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Electrophysiological investigation of active-assisted vs recumbent cycling: A pilot study in healthy older adults. 主动辅助自行车与仰卧自行车的电生理研究:一项针对健康老年人的试点研究。
4区 医学 Q3 Neuroscience Pub Date : 2024-01-01 Epub Date: 2023-12-20 DOI: 10.1016/bs.pbr.2023.11.006
Vanessa Harwood, Nicole E Logan, Alisa Baron, Skye Richards, Raphael Dias, Alex Seng, Emily Jelfs, Christine M Clarkin, Christie L Ward-Ritacco

There is a relationship between acute bouts of aerobic exercise and cognition in adults, yet the exact nature of this relationship remains unclear. The current pilot study aims to investigate how different modes of cycling (active-assisted cycling vs recumbent cycling) at different moderate-to-vigorous physical activity (MVPA) intensity levels (prescribed 65-70% Heart Rate Max and self-selected 12-13 Rate of Perceived Exertion) modulate neurocognitive, and behavioral markers of cognition in healthy older adults. A sample of 10 adults (aged 50-74years) participated in baseline (no exercise), active-assisted, and recumbent cycling interventions at different intensity levels. The P3 event-related potential (ERP), a neural index of executive functions, was recorded at baseline and following each exercise condition during an auditory odd-ball paradigm. Results revealed that greater amplitudes within the P3 ERP component were associated with post-exercise recumbent bike cycling compared to baseline and active-assisted cycling. Further, post-exercise behavioral cognitive measures (i.e., button press accuracy) were significantly greater than baseline for both active-assisted and recumbent bikes at both intensity levels. These findings suggest that exercise modulated both neurocognitive and behavioral measures of executive functions in older healthy adults, and that exercise modalities and intensity levels differentially modulate neurocognitive measures.

急性有氧运动与成年人的认知能力之间存在关系,但这种关系的确切性质仍不清楚。目前的试验性研究旨在调查在不同的中度到剧烈运动(MVPA)强度水平(规定的最大心率 65-70% 和自选的 12-13 感知用力率)下,不同的骑行模式(主动辅助骑行和仰卧骑行)如何调节健康老年人的神经认知和认知行为指标。10 名成年人(50-74 岁)参加了不同强度水平的基线(无运动)、主动辅助和卧姿自行车运动干预。在听觉奇数球范式中,记录了基线和每种运动条件后的 P3 事件相关电位(ERP),这是一种执行功能的神经指标。结果表明,与基线和主动辅助自行车运动相比,P3 ERP分量的振幅与运动后的腰部自行车运动相关。此外,在两种强度水平下,运动后行为认知测量(即按键准确性)均显著高于主动辅助自行车和腰背式自行车的基线值。这些研究结果表明,运动可以调节老年健康成年人执行功能的神经认知和行为测量,而且运动方式和强度水平对神经认知测量有不同的调节作用。
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引用次数: 0
The pericranium. 颅骨周围
4区 医学 Q3 Neuroscience Pub Date : 2024-01-01 Epub Date: 2024-04-24 DOI: 10.1016/bs.pbr.2024.02.021
Jeremy C Ganz

The purpose of this chapter is to present how past surgeons have viewed the pericranium and how they have reacted to its appearances. In ancient times, the membrane was considered formed by the dura through the sutures and it retained a relationship with the dura via vessels in the sutures. It was considered advisable to strip it totally from any area to be examined for fissure fractures and also for any area to be trepanned, as pericranial injury was thought to lead to fever and inflammation. In the 18th century, a new idea arose that posttraumatic spontaneous separation of the pericranium from the bone was a reliable indicator of the development of intracranial suppuration. This idea was subsequently refuted. For over two millennia, the pericranium was considered to be an important membrane requiring the close attention of the surgeon. It is no longer required to receive more than minimal attention.

本章旨在介绍过去的外科医生是如何看待颅周膜的,以及他们是如何对颅周膜的外观做出反应的。在古代,颅膜被认为是由硬脑膜通过缝合线形成的,并通过缝合线中的血管与硬脑膜保持联系。由于颅周损伤被认为会导致发热和炎症,因此人们认为最好将其从任何需要检查裂隙骨折的部位以及任何需要穿刺的部位完全剥离。18 世纪出现了一种新观点,认为创伤后颅骨周围自发与骨骼分离是颅内化脓的可靠指标。这一观点后来被驳斥。两千多年来,颅骨周围一直被认为是需要外科医生密切关注的重要薄膜。现在,它已不再需要得到更多的关注。
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引用次数: 0
Overview. 概述。
4区 医学 Q3 Neuroscience Pub Date : 2024-01-01 Epub Date: 2024-04-24 DOI: 10.1016/bs.pbr.2024.02.022
Jeremy C Ganz

The chapter begins with also an outline of the characteristics of four surgeons who changed the direction of thinking and hence of practice. This is followed by a review of the changing ideas which governed surgical practice. Chapter "Two surgical instruments" by Jeremy C. Ganz has examined the uses of drills and lenticulars. In this chapter there is an appraisal of the other instruments used during cranial surgery and how their use related to changing ideas. Finally, there is a concluding section which ties all these elements together.

本章首先概述了四位外科医生的特点,他们改变了思想的方向,进而改变了实践的方向。随后回顾了指导外科实践的不断变化的思想。杰里米-甘兹(Jeremy C. Ganz)撰写的 "两种外科手术工具 "一章探讨了钻孔机和光栅的用途。本章还对颅脑手术中使用的其他器械进行了评估,以及这些器械的使用与观念变化的关系。最后是总结部分,将所有这些内容联系在一起。
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引用次数: 0
HRV and EEG correlates of well-being using ultra-short, portable, and low-cost measurements. 利用超短、便携、低成本的测量方法,研究心率变异和脑电图与幸福感的相关性。
4区 医学 Q3 Neuroscience Pub Date : 2024-01-01 Epub Date: 2024-05-31 DOI: 10.1016/bs.pbr.2024.04.004
Cédric Cannard, Arnaud Delorme, Helané Wahbeh

Wearable electroencephalography (EEG) and electrocardiography (ECG) devices may offer a non-invasive, user-friendly, and cost-effective approach for assessing well-being (WB) in real-world settings. However, challenges remain in dealing with signal artifacts (such as environmental noise and movements) and identifying robust biomarkers. We evaluated the feasibility of using portable hardware to identify potential EEG and heart-rate variability (HRV) correlates of WB. We collected simultaneous ultrashort (2-min) EEG and ECG data from 60 individuals in real-world settings using a wrist ECG electrode connected to a 4-channel wearable EEG headset. These data were processed, assessed for signal quality, and analyzed using the open-source EEGLAB BrainBeats plugin to extract several theory-driven metrics as potential correlates of WB. Namely, the individual alpha frequency (IAF), frontal and posterior alpha asymmetry, and signal entropy for EEG. SDNN, the low/high frequency (LF/HF) ratio, the Poincaré SD1/SD2 ratio, and signal entropy for HRV. We assessed potential associations between these features and the main WB dimensions (hedonic, eudaimonic, global, physical, and social) implementing a pairwise correlation approach, robust Spearman's correlations, and corrections for multiple comparisons. Only eight files showed poor signal quality and were excluded from the analysis. Eudaimonic (psychological) WB was positively correlated with SDNN and the LF/HF ratio. EEG posterior alpha asymmetry was positively correlated with Physical WB (i.e., sleep and pain levels). No relationships were found with the other metrics, or between EEG and HRV metrics. These physiological metrics enable a quick, objective assessment of well-being in real-world settings using scalable, user-friendly tools.

可穿戴脑电图(EEG)和心电图(ECG)设备可为在真实世界环境中评估健康状况(WB)提供一种无创、用户友好且经济高效的方法。然而,在处理信号伪影(如环境噪声和运动)和确定可靠的生物标志物方面仍然存在挑战。我们评估了使用便携式硬件识别潜在脑电图和心率变异性(HRV)与幸福感相关性的可行性。我们使用连接到 4 通道可穿戴脑电图耳机的腕部心电图电极,在真实世界环境中同时收集了 60 人的超短(2 分钟)脑电图和心电图数据。使用开源 EEGLAB BrainBeats 插件对这些数据进行处理、信号质量评估和分析,以提取几个理论驱动的指标作为 WB 的潜在相关指标。即,脑电图的个体α频率(IAF)、额叶和后部α不对称以及信号熵。心率变异的 SDNN、低频/高频(LF/HF)比率、Poincaré SD1/SD2 比率和信号熵。我们采用成对相关法、稳健的斯皮尔曼相关法和多重比较校正法评估了这些特征与 WB 主要维度(享乐性、优裕性、整体性、身体和社交)之间的潜在关联。只有 8 份文件的信号质量较差,被排除在分析之外。Eudaimonic(心理)WB 与 SDNN 和 LF/HF 比值呈正相关。脑电图后阿尔法不对称与生理 WB(即睡眠和疼痛水平)呈正相关。其他指标之间以及脑电图和心率变异指标之间均无相关性。通过这些生理指标,可以使用可扩展、用户友好的工具在真实世界环境中快速、客观地评估幸福感。
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引用次数: 0
Renaissance-Europe-16th century. 文艺复兴-欧洲-16 世纪。
4区 医学 Q3 Neuroscience Pub Date : 2024-01-01 Epub Date: 2024-04-25 DOI: 10.1016/bs.pbr.2024.02.013
Jeremy C Ganz

Realistic images became available for the first time. The first major figure was Berengario da Carpi (1460-1530). He made contributions to knowledge. He stated the dura was attached all over the interior of the cranium not just at the sutures. He also noted that deterioration following traumatic hematomas was speedier the deeper within the brain the bleed had occurred and he noticed that post-traumatic neurological deficits were contralateral. Moreover, he introduced new instruments of a practical design. Specifically, he launched trepanation using a brace and bit handle. This instrument required two hands and rotated the trepan in the same direction all the time. In addition, he illustrated a crown trepan in which the bits could be interchanged. He also developed an improved elevator. He also provided the first drawing of a lenticular. The next illustrations came from Vidus Vidius (1509-1569). The illustrations in his text were elegant and realistic but some of them were impractical or unusable. Ambroise Paré (1510-1590) was a major surgeon. He designed an improved brace and bit trepan with a collar to control penetration. He also introduced instruments for expanding a cranial opening by biting up the bone and for depressing the dura to enable material to escape more easily.

写实图像首次问世。第一位重要人物是贝伦加里奥-达-卡尔皮(1460-1530 年)。他对知识做出了贡献。他指出,硬脑膜附着在整个颅骨内部,而不仅仅是缝合处。他还指出,外伤性血肿的恶化速度越快,出血发生在大脑越深的位置,他还注意到外伤后神经功能缺损是对侧。此外,他还引进了实用的新仪器。具体来说,他推出了使用支架和刀柄的穿刺器。这种器械需要两只手,并能始终朝同一方向旋转齿盘。此外,他还展示了一种可以互换钻头的冠形音盘。他还开发了一种改进的升降机。他还提供了第一张光栅图。接下来的插图来自维杜斯-维迪乌斯(1509-1569 年)。他文中的插图优雅而逼真,但其中一些并不实用或无法使用。Ambroise Paré(1510-1590 年)是一位重要的外科医生。他设计了一种改进的支架和带环的穿刺器,以控制穿刺。他还推出了通过咬合骨头扩大颅骨开口的器械,以及压迫硬脑膜使材料更容易流出的器械。
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引用次数: 0
Effects of coffee on cognitive function. 咖啡对认知功能的影响
4区 医学 Q3 Neuroscience Pub Date : 2024-01-01 Epub Date: 2024-07-15 DOI: 10.1016/bs.pbr.2024.06.016
Payman Raise-Abdullahi, Ehsan Raeis-Abdollahi, Morvarid Meamar, Ali Rashidy-Pour

This chapter thoroughly examines coffee's impact on cognitive function. It synthesizes research findings involving animals and humans, investigating coffee's influence on various memory and cognitive aspects, including short-term/working memory, long-term memory, attention, vigilance, executive functions, and processing speed. The chapter also discusses moderating factors, such as dose-response relationships, individual differences, age, and habitual consumption patterns, that influence the cognitive effects of coffee. Additionally, it addresses the potential risks and adverse effects associated with coffee intake, memory, and cognitive function, including stress and anxiety, sleep disturbances, cardiovascular effects, and addiction. Studies suggest moderate coffee intake improves attention, processing speed, decision-making, and certain executive functions. However, the effects vary depending on factors like dosage, individual traits, age, and sleep habits. Despite potential benefits, coffee consumption may lead to adverse effects such as anxiety, sleep issues, cardiovascular concerns, and dependency. Future research should address methodological concerns, incorporate neuroimaging methods, explore interactions with other substances, and investigate long-term effects and therapeutic uses. Understanding coffee's neuroscience can shed light on its role in daily life and health.

本章深入探讨了咖啡对认知功能的影响。它综合了涉及动物和人类的研究成果,调查了咖啡对各种记忆和认知方面的影响,包括短期/工作记忆、长期记忆、注意力、警觉性、执行功能和处理速度。本章还讨论了影响咖啡认知效果的调节因素,如剂量-反应关系、个体差异、年龄和习惯性消费模式。此外,本章还讨论了与咖啡摄入、记忆和认知功能相关的潜在风险和不良影响,包括压力和焦虑、睡眠障碍、心血管影响和成瘾。研究表明,适量摄入咖啡可以提高注意力、处理速度、决策能力和某些执行功能。不过,效果因剂量、个体特征、年龄和睡眠习惯等因素而异。尽管咖啡具有潜在的益处,但饮用咖啡可能会导致焦虑、睡眠问题、心血管问题和依赖性等不良影响。未来的研究应解决方法上的问题,纳入神经影像学方法,探索与其他物质的相互作用,并调查长期影响和治疗用途。了解咖啡的神经科学可以阐明咖啡在日常生活和健康中的作用。
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引用次数: 0
Coffee and multiple sclerosis (MS). 咖啡与多发性硬化症(MS)。
4区 医学 Q3 Neuroscience Pub Date : 2024-01-01 Epub Date: 2024-07-14 DOI: 10.1016/bs.pbr.2024.06.009
Youssef K Ghallab, Omnia S Elassal, Ruth G Mina

Multiple Sclerosis (MS) is a long-term autoimmune disorder affecting the central nervous system, marked by inflammation, demyelination, and neurodegeneration. While the exact cause of MS remains unknown, recent research indicates that environmental factors, particularly diet, may influence the disease's risk and progression. As a result, the potential neuroprotective effects of coffee, one of the most popular beverages worldwide, have garnered significant attention due to its rich content of bioactive compounds. This chapter explores the impact of coffee consumption on patients with Multiple Sclerosis, highlighting how coffee compounds like caffeine, polyphenols, and diterpenes can reduce inflammation and oxidative stress while enhancing neural function. It highlights caffeine's effect in regulating adenosine receptors, specifically A1R and A2AR, which play important roles in neuroinflammation and neuroprotection in MS. The dual role of microglial cells, which promote inflammation while also aiding neuroprotection, is also highlighted concerning caffeine's effects. Furthermore, the potential of A2AR as a therapeutic target in MS and the non-A2AR-dependent neuroprotective benefits of coffee. In this chapter we suggest that the consumption of coffee has no harmful effect on an MS patient and to a larger extent on public health, and informs future research directions and clinical practice, ultimately improving outcomes for individuals living with MS.

多发性硬化症(MS)是一种影响中枢神经系统的长期自身免疫性疾病,以炎症、脱髓鞘和神经变性为特征。虽然多发性硬化症的确切病因尚不清楚,但最近的研究表明,环境因素,尤其是饮食,可能会影响疾病的风险和进展。因此,作为全球最受欢迎的饮料之一,咖啡因其含有丰富的生物活性化合物,其潜在的神经保护作用备受关注。本章探讨了饮用咖啡对多发性硬化症患者的影响,重点介绍了咖啡因、多酚和二萜等咖啡化合物如何在增强神经功能的同时减轻炎症和氧化应激。报告强调了咖啡因在调节腺苷受体(特别是 A1R 和 A2AR)方面的作用,这两种受体在多发性硬化症的神经炎症和神经保护中发挥着重要作用。咖啡因还强调了小胶质细胞的双重作用,它们在促进炎症的同时也有助于神经保护。此外,A2AR 作为多发性硬化症治疗靶点的潜力,以及咖啡的非 A2AR 依赖性神经保护作用。在本章中,我们认为饮用咖啡不会对多发性硬化症患者产生有害影响,在更大程度上也不会影响公众健康,并为未来的研究方向和临床实践提供信息,最终改善多发性硬化症患者的预后。
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引用次数: 0
Rome-Celsus (ca 25BC to ca. 50AD). 罗马-塞尔苏斯(约公元前 25 年至约公元 50 年)。
4区 医学 Q3 Neuroscience Pub Date : 2024-01-01 Epub Date: 2024-03-26 DOI: 10.1016/bs.pbr.2024.02.006
Jeremy C Ganz

Celsus gave an adequate description of the bones and sutures of the calvarium. His classification of injuries was simple including fissures and depressions. He is the first to relate specific symptoms to specific tissue injury. In addition, he was aware that fractures could be present in the absence of typical findings. He was also the first to note the meningeal vessels could rupture producing severe localized pain. His treatment was more conservative than that of Hippocrates. Plasters were to be used and if there was no deterioration trepanation was avoided. He described the use of the crown trepan (modiolus) and the instrument with a smaller tip which expands rapidly to prevent penetration. He also described the technique of rotating the trepan between the palms. His description of operations for depressed fractures were unusually clear and relevant even by modern standards. His wound care is strikingly different from that of Hippocrates as he advocates various dressings soaked in vinegar and as time passes plasters should be softened with rose oil. Regrettably, Celsus influence would not be felt until the time of the Renaissance, because his texts were lost. However, his "De Medicina" was rediscovered and became the first medical text to be published using the new moveable type printing press, in the year 1478. Thus, his influence was minimal in the Arabic world and the early Renaissance. Thereafter it was profound.

塞尔苏斯充分描述了小腿的骨骼和缝合线。他对损伤的分类很简单,包括裂缝和凹陷。他是第一个将特定症状与特定组织损伤联系起来的人。此外,他还意识到在没有典型发现的情况下也可能出现骨折。他也是第一个注意到脑膜血管破裂会产生局部剧痛的人。他的治疗方法比希波克拉底更为保守。他使用橡皮膏,如果病情没有恶化,就避免进行穿刺。他介绍了冠状穿刺器(modiolus)和尖端较小的器械的使用方法,后者能迅速扩张以防止穿刺。他还介绍了在手掌间旋转穿刺器的技术。即使按照现代标准,他对凹陷性骨折手术的描述也异常清晰和贴切。他的伤口护理方法与希波克拉底大相径庭,他主张用醋浸泡各种敷料,随着时间的推移,应该用玫瑰油软化石膏。遗憾的是,塞尔苏斯的影响要到文艺复兴时期才会显现出来,因为他的文本已经失传。然而,他的《De Medicina》被重新发现,并在 1478 年成为第一部使用新型活字印刷术出版的医学著作。因此,他在阿拉伯世界和文艺复兴早期的影响微乎其微。此后,他的影响则非常深远。
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引用次数: 0
The logic of silence. 沉默的逻辑
4区 医学 Q3 Neuroscience Pub Date : 2024-01-01 Epub Date: 2024-07-08 DOI: 10.1016/bs.pbr.2024.05.003
Jean-Yves Beziau

In this paper we investigate the notion of silence using different tools, in particular the hexagon of oppositions.

在本文中,我们使用不同的工具,尤其是对立六边形,来研究沉默的概念。
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引用次数: 0
Coffee and mental disorders: How caffeine affects anxiety and depression. 咖啡与精神障碍:咖啡因如何影响焦虑和抑郁。
4区 医学 Q3 Neuroscience Pub Date : 2024-01-01 Epub Date: 2024-07-08 DOI: 10.1016/bs.pbr.2024.06.015
Morvarid Meamar, Payman Raise-Abdullahi, Ali Rashidy-Pour, Ehsan Raeis-Abdollahi

Caffeine, the main psychoactive component in coffee, has garnered significant attention for its potential impact on the most prevalent mental health conditions like anxiety and depression. This chapter comprehensively examines the neurobiological effects of caffeine, its influence on anxiety and depression, and relevant clinical studies. Caffeine exerts its psychostimulant effects primarily through antagonizing adenosine receptors, modulating neurotransmitter systems, and influencing intracellular calcium signaling in the brain. Caffeine exhibits dose-dependent effects. While moderate caffeine consumption is safe in healthy adults and may offer benefits for mental health, excessive intake is linked to adverse effects on neurological and psychiatric health and can aggravate symptoms, highlighting the importance of adjusting consumption patterns. High caffeine intake correlates with elevated anxiety levels, especially in individuals predisposed to anxiety disorders. However, the relationship between caffeine consumption and the risk of depression is intricate, with some studies suggesting a potential protective effect of moderate intake, while others find no significant association. Individual variations in caffeine metabolism, sensitivity, and genetic factors considerably impact responses to caffeine. The chapter also explores the therapeutic potential of caffeine as an adjunct treatment and outlines challenges and future research directions in elucidating caffeine's multifaceted role in mental health.

咖啡因是咖啡中的主要精神活性成分,因其对焦虑症和抑郁症等最常见精神疾病的潜在影响而备受关注。本章将全面探讨咖啡因的神经生物学效应、咖啡因对焦虑症和抑郁症的影响以及相关的临床研究。咖啡因主要通过拮抗腺苷受体、调节神经递质系统和影响大脑中的细胞内钙信号转导来发挥其精神兴奋剂效应。咖啡因的作用与剂量有关。虽然适量摄入咖啡因对健康成年人是安全的,并可能对精神健康有益,但过量摄入咖啡因会对神经和精神健康产生不良影响,并可能加重症状,这就凸显了调整摄入模式的重要性。咖啡因摄入量高与焦虑水平升高有关,特别是在易患焦虑症的人群中。然而,咖啡因摄入量与抑郁症风险之间的关系错综复杂,一些研究表明适量摄入咖啡因可能具有保护作用,而另一些研究则发现两者之间没有显著关联。咖啡因代谢、敏感性和遗传因素的个体差异对咖啡因的反应有很大影响。本章还探讨了咖啡因作为辅助疗法的治疗潜力,并概述了阐明咖啡因在心理健康中的多方面作用所面临的挑战和未来的研究方向。
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引用次数: 0
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