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Toward an Etiology of Spaceflight Neuroplastic Syndrome: Evolutionary Science Leads to New Hypotheses and Program Priorities 航天神经可塑性综合征的病因学:进化科学导致新的假设和项目优先级
Q3 CLINICAL NEUROLOGY Pub Date : 2023-09-25 DOI: 10.3390/neurosci4040021
Margaret Boone Rappaport, Christopher J. Corbally
Evolutionary theory is applied to recent neuroscientific findings on factors associated with risk-and-reward systems, and consequently, aspects of human decision making in spaceflight. Factors include enzymes aiding metabolic pathways of dopamine and serotonin; neurotrophic factors supporting neuronal functioning and plasticity; and genes associated with serotonin and dopamine systems. Not all factors are at risk in spaceflight. Some remain stable. It is hypothesized that neural deconditioning in spaceflight arises from faulty signals sent to the brain and gut in attempting to adapt phenotypically to a novel space environment. There is a mismatch between terrestrial selection pressures during human evolution and conditions of cosmic radiation, microgravity, and higher CO2, which together cause scattered results. A contrary question is broached: Given these findings, why are human sequelae not worse? Discussion of programmatic issues then focuses on methodologies to determine the suitability of civilians for spaceflight, an issue that grows more pressing while more varied populations prepare for spaceflight in LEO and on, and in orbit around the Moon.
进化理论被应用于最近的神经科学发现,这些发现与风险和奖励系统有关,因此,也适用于人类在太空飞行中的决策。这些因素包括帮助多巴胺和血清素代谢途径的酶;支持神经元功能和可塑性的神经营养因子;以及与血清素和多巴胺系统相关的基因。在太空飞行中并非所有因素都有风险。一些保持稳定。据推测,太空飞行中的神经失调是由于向大脑和肠道发送的错误信号导致的,这些信号试图在表型上适应新的太空环境。在人类进化过程中,陆地选择压力与宇宙辐射、微重力和二氧化碳含量较高的条件之间存在不匹配,这些条件共同导致了分散的结果。一个相反的问题被提出了:鉴于这些发现,为什么人类的后遗症没有恶化?然后,对方案问题的讨论侧重于确定平民是否适合航天飞行的方法,随着越来越多的不同人口为近地轨道和月球轨道上的航天飞行做准备,这一问题变得更加紧迫。
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引用次数: 0
Is There a Role of Inferior Frontal Cortex in Motor Timing? A Study of Paced Finger Tapping in Patients with Non-Fluent Aphasia 额下皮层在运动计时中起作用吗?非流利性失语症患者手指节奏敲击的研究
Q3 CLINICAL NEUROLOGY Pub Date : 2023-09-18 DOI: 10.3390/neurosci4030020
Chrysanthi Andronoglou, George Konstantakopoulos, Christina Simoudi, Dimitrios Kasselimis, Ioannis Evdokimidis, Evangelos Tsoukas, Dimitrios Tsolakopoulos, Georgia Angelopoulou, Constantin Potagas
The aim of the present study was to investigate the deficits in timing reproduction in individuals with non-fluent aphasia after a left hemisphere lesion including the inferior frontal gyrus, in which Broca’s region is traditionally localised. Eighteen stroke patients with non-fluent aphasia and twenty-two healthy controls were recruited. We used a finger-tapping Test, which consisted of the synchronisation and the continuation phase with three fixed intervals (450 ms, 650 ms and 850 ms). Participants firstly had to tap simultaneously with the device’s auditory stimuli (clips) (synchronisation phase) and then continue their tapping in the same pace when the stimuli were absent (continuation phase). Patients with aphasia demonstrated less accuracy and greater variability during reproduction in both phases, compared to healthy participants. More specifically, in the continuation phase, individuals with aphasia reproduced longer intervals than the targets, whereas healthy participants displayed accelerated responses. Moreover, patients’ timing variability was greater in the absence of the auditory stimuli. This could possibly be attributed to deficient mental representation of intervals and not experiencing motor difficulties (due to left hemisphere stroke), as the two groups did not differ in tapping reproduction with either hand. Given that previous findings suggest a potential link between the IFG, timing and working memory, we argue that patients’ extra-linguistic cognitive impairments should be accounted for, as possible contributing factors to timing disturbances.
本研究的目的是研究在包括额下回在内的左半球病变后,非流利性失语症患者的生殖时间缺陷,而额下回是布洛卡区传统的所在地。18例脑卒中非流利性失语患者和22名健康对照者被招募。我们使用了一个手指敲击测试,它包括同步和延续阶段,三个固定的间隔(450毫秒,650毫秒和850毫秒)。参与者首先必须与设备的听觉刺激(片段)同时点击(同步阶段),然后在没有刺激(延续阶段)时以相同的速度继续点击。与健康参与者相比,失语症患者在这两个阶段的生殖过程中表现出更低的准确性和更大的可变性。更具体地说,在持续阶段,失语症患者比目标重现更长的间隔时间,而健康参与者则表现出更快的反应。此外,在没有听觉刺激的情况下,患者的时间变异性更大。这可能归因于缺乏间隔的心理表征和没有经历运动困难(由于左半球中风),因为两组在用任何一只手敲打生殖方面没有差异。鉴于先前的研究结果表明IFG、时间和工作记忆之间存在潜在的联系,我们认为患者的语言外认知障碍应该被考虑在内,因为这可能是导致时间障碍的因素。
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引用次数: 0
A Deep Learning Model for Preoperative Differentiation of Glioblastoma, Brain Metastasis, and Primary Central Nervous System Lymphoma: An External Validation Study 胶质母细胞瘤、脑转移和原发性中枢神经系统淋巴瘤术前分化的深度学习模型:一项外部验证研究
Q3 CLINICAL NEUROLOGY Pub Date : 2022-12-31 DOI: 10.3390/neurosci4010003
L. Tariciotti, Davide Ferlito, V. Caccavella, Andrea Di Cristofori, G. Fiore, L.G. Remore, M. Giordano, G. Remoli, G. Bertani, S. Borsa, M. Pluderi, P. Remida, G. Basso, C. Giussani, M. Locatelli, G. Carrabba
(1) Background: Neuroimaging differentiation of glioblastoma, primary central nervous system lymphoma (PCNSL) and solitary brain metastasis (BM) represents a diagnostic and therapeutic challenge in neurosurgical practice, expanding the burden of care and exposing patients to additional risks related to further invasive procedures and treatment delays. In addition, atypical cases and overlapping features have not been entirely addressed by modern diagnostic research. The aim of this study was to validate a previously designed and internally validated ResNet101 deep learning model to differentiate glioblastomas, PCNSLs and BMs. (2) Methods: We enrolled 126 patients (glioblastoma: n = 64; PCNSL: n = 27; BM: n = 35) with preoperative T1Gd-MRI scans and histopathological confirmation. Each lesion was segmented, and all regions of interest were exported in a DICOM dataset. A pre-trained ResNet101 deep neural network model implemented in a previous work on 121 patients was externally validated on the current cohort to differentiate glioblastomas, PCNSLs and BMs on T1Gd-MRI scans. (3) Results: The model achieved optimal classification performance in distinguishing PCNSLs (AUC: 0.73; 95%CI: 0.62–0.85), glioblastomas (AUC: 0.78; 95%CI: 0.71–0.87) and moderate to low ability in differentiating BMs (AUC: 0.63; 95%CI: 0.52–0.76). The performance of expert neuro-radiologists on conventional plus advanced MR imaging, assessed by retrospectively reviewing the diagnostic reports of the selected cohort of patients, was found superior in accuracy for BMs (89.69%) and not inferior for PCNSL (82.90%) and glioblastomas (84.09%). (4) Conclusions: We investigated whether the previously published deep learning model was generalizable to an external population recruited at a different institution—this validation confirmed the consistency of the model and laid the groundwork for future clinical applications in brain tumour classification. This artificial intelligence-based model might represent a valuable educational resource and, if largely replicated on prospective data, help physicians differentiate glioblastomas, PCNSL and solitary BMs, especially in settings with limited resources.
(1)背景:胶质母细胞瘤、原发性中枢神经系统淋巴瘤(PCNSL)和孤立性脑转移(BM)的神经影像学鉴别是神经外科实践中的一个诊断和治疗挑战,它扩大了护理负担,并使患者面临与进一步侵入性手术和治疗延误相关的额外风险。此外,非典型病例和重叠特征尚未完全解决现代诊断研究。本研究的目的是验证先前设计和内部验证的ResNet101深度学习模型,以区分胶质母细胞瘤、PCNSLs和脑转移。(2)方法:126例患者(胶质母细胞瘤:n = 64;PCNSL: n = 27;BM: n = 35)术前T1Gd-MRI扫描和组织病理学证实。每个病变被分割,所有感兴趣的区域被导出到DICOM数据集中。先前在121例患者中实施的预训练的ResNet101深度神经网络模型在当前队列中进行了外部验证,以在T1Gd-MRI扫描上区分胶质母细胞瘤、PCNSLs和脑转移。(3)结果:该模型对pcnsl的分类效果最佳(AUC: 0.73;95%CI: 0.62-0.85),胶质母细胞瘤(AUC: 0.78;95%CI: 0.71-0.87)和中至低度脑转移鉴别能力(AUC: 0.63;95%置信区间:0.52—-0.76)。通过回顾性评估选定队列患者的诊断报告,神经放射科专家在常规和高级磁共振成像方面的表现,发现脑转移瘤(89.69%)的准确性更高,PCNSL(82.90%)和胶质母细胞瘤(84.09%)的准确性也不低。(4)结论:我们研究了之前发表的深度学习模型是否可以推广到不同机构招募的外部人群,这一验证证实了模型的一致性,为未来在脑肿瘤分类中的临床应用奠定了基础。这种基于人工智能的模型可能是一种有价值的教育资源,如果在前瞻性数据上大量复制,可以帮助医生区分胶质母细胞瘤、PCNSL和孤立性脑转移,特别是在资源有限的情况下。
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引用次数: 1
Lithium Prevents Telomere Shortening in Cortical Neurons in Amyloid-Beta Induced Toxicity. 锂能防止淀粉样蛋白-β诱导毒性皮层神经元端粒缩短
IF 1.6 Q3 CLINICAL NEUROLOGY Pub Date : 2022-12-23 eCollection Date: 2023-03-01 DOI: 10.3390/neurosci4010001
Rafael M Themoteo, Vanessa J R De Paula, Nicole K R Rocha, Helena Brentani, Orestes V Forlenza

Background: There is consistent evidence of the potential benefits of lithium attenuating mechanisms of neurodegeneration, including those related to the pathophysiology of Alzheimer's disease (AD), and facilitating neurotrophic and protective responses, including maintenance of telomere length. The aim was to investigate the protective effect of the pre-treatment with lithium on amyloid-beta (Aβ)-induced toxicity and telomere length in neurons.

Methods: Cortical neurons were treated with lithium chloride at therapeutic and subtherapeutic concentrations (2 mM, 0.2 mM and 0.02 mM) for seven days. Amyloid toxicity was induced 24 h before the end of lithium treatment.

Results: Lithium resulted in 120% (2 mM), 180% (0.2 mM) and 140% (0.02 mM) increments in telomere length as compared to untreated controls. Incubation with Aβ1-42 was associated with significant reductions in MTT uptake (33%) and telomere length (83%) as compared to controls.

Conclusions: Lithium prevented loss of culture viability and telomere shortening in neuronal cultures challenged with Aβ fibrils.

背景:有一致的证据表明,锂可减轻神经退行性变的机制,包括与阿尔茨海默病(AD)病理生理学相关的机制,并促进神经营养和保护性反应,包括端粒长度的维持。目的是研究锂的预处理对淀粉样β(Aβ)诱导的毒性和神经元端粒长度的保护作用:用治疗浓度和亚治疗浓度(2 mM、0.2 mM 和 0.02 mM)的氯化锂处理皮层神经元七天。在锂治疗结束前 24 小时诱导淀粉样蛋白毒性:结果:与未处理的对照组相比,锂使端粒长度分别增加了120%(2 mM)、180%(0.2 mM)和140%(0.02 mM)。与对照组相比,用Aβ1-42孵育可显著降低MTT吸收率(33%)和端粒长度(83%):结论:锂能防止神经元培养物在受到 Aβ 纤维挑战时丧失培养活力和端粒缩短。
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引用次数: 0
Deficits in cerebellum-dependent learning and cerebellar morphology in male and female BTBR autism model mice. 雄性和雌性BTBR自闭症模型小鼠小脑依赖学习和小脑形态的缺陷。
Q3 CLINICAL NEUROLOGY Pub Date : 2022-12-01 DOI: 10.3390/neurosci3040045
Elizabeth A Kiffmeyer, Jameson A Cosgrove, Jenna K Siganos, Heidi E Bien, Jade E Vipond, Karisa R Vogt, Alexander D Kloth

Recently, there has been increased interest in the role of the cerebellum in autism spectrum disorders (ASD). To better understand the pathophysiological role of the cerebellum in ASD, it is necessary to have a variety of mouse models that have face validity for cerebellar disruption in humans. Here, we add to the literature on the cerebellum transgenic and induced mouse models of autism with the characterization of the cerebellum in the BTBR T+Itpr3tf/J (BTBR) inbred mouse strain, which has behavioral phenotypes that are suggestive of ASD in patients. When we examined both male and female BTBR mice in comparison to C57BL/6J (C57) controls, we noted that both sexes of BTBR mice showed motor coordination deficits characteristic of cerebellar dysfunction, but only the male mice showed differences in delay eyeblink conditioning, a cerebellum-dependent learning task that is also disrupted in ASD patients. Both male and female BTBR mice showed considerable expansion of and abnormal foliation in the cerebellum vermis--including significant expansion of specific lobules in the anterior cerebellum. In addition, we found a slight but significant decrease in Purkinje cell density in both male and female BTBR mice, irrespective of lobule. Furthermore, there was a marked reduction of Purkinje cell dendritic spines density in both male and female BTBR mice. These findings suggest that, for the most part, the BTBR mouse model successfully phenocopies many of the characteristics of the subpopulation of ASD patients that have a hypertrophic cerebellum. We discuss the significance of strain differences in the cerebellum as well as the importance of this first effort to identify both concordances and difference between male and female BTBR mice with regard to the cerebellum.

最近,人们对小脑在自闭症谱系障碍(ASD)中的作用越来越感兴趣。为了更好地了解小脑在ASD中的病理生理作用,有必要建立多种具有人类小脑损伤有效性的小鼠模型。在此,我们通过BTBR T+Itpr3tf/J (BTBR)近交小鼠品系的小脑特征来补充关于小脑转基因和诱导的自闭症小鼠模型的文献,该品系具有提示患者ASD的行为表型。当我们将雄性和雌性BTBR小鼠与C57BL/6J (C57)对照进行比较时,我们注意到雄性BTBR小鼠都表现出小脑功能障碍特征的运动协调缺陷,但只有雄性小鼠在延迟眨眼条件方面表现出差异,延迟眨眼条件是一种依赖小脑的学习任务,在ASD患者中也被破坏。雄性和雌性BTBR小鼠在小脑蚓部均表现出相当大的扩张和异常叶状,包括小脑前部特定小叶的显著扩张。此外,我们发现雄性和雌性BTBR小鼠的浦肯野细胞密度轻微但显著下降,与小叶无关。此外,在雄性和雌性BTBR小鼠中,浦肯野细胞树突棘密度显著降低。这些发现表明,在很大程度上,BTBR小鼠模型成功地表现了具有肥厚小脑的ASD患者亚群的许多特征。我们讨论了小脑中菌株差异的重要性,以及首次努力确定雄性和雌性BTBR小鼠在小脑方面的一致性和差异的重要性。
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引用次数: 0
Power Spectrum and Connectivity Analysis in EEG Recording during Attention and Creativity Performance in Children 儿童注意力和创造力表现时脑电图记录的功率谱和连通性分析
Q3 CLINICAL NEUROLOGY Pub Date : 2022-06-02 DOI: 10.3390/neurosci3020025
D. Mateos, Gabriela Krumm, Vanessa Arán Filippetti, Marisela Gutiérrez
The present research aims at examining the power spectrum and exploring functional brain connectivity/disconnectivity during concentration performance, as measured by the d2 test of attention and creativity as measured by the CREA test in typically developing children. To this end, we examined brain connectivity by using phase synchrony (i.e., phase locking index (PLI) over the EEG signals acquired by the Emotiv EPOC neuroheadset in 15 children aged 9- to 12-years. Besides, as a complement, a power spectrum analysis of the acquired signals was performed. Our results indicated that, during d2 Test performance there was an increase in global gamma phase synchronization and there was a global alpha and theta band desynchronization. Conversely, during CREA task, power spectrum analysis showed a significant increase in the delta, beta, theta, and gamma bands. Connectivity analysis revealed marked synchronization in theta, alpha, and gamma. These findings are consistent with other neuroscience research indicating that multiple brain mechanisms are indeed involved in creativity. In addition, these results have important implications for the assessment of attention functions and creativity in clinical and research settings, as well as for neurofeedback interventions in children with typical and atypical development.
本研究的目的是通过对正常发育儿童的d2注意力测试和CREA测试来测量注意力和创造力,研究在集中表现期间的功率谱和探索功能性大脑连接/断开性。为此,我们对15名9- 12岁儿童的脑电图信号进行了相位同步(即相位锁定指数(PLI))检测。此外,作为补充,对采集到的信号进行了功率谱分析。我们的结果表明,在d2测试期间,整体gamma相位同步增加,并且存在整体alpha和theta波段不同步。相反,在CREA任务中,功率谱分析显示δ、β、θ和γ波段显著增加。连通性分析显示,θ、α和γ有明显的同步。这些发现与其他神经科学研究一致,表明多种大脑机制确实与创造力有关。此外,这些结果对临床和研究环境中注意力功能和创造力的评估以及典型和非典型发育儿童的神经反馈干预具有重要意义。
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引用次数: 3
Long COVID and the Autonomic Nervous System: The Journey from Dysautonomia to Therapeutic Neuro-Modulation through the Retrospective Analysis of 152 Patients. 长COVID与自主神经系统:通过对 152 名患者的回顾性分析,了解从自主神经失调症到治疗性神经调节的历程。
IF 1.6 Q3 CLINICAL NEUROLOGY Pub Date : 2022-05-23 eCollection Date: 2022-06-01 DOI: 10.3390/neurosci3020021
Joseph Colombo, Michael I Weintraub, Ramona Munoz, Ashish Verma, Ghufran Ahmad, Karolina Kaczmarski, Luis Santos, Nicholas L DePace

Introduction: The severity and prevalence of Post-Acute COVID-19 Sequela (PACS) or long-COVID syndrome (long COVID) should not be a surprise. Long-COVID symptoms may be explained by oxidative stress and parasympathetic and sympathetic (P&S) dysfunction. This is a retrospective, hypothesis generating, outcomes study.

Methods: From two suburban practices in northeastern United States, 152 long COVID patients were exposed to the following practices: (1) first, they were P&S tested (P&S Monitor 4.0; Physio PS, Inc., Atlanta, GA, USA) prior to being infected with COVID-19 due to other causes of autonomic dysfunction; (2) received a pre-COVID-19 follow-up P&S test after autonomic therapy; (3) then, they were infected with COVID-19; (4) P&S tested within three months of surviving the COVID-19 infection with long-COVID symptoms; and, finally, (5) post-COVID-19, follow-up P&S tested, again, after autonomic therapy. All the patients completed autonomic questionnaires with each test. This cohort included 88 females (57.8%), with an average age of 47.0 years (ranging from 14 to 79 years), and an average BMI of 26.9 #/in2.

Results: More pre-COVID-19 patients presented with sympathetic withdrawal than parasympathetic excess. Post-COVID-19, these patients presented with this ratio reversed and, on average, 49.9% more autonomic symptoms than they did pre-COVID-19.

Discussion: Both parasympathetic excess and sympathetic withdrawal are separate and treatable autonomic dysfunctions and autonomic treatment significantly reduces the prevalence of autonomic symptoms.

Conclusion: SARS-CoV-2, via its oxidative stress, can lead to P&S dysfunction, which, in turn, affects the control and coordination of all systems throughout the whole body and may explain all of the symptoms of long-COVID syndrome. Autonomic therapy leads to positive outcomes and patient quality of life may be restored.

导言:急性 COVID-19 后遗症(PACS)或长 COVID 综合征(long COVID)的严重性和普遍性不足为奇。氧化应激和副交感神经及交感神经(P&S)功能障碍可解释长 COVID 症状。这是一项回顾性、假设性、结果性研究:美国东北部两个郊区诊所的 152 名长期 COVID 患者接受了以下治疗:(1)首先,对他们进行 P&S 测试(P&S Monitor 4.0; Physio PS, Inc、美国佐治亚州亚特兰大市));(2) 在接受自主神经治疗后,接受 COVID-19 前的后续 P&S 测试;(3) 然后,感染 COVID-19;(4) 在感染 COVID-19 后三个月内接受 P&S 测试,并伴有长期 COVID 症状;最后,(5) COVID-19 后,在接受自主神经治疗后,再次接受后续 P&S 测试。所有患者在每次测试时都填写了自主神经问卷。结果显示,88 名女性患者(57.8%)的平均年龄为 47.0 岁(14 至 79 岁不等),平均体重指数为 26.9 #/in2:结果:COVID-19 前交感神经功能减退的患者多于副交感神经功能过剩的患者。COVID-19之后,这些患者的这一比例发生了逆转,自律神经症状平均比COVID-19前多49.9%:讨论:副交感神经功能亢进和交感神经功能减退都是独立的、可治疗的自律神经功能紊乱,自律神经治疗可显著降低自律神经症状的发生率:结论:SARS-CoV-2通过其氧化应激作用可导致P&S功能障碍,进而影响全身所有系统的控制和协调,并可解释长期COVID综合征的所有症状。自律神经疗法可带来积极的疗效,患者的生活质量也可得到恢复。
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引用次数: 0
The Role of Implicit Memory in the Development and Recovery from Trauma-Related Disorders. 内隐记忆在创伤相关障碍的发展和康复中的作用。
IF 1.6 Q3 CLINICAL NEUROLOGY Pub Date : 2022-01-18 eCollection Date: 2022-03-01 DOI: 10.3390/neurosci3010005
Louis F Damis

Post-traumatic Stress Disorder is a chronic condition that occurs following a traumatic experience. Information processing models of PTSD focus on integrating situationally triggered sensory-emotional memories with consciously accessible autobiographical memories. Review of the nature of implicit memory supports the view that sensory-emotional memories are implicit in nature. Dissociation was also found to be associated with the development and severity of PTSD, as well as deficits in autobiographical memory. Moreover, disorganized attachment (DA) was associated with greater degrees of dissociation and PTSD, and like the defining neural activation in PTSD, was found to be associated with basal ganglia activity. In addition, subcortical neuroception of safety promotes a neurophysiological substrate supportive of social engagement and inhibition of fear-based responses. Furthermore, activation of representations of co-created imagined scenes of safety and secure attachment are associated with increases in this neurophysiological substrate. Repeated priming of secure attachment imagery was associated with modification of internal working models of DA along with reductions in dissociation and recovery from complex PTSD. In conclusion, it is posited that adequate recovery from extensive trauma experiences requires more than conscious elaboration of traumatic autobiographical memories and that the application of implicit nonconscious memory modification strategies will facilitate more optimal recovery.

创伤后应激障碍是创伤经历后出现的一种慢性疾病。创伤后应激障碍的信息处理模型侧重于将情境触发的感官情绪记忆与有意识获取的自传体记忆整合在一起。对内隐记忆性质的研究支持感觉-情绪记忆是内隐记忆的观点。研究还发现,分离与创伤后应激障碍的发展和严重程度以及自传体记忆的缺陷有关。此外,无组织依恋(DA)与更大程度的解离和创伤后应激障碍有关,并且与创伤后应激障碍中的定义神经激活一样,与基底神经节活动有关。此外,皮层下的安全神经感知促进了支持社会参与和抑制恐惧反应的神经生理基质。此外,激活共同创造的安全和安全依恋想象场景的表征与这种神经生理基质的增加有关。对安全依恋意象的重复引物与DA内部工作模型的修改有关,同时还能减少解离和从复杂创伤后应激障碍中恢复过来。总之,我们认为,要从广泛的创伤经历中充分恢复,需要的不仅仅是有意识地阐述创伤性自传记忆,应用内隐的非有意识记忆修正策略将促进更理想的恢复。
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引用次数: 0
A Retrospective Study of the Effects of Traumatic Brain Injury on Auditory Function: From a Clinical Perspective. 脑外伤对听觉功能影响的回顾性研究:从临床角度看创伤性脑损伤对听觉功能的影响
IF 1.6 Q3 CLINICAL NEUROLOGY Pub Date : 2022-01-14 eCollection Date: 2022-03-01 DOI: 10.3390/neurosci3010004
Mira White, Fauve Duquette-Laplante, Benoît Jutras, Caryn Bursch, Amineh Koravand

Purpose: The main purpose of this retrospective study was to identify auditory dysfunctions related to traumatic brain injury (TBI) in individuals evaluated in an Audiology clinic.

Method: Peripheral and central auditory evaluations were performed from March 2014 to June 2018 in 26 patients (14 males) with TBI. The age of the participants ranged from 9 to 59 years old (34.24 ± 15.21). Six participants had blast-related TBI and 20 had blunt force TBI. Sixteen experienced a single TBI event whereas ten experienced several. Correlation analyses were performed to verify the relationship, if any, between the number of auditory tests failed and the number, type, and severity of TBIs.

Result: All participants failed at least one auditory test. Nearly 60% had abnormal results on degraded speech tests (compressed and echoed, filtered or in background noise) and 25% had a high frequency hearing loss. There was no statistically significant correlation between the number of auditory tests failed and the number, type, and severity of TBIs.

Conclusion: Results indicated negative and heterogenous effects of TBI on peripheral and central auditory function and highlighted the need for a more extensive auditory assessment in individuals with TBI.

目的:这项回顾性研究的主要目的是在听力学诊所接受评估的患者中确定与创伤性脑损伤(TBI)有关的听觉功能障碍:2014年3月至2018年6月期间,对26名创伤性脑损伤患者(14名男性)进行了外周和中枢听觉评估。参与者的年龄从 9 岁到 59 岁不等(34.24 ± 15.21)。6名参与者患有与爆炸相关的创伤性脑损伤,20名参与者患有钝性外力创伤性脑损伤。16人只经历过一次创伤性脑损伤,10人经历过多次创伤性脑损伤。我们进行了相关分析,以验证听觉测试失败次数与创伤性脑损伤次数、类型和严重程度之间是否存在关系:结果:所有参与者至少有一次听觉测试未通过。近 60% 的人在降级语音测试(压缩和回声、过滤或背景噪声)中出现异常结果,25% 的人出现高频听力损失。未通过的听力测试次数与创伤性脑损伤的次数、类型和严重程度之间没有统计学意义上的相关性:结果表明,创伤性脑损伤对外周和中枢听觉功能产生了负面的、不同程度的影响,并强调需要对创伤性脑损伤患者进行更广泛的听觉评估。
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引用次数: 0
Predicting Fluid Intelligence via Naturalistic Functional Connectivity Using Weighted Ensemble Model and Network Analysis 利用加权集成模型和网络分析通过自然功能连通性预测流体智力
Q3 CLINICAL NEUROLOGY Pub Date : 2021-12-17 DOI: 10.3390/neurosci2040032
Xiaobo Liu, Su Yang, Zhengxian Liu
Objectives: Functional connectivity triggered by naturalistic stimuli (e.g., movie clips), coupled with machine learning techniques provide great insight in exploring brain functions such as fluid intelligence. However, functional connectivity is multi-layered while traditional machine learning is based on individual model, which is not only limited in performance, but also fails to extract multi-dimensional and multi-layered information from the brain network. Methods: In this study, inspired by multi-layer brain network structure, we propose a new method, namely weighted ensemble model and network analysis, which combines machine learning and graph theory for improved fluid intelligence prediction. Firstly, functional connectivity analysis and graphical theory were jointly employed. The functional connectivity and graphical indices computed using the preprocessed fMRI data were then all fed into an auto-encoder parallelly for automatic feature extraction to predict the fluid intelligence. In order to improve the performance, tree regression and ridge regression models were stacked and fused automatically with weighted values. Finally, layers of auto-encoder were visualized to better illustrate the connectome patterns, followed by the evaluation of the performance to justify the mechanism of brain functions. Results: Our proposed method achieved the best performance with a 3.85 mean absolute deviation, 0.66 correlation coefficient and 0.42 R-squared coefficient; this model outperformed other state-of-the-art methods. It is also worth noting that the optimization of the biological pattern extraction was automated though the auto-encoder algorithm. Conclusion: The proposed method outperforms the state-of-the-art reports, also is able to effectively capture the biological patterns of functional connectivity during a naturalistic movie state for potential clinical explorations.
目的:由自然刺激(如电影片段)触发的功能连接,加上机器学习技术,为探索大脑功能(如流体智力)提供了很好的见解。然而,功能连接是多层次的,传统的机器学习是基于个体模型的,不仅性能有限,而且无法从大脑网络中提取多维、多层次的信息。方法:本研究受多层大脑网络结构的启发,提出了一种将机器学习与图论相结合的加权集成模型与网络分析相结合的改进流体智能预测方法。首先,将功能连通性分析与图形理论相结合。利用预处理后的fMRI数据计算功能连通性和图形指数,然后将其并行输入自编码器进行自动特征提取,以预测流体智能。为了提高性能,将树回归和脊回归模型与加权值自动叠加融合。最后,将自动编码器层可视化以更好地说明连接体模式,然后对其性能进行评估以证明脑功能的机制。结果:该方法的平均绝对偏差为3.85,相关系数为0.66,r平方系数为0.42;这个模型优于其他最先进的方法。同样值得注意的是,生物模式提取的优化是通过自编码器算法自动完成的。结论:所提出的方法优于最新的报道,也能够有效地捕捉在自然电影状态下功能连接的生物学模式,为潜在的临床探索。
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引用次数: 1
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NeuroSci
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