Comparison of Home Sleep Devices and Sleep Study Testing in Hypoglossal Nerve Stimulation Patients.

Objective: Hypoglossal nerve stimulation (HGNS) is an implantable therapy for obstructive sleep apnea (OSA). Therapy efficacy is currently confirmed by a formal sleep study after empiric adjustment by the patient at home based on their subjective experience with the device. Home-based longitudinal apnea hypopnea index (AHI) measurements have the potential to refine HGNS therapeutic amplitude selection with objective data.

More than labels: neural representations of emotion words are widely distributed across the brain.

Although emotion words such as "anger," "disgust," "happiness," or "pride" are often thought of as mere labels, increasing evidence points to language as being important for emotion perception and experience. Emotion words may be particularly important for facilitating access to the emotion concepts. Indeed, deficits in semantic processing or impaired access to emotion words interfere with emotion perception.

Testing the automaticity features of the affect misattribution procedure: The roles of awareness and intentionality.

The affect misattribution procedure (AMP) is a measure of implicit evaluations, designed to index the automatic retrieval of evaluative knowledge. The AMP effect consists in participants evaluating neutral target stimuli positively when preceded by positive primes and negatively when preceded by negative primes. After multiple prior tests of intentionality, Hughes et al.

A missense mutation in zinc finger homeobox-3 (ZFHX3) impedes growth and alters metabolism and hypothalamic gene expression in mice.

A protein altering variant in the gene encoding zinc finger homeobox-3 (ZFHX3) has recently been associated with lower BMI in a human genome-wide association study. We investigated metabolic parameters in mice harboring a missense mutation in Zfhx3 (Zfhx3 ) and looked for altered in situ expression of transcripts that are associated with energy balance in the hypothalamus to understand how ZFHX3 may influence growth and metabolic effects. One-year-old male and female Zfhx3 mice weighed less, had shorter body length, lower fat mass, smaller mesenteric fat depots, and lower circulating insulin, leptin, and insulin-like growth factor-1 (IGF1) concentrations than Zfhx3 littermates.

Cortical and subcortical mapping of the allostatic-interoceptive system in the human brain: replication and extension with 7 Tesla fMRI.

The brain continuously anticipates the energetic needs of the body and prepares to meet those needs before they arise, a process called allostasis. In support of allostasis, the brain continually models the internal state of the body, a process called interoception. Using published tract-tracing studies in non-human animals as a guide, we previously identified a large-scale system supporting allostasis and interoception in the human brain with functional magnetic resonance imaging (fMRI) at 3 Tesla.

Factors affecting obstructive sleep apnea patients' use of upper airway stimulation treatment.

Study Objectives: Upper airway stimulation (UAS) is an alternative treatment for obstructive sleep apnea that must be activated nightly. Although the implanted device offsets the mask- or pressure-related side effects often associated with continuous positive airway pressure therapy, some UAS recipients do not use the therapy consistently. This study qualitatively explored factors associated with UAS usage in obstructive sleep apnea patients.

Sinful pleasures and pious woes? Using fMRI to examine evaluative and hedonic emotion knowledge.

Traditionally, lust and pride have been considered pleasurable, yet sinful in the West. Conversely, guilt is often considered aversive, yet valuable. These emotions illustrate how evaluations about specific emotions and beliefs about their hedonic properties may often diverge.

Cluster analysis of upper airway stimulation adherence patterns and implications on clinical care.

Study Objectives: Upper airway stimulation (UAS) therapy is effective for a subset of obstructive sleep apnea (OSA) patients with continuous positive airway pressure (CPAP) intolerance. While overall adherence is high, some patients have suboptimal adherence, which limits efficacy. Our goal was to identify therapy usage patterns during the first 3 months of therapy to enable targeted strategies for improved adherence.

Constructing Explicit Prejudice: Evidence From Large Sample Datasets.

How does implicit bias contribute to explicit prejudice? Prior experiments show that concept knowledge about fear versus sympathy determines whether negative affect (captured as implicit bias) predicts antisocial outcomes (Lee et al.). Concept knowledge (i.

Effects of Acupuncture and Acupressure on Burnout in Health Care Workers: A Randomized Trial.

Background: Health care workers face occupational stressors that may lead to burnout and secondary traumatic stress. Strategies to mitigate the negative psychological impact on frontline workers are urgently needed.

Objective: The purpose of this study was to evaluate the effect of auricular acupuncture or acupressure, as compared with ear massage, on anxiety, burnout, and caring capacity in health care workers.

Predictive processing models and affective neuroscience.

The neural bases of affective experience remain elusive. Early neuroscience models of affect searched for specific brain regions that uniquely carried out the computations that underlie dimensions of valence and arousal. However, a growing body of work has failed to identify these circuits.

Development and validation of an early warning tool for sepsis and decompensation in children during emergency department triage.

This study was designed to develop and validate an early warning system for sepsis based on a predictive model of critical decompensation. Data from the electronic medical records for 537,837 visits to a pediatric Emergency Department (ED) from March 2013 to December 2019 were collected. A multiclass stochastic gradient boosting model was built to identify early warning signs associated with death, severe sepsis, non-severe sepsis, and bacteremia.

An indirect measure of discrete emotions.

Experiences of discrete emotion play important roles in a variety of psychological domains. Yet, current measures of discrete emotion face significant limitations. Biological and behavioral measures often do not capture subjective experiences related to discrete emotions, while self-reports are susceptible to reporting biases.

Hypoglossal nerve stimulation for obstructive sleep apnoea in a patient with previous tongue laceration.

Upper airway stimulation of the tongue using an implantable neurostimulator has recently been approved for select patients with moderate to severe obstructive sleep apnoea (OSA) and intolerance to continuous positive airway pressure therapy. Effective implantation depends on the integrity of the hypoglossal nerve as well as the tongue musculature, notably the genioglossus. Prior trauma to either of these structures may be viewed as a relative contraindication to implantation.

Constructing bias: Conceptualization breaks the link between implicit bias and fear of Black Americans.

Negative affect toward outgroup members has long been known to predict discriminatory behavior. However, psychological constructionist theories of emotion suggest that negative affect may not always reflect antipathy for outgroup members. Rather, the subjective experience depends on how negative affect is conceptualized as specific discrete emotions (e.

Making a difference in medical trainees' attitudes toward Latino patients: A pilot study of an intervention to modify implicit and explicit attitudes.

Negative attitudes and discrimination against Latinos exist in the dominant U.S. culture and in healthcare systems, contributing to ongoing health disparities.

Implicit attitudes predict drinking onset in adolescents: Shaping by social norms.

Objective: Implicit attitudes toward alcohol predict drinking among adults and adolescents. If implicit attitudes reflected associations learned through direct experience with drinking, then they would likely only predict drinking among individuals who have previously consumed alcohol. In contrast, if implicit attitudes reflected indirect experience through social messages, they might also then predict future drinking, even among individuals with no drinking experience.

Implicit Racial/Ethnic Bias Among Health Care Professionals and Its Influence on Health Care Outcomes: A Systematic Review.

Background: In the United States, people of color face disparities in access to health care, the quality of care received, and health outcomes. The attitudes and behaviors of health care providers have been identified as one of many factors that contribute to health disparities. Implicit attitudes are thoughts and feelings that often exist outside of conscious awareness, and thus are difficult to consciously acknowledge and control.

Effect of upper-airway stimulation for obstructive sleep apnoea on airway dimensions.

Upper-airway stimulation (UAS) using a unilateral implantable neurostimulator for the hypoglossal nerve is an effective therapy for obstructive sleep apnoea patients with continuous positive airway pressure intolerance. This study evaluated stimulation effects on retropalatal and retrolingual dimensions during drug-induced sedation compared with wakefulness to assess mechanistic relationships in response to UAS. Patients with an implanted stimulator underwent nasal video endoscopy while awake and/or during drug-induced sedation in the supine position.

Feeling worse to feel better: pain-offset relief simultaneously stimulates positive affect and reduces negative affect.

Although pain itself induces negative affect, the removal (or offset) of pain induces a powerful state of relief. Despite being implicated in a wide range of psychological and behavioral phenomena, relief remains a poorly understood emotion. In particular, some theorists associate relief with increased positive affect, whereas others associate relief with diminished negative affect.

Placebo effects in therapeutic outcomes.

The goal of this review is to address the medical implications of placebos and placebo effects in future medical practice. The applications of placebos have become increasingly relevant due to a recent abundance of clinical research that has been conducted on the mechanisms under which a placebo response is formed. With current research on placebo, the thoughts of using placebo effects as an effective form of co-treatment for patients with disorders such as pain, depression or Parkinson's disease might become a feasible proposition.

Prenyltransferase substrate binding pocket flexibility and its application in isoprenoid profiling.

This communication explores prenyltransferase substrate binding pocket flexibility to tag and enrich isoprenoids using affinity-based purification for metabolomic studies.

Syntheses of the P-methylase substrates of the bialaphos biosynthetic pathway.

Genetic studies suggest that either N-acetyldemethyl phosphinothricin (1, N-AcDMPT) or N-acetyldemethyl phosphinothricin tripeptide (2, N-AcDMPTT) is the substrate for the P-methylation reaction in the biosynthesis of phosphinothricin tripeptide (PTT), which is widely used as an herbicide. To study the mechanism for this unique P-methylation reaction catalyzed by the BcpD protein and the functions of the unusual nonribosomal peptide synthetases involved in PTT biosynthesis, this work reports the chemical syntheses of 1 and 2.