Medicine and Health Sciences Commons^™

Correlation Between Alzheimer’S Disease And Type 2 Diabetes Using Non-Negative Matrix Factorization, Yeonwoo Chung, Hyunju Lee, Michael W. Weiner, Paul Aisen, Ronald Petersen, Cliford R. Jack, William Jagust, John Q. Trojanowki, Arthur W. Toga, Laurel Beckett, Robert C. Green, Andrew J. Saykin, John Morris, Leslie M. Shaw, Zaven Khachaturian, Greg Sorensen, Maria Carrillo, Lew Kuller, Marc Raichle, Steven Paul, Peter Davies, Howard Fillit, Franz Hefti, Davie Holtzman, M. Marcel Mesulam, William Potter, Peter Snyder, Tom Montine, Ronald G. Thomas, Michael Donohue, Sarah Walter, Tamie Sather

Medical Biophysics Publications

Alzheimer’s disease (AD) is a complex and heterogeneous disease that can be affected by various genetic factors. Although the cause of AD is not yet known and there is no treatment to cure this disease, its progression can be delayed. AD has recently been recognized as a brain-specific type of diabetes called type 3 diabetes. Several studies have shown that people with type 2 diabetes (T2D) have a higher risk of developing AD. Therefore, it is important to identify subgroups of patients with AD that may be more likely to be associated with T2D. We here describe a new approach …

Higher Csf Stnfr1-Related Proteins Associate With Better Prognosis In Very Early Alzheimer’S Disease, William T. Hu, Tugba Ozturk, Alexander Kollhoff, Whitney Wharton, J. Christina Howell, Michael Weiner, Paul Aisen, Ronald Petersen, Clifford R. Jack, William Jagust, John Q. Trojanowki, Arthur W. Toga, Laurel Beckett, Robert C. Green, Andrew J. Saykin, John Morris, Richard J. Perrin, Leslie M. Shaw, Zaven Kachaturian, Maria Carrillo, William Potter, Lisa Barnes, Marie Bernard, Hector González, Carole Ho, John K. Hsiao, Eliezer Masliah, Donna Masterman, Ozioma Okonkwo, Laurie Ryan, Nina Silverberg, Adam Fleisher

Medical Biophysics Publications

Neuroinflammation is associated with Alzheimer’s disease, but the application of cerebrospinal fluid measures of inflammatory proteins may be limited by overlapping pathways and relationships between them. In this work, we measure 15 cerebrospinal proteins related to microglial and T-cell functions, and show them to reproducibly form functionally-related groups within and across diagnostic categories in 382 participants from the Alzheimer’s Disease Neuro-imaging Initiative as well participants from two independent cohorts. We further show higher levels of proteins related to soluble tumor necrosis factor receptor 1 are associated with reduced risk of conversion to dementia in the multi-centered (p = 0.027) and …

Kl-Vs Heterozygosity Is Associated With Lower Amyloid-Dependent Tau Accumulation And Memory Impairment In Alzheimer’S Disease, Julia Neitzel, Nicolai Franzmeier, Anna Rubinski, Martin Dichgans, Matthias Brendel, Michael Weiner, Paul Aisen, Ronald Petersen, Clifford R. Jack, William Jagust, John Q. Trojanowki, Arthur W. Toga, Laurel Beckett, Robert C. Green, Andrew J. Saykin, John Morris, Leslie M. Shaw, Enchi Liu, Tom Montine, Ronald G. Thomas, Michael Donohue, Sarah Walter, Devon Gessert, Tamie Sather, Gus Jiminez, Danielle Harvey, Matthew Bernstein, Nick Fox, Paul Thompson, Norbert Schuff, Charles Decarli, Bret Borowski

Medical Biophysics Publications

Klotho-VS heterozygosity (KL-VShet) is associated with reduced risk of Alzheimer’s disease (AD). However, whether KL-VShet is associated with lower levels of pathologic tau, i.e., the key AD pathology driving neurodegeneration and cognitive decline, is unknown. Here, we assessed the interaction between KL-VShet and levels of beta-amyloid, a key driver of tau pathology, on the levels of PET-assessed neurofibrillary tau in 551 controls and patients across the AD continuum. KL-VShet showed lower cross-sectional and longitudinal increase in tau-PET per unit increase in amyloid-PET when compared to that of non-carriers. This association of KL-VShet on tau-PET was stronger in Klotho mRNA-expressing brain …

Plasma Phosphorylated-Tau181 As A Predictive Biomarker For Alzheimer’S Amyloid, Tau And Fdg Pet Status, Xue Ning Shen, Yu Yuan Huang, Shi Dong Chen, Yu Guo, Lan Tan, Qiang Dong, Jin Tai Yu, Michael W. Weiner, Paul Aisen, Ronald Petersen, Clifford R. Jack, William Jagust, John Q. Trojanowki, John Q. Trojanowki, Arthur W. Toga, Laurel Beckett, Robert C. Green, Andrew J. Saykin, John C. Morris, Richard J. Perrin, Leslie M. Shaw, Maria Carrillo, William Potter, Lisa Barnes, Marie Bernard, Hector González, Carole Ho, John K. Hsiao, Jonathan Jackson, Eliezer Masliah, Donna Masterman, Ozioma Okonkwo

Medical Biophysics Publications

Plasma phosphorylated-tau181 (p-tau181) showed the potential for Alzheimer’s diagnosis and prognosis, but its role in detecting cerebral pathologies is unclear. We aimed to evaluate whether it could serve as a marker for Alzheimer’s pathology in the brain. A total of 1189 participants with plasma p-tau181 and PET data of amyloid, tau or FDG PET were included from ADNI. Cross-sectional relationships of plasma p-tau181 with PET biomarkers were tested. Longitudinally, we further investigated whether different p-tau181 levels at baseline predicted different progression of Alzheimer’s pathological changes in the brain. We found plasma p-tau181 significantly correlated with brain amyloid (Spearman ρ = …

Repetitive Mild Traumatic Brain Injury In Mice Triggers A Slowly Developing Cascade Of Long-Term And Persistent Behavioral Deficits And Pathological Changes, Xiaoyun Xu, Matthew Cowan, Flavio Beraldo, Amy Schranz, Patrick Mccunn, Nicole Geremia, Zalman Brown, Maitray Patel, Karen L. Nygard, Reza Khazaee, Lihong Lu, Xingyu Liu, Michael J. Strong, Gregory A. Dekaban, Ravi Menon, Robert Bartha, Mark Daley, Haojie Mao, Vania Prado, Marco A.M. Prado, Lisa Saksida, Tim Bussey, Arthur Brown

Medical Biophysics Publications

We have previously reported long-term changes in the brains of non-concussed varsity rugby players using magnetic resonance spectroscopy (MRS), diffusion tensor imaging (DTI) and functional magnetic imaging (fMRI). Others have reported cognitive deficits in contact sport athletes that have not met the diagnostic criteria for concussion. These results suggest that repetitive mild traumatic brain injuries (rmTBIs) that are not severe enough to meet the diagnostic threshold for concussion, produce long-term consequences. We sought to characterize the neuroimaging, cognitive, pathological and metabolomic changes in a mouse model of rmTBI. Using a closed-skull model of mTBI that when scaled to human leads …

Staging Tau Pathology With Tau Pet In Alzheimer’S Disease: A Longitudinal Study, Shi Dong Chen, Jia Ying Lu, Hong Qi Li, Yu Xiang Yang, Jie Hui Jiang, Mei Cui, Chuan Tao Zuo, Lan Tan, Qiang Dong, Jin Tai Yu, Michael W. Weiner, Paul Aisen, Ronald Petersen, Clifford R. Jack, William Jagust, John Q. Trojanowki, Arthur W. Toga, Laurel Beckett, Robert C. Green, Andrew J. Saykin, John C. Morris, Richard J. Perrin, Leslie M. Shaw, Maria Carrillo, William Potter, Lisa Barnes, Marie Bernard, Hector González, Carole Ho, John K. Hsiao, Jonathan Jackson, Eliezer Masliah

Medical Biophysics Publications

A biological research framework to define Alzheimer’ disease with dichotomized biomarker measurement was proposed by National Institute on Aging–Alzheimer’s Association (NIA–AA). However, it cannot characterize the hierarchy spreading pattern of tau pathology. To reflect in vivo tau progression using biomarker, we constructed a refined topographic 18F-AV-1451 tau PET staging scheme with longitudinal clinical validation. Seven hundred and thirty-four participants with baseline 18F-AV-1451 tau PET (baseline age 73.9 ± 7.7 years, 375 female) were stratified into five stages by a topographic PET staging scheme. Cognitive trajectories and clinical progression were compared across stages with or without further dichotomy of amyloid status, …

Expansion Of Myeloid-Derived Suppressor Cells Contributes To Metabolic Osteoarthritis Through Subchondral Bone Remodeling, Lixia Zhang, Cameron L. Kirkwood, Jiho Sohn, Ashley Lau, Mary Bayers-Thering, Supinder Kour Bali, Sridhar Rachala, John M. Marzo, Mark J. Anders, Frank Beier, Keith L. Kirkwood

Bone and Joint Institute

Background: Osteoarthritis (OA) subsequent to acute joint injury accounts for a significant proportion of all arthropathies. Myeloid-derived suppressor cells (MDSCs) are a heterogeneous population of myeloid progenitor cells classically known for potent immune-suppressive activity; however, MDSCs can also differentiate into osteoclasts. In addition, this population is known to be expanded during metabolic disease. The objective of this study was to determine the role of MDSCs in the context of OA pathophysiology. Methods: In this study, we examined the differentiation and functional capacity of MDSCs to become osteoclasts in vitro and in vivo using mouse models of OA and in MDSC …

Diet-Induced Obesity Leads To Behavioral Indicators Of Pain Preceding Structural Joint Damage In Wild-Type Mice, Geoffrey J. Kerr, Bethia To, Ian White, Magali Millecamps, Frank Beier, Matthew W. Grol, Laura S. Stone, Cheryle A. Séguin

Bone and Joint Institute

Introduction: Obesity is one of the largest modifiable risk factors for the development of musculoskeletal diseases, including intervertebral disc (IVD) degeneration and back pain. Despite the clinical association, no studies have directly assessed whether diet-induced obesity accelerates IVD degeneration, back pain, or investigated the biological mediators underlying this association. In this study, we examine the effects of chronic consumption of a high-fat or high-fat/high-sugar (western) diet on the IVD, knee joint, and pain-associated outcomes. Methods: Male C57BL/6N mice were randomized into one of three diet groups (chow control; high-fat; high-fat, high-sugar western diet) at 10 weeks of age and remained …

Early Protein Intake Predicts Functional Connectivity And Neurocognition In Preterm Born Children, Emma G. Duerden, Benjamin Thompson, Tanya Poppe, Jane Alsweiler, Greg Gamble, Yannan Jiang, Myra Leung, Anna C. Tottman, Trecia Wouldes, Steven P. Miller, Jane E. Harding, Jane M. Alsweiler, Janene B. Biggs, Coila Bevan, Joanna M. Black, Frank H. Bloomfield, Kelly Fredell, Greg D. Gamble, Jane E. Harding, Sabine Huth, Yannan Jiang, Christine Kevan, Myra Leung, Geraint Phillips, Tanya Poppe, Jennifer A. Rogers, Heather Stewart, Benjamin S. Thompson

Brain and Mind Institute Researchers' Publications

© 2021, The Author(s). Nutritional intake can promote early neonatal brain development in very preterm born neonates (< 32 weeks’ gestation). In a group of 7-year-old very preterm born children followed since birth, we examined whether early nutrient intake in the first weeks of life would be associated with long-term brain function and neurocognitive skills at school age. Children underwent resting-state functional MRI (fMRI), intelligence testing (Wechsler Intelligence Scale for Children, 5th Ed) and visual-motor processing (Beery-Buktenica, 5th Ed) at 7 years. Relationships were assessed between neonatal macronutrient intakes, functional connectivity strength between thalamic and default mode networks (DMN), and neuro-cognitive function using multivariable regression. Greater functional connectivity strength between thalamic networks and DMN was associated with greater intake of protein in the first week (β = 0.17; 95% CI 0.11, 0.23, p < 0.001) but lower intakes of fat (β = − 0.06; 95% CI − 0.09, − 0.02, p = 0.001) and carbohydrates (β = − 0.03; 95% CI − 0.04, − 0.01, p = 0.003). Connectivity strength was also associated with protein intake during the first month (β = 0.22; 95% CI 0.06, 0.37, p = 0.006). Importantly, greater thalamic-DMN connectivity strength was associated with higher processing speed indices (β = 26.9; 95% CI 4.21, 49.49, p = 0.02) and visual processing scores (β = 9.03; 95% CI 2.27, 15.79, p = 0.009). Optimizing early protein intake may contribute to promoting long-term brain health in preterm-born children.

A Physician’S Guide To Clinical Documentation Improvement: Aligning Cdi To Health Information Practice (Canadian Health Information Management Association), Noor Baldawi, Jacky Cheung, Georgia Diamanakis, Alvina Jiwani, Zexi Wang

Medical Sciences 4300A: Addressing Healthcare Misconceptions Using Scientific Inquiry

The field of clinical documentation improvement (CDI) is emerging alongside the need for more accurate health care information that is reflective of the health status of Canadians. Health information management professionals and physicians play a critical role in the collection, transformation, protection, and distribution of clinical documentation. The quality of health data is dependent on the physician’s specificity in clinical documentation of patient health records, as this information is converted into data by coding specialists. Coded medical information, and associated hospital data, provides information surrounding patient severity of disease, a hospital’s expected length of stay, and a hospital’s mortality rate. …

Supporting Pregnant Persons: The Benefits Of Opening A Birth Centre In London, Ontario (Dynamic Doulas Of London), Alisha George, Megan Harris, Allison Kirkpatrick, Lianna Mathew, Amel Sassi

Medical Sciences 4300A: Addressing Healthcare Misconceptions Using Scientific Inquiry

No abstract provided.

Discovering Body Positivity & Self-Image (Gender Equality Coalition Of Ontario), Ella Clarke, Morolayo Ilori, Melanie Peck, Hannah Polley, Mili Shah

Medical Sciences 4300A: Addressing Healthcare Misconceptions Using Scientific Inquiry

Body image refers to the way we perceive our bodies, and it can positively or negatively impact physical and mental health (Alleva et al., 2015). Unfortunately, negative body image is becoming more common with some studies finding that 65% of young people are dissatisfied with their bodies (Linardon et al., 2021). This can lead to a variety of psychological and behavioral problems and disorders such as body dysmorphia or eating disorders (Alleva et al., 2015). However, many of these consequences associated with negative body image can be circumvented by learning to foster positive body images through building self-esteem (Jessie’s Legacy, …

A Wicked Problem: The Implementation Of Clinical Guidelines Application To Optimize Patient Care (Uhn Openlab), Ardavan Bonyadi Behrouz, Nelson Chang, Jasmine Luo, Daniel Olteanu, Naomi Smith

Medical Sciences 4300A: Addressing Healthcare Misconceptions Using Scientific Inquiry

The purpose of our partnership with the UHN OpenLab was to discover the barriers involved with automating the sporadic release of clinical practice guidelines (CPGs) into the Innovate Guidelines Application (IGA). The problem is considered wicked—interlocking challenges cannot be addressed by a single solution. Accordingly, the goal was to explore the barriers of stakeholders and specialization groups, general guideline issues, and the considerations of healthcare professionals and public perception. An initial literature review was conducted to discover unidentified problems before a first draft of the systems map was created. Subsequently, connections were formed across problems and each was categorized based …

Addressing Workplace Mental Health During Covid-19 (Global Minds Collective), Candace Brooks-Dasilva, Ashlee Jiang, Priya Modi, Komal Patel, Lilian Raphael

Medical Sciences 4300A: Addressing Healthcare Misconceptions Using Scientific Inquiry

We aimed to produce novel, comprehensive tools to support The Global MINDS Collective’s mission of co-creating unique workplace infrastructures conducive to employee mental wellness. Our Systems Map uses a multifactorial and intersectional approach to analyze how the COVID-19 pandemic has changed employees’ mental and psychosocial wellness. A systems thinking approach was used to connect ideas from literature and industry resources to expand on concepts such as workplace diversity, burnout, and current practices. The interconnected nature of the systems map allowed us to identify “leverage points,” which were topics with a high degree of connectivity that could be targeted for high-impact …

Restructuring Training (Participation House Support Services), Victoria Lun, Do Yeon Oh, Nadir Saeed, Joe Thorne, Alexander Trusler

Medical Sciences 4300A: Addressing Healthcare Misconceptions Using Scientific Inquiry

Participation House Support Services (PHSS) is a non-profit organization with over 60 locations across Ontario that serves individuals with complex medical, physical, and developmental needs with the goal of including them in the community. The scope of the project covers members of the PHSS organization and the London community that they serve by addressing problems with burnout and culture of resentment that the Coordinators of the organization face. After initial discussions with the community partner, qualitative research was done via focus groups with PHSS Coordinators and training staff. An agreed-upon solution of restructuring the training process was developed, as training …

Increasing Civic Engagement And Awareness Of Poverty & Homelessness Through Social Media (Project Hope London), Vanessa Chan, Sairam Gajavelli, Majid Khan, Iris Kwon, Masum Patel

Medical Sciences 4300A: Addressing Healthcare Misconceptions Using Scientific Inquiry

As the Project Hope London (PHL) Social Media Team, the purpose of our project was to utilize social media to support PHL in their goal of helping to improve the overall health of individuals experiencing homelessness. We aimed to broaden the organization’s audience through Instagram as this popular platform has the potential to reach younger demographics, such as the Western student body, and local businesses. Our team took control of their Instagram page to revitalize their social media presence. We redesigned the bio, curated posts with modern aesthetics, and ran a social media campaign to further boost engagement with the …

A Complete Guide To Incorporation (Project Hope London), Kevin Dong, Karen Guirguis, Rozmin Jasani, Samuel Luo, Sahara Rosha

Medical Sciences 4300A: Addressing Healthcare Misconceptions Using Scientific Inquiry

Our team worked with Project Hope (PH)–a grassroots organization that supports London’s population experiencing homelessness via needs-based outreach, community building, and housing support. PH serves 250 individuals/week at outreach and intends to expand this number and explore larger-scale projects such as affordable housing initiatives. However, to attain these goals, PH needs more funding–which it has struggled to obtain due to its lack of Registered Charity (RC) status. RCs are the only not-for-profit organizations that can issue tax receipts to monetary donors, and several commercial donors only donate to RCs for this reason. Thus, our deliverable intends to streamline PH’s progress …

Embracing Culture At The Centre Of Hope Food Bank (Salvation Army), Angela Chen, Ewan Kelly, Caitlin Lee, Sumin Shin

Medical Sciences 4300A: Addressing Healthcare Misconceptions Using Scientific Inquiry

The purpose of our project was to expand the food options provided at the Centre of Hope (COH) to better reflect the cultural diversity that exists within the London community. Overall, our project aimed to provide all individuals with the opportunity to consume food they are familiar and comfortable with, using a food choice-model system. This involved the creation of four deliverables: a comprehensive list of food options specific to the major minority groups in London, a culturally-specific food preference survey (physical and online versions, to improve accessibility), and a flyer with a QR code to encourage survey responses. The …

Stakeholders Surrounding Assisted & Affordable Housing (The Unity Project), Jiyoon Choi, Mahir Rahman, Adesh Suchit, Kenneth Wong

Medical Sciences 4300A: Addressing Healthcare Misconceptions Using Scientific Inquiry

Our team worked with the Unity Project, a registered charity in London that provides emergency shelter and supportive housing, to address the current needs of the organization based on a research and evidence-based approach. Specifically, we aimed to support their goals relating to the need for improved affordable housing solutions in London and the current divide between the different stakeholders involved. We provided two main deliverables: a) a report and slide deck that outline the positions of key stakeholders involved with affordable housing, and b) a set of three infographics that provide information that connects the homeless community to useful …

Alignment Of The United Nations Sustainable Development Goals And The London Plan (Citystudio London), Jack Adams, Trent Arnold, Rachel Jairam, Amani Khan

Medical Sciences 4300A: Addressing Healthcare Misconceptions Using Scientific Inquiry

The goal of our project was to map the City of London Plan to the UN’s Sustainability and Development Goals. An aim of the project was to present the contents in the City of London Plan in a more understandable and accessible way for London citizens and city counsellors to be able to engage with. Another aim was to measure the similarities and discrepancies of the London Plan and the UNs SDGs in a quantifiable way that could be easily examined by the city when creating future city plans. Our deliverables were a 1-minute video pitch, an excel spreadsheet that …

Improving Senior Fitness Programs & Dementia Care (Canadian Centre For Activity & Aging), Nidaal Abid, Tarannum Khan, Serena Lai, Kyle Lam, Madeline Macrae, Karen Wong

Medical Sciences 4300A: Addressing Healthcare Misconceptions Using Scientific Inquiry

Our team worked alongside the Canadian Centre for Activity and Aging (CCAA) to improve senior fitness programs and dementia care through volunteering at weekly exercise classes, assisting with fitness assessments, and creating two tangible deliverables. Our first deliverable was a Wordle; a tool for visualizing the modifiable risk factors of dementia. By consulting existing literature, we concluded that hearing loss, low education status, depression, and smoking were the main modifiable risk factors. This Wordle will be used for future research and educational purposes. Our next deliverables targeted the fitness aspect of the CCAA. We helped facilitate weekly instructor-led fitness classes …

Magnetic Resonance Imaging Sequence Identification Using A Metadata Learning Approach, Shuai Liang, Derek Beaton, Stephen R. Arnott, Tom Gee, Mojdeh Zamyadi, Robert Bartha, Sean Symons, Glenda M. Macqueen, Stefanie Hassel, Jason P. Lerch, Evdokia Anagnostou, Raymond W. Lam, Benicio N. Frey, Roumen Milev, Daniel J. Müller, Sidney H. Kennedy, Christopher J.M. Scott, Stephen C. Strother

Medical Biophysics Publications

Despite the wide application of the magnetic resonance imaging (MRI) technique, there are no widely used standards on naming and describing MRI sequences. The absence of consistent naming conventions presents a major challenge in automating image processing since most MRI software require a priori knowledge of the type of the MRI sequences to be processed. This issue becomes increasingly critical with the current efforts toward open-sharing of MRI data in the neuroscience community. This manuscript reports an MRI sequence detection method using imaging metadata and a supervised machine learning technique. Three datasets from the Brain Center for Ontario Data Exploration …

The Trajectory Of Putative Astroglial Dysfunction In First Episode Schizophrenia: A Longitudinal 7-Tesla Mrs Study, Peter Jeon, Michael Mackinley, Jean Théberge, Lena Palaniyappan

Department of Medicine Publications

Myo-inositol is mainly found in astroglia and its levels has been shown to be reduced in the anterior cingulate cortex (ACC) of patients with schizophrenia. We investigate the status of astroglial integrity indexed by ACC myo-inositol at the onset and over the first 6 months of treatment of first episode schizophrenia. We employed 7 T magnetic resonance spectroscopy (1H-MRS) and quantified myo-inositol spectra at the dorsal ACC in 31 participants; 21 patients with schizophrenia with median lifetime antipsychotic exposure of less than 3 days, followed up after 6 months of treatment, and 10 healthy subjects scanned twice over the same …

The Effect Of Dual-Task Testing On The Balance And Gait Of People With Lower Limb Amputations: A Systematic Review, Humberto Omana, Edward Madou, Manuel Montero-Odasso, Michael W. Payne, Ricardo Viana, Susan W. Hunter

Physical Therapy Publications

OBJECTIVE: To systematically review the literature on the effect of dual-task testing on the balance and gait of people with lower limb amputations (PLLA).

LITERATURE SURVEY: Databases MEDLINE, EMBASE, CINAHL, PsycINFO, Web of Science, and Scopus were searched in duplicate (inception to December 1, 2020).

METHODOLOGY: Inclusion criteria: participants were adults with transtibial, knee-disarticulation, transfemoral, or bilateral lower limb amputations; balance or gait was paired with a secondary task; and studies were peer-reviewed and published in English. Two authors independently reviewed articles and consensus was required. A standardized data extraction sheet was used to gather study relevant information in duplicate. …

Health Concerns Of Adolescents And Adults With Spina Bifida, Jessica Starowicz, Caitlin Cassidy, Laura Brunton

Paediatrics Publications

Due to advancements in medical care, people with spina bifida (SB) are surviving well into adulthood, resulting in a growing number of patients transitioning to an adult sector unequipped to care for people with chronic rehabilitative and medical needs. The Transitional and Lifelong Care (TLC) program is a multidisciplinary clinical service that compensates for this gap, providing comprehensive, coordinated care to adolescents, and adults with SB. As a relatively new clinical service, objective data about the patients using the service and their needs is scant. This study sought to identify the most common health concerns among TLC patients with SB …

Musical Instrument Familiarity Affects Statistical Learning Of Tone Sequences., Stephen C Van Hedger, Ingrid Johnsrude, Laura J Batterink

Brain and Mind Institute Researchers' Publications

Most listeners have an implicit understanding of the rules that govern how music unfolds over time. This knowledge is acquired in part through statistical learning, a robust learning mechanism that allows individuals to extract regularities from the environment. However, it is presently unclear how this prior musical knowledge might facilitate or interfere with the learning of novel tone sequences that do not conform to familiar musical rules. In the present experiment, participants listened to novel, statistically structured tone sequences composed of pitch intervals not typically found in Western music. Between participants, the tone sequences either had the timbre of artificial, …

Β2 Integrin Cd11d/Cd18: From Expression To An Emerging Role In Staged Leukocyte Migration, Eoin N. Blythe, Lynne C. Weaver, Arthur Brown, Gregory A. Dekaban

Paediatrics Publications

CD11d/CD18 is the most recently discovered and least understood β2 integrin. Known CD11d adhesive mechanisms contribute to both extravasation and mesenchymal migration – two key aspects for localizing peripheral leukocytes to sites of inflammation. Differential expression of CD11d induces differences in monocyte/macrophage mesenchymal migration including impacts on macrophage sub-set migration. The participation of CD11d/CD18 in leukocyte localization during atherosclerosis and following neurotrauma has sparked interest in the development of CD11d-targeted therapeutic agents. Whereas the adhesive properties of CD11d have undergone investigation, the signalling pathways induced by ligand binding remain largely undefined. Underlining each adhesive and signalling function, CD11d is under …

Canada, Incubator Of Black American Surgeons, Vivian Mcalister, Shannon Prince, Catherine Slaney, Don Nakayama

Data and Test Instruments

Canada was a haven for Blacks escaping the antebellum American South by way of the Underground Railroad. Sterling Allen Brown, professor of poetry at Howard University in the mid-20th century, noted that Canaan, the promised land of African American spirituals (“I’m on my way…up to Canaan land!”), stood for Canada, the land that promised freedom and a land of opportunity free from racial discrimination.1 Such was the case for many Blacks who became prominent figures in U.S. medicine and surgery. Some were born to Black Americans who escaped to Canada; others were free Blacks who went there to escape racist …

Paediatric Serum Sickness-Like Reaction: A 10-Year Retrospective Cohort Study, Blanca R. Del Pozzo-Magaña, Awatif Abuzgaia, Barbara Murray, Michael J. Rieder, Alejandro Lazo-Langner

Paediatrics Publications

Background: Serum sickness-like reaction (SSLR) is an acute inflammatory condition affecting predominantly children. The pathophysiology remains unclear, but drugs are considered the main trigger. Objective: The aim of this study was to describe the clinical and laboratory features, triggers, and treatment modalities in children diagnosed with SSLR. Methods: We conducted a 10-year retrospective cohort study including all paediatric patients (0 to 18 years old) with query SSLR referred to the Adverse Drug Reactions Clinic at the Children's Hospital of Western Ontario. Diagnostic criteria included acute skin rash plus joint inflammation with or without fever. Results: We included 83 patients (47 …

Proteinase 3 Contributes To Endothelial Dysfunction In An Experimental Model Of Sepsis, Eric K. Patterson, Carolina Gillio-Meina, Claudio M. Martin, Douglas D. Fraser, Logan R. Van Nynatten, Marat Slessarev, Gediminas Cepinskas

Paediatrics Publications

In sepsis-induced inflammation, polymorphonuclear neutrophils (PMNs) contribute to vascular dysfunction. The serine proteases proteinase 3 (PR3) and human leukocyte elastase (HLE) are abundant in PMNs and are released upon degranulation. While HLE’s role in inflammation-induced endothelial dysfunction is well studied, PR3’s role is largely uninvestigated. We hypothesized that PR3, similarly to HLE, contributes to vascular barrier dysfunction in sepsis. Plasma PR3 and HLE concentrations and their leukocyte mRNA levels were measured by ELISA and qPCR, respectively, in sepsis patients and controls. Exogenous PR3 or HLE was applied to human umbilical vein endothelial cells (HUVECs) and HUVEC dysfunction was assessed by …