Medicine and Health Sciences Commons^™

Interpretation And Content Validity Of The Items Of The Numeric Rating Version Short-Worc To Evaluate Outcomes In Management Of Rotator Cuff Pathology: A Cognitive Interview Approach, Rochelle Furtado, Joy C. Macdermid, Dianne M. Bryant, Kenneth J. Faber, George S. Athwal

Bone and Joint Institute

Background The shortened version of the Western Ontario Rotator Cuff Index (Short-WORC) is a patient reported outcome measure that evaluates quality of life (QoL) of patients with rotator cuff pathology. However, formal content validation of the full or Short-WORC has not been reported. This study aims to understand how 1) people interpret and calibrate responses to items on the Short-WORC and 2) compensatory strategies that might enhance function and thereby affect responses. Methods This study uses cognitive interviewing, a qualitative methodology that focuses on the interpretation of questionnaire items. Patients with rotator cuff disorders (n = 10), clinicians (n = …

Heath-Prior: An Intelligent Ensemble Architecture To Identify Risk Cases In Healthcare, F Neves, F Campos, V Stroele, Mam Capretz

Bone and Joint Institute

Smart city environments, when applied to healthcare, improve the quality of people's lives, enabling, for instance, disease prediction and treatment monitoring. In medical settings, case prioritization is of great importance, with beneficial outcomes both in terms of patient health and physicians' daily work. Recommender systems are an alternative to automatically integrate the data generated in such environments with predictive models and recommend actions, content, or services. The data produced by smart devices are accurate and reliable for predictive and decision-making contexts. This study main purpose is to assist patients and doctors in the early detection of disease or prediction of …

Cross-Cultural Adaptions And Measurement Properties Of The Worc (Western Ontario Rotator Cuff Index): A Systematic Review, R Furtado, Jc Macdermid, G Nazari, Dm Bryant

Bone and Joint Institute

Background To evaluate the translations, cross-cultural adaptation procedures and measurement properties of the Western Ontario Rotator Cuff Index (WORC), when it is adapted for different cultures. Methods A systematic review was performed, considering different cultural adaptions of the WORC accessible through MEDLINE, CINAHL, EMBASE and/or Google Scholar. Included were prospective cohort studies that used an adapted version of the WORC to measure QoL in patients with rotator cuff disorders. All studies were evaluated according to the current guidelines for cross-cultural adaptations and measurement properties. Results The search retrieved 14 studies that met the inclusion criteria. According to the recommended guidelines …

Comparison Of Resting-State Functional Connectivity In Marmosets With Tracer-Based Cellular Connectivity, Yuki Hori, David J. Schaeffer, Kyle M. Gilbert, Lauren K. Hayrynen, Justine C. Cléry, Joseph S. Gati, Ravi S. Menon, Stefan Everling

Brain and Mind Institute Researchers' Publications

© 2019 Elsevier Inc. Resting-state functional MRI (RS-fMRI) is widely used to assess how strongly different brain areas are connected. However, this connection obtained by RS-fMRI, which is called functional connectivity (FC), simply refers to the correlation of blood oxygen level-dependent (BOLD) signals across time it has yet to be quantified how accurately FC reflects cellular connectivity (CC). In this study, we elucidated this relationship using RS-fMRI and quantitative tracer data in marmosets. In addition, we also elucidated the effects of distance between two brain regions on the relationship between FC and CC across seed region. To calculate FC, we …

Depressogenic Self-Schemas Are Associated With Smaller Regional Grey Matter Volume In Never-Depressed Preadolescents, Pan Liu, Matthew R.J. Vandemeer, Marc F. Joanisse, Deanna M. Barch, David J.A. Dozois, Elizabeth P. Hayden

Brain and Mind Institute Researchers' Publications

© 2020 The Author(s) Self-referential processing (i.e., self-schemas that guide processing of self-descriptive information) emerges early in youth, with deeper encoding of negative self-descriptors and/or shallower encoding of positive self-descriptors causally linked to depression. However, the relationship between depressogenic self-schemas and brain structure is unclear. We investigated associations between self-schemas and regional grey matter volume (GMV) in 84 never-depressed preadolescents oversampled for depression risk based on maternal depression history. Self-schemas were assessed using a Self-Referent Encoding Task (SRET) and regional GMV was indexed via voxel-based morphometry analysis of structural magnetic resonance imaging data. Youths’ positive self-schemas were associated with greater …

Orbitofrontal Cortex Grey Matter Volume Is Related To Children's Depressive Symptoms, Matthew R.J. Vandermeer, Pan Liu, Ola Mohamed Ali, Andrew R. Daoust, Marc F. Joanisse, Deanna M. Barch, Elizabeth P. Hayden

Brain and Mind Institute Researchers' Publications

© 2020 The Author(s) Adults with a history of depression show distinct patterns of grey matter volume (GMV) in frontal cortical (e.g., prefrontal cortex, orbitofrontal cortex) and limbic (e.g., anterior cingulate, amygdala, hippocampus, dorsal striatum) structures, regions relevant to the processing and regulation of reward, which is impaired in the context of depression. However, it is unclear whether these GMV associations with depression precede depressive disorder onset or whether GMV is related to early emerging symptoms or familial depression. To address these questions, we used voxel-based morphometry (VBM) to examine GMV in 85 community-dwelling children (M = 11.12 years, SD …

Language Dominance Modulates The Perception Of Spanish Approximants In Late Bilinguals, Martha Black, Marc F. Joanisse, Yasaman Rafat

Brain and Mind Institute Researchers' Publications

© 2020 by the authors. The ability to discriminate phonetically similar first language (L1) and second language (L2) sounds has significant consequences for achieving target-like proficiency in second-language learners. This study examines the L2 perception of Spanish approximants [Β, δ, γ] in comparison with their voiced stop counterparts [b, d, g] by adult English-Spanish bilinguals. Of interest is how perceptual effects are modulated by factors related to language dominance, including proficiency, language history, attitudes, and L1/L2 use, as measured by the Bilingual Language Profile questionnaire. Perception of target phones was assessed in adult native Spanish speakers (n = 10) and …

Absorption And Enjoyment During Listening To Acoustically Masked Stories, Björn Herrmann, Ingrid S. Johnsrude

Brain and Mind Institute Researchers' Publications

© The Author(s) 2020. Comprehension of speech masked by background sound requires increased cognitive processing, which makes listening effortful. Research in hearing has focused on such challenging listening experiences, in part because they are thought to contribute to social withdrawal in people with hearing impairment. Research has focused less on positive listening experiences, such as enjoyment, despite their potential importance in motivating effortful listening. Moreover, the artificial speech materials—such as disconnected, brief sentences—commonly used to investigate speech intelligibility and listening effort may be ill-suited to capture positive experiences when listening is challenging. Here, we investigate how listening to naturalistic spoken …

Speech Spoken By Familiar People Is More Resistant To Interference By Linguistically Similar Speech, Emma Holmes, Ingrid S. Johnsrude

Brain and Mind Institute Researchers' Publications

© 2020 American Psychological Association. Understanding speech in adverse conditions is affected by experience-a familiar voice is substantially more intelligible than an unfamiliar voice when competing speech is present, even if the content of the speech (the words) are controlled. This familiar-voice benefit is observed consistently, but its underpinnings are unclear: Do familiar voices simply attract more attention, are they inherently more intelligible because they have predictable acoustic characteristics, or are they more intelligible in a mixture because they are more resistant to interference from other sounds? We recruited pairs of native English-speaking participants who were friends or romantic couples. …

Pupil Dilation Is Sensitive To Semantic Ambiguity And Acoustic Degradation, Mason Kadem, Björn Herrmann, Jennifer M. Rodd, Ingrid S. Johnsrude

Brain and Mind Institute Researchers' Publications

© The Author(s) 2020. Speech comprehension is challenged by background noise, acoustic interference, and linguistic factors, such as the presence of words with more than one meaning (homonyms and homophones). Previous work suggests that homophony in spoken language increases cognitive demand. Here, we measured pupil dilation—a physiological index of cognitive demand—while listeners heard high-ambiguity sentences, containing words with more than one meaning, or well-matched low-ambiguity sentences without ambiguous words. This semantic-ambiguity manipulation was crossed with an acoustic manipulation in two experiments. In Experiment 1, sentences were masked with 30-talker babble at 0 and +6 dB signal-to-noise ratio (SNR), and in …

Social Symptoms Of Parkinson's Disease, Margaret T.M. Prenger, Racheal Madray, Kathryne Van Hedger, Mimma Anello, Penny A. Macdonald

Brain and Mind Institute Researchers' Publications

© 2020 Margaret T. M. Prenger et al. Parkinson's disease (PD) is typically well recognized by its characteristic motor symptoms (e.g., bradykinesia, rigidity, and tremor). The cognitive symptoms of PD are increasingly being acknowledged by clinicians and researchers alike. However, PD also involves a host of emotional and communicative changes which can cause major disruptions to social functioning. These incude problems producing emotional facial expressions (i.e., facial masking) and emotional speech (i.e., dysarthria), as well as difficulties recognizing the verbal and nonverbal emotional cues of others. These social symptoms of PD can result in severe negative social consequences, including stigma, …

Deviant Cortical Sulcation Related To Schizophrenia And Cognitive Deficits In The Second Trimester, Michael Lloyd Mackinley, Priyadharshini Sabesan, Lena Palaniyappan

Brain and Mind Institute Researchers' Publications

Aberrant cortical development, inferred from cortical folding, is linked to the risk of schizophrenia. Cortical folds develop in a time-locked fashion during fetal growth. We leveraged this temporal specificity of sulcation to investigate the timing of the prenatal insult linked to schizophrenia and the cognitive impairment seen in this illness. Anatomical MRI scans from 68 patients with schizophrenia and 72 controls were used to evaluate the sulcal depth of five major invariable primary sulci representing lobar development (calcarine sulcus, superior temporal sulcus, superior frontal sulcus, intraparietal sulcus and inferior frontal sulcus) with formation representing the distinct developmental periods. A repeated-measure …

Classifying Heterogeneous Presentations Of Ptsd Via The Default Mode, Central Executive, And Salience Networks With Machine Learning., Andrew A Nicholson, Sherain Harricharan, Maria Densmore, Richard W J Neufeld, Tomas Ros, Margaret C Mckinnon, Paul A Frewen, Jean Theberge, Rakesh Jetly, David Pedlar, Ruth A Lanius

Department of Medicine Publications

Intrinsic connectivity networks (ICNs), including the default mode network (DMN), the central executive network (CEN), and the salience network (SN) have been shown to be aberrant in patients with posttraumatic stress disorder (PTSD). The purpose of the current study was to a) compare ICN functional connectivity between PTSD, dissociative subtype PTSD (PTSD+DS) and healthy individuals; and b) to examine the use of multivariate machine learning algorithms in classifying PTSD, PTSD+DS, and healthy individuals based on ICN functional activation. Our neuroimaging dataset consisted of resting-state fMRI scans from 186 participants [PTSD (n = 81); PTSD + DS (n = 49); and …

The Hijacked Self: Disrupted Functional Connectivity Between The Periaqueductal Gray And The Default Mode Network In Posttraumatic Stress Disorder Using Dynamic Causal Modeling., Braeden A Terpou, Maria Densmore, Jean Theberge, Paul Frewen, Margaret C Mckinnon, Andrew A Nicholson, Ruth A Lanius

Department of Medicine Publications

Self-related processes define assorted self-relevant or social-cognitive functions that allow us to gather insight and to draw inferences related to our own mental conditions. Self-related processes are mediated by the default mode network (DMN), which, critically, shows altered functionality in individuals with posttraumatic stress disorder (PTSD). In PTSD, the midbrain periaqueductal gray (PAG) demonstrates stronger functional connectivity with the DMN [i.e., precuneus (PCN), medial prefrontal cortex (mPFC)] as compared to healthy individuals during subliminal, trauma-related stimulus processing. Here, we analyzed the directed functional connectivity between the PAG and the PCN, as well as between the PAG and the mPFC to …

A Randomized, Controlled Trial Of Alpha-Rhythm Eeg Neurofeedback In Posttraumatic Stress Disorder: A Preliminary Investigation Showing Evidence Of Decreased Ptsd Symptoms And Restored Default Mode And Salience Network Connectivity Using Fmri., Andrew A Nicholson, Tomas Ros, Maria Densmore, Paul A Frewen, Richard W J Neufeld, Jean Theberge, Rakesh Jetly, Ruth A Lanius

Department of Medicine Publications

OBJECTIVE: The default-mode network (DMN) and salience network (SN) have been shown to display altered connectivity in posttraumatic stress disorder (PTSD). Restoring aberrant connectivity within these networks with electroencephalogram neurofeedback (EEG-NFB) has been shown previously to be associated with acute decreases in symptoms. Here, we conducted a double-blind, sham-controlled randomized trial of alpha-rhythm EEG-NFB in participants with PTSD (n = 36) over 20-weeks. Our aim was to provide mechanistic evidence underlying clinical improvements by examining changes in network connectivity via fMRI.

METHODS: We randomly assigned participants with a primary diagnosis of PTSD to either the experimental group (n = 18) …

Addition Of Olive Oil To Diet Of Rats With Mild Pre-Gestational Diabetes Impacts Offspring Β-Cell Development, Daniel Hardy, Edith Arany

Data and Test Instruments

No abstract provided.

Endothelial Injury And Glycocalyx Degradation In Critically Ill Coronavirus Disease 2019 Patients: Implications For Microvascular Platelet Aggregation, Douglas Fraser

Data and Test Instruments

No abstract provided.

Inflammation Profiling Of Critically Ill Coronavirus Disease 2019 Patients, Douglas Fraser

Data and Test Instruments

No abstract provided.

Novel Outcome Biomarkers Identified With Targeted Proteomic Analyses Of Plasma From Critically Ill Coronavirus Disease 2019 Patients, Douglas Fraser

Data and Test Instruments

No abstract provided.

Perinatal Protein Restriction With Postnatal Catch-Up Growth Leads To Elevated P66shc And Mitochondrial Dysfunction In The Adult Rat Liver, Daniel Hardy, Shelby Oke

Data and Test Instruments

No abstract provided.

Mass Casualty Exercises: A Guide Book For Mass Casualty Training, Rich Hilsden, Shane Smith, Vivian Mcalister

Data and Test Instruments

No abstract provided.

Anderson Ruffin Abbott (1837 - 1913), Vivian Mcalister, Catherine Slaney

Data and Test Instruments

No abstract provided.

Composite Outcomes For Clinical Trials In Critical Care: The Devil Is In The Detail, Saptharishi Lalgudi Ganesan, Narayanan Parameswaran

Data and Test Instruments

No abstract provided.

An Examination Of Clinical Uptake Factors For Remote Hearing Aid Support: A Concept Mapping Study With Audiologists, Danielle Glista, Robin O’Hagan, Sheila Moodie, Susan Scollie

Communication Sciences and Disorders Publications

© 2020 The Authors. Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of British Society of Audiology, International Society of Audiology, and Nordic Audiological Society. Objective: To develop a conceptual framework around the factors that influence audiologists in the clinical uptake of remote follow-up hearing aid support services. Design: A purposive sample of 42 audiologists, stratified according to client-focus of either paediatric or adult, were recruited from professional associations in Ontario, Canada, as members of the six-step, participatory-based concept mapping process. Analyses included multidimensional scaling and hierarchical cluster analysis. Results: Six main themes emerged from …

Evaluation Of Hearing Aid Manufacturers' Software-Derived Fittings To Dsl V5.0 Pediatric Targets, Paula Folkeard, Marlene Bagatto, Susan Scollie

Communication Sciences and Disorders Publications

Background Hearing aid prescriptive methods are a commonly recommended component of evidence-based preferred practice guidelines and are often implemented in the hearing aid programming software. Previous studies evaluating hearing aid manufacturers' software-derived fittings to prescriptions have shown significant deviations from targets. However, few such studies examined the accuracy of softwarederived fittings for the Desired Sensation Level (DSL) v5.0 prescription. Purpose The purpose of this study was to evaluate the accuracy of software-derived fittings to the DSL v5.0 prescription, across a range of hearing aid brands, audiograms, and test levels. Research Design This study is a prospective chart review with simulated …

Postnatal Catch-Up Growth Leads To Higher P66shc And Mitochondrial Dysfunction., Shelby Oke, Gurjeev Sohi, Daniel Barry Hardy

Physiology and Pharmacology Publications

Epidemiological data suggest an inverse relationship between birth weight and long-term metabolic deficits, which is exacerbated by postnatal catch-up growth. We have previously demonstrated that rat offspring subject to maternal protein restriction (MPR) followed by catch-up growth exhibit impaired hepatic function and ER stress. Given that mitochondrial dysfunction is associated with various metabolic pathologies, we hypothesized that altered expression of p66Shc, a gatekeeper of oxidative stress and mitochondrial function, contributes to the hepatic defects observed in MPR offspring. To test this hypothesis, pregnant Wistar rats were fed a control (20% protein) diet or an isocaloric low protein (8%; LP) diet …

Quantification Of Joint Blood Flow By Dynamic Contrast-Enhanced Near-Infrared Spectroscopy: Application To Monitoring Disease Activity In A Rat Model Of Rheumatoid Arthritis, Seva Ioussoufovitch, Laura B. Morrison, Lise Desjardins, Jennifer A. Hadway, Keith St Lawrence, Ting Yim Lee, Frank Beier, Mamadou Diop

Physiology and Pharmacology Publications

No abstract provided.

Functional Electrical Stimulation Plus Visual Feedback Balance Training For Standing Balance Performance Among Individuals With Incomplete Spinal Cord Injury: A Case Series, David J Houston, Jae W Lee, Janelle Unger, Kei Masani, Kristin E Musselman

Physical Therapy Publications

Individuals with an incomplete spinal cord injury (iSCI) are highly susceptible to falls during walking or standing. Our objective was to evaluate a therapeutic tool for standing balance that combined functional electrical stimulation, applied bilaterally to the plantarflexors and dorsiflexors, with visual feedback balance training (FES+VFBT). Five adults with iSCI completed 12 FES+VFBT sessions over 4 weeks. During the training sessions, participants completed each of the four balance exercises twice. Visual feedback of the center-of-pressure (COP) location was provided as participants completed the balance exercises and received FES to assist with performance of the exercises. A closed-loop FES system was …

Investigating The Effects Of Tissue-Specific Extracellular Matrix On The Adipogenic And Osteogenic Differentiation Of Human Adipose-Derived Stromal Cells Within Composite Hydrogel Scaffolds, Arthi Shridhar, Brian G. Amsden, Elizabeth R. Gillies, Lauren E. Flynn

Bone and Joint Institute

© Copyright © 2019 Shridhar, Amsden, Gillies and Flynn. While it has been postulated that tissue-specific bioscaffolds derived from the extracellular matrix (ECM) can direct stem cell differentiation, systematic comparisons of multiple ECM sources are needed to more fully assess the benefits of incorporating tissue-specific ECM in stem cell culture and delivery platforms. To probe the effects of ECM sourced from decellularized adipose tissue (DAT) or decellularized trabecular bone (DTB) on the adipogenic and osteogenic differentiation of human adipose-derived stem/stromal cells (ASCs), a novel detergent-free decellularization protocol was developed for bovine trabecular bone that complemented our established detergent-free decellularization protocol …

Perseverance, Faith And Stoicism: A Qualitative Study Of Medical Student Perspectives On Managing Fatigue, Taryn S Taylor, Alexandra L Raynard, Lorelei Lingard

Obstetrics & Gynaecology Publications

CONTEXT: Fatigue risk management (FRM) strategies offer a potential solution to the widespread problem of fatigued trainees in the clinical workplace. These strategies assume a shared perception that fatigue is hazardous. Despite the growing body of evidence suggesting that fatigue leads to burnout and medical errors, previous research suggests that residents perceive fatigue as a personal, surmountable burden rather than an occupational hazard. Before we can implement FRM, we need a better understanding of when and how such problematic notions of fatigue are adopted by medical trainees. Thus, we sought to explore how third-year medical students understand and manage the …