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Biomedical subjects

Cynthia Phelps

Publications and source records attributed to Cynthia Phelps.

4 recordsLinked to original sources

Evidence that long-term hyperexcitability of the sensory neuron soma induced by nerve injury in Aplysia is adaptive.

Peripheral axotomy induces long-term hyperexcitability (LTH) of centrally located sensory neuron (SN) somata in diverse species. In mammals this LTH can promote spontaneous activity of pain-related SNs, and such activity may contribute to neuropathic pain and hyperalgesia. However, few axotomized SN somata begin to fire spontaneously in any species, and why so many SNs display soma LTH after axotomy remains a mystery. Is soma LTH a side effect of injury with pathological but no adaptive consequences, or was this response selected during evolution for particular functions? A hypothesis for one function of soma LTH in nociceptive SNs in Aplysia californica is proposed: after peripheral injury that produces partial axotomy of some SNs, compensation for sensory deficits and protective sensitization are achieved by facilitating afterdischarge near the soma, which amplifies sensory input from injured peripheral fields. Four predictions of this hypothesis were confirmed in SNs that innervate the tail. First, LTH of SN somata was induced by a relatively natural axotomizing event-a small cut across part of the tail in the absence of anesthesia. Second, soma LTH was selectively expressed in SNs having axons in cut or crushed nerves rather than nearby, uninjured nerves. Third, after several weeks soma LTH began to reverse when functional recovery of the interrupted afferent pathway was shown by reestablishment of a centrally mediated siphon reflex. Fourth, axotomized SNs developed central afterdischarge that amplified sensory discharge coming from the periphery, and the after-depolarization underlying this afterdischarge was enhanced by previous axotomy.

Adaptation, Physiological↗

The physician's perception of medical error and its application to the development of an educational training tool.

It is becoming clear that if we are to impact the rate of medical errors it will have to be done at the practicing physician level. The purpose of this project was to survey the attitude of physicians in Alabama concerning their perception of medical error, and to obtain their thoughts and desires for medical education in the area of medical errors. The information will be used in the development of a physician education program.

Alabama↗

Learner centered software design to empower physiology education.

Misconceptions in physiology undermine students' knowledge. New uses of technology in education offer interesting alternatives to correct these problems. This poster presents a design strategy based in user-centered design and the result of such process: an interactive program to support learning of respiratory physiology. This is an ongoing project, and future efforts will measure the effectiveness of this design tool in medical education.

Computer-Assisted Instruction↗

Learning management systems' evaluation focuses on technology not learning.

Learning Management Systems (LMS) are widely used in educational institutions around the world. The purpose of this poster is to review the characteristics of evaluations of these systems consulting two kinds of sources: Peer-reviewed journals and Web documents. Our results show that the current emphasis is on evaluating the technology, which suggests the need for a theory/pedagogy driven evaluation focused on educational outcomes. Introduction

Computer-Assisted Instruction↗