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The Autonomous Cognitive Examination: Machine-Learning Based Cognitive Examination 自主认知考试:基于机器学习的认知考试
Pub Date : 2024-09-06 DOI: 10.1101/2024.09.05.24313114
Calvin W. Howard, Amy Johnson, Sheena Barotono, Katharina Faust, Joseph Peedicail, Marcus Ng
INTRODUCTION The rising prevalence of dementia necessitates a scalable solution to cognitive screening and diagnosis. Digital cognitive assessments offer a solution but lack the extensive validation of older paper-based tests. Creating a digital cognitive assessment which recreates a paper-based assessment could have the strengths of both tests.
引言 随着痴呆症发病率的不断上升,需要一种可扩展的认知筛查和诊断解决方案。数字认知评估提供了一种解决方案,但它缺乏老式纸质测试的广泛验证。创建一种能再现纸质测试的数字认知评估,可以同时具备两种测试的优点。
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引用次数: 0
Online monitoring technology for deep phenotyping of cognitive impairment after stroke 用于脑卒中后认知障碍深度表型的在线监测技术
Pub Date : 2024-09-06 DOI: 10.1101/2024.09.06.24313173
Dragos-Cristian Gruia, Valentina Giunchiglia, Aoife Coghlan, Sophie Brook, Soma Banerjee, Jo Kwan, Peter J. Hellyer, Adam Hampshire, Fatemeh Geranmayeh
Background Despite the high prevalence of disabling post-stroke cognitive sequalae, these impairments are often underdiagnosed and rarely monitored longitudinally. Provision of unsupervised remote online cognitive technology would provide a scalable solution to this problem. However, despite recent advances, such technology is currently lacking, with existing tools either not meeting the scalability challenge or not optimised for specific applications in post-stroke cognitive impairment. To address this gap, we designed and developed a comprehensive online battery highly optimised for detecting cognitive impairments in stroke survivors.
背景 尽管脑卒中后致残性认知后遗症的发病率很高,但这些损伤往往诊断不足,也很少得到纵向监测。提供无监督远程在线认知技术将为这一问题提供可扩展的解决方案。然而,尽管最近取得了一些进展,但目前还缺乏这样的技术,现有的工具要么无法应对可扩展性的挑战,要么没有针对卒中后认知障碍的具体应用进行优化。为了弥补这一不足,我们设计并开发了一种综合性在线电池,该电池经过高度优化,可用于检测中风幸存者的认知障碍。
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引用次数: 0
Quality of Life and Psychiatric Comorbidities Associated with Migraines in Medical Students: A Cross-Sectional Study 医学生偏头痛相关的生活质量和精神并发症:横断面研究
Pub Date : 2024-09-06 DOI: 10.1101/2024.09.05.24312634
Nusaiba Hassan, Roaa Hassan, Batoul Mohammed, Leina Elomeiri
Objectives This study aims to assess the health-related quality of life (HRQoL) and psychiatric comorbidities among medical students suffering from migraines at the University of Khartoum.
目的 本研究旨在评估喀土穆大学医学生偏头痛患者的健康相关生活质量(HRQoL)和精神疾病合并症。
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引用次数: 0
Neuroligin fragments as blood-based biomarkers for early detection of Alzheimer’s disease 将神经胶质蛋白片段作为早期检测阿尔茨海默病的血液生物标记物
Pub Date : 2024-09-06 DOI: 10.1101/2024.09.05.24313143
Milton Guilherme Forestieri Fernandes, Maxime Pinard, Esen Sokullu, Jean-François Gagnon, Frédéric Calon, Benoit Coulombe, Consortium for the early identification of Alzheimer’s disease-Quebec (CIMA-Q), Jonathan Brouillette
Biomarkers for early detection of Alzheimer’s disease (AD) are essential for improving treatments. Fragments of the synaptic protein neuroligins (NLGNs) are released into the blood due to synaptic degeneration, which occurs in the early stages of AD. Using MS2-targeted mass spectrometry, we assessed the potential of NLGN fragments as blood-based biomarkers for amnestic mild cognitive impairment (aMCI), a prodromal stage of AD. We found higher blood levels of certain NLGN fragments in both aMCI and AD patients compared to healthy subjects and elderly with subjective cognitive disorder (SCD) from the CIMA-Q cohort. Within these same samples, the levels of Tau phosphorylated at various epitopes (pTau181, pTau217, and pTau231) were higher in AD subjects but not in aMCI individuals. Our results suggest that synaptic proteins such as NLGNs could serve as effective biomarkers for detecting the disease in its prodromal stage. This early detection could accelerate diagnosis, prevention, and therapeutic intervention before neurodegeneration leads to irreversible brain damage.
用于早期检测阿尔茨海默病(AD)的生物标志物对于改善治疗至关重要。由于突触退化,突触蛋白神经胶质蛋白(NLGNs)的片段会释放到血液中,而突触退化发生在阿尔茨海默病的早期阶段。我们使用 MS2 靶向质谱分析法评估了 NLGN 片段作为血液生物标记物的潜力,以检测老年痴呆症前驱阶段的失忆性轻度认知障碍(aMCI)。我们发现,与健康受试者和来自 CIMA-Q 队列的患有主观认知障碍(SCD)的老年人相比,aMCI 和 AD 患者血液中某些 NLGN 片段的水平更高。在这些相同的样本中,AD 患者在不同表位(pTau181、pTau217 和 pTau231)上磷酸化的 Tau 水平较高,而 aMCI 患者则不高。我们的研究结果表明,突触蛋白(如 NLGNs)可作为有效的生物标记物,在疾病的前驱阶段进行检测。这种早期检测可以在神经变性导致不可逆的脑损伤之前加速诊断、预防和治疗干预。
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引用次数: 0
Impaired spatial dynamic functional network connectivity and neurophysiological correlates in functional stroke mimics 功能性中风模拟人的空间动态功能网络连接受损及其神经生理学相关性
Pub Date : 2024-09-06 DOI: 10.1101/2024.09.05.24313161
E Premi, V Cantoni, A Benussi, A Iraji, VD Calhoun, D Corbo, R Gasparotti, M Tinazzi, B Borroni, M Magoni
The present study investigated spatial dynamic functional network connectivity (dFNC) in patients with functional hemiparesis (i.e., functional stroke mimics, FSM). The aim of this work was to assess dynamic brain states, which represent distinct dFNC patterns that reoccur in time and across subjects. Resting-state fMRI data were collected from 15 patients with FSM (mean age=42.3±9.4, female=80%) and 52 age-matched healthy controls (HC, mean age=42.1±8.6, female=73%).
本研究调查了功能性偏瘫患者(即功能性中风模拟人,FSM)的空间动态功能网络连通性(dFNC)。这项工作的目的是评估大脑的动态状态,这些状态代表了在不同时间和不同受试者中重复出现的不同的 dFNC 模式。研究人员收集了 15 名 FSM 患者(平均年龄为(42.3±9.4)岁,女性占 80%)和 52 名年龄匹配的健康对照组(HC,平均年龄为(42.1±8.6)岁,女性占 73%)的静息态 fMRI 数据。
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引用次数: 0
The Rapid Online Cognitive Assessment 快速在线认知评估
Pub Date : 2024-09-06 DOI: 10.1101/2024.09.05.24313118
Calvin W. Howard, Amy Johnson, Joseph Peedicail, Marcus Ng
INTRODUCTION Paper-based screening examinations are well-validated but minimally scalable. If a DCA replicate paper-based screening, it would improve scalability while benefiting from their extensive validation.
引言 基于纸张的筛查考试经过充分验证,但可扩展性极低。如果 DCA 能复制纸质筛查,就能提高可扩展性,同时受益于纸质筛查的广泛验证。
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引用次数: 0
Safety and tolerability of intravenous liposomal GM1 in patients with Parkinson disease: A single center open-label clinical phase I trial (NEON trial) 帕金森病患者静脉注射脂质体 GM1 的安全性和耐受性:单中心开放标签临床 I 期试验(NEON 试验)
Pub Date : 2024-09-06 DOI: 10.1101/2024.09.05.24313105
Stefan Halbherr, Stefanie Lerch, Sebastian Bellwald, Petra Polakova, Bettina Bannert, Marie Roumet, Roch-Philippe Charles, Martin A. Walter, Corrado Bernasconi, Camille Peitsch, Pascal C. Baumgartner, Céline Kaufmann, Heinrich P. Mattle, Alain Kaelin-Lang, Andreas Hartmann, Michael Schuepbach
Background: Parkinson disease (PD) is a chronic progressive neurodegenerative disorder leading to motor and non- motor impairment often resulting in severe loss of quality of life. There are symptomatic treatments without effect on the progression of PD. A disease-modifying treatment that could ideally stop the neurodegenerative process is direly needed. Monosialotetrahexosylganglioside (GM1) is a promising molecule with neuroprotective effects in preclinical models of PD and has yielded encouraging results in patients with PD in a randomized placebo-controlled trial. Talineuren (TLN) is a liposomal formulation of GM1 that has been shown to cross the blood-brain barrier in animals. We assessed the safety and pharmacokinetics of TLN in patients with PD.
背景:帕金森病(PD)是一种慢性进行性神经退行性疾病,会导致运动和非运动功能障碍,通常会严重影响患者的生活质量。目前有一些对症治疗方法,但对帕金森病的进展没有效果。我们迫切需要一种能够理想地阻止神经退行性病变进程的疾病改变治疗方法。单唾液酸四己基神经节苷脂(GM1)是一种很有前景的分子,在临床前的帕金森氏症模型中具有神经保护作用,在随机安慰剂对照试验中对帕金森氏症患者产生了令人鼓舞的结果。Talineuren (TLN)是一种GM1脂质体制剂,已被证明能在动物体内穿过血脑屏障。我们评估了 TLN 在帕金森氏症患者中的安全性和药代动力学。
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引用次数: 0
Plasma biomarkers distinguish Boston Criteria 2.0 cerebral amyloid angiopathy from healthy controls 血浆生物标志物可区分波士顿标准 2.0 脑淀粉样变性血管病与健康对照组
Pub Date : 2024-09-05 DOI: 10.1101/2024.09.04.24313038
Ryan T. Muir, Sophie Stukas, Jennifer G. Cooper, Andrew E. Beaudin, Cheryl R. McCreary, Myrlene Gee, Krista Nelles, Nikita Nukala, Janina Valencia, Kristopher M Kirmess, Sandra E. Black, Michael D. Hill, Richard Camicioli, Cheryl L. Wellington, Eric. E Smith
INTRODUCTION Cerebral Amyloid Angiopathy (CAA) is characterized by the deposition of beta-amyloid (Aβ) in small vessels leading to hemorrhagic stroke and dementia. This study examined whether plasma Aβ42/40, phosphorylated-tau (p-tau), neurofilament light chain (NfL) and Glial Fibrillary Acidic Protein (GFAP) differ in CAA and their potential to discriminate Boston Criteria 2.0 probable CAA from healthy controls.
引言 脑淀粉样血管病变(CAA)的特征是β-淀粉样蛋白(Aβ)在小血管中沉积,导致出血性中风和痴呆。本研究探讨了血浆 Aβ42/40、磷酸化-tau(p-tau)、神经丝蛋白轻链(NfL)和胶质纤维酸性蛋白(GFAP)在 CAA 中是否存在差异,以及它们在区分波士顿标准 2.0 中可能存在的 CAA 与健康对照组方面的潜力。
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引用次数: 0
Automated Phonological Error Scoring for Children with Language and Hearing Impairment 为有语言和听力障碍的儿童自动进行语音错误评分
Pub Date : 2024-09-04 DOI: 10.1101/2024.09.04.24313011
Simon Sundström, Charalambos Themistocleous
Purpose Phonological production impairments are prevalent in children with developmental language disorder (DLD) and hearing impairment (HI). This study aims to quantify and compare phonological errors in Swedish-speaking children using a novel automated assessment tool and provide an automatic machine learning classification algorithm of children with DLD and HI to age-matched controls based on phonological errors.
目的 患有发育性语言障碍(DLD)和听力障碍(HI)的儿童普遍存在语音生成障碍。本研究旨在使用一种新颖的自动评估工具对瑞典语儿童的语音错误进行量化和比较,并根据语音错误提供一种自动机器学习分类算法,将发育性语言障碍和听力障碍儿童与年龄匹配的对照组儿童进行分类。
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引用次数: 0
Somatosensory differences between symptomatic and non-symptomatic retired contact sport athletes. 有症状和无症状退役接触性运动运动员的体感差异。
Pub Date : 2024-09-04 DOI: 10.1101/2024.09.01.24312914
Brigitte Beck, Dawson J Kidgell, Doug A King, Ashlyn K Frazer, Mark Tommderdahl, Alan J Pearce
Aim of the studyInterest continues investigating pathophysiology of athlete cohorts with a history involving cumulative career exposure of repeated concussion and non-concussion impacts. One area yet to be explored involves the somatosensory system. Using a novel sensorimotor technique, this study measured the somatosensory system in retired contact sport athletes exposed to repetitive neurotrauma.Materials and MethodsRetired athletes (n=85, mean age 48.6 +/- 10.6 years, all male) completed a self-report survey on their playing career, number of concussions, and continuing symptoms. Participants completed somatosensory vibrotactile tasks assessing reaction time, amplitude discrimination (sequential, simultaneous), and temporal discrimination (temporal order judgment, duration discrimination). Participants were divided between those reporting persistent symptoms (Symptomatic, n=63) and those without concerns (Nonsymptomatic, n=22).ResultsSymptomatic participants scored higher symptom scores compared to the Nonsymptomatic group (P<0.001). No differences were found between groups for age (P=0.152), number of concussions (P=0.193), total years played (P=0.385), or professional career length (P=0.711). Symptomatic group reaction times were slower to the Nonsymptomatic group (P<0.001). Reaction time variability were greater in the symptomatic group (P=0.002). Differences between groups were found for amplitude discrimination (sequential: P=0.031; simultaneous: P=0.036) and temporal order judgment (P=0.032). Significant correlations were found between total symptom scores and all somatosensory tasks. Correlations showed associations between total exposure years with temporal order judgement and reaction time.Conclusions.This novel study showed altered sensorimotor perception in retired athletes with persistent symptoms. Our data adds to the growing pathophysiological evidence in those who experience repetitive neurotrauma during their playing careers.
研究目的人们继续对运动员群体的病理生理学进行研究,这些运动员在职业生涯中反复受到脑震荡和非脑震荡撞击的累积影响。其中一个有待探索的领域涉及体感系统。本研究采用一种新颖的感觉运动技术,测量了受到重复神经创伤的退役接触性运动运动员的躯体感觉系统。材料与方法退役运动员(85 人,平均年龄 48.6 +/- 10.6 岁,均为男性)完成了一份自我报告调查,内容涉及他们的运动生涯、脑震荡次数和持续症状。参与者完成体感振动触觉任务,评估反应时间、振幅辨别力(连续、同时)和时间辨别力(时序判断、持续时间辨别力)。受试者被分为有持续症状组(有症状,63 人)和无持续症状组(无症状,22 人)。各组之间在年龄(P=0.152)、脑震荡次数(P=0.193)、总出场年数(P=0.385)或职业生涯长度(P=0.711)方面没有差异。有症状组的反应时间比无症状组慢(P<0.001)。有症状组的反应时间变异性更大(P=0.002)。在振幅辨别(顺序:P=0.031;同时:P=0.036)和时序判断(P=0.032)方面发现了组间差异。症状总分与所有体感任务之间均存在显著相关性。结论:这项新颖的研究表明,有持续症状的退役运动员的感觉运动知觉发生了改变。我们的数据为那些在运动生涯中经历过重复神经创伤的运动员提供了越来越多的病理生理学证据。
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medRxiv - Neurology
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