Difference between revisions of "September 2026"

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*Literature review to refine research aims
 
*Literature review to refine research aims
 
*Figure out organizational system to be more productive with research time
 
*Figure out organizational system to be more productive with research time
 +
*Start identifying mentors
  
 
== 9/22 ==
 
== 9/22 ==
−
*Reached out to Hamilton (how do you know that a worm is anesthetized)?
+
*Talked to Hamilton (re: how do you know that a worm is anesthetized)?
 +
**Schedule another phone call on 10/2. He's interested in collaborating on a high-throughput screen in C. elegans.
  
 
*Met Coby
 
*Met Coby
−
**From UCLA, now a 2nd year PhD student in Christian's lab, focusing on SWARM (slow-wave analysis.
+
**From UCLA, now a 2nd year PhD student in Christian's lab, focusing on SWARM (slow-wave analysis something modulation?)
 
**They are getting frontal EEG data from SEEG explants and correlating LFPs and single neuron activity with SO/SW data from frontal EEG.  
 
**They are getting frontal EEG data from SEEG explants and correlating LFPs and single neuron activity with SO/SW data from frontal EEG.  
 
**Implanted electrodes attract glia which adhere to the electrodes and make a local inflammatory response that increases impedance and reduces data quality.
 
**Implanted electrodes attract glia which adhere to the electrodes and make a local inflammatory response that increases impedance and reduces data quality.
Line 26: Line 28:
 
**20 years ago he licensed some PK/PD software to GE but no one bought it. A Norwegian company tried the same thing, also without success. He is now trying to get it integrated into EPIC. Is it just a marketing problem that no one wants to buy it? They've shown that it changes how people deliver anesthesia (typically they use less, specifically opioid).
 
**20 years ago he licensed some PK/PD software to GE but no one bought it. A Norwegian company tried the same thing, also without success. He is now trying to get it integrated into EPIC. Is it just a marketing problem that no one wants to buy it? They've shown that it changes how people deliver anesthesia (typically they use less, specifically opioid).
 
**He thinks the big thing that is lacking from Christian's research is volunteer studies.
 
**He thinks the big thing that is lacking from Christian's research is volunteer studies.
 +
**He did a bunch of PD studies looking at responses to different noxious stimuli at various effect site concentrations. Still has the equipment.
  
 
*Read through the RISE application.  
 
*Read through the RISE application.  
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**Changes in the aperiodic exponent or offset can mimic changes in band power.
 
**Changes in the aperiodic exponent or offset can mimic changes in band power.
  
−
*Initial assessment of feasibile/high-impact research ideas:
+
*Feasibile and high-impact research ideas:
−
**Depression
+
**[[Intra-op Treatment and Prophylaxis Against Depression | Depression]]
−
***What is the disease burden of depression in the general surgical population?
+
***What is the disease burden of depression in the general surgical population? [https://ovidsp.dc2.ovid.com/ovid-new-a/ovidweb.cgi?&S=20719da3-5171-468d-a340-25cdcf20c6e6%7cmain&Complete+Reference=S.sh.50%7c14%7c1&Counter5=SS_view_found_complete%7c40404498%7cmedall%7cmedline%7cmed29&Counter5Data=40404498%7cmedall%7cmedline%7cmed29 BJA article] that finds 20% burden of depression in the surgical patients during the pre-op period. They also note that patients have a 2.5x higher risk of non-home discharge. [https://ovidsp.dc2.ovid.com/ovid-new-a/ovidweb.cgi?&S=20719da3-5171-468d-a340-25cdcf20c6e6%7cmain&Complete+Reference=S.sh.50%7c16%7c1&Counter5=SS_view_found_complete%7c41495495%7cmedall%7cmedline%7cmed29&Counter5Data=41495495%7cmedall%7cmedline%7cmed29 2026 systematic review and meta-analysis] showing that about 1/4 of surgical cancer patients have depression. [https://ovidsp.dc2.ovid.com/ovid-new-a/ovidweb.cgi?&S=20719da3-5171-468d-a340-25cdcf20c6e6%7cmain&Complete+Reference=S.sh.50%7c19%7c1&Counter5=SS_view_found_complete%7c41337802%7cmedall%7cmedline%7cmed29&Counter5Data=41337802%7cmedall%7cmedline%7cmed29 2026 Journal of Clinical Neuroscience] article showed a 4-fold increase in risk of re-operation in ACDF patients who were depressed.
 
***What is the incidence of post-operative depression in general surgical patients without pre-existing depression? What if they have a family or personal history of depression?
 
***What is the incidence of post-operative depression in general surgical patients without pre-existing depression? What if they have a family or personal history of depression?
−
***Do ketamine, TIVA w/ propofol, TIVA w/ remimazolam, psychedelics, or burst suppression modulate the post-operative risk?
+
***Do ketamine, TIVA w/ propofol, TIVA w/ remimazolam, psychedelics, or burst suppression modulate the post-operative risk? [https://ovidsp.dc2.ovid.com/ovid-new-a/ovidweb.cgi?&S=20719da3-5171-468d-a340-25cdcf20c6e6%7cmain&Complete+Reference=S.sh.50%7c2%7c1&Counter5=SS_view_found_complete%7c42657795%7cmedall%7cmedline%7cmedl&Counter5Data=42657795%7cmedall%7cmedline%7cmedl RCT happening in China right now]. Another RCT done in China with 142 cardiac surgery patients showed [https://ovidsp.dc2.ovid.com/ovid-new-a/ovidweb.cgi?&S=20719da3-5171-468d-a340-25cdcf20c6e6%7cmain&Complete+Reference=S.sh.50%7c23%7c1&Counter5=SS_view_found_complete%7c41285329%7cmedall%7cmedline%7cmed28&Counter5Data=41285329%7cmedall%7cmedline%7cmed28 significantly decreased post-operative depression] in patients who got a single dose of ketamine (0.3 mg/kg) at induction. After reviewing the first 51 results on Ovid Medline, I saved selected abstracts to Box.
 
**CLAN
 
**CLAN
 
***When combined with SEEG electrodes or data from Parkinson's patients with deep-brain stimulators, can we resolve temporal and spatial activity of deep subcortical structures with ICA from frontal or full EEG? [https://pubmed.ncbi.nlm.nih.gov/28575667/ steerable non-invasive DBS]  
 
***When combined with SEEG electrodes or data from Parkinson's patients with deep-brain stimulators, can we resolve temporal and spatial activity of deep subcortical structures with ICA from frontal or full EEG? [https://pubmed.ncbi.nlm.nih.gov/28575667/ steerable non-invasive DBS]  
Line 53: Line 56:
 
**Does TIVA prevent cancer recurrence? Could be feasible if we are able to mine the data from someone else's data set.
 
**Does TIVA prevent cancer recurrence? Could be feasible if we are able to mine the data from someone else's data set.
 
**Does general anesthesia lead to post-op ileus and constipation?
 
**Does general anesthesia lead to post-op ileus and constipation?
−
**Mechanisms of anesthesia. Is it dogma that anesthesia works by disrupting neuronal circuitry? Can I disprove this by anesthetizing weird organisms? Light-emitting bacteria were anesthetized in [https://dx.doi.org/10.1093/bja/46.3.196 1974] (less light emission).
+
**Mechanisms of anesthesia. Is it dogma that anesthesia works by disrupting neuronal circuitry? Can I disprove this by anesthetizing weird organisms? Light-emitting bacteria were anesthetized in [https://dx.doi.org/10.1093/bja/46.3.196 1974] (less light emission). There's 0 papers on anesthetizing amoeba.
 
**Cancer vaccine. Can we make an mRNA vaccine that increases p53 copy number. Peto's paradox. Elephants.
 
**Cancer vaccine. Can we make an mRNA vaccine that increases p53 copy number. Peto's paradox. Elephants.
  

Latest revision as of 20:37, 23 September 2026

Annual Goals:

  • Get a manuscript ready for submission
  • RISE 1 application
  • Identify additional funding sources
  • Start recruiting a research team

Monthly Goals:

  • Meet w/ Nina
  • Think deeply about research directions and goals
  • Literature review to refine research aims
  • Figure out organizational system to be more productive with research time
  • Start identifying mentors

9/22

  • Talked to Hamilton (re: how do you know that a worm is anesthetized)?
    • Schedule another phone call on 10/2. He's interested in collaborating on a high-throughput screen in C. elegans.
  • Met Coby
    • From UCLA, now a 2nd year PhD student in Christian's lab, focusing on SWARM (slow-wave analysis something modulation?)
    • They are getting frontal EEG data from SEEG explants and correlating LFPs and single neuron activity with SO/SW data from frontal EEG.
    • Implanted electrodes attract glia which adhere to the electrodes and make a local inflammatory response that increases impedance and reduces data quality.
  • Eric Melonakos: suggested presenting at the Gordon Research Conference. Jan 17-22 in Oxnard, CA (near Santa Barbara). Abstracts due by 12/20.
  • Met w/ Talmage
    • BIS study that he is starting with Christian in the next few months. I should get on board.
    • Respiration AI startup (as good as a PACU nurse at reminding post-op patients to breath). He wants me to be the clinical PI for the upcoming study.
    • 20 years ago he licensed some PK/PD software to GE but no one bought it. A Norwegian company tried the same thing, also without success. He is now trying to get it integrated into EPIC. Is it just a marketing problem that no one wants to buy it? They've shown that it changes how people deliver anesthesia (typically they use less, specifically opioid).
    • He thinks the big thing that is lacking from Christian's research is volunteer studies.
    • He did a bunch of PD studies looking at responses to different noxious stimuli at various effect site concentrations. Still has the equipment.
  • Read through the RISE application.
    • Mentoring plan is the most important single component.
    • Met with Norm Taylor to discuss timing and considerations for project directions and mentors, identify successful applicants.
  • Learned about FOOOF motivations. "Fitting oscillations and 1/f"
    • Aperiodic components of a signal will spread out their power in all frequencies, when doing FFT it can appear as if there is oscillatory (rhythmic) activity when in fact there is none.
    • Band analysis, including band power ratios, are rife with potential for misinterpretation unless you break out the aperiodic components
    • Changes in the aperiodic exponent or offset can mimic changes in band power.
  • Feasibile and high-impact research ideas:
    • Depression
      • What is the disease burden of depression in the general surgical population? BJA article that finds 20% burden of depression in the surgical patients during the pre-op period. They also note that patients have a 2.5x higher risk of non-home discharge. 2026 systematic review and meta-analysis showing that about 1/4 of surgical cancer patients have depression. 2026 Journal of Clinical Neuroscience article showed a 4-fold increase in risk of re-operation in ACDF patients who were depressed.
      • What is the incidence of post-operative depression in general surgical patients without pre-existing depression? What if they have a family or personal history of depression?
      • Do ketamine, TIVA w/ propofol, TIVA w/ remimazolam, psychedelics, or burst suppression modulate the post-operative risk? RCT happening in China right now. Another RCT done in China with 142 cardiac surgery patients showed significantly decreased post-operative depression in patients who got a single dose of ketamine (0.3 mg/kg) at induction. After reviewing the first 51 results on Ovid Medline, I saved selected abstracts to Box.
    • CLAN
      • When combined with SEEG electrodes or data from Parkinson's patients with deep-brain stimulators, can we resolve temporal and spatial activity of deep subcortical structures with ICA from frontal or full EEG? steerable non-invasive DBS
      • What are the EEG effects of benzos, opioids, precedex, and their respective reversal agents?
      • What are the EEG effects of IV caffeine or methylphenidate? Do these cause emergence agitation?
      • What is known about the EEG signature of methohexital?
    • CO2
      • Does permissive hypercapnia improve hemodynamic stability, deepen anesthesia, and speed recovery?
      • Can we make a device or repurpose an existing ventilator to help accomplish that?
  • High-impact, less feasible research ideas:
    • Does TIVA prevent cancer recurrence? Could be feasible if we are able to mine the data from someone else's data set.
    • Does general anesthesia lead to post-op ileus and constipation?
    • Mechanisms of anesthesia. Is it dogma that anesthesia works by disrupting neuronal circuitry? Can I disprove this by anesthetizing weird organisms? Light-emitting bacteria were anesthetized in 1974 (less light emission). There's 0 papers on anesthetizing amoeba.
    • Cancer vaccine. Can we make an mRNA vaccine that increases p53 copy number. Peto's paradox. Elephants.
  • Low-impact, very feasible research ideas:
    • SCD-FR
    • Better late than never PONV