Publications by authors named "Leary M"

Purpose: is one of the most frequently mutated genes in intellectual disability cohorts. Thus, far few adult-aged patients with -related disorder have been described, which limits our understanding of the disease's natural history and our ability to counsel patients and their families.

Methods: Data on patients aged 18+ years with -related disorder were collected through an online questionnaire completed by clinicians and parents.

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The expression of intellectual humility-publicly admitting confusion, ignorance, and mistakes-can benefit individuals, but can it also benefit others? Five studies tested the hypothesis that teachers' expressions of intellectual humility would boost U.S. students' motivation and engagement in learning.

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  • Rabies remains a high-mortality disease, prompting the exploration of a novel vaccine called ChAd155-RG, which uses a genetically modified chimpanzee adenovirus vector to improve immunization logistics.
  • A phase 1 clinical trial involving healthy adults compared the safety and immune response of ChAd155-RG to the standard vaccine, RabAvert, assessing factors like side effects and antibody levels.
  • Results showed that while ChAd155-RG was generally safe, it demonstrated lower and less lasting antibody responses against rabies compared to RabAvert, possibly influenced by participants' preexisting immunity to the adenovirus vector used in the vaccine.
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  • The TRACE intervention, designed for treating addictive eating, showed significant improvement in food addiction scores when compared to passive and control groups during a 3-month trial.
  • Active intervention costs averaged $294 per person, while passive and control interventions were much cheaper at $47 and $26, respectively.
  • Despite low costs, the active intervention was not deemed cost-effective due to minimal gains in Quality-Adjusted Life Years (QALYs), suggesting that the passive intervention was more economically viable.
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Objective: The COVID-19 pandemic extensively changed the United States residency application process, including transitioning interviews from in-person to virtually. This study aims to determine the effect of a neurology residency programs' social media presence on applicants and to identify aspects of the program's social media profile influencing students' decisions to apply.

Methods: This is an observational cross-sectional study of neurology residency applicants utilizing a 10-question survey distributed from October 2022 to March 2023.

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Cohort scheduling intentionally places students in the same sections of several classes (e.g., biology, algebra, and writing) with a consistent peer group and is typically done for small groups (<30 students) to enable better interaction among students.

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Background: Traditional electrocardiography (ECG)-derived heart rate variability (HRV) and photoplethysmography (PPG)-derived "HRV" (termed PRV) have been reported interchangeably. Any potential dissociation between HRV and PRV could be due to the variability in pulse arrival time (PAT; time between heartbeat and peripheral pulse).

Objective: This study examined if PRV is equivalent to ECG-derived HRV and if PRV's innate error makes it a high-quality measurement separate from HRV.

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  • Methamphetamine can lead to severe psychological symptoms, but there are no effective interventions currently available for managing these issues.
  • A study introduced "Methamphetamine Assist Packs" containing antipsychotic medication and resources for patients experiencing psychosis due to methamphetamine use, focusing on their effects over time.
  • Results indicated that patients who received these packs had significantly reduced psychiatric emergency visits for up to six months, suggesting that this approach could be beneficial but requires further investigation.
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Objectives: The primary objective of this study was to evaluate the prevalence of white matter hyperintensities (WMHs) in patients who experience migraine and compare findings between adult male and female patients. Specific symptoms and comorbidities also were analyzed to determine whether they were associated with WMH prevalence or the sex of patients with migraine. We hypothesized that females would have a higher prevalence of WMHs, experience more frequent and more severe migraine headaches, and be more likely to have certain comorbidities associated with migraine than males.

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Bone tumors, characterized by diverse locations and shapes, often necessitate surgical excision followed by custom implant placement to facilitate targeted bone reconstruction. Leveraging additive manufacturing, patient-specific implants can be precisely tailored with complex geometries and desired stiffness, enhancing their suitability for bone ingrowth. In this work, a finite element model is employed to assess patient-specific lattice implants in femur bones.

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Background: Few interventions for food addiction (FA) report on dietary intake variables. The present study comprised a three-arm randomised controlled trial in adults with symptoms of FA. The aim was to evaluate dietary intake, sleep and physical activity resulting from a dietitian-led telehealth intervention at 3 months.

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Background: We sought to understand the innovativeness of nurses engaging in innovative behaviors and quantify the associated characteristics that make nurses more able to innovate in practice. We first compared the innovativeness scores of our population; then we examined those who self-identified as an innovator versus those who did not to explore differences associated with innovativeness between these groups.

Methods: A cross-sectional survey study of nurses in the US engaging in innovative behaviors was performed.

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Background: Interest in addictive eating continues to grow from both a research and clinical perspective. To date, dietary assessment alongside food addiction status is limited, with management options for addictive eating behaviours variable, given the overlap with myriad conditions. The aim of this study was to report the dietary intake and quality-of-life outcomes from a personality-targeted motivational interviewing intervention delivered by dietitians using telehealth.

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Background: Social determinants are associated with survival from out-of-hospital sudden cardiac arrest (SCA). Because prompt delivery of bystander CPR (B-CPR) doubles survival and B-CPR rates are low, we sought to assess whether gender, socioeconomic status (SES), race, and ethnicity are associated with lower rates of B-CPR and CPR training.

Methods: This scoping review was conducted as part of the continuous evidence evaluation process for the 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care as part of the Resuscitation Education Science section.

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Purpose/objectives: With rapidly evolving oncology care, the role of the outpatient clinical nurse specialist is most valuable and essential. The purpose of this article is to describe the role of the clinical nurse specialist in the ambulatory oncology settings and highlight the clinical nurse specialists' unique influence across the spheres of impact.

Description Of The Project/program: This article shares several contributions of an outpatient clinical nurse specialist, which include ways this role impacts nursing practice, patient care, and standardizing organizational guidelines.

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  • In 2021, a large urban university hospital faced usability and workflow challenges after transitioning to a new two-floor emergency department, prompting the formation of a multidisciplinary design collaborative to enhance efficiency.
  • The team focused on improving medical supply retrieval times, which are crucial for patient care and clinician satisfaction, by implementing design changes like standardized icons, improved supply label visibility, and a reorganization of supplies based on usage.
  • Despite the success of the redesign, the project encountered barriers, including difficulties in clinician engagement, institutional policies, and scheduling conflicts, while also providing insight for future research and collaboration opportunities in similar settings.
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Diabetic retinopathy (DR) affects about 200 million people worldwide, causing leakage of blood components into retinal tissues, leading to activation of microglia, the resident phagocytes of the retina, promoting neuronal and vascular damage. The microglial receptor, CX3CR1, binds to fractalkine (FKN), an anti-inflammatory chemokine that is expressed on neuronal membranes (mFKN), and undergoes constitutive cleavage to release a soluble domain (sFKN). Deficiencies in CX3CR1 or FKN showed increased microglial activation, inflammation, vascular damage, and neuronal loss in experimental mouse models.

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  • Researchers studied a program called TRACE to help people who eat in a way that feels out of control and to improve their mental health.
  • The study included 175 adults and compared three groups: one that received active help, one that received passive help, and a control group with no special help.
  • Results showed that those in the active help group had the biggest improvements in their eating habits and also felt less depressed and stressed compared to the control group.
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Additively manufactured metamaterials are architectured cellular materials that can be engineered through structural innovations to achieve unusual mechanical and multifunctional properties. Among these, hollow-strut lattice (HSL) metamaterials have proven to allow outstanding structural efficiency, with a multifunctional architecture ideal for lightweight, biomedical, microfluidic, and thermal engineering. To capitalize on their structural efficiency and significantly extend their mechanical envelope, a thin-plate lattice topology is seamlessly integrated into the inner hollow space of an HSL topology.

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Stress shielding is a common complication following endoprosthetic reconstruction surgery. The resulting periprosthetic osteopenia often manifests as catastrophic fractures and can significantly limit future treatment options. It has been long known that bone plates with lower elastic moduli are key to reducing the risk of stress shielding in orthopedics.

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Disagreements can polarize attitudes when they evoke defensiveness from the conversation partners. When a speaker talks, listeners often think about ways to counterargue. This process often fails to depolarize attitudes and might even backfire (i.

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In large physiology classes, there is a demand for low-effort, or "light touch," strategies that faculty can use to connect with students and promote increased academic performance and student engagement. The purpose of this study was to compare personalized versus standardized emails following unit quizzes on student perceptions of faculty engagement, participation in academic resources, and academic performance in a junior-level, online physiology course. Students completed the online unit quiz and received a subsequent feedback email from the course director.

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To retain students on academic probation, physiology and physiology-related programs may offer a variety of academic support initiatives. This pilot research study examined the feasibility and perceptions of implementing a success coach-led physical activity (PA) program for freshmen on academic probation in a physiology-related program. Freshman on academic probation [grade point average (GPA) <2.

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  • About 15%-20% of adults report symptoms of addictive eating, and there are limited management options, with motivational interviewing showing promise for behavior change.
  • This study focuses on a three-arm randomized controlled trial to evaluate a telehealth intervention for addictive eating among Australian adults, comparing it to passive and control groups.
  • Participants will undergo assessments of their addictive eating symptoms, dietary habits, mental health, and more over a period of 6 months, while the main goal is to measure the effectiveness of the intervention through changes in symptoms.
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Each individual has a unique and interacting set of genetic, lifestyle, and environmental factors that are reflected in their physical exam and laboratory biomarkers and significantly impact their experience of health. Patterns of nutrient deficiency signs and biomarker levels below health-promoting thresholds have been identified in national nutrition surveys. However, identifying these patterns remains a challenge in clinical medicine for many reasons, including clinician training and education, clinical time restraints, and the belief that these signs are both rare and recognizable only in cases of severe nutritional deficiencies.

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