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1.
Med Mycol ; 62(9)2024 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-39237463

RESUMO

Several false positive low serum cryptococcal antigen (SCrAg) reports by lateral flow assay (LFA) were identified in late 2016 at our tertiary care hospital. After the recall and correction of the problem in the reagent, we studied the significance of SCrAg LFA ≤ 1:10 from January 2017 to October 2023. Of 20 patients with 31 samples of SCrAg LFA ≤ 1:10, 14 patients (70%) were classified as true positives, four (20%) were indeterminate, and only two (10%) patients were false positives. If a new SCrAg LFA ≤ 1:10 is detected, it should be repeated, and additional workup should be pursued.


We studied the significance of low serum cryptococcal antigen (SCrAg) titer lateral flow assay (LFA) ≤ 1:10 from January 2017 to October 2023. Of 20 patients with SCrAg LFA ≤ 1:10, only two patients (10%) were false positives. If a new SCrAg ≤ 1:10 is detected, it should be repeated, and additional workup should be done.


Assuntos
Antígenos de Fungos , Criptococose , Cryptococcus , Centros de Atenção Terciária , Humanos , Antígenos de Fungos/sangue , Antígenos de Fungos/imunologia , Criptococose/diagnóstico , Criptococose/sangue , Masculino , Feminino , Cryptococcus/imunologia , Pessoa de Meia-Idade , Reações Falso-Positivas , Adulto , Idoso , Estudos Retrospectivos
2.
Indian J Nucl Med ; 39(3): 210-212, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39291073

RESUMO

A 25-year-old woman with a known case of papillary thyroid carcinoma conventional type referred to our center for treatment with radioactive iodine after total thyroidectomy. She received 200 mCi of radioiodine, and in the whole-body scan 1 week after the radioiodine therapy, an area of increased absorption was seen on the right side of the pelvis, which was diagnosed as an endometriotic ovarian cyst in the follow-up examinations.

3.
Basic Clin Neurosci ; 15(1): 117-130, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39291083

RESUMO

Introduction: This study investigated the effect of autobiographical brand images on false memory formation in adults, using the category associate's procedure. The study also applied the event-related potential (ERP) approach to explore neural correlates of false memory and gender differences in false memory recall of brand images. Methods: Eight categories of autobiographical brand images were implied in a category associates' procedure to investigate false memory recall. ERP data were obtained from 24 participants (12 females and 12 males) using a 32-channel amplifier while subjects were performing the memory task. Subsequently, gender effects on behavioral responses and neural correlates of false and true memory recalls were statistically compared using peak amplitude and latency of P300, late positive complex, and FN400 components. Results: The results showed that left frontal areas in women were more activated in response to false memories compared to men, however, the men's brain responses were faster. In addition, the men's brain responses to false memories were widely distributed mainly over frontal, parietal, and occipital areas. Conclusion: Males and females differently process autobiographical brand images. Nevertheless, the differential neural process may not influence their recognition rate or response time.

4.
Comput Methods Programs Biomed ; 257: 108425, 2024 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-39321611

RESUMO

BACKGROUND AND OBJECTIVE: Motor Imagery (MI) recognition is one of the most critical decoding problems in brain- computer interface field. Combined with the steady-state somatosensory evoked potential (MI-SSSEP), this new paradigm can achieve higher recognition accuracy than the traditional MI paradigm. Typical algorithms do not fully consider the characteristics of MI-SSSEP signals. Developing an algorithm that fully captures the paradigm's characteristics to reduce false triggering rate is the new step in improving performance. METHODS: The idea to use complex signal task-related component analysis (cTRCA) algorithm for spatial filtering processing has been proposed in this paper according to the features of SSSEP signal. In this research, it's proved from the analysis of simulation signals that task-related component analysis (TRCA) as typical method is affected when the response between stimuli has reduced correlation and the proposed algorithm can effectively overcome this problem. The experimental data under the MI-SSSEP paradigm have been used to identify right-handed target tasks and three unique interference tasks are used to test the false triggering rate. cTRCA demonstrates superior performance as confirmed by the Wilcoxon signed-rank test. RESULTS: The recognition algorithm of cTRCA combined with mutual information-based best individual feature (MIBIF) and minimum distance to mean (MDM) can obtain AUC value up to 0.89, which is much higher than traditional algorithm common spatial pattern (CSP) combined with support vector machine (SVM) (the average AUC value is 0.77, p < 0.05). Compared to CSP+SVM, this algorithm model reduced the false triggering rate from 38.69 % to 20.74 % (p < 0.001). CONCLUSIONS: The research prove that TRCA is influenced by MI-SSSEP signals. The results further prove that the motor imagery task in the new paradigm MI-SSSEP causes the phase change in evoked potential. and the cTRCA algorithm based on such phase change is more suitable for this hybrid paradigm and more conducive to decoding the motor imagery task and reducing false triggering rate.

5.
Am J Emerg Med ; 2024 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-39289053

RESUMO

Colubrids represent a diverse group of snakes historically regarded as harmless. With over 300 genera, the Colubridae family is the largest, encompassing approximately two-thirds of extant snake species. We describe a case of an 18-year-old male who suffered a colubrid snakebite from Erythrolamprus bizona, commonly known as the double-stranded coral snake mimic or false coral snake, which he misidentified as Lampropeltis sp., a fangless colubrid snake. Patient experienced localized erythema and edema, which later spread to the entire left hand along with moderate pain. Laboratory tests revealed leukocytosis and elevated creatine kinase. Symptoms resolved one week later. This case highlights the public health significance of ophidian accidents due to apparently "non-venomous snakes" or low-risk snakes such as the opisthoglyphous colubrid E. bizona. It also underscores the need to correctly identify and differentiate these snakes from other harmless colubrids, particularly double-stranded coral snake mimics in areas of geographic overlap and avoid their manipulation if uncertain of their taxonomic status.

6.
Quant Imaging Med Surg ; 14(9): 6436-6448, 2024 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-39281180

RESUMO

Background: Visceral artery pseudoaneurysm (VAPA) may result from trauma, operation, infection, inflammation, vasculitis, or malignancy. Factors associated with clinical success transarterial embolization (TAE) of VAPA have never been reported. The aim of this retrospective monocentric study was to describe clinical presentation and outcomes for patients treated for VAPA with TAE, and to identify factors associated with clinical success. Methods: We retrospectively reviewed data from all patients referred to the University Hospital of Saint-Etienne treated with TAE for VAPA between October 2012 and January 2023. Inclusion criteria included: all patients treated by TAE for VAPA arising from branches of the coeliac trunk, superior mesenteric artery, and renal artery. We considered pre- and per-procedure clinical data, biological data, outcomes, and complications. Post-operative data included early mortality (≤30 days), repeat embolization, and complications. Predictive factors associated with clinical success were evaluated. Results: Our sample included 89 patients (68 males). The median age was 65 [49-74] [median (Q1-Q3)] years, and the median hemoglobin level was 9 (7.6-11) g/dL. On pre-operative computed tomography (CT), active bleeding was detected in 31 (34.8%) patients. Coils were used in 58 (65.2%) procedures. Clinical success was achieved in 77 (86.5%) patients. There were 11 (12.4%) minor complications. Five (5.6%) patients died within the first 30 days. In univariate analysis, hemoglobin levels were associated with clinical success (P=0.027) and number of red blood cell (RBC) transfusions (P=0.007) and gastrointestinal bleedings (P=0.005) were associated with clinical failure. No factors were statistically significant in multivariate analysis. Conclusions: Low hemoglobin levels, high numbers of RBC transfusions, and gastrointestinal bleedings were associated with clinical failure after TAE for VAPA. Multicentre studies are needed to investigate further.

7.
Artigo em Inglês | MEDLINE | ID: mdl-39287769

RESUMO

OBJECTIVES: Type A acute aortic dissection (TAAAD) is a life-threatening condition often requiring emergency surgery, with approximately 30% of patients needing reoperation. This study aimed to identify predictors of long-term aortic events from early postoperative computed tomography (CT) examinations. METHODS: A total of 336 cases underwent TAAAD surgery at two institutions between 2002 and 2018. Of these, 302 patients received CT examinations immediately after initial TAAAD surgery. Predictors of aortic events were evaluated from these early postoperative CT exams. Aortic events were defined as any events involving aortic-related death, open surgery, reoperation, endovascular stenting, or thoracic aorta diameter enlargement to ≥ 55 mm. RESULTS: Excluding 34 in-hospital deaths (10.1%; 34/336), the 1-, 5-, and 10-year actuarial survival rates after primary TAAAD surgery were 98.2%, 88.6%, and 81.7%, respectively. Over a mean follow-up period of 7.4 ± 5.1 years, 67 aortic events (proximal: 19, distal: 45, both: 3) were observed. Freedom from proximal aortic events was 98.6%, 93.9%, and 85.2% at 1, 5, and 10 years, respectively. Proximal anastomosis new entry was identified as a significant risk factor for aortic events, with a 92% vs. 42% incidence at 10 years (p < 0.001). Freedom from distal aortic events was 99.6%, 84.5%, and 67.2% at 1, 5, and 10 years, respectively. A false/true area ratio greater than 1 and distal anastomosis new entry were significant risk factors for aortic events (low-risk group: 83.3% vs. high-risk group: 42.3% at 10 years, p < 0.001). CONCLUSIONS: Detailed analysis of early postoperative CT scans following primary TAAAD surgery may help identify predictors of subsequent aortic events, potentially improving long-term patient management and outcomes.

8.
Res Dev Disabil ; 154: 104828, 2024 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-39298997

RESUMO

BACKGROUND: In 2016, global records documented around 1 billion child abuse cases, with higher rates among children with Intellectual and Developmental Disabilities (IDD), and most recorded offenses not proceeding to court. Accurate eyewitness testimony is vital for the justice system. Yet, while children with IDD are known to be influenced by verbal misinformation, the effect of gestures on their testimony is still unknown. AIMS: The present study assessed the extent to which gesture can mislead children with IDD, alongside comparisons to prior research in typically developing (TD) children. METHOD: A sample of children with moderate IDD aged 11-16 years (n = 21, M=12.95 years) were recruited from a UK school, and compared to TD 5-6-year-olds (n = 31, M=5.77 years) and 7-8-year-olds (n = 32, M=7.66 years) from previous published research. After watching a video participants underwent an interview containing 12 questions, some of which contained suggestive gestures. OUTCOMES AND IMPLICATIONS: Results demonstrated that in children with IDD, gesture observation significantly influenced responses given, with 18 of 21 children being misled at least once. Comparisons to TD children indicated no difference in suggestibility. This study is the first to examine how leading gestural information affects children with IDD, broadening previous research to a more representative sample for the justice system. Discussion centres on implications for police interview guidelines.

9.
J Agric Food Chem ; 2024 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-39327911

RESUMO

It is a big challenge to monitor pathogens in food with high selectivity. In this study, we reported an ultrasensitive method for Escherichia coli O157:H7 detection based on immunomagnetic separation and labeled surface-enhanced Raman scattering (SERS). The bacterium was identified by heterogeneous recognition elements, monoclonal antibody (mAb), and aptamer. E. coli O157:H7 was separated and enriched by magnetic nanoparticles modified by mAb, and then a plasmonic nanostructure functionalized by aptamers with embedded Raman tags and interior gaps was utilized for further discrimination and detection. The selectivity was enhanced by two binding sites. The higher Raman enhancement was obtained by strong local electromagnetic field oscillation in the gap and the firm embedment of 4-mercaptopyridine (4-Mpy). Optimum experiments created that SERS signals of 4-Mpy at 1010 cm-1 had a good linearity with E. coli O157:H7 at a large range of 10 to 107 CFU/mL with a limit of detection of 2 CFU/mL. This method has great potential for on-site food pathogenic bacterial detection.

10.
Cognition ; 254: 105961, 2024 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-39305833

RESUMO

Will something appear and if so, what will it be? Perceptual expectations can concern both the presence and content of a stimulus. However, it is unclear how these different types of expectations interact with each other in biasing perception. Here, we tested how expectations about stimulus presence and content differently affect perceptual inference. Across separate online discovery (N = 110) and replication samples (N = 218), participants were asked to judge both the presence and content (orientation) of noisy grating stimuli. Crucially, preceding compound cues simultaneously and orthogonally predicted both whether a grating was likely to appear as well as what its orientation would be. Across both samples we found that content cues affected both discrimination and presence judgements directly, namely by biasing the orientation judgements in the expected direction and enhancing confidence in stimulus presence on congruent trials. In contrast, presence cues did not affect discrimination judgements directly. Instead, presence cues influenced discrimination judgements indirectly by enhancing the effect of the orientation cues when expecting a stimulus to be present. This was the case on trials where a stimulus was present, as well as on grating-absent trials. Further, presence cues directly affected confidence in stimulus presence. This suggests that presence expectations may act as a regulatory volume knob for the influence of content expectations. Further, modelling revealed higher sensitivity in distinguishing between grating presence and absence following absence cues than presence cues, demonstrating an asymmetry between gathering evidence in favour of stimulus presence and absence. Finally, evidence for overweighted expectations being associated with hallucination-like perception was inconclusive. In sum, our results provide nuance to popular predictive processing accounts of perception by showing that expectations of presence and content have distinct but interacting roles in shaping conscious perception.

11.
Planta ; 260(4): 92, 2024 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-39261328

RESUMO

MAIN CONCLUSION: The Ustilaginoidea virens -rice pathosystem has been used as a model for flower-infecting fungal pathogens. The molecular biology of the interactions between U. virens and rice, with an emphasis on the attempt to get a deeper comprehension of the false smut fungus's genomes, proteome, host range, and pathogen biology, has been investigated. Meta-QTL analysis was performed to identify potential QTL hotspots for use in marker-assisted breeding. The Rice False Smut (RFS) caused by the fungus Ustilaginoidea virens currently threatens rice cultivators across the globe. RFS infects rice panicles, causing a significant reduction in grain yield. U. virens can also parasitize other hosts though they play only a minor role in its life cycle. Furthermore, because it produces mycotoxins in edible rice grains, it puts both humans and animals at risk of health problems. Although fungicides are used to control the disease, some fungicides have enabled the pathogen to develop resistance, making its management challenging. Several QTLs have been reported but stable gene(s) that confer RFS resistance have not been discovered yet. This review offers a comprehensive overview of the pathogen, its virulence mechanisms, the genome and proteome of U. virens, and its molecular interactions with rice. In addition, information has been compiled on reported resistance QTLs, facilitating the development of a consensus genetic map using meta-QTL analysis for identifying potential QTL hotspots. Finally, this review highlights current developments and trends in U. virens-rice pathosystem research while identifying opportunities for future investigations.


Assuntos
Interações Hospedeiro-Patógeno , Hypocreales , Oryza , Doenças das Plantas , Locos de Características Quantitativas , Oryza/microbiologia , Doenças das Plantas/microbiologia , Hypocreales/patogenicidade , Hypocreales/genética , Hypocreales/fisiologia , Virulência/genética , Locos de Características Quantitativas/genética , Resistência à Doença/genética , Genoma Fúngico
12.
Artigo em Inglês | MEDLINE | ID: mdl-39263983

RESUMO

False clownfish (Amphiprion ocellaris) employ a hatching strategy regulated by environmental cues, wherein parents provide water flow to encourage embryos to hatch after sunset on the hatching day. Despite previous studies demonstrating the necessity of complete darkness and water agitation for hatching, the regulatory mechanisms underlying these environmental cues remain elusive. This study aimed to investigate how darkness and water agitation affect the secretion of hatching enzymes and the hatching movements of embryos in false clownfish. Assessment of chorion digestion and live imaging of Ca2+ in hatching glands using GCaMP6s, a Ca2+ indicator, revealed that darkness stimulation triggers the secretion of hatching enzymes by increasing Ca2+ levels in hatching gland cells. On the other hand, water agitation primarily stimulated hatching movements in embryos, which led to the rupture of their egg envelopes. These results suggest that changes in light environments following sunset induce embryos to secrete hatching enzymes and that water agitation provided by parents stimulates hatching movements. These responses to environmental cues, light and water agitation, contribute to the rapid and synchronous hatching in false clownfish.

13.
Cardiovasc Diagn Ther ; 14(4): 525-536, 2024 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-39263469

RESUMO

Background: Optimal management of involved common carotid artery (CCA) with false-lumen thrombus remains unclear in aortic dissection patients. We aim to investigate outcomes and compare different surgical strategies. Methods: This is a retrospective cohort study and the institutional database of acute type A aortic dissection was reviewed. The patients with CCA involvement and extended false-lumen thrombus were enrolled and grouped according to the management of CCA: extra-thoracic carotid artery replacement (CAR) and reconstruction in situ (RIS). Multivariate logistic regression analysis was used to investigate the effect of management on neurological outcomes. Kaplan-Meier method was used for survival analysis and log-rank test was used to compare the difference on survival rate. Results: From March 2011 to December 2019, 68 patients were enrolled (24 in the CAR group and 44 in the RIS group). The overall operative mortality was 7.4% (5 patients) and 21 patients had the incidence of postoperative neurological deficit was (30.9%). The rates of main postoperative complications were similar between the two groups. Twenty-five (56.8%) patients in the RIS group had residual false-lumen thrombus at discharge. In multivariate analysis, CAR was the only independent protective factor of postoperative neurological deficit [odds ratio (OR) =0.03, 95% confidence interval (CI): 0.0-0.61, P=0.02] and age was the only risk factor (OR =1.34, 95% CI: 1.11-1.62, P=0.002). The median follow-up time was 40 (interquartile range, 24-69) months and some of the patients received imaging follow-up. The overall survival rates at 5 and 10 years were 95.8%, and 95.8% in the CAR group and 84.1%, and 76.4% in the RIS group, with no significant difference (P=0.22). No cerebrovascular accident and reintervention occurred and 20 (90.9%) patients with residual false-lumen thrombus had reabsorption of thrombus during the follow-up period. Conclusions: CAR was a thorough technique and could protect patients from postoperative neurological deficit than RIS. Patients in either group could have a satisfying long-term prognosis after surviving from perioperative period. Most patients had reabsorption of residual false-lumen thrombus after anticoagulant therapy.

14.
Thorac Cancer ; 2024 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-39257160

RESUMO

BACKGROUND: Screening for anaplastic lymphoma kinase (ALK) rearranged non-small cell lung cancer (NSCLC) is crucial for identifying patients eligible for targeted therapy. The FDA-approved ALK (D5F3) immunohistochemistry (IHC) assay, used with the OptiView Amplification Kit, demonstrates excellent sensitivity and specificity in detecting these patients. However, the clinical significance of resulting focal positivity remains unclear, and ALK (D5F3) expression unrelated to ALK fusion is observed in some cases of neuroendocrine differentiation. This study aims to validate these findings with molecular testing and contribute to the accurate interpretation of ALK (D5F3) IHC results. METHODS: A total of 1619 patients diagnosed with NSCLC and neuroendocrine carcinoma were evaluated using ALK (D5F3) IHC. For cases with strong but focal expression and those with diffuse strong positivity in neuroendocrine differentiation, ALK fluorescence in situ hybridization (FISH) and/or next-generation sequencing (NGS) tests were performed. RESULTS: Seven out of 1109 adenocarcinomas (0.6%) and six out of 289 squamous cell carcinomas (2.1%) exhibited strong focal ALK (D5F3) expression. Nine out of 209 neuroendocrine carcinomas (4.3%) showed homogeneously strong ALK (D5F3) expression. All these cases, including adenocarcinoma with neuroendocrine differentiation and combined small cell carcinoma, were negative for ALK fusions by FISH and/or NGS. CONCLUSION: This study demonstrates that strong but focal ALK (D5F3) immunostaining and strong expression in neuroendocrine differentiation may not indicate ALK fusion. By considering these findings, we can improve the accuracy of patient selection for targeted therapy by minimizing false-positive interpretations of ALK (D5F3) staining.

15.
Stat Med ; 2024 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-39225196

RESUMO

In medical research, the accuracy of data from electronic medical records (EMRs) is critical, particularly when analyzing dense functional data, where anomalies can severely compromise research integrity. Anomalies in EMRs often arise from human errors in data measurement and entry, and increase in frequency with the volume of data. Despite the established methods in computer science, anomaly detection in medical applications remains underdeveloped. We address this deficiency by introducing a novel tool for identifying and correcting anomalies specifically in dense functional EMR data. Our approach utilizes studentized residuals from a mean-shift model, and therefore assumes that the data adheres to a smooth functional trajectory. Additionally, our method is tailored to be conservative, focusing on anomalies that signify actual errors in the data collection process while controlling for false discovery rates and type II errors. To support widespread implementation, we provide a comprehensive R package, ensuring that our methods can be applied in diverse settings. Our methodology's efficacy has been validated through rigorous simulation studies and real-world applications, confirming its ability to accurately identify and correct errors, thus enhancing the reliability and quality of medical data analysis.

16.
Mem Cognit ; 2024 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-39230648

RESUMO

Observing others performing an action can lead to false memories of self-performance-the observation-inflation effect. Previous research has indicated that this phenomenon might impact the memory of actions in real-world interactions. However, whether direct observation without interaction can lead to observation inflation remains unclear. In Experiment 1, participants passively observed the experimenter performing actions live. In subsequent memory tests, they indeed reported false memories regarding their performances. Building on this, Experiment 2 investigated the causes of the observation-inflation effect induced by "real" actions. Participants underwent imitation-inhibition training with the individuals they observed previously. The results revealed that participants who completed imitation-inhibition training reported fewer false memories in memory tests than those who completed imitation training. These findings suggest that even passive observation of "real" actions can lead to observation inflation, and the simulation of others' actions by individuals may be a potential underlying cause of their occurrence in real-life situations.

17.
J Med Vasc ; 49(3-4): 190-192, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39278699

RESUMO

Behçet's disease is a systemic vasculitis of unknown origin. It mainly affects young men. Vascular involvement mainly affects the veins and may manifest as deep or superficial thrombosis. Arterial involvement is rare and serious. Arterial thrombosis or aneurysms/false aneurysms can be life threatening in case of rupture. All the arteries in the body can be affected, with widely varying frequencies. Involvement of the renal arteries is very rare. We report the case of a young patient followed for schizophrenia and known to have Behçet's disease, in whom a false aneurysm of the right renal artery was diagnosed during hematuria. He unfortunately refused any type of intervention.


Assuntos
Falso Aneurisma , Síndrome de Behçet , Artéria Renal , Humanos , Síndrome de Behçet/complicações , Síndrome de Behçet/diagnóstico , Síndrome de Behçet/tratamento farmacológico , Masculino , Falso Aneurisma/etiologia , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/cirurgia , Artéria Renal/diagnóstico por imagem , Adulto , Hematúria/etiologia , Recusa do Paciente ao Tratamento , Angiografia por Tomografia Computadorizada
18.
Artigo em Inglês | MEDLINE | ID: mdl-39285535

RESUMO

INTRODUCTION: The aim of this study was to investigate the presence of aortic isthmus flow reversal and its associated factors in fetuses with positive and false-positive coarctation of the aorta (CoA) compared with normal controls. MATERIAL AND METHODS: Pregnant women with fetuses suspected of CoA and normal control were enrolled, and these women experienced prenatal ultrasound scan and followed up for 6 months after birth to confirm the presence of CoA. All the ultrasound parameters were analyzed. RESULTS: A total of 134 pregnant women were enrolled, with 43 CoA-positive fetuses and 91 CoA false-positive fetuses, and 334 matched pregnant women were enrolled in the control group. Aortic isthmus flow reversal occurred in 28 (65.1%) fetuses in the CoA-positive group, significantly (p < 0.05) more than in the false-positive (37 or 40.7%) or control group (64 or 19.2%). Aortic isthmus flow reversal was mostly in the full systole (n = 17 or 60.7%) or late systole and early-middle diastole (n = 10 or 35.7%) in the CoA-positive fetuses (n = 27 or 96.4%), significantly (p < 0.001) different from that in the false-positive or control group. The aortic isthmus flow reversal peak systolic velocity (PSV), flow volume, and ratio of reversed flow/forward flow were significantly (p < 0.05) increased in the CoA-positive and false-positive groups than in the control group. The aortic isthmus flow reversal incidence was significantly (p < 0.05) correlated with the middle cerebral artery (MCA) PSV in the total three groups or in the false-positive group but was significantly (p < 0001) negatively correlated with the MCA resistance index (RI) in the CoA-positive group. The incidence of the aortic isthmus flow reversal was significantly (p < 0.05) positively correlated with the umbilical artery (UA) RI in the false-positive group and with the UA RI in the total three groups. Independently associated factors for aortic isthmus flow reversal were isthmic flow volume/CCO (combined cardiac output) in the CoA-positive group. CONCLUSIONS: Reversal of flow in the aortic isthmus is much more common in true-positive cases of CoA as compared to controls, and isthmic flow reversal in the full systolic phase only suggests presence of CoA. The aortic isthmic reversed flow volume accounts for over half of the isthmic forward flow volume in the CoA-positive fetuses than in the normal controls.

19.
Sci Rep ; 14(1): 21290, 2024 09 12.
Artigo em Inglês | MEDLINE | ID: mdl-39266605

RESUMO

In Alzheimer's disease (AD), reports on the association between false recognition and brain structure have been inconsistent. In dementia with Lewy bodies (DLB), no such association has been reported. This study aimed to identify brain regions associated with false recognition in AD and DLB by analyzing regional gray matter volume (rGMV). We included 184 patients with AD and 60 patients with DLB. The number of false recognitions was assessed using the Alzheimer's Disease Assessment Scale' word recognition task. Brain regions associated with the number of false recognitions were examined by voxel-based morphometry analysis. The number of false recognitions significantly negatively correlated with rGMV in the bilateral hippocampus, left parahippocampal gyrus, bilateral amygdala, and bilateral entorhinal cortex in patients with AD (p < 0.05, family-wise error [FEW] corrected) and in the bilateral hippocampus, left parahippocampal gyrus, right inferior frontal gyrus, right middle frontal gyrus, right basal forebrain, right insula, left medial and lateral orbital gyri, and left fusiform in those with DLB (p < 0.05, FWE corrected). Bilateral hippocampus and left parahippocampal gyrus were associated with false recognition in both diseases. However, we found there were regions where the association between false recognition and rGMV differed from disease to disease.


Assuntos
Doença de Alzheimer , Doença por Corpos de Lewy , Imageamento por Ressonância Magnética , Humanos , Doença de Alzheimer/diagnóstico por imagem , Doença de Alzheimer/fisiopatologia , Doença de Alzheimer/patologia , Doença por Corpos de Lewy/diagnóstico por imagem , Doença por Corpos de Lewy/fisiopatologia , Doença por Corpos de Lewy/patologia , Masculino , Feminino , Idoso , Imageamento por Ressonância Magnética/métodos , Idoso de 80 Anos ou mais , Encéfalo/diagnóstico por imagem , Encéfalo/patologia , Encéfalo/fisiopatologia , Substância Cinzenta/diagnóstico por imagem , Substância Cinzenta/patologia , Reconhecimento Psicológico/fisiologia , Hipocampo/diagnóstico por imagem , Hipocampo/patologia , Hipocampo/fisiopatologia , Giro Para-Hipocampal/diagnóstico por imagem , Giro Para-Hipocampal/fisiopatologia , Giro Para-Hipocampal/patologia
20.
Cogn Emot ; : 1-8, 2024 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-39267293

RESUMO

Emotional false memory findings using the DRM paradigm have been marked by higher false alarms to negatively arousing compared to neutral critical lure items. Explanations for these findings have mainly focused on false memory-based accounts. However, here we address the question of whether a response bias for emotional stimuli can, at least in part, explain this phenomenon. Participants viewed both neutral and negative arousing DRM lists and completed a recognition test in speeded or self-paced conditions. Speeded test reduces the opportunity to adjust response bias. Analysis showed no significant difference in false recognition across critical lure types for the speeded condition, but false recognition was higher for negative compared to neutral critical lures in the self-paced condition. We argue that when retrieval does not allow for shifts in response criteria, false alarms to negative emotional critical lures appear more similar to neutral equivalents. The discussion explores memory-based and criterion-shift explanations for the enhanced emotional false memory finding.

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