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  1. Article ; Online: Acupuncture for Chronic Spontaneous Urticaria.

    Cummings, Mike

    Annals of internal medicine

    2023  Volume 176, Issue 12, Page(s) 1674–1675

    MeSH term(s) Humans ; Chronic Urticaria/therapy ; Acupuncture Therapy ; Urticaria/therapy ; Chronic Disease
    Language English
    Publishing date 2023-11-14
    Publishing country United States
    Document type Editorial
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/M23-2713
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Revising human-systems engineering principles for embedded AI applications.

    Cummings, M L

    Frontiers in neuroergonomics

    2023  Volume 4, Page(s) 1102165

    Abstract: The recent shift from predominantly hardware-based systems in complex settings to systems that heavily leverage non-deterministic artificial intelligence (AI) reasoning means that typical systems engineering processes must also adapt, especially when ... ...

    Abstract The recent shift from predominantly hardware-based systems in complex settings to systems that heavily leverage non-deterministic artificial intelligence (AI) reasoning means that typical systems engineering processes must also adapt, especially when humans are direct or indirect users. Systems with embedded AI rely on probabilistic reasoning, which can fail in unexpected ways, and any overestimation of AI capabilities can result in systems with latent functionality gaps. This is especially true when humans oversee such systems, and such oversight has the potential to be deadly, but there is little-to-no consensus on how such system should be tested to ensure they can gracefully fail. To this end, this work outlines a roadmap for emerging research areas for complex human-centric systems with embedded AI. Fourteen new functional and tasks requirement considerations are proposed that highlight the interconnectedness between uncertainty and AI, as well as the role humans might need to play in the supervision and secure operation of such systems. In addition, 11 new and modified non-functional requirements, i.e., "ilities," are provided and two new "ilities," auditability and passive vulnerability, are also introduced. Ten problem areas with AI test, evaluation, verification and validation are noted, along with the need to determine reasonable risk estimates and acceptable thresholds for system performance. Lastly, multidisciplinary teams are needed for the design of effective and safe systems with embedded AI, and a new AI maintenance workforce should be developed for quality assurance of both underlying data and models.
    Language English
    Publishing date 2023-01-26
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2673-6195
    ISSN (online) 2673-6195
    DOI 10.3389/fnrgo.2023.1102165
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Single Accreditation System: Risks to the Osteopathic Profession.

    Cummings, Mark

    Academic medicine : journal of the Association of American Medical Colleges

    2021  Volume 96, Issue 8, Page(s) 1108–1114

    Abstract: In August 2014, the American Osteopathic Association (AOA) and the American Association of Colleges of Osteopathic Medicine (AACOM) signed a memorandum of understanding with the Accreditation Council for Graduate Medical Education (ACGME) to create the ... ...

    Abstract In August 2014, the American Osteopathic Association (AOA) and the American Association of Colleges of Osteopathic Medicine (AACOM) signed a memorandum of understanding with the Accreditation Council for Graduate Medical Education (ACGME) to create the Single Accreditation System (SAS) for graduate medical education (GME) in the United States. The AOA made the decision that it would close its GME accreditation system in response to dramatic growth in colleges of osteopathic medicine, a shortfall in osteopathic GME positions with increasing dependence on the ACGME system, ACGME policy decisions that adversely impacted osteopathic students, and declining osteopathic student interest in primary care. Osteopathic teaching institutions bore responsibility for meeting ACGME accreditation standards between 2015 and 2020, including determining institutional sponsorship, which program applications to submit, program size, educational leadership, and whether to pursue Osteopathic Recognition. Approximately 692 of 954 (72.5%) eligible osteopathic GME programs in 2014-2015 obtained ACGME accreditation by June 1, 2020. There were sharp reductions in surgical and subspecialty programs and a significant drop of DOs in educational leadership positions. A low percentage of ACGME-accredited programs applied for Osteopathic Recognition. In closing its GME accreditation system and joining the ACGME, the AOA gave up control of its direct relationship with osteopathic residents, fellows, and teaching institutions to gain critical GME opportunities. In this article, the author considers whether this gain will offset the risks taken by the AOA, including decreased DO leadership opportunities and role models, lower than expected interest in Osteopathic Recognition, and possible decreased DO interest in osteopathic organizations and osteopathic specialty board certification. Time and the choices of current and future DO trainees in ACGME programs will determine the future of the osteopathic profession-and whether these risks were worth taking.
    MeSH term(s) Accreditation ; Education, Medical, Graduate ; Humans ; Internship and Residency ; Osteopathic Medicine/education ; Specialty Boards ; United States
    Language English
    Publishing date 2021-07-27
    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.0000000000004109
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 112: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  4. Article ; Online: Electroacupuncture for lateral epicondylalgia.

    Cummings, Mike

    Acupuncture in medicine : journal of the British Medical Acupuncture Society

    2021  Volume 39, Issue 5, Page(s) 569–570

    MeSH term(s) Electroacupuncture ; Pain Measurement ; Pain Threshold
    Language English
    Publishing date 2021-02-05
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 1360533-1
    ISSN 1759-9873 ; 0964-5284
    ISSN (online) 1759-9873
    ISSN 0964-5284
    DOI 10.1177/0964528421990660
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4628: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  5. Article ; Online: The Impact of the ACGME/AOA Single Accreditation System on Osteopathic Surgical Specialties, Residents, and DO Students.

    Cummings, Mark

    Journal of surgical education

    2021  Volume 78, Issue 5, Page(s) 1469–1475

    Abstract: Objective: This article examines the outcomes and impact of the AOA/ACGME Single Accreditation System (SAS) on 6 osteopathic surgical specialties, their program directors, residents, and students and how growth in osteopathic medical schools and ... ...

    Abstract Objective: This article examines the outcomes and impact of the AOA/ACGME Single Accreditation System (SAS) on 6 osteopathic surgical specialties, their program directors, residents, and students and how growth in osteopathic medical schools and students affects ACGME surgical training.
    Design: The study charts the choices of 159 osteopathic surgical residencies regarding the acquisition of ACGME accreditation, decisions made by ACGME Review Committees, and how they affected program leadership, residents, and osteopathic medical students as reflected in results of residency matching programs.
    Setting and participants: According to the SAS, the osteopathic profession ceded its accreditation operations and have its programs acquire ACGME accreditation between 2015 and 2020 to form a unified accreditation system under the ACGME.
    Results: More than one-fourth (26%) of eligible osteopathic surgical programs either did not submit an application or voluntarily withdrew from the ACGME accreditation process. For the 118 surgical programs that did achieve ACGME Initial Accreditation, subsequent site visits and Review Committee decisions sparingly granted Continuing Accreditation status. In addition, 49% of the osteopathic applications listed an MD program director. Osteopathic surgical residents encountered few disruptions in transitioning to the ACGME. The full impact of the SAS was felt by osteopathic graduates in 2020 who encountered fewer DO-oriented ACGME programs and the historic trend of established ACGME surgical programs favoring candidates from American allopathic medical schools. As the osteopathic profession continues its rapid growth, competition for surgical training will only increase.
    Conclusions: Participation in the SAS resulted in the loss of 41 surgical programs and marked reductions in training positions during a period of rapid osteopathic growth. Results from matching programs indicate that integration of DOs into established ACGME surgical residencies will be a slow, gradual process. The SAS succeeded in creating a unified standard for surgical training yet generated negative consequences on osteopathic surgical training.
    MeSH term(s) Accreditation ; Education, Medical, Graduate ; Humans ; Internship and Residency ; Osteopathic Medicine/education ; Specialties, Surgical ; Students ; United States
    Language English
    Publishing date 2021-03-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2277538-9
    ISSN 1878-7452 ; 1931-7204
    ISSN (online) 1878-7452
    ISSN 1931-7204
    DOI 10.1016/j.jsurg.2021.02.006
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  6. Article ; Online: Appropriate times to measure the credibility of blinding in placebo-controlled acupuncture trials.

    Usichenko, Taras I / Cummings, Mike

    Acupuncture in medicine : journal of the British Medical Acupuncture Society

    2023  Volume 42, Issue 1, Page(s) 52–53

    MeSH term(s) Acupuncture ; Acupuncture Therapy ; Humans ; Randomized Controlled Trials as Topic
    Language English
    Publishing date 2023-11-28
    Publishing country England
    Document type Letter
    ZDB-ID 1360533-1
    ISSN 1759-9873 ; 0964-5284
    ISSN (online) 1759-9873
    ISSN 0964-5284
    DOI 10.1177/09645284231210579
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4628: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  7. Article: Schulterschmerzen: Diagnostik- und Behandlungsansätze mit Fokus auf Tendinopathien der Rotatorenmanschette

    Cummings, Mike

    AkupunkturPraxis

    2021  Volume 2, Issue 02, Page(s) 93–104

    Abstract: Schulterschmerzen sind ein verbreitetes Phänomen mit unterschiedlichen Ursachen. Manche Schmerzsyndrome sprechen gut auf Akupunkturtechniken an, andere weniger. In manchen Fällen ist es unerlässlich, zusätzlich zur Akupunkturbehandlung rehabilitative ... ...

    Abstract Schulterschmerzen sind ein verbreitetes Phänomen mit unterschiedlichen Ursachen. Manche Schmerzsyndrome sprechen gut auf Akupunkturtechniken an, andere weniger. In manchen Fällen ist es unerlässlich, zusätzlich zur Akupunkturbehandlung rehabilitative Maßnahmen anzuwenden, um die Erfolgschancen zu verbessern und eine Chronifizierung zu vermeiden. Daher ist es wichtig, die Gesamtsituation gründlich abzuklären, um primäre myofasziale Schmerzen, insbesondere von Tendinopathien der Rotatorenmanschette und einer adhäsiven Kapsulitis, zu unterscheiden.
    Language German
    Publishing date 2021-05-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ISSN 2699-6197 ; 2699-6189
    ISSN (online) 2699-6197
    ISSN 2699-6189
    DOI 10.1055/a-1350-2192
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  8. Article: Case Report: Low-Risk HPV associated Verruco-Papillary squamous cell carcinoma of the cervix.

    Nicolais, Olivia / Cummings, Mackenzie / Buchanan, Tommy R

    Gynecologic oncology reports

    2024  Volume 53, Page(s) 101395

    Abstract: Cervical cancer plays a large role in morbidity and mortality for gynecologic cancer.•Most cases are involved with high-risk HPV, rare cases of low-risk HPV associated cancer exists.•Low risk HPV associated cervical cancers have increased difficulty in ... ...

    Abstract •Cervical cancer plays a large role in morbidity and mortality for gynecologic cancer.•Most cases are involved with high-risk HPV, rare cases of low-risk HPV associated cancer exists.•Low risk HPV associated cervical cancers have increased difficulty in diagnosis.•No distinction exists in treatment between low and high risk HPV associated cervical cancer.
    Language English
    Publishing date 2024-04-10
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2818505-5
    ISSN 2352-5789
    ISSN 2352-5789
    DOI 10.1016/j.gore.2024.101395
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  9. Article ; Online: The AOA/ACGME Single Accreditation System and Its Immediate and Future Impact on Family Medicine.

    Fugazzi, Lorraine / Cummings, Mark

    Family medicine

    2022  Volume 54, Issue 2, Page(s) 91–96

    Abstract: Background and objectives: The American Osteopathic Association (AOA) agreed to combine its graduate medical education programs with the Accreditation Council for Graduate Medical Education (ACGME) between July 1, 2015 and June 30, 2020 in an initiative ...

    Abstract Background and objectives: The American Osteopathic Association (AOA) agreed to combine its graduate medical education programs with the Accreditation Council for Graduate Medical Education (ACGME) between July 1, 2015 and June 30, 2020 in an initiative called the Single Accreditation System (SAS). The objective of our study was to identify the impact the SAS had on the ACGME, family medicine (FM), and implications for the future of FM.
    Methods: We collected and compiled data from the AOA, ACGME, and the National Residency Matching Program (NRMP). Analysis reveals the effects that the addition of former 122 AOA-accredited FM residencies had on the ACGME and FM programs.
    Results: Several osteopathic FM programs encountered challenges meeting ACGME accreditation standards. As of June 1, 2020, 89 of 122 accreditation applications received initial or continuing accreditation; the others had accreditation issues to resolve. The Osteopathic Recognition program emphasizing training in osteopathic principles and practices was a popular option in FM residencies. Fewer DOs serve as program directors in former AOA-accredited FM residencies.
    Conclusions: The SAS has shifted the balance in the percentages of MDs, DOs, and international medical graduates (IMGs) in FM. Trends in FM show that as more DOs enter the NRMP the percent of MDs and IMGs decreases. In the future, it is projected that DOs will outnumber MDs and IMGs in ACGME FM residencies. The 51 new medical schools started between 2010 and 2020 will generate a test for the integration of their graduates into GME. Increased competition for FM residencies is expected.
    MeSH term(s) Accreditation ; Education, Medical, Graduate ; Family Practice/education ; Humans ; Internship and Residency ; Osteopathic Medicine/education ; Osteopathic Physicians/education ; United States
    Language English
    Publishing date 2022-02-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639374-3
    ISSN 1938-3800 ; 0742-3225
    ISSN (online) 1938-3800
    ISSN 0742-3225
    DOI 10.22454/FamMed.2022.266260
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2327: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  10. Article ; Online: Targeting the tumour microenvironment in platinum-resistant ovarian cancer.

    Cummings, M / Freer, C / Orsi, N M

    Seminars in cancer biology

    2021  Volume 77, Page(s) 3–28

    Abstract: Ovarian cancer typically presents at an advanced stage, and although the majority of cases initially respond well to platinum-based therapies, chemoresistance almost always occurs leading to a poor long-term prognosis. While various cellular autonomous ... ...

    Abstract Ovarian cancer typically presents at an advanced stage, and although the majority of cases initially respond well to platinum-based therapies, chemoresistance almost always occurs leading to a poor long-term prognosis. While various cellular autonomous mechanisms contribute to intrinsic or acquired platinum resistance, the tumour microenvironment (TME) plays a central role in resistance to therapy and disease progression by providing cancer stem cell niches, promoting tumour cell metabolic reprogramming, reducing chemotherapy drug perfusion and promoting an immunosuppressive environment. As such, the TME is an attractive therapeutic target which has been the focus of intense research in recent years. This review provides an overview of the unique ovarian cancer TME and its role in disease progression and therapy resistance, highlighting some of the latest preclinical and clinical data on TME-targeted therapies. In particular, it focuses on strategies targeting cancer-associated fibroblasts, tumour-associated macrophages, cancer stem cells and cancer cell metabolic vulnerabilities.
    MeSH term(s) Animals ; Carcinoma, Ovarian Epithelial/immunology ; Carcinoma, Ovarian Epithelial/pathology ; Drug Resistance, Neoplasm/physiology ; Female ; Humans ; Tumor Microenvironment/physiology
    Language English
    Publishing date 2021-02-16
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 1033980-2
    ISSN 1096-3650 ; 1044-579X
    ISSN (online) 1096-3650
    ISSN 1044-579X
    DOI 10.1016/j.semcancer.2021.02.007
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