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Peng GCY, Alber M, Tepole AB, Cannon WR, De S, Dura-Bernal S, Garikipati K, Karniadakis G, Lytton WW, Perdikaris P, Petzold L, Kuhl E. Multiscale modeling meets machine learning: What can we learn? Arch Comput Methods Eng 2021; 28:1017-1037. [PMID: 34093005 PMCID: PMC8172124 DOI: 10.1007/s11831-020-09405-5] [Citation(s) in RCA: 58] [Impact Index Per Article: 19.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2019] [Accepted: 02/09/2020] [Indexed: 05/10/2023]
Abstract
Machine learning is increasingly recognized as a promising technology in the biological, biomedical, and behavioral sciences. There can be no argument that this technique is incredibly successful in image recognition with immediate applications in diagnostics including electrophysiology, radiology, or pathology, where we have access to massive amounts of annotated data. However, machine learning often performs poorly in prognosis, especially when dealing with sparse data. This is a field where classical physics-based simulation seems to remain irreplaceable. In this review, we identify areas in the biomedical sciences where machine learning and multiscale modeling can mutually benefit from one another: Machine learning can integrate physics-based knowledge in the form of governing equations, boundary conditions, or constraints to manage ill-posted problems and robustly handle sparse and noisy data; multiscale modeling can integrate machine learning to create surrogate models, identify system dynamics and parameters, analyze sensitivities, and quantify uncertainty to bridge the scales and understand the emergence of function. With a view towards applications in the life sciences, we discuss the state of the art of combining machine learning and multiscale modeling, identify applications and opportunities, raise open questions, and address potential challenges and limitations. We anticipate that it will stimulate discussion within the community of computational mechanics and reach out to other disciplines including mathematics, statistics, computer science, artificial intelligence, biomedicine, systems biology, and precision medicine to join forces towards creating robust and efficient models for biological systems.
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Affiliation(s)
| | - Mark Alber
- University of California, Riverside, USA
| | | | - William R Cannon
- Pacific Northwest National Laboratory, Richland, Washington, USA
| | - Suvranu De
- Rensselaer Polytechnic Institute, Troy, New York, USA
| | | | | | | | | | | | - Linda Petzold
- University of California, Santa Barbara, California, USA
| | - Ellen Kuhl
- Stanford University, Stanford, California, USA
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2
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David KK, Fang HY, Peng GCY, Gnadt JW. NIH BRAIN Circuits Programs: An Experiment in Supporting Team Neuroscience. Neuron 2021; 108:1020-1024. [PMID: 33357417 DOI: 10.1016/j.neuron.2020.11.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 11/13/2020] [Accepted: 11/16/2020] [Indexed: 12/21/2022]
Abstract
The NIH BRAIN Initiative is aimed at revolutionizing our understanding of the human brain. Here, we present a discussion of support for team research in investigative neuroscience at different stages and on various scales.
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Affiliation(s)
- Karen K David
- BRAIN Initiative, National Institutes of Health, Bethesda, MD, USA
| | - Hsiao Yu Fang
- BRAIN Initiative, National Institutes of Health, Bethesda, MD, USA
| | - Grace C Y Peng
- BRAIN Initiative, National Institutes of Health, Bethesda, MD, USA
| | - James W Gnadt
- BRAIN Initiative, National Institutes of Health, Bethesda, MD, USA.
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3
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Erdemir A, Mulugeta L, Ku JP, Drach A, Horner M, Morrison TM, Peng GCY, Vadigepalli R, Lytton WW, Myers JG. Credible practice of modeling and simulation in healthcare: ten rules from a multidisciplinary perspective. J Transl Med 2020; 18:369. [PMID: 32993675 PMCID: PMC7526418 DOI: 10.1186/s12967-020-02540-4] [Citation(s) in RCA: 39] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 09/21/2020] [Indexed: 11/10/2022] Open
Abstract
The complexities of modern biomedicine are rapidly increasing. Thus, modeling and simulation have become increasingly important as a strategy to understand and predict the trajectory of pathophysiology, disease genesis, and disease spread in support of clinical and policy decisions. In such cases, inappropriate or ill-placed trust in the model and simulation outcomes may result in negative outcomes, and hence illustrate the need to formalize the execution and communication of modeling and simulation practices. Although verification and validation have been generally accepted as significant components of a model’s credibility, they cannot be assumed to equate to a holistic credible practice, which includes activities that can impact comprehension and in-depth examination inherent in the development and reuse of the models. For the past several years, the Committee on Credible Practice of Modeling and Simulation in Healthcare, an interdisciplinary group seeded from a U.S. interagency initiative, has worked to codify best practices. Here, we provide Ten Rules for credible practice of modeling and simulation in healthcare developed from a comparative analysis by the Committee’s multidisciplinary membership, followed by a large stakeholder community survey. These rules establish a unified conceptual framework for modeling and simulation design, implementation, evaluation, dissemination and usage across the modeling and simulation life-cycle. While biomedical science and clinical care domains have somewhat different requirements and expectations for credible practice, our study converged on rules that would be useful across a broad swath of model types. In brief, the rules are: (1) Define context clearly. (2) Use contextually appropriate data. (3) Evaluate within context. (4) List limitations explicitly. (5) Use version control. (6) Document appropriately. (7) Disseminate broadly. (8) Get independent reviews. (9) Test competing implementations. (10) Conform to standards. Although some of these are common sense guidelines, we have found that many are often missed or misconstrued, even by seasoned practitioners. Computational models are already widely used in basic science to generate new biomedical knowledge. As they penetrate clinical care and healthcare policy, contributing to personalized and precision medicine, clinical safety will require established guidelines for the credible practice of modeling and simulation in healthcare.
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Affiliation(s)
- Ahmet Erdemir
- Department of Biomedical Engineering and Computational Biomodeling (CoBi) Core, Lerner Research Institute, Cleveland Clinic, 9500 Euclid Avenue (ND20), Cleveland, OH, 44195, USA.,Committee on Credible Practice of Modeling, & Simulation in Healthcare, Interagency Modeling and Analysis Group and Multiscale Modeling Consortium, Bethesda, MD, USA
| | - Lealem Mulugeta
- InSilico Labs LLC, 2617 Bissonnet St. Suite 435, Houston, TX, 77005, USA.,Committee on Credible Practice of Modeling, & Simulation in Healthcare, Interagency Modeling and Analysis Group and Multiscale Modeling Consortium, Bethesda, MD, USA
| | - Joy P Ku
- Department of Bioengineering, Clark Center, Stanford University, 318 Campus Drive, Stanford, CA, 94305-5448, USA.,Committee on Credible Practice of Modeling, & Simulation in Healthcare, Interagency Modeling and Analysis Group and Multiscale Modeling Consortium, Bethesda, MD, USA
| | - Andrew Drach
- Oden Institute for Computational Engineering and Sciences, University of Texas at Austin, 201 E. 24th st, Austin, TX, 78712, USA.,Committee on Credible Practice of Modeling, & Simulation in Healthcare, Interagency Modeling and Analysis Group and Multiscale Modeling Consortium, Bethesda, MD, USA
| | - Marc Horner
- ANSYS, Inc, 1007 Church Street, Suite 250, Evanston, IL, 60201, USA.,Committee on Credible Practice of Modeling, & Simulation in Healthcare, Interagency Modeling and Analysis Group and Multiscale Modeling Consortium, Bethesda, MD, USA
| | - Tina M Morrison
- Division of Applied Mechanics, United States Food and Drug Administration, 10903 New Hampshire Avenue, Silver Spring, MD, 20993, USA.,Committee on Credible Practice of Modeling, & Simulation in Healthcare, Interagency Modeling and Analysis Group and Multiscale Modeling Consortium, Bethesda, MD, USA
| | - Grace C Y Peng
- National Institute of Biomedical Imaging & Bioengineering, Suite 200, MSC 6707 Democracy Blvd5469, Bethesda, MD, 20892, USA.,Committee on Credible Practice of Modeling, & Simulation in Healthcare, Interagency Modeling and Analysis Group and Multiscale Modeling Consortium, Bethesda, MD, USA
| | - Rajanikanth Vadigepalli
- Department of Pathology, Anatomy and Cell Biology, Daniel Baugh Institute for Functional Genomics/Computational Biology, Thomas Jefferson University, 1020 Locust St, Philadelphia, PA, 19107, USA.,Committee on Credible Practice of Modeling, & Simulation in Healthcare, Interagency Modeling and Analysis Group and Multiscale Modeling Consortium, Bethesda, MD, USA
| | - William W Lytton
- State University of New York, Kings County Hospital, 450 Clarkson Ave., MSC 31, Brooklyn, NY, 11203, USA.,Committee on Credible Practice of Modeling, & Simulation in Healthcare, Interagency Modeling and Analysis Group and Multiscale Modeling Consortium, Bethesda, MD, USA
| | - Jerry G Myers
- Human Research Program, Cross-Cutting Computational Modeling Project, National Aeronautics and Space Administration - John H. Glenn Research Center, 21000 Brookpark Road, Cleveland, OH, 44135, USA. .,Committee on Credible Practice of Modeling, & Simulation in Healthcare, Interagency Modeling and Analysis Group and Multiscale Modeling Consortium, Bethesda, MD, USA.
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4
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Wolf EJ, Cruz TH, Emondi AA, Langhals NB, Naufel S, Peng GCY, Schulz BW, Wolfson M. Advanced technologies for intuitive control and sensation of prosthetics. Biomed Eng Lett 2020; 10:119-128. [PMID: 32175133 PMCID: PMC7046895 DOI: 10.1007/s13534-019-00127-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2019] [Accepted: 07/31/2019] [Indexed: 02/06/2023] Open
Abstract
The Department of Defense, Department of Veterans Affairs and National Institutes of Health have invested significantly in advancing prosthetic technologies over the past 25 years, with the overall intent to improve the function, participation and quality of life of Service Members, Veterans, and all United States Citizens living with limb loss. These investments have contributed to substantial advancements in the control and sensory perception of prosthetic devices over the past decade. While control of motorized prosthetic devices through the use of electromyography has been widely available since the 1980s, this technology is not intuitive. Additionally, these systems do not provide stimulation for sensory perception. Recent research has made significant advancement not only in the intuitive use of electromyography for control but also in the ability to provide relevant meaningful perceptions through various stimulation approaches. While much of this previous work has traditionally focused on those with upper extremity amputation, new developments include advanced bidirectional neuroprostheses that are applicable to both the upper and lower limb amputation. The goal of this review is to examine the state-of-the-science in the areas of intuitive control and sensation of prosthetic devices and to discuss areas of exploration for the future. Current research and development efforts in external systems, implanted systems, surgical approaches, and regenerative approaches will be explored.
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Affiliation(s)
- Erik J. Wolf
- Clinical and Rehabilitative Medicine Research Program, US Army Medical Research and Development Command, Fort Detrick, MD 21702 USA
| | - Theresa H. Cruz
- National Institute of Child Health and Human Development, National Institute of Health, Bethesda, MD 20817 USA
| | - Alfred A. Emondi
- Defense Advanced Research Projects Agency, Arlington, VA 22203 USA
| | - Nicholas B. Langhals
- National Institute of Neurological Disorders and Stroke, National Institute of Health, Bethesda, MD 20892 USA
| | | | - Grace C. Y. Peng
- National Institute of Biomedical Imaging and Bioengineering, National Institute of Health, Bethesda, MD 20817 USA
| | - Brian W. Schulz
- VA Office of Research and Development, Washington, DC 20002 USA
| | - Michael Wolfson
- National Institute of Biomedical Imaging and Bioengineering, National Institute of Health, Bethesda, MD 20817 USA
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5
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Erdemir A, Hunter PJ, Holzapfel GA, Loew LM, Middleton J, Jacobs CR, Nithiarasu P, Löhner R, Wei G, Winkelstein BA, Barocas VH, Guilak F, Ku JP, Hicks JL, Delp SL, Sacks M, Weiss JA, Ateshian GA, Maas SA, McCulloch AD, Peng GCY. Perspectives on Sharing Models and Related Resources in Computational Biomechanics Research. J Biomech Eng 2019; 140:2666967. [PMID: 29247253 DOI: 10.1115/1.4038768] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2017] [Indexed: 12/23/2022]
Abstract
The role of computational modeling for biomechanics research and related clinical care will be increasingly prominent. The biomechanics community has been developing computational models routinely for exploration of the mechanics and mechanobiology of diverse biological structures. As a result, a large array of models, data, and discipline-specific simulation software has emerged to support endeavors in computational biomechanics. Sharing computational models and related data and simulation software has first become a utilitarian interest, and now, it is a necessity. Exchange of models, in support of knowledge exchange provided by scholarly publishing, has important implications. Specifically, model sharing can facilitate assessment of reproducibility in computational biomechanics and can provide an opportunity for repurposing and reuse, and a venue for medical training. The community's desire to investigate biological and biomechanical phenomena crossing multiple systems, scales, and physical domains, also motivates sharing of modeling resources as blending of models developed by domain experts will be a required step for comprehensive simulation studies as well as the enhancement of their rigor and reproducibility. The goal of this paper is to understand current perspectives in the biomechanics community for the sharing of computational models and related resources. Opinions on opportunities, challenges, and pathways to model sharing, particularly as part of the scholarly publishing workflow, were sought. A group of journal editors and a handful of investigators active in computational biomechanics were approached to collect short opinion pieces as a part of a larger effort of the IEEE EMBS Computational Biology and the Physiome Technical Committee to address model reproducibility through publications. A synthesis of these opinion pieces indicates that the community recognizes the necessity and usefulness of model sharing. There is a strong will to facilitate model sharing, and there are corresponding initiatives by the scientific journals. Outside the publishing enterprise, infrastructure to facilitate model sharing in biomechanics exists, and simulation software developers are interested in accommodating the community's needs for sharing of modeling resources. Encouragement for the use of standardized markups, concerns related to quality assurance, acknowledgement of increased burden, and importance of stewardship of resources are noted. In the short-term, it is advisable that the community builds upon recent strategies and experiments with new pathways for continued demonstration of model sharing, its promotion, and its utility. Nonetheless, the need for a long-term strategy to unify approaches in sharing computational models and related resources is acknowledged. Development of a sustainable platform supported by a culture of open model sharing will likely evolve through continued and inclusive discussions bringing all stakeholders at the table, e.g., by possibly establishing a consortium.
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Affiliation(s)
- Ahmet Erdemir
- Department of Biomedical Engineering and Computational Biomodeling (CoBi) Core, Lerner Research Institute, Cleveland Clinic, 9500 Euclid Avenue (ND20), Cleveland, OH 44195 e-mail:
| | - Peter J Hunter
- Auckland Bioengineering Institute, University of Auckland, Auckland 1142, New Zealand
| | - Gerhard A Holzapfel
- Institute of Biomechanics, Graz University of Technology, Graz 8010, Austria.,Faculty of Engineering Science and Technology, Norwegian University of Science and Technology, Trondheim 7491, Norway
| | - Leslie M Loew
- Center for Cell Analysis and Modeling, University of Connecticut School of Medicine, Farmington, CT 06032
| | - John Middleton
- Department of Orthodontics, Biomaterials/Biomechanics Research Centre, School of Dentistry, Cardiff University, Heath Park, Cardiff CF10 3AT, UK
| | | | - Perumal Nithiarasu
- Zienkiewicz Centre for Computational Engineering, Swansea University, Swansea SA1 8EN, UK
| | - Rainlad Löhner
- Department of Physics and Astronomy, Center for Computational Fluid Dynamics, George Mason University, Fairfax, VA 22030
| | - Guowei Wei
- Department of Mathematics, Michigan State University, East Lansing, MI 48824
| | - Beth A Winkelstein
- Department of Bioengineering, University of Pennsylvania, Philadelphia, PA 19104
| | - Victor H Barocas
- Department of Bioengineering, University of Minnesota, Minneapolis, MN 55455
| | - Farshid Guilak
- Department of Orthopaedic Surgery, Shriners Hospitals for Children, Washington University, St. Louis, MO 63130
| | - Joy P Ku
- Department of Bioengineering, Stanford University, Stanford, CA 94305
| | - Jennifer L Hicks
- Department of Bioengineering, Stanford University, Stanford, CA 94305
| | - Scott L Delp
- Department of Bioengineering, Stanford University, Stanford, CA 94305.,Department of Mechanical Engineering, Stanford University, Stanford, CA 94305
| | - Michael Sacks
- Department of Biomedical Engineering, University of Texas at Austin, Austin, TX 78712
| | - Jeffrey A Weiss
- Department of Bioengineering, University of Utah, Salt Lake City, UT 84112
| | - Gerard A Ateshian
- Department of Mechanical Engineering, Columbia University, New York, NY 10027
| | - Steve A Maas
- Department of Bioengineering, University of Utah, Salt Lake City, UT 84112
| | - Andrew D McCulloch
- Department of Bioengineering, University of California San Diego, La Jolla, CA 92093
| | - Grace C Y Peng
- National Institute of Biomedical Imaging and Bioengineering, National Institutes of Health, Bethesda, MD 20892
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6
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Aggarwal R, Brown KM, de Groen PC, Gallagher AG, Henriksen K, Kavoussi LR, Peng GCY, Ritter EM, Silverman E, Wang KK, Andersen DK. Simulation Research in Gastrointestinal and Urologic Care-Challenges and Opportunities: Summary of a National Institute of Diabetes and Digestive and Kidney Diseases and National Institute of Biomedical Imaging and Bioengineering Workshop. J Clin Gastroenterol 2017; Publish Ahead of Print. [PMID: 28562441 DOI: 10.1097/mcg.0000000000000862] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
A workshop on ''Simulation Research in Gastrointestinal and Urologic Care: Challenges and Opportunities'' was held at the National Institutes of Health in June 2016. The purpose of the workshop was to examine the extent to which simulation approaches have been used by skilled proceduralists (not trainees) caring for patients with gastrointestinal and urologic diseases. The current status of research findings in the use and effectiveness of simulation applications was reviewed, and numerous knowledge gaps and research needs were identified by the faculty and the attendees. The paradigm of ''deliberate practice,'' rather than mere repetition, and the value of coaching by experts was stressed by those who have adopted simulation in music and sports. Models that are most useful for the adoption of simulation by expert clinicians have yet to be fully validated. Initial studies on the impact of simulation on safety and error reduction have demonstrated its value in the training domain, but the role of simulation as a strategy for increased procedural safety remains uncertain in the world of the expert practitioner. Although the basic requirements for experienced physicians to acquire new skills have been explored, the widespread availability of such resources is an unrealized goal, and there is a need for well-designed outcome studies to establish the role of simulation in improving the quality of health care.
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Affiliation(s)
- Rajesh Aggarwal
- *Department of Surgery and Steinberg Center for Simulation and Interactive Learning, Faculty of Medicine, McGill University, Montreal, Quebec, Canada †Department of Surgery and Perioperative Care, Dell Medical School, University of Texas, Austin, TX ‡Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Minnesota, Minneapolis, MN §ASSERT Center, College of Medicine and Health, University College Cork, Ireland, and Faculty of Life and Health Sciences, Ulster University, Belfast, UK ¶Agency for Healthcare Research and Quality, Rockville, MD ∥Department of Urology, Northwell Hofstra School of Medicine, Nassau, NY **National Institute of Biomedical Imaging and Bioengineering, National Institutes of Health, Bethesda, MD ††Department of Surgery, Uniformed Services University for the Health Sciences, Bethesda, MD ‡‡Department of Surgery, Tufts University School of Medicine, Boston, MA §§Division of Gastroenterology and Hepatology, Department of Medicine, Mayo School of Medicine, Rochester, MN ¶¶Division of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD
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7
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O’Mara A, Rowland JH, Greenwell TN, Wiggs CL, Fleg J, Joseph L, McGowan J, Panagis JS, Washabaugh C, Peng GCY, Bray R, Cernich AN, Cruz TH, Marden S, Michel ME, Nitkin R, Quatrano L, Spong CY, Shekim L, Jones TLZ, Juliano-Bult D, Panchinson DM, Chen D, Jakeman L, Knebel A, Tully LA, Chan L, Damiano D, Tian B, McInnes P, Khalsa P, Reider E, Shurtleff D, Elwood W, Ballard R, Ershow AG, Begg L. National Institutes of Health Research Plan on Rehabilitation: NIH Medical Rehabilitation Coordinating Committee. Phys Ther 2017; 97:104-407. [PMID: 28499003 PMCID: PMC5436691 DOI: 10.1093/ptj/pzx026] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
One in five Americans experiences disability that affects their daily function because of impairments in mobility, cognitive function, sensory impairment, or communication impairment. The need for rehabilitation strategies to optimize function and reduce disability is a clear priority for research to address this public health challenge. The National Institutes of Health (NIH) recently published a Research Plan on Rehabilitation that provides a set of priorities to guide the field over the next 5 years. The plan was developed with input from multiple Institutes and Centers within the NIH, the National Advisory Board for Medical Rehabilitation Research, and the public. This article provides an overview of the need for this research plan, an outline of its development, and a listing of six priority areas for research. The NIH is committed to working with all stakeholder communities engaged in rehabilitation research to track progress made on these priorities and to work to advance the science of medical rehabilitation.This article is being published almost simultaneously in the following six journals: American Journal of Occupational Therapy, American Journal of Physical Medicine and Rehabilitation, Archives of Physical Medicine and Rehabilitation, Neurorehabilitation and Neural Repair, Physical Therapy, and Rehabilitation Psychology. Citation information is as follows: NIH Medical Rehabilitation Coordinating Committee. Am J Phys Med Rehabil. 2017;97(4):404-407.
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Affiliation(s)
| | | | | | | | | | - Jerome Fleg
- National Heart, Lung, and Blood Institute (NHLBI)
| | | | - Joan McGowan
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
| | - James S. Panagis
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
| | - Charles Washabaugh
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
| | - Grace C. Y. Peng
- National Institute of Biomedical Imaging and Bioengineering (NIBIB)
| | - Rosalina Bray
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
| | - Alison N. Cernich
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
| | - Theresa H. Cruz
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
| | - Sue Marden
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
| | - Mary Ellen Michel
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
| | - Ralph Nitkin
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
| | - Louis Quatrano
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
| | - Catherine Y. Spong
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
| | - Lana Shekim
- National Institute on Deafness and Other Communication Disorders (NIDCD)
| | - Teresa L. Z. Jones
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
| | | | | | - Daofen Chen
- National Institute of Neurological Disorders and Stroke (NINDS)
| | - Lyn Jakeman
- National Institute of Neurological Disorders and Stroke (NINDS)
| | - Ann Knebel
- National Institute of Nursing Research (NINR)
| | | | | | | | | | - Pamela McInnes
- National Center for Advancing Translational Sciences (NCATS)
| | - Partap Khalsa
- National Center for Complementary and Integrative Health (NCCIH)
| | - Eve Reider
- National Center for Complementary and Integrative Health (NCCIH)
| | - David Shurtleff
- National Center for Complementary and Integrative Health (NCCIH)
| | - William Elwood
- Offices of the Director, Division of Program Coordination, Planning, and Strategic Initiatives (DPCPSI)
| | | | | | - Lisa Begg
- Office of Research on Women's Health (ORWH)—all in Bethesda, MD
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Abstract
This paper provides a brief history of the U.S. funding initiatives associated with promoting multiscale modeling of the physiome since 2003. An effort led in the United States is the Interagency Modeling and Analysis Group (IMAG) Multiscale Modeling (MSM) Consortium. Though IMAG and the MSM Consortium have generated much interest in developing MSM models of the physiome, challenges associated with model and data sharing in biomedical, biological, and behavioral systems still exist. Since 2013, the IEEE EMBS Technical Committee on Computational Biology and the Physiome (CBaP TC) has supported discussions on promoting model reproducibility through publications. This special issue on model sharing and reproducibility is a realization of the CBaP TC discussions. Though open questions remain on how we can further facilitate model reproducibility, accessibility, and reuse by the worldwide community for different biomedical domain applications, this special issue provides a unique demonstration of both the challenges and opportunities for publishing reproducible computational models.
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9
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He B, Baird R, Butera R, Datta A, George S, Hecht B, Hero A, Lazzi G, Lee RC, Liang J, Neuman M, Peng GCY, Perreault EJ, Ramasubramanian M, Wang MD, Wikswo J, Yang GZ, Zhang YT. Grand challenges in interfacing engineering with life sciences and medicine. IEEE Trans Biomed Eng 2013; 60:589-98. [PMID: 23380847 DOI: 10.1109/tbme.2013.2244886] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
This paper summarizes the discussions held during the First IEEE Life Sciences Grand Challenges Conference, held on October 4-5, 2012, at the National Academy of Sciences, Washington, DC, and the grand challenges identified by the conference participants. Despite tremendous efforts to develop the knowledge and ability that are essential in addressing biomedical and health problems using engineering methodologies, the optimization of this approach toward engineering the life sciences and healthcare remains a grand challenge. The conference was aimed at high-level discussions by participants representing various sectors, including academia, government, and industry. Grand challenges were identified by the conference participants in five areas including engineering the brain and nervous system; engineering the cardiovascular system; engineering of cancer diagnostics, therapeutics, and prevention; translation of discoveries to clinical applications; and education and training. A number of these challenges are identified and summarized in this paper.
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Affiliation(s)
- Bin He
- Institute for Engineering in Medicine, University of Minnesota, Minneapolis, MN 55455, USA.
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10
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Coatrieux JL, Frangi AF, Peng GCY, D'Argenio DZ, Marmarelis VZ, Michailova A. Editorial: TBME Letters special issue on multiscale modeling and analysis in computational biology and medicine--part-2. IEEE Trans Biomed Eng 2012; 58:3434-9. [PMID: 22105190 DOI: 10.1109/tbme.2011.2168990] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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11
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Peng GCY. Editorial: What biomedical engineers can do to impact multiscale modeling (TBME Letters special issue on multiscale modeling and analysis in computational biology and medicine: part-2). IEEE Trans Biomed Eng 2012; 58:3440-2. [PMID: 22105191 DOI: 10.1109/tbme.2011.2173248] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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12
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Frangi AF, Coatrieux JL, Peng GCY, D'Argenio DZ, Marmarelis VZ, Michailova A. Editorial: Special issue on multiscale modeling and analysis in computational biology and medicine--part-1. IEEE Trans Biomed Eng 2012; 58:2936-42. [PMID: 21937299 DOI: 10.1109/tbme.2011.2165151] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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13
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Affiliation(s)
- Ronald J White
- Universities Space Research Association, Houston, Texas, USA
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Conde JG, De S, Hall RW, Johansen E, Meglan D, Peng GCY. Telehealth innovations in health education and training. Telemed J E Health 2010; 16:103-6. [PMID: 20155874 PMCID: PMC2937346 DOI: 10.1089/tmj.2009.0152] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2009] [Accepted: 10/22/2009] [Indexed: 11/12/2022] Open
Abstract
Telehealth applications are increasingly important in many areas of health education and training. In addition, they will play a vital role in biomedical research and research training by facilitating remote collaborations and providing access to expensive/remote instrumentation. In order to fulfill their true potential to leverage education, training, and research activities, innovations in telehealth applications should be fostered across a range of technology fronts, including online, on-demand computational models for simulation; simplified interfaces for software and hardware; software frameworks for simulations; portable telepresence systems; artificial intelligence applications to be applied when simulated human patients are not options; and the development of more simulator applications. This article presents the results of discussion on potential areas of future development, barries to overcome, and suggestions to translate the promise of telehealth applications into a transformed environment of training, education, and research in the health sciences.
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Affiliation(s)
- José G Conde
- School of Medicine and Research Centers in Minority Institutions Program, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.
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Chen D, Fertig SJ, Kleitman N, Miller RL, Oliver E, Peng GCY, Shinowara NL, Weinrich M, Pancrazio JJ. Advances in neural interfaces: report from the 2006 NIH Neural Interfaces Workshop. J Neural Eng 2007; 4:S137-42. [PMID: 17873413 DOI: 10.1088/1741-2560/4/3/s01] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Daofen Chen
- NIH/National Institute for Neurological Disorders and Stroke, 6001 Executive Blvd, Bethesda, MD 20892, USA
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Pancrazio JJ, Chen D, Fertig SJ, Miller RL, Oliver E, Peng GCY, Shinowara NL, Weinrich M, Kleitman N. Toward Neurotechnology Innovation: Report from the 2005 Neural Interfaces Workshop. An NIH-Sponsored Event. Neuromodulation 2006; 9:1-7. [DOI: 10.1111/j.1525-1403.2006.00036.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Abstract
Eye movements in response to high-acceleration head rotations (thrusts) in the horizontal plane from patients with unilateral (UVD) or bilateral vestibular loss (BVD) were recorded. The rapid, gaze-position corrections (GPCs) that appeared when vestibulo-ocular reflex (VOR) slow phases were undercompensatory were characterized. For comparison, eye movements from normal subjects who were asked to generate saccades in the direction opposite head rotation (in the same direction as slow phases) were recorded. This normal-subject model produced responses with spatial and temporal characteristics similar to those from GPCs in patients as follows: When head rotations were generated actively, compared with passively, gaze-position errors and corresponding GPCs were smaller and occurred earlier. During passively generated head thrusts, GPCs still occurred when head rotations were made in total darkness, though their accuracy decreased as the requirement for maintaining gaze on a specific location in space was relaxed. Time of onset of GPCs was not rigidly tied to head kinematics (peak velocity or peak acceleration). Speeds of GPCs, however, were lower than speeds of similar-sized, head-fixed saccades. Finally, during passive and active head thrusts in patients, sustained, high-frequency (20 to 30 Hz) oscillations that appeared as tiny saccades were occasionally observed, one immediately following the other, resembling a compensatory slow-phase response. Taken together, the results suggest that one strategy for overcoming a VOR deficit is to enlist the saccadic system to produce an oculomotor response that is required to compensate for head rotation. This response may come in the form of high-velocity GPCs or smaller-amplitude oscillations.
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Affiliation(s)
- Grace C Y Peng
- Department of Neurology, The Johns Hopkins University, Pathology 2-210, 600 N. Wolfe Street, Baltimore, MD 21287-6921, USA
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Morris RW, Bean CA, Farber GK, Gallahan D, Jakobsson E, Liu Y, Lyster PM, Peng GCY, Roberts FS, Twery M, Whitmarsh J, Skinner K. Digital biology: an emerging and promising discipline. Trends Biotechnol 2005; 23:113-7. [PMID: 15734552 DOI: 10.1016/j.tibtech.2005.01.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
This article examines the role of computation and quantitative methods in modern biomedical research to identify emerging scientific, technical, policy and organizational trends. It identifies common concerns and practices in the emerging community of computationally-oriented bio-scientists by reviewing a national symposium, Digital Biology: the Emerging Paradigm, held at the National Institutes of Health in Bethesda, Maryland, November 6th and 7th 2003. This meeting showed how biomedical computing promises scientific breakthroughs that will yield significant health benefits. Three key areas that define the emerging discipline of digital biology are: scientific data integration, multi-scale modeling and networked science. Each area faces unique technical challenges and information policy issues that must be addressed as the field matures. Here we summarize the emergent challenges and offer suggestions to academia, industry and government on how best to expand the role of computation in their scientific activities.
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Peng GCY, Zee DS, Minor LB. Phase-Plane Analysis of Gaze Stabilization to High Acceleration Head Thrusts: A Continuum Across Normal Subjects and Patients With Loss of Vestibular Function. J Neurophysiol 2004; 91:1763-81. [PMID: 14657187 DOI: 10.1152/jn.00611.2002] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
We investigated the vestibulo-ocular reflex (VOR) during high-acceleration, yaw-axis, head rotations in 12 normals and 15 patients with vestibular loss [7 unilateral vestibular deficient (UVD) and 8 bilateral vestibular deficient (BVD)]. We analyzed gaze stabilization within a 200-ms window after head rotation began, using phase planes, which allowed simultaneous analysis of gaze velocity and gaze position. These “gaze planes” revealed critical dynamic information not easily gleaned from traditional gain measurements. We found linear relationships between peak gaze-velocity and peak gaze-position error when normalized to peak head speed and position, respectively. Values fell on a continuum, increasing from normals, to normals tested with very high acceleration (VHA = 10,000–20,000°/s2), to UVD patients during rotations toward the intact side, to UVD patients during rotations toward the lesioned side, to BVD patients. We classified compensatory gaze corrections as gaze-position corrections (GPCs) or gaze-velocity error corrections (GVCs). We defined patients as better-compensated when the value of their end gaze position was low relative to peak gaze position. In the gaze plane this criterion corresponded to relatively stereotyped patterns over many rotations, and appearance of high velocity (100–400°/s) GPCs in the gaze plane ending quadrant (150–200 ms after head movement onset). In less-compensated patients, and normals at VHA, more GVCs were generated, and GPCs were generated only after gaze-velocity error was minimized. These findings suggest that challenges to compensatory vestibular function can be from vestibular deficiency or novel stimuli not previously experienced. Similar patterns of challenge and compensation were observed in both patients with vestibular loss and normal subjects.
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Affiliation(s)
- Grace C Y Peng
- Department of Neurology, The Johns Hopkins University, Baltimore, Maryland 21287, USA
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McKenna GJ, Peng GCY, Zee DS. Neck muscle vibration alters visually perceived roll in normals. J Assoc Res Otolaryngol 2003; 5:25-31. [PMID: 14569429 PMCID: PMC2538369 DOI: 10.1007/s10162-003-4005-2] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2003] [Accepted: 07/24/2003] [Indexed: 12/20/2022] Open
Abstract
The objective of this study was to determine whether vibration of dorsal neck muscles or of the mastoid bone or of both modified the perception of visual orientation in the head roll-tilt plane in normal subjects. Measurements of the subjective visual vertical (SVV) were obtained from 26 normal human subjects. Subjects reported the SVV in the upright and in the left and right 30 degrees static head roll-tilt positions. Subjects then reported the SVV while vibration was applied to the left or right dorsal neck or left or right mastoid. Both head position and vibration independently modified settings of the SVV. In head-tilted positions, vibration of the upper dorsal neck muscles (on the side of the head opposite to the head tilt) caused a significantly greater shift of the SVV in the opposite direction of head roll-tilt compared to vibration of the lower dorsal neck muscles or of the mastoid. These results support a role for cervical somatosensory information in perception of visual orientation in the roll plane. Our findings may help explain the differences observed in visual orientation perception in normal subjects between head alone and whole-body roll-tilt. Finally, vibration of neck muscles in the head roll-tilted plane may be a useful method to test cervical somatosensory function possibly by increasing their response to external stimulation.
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Affiliation(s)
- George J McKenna
- Department of Neurology, National Naval Medical Center, Bethesda, MD 20889, USA.
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Carey JP, Minor LB, Peng GCY, Della Santina CC, Cremer PD, Haslwanter T. Changes in the three-dimensional angular vestibulo-ocular reflex following intratympanic gentamicin for Ménière's disease. J Assoc Res Otolaryngol 2002; 3:430-43. [PMID: 12486598 PMCID: PMC3202443 DOI: 10.1007/s101620010053] [Citation(s) in RCA: 73] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2000] [Accepted: 01/21/2002] [Indexed: 11/24/2022] Open
Abstract
The 3-dimensional angular vestibulo-ocular reflexes (AVOR) elicited by rapid rotary head thrusts were studied in 17 subjects with unilateral Ménière's disease before and 2-10 weeks after treatment with intratympanic gentamicin and in 13 subjects after surgical unilateral vestibular destruction (SUVD). Each head thrust was in the horizontal plane or in either diagonal plane of the vertical semicircular canals, so that each head thrust effectively stimulated only one pair of canals. The AVOR gains (eye velocity/head velocity during the 30 ms before peak head velocity) for the head thrusts exciting each individual canal were averaged and taken as a measure of the function of that canal. Prior to intratympanic gentamicin, gains for head thrusts that excited canals on the affected side were 0.91 +/- 0.20 (horizontal canal, HC), 0.78 +/- 0.20 (anterior canal, AC), and 0.83 +/- 0.10 (posterior canal, PC). The asymmetries between these gain values and those for head thrusts that excited the contralateral canals were <2%. In contrast, caloric asymmetries averaged 40% +/- 32%. Intratympanic gentamicin resulted in decreased gains attributable to each canal on the treated side: 0.40 +/- 0.12 (HC), 0.35 +/- 0.14 (AC), 0.31 +/- 0.14 (PC) (p <0.01). However, the gains attributable to contralateral canals dropped only slightly, resulting in marked asymmetries between gains for excitation of ipsilateral canals versus their contralateral mates: HC: 34% +/- 12%, AC: 24% +/- 25%, and PC: 42% +/- 13%. There was no difference in the AVOR gain for excitation of the ipsilateral HC after gentamicin in patients who received a single intratympanic injection (0.39 +/- 0.11, n = 12) in comparison to those who received 2-3 injections (0.42 +/- 0.15, n = 5, p = 0.7). Gain decreases attributed to the gentamicin-treated HC and AC were not as severe as those observed after SUVD. This finding suggests that intratympanic gentamicin causes a partial vestibular lesion that may involve preservation of spontaneous discharge and/or rotational sensitivity of afferents.
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Affiliation(s)
- John P Carey
- Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, MD 21287, USA.
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Shelhamer M, Peng GCY, Ramat S, Patel V. Context-specific adaptation of the gain of the oculomotor response to lateral translation using roll and pitch head tilts as contexts. Exp Brain Res 2002; 146:388-93. [PMID: 12232696 DOI: 10.1007/s00221-002-1235-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2001] [Accepted: 07/27/2002] [Indexed: 10/27/2022]
Abstract
Previous studies established that vestibular and oculomotor behaviors can have two adapted states (e.g., gain) simultaneously, and that a context cue (e.g., vertical eye position) can switch between the two states. The present study examined this phenomenon of context-specific adaptation for the oculomotor response to interaural translation (which we term "linear vestibulo-ocular reflex" or LVOR even though it may have extravestibular components). Subjects sat upright on a linear sled and were translated at 0.7 Hz and 0.3 gpeak acceleration while a visual-vestibular mismatch paradigm was used to adaptively increase (x2) or decrease (x0) the gain of the LVOR. In each experimental session, gain increase was asked for in one context, and gain decrease in another context. Testing in darkness with steps and sines before and after adaptation, in each context, assessed the extent to which the context itself could recall the gain state that was imposed in that context during adaptation. Two different contexts were used: head pitch (26 degrees forward and backward) and head roll (26 degrees or 45 degrees, right and left). Head roll tilt worked well as a context cue: with the head rolled to the right the LVOR could be made to have a higher gain than with the head rolled to the left. Head pitch tilt was less effective as a context cue. This suggests that the more closely related a context cue is to the response being adapted, the more effective it is.
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Affiliation(s)
- Mark Shelhamer
- 2-210 Pathology Bldg., Johns Hopkins Hospital, Baltimore, MD 21287-6921, USA.
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Carey JP, Hirvonen T, Peng GCY, Della Santina CC, Cremer PD, Haslwanter T, Minor LB. Changes in the angular vestibulo-ocular reflex after a single dose of intratympanic gentamicin for Ménière's disease. Ann N Y Acad Sci 2002; 956:581-4. [PMID: 11960873 DOI: 10.1111/j.1749-6632.2002.tb02888.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- J P Carey
- Department of Otolaryngology, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA.
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