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1.
Small ; 19(35): e2301186, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-37116095

RESUMEN

Broad spectral response and high photoelectric conversion efficiency are key milestones for realizing multifunctional, low-power optoelectronic devices such as artificial synapse and reconfigurable memory devices. Nevertheless, the wide bandgap and narrow spectral response of metal-oxide semiconductors are problematic for efficient metal-oxide optoelectronic devices such as photonic synapse and optical memory devices. Here, a simple titania (TiO2 )/indium-gallium-zinc-oxide (IGZO) heterojunction structure is proposed for efficient multifunctional optoelectronic devices, enabling widen spectral response range and high photoresponsivity. By overlaying a TiO2 film on IGZO, the light absorption range extends to red light, along with enhanced photoresponsivity in the full visible light region. By implementing the TiO2 /IGZO heterojunction structure, various synaptic behaviors are successfully emulated such as short-term memory/long-term memory and paired pulse facilitation. Also, the TiO2 /IGZO synaptic transistor exhibits a recognition rate up to 90.3% in recognizing handwritten digit images. Moreover, by regulating the photocarrier dynamics and retention behavior using gate-bias modulation, a reconfigurable multilevel (≥8 states) memory is demonstrated using visible light.

2.
Int J Aging Hum Dev ; 93(1): 543-561, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-32354222

RESUMEN

Self-perceptions of aging (SPA) refer to attitudes about one's aging process and are linked to physical health and longevity. How SPA correlates with cognitive function in older adulthood is less well known. 136 older adults were administered a multifaceted SPA measure, The Brief Ageing Perceptions Questionnaire (B-APQ), in addition to a demographic form and a comprehensive neuropsychological battery. Positive and negative subscales of the B-APQ were correlated with aspects of cognitive function. Regression analyses revealed that only the positive B-APQ subscales predicted mental status (ß = .19, p < .05), short-delay memory (ß = .16, p < .05), processing speed (ß = -.21, p < .05), and two measures of executive function (ß = -.21, p < .01; ß = .18, p < .05). This is the first study to demonstrate that positive dimensions of SPA relate to cognitive function in older adulthood.


Asunto(s)
Envejecimiento/psicología , Cognición , Optimismo/psicología , Autoimagen , Anciano , Envejecimiento Cognitivo/psicología , Función Ejecutiva , Femenino , Humanos , Masculino , Recuerdo Mental , Pruebas Neuropsicológicas , Encuestas y Cuestionarios
3.
Nurs Outlook ; 68(5): 560-572, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32527596

RESUMEN

Background: Information and communication technology (ICT) provides older adults with access to information and resources that benefit their health. Purpose: To explore ICT use among older adults and examine the influence of information technology (IT), communication technology (CT), or ICT use on older adults' self-rated health status and depressive symptoms. Method: A sample of community-dwelling Medicare beneficiaries aged 65 and older in the United States (N = 4,976) from the 2011 National Health and Aging Trends Study. Findings: Older adults who embraced ICT and used this technology for a variety of purposes were more likely to report better health status, and were less likely to experience major depressive symptoms than nonusers. Discussion: In accordance with the Health Information Technology for Economic and Clinical Health Act, nursing professional can play an important role by responding to older adults' diverse technology preferences and effectively incorporating them into nursing practice.


Asunto(s)
Envejecimiento , Depresión/psicología , Autoevaluación Diagnóstica , Vida Independiente , Informática Médica/tendencias , Interfaz Usuario-Computador , Anciano , Anciano de 80 o más Años , Enfermedad Crónica , Cognición , Estudios Transversales , Femenino , Humanos , Masculino , Medicare , Encuestas y Cuestionarios , Estados Unidos
4.
Sensors (Basel) ; 19(7)2019 Mar 29.
Artículo en Inglés | MEDLINE | ID: mdl-30934931

RESUMEN

We developed a new type of electroencephalogram (EEG) headset system with comb-shaped electrodes that enables the wearer to quickly don and utilize it in daily life. Two models that can measure EEG signals using up to eight channels have been implemented. The electrodes implemented in the headsets are similar to a comb and are placed quickly by wiping the hair (as done with a comb) using the headset. To verify this headset system, donning time was measured and three brain computer interface (BCI) application experiments were conducted. Alpha rhythm-based, steady-state visual evoked potential (SSVEP)-based, and auditory steady state response (ASSR)-based BCI systems were adopted for the validation experiments. Four subjects participated and ten trials were repeated in the donning experiment. The results of the validation experiments show that reliable EEG signal measurement is possible immediately after donning the headsets without any preparation. It took approximately 10 s for healthy subjects to don the headsets, including an earclip with reference and ground electrodes. The results of alpha rhythm-based BCI showed 100% accuracy. Furthermore, the results of SSVEP-based and ASSR-based BCI experiments indicate that performance is sufficient for BCI applications; 95.7% and 76.0% accuracies were obtained, respectively. The results of BCI paradigm experiments indicate that the new headset type is feasible for various BCI applications.

5.
Nat Mater ; 16(11): 1096-1099, 2017 11.
Artículo en Inglés | MEDLINE | ID: mdl-28805826

RESUMEN

Ohm's law is a fundamental paradigm in the electrical transport of metals. Any transport signatures violating Ohm's law would give an indisputable fingerprint for a novel metallic state. Here, we uncover the breakdown of Ohm's law owing to a topological structure of the chiral anomaly in the Weyl metal phase. We observe nonlinear I-V characteristics in Bi0.96Sb0.04 single crystals in the diffusive limit, which occurs only for a magnetic-field-aligned electric field (E∥B). The Boltzmann transport theory with the charge pumping effect reveals the topological-in-origin nonlinear conductivity, and it leads to a universal scaling function of the longitudinal magnetoconductivity, which completely describes our experimental results. As a hallmark of Weyl metals, the nonlinear conductivity provides a venue for nonlinear electronics, optical applications, and the development of a topological Fermi-liquid theory beyond the Landau Fermi-liquid theory.

6.
Qual Life Res ; 27(2): 467-477, 2018 02.
Artículo en Inglés | MEDLINE | ID: mdl-29128998

RESUMEN

PURPOSE: Acknowledging the expanding influence of technology in the promotion of health and wellness, this study assessed the role of information and communication technology (ICT) use in the lives of older cancer survivors. METHODS: A community sample of cancer survivors aged 65 and older (N = 1411) was extracted from a 2011 U.S. National Health and Aging Trends Study dataset. Weighted multiple regression and multinomial logistic regression analyses were performed to explore the relationships between survey respondents' ICT use and their self-rated health status and depressive symptoms. RESULTS: The majority of respondents reported rarely or never engaging in ICT use. Greater use of communication technology such as emailing or texting was associated with decreased risk for severe depressive symptoms and higher self-rated health status. Information technology use was not associated with depressive symptoms and self-rated health status. CONCLUSIONS: Investigation into reasons behind older cancer survivors' apparent low rates of engagement with ICT is warranted, particularly the examination of access as a potential barrier. Findings indicated that frequent use of communication technology was positively linked with mental and physical wellness. The nature of the relationships between communication technology use and physical and mental health merits further research, helping to determine whether community-based educational efforts to improve technology access and skills may benefit the growing population of older cancer survivors.


Asunto(s)
Supervivientes de Cáncer/psicología , Depresión/psicología , Tecnología de la Información/tendencias , Salud Mental/tendencias , Anciano , Anciano de 80 o más Años , Depresión/terapia , Femenino , Humanos , Masculino , Calidad de Vida
7.
Sensors (Basel) ; 16(3)2016 Mar 11.
Artículo en Inglés | MEDLINE | ID: mdl-26978364

RESUMEN

In our preliminary study, we proposed a smartphone-integrated, unobtrusive electrocardiogram (ECG) monitoring system, Sinabro, which monitors a user's ECG opportunistically during daily smartphone use without explicit user intervention. The proposed system also monitors ECG-derived features, such as heart rate (HR) and heart rate variability (HRV), to support the pervasive healthcare apps for smartphones based on the user's high-level contexts, such as stress and affective state levels. In this study, we have extended the Sinabro system by: (1) upgrading the sensor device; (2) improving the feature extraction process; and (3) evaluating extensions of the system. We evaluated these extensions with a good set of algorithm parameters that were suggested based on empirical analyses. The results showed that the system could capture ECG reliably and extract highly accurate ECG-derived features with a reasonable rate of data drop during the user's daily smartphone use.


Asunto(s)
Arritmias Cardíacas/fisiopatología , Técnicas Biosensibles/instrumentación , Electrocardiografía , Monitoreo Fisiológico , Adulto , Femenino , Frecuencia Cardíaca/fisiología , Humanos , Masculino , Teléfono Inteligente
8.
Telemed J E Health ; 20(12): 1093-102, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-25405527

RESUMEN

We propose CardioGuard, a brassiere-based reliable electrocardiogram (ECG) monitoring sensor system, for supporting daily smartphone healthcare applications. It is designed to satisfy two key requirements for user-unobtrusive daily ECG monitoring: reliability of ECG sensing and usability of the sensor. The system is validated through extensive evaluations. The evaluation results showed that the CardioGuard sensor reliably measure the ECG during 12 representative daily activities including diverse movement levels; 89.53% of QRS peaks were detected on average. The questionnaire-based user study with 15 participants showed that the CardioGuard sensor was comfortable and unobtrusive. Additionally, the signal-to-noise ratio test and the washing durability test were conducted to show the high-quality sensing of the proposed sensor and its physical durability in practical use, respectively.


Asunto(s)
Actividades Cotidianas , Vestuario , Electrocardiografía/instrumentación , Monitoreo Fisiológico/instrumentación , Teléfono Inteligente , Femenino , Humanos , Satisfacción del Paciente , Encuestas y Cuestionarios
9.
Rev Sci Instrum ; 95(7)2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38949468

RESUMEN

We present a low-temperature magnetic force microscope (MFM) incorporating a piezoresistive cantilever and a dual-range scanner for experiments across a wide temperature range from cryogenic levels to room temperature. The piezoresistor-based MFM eliminates the need for optical readjustment, typically required due to thermal expansion at varying temperatures, thereby providing a more stable and precise measurement environment. The integration of a dual scanner system expands the versatility of scanning operations, enabling accurate sample positioning for detailed exploration of magnetic and superconducting properties under diverse thermal conditions. To demonstrate the capabilities of our MFM, we show detailed imaging of Fe3GaTe2, a van der Waals ferromagnet, and Yb0.7Y0.3CuAs2, a ferromagnetic cluster glass material. These studies demonstrate the potential of our MFM in revealing intricate details of magnetic domain dynamics and contribute to our understanding of materials exhibiting the anomalous Hall effect as well as superconducting phenomena.

10.
Biochem Pharmacol ; 222: 116116, 2024 04.
Artículo en Inglés | MEDLINE | ID: mdl-38460909

RESUMEN

Central pattern of fat distribution, especially fat accumulation within the intraabdominal cavity increases risks for cardiometabolic diseases. Portal hypothesis combined with a pathological remodeling in visceral fat is considered the major etiological factor explaining the independent contribution of visceral obesity to cardiometabolic diseases. Excessive remodeling in visceral fat during development of obesity leads to dysfunctions in the depot, characterized by hypertrophy and death of adipocytes, hypoxia, inflammation, and fibrosis. Dysfunctional visceral fat secretes elevated levels of fatty acids, glycerol, and proinflammatory and profibrotic cytokines into the portal vein directly impacting the liver, the central regulator of systemic metabolism. These metabolic and endocrine products induce ectopic fat accumulation, insulin resistance, inflammation, and fibrosis in the liver, which in turn causes or exacerbates systemic metabolic derangements. Elucidation of underlying mechanisms that lead to the pathological remodeling and higher degree of dysfunctions in visceral adipose tissue is therefore, critical for the development of therapeutics to prevent deleterious sequelae in obesity. We review depot differences in metabolic and endocrine properties and expendabilities as well as underlying mechanisms that contribute to the pathophysiological aspects of visceral adiposity in cardiometabolic diseases. We also discuss impacts of different weight loss interventions on visceral adiposity and cardiometabolic diseases.


Asunto(s)
Enfermedades Cardiovasculares , Resistencia a la Insulina , Humanos , Grasa Intraabdominal/metabolismo , Obesidad/metabolismo , Inflamación/metabolismo , Enfermedades Cardiovasculares/metabolismo , Fibrosis , Tejido Adiposo/metabolismo
11.
Ther Adv Med Oncol ; 16: 17588359241279688, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39328901

RESUMEN

Background: Approximately half of the patients with advanced pancreatic ductal adenocarcinoma (PDAC) receive subsequent lines of chemotherapy. Recently, the liposomal irinotecan (nal-IRI) plus 5-fluorouracil/leucovorin (5-FU/LV) regimen is recommended as subsequent lines of chemotherapy. However, little is known about the predictive factors for the nal-IRI + 5-FU/LV regimen, especially in patients with previous irinotecan (IRI) exposure. Objectives: We investigated the predictive factors associated with nal-IRI + 5-FU/LV treatment in patients with PDAC. Design: Multicenter, retrospective cohort study. Methods: This study included patients with advanced PDAC who received the nal-IRI + 5-FU/LV regimen for palliative purposes. Results: Overall, 268 patients were treated with nal-IRI + 5-FU/LV. The median overall survival (OS) was 7.9 months (95% confidence interval (CI): 7.0-8.8), while the median progression-free survival (PFS) was 2.6 months (95% CI: 1.9-3.2). An albumin level of<4.0 g/dL, neutrophil-to-lymphocyte ratio (NLR) of ⩾3.5, liver or peritoneal metastasis, and a history of >3 lines of palliative chemotherapy were associated with worse OS. An NLR of ⩾3.5 and liver metastasis were significant predictive factors for worse PFS. Previous exposure to IRI was not a significant predictor. Patients without prior IRI (no-IRI) treatment showed relatively longer OS and PFS compared to IRI responders and nonresponders, but these differences were not significant when compared specifically to the responders (OS: 8.8 vs 8.1 months, p = 0.388; PFS: 3.6 vs 2.6 months, p = 0.126). Conclusion: An NLR of ⩾3.5 and liver metastasis were associated with worse PFS. Prior IRI exposure was not a significant predictive factor for OS and PFS, especially in IRI responders.

12.
Phys Rev Lett ; 110(21): 217203, 2013 May 24.
Artículo en Inglés | MEDLINE | ID: mdl-23745919

RESUMEN

We employed a scanning tunneling microscope to image the (001) surface topography and local density of states (LDOS) in La(2-2x)Sr(1+2x)Mn(2)O(7) (x=0.32, LSMO) single crystals below the Curie temperature (T(C)≈120 K). The LDOS maps revealed a stripelike modulation propagating along the tetragonal a axis with a wavelength of about 16 Å, which is indicative of a charge density wave (CDW). The observed CDW in the x=0.32 sample is far from the Fermi surface nesting instability as compared with the data of angle resolved photoemission spectroscopy in an x=0.40 sample. The stripe model developed previously for cuprates can explain the observed CDW in our LSMO sample, indicating that competing interactions between localized and itinerant phases are the origin of the spatial modulations present intrinsically in cuprates and manganites.

13.
IEEE Trans Med Imaging ; 42(9): 2643-2652, 2023 09.
Artículo en Inglés | MEDLINE | ID: mdl-37030782

RESUMEN

For human brain magnetic resonance imaging (MRI), high channel count ( ≥ 32 ) radiofrequency receiver coil arrays are utilized to achieve maximum signal-to-noise ratio (SNR) and to accelerate parallel imaging techniques. With ultra-high field (UHF) MRI at 7 tesla (T) and higher, dipole antenna arrays have been shown to generate high SNR in the deep regions of the brain, however the array elements exhibit increased electromagnetic coupling with one another, making array construction more difficult with the increasing number of elements. Compared to a classical dipole antenna array, a sleeve antenna array incorporates the coaxial ground into the feed-point, resulting in a modified asymmetric antenna structure with improved intra-element decoupling. Here, we extended our previous 16-channel sleeve transceiver work and developed a 32-channel azimuthally arranged sleeve antenna receive-only array for 10.5 T human brain imaging. We experimentally compared the achievable SNR of the sleeve antenna array at 10.5 T to a more traditional 32-channel loop array bult onto a human head-shaped former. The results obtained with a head shaped phantom clearly demonstrated that peripheral intrinsic SNR can be significantly improved compared to a loop array with the same number of elements- except for the superior part of the phantom where sleeve antenna elements are not located.


Asunto(s)
Encéfalo , Imagen por Resonancia Magnética , Humanos , Imagen por Resonancia Magnética/métodos , Encéfalo/diagnóstico por imagen , Cabeza/diagnóstico por imagen , Ondas de Radio , Fantasmas de Imagen , Relación Señal-Ruido , Diseño de Equipo
14.
Sci Total Environ ; 876: 162608, 2023 Jun 10.
Artículo en Inglés | MEDLINE | ID: mdl-36871742

RESUMEN

The Arctic Ocean (AO) has a harsh environment characterized by low temperatures, extensive ice coverage, and periodic freezing and melting of sea ice, which has provided diverse habitats for microorganisms. Prior studies primarily focused on microeukaryote communities in the upper water or sea ice based on environmental DNA, leaving the composition of active microeukaryotes in the diverse AO environments largely unknown. This study provided a vertical assessment of microeukaryote communities in the AO from snow and ice to sea water at a depth of 1670 m using high-throughput sequencing of co-extracted DNA and RNA. RNA extracts depicted microeukaryote community structure and intergroup correlations more accurately and responded more sensitively to environmental conditions than those derived from DNA. Using RNA:DNA ratios as a proxy for relative activity of major taxonomic groups, the metabolic activities of major microeukaryote groups were determined along depth. Analysis of co-occurrence networks showed that parasitism between Syndiniales and dinoflagellates/ciliates in the deep ocean may be significant. This study increased our knowledge of the diversity of active microeukaryote communities and highlighted the importance of using RNA-based sequencing over DNA-based sequencing to examine the relationship between microeukaryote assemblages and the responses of microeukaryotes to environmental variables in the AO.


Asunto(s)
Dinoflagelados , ARN , Ecosistema , Agua de Mar/química , ADN , Océanos y Mares
15.
Rev Sci Instrum ; 93(6): 063701, 2022 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-35778045

RESUMEN

Owing to the high resolution of magnetic force microscopes (MFMs) operating at low temperatures and high-applied magnetic fields, they can be employed to study various phenomena observed in topological magnetic materials and superconductors. In this study, we constructed a low-temperature MFM equipped with a 2-2-9-T vector magnet and a three-axis fiber-optic alignment system. The three-axis alignment device enables in situ calibration of the scanner at low temperatures as well as optimizes the intensity and sensitivity of the interferometer signal. A massive homebuilt vibration isolation table lowers the resonance frequency of the system and minimizes mechanical noise. Consequently, the minimum detectable force gradient of our proposed model is close to the thermodynamic limit of the cantilever. To demonstrate the low-temperature capability of the MFM, we obtained magnetic domain images of the van der Waals ferromagnet Fe4GeTe2 and the Abrikosov superconducting vortices of an Nb film. Furthermore, we performed field angle-dependent MFM experiments in a van der Waals magnetic insulator Cr2Ge2Te6 to verify its vector-field functionality and observed a transition in the domains from the stripe to the bubble phase with respect to the magnetic field angle. The vector-field capability of our MFM can be useful for investigating various anisotropic magnetic phenomena in topological magnetic and superconducting materials.

16.
Adv Mater ; 34(12): e2108979, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-35044005

RESUMEN

Artificial photonic synapses are emerging as a promising implementation to emulate the human visual cognitive system by consolidating a series of processes for sensing and memorizing visual information into one system. In particular, mimicking retinal functions such as multispectral color perception and controllable nonvolatility is important for realizing artificial visual systems. However, many studies to date have focused on monochromatic-light-based photonic synapses, and thus, the emulation of color discrimination capability remains an important challenge for visual intelligence. Here, an artificial multispectral color recognition system by employing heterojunction photosynaptic transistors consisting of ratio-controllable mixed quantum dot (M-QD) photoabsorbers and metal-oxide semiconducting channels is proposed. The biological photoreceptor inspires M-QD photoabsorbers with a precisely designed red (R), green (G), and blue (B)-QD ratio, enabling full-range visible color recognition with high photo-to-electric conversion efficiency. In addition, adjustable synaptic plasticity by modulating gate bias allows multiple nonvolatile-to-volatile memory conversion, leading to chromatic control in the artificial photonic synapse. To ensure the viability of the developed proof of concept, a 7 × 7 pixelated photonic synapse array capable of performing outstanding color image recognition based on adjustable wavelength-dependent volatility conversion is demonstrated.


Asunto(s)
Puntos Cuánticos , Cognición , Humanos , Óptica y Fotónica , Retina , Sinapsis
17.
Adv Mater ; 34(42): e2205825, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36069028

RESUMEN

Interaction between dipoles often emerges intriguing physical phenomena, such as exchange bias in the magnetic heterostructures and magnetoelectric effect in multiferroics, which lead to advances in multifunctional heterostructures. However, the defect-dipole tends to be considered the undesired to deteriorate the electronic functionality. Here, deterministic switching between the ferroelectric and the pinched states by exploiting a new substrate of cubic perovskite, BaZrO3 is reported, which boosts the square-tensile-strain to BaTiO3 and promotes four-variants in-plane spontaneous polarization with oxygen vacancy creation. First-principles calculations propose a complex of an oxygen vacancy and two Ti3+ ions coins a charge-neutral defect-dipole. Cooperative control of the defect-dipole and the spontaneous polarization reveals ternary in-plane polar states characterized by biased/pinched hysteresis loops. Furthermore, it is experimentally demonstrated that three electrically controlled polar-ordering states lead to switchable and nonvolatile dielectric states for application of nondestructive electro-dielectric memory. This discovery opens a new route to develop functional materials via manipulating defect-dipoles and offers a novel platform to advance heteroepitaxy beyond the prevalent perovskite substrates.

18.
Sci Rep ; 11(1): 13383, 2021 Jun 28.
Artículo en Inglés | MEDLINE | ID: mdl-34183706

RESUMEN

In order to understand the superconducting gap nature of a [Formula: see text] single crystal with [Formula: see text], in-plane thermal conductivity [Formula: see text], in-plane London penetration depth [Formula: see text], and the upper critical fields [Formula: see text] have been investigated. At zero magnetic field, it is found that no residual linear term [Formula: see text] exists and [Formula: see text] follows a power-law [Formula: see text] (T: temperature) with n = 2.66 at [Formula: see text], supporting nodeless superconductivity. Moreover, the magnetic-field dependence of [Formula: see text]/T clearly shows a shoulder-like feature at a low field region. The temperature dependent [Formula: see text] curves for both in-plane and out-of-plane field directions exhibit clear upward curvatures near [Formula: see text], consistent with the shape predicted by the two-band theory and the anisotropy ratio between the [Formula: see text](T) curves exhibits strong temperature-dependence. All these results coherently suggest that [Formula: see text] is a nodeless, multiband superconductor.

19.
Adv Mater ; 33(45): e2105017, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34553426

RESUMEN

The complete hardware implementation of an optoelectronic neuromorphic computing system is considered as one of the most promising solutions to realize energy-efficient artificial intelligence. Here, a fully light-driven and scalable optoelectronic neuromorphic circuit with metal-chalcogenide/metal-oxide heterostructure phototransistor and photovoltaic divider is proposed. To achieve wavelength-selective neural operation and hardware-based pattern recognition, multispectral light modulated bidirectional synaptic circuits are utilized as an individual pixel for highly accurate and large-area neuromorphic computing system. The wavelength selective control of photo-generated charges at the heterostructure interface enables the bidirectional synaptic modulation behaviors including the excitatory and inhibitory modulations. More importantly, a 7 × 7 neuromorphic pixel circuit array is demonstrated to show the viability of implementing highly accurate hardware-based pattern training. In both the pixel training and pattern recognition simulation, the neuromorphic circuit array with the bidirectional synaptic modulation exhibits lower training errors and higher recognition rates, respectively.


Asunto(s)
Inteligencia Artificial , Luz , Transistores Electrónicos , Compuestos de Cadmio/química , Electricidad , Galio/química , Indio/química , Porosidad , Sulfuros/química , Óxido de Zinc/química
20.
Comput Biol Med ; 136: 104762, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-34399195

RESUMEN

BACKGROUND: Narcolepsy is marked by pathologic symptoms including excessive daytime drowsiness and lethargy, even with sufficient nocturnal sleep. There are two types of narcolepsy: type 1 (with cataplexy) and type 2 (without cataplexy). Unlike type 1, for which hypocretin is a biomarker, type 2 narcolepsy has no adequate biomarker to identify the causality of narcoleptic phenomenon. Therefore, we aimed to establish new biomarkers for narcolepsy using the body's systemic networks. METHOD: Thirty participants (15 with type 2 narcolepsy, 15 healthy controls) were included. We used the time delay stability (TDS) method to examine temporal information and determine relationships among multiple signals. We quantified and analyzed the network connectivity of nine biosignals (brainwaves, cardiac and respiratory information, muscle and eye movements) during nocturnal sleep. In particular, we focused on the differences in network connectivity between groups according to sleep stages and investigated whether the differences could be potential biomarkers to classify both groups by using a support vector machine. RESULT: In rapid eye movement sleep, the narcolepsy group displayed more connections than the control group (narcolepsy connections: 24.47 ± 2.87, control connections: 21.34 ± 3.49; p = 0.022). The differences were observed in movement and cardiac activity. The performance of the classifier based on connectivity differences was a 0.93 for sensitivity, specificity and accuracy, respectively. CONCLUSION: Network connectivity with the TDS method may be used as a biomarker to identify differences in the systemic networks of patients with narcolepsy type 2 and healthy controls.


Asunto(s)
Cataplejía , Narcolepsia , Humanos , Sueño , Fases del Sueño , Sueño REM
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