Publications by authors named "Michael Cinelli"

Previous research suggests exercise improves spatial navigation abilities, though the effects of different exercise intensities on this cognitive function have not been explored. The current study assessed the influence of moderate-intensity and high-intensity acute exercise on spatial learning and memory, focusing on the acquisition of survey and route knowledge in young adults. Thirty-two participants (22.

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Altered visual-cognitive functions and balance control are commonly detected following sport-related concussion (SRC). However, there are no integrated clinical strategies to characterize vision, cognition, and balance beyond the resolution of symptoms for athletes following SRC. To examine how recent SRC history may affect performance for athletes on a dynamic visual acuity (DVA) task while standing.

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Background: Transcatheter aortic valve replacement (TAVR) can be performed through multiple access sites with the preferred approach being transfemoral. In patients with severe peripheral arterial disease and previous grafts, the safety of transfemoral access direct graft puncture, especially when performed twice within a short period, remains unclear compared to alternative access methods. We present a case demonstrating the safety and efficacy of direct graft puncture for transfemoral access during balloon aortic valvuloplasty (BAV) and TAVR.

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Walking in urban settings requires people to negotiate crowds. In these situations, people typically want to maintain a level of personal space around themselves. Recent work on one-versus-one interactions demonstrated that whether one of the pedestrians looked distracted or interacted with an object (e.

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Busy walking paths, like in a park, city centre, or shopping mall, frequently necessitate collision avoidance behaviour. Lab-based research has shown how different situation- and person-specific factors, typically studied independently, affect avoidance behaviour. What happens in the real world is unclear.

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Article Synopsis
  • The study investigates how sport-specific training enhances athletes' collision avoidance skills in dynamic environments, particularly in a virtual reality setting.
  • It compares responses of trained athletes to untrained young adults while they navigate a path and avoid virtual opponents approaching at various speeds.
  • Results indicate that athletes excel in attention-demanding tasks and show adaptive behaviors, but no significant differences were found in their actual collision avoidance timing or clearance.
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Article Synopsis
  • * A total of 587 patients were analyzed, with no significant differences in primary outcomes such as death or re-hospitalization at 1 month and 1 year between those with and without AI.
  • * Results showed that two-thirds of patients with combined AI and MR experienced an improvement in AI severity post-procedure, suggesting that m-TEER can be an effective treatment option for high-risk patients dealing with both conditions.
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Background: Hemostasis for transfemoral transcatheter aortic valve replacement (TAVR) is typically achieved using a suture-mediated vascular closure device (VCD) prior to large-bore sheath insertion (preclosure technique). Recently, the addition of a hybrid closure technique using a preclose technique with the addition of a collagen-plug VCD after sheath removal in cases of failed hemostasis has been utilized.

Methods: Data were collected from the Northwell TAVR registry, including 3 high-volume TAVR centers.

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Athletes interpret dynamic visual scenes quickly and accurately during physical exertion. It is important to understand how increased exertion may impact vision and cognition following sport-related concussion (SRC).Purpose To examine the effect of a treadmill running research protocol on the assessment of dynamic visual acuity (DVA) and balance for athletes with and without recent history of SRC.

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Individuals rely on visual information to determine when to adapt their behaviours (i.e., by changing path and/or speed) to avoid an approaching object or person.

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Recent American College of Cardiology (ACC), American Heart Association (AHA), American College of Clinical Pharmacy (ACCP), and Heart Rhythm Society (HRS) guidelines suggest that patients with atrial fibrillation (AF) at intermediate to low annual risk of ischemic stroke can benefit from consideration of factors that might modify their risk of stroke. The role of nontraditional risk factors, such as primary hyperparathyroidism (PHPT), remains unexplored. In our study, we investigated the potential association between PHPT and the risk of ischemic stroke in patients with AF.

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Background: Mitral annular calcification (MAC) has been an exclusion for many of the earlier pivotal trials that were instrumental in gaining device approval and indications for mitral transcatheter edge-to-edge repair (M-TEER).

Aims: To evaluate the impact of MAC on the procedural durability and success of newer generation MitraClip® systems (G3 and G4 systems).

Methods: Data were collected from Northwell TEER registry.

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Treatment of congestive heart failure (CHF) with left ventricular (LV) systolic dysfunction and severe aortic stenosis (AS) is challenging, yet transcatheter aortic valve replacement (TAVR) has emerged as a suitable treatment option in such patients. We compared the periprocedural outcomes of TAVR in patients with an ejection fraction (EF) of ≤20% (VLEF group) to patients with an EF > 20% to ≤40% (LEF group). We included patients with severe AS and reduced LV ejection fraction (LVEF ≤ 40%) who underwent TAVR at four centers within Northwell Health between January 2016 and December 2020.

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Article Synopsis
  • The study investigates how people navigate around a single stationary pedestrian, focusing on the side they choose to avoid and the effect of the pedestrian's size.
  • Participants were instructed to avoid either the left or right side of an interferer, whose shoulder width was varied using shoulder pads, while examining their behaviors as they approached.
  • Results showed no impact from the width of the interferer, but participants maintained a preference for avoiding to their left, suggesting inherent biases in collision avoidance that persist despite changes in the environment.
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Coronary artery anomalies (CAAs) are known to be anatomical aberrations in the origin and structure. Due to the diverse anatomical variants, surgeons and angiographers have struggled when faced with patients who have CAA. To frame the complicated issues surrounding CAA, we present a case of a young patient found to have two CAAs, concurrently on coronary computed tomography angiography (CCTA), while in the emergency room being evaluated for chest pain.

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Single coronary artery (SCA) is an unusual congenital anomaly, seen by diagnostic coronary angiography. Absence of the right coronary artery (RCA) is one of the rarest coronary artery anomalies occurring when the artery fails to develop in the right atrioventricular (AV) groove. Herein, we describe the case of a 58-year-old man presenting with new onset decompensated congestive heart failure found to have a congenitally absent right coronary ostium.

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We report herein the case of an elderly female who presented with myocardial infarction complicated by ventricular septal defect (VSD) that was evident on cardiac auscultation and contrast echocardiography using Lumason® (Bracco Diagnostics Inc, Monroe Township, USA). Patient underwent surgical repair for her VSD post-infarct along with coronary artery bypass grafting after being treated for cardiogenic shock. We also highlight the management strategies in patients with similar complications.

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Background: Traditional open sternotomy coronary artery bypass grafting (CABG) utilizes highly invasive techniques that lead to several serious complications. In response, minimally invasive cardiac surgery CABG (MICS-CABG) was developed. MICS-CABG is safe, reproducible, and with fewer complications, while allowing for better postoperative recovery periods.

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Visual perception and cognitive (i.e., decision-making) abilities facilitate successful avoidance of obstacles in a person's environment.

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Background: Individuals who have sustained a concussion often display associated balance control deficits and visuomotor impairments despite being cleared by a physician to return to sport. Such visuomotor impairments can be highlighted in collision avoidance tasks that involves a mutual adaptation between two walkers. However, studies have yet to challenged athletes with a previous concussion during an everyday collision avoidance task, following return to sport.

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Background: Successful collision avoidance requires individuals to use readily available perceptual information to make decisions and act within their action capabilities. Female varsity rugby players use time-to-collision information to get closer to an obstacle before deviating; however, following a sport-related concussion (SRC), individuals may not be able to use the same strategies due to poorer action boundary perception. The current study examined the effects of a SRC on collision avoidance with an approaching person.

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Background: Collision avoidance between two walkers requires a mutual adaptation based on visual information in order to be successful. Age-related changes to visuomotor processing, kinesthetic input, and intersegmental dynamics increases the risk of collision and falls in older adults. However, few studies examine behavioural strategies in older adults during collision avoidance tasks with another pedestrian.

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Background: To navigate through dynamically changing environments and to avoid collisions with stationary and moving obstacles, older adults tend to over rely on their visual system because it is a more reliable source of information. Aging affects both visuomotor integration and visual perception, often resulting in the inability to produce appropriate adaptive locomotor actions in a timely manner.

Research Question: Does peripheral visual information in the environment affected older adults' ability to complete a gap-crossing task with a set of closing doors at different rates (0.

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Background: Everyday locomotion often requires that we navigate crowded and cluttered environments. Individuals navigating through nonconfined space will require a deviation from the straight path in order to avoid apertures smaller than 1.4 times their shoulder width.

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