 8 institutions were conducted with 9 program directors or their proxies. In Part 2, May to June 2022, a similar cohort of surgical residents participated in survey #2. Unadjusted logistic and linear regression models were used in this survey to assess the association between VC and individual-level global well-being (ie flourishing), respectively. Results: In survey #1 (N = 300, 34% response rate), lack of VC was an emergent theme with subthemes of inaccessibility, inconsiderateness, inauthenticity, and insufficiency regarding well-being resources. Program directors expressed variable awareness of and alignment with these perceptions. In survey #2 (N = 251, 31% response rate), higher VC was significantly associated with flourishing (odds ratio 1.91, 95% CI 1.44 to 2.52, p < 0.001). Conclusions: Exploring the perceived lack of VC within general surgery residency reveals an important cultural variable for optimizing well-being and suggests open dialogue as a first step toward positive change. Future work to identify where and how institutional actions diminish perceived VC is warranted.
MeSH term(s)	Humans ; United States ; Internship and Residency ; Surveys and Questionnaires ; Burnout, Professional/prevention & control ; General Surgery/education
Language	English
Publishing date	2023-05-31
Publishing country	United States
Document type	Multicenter Study ; Journal Article
ZDB-ID	1181115-8
ISSN	1879-1190 ; 1072-7515
ISSN (online)	1879-1190
ISSN	1072-7515
DOI	10.1097/XCS.0000000000000775
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Article: Basic Structure, Physiology, and Biochemistry of Connective Tissues and Extracellular Matrix Collagens.

Mienaltowski, Michael J / Gonzales, Nicole L / Beall, Jessica M / Pechanec, Monica Y

Advances in experimental medicine and biology

2021 Volume 1348, Page(s) 5–43

Abstract: The physiology of connective tissues like tendons and ligaments is highly dependent upon the collagens and other such extracellular matrix molecules hierarchically organized within the tissues. By dry weight, connective tissues are mostly composed of ... ...

Abstract	The physiology of connective tissues like tendons and ligaments is highly dependent upon the collagens and other such extracellular matrix molecules hierarchically organized within the tissues. By dry weight, connective tissues are mostly composed of fibrillar collagens. However, several other forms of collagens play essential roles in the regulation of fibrillar collagen organization and assembly, in the establishment of basement membrane networks that provide support for vasculature for connective tissues, and in the formation of extensive filamentous networks that allow for cell-extracellular matrix interactions as well as maintain connective tissue integrity. The structures and functions of these collagens are discussed in this chapter. Furthermore, collagen synthesis is a multi-step process that includes gene transcription, translation, post-translational modifications within the cell, triple helix formation, extracellular secretion, extracellular modifications, and then fibril assembly, fibril modifications, and fiber formation. Each step of collagen synthesis and fibril assembly is highly dependent upon the biochemical structure of the collagen molecules created and how they are modified in the cases of development and maturation. Likewise, when the biochemical structures of collagens or are compromised or these molecules are deficient in the tissues - in developmental diseases, degenerative conditions, or injuries - then the ultimate form and function of the connective tissues are impaired. In this chapter, we also review how biochemistry plays a role in each of the processes involved in collagen synthesis and assembly, and we describe differences seen by anatomical location and region within tendons. Moreover, we discuss how the structures of the molecules, fibrils, and fibers contribute to connective tissue physiology in health, and in pathology with injury and repair.
MeSH term(s)	Collagen ; Connective Tissue ; Extracellular Matrix ; Fibrillar Collagens ; Tendons
Chemical Substances	Fibrillar Collagens ; Collagen (9007-34-5)
Language	English
Publishing date	2021-11-22
Publishing country	United States
Document type	Journal Article
ISSN	2214-8019 ; 0065-2598
ISSN (online)	2214-8019
ISSN	0065-2598
DOI	10.1007/978-3-030-80614-9_2
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Article ; Online: Short-Term total and wildfire fine particulate matter exposure and work loss in California.

Meng, Ying-Ying / Yu, Yu / Al-Hamdan, Mohammad Z / Marlier, Miriam E / Wilkins, Joseph L / Garcia-Gonzales, Diane / Chen, Xiao / Jerrett, Michael

Environment international

2023 Volume 178, Page(s) 108045

Abstract: Background: Few studies investigated the impact of particulate matter (PM: Methods: We included 44,544 adult respondents in the workforce from 2015 to 2018 California Health Interview Survey data. Daily total PM: Results: About 1.69% (weighted ... ...

Abstract	Background: Few studies investigated the impact of particulate matter (PM Methods: We included 44,544 adult respondents in the workforce from 2015 to 2018 California Health Interview Survey data. Daily total PM Results: About 1.69% (weighted percentage) of adult respondents reported work loss in the week before the survey interview. The odds ratio of work loss was 1.45 (odds ratio [OR] = 1.45, 95% confidence interval [CI]: 1.03, 2.03) when a 2-week average of daily total PM Conclusions: Our findings suggest that short-term ambient PM
MeSH term(s)	Humans ; Air Pollutants/adverse effects ; Air Pollution ; California ; Environmental Exposure/adverse effects ; Logistic Models ; Particulate Matter/adverse effects ; Particulate Matter/analysis ; Smoke/adverse effects ; Wildfires ; Adult
Chemical Substances	Air Pollutants ; Particulate Matter ; Smoke
Language	English
Publishing date	2023-06-17
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	554791-x
ISSN	1873-6750 ; 0160-4120
ISSN (online)	1873-6750
ISSN	0160-4120
DOI	10.1016/j.envint.2023.108045
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Article ; Online: Rethinking the techno vagina: a case series of patient complications following vaginal laser treatment for atrophy.

Gordon, Catherine / Gonzales, Savanah / Krychman, Michael L

Menopause (New York, N.Y.)

2019 Volume 26, Issue 4, Page(s) 423–427

Abstract: Objective: The treatment of genitourinary syndrome of menopause (GSM) includes prescription hormone therapy, nonhormonal over-the-counter products, and most recently, laser treatment. Although the Food and Drug Administration has cleared fractional ... ...

Abstract	Objective: The treatment of genitourinary syndrome of menopause (GSM) includes prescription hormone therapy, nonhormonal over-the-counter products, and most recently, laser treatment. Although the Food and Drug Administration has cleared fractional carbon dioxide (CO2) laser for a variety of dermatologic and gynecologic indications, lasers have not to date, been approved for use for vulvar/vaginal atrophy, or sexual dysfunction. Methods: Four case studies that were referred to a tertiary sexual medicine center regarding laser treatment complications for GSM are reported. Patient data were Health Insurance Portability and Accountability Act of 1996 protected and informed consent was obtained by all patients. Results: Four cases are presented, which demonstrate complications after completion of three consecutive laser treatments for GSM. Case 1 is a 65-year-old woman with GSM and moderate vaginal stenosis who had two vaginal wall lacerations after resumption of intercourse. Case 2 is a 61-year-old woman who had persistent dyspareunia following vaginal laser treatments. Case 3 is a 68-year-old woman who reported worsening dyspareunia and had a fibrous band mid vagina that impinged on the canal. Case 4 is a 55-year-old woman who complained of dyspareunia and insertional pain, after her laser. Assessment and follow-up treatment are presented. Conclusions: Laser therapy for the vagina shows excellent promise for the treatment of GSM in some women; however, complications such as fibrosis, scarring, agglutination, and penetration injury have been documented. Food and Drug Administration-approved products for GSM should be considered frontline treatments until long-term, prospective, randomized, sham-controlled trials are conducted that confirm efficacy and safety for device treatments.
MeSH term(s)	Aged ; Atrophy/surgery ; Cicatrix/etiology ; Dyspareunia/etiology ; Dyspareunia/surgery ; Female ; Fibrosis/etiology ; Humans ; Lasers, Gas/adverse effects ; Middle Aged ; Vagina/pathology ; Vagina/surgery
Language	English
Publishing date	2019-01-14
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1205262-0
ISSN	1530-0374 ; 1072-3714
ISSN (online)	1530-0374
ISSN	1072-3714
DOI	10.1097/GME.0000000000001293
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