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Creating a ‘social zeitgeber’ to synchronize family emotional rhythms: A new therapeutic approach in child and adolescent psychiatry 创造一个“社会授时体”来同步家庭情绪节奏:儿童和青少年精神病学的一种新的治疗方法
Q Medicine Pub Date : 2016-11-01 DOI: 10.1016/j.jphysparis.2017.07.001
Matthias Wiss , Sylvie Tordjman

A family can be viewed as a system respecting the principle of homeostasis and therefore considered as a system in equilibrium or out of equilibrium, or even both simultaneously or consecutively. Within a family system, there are oscillatory phenomena and synchronization of the emotional, behavioral and relational rhythms of each member of the family system as well as synchronization of this system with others. A disruption of family synchronies, consisting of successive desynchronizations and resynchronizations, can take place in order for a change to occur. We created a mobile team for preadolescents and adolescents with psychological difficulties and their families; this mobile team enables to trigger a change by acting on the family synchronies like a ‘social zeitgeber’, i.e. an external factor synchronizing social and biological rhythms. The mobile team acts by disrupting the synchronies of the family system and this disruption is facilitated by a state of crisis experienced by the family. More specifically, the mobile team intervention provokes changes in the family representations associated with changes in the family emotional climate, measured by expressed emotion, due to disruptions in the synchronization of certain rhythms (desynchronization and then resynchronization of these rhythms), and could therefore be considered as a ‘social zeitgeber’. It creates an experience that becomes part of the individual’s and family’s history and could be reactivated in the future if necessary. Finally, it allows the family and the adolescent with difficulties to reach new perspectives and representations which participates to the process of change, but also to benefit at the same time from a secure basis and frame created by the (re)synchronization of family emotions through the intervention of the mobile team following a ritualized procedure.

一个家庭可以被视为一个尊重内稳态原则的系统,因此可以被视为一个处于平衡或不平衡的系统,甚至可以同时或连续地考虑两者。在一个家庭系统中,每个家庭系统成员的情感、行为和关系节奏以及这个系统与其他人的同步都存在振荡现象和同步。为了发生更改,可能会发生家庭同步的中断,包括连续的去同步和重新同步。我们为青春期前和有心理障碍的青少年及其家人建立了一个流动小组;这个移动团队能够通过像“社会授时因子”一样作用于家庭同步来触发变化,即同步社会和生物节律的外部因素。流动小组的行动是破坏家庭制度的同步,而家庭所经历的危机状态又促进了这种破坏。更具体地说,由于某些节奏的同步中断(这些节奏的去同步,然后重新同步),移动团队干预引发了与家庭情感气候变化相关的家庭表征的变化,通过表达的情感来衡量,因此可以被视为“社会授时因子”。它创造了一种体验,成为个人和家庭历史的一部分,如果有必要,可以在未来重新激活。最后,它允许家庭和有困难的青少年获得参与变革过程的新视角和表达,但同时也受益于通过遵循仪式化程序的流动团队的干预(重新)同步家庭情绪所创造的安全基础和框架。
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引用次数: 6
Key considerations in designing a speech brain-computer interface 设计语音脑机接口的关键考虑因素
Q Medicine Pub Date : 2016-11-01 DOI: 10.1016/j.jphysparis.2017.07.002
Florent Bocquelet , Thomas Hueber , Laurent Girin , Stéphan Chabardès , Blaise Yvert

Restoring communication in case of aphasia is a key challenge for neurotechnologies. To this end, brain-computer strategies can be envisioned to allow artificial speech synthesis from the continuous decoding of neural signals underlying speech imagination. Such speech brain-computer interfaces do not exist yet and their design should consider three key choices that need to be made: the choice of appropriate brain regions to record neural activity from, the choice of an appropriate recording technique, and the choice of a neural decoding scheme in association with an appropriate speech synthesis method. These key considerations are discussed here in light of (1) the current understanding of the functional neuroanatomy of cortical areas underlying overt and covert speech production, (2) the available literature making use of a variety of brain recording techniques to better characterize and address the challenge of decoding cortical speech signals, and (3) the different speech synthesis approaches that can be considered depending on the level of speech representation (phonetic, acoustic or articulatory) envisioned to be decoded at the core of a speech BCI paradigm.

失语症患者如何恢复沟通是神经技术的一个关键挑战。为此,可以设想脑机策略,通过对语音想象背后的神经信号的连续解码,实现人工语音合成。这样的语音脑机接口目前还不存在,它们的设计应该考虑三个关键的选择:选择合适的大脑区域来记录神经活动,选择合适的记录技术,以及选择与合适的语音合成方法相关联的神经解码方案。本文将根据以下几个方面对这些关键因素进行讨论:(1)目前对显性和隐性语音产生的皮层区域的功能神经解剖学的理解;(2)现有文献利用各种大脑记录技术来更好地表征和解决解码皮层语音信号的挑战;(3)根据语音表征水平(语音、语音和语音)的不同,可以考虑不同的语音合成方法。声学的或发音的)设想在语音脑机接口范式的核心被解码。
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引用次数: 47
Switching Markov decoders for asynchronous trajectory reconstruction from ECoG signals in monkeys for BCI applications 切换马尔可夫解码器异步轨迹重建从ECoG信号在猴子脑机接口应用
Q Medicine Pub Date : 2016-11-01 DOI: 10.1016/j.jphysparis.2017.03.002
Marie-Caroline Schaeffer, Tetiana Aksenova

Brain-Computer Interfaces (BCIs) are systems which translate brain neural activity into commands for external devices. BCI users generally alternate between No-Control (NC) and Intentional Control (IC) periods. NC/IC discrimination is crucial for clinical BCIs, particularly when they provide neural control over complex effectors such as exoskeletons. Numerous BCI decoders focus on the estimation of continuously-valued limb trajectories from neural signals. The integration of NC support into continuous decoders is investigated in the present article. Most discrete/continuous BCI hybrid decoders rely on static state models which don’t exploit the dynamic of NC/IC state succession. A hybrid decoder, referred to as Markov Switching Linear Model (MSLM), is proposed in the present article. The MSLM assumes that the NC/IC state sequence is generated by a first-order Markov chain, and performs dynamic NC/IC state detection. Linear continuous movement models are probabilistically combined using the NC and IC state posterior probabilities yielded by the state decoder. The proposed decoder is evaluated for the task of asynchronous wrist position decoding from high dimensional space-time-frequency ElectroCorticoGraphic (ECoG) features in monkeys. The MSLM is compared with another dynamic hybrid decoder proposed in the literature, namely a Switching Kalman Filter (SKF). A comparison is additionally drawn with a Wiener filter decoder which infers NC states by thresholding trajectory estimates. The MSLM decoder is found to outperform both the SKF and the thresholded Wiener filter decoder in terms of False Positive Ratio and NC/IC state detection error. It additionally surpasses the SKF with respect to the Pearson Correlation Coefficient and Root Mean Squared Error between true and estimated continuous trajectories.

脑机接口(bci)是将大脑神经活动转化为外部设备命令的系统。BCI用户通常在无控制(NC)和有意控制(IC)期间交替进行。NC/IC区分对于临床脑机接口至关重要,特别是当它们提供对复杂效应器(如外骨骼)的神经控制时。许多BCI解码器关注于从神经信号中估计连续值肢体轨迹。本文研究了将NC支持集成到连续解码器中的问题。大多数离散/连续BCI混合解码器依赖于静态状态模型,不利用NC/IC状态继承的动态。本文提出了一种称为马尔可夫切换线性模型(MSLM)的混合解码器。MSLM假设NC/IC状态序列由一阶马尔可夫链生成,并进行动态NC/IC状态检测。线性连续运动模型利用状态解码器产生的NC和IC状态后验概率进行概率组合。对该解码器进行了基于猴高维空时频皮质电图(ECoG)特征的异步手腕位置解码任务的评估。将MSLM与文献中提出的另一种动态混合解码器,即切换卡尔曼滤波器(SKF)进行了比较。此外,还与维纳滤波解码器进行了比较,该解码器通过阈值轨迹估计推断NC状态。MSLM解码器在误报率和NC/IC状态检测误差方面优于SKF和阈值维纳滤波器解码器。此外,在真实和估计的连续轨迹之间的Pearson相关系数和均方根误差方面,它超过了SKF。
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引用次数: 11
Automated detection of high-frequency oscillations in electrophysiological signals: Methodological advances 电生理信号高频振荡的自动检测:方法学进展
Q Medicine Pub Date : 2016-11-01 DOI: 10.1016/j.jphysparis.2017.02.003
Miguel Navarrete , Jan Pyrzowski , Juliana Corlier , Mario Valderrama , Michel Le Van Quyen

In recent years, new recording technologies have advanced such that oscillations of neuronal networks can be identified from simultaneous, multisite recordings at high temporal and spatial resolutions. However, because of the deluge of multichannel data generated by these experiments, achieving the full potential of parallel neuronal recordings also depends on the development of new mathematical methods capable of extracting meaningful information related to time, frequency and space. In this review, we aim to bridge this gap by focusing on the new analysis tools developed for the automated detection of high-frequency oscillations (HFOs, >40 Hz) in local field potentials. For this, we provide a revision of different aspects associated with physiological and pathological HFOs as well as the several stages involved in their automatic detection including preprocessing, selection, rejection and analysis through time-frequency processes. Beyond basic research, the automatic detection of HFOs would greatly assist diagnosis of epilepsy disorders based on the recognition of these typical pathological patterns in the electroencephalogram (EEG). Also, we emphasize how these HFO detection methods can be applied and the properties that might be inferred from neuronal signals, indicating potential future directions.

近年来,新的记录技术已经取得了进展,使得神经网络的振荡可以在高时间和空间分辨率下从同时的多地点记录中识别出来。然而,由于这些实验产生了大量的多通道数据,实现并行神经元记录的全部潜力也取决于能够提取与时间、频率和空间相关的有意义信息的新数学方法的发展。在这篇综述中,我们的目标是通过重点介绍用于局部场电位高频振荡(hfo, >40 Hz)自动检测的新分析工具来弥补这一差距。为此,我们提供了与生理和病理hfo相关的不同方面的修订,以及涉及其自动检测的几个阶段,包括预处理,选择,拒绝和通过时频过程分析。在基础研究之外,基于脑电图中这些典型病理模式的识别,hfo的自动检测将极大地帮助癫痫疾病的诊断。此外,我们还强调了如何应用这些HFO检测方法以及从神经元信号中推断出的特性,指出了潜在的未来方向。
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引用次数: 15
Key considerations in designing a somatosensory neuroprosthesis 设计体感神经假体的关键考虑
Q Medicine Pub Date : 2016-11-01 DOI: 10.1016/j.jphysparis.2016.11.001
Benoit P. Delhaye, Hannes P. Saal, Sliman J. Bensmaia

In recent years, a consensus has emerged that somatosensory feedback needs to be provided for upper limb neuroprostheses to be useful. An increasingly promising approach to sensory restoration is to electrically stimulate neurons along the somatosensory neuraxis to convey information about the state of the prosthetic limb and about contact with objects. To date, efforts toward artificial sensory feedback have consisted mainly of demonstrating that some sensory information could be conveyed using a small number of stimulation patterns, generally delivered through single electrodes. However impressive these achievements are, results from different studies are hard to compare, as each research team implements different stimulation patterns and tests the elicited sensations differently. A critical question is whether different stimulation strategies will generalize from contrived laboratory settings to activities of daily living. Here, we lay out some key specifications that an artificial somatosensory channel should meet, discuss how different approaches should be evaluated, and caution about looming challenges that the field of sensory restoration will face.

近年来,一个共识已经出现,体感反馈需要提供上肢神经假体是有用的。一种越来越有前景的感觉恢复方法是电刺激体感觉神经轴上的神经元,以传递有关假肢状态和与物体接触的信息。迄今为止,对人工感官反馈的努力主要包括证明一些感官信息可以通过少量刺激模式传递,通常通过单电极传递。尽管这些成就令人印象深刻,但不同研究的结果很难进行比较,因为每个研究团队采用不同的刺激模式,并以不同的方式测试引发的感觉。一个关键的问题是,不同的刺激策略是否可以从人为的实验室环境推广到日常生活活动。在这里,我们列出了人工体感通道应该满足的一些关键规范,讨论了如何评估不同的方法,并警告了感觉恢复领域将面临的迫在眉睫的挑战。
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引用次数: 28
Retrospectively supervised click decoder calibration for self-calibrating point-and-click brain–computer interfaces 用于自校准点-点击脑机接口的回顾性监督点击解码器校准
Q Medicine Pub Date : 2016-11-01 DOI: 10.1016/j.jphysparis.2017.03.001
Beata Jarosiewicz , Anish A. Sarma , Jad Saab , Brian Franco , Sydney S. Cash , Emad N. Eskandar , Leigh R. Hochberg

Brain-computer interfaces (BCIs) aim to restore independence to people with severe motor disabilities by allowing control of a cursor on a computer screen or other effectors with neural activity. However, physiological and/or recording-related nonstationarities in neural signals can limit long-term decoding stability, and it would be tedious for users to pause use of the BCI whenever neural control degrades to perform decoder recalibration routines. We recently demonstrated that a kinematic decoder (i.e. a decoder that controls cursor movement) can be recalibrated using data acquired during practical point-and-click control of the BCI by retrospectively inferring users’ intended movement directions based on their subsequent selections. Here, we extend these methods to allow the click decoder to also be recalibrated using data acquired during practical BCI use. We retrospectively labeled neural data patterns as corresponding to “click” during all time bins in which the click log-likelihood (decoded using linear discriminant analysis, or LDA) had been above the click threshold that was used during real-time neural control. We labeled as “non-click” those periods that the kinematic decoder’s retrospective target inference (RTI) heuristics determined to be consistent with intended cursor movement. Once these neural activity patterns were labeled, the click decoder was calibrated using standard supervised classifier training methods. Combined with real-time bias correction and baseline firing rate tracking, this set of “retrospectively labeled” decoder calibration methods enabled a BrainGate participant with amyotrophic lateral sclerosis (T9) to type freely across 11 research sessions spanning 29 days, maintaining high-performance neural control over cursor movement and click without needing to interrupt virtual keyboard use for explicit calibration tasks. By eliminating the need for tedious calibration tasks with prescribed targets and pre-specified click times, this approach advances the potential clinical utility of intracortical BCIs for individuals with severe motor disability.

脑机接口(bci)旨在通过控制电脑屏幕上的光标或其他具有神经活动的效应器,使患有严重运动障碍的人恢复独立。然而,神经信号的生理和/或记录相关的非平稳性会限制长期解码的稳定性,并且当神经控制退化到执行解码器重新校准程序时,用户暂停使用BCI将是乏味的。我们最近证明了一个运动学解码器(即控制光标移动的解码器)可以通过根据用户随后的选择回顾性地推断用户的预期移动方向,使用在BCI的实际点击控制过程中获得的数据来重新校准。在这里,我们扩展了这些方法,使点击解码器也可以使用在实际BCI使用过程中获得的数据进行重新校准。我们回顾性地将神经数据模式标记为在所有时间箱中对应的“点击”,其中点击对数似然(使用线性判别分析或LDA解码)高于实时神经控制中使用的点击阈值。我们将那些运动解码器的回顾性目标推断(RTI)启发式确定与预期光标移动一致的周期标记为“非点击”。一旦这些神经活动模式被标记,点击解码器使用标准监督分类器训练方法进行校准。结合实时偏差校正和基线触发率跟踪,这组“回顾性标记”解码器校准方法使患有肌萎缩性侧索硬化症(T9)的BrainGate参与者能够在29天的11次研究会议中自由打字,保持对光标移动和点击的高性能神经控制,而无需中断虚拟键盘的使用来进行明确的校准任务。通过消除繁琐的校准任务和预先指定的点击时间,该方法提高了皮质内脑机接口在严重运动障碍患者中的潜在临床应用。
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引用次数: 13
A developmental and clinical perspective of rhythmic interpersonal coordination: From mimicry toward the interconnection of minds 节律性人际协调的发展与临床视角:从模仿到心灵的联结
Q Medicine Pub Date : 2016-11-01 DOI: 10.1016/j.jphysparis.2017.06.001
Jean Xavier , Julien Magnat , Alain Sherman , Soizic Gauthier , David Cohen , Laurence Chaby

Imitation plays a critical role in the development of intersubjectivity and serves as a prerequisite for understanding the emotions and intentions of others. In our review, we consider spontaneous motor imitation between children and their peers as a developmental process involving repetition and perspective-taking as well as flexibility and reciprocity. During childhood, this playful dynamic challenges developing visuospatial abilities and requires temporal coordination between partners. As such, we address synchrony as form of communication and social signal per se, that leads, from an experience of similarity, to the interconnection of minds. In this way, we argue that, from a developmental perspective, rhythmic interpersonal coordination through childhood imitative interactions serves as a precursor to higher- level social and cognitive abilities, such as theory of mind (TOM) and empathy. Finally, to clinically illustrate our idea, we focus on developmental coordination disorder (DCD), a condition characterized not only by learning difficulties, but also childhood deficits in motor imitation. We address the challenges faced by these children on an emotional and socio-interactional level through the perspective of their impairments in intra- and interpersonal synchrony.

模仿在主体间性的发展中起着至关重要的作用,是理解他人情绪和意图的先决条件。在本研究中,我们认为儿童和同伴之间自发的动作模仿是一个涉及重复、换位思考、灵活性和互惠性的发展过程。在儿童时期,这种有趣的动态挑战了视觉空间能力的发展,需要伙伴之间的时间协调。因此,我们认为同步性本身就是一种沟通形式和社会信号,它从相似的经验引导到心灵的相互联系。因此,我们认为,从发展的角度来看,通过童年模仿互动产生的有节奏的人际协调是更高层次的社会和认知能力的先导,如心理理论和共情能力。最后,为了在临床上阐明我们的观点,我们将重点放在发育协调障碍(DCD)上,这是一种不仅以学习困难为特征的疾病,而且还以儿童运动模仿缺陷为特征。我们通过他们在内部和人际同步方面的障碍的角度来解决这些儿童在情感和社会互动层面上面临的挑战。
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引用次数: 17
Altered circadian patterns of salivary cortisol in individuals with schizophrenia: A critical literature review 精神分裂症患者唾液皮质醇昼夜节律模式的改变:一项重要的文献综述
Q Medicine Pub Date : 2016-11-01 DOI: 10.1016/j.jphysparis.2017.05.002
Nathalie Coulon , Sylvie Brailly-Tabard , Michel Walter , Sylvie Tordjman

This article focuses on stress vulnerability in schizophrenia through an integrated clinical and biological approach. The objective of this article is to better understand the relationships between vulnerability, stress and schizophrenia. First, the concept of vulnerability is defined and several models of vulnerability in schizophrenia are reviewed. Second, a section is developed on the biology of stress, and more specifically on the stress responses of the hypothalamo-pitutary adrenal (HPA) axis. Then, studies of cortisol circadian rhythms are summarized, suggesting hyper-reactivity of the HPA axis in patients with schizophrenia and high risk individuals for schizophrenia. The results support the models of stress vulnerability in schizophrenia and the hypothesis of high cortisol levels as an endophenotype in this disorder. In conclusion, this article highlights the interest of studying the cortisol circadian rhythms in schizophrenia and opens the perspective to identify high risk individuals for schizophrenia by measuring circadian patterns of salivary cortisol.

本文主要通过综合临床和生物学方法研究精神分裂症的应激易感性。本文的目的是为了更好地理解脆弱、压力和精神分裂症之间的关系。首先,定义了脆弱性的概念,并对精神分裂症中的脆弱性模型进行了综述。第二部分是关于应激的生物学,更具体地说,是关于下丘脑-垂体肾上腺轴的应激反应。然后,总结了皮质醇昼夜节律的研究,表明精神分裂症患者和精神分裂症高危个体的HPA轴具有高反应性。结果支持精神分裂症的应激易感性模型和高皮质醇水平作为这种疾病的一种内表型的假设。总之,本文强调了研究精神分裂症患者皮质醇昼夜节律的兴趣,并为通过测量唾液皮质醇的昼夜节律模式来识别精神分裂症高危个体开辟了前景。
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引用次数: 17
Are circadian rhythms new pathways to understand Autism Spectrum Disorder? 昼夜节律是理解自闭症谱系障碍的新途径吗?
Q Medicine Pub Date : 2016-11-01 DOI: 10.1016/j.jphysparis.2017.06.002
M-M. Geoffray , A. Nicolas , M. Speranza , N. Georgieff

Autism Spectrum Disorder (ASD) is a frequent neurodevelopmental disorder. ASD is probably the result of intricate interactions between genes and environment altering progressively the development of brain structures and functions. Circadian rhythms are a complex intrinsic timing system composed of almost as many clocks as there are body cells. They regulate a variety of physiological and behavioral processes such as the sleep-wake rhythm. ASD is often associated with sleep disorders and low levels of melatonin. This first point raises the hypothesis that circadian rhythms could have an implication in ASD etiology. Moreover, circadian rhythms are generated by auto-regulatory genetic feedback loops, driven by transcription factors CLOCK and BMAL1, who drive transcription daily patterns of a wide number of clock-controlled genes (CCGs) in different cellular contexts across tissues. Among these, are some CCGs coding for synapses molecules associated to ASD susceptibility. Furthermore, evidence emerges about circadian rhythms control of time brain development processes.

自闭症谱系障碍(ASD)是一种常见的神经发育障碍。ASD可能是基因和环境之间复杂的相互作用的结果,逐渐改变了大脑结构和功能的发展。昼夜节律是一个复杂的内在计时系统,由几乎和人体细胞一样多的时钟组成。它们调节各种生理和行为过程,如睡眠-觉醒节奏。ASD通常与睡眠障碍和褪黑激素水平低有关。这第一点提出了一个假设,即昼夜节律可能与ASD病因学有关。此外,昼夜节律是由自调节遗传反馈回路产生的,由转录因子CLOCK和BMAL1驱动,它们在不同的细胞背景下驱动大量时钟控制基因(CCGs)的日常转录模式。其中,一些CCGs编码与ASD易感性相关的突触分子。此外,有证据表明昼夜节律控制着大脑发育过程的时间。
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引用次数: 56
Recent progress in multi-electrode spike sorting methods 多电极尖峰分选方法研究进展
Q Medicine Pub Date : 2016-11-01 DOI: 10.1016/j.jphysparis.2017.02.005
Baptiste Lefebvre , Pierre Yger , Olivier Marre

In recent years, arrays of extracellular electrodes have been developed and manufactured to record simultaneously from hundreds of electrodes packed with a high density. These recordings should allow neuroscientists to reconstruct the individual activity of the neurons spiking in the vicinity of these electrodes, with the help of signal processing algorithms. Algorithms need to solve a source separation problem, also known as spike sorting. However, these new devices challenge the classical way to do spike sorting. Here we review different methods that have been developed to sort spikes from these large-scale recordings. We describe the common properties of these algorithms, as well as their main differences. Finally, we outline the issues that remain to be solved by future spike sorting algorithms.

近年来,细胞外电极阵列已经被开发和制造,可以同时记录数百个高密度排列的电极。这些记录可以让神经科学家在信号处理算法的帮助下,重建这些电极附近神经元的个体活动。算法需要解决一个源分离问题,也称为尖峰排序。然而,这些新设备挑战了传统的尖峰排序方法。在这里,我们回顾了不同的方法,已开发排序尖峰从这些大规模的记录。我们描述了这些算法的共同特性,以及它们的主要区别。最后,我们概述了未来尖峰排序算法有待解决的问题。
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引用次数: 0
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Journal of Physiology-Paris
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