Effect of 3D paradigm synchronous motion for SSVEP-based hybrid BCI-VR system.

A brain-computer interface (BCI) system and virtual reality (VR) are integrated as a more interactive hybrid system (BCI-VR) that allows the user to manipulate the car. A virtual scene in the VR system that is the same as the physical environment is built, and the object's movement can be observed in the VR scene. The four-class three-dimensional (3D) paradigm is designed and moves synchronously in virtual reality. The dynamic paradigm may affect their attention according to the experimenters' feedback. Fifteen subjects in our experiment steered the car according to a specified motion trajectory. According to our online experimental result, different motion trajectories of the paradigm have various effects on the system's performance, and training can mitigate this adverse effect. Moreover, the hybrid system using frequencies between 5 and 10 Hz indicates better performance than those using lower or higher stimulation frequencies. The experiment results show a maximum average accuracy of 0.956 and a maximum information transfer rate (ITR) of 41.033 bits/min. It suggests that a hybrid system provides a high-performance way of brain-computer interaction. This research could encourage more interesting applications involving BCI and VR technologies.

Interferon-α may help prevent molecular relapse of chronic myeloid leukemia after the discontinuation of tyrosine kinase inhibitors.

BACKGROUND: Currently, the goal of chronic myeloid leukemia (CML) treatment is normal survival and good quality of life without life-long treatment, namely, "treatment-free remission" (TFR). At present, approximately only 50% of patients with CML with a deep molecular response are able to discontinue tyrosine kinase inhibitor (TKI) without experiencing molecular relapse [MR; loss of major molecular response (MMR)]. In addition, prior interferon (IFN) treatment is associated with a higher rate of TFR. METHODS: We aimed to evaluate the feasibility of TKI discontinuation in Chinese patients with CML and determine whether IFN could prevent MR when used after TKI discontinuation in patients with 0.0032%

A comparison between caudal block versus splash block for postoperative analgesia following inguinal herniorrhaphy in children.

BACKGROUND: We wanted to determine the postoperative analgesic efficacy of preincisional caudal epidural block versus instillation (splash block) following inguinal herniorrhaphy in children. METHODS: THIRTY CHILDREN (AGE RANGE: 1-7 years) who were scheduled to undergo inguinal herniorrhaphy were divided into 2 groups: the caudal block group and the splash block group with 15 children in each group. Tracheal intubation was performed. Fifteen children received caudal block with 1.0 ml/kg of 0.25% ropivacaine (Group 1). Caudal block was performed using the loss of resistance method via the sacral hiatus. Fifteen children in Group 2 received local instillation (splash block) in the surgical site with up to 0.4 ml/kg of 0.25% ropivacaine. The patients were observed for 90 minutes in the postanesthesia care unit and then they were transferred to the ward. The pain scores were taken 4 times. We assessed pain using the Faces pain scores. RESULTS: There were no significant differences between the groups regarding the pain scores at 10, 30 and 60 minutes upon entering the postanesthesia care unit. The pain scores of Group 1 were slightly lower at the last evaluation point when compared to that of Group 2. One patient in Group 1 required supplemental postoperative intravenous (IV) tramadol, while all the other patients in both groups did not require supplemental IV tramadol. The intraoperative requirement for sevoflurane was decreased in Group 1 as compared to that of Group 2. There were no major complications related to either type of block. CONCLUSIONS: We conclude that a splash block can have a similar analgesic effect as that of a caudal block for the postoperative herniorrhaphy pain of children.