Medicine and Health Sciences Commons^™

Structural Brain Magnetic Resonance Imaging To Rule Out Comorbid Pathology In The Assessment Of Alzheimer's Disease Dementia: Findings From The Ontario Neurodegenerative Disease Research Initiative (Ondri) Study And Clinical Trials Over The Past 10 Years, Arunima Kapoor, Robert Bartha, Sandra E. Black, Michael Borrie, Morris Freedman, Fuqiang Gao, Nathan Herrmann, Jennifer Mandzia, Miracle Ozzoude, Joel Ramirez, Christopher J.M. Scott, Sean Symons, Corinne E. Fischer, Andrew Frank, Dallas Seitz, Michael Uri Wolf, Nicolaas Paul L.G. Verhoeff, Gary Naglie, William Reichman, Mario Masellis, Sara B. Mitchell, David F. Tang-Wai, Maria Carmela Tartaglia, Sanjeev Kumar, Bruce G. Pollock, Tarek K. Rajji, Elizabeth Finger, Stephen H. Pasternak, Richard H. Swartz

Medical Biophysics Publications

Background/Objective: Structural brain magnetic resonance imaging (MRI) is not mandatory in Alzheimer's disease (AD) research or clinical guidelines. We aimed to explore the use of structural brain MRI in AD/mild cognitive impairment (MCI) trials over the past 10 years and determine the frequency with which inclusion of standardized structural MRI acquisitions detects comorbid vascular and non-vascular pathologies. Methods: We systematically searched ClinicalTrials.gov for AD clinical trials to determine their neuroimaging criteria and then used data from an AD/MCI cohort who underwent standardized MRI protocols, to determine type and incidence of clinically relevant comorbid pathologies. Results: Of 210 AD clinical trials, …

The Effect Of Sex On Immune Responses To A Homocitrullinated Peptide In The Dr4-Transgenic Mouse Model Of Rheumatoid Arthritis, Ewa Cairns, Sheri Saunders, David A. Bell, Garth Blackler, Patrick Lac, Lillian Barra

Bone and Joint Institute

© 2020 The Author(s) Rheumatoid Arthritis (RA) is more common and severe in women compared to men. Both women and men with RA express autoantibodies to post-translationally modified antigens, including citrullinated and homocitrullinated proteins or peptides. These autoantibodies are strongly linked with the HLA-DR4 gene. The objective of this study was to determine sex differences in immune responses to homocitrullinated antigens. We used a humanized animal model of RA, DR4-transgenic mice and immunized them with a homocitrullinated peptide called HomoCitJED. Immune responses in these mice were measured for splenocyte proliferation by tritiated thymidine incorporation, serum autoantibody production by ELISA and …

Reflections On The Evolution Of Smart Polymers, Elizabeth R. Gillies

Bone and Joint Institute

© 2019 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim Since Staudinger's recognition that polymers were long chain molecules with covalent bonds between repeating units, the field has evolved tremendously. In addition to their many structural roles, polymers have been developed to exhibit “smart” stimuli-responsive behavior. This article will describe the evolution of selected classes of smart polymers including those responsive to changes in pH, temperature, light, and mechanical stimuli, as well as self-immolative polymers and their application in drug delivery, sensors, and actuators. It will also highlight key advancements in polymer chemistry that enabled rapid progress over the past ∼20 …

Comparison Of Contact Kinematics In Posterior-Stabilized And Cruciate-Retaining Total Knee Arthroplasty At Long-Term Follow-Up, Jordan S. Broberg, Silvio Ndoja, Steven J. Macdonald, Brent A. Lanting, Matthew G. Teeter

Bone and Joint Institute

© 2019 Elsevier Inc. Background: There is controversy regarding the superiority of posterior-stabilizing (PS) total knee arthroplasty (TKA) and cruciate-retaining (CR) TKA. Substantial work has made comparisons between PS and CR TKA at follow-ups of less than 5 years. It was the goal of the present study to compare the kinematics at greater than 5 years postoperatively between CR and PS TKA, with a secondary goal of comparing patient function. Methods: A total of 42 knees were investigated, with equal representation in the PS and CR TKA groups. Patients underwent radiostereometric analysis imaging at 0°, 20°, 40°, 60° 80°, and …

Effect Of The Extent Of Release For Knee Balancing On Post-Operative Limb Coronal Alignment After Primary Total Knee Arthroplasty, Mohammad M. Alzahrani, Thomas J. Wood, Lyndsay E. Somerville, Steven J. Macdonald, James L. Howard, Edward M. Vasarhelyi, Brent A. Lanting

Bone and Joint Institute

© 2020 Alzahrani et al. Introduction: Outcomes and longevity of total knee arthroplasty (TKA) depend mainly on restoring knee function, through precise bony resection and appropriate soft tissue balancing. The current literature lacks evidence regarding the degree of radiographic change after intra-operative knee balancing. The purpose of our study was to assess the degree of change in coronal lower extremity alignment by comparing pre-operative to post-operative full-length radiographs (FLR) after quantifying the degree of intra-operative knee balancing and corre-late patient-reported outcomes to the extent of balancing required. Patients and Methods: One hundred and fifty-four patients undergoing primary TKA for varus …

The Economic Impact Of Periprosthetic Infection In Total Hip Arthroplasty, Jason Akindolire, Mina W. Morcos, Jacquelyn D. Marsh, James L. Howard, Brent A. Lanting, Edward M. Vasarhelyi

Bone and Joint Institute

© 2020 Canadian Medical Association. All rights reserved. Background: Periprosthetic joint infection (PJI) is the third leading cause of total hip arthroplasty (THA) failure. Although controversial, 2-stage revision remains the gold standard treatment for PJI in most situations. To date, there have been few studies describing the economic impact of PJI in today's health care environment. The purpose of the current study was to obtain an accurate estimate of the institutional cost associated with the management of PJI in THA and to assess the economic burden of PJI compared with primary uncomplicated THA. Methods: We conducted a review of primary …

Three Femoral Stem Designs Without Corrosion: A Review Of 2095 Stems, Douglas D.R. Naudie, Silvio Ndoja, Thomas J. Wood, Lyndsay E. Somerville, James L. Howard, Richard W. Mccalden, Steven J. Macdonald, Brent A. Lanting

Bone and Joint Institute

© 2020 Naudie et al. Introduction: Corrosion at the head–neck interface of modular components in total hip arthroplasty (THA) has been reported as a cause of failure of modern total hip replacement implants. While this method of failure has been well described, it remains poorly understood. The purpose of this study is to review the three most commonly used uncemented femoral stems at our institution over the last fifteen years and to correlate any established risk factors with rates of revision, particularly corrosion. Methods: We reviewed 2095 patients from March 2000 to September 2015 who underwent total hip arthroplasty with …

Facilitators And Barriers To Access To Pediatric Medical Services In A Community Hospital, Qiyun Shi, Fiorella Castillo, Kusum Viswanathan, Fernanda Kupferman, Joy C. Macdermid

Bone and Joint Institute

© The Author(s) 2020. Background: Missed medical appointments decrease continuity of medical care, waste resources, and may affect health outcomes. We examined the factors associated with missed children’s supervision visits in Eastern Brooklyn, NY, USA. Methods: We surveyed guardians whose children received routine medical care at four pediatric clinics. Participants filled out a questionnaire that queried: demographics, food security, recent relocation, parental support of healthy behaviors, and length of knowing provider. Preexisting disease(s) and missed visits were retrieved from medical records. Regression analyses were used to determine factors that were associated with missing medical appointments. Results: Among 213 families, 33% …

Low Income And Nonadherence To Health Supervision Visits Predispose Children To More Emergency Room Utilization, Qiyun Shi, Fiorella Castillo, Kusum Viswanathan, Fernanda Kupferman, Joy C. Macdermid

Bone and Joint Institute

© The Author(s) 2020. Social inequity can have broad health impacts. The purpose of this study was to examine the effects of low income and nonadherence to health supervision visits on emergency room (ER) utilization in Eastern Brooklyn, New York. This study surveyed parents/guardians of children who received routine medical care at Brookdale ambulatory clinics from June 2017 to February 2018. Participants were asked to fill out a questionnaire on social demographics, food insecurity, and relocation. Electronic medical records (EMRs) were reviewed to retrieve numbers of missing health supervision and ER visit in past 12 months. Comorbidity was identified through …

Opioid Use Trends In Patients Undergoing Elective Thoracic And Lumbar Spine Surgery, Alexandra Stratton, Eugene Wai, Stephen Kingwell, Philippe Phan, Darren Roffey, Mohamed El Koussy, Sean Christie, Peter Jarzem, Parham Rasoulinejad, Steve Casha, Jerome Paquet, Michael Johnson, Edward Abraham, Hamilton Hall, Greg Mcintosh, Kenneth Thomas, Raja Rampersaud, Neil Manson, Charles Fisher

Bone and Joint Institute

© 2020 Joule Inc. or its licensors Background: Opioid use in North America has increased rapidly in recent years. Preoperative opioid use is associated with several negative outcomes. Our objectives were to assess patterns of opioid use over time in Canadian patients who undergo spine surgery and to determine the effect of spine surgery on 1year postoperative opioid use. Methods: A retrospective analysis was performed on prospectively collected data from the Canadian Spine Outcomes and Research Network for patients undergoing elective thoracic and lumbar surgery. Selfreported opioid use at baseline, before surgery and at 1 year after surgery was compared. …

Appraisal Of Clinical Practice Guideline: Arthroscopic Surgery For Degenerative Knee Arthritis And Meniscal Tears: A Clinical Practice Guideline, Goris Nazari, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.

Distribution Of Number, Location Of Pain And Comorbidities, And Determinants Of Work Limitations Among Firefighters, Goris Nazari, Temitope A. Osifeso, Joy C. Macdermid

Bone and Joint Institute

© 2020 Goris Nazari et al. Introduction. The unique demands of firefighting results in acute, recurrent, or chronic pain complications. We aimed to describe the percentage distribution of number and location of painful sites among FFs and determine whether work limitations differed based on the number or location of painful sites, age, and/or sex. Methods. About 325 firefighters completed a work limitation questionnaire (WLQ-26) and a checklist to indicate painful regions of the body using either a paper format or an online survey. A one-way ANOVA was employed to analyze the transformed work limitation scores; this was a two-sided test …

Disclosure, Privacy And Workplace Accommodation Of Episodic Disabilities: Organizational Perspectives On Disability Communication-Support Processes To Sustain Employment, Monique A.M. Gignac, Julie Bowring, Arif Jetha, Dorcas E. Beaton, F. Curtis Breslin, Renee Louise Franche, Emma Irvin, Joy C. Macdermid, William S. Shaw, Peter M. Smith, Aaron Thompson, Emile Tompa, Dwayne Van Eerd, Ron Saunders

Bone and Joint Institute

© 2020, The Author(s). Purpose Employers increasingly are asked to accommodate workers living with physical and mental health conditions that cause episodic disability, where periods of wellness are punctuated by intermittent and often unpredictable activity limitations (e.g., depression, anxiety, arthritis, colitis). Episodic disabilities may be challenging for workplaces which must comply with legislation protecting the privacy of health information while believing they would benefit from personal health details to meet a worker’s accommodation needs. This research aimed to understand organizational perspectives on disability communication-support processes. Methods Twenty-seven participants from diverse employment sectors and who had responsibilities for supporting workers living …

Implementation Of Outpatient Total Joint Arthroplasty In Canada: Where We Are And Where We Need To Go, Bryn O. Zomar, Shannon L. Sibbald, Doug Bickford, James L. Howard, Dianne M. Bryant, Jacquelyn D. Marsh, Brent A. Lanting

Bone and Joint Institute

© 2020 Zomar et al. Total joint arthroplasties (TJA) are successful procedures for the treatment of end-stage hip and knee arthritis. Length of stay in hospitals after these procedures has been steadily decreasing over time, with outpatient procedures (discharge on the same day as surgery) introduced in the US within the last 20 years. Reducing length of stay after TJA can provide cost savings. Centres in Canada have started to utilize outpatient TJA procedures, but we have identified some barriers that may have limited their implementation. We have summarized the current literature for outpatient TJA and discussed potential solutions for …

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) …

Use Of Kalman Filtering In State And Parameter Estimation Of Diabetes Models, Cassidy Le

HMC Senior Theses

Diabetes continues to affect many lives every year, putting those affected by it at higher risk of serious health issues. Despite many efforts, there currently is no cure for diabetes. Nevertheless, researchers continue to study diabetes in hopes of understanding the disease and how it affects people, creating mathematical models to simulate the onset and progression of diabetes. Recent research by David J. Albers, Matthew E. Levine, Andrew Stuart, Lena Mamykina, Bruce Gluckman, and George Hripcsak¹ has suggested that these models can be furthered through the use of Data Assimilation, a regression method that synchronizes a model with a …