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1.
Mol Psychiatry ; 29(4): 891-901, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38246936

RESUMEN

Although brain morphological abnormalities have been reported in anorexia nervosa (AN), the reliability and reproducibility of previous studies were limited due to insufficient sample sizes, which prevented exploratory analysis of the whole brain as opposed to regions of interest (ROIs). Objective was to identify brain morphological abnormalities in AN and the association with severity of AN by brain structural magnetic resonance imaging (MRI) in a multicenter study, and to conduct exploratory analysis of the whole brain. Here, we conducted a cross-sectional multicenter study using T1-weighted imaging (T1WI) data collected between May 2014 and February 2019 in Japan. We analyzed MRI data from 103 female AN patients (58 anorexia nervosa restricting type [ANR] and 45 anorexia nervosa binge-purging type [ANBP]) and 102 age-matched female healthy controls (HC). MRI data from five centers were preprocessed using the latest harmonization method to correct for intercenter differences. Gray matter volume (GMV) was calculated from T1WI data of all participants. Of the 205 participants, we obtained severity of eating disorder symptom scores from 179 participants, including 87 in the AN group (51 ANR, 36 ANBP) and 92 HC using the Eating Disorder Examination Questionnaire (EDE-Q) 6.0. GMV reduction were observed in the AN brain, including the bilateral cerebellum, middle and posterior cingulate gyrus, supplementary motor cortex, precentral gyrus medial segment, and thalamus. In addition, the orbitofrontal cortex (OFC), ventromedial prefrontal cortex (vmPFC), rostral anterior cingulate cortex (ACC), and posterior insula volumes showed positive correlations with severity of symptoms. This multicenter study was conducted with a large sample size to identify brain morphological abnormalities in AN. The findings provide a better understanding of the pathogenesis of AN and have potential for the development of brain imaging biomarkers of AN. Trial Registration: UMIN000017456. https://center6.umin.ac.jp/cgi-open-bin/icdr/ctr_view.cgi?recptno=R000019303 .


Asunto(s)
Anorexia Nerviosa , Sustancia Gris , Corteza Insular , Imagen por Resonancia Magnética , Neuroimagen , Corteza Prefrontal , Humanos , Femenino , Anorexia Nerviosa/patología , Anorexia Nerviosa/diagnóstico por imagen , Imagen por Resonancia Magnética/métodos , Sustancia Gris/patología , Sustancia Gris/diagnóstico por imagen , Adulto , Estudios Transversales , Adulto Joven , Neuroimagen/métodos , Corteza Prefrontal/patología , Corteza Prefrontal/diagnóstico por imagen , Corteza Insular/diagnóstico por imagen , Corteza Insular/patología , Adolescente , Japón , Encéfalo/patología , Encéfalo/diagnóstico por imagen , Reproducibilidad de los Resultados
2.
Cereb Cortex ; 34(7)2024 Jul 03.
Artículo en Inglés | MEDLINE | ID: mdl-38976973

RESUMEN

Joint attention is an indispensable tool for daily communication. Abnormalities in joint attention may be a key reason underlying social impairment in schizophrenia spectrum disorders. In this study, we aimed to explore the attentional orientation mechanism related to schizotypal traits in a social situation. Here, we employed a Posner cueing paradigm with social attentional cues. Subjects needed to detect the location of a target that is cued by gaze and head orientation. The power in the theta frequency band was used to examine the attentional process in the schizophrenia spectrum. There were four main findings. First, a significant association was found between schizotypal traits and attention orientation in response to invalid gaze cues. Second, individuals with schizotypal traits exhibited significant activation of neural oscillations and synchrony in the theta band, which correlated with their schizotypal tendencies. Third, neural oscillations and synchrony demonstrated a synergistic effect during social tasks, particularly when processing gaze cues. Finally, the relationship between schizotypal traits and attention orientation was mediated by neural oscillations and synchrony in the theta frequency band. These findings deepen our understanding of the impact of theta activity in schizotypal traits on joint attention and offer new insights for future intervention strategies.


Asunto(s)
Atención , Señales (Psicología) , Esquizofrenia , Ritmo Teta , Humanos , Masculino , Femenino , Ritmo Teta/fisiología , Atención/fisiología , Adulto Joven , Esquizofrenia/fisiopatología , Adulto , Electroencefalografía , Trastorno de la Personalidad Esquizotípica/fisiopatología , Psicología del Esquizofrénico
3.
BMC Public Health ; 24(1): 1703, 2024 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-38926686

RESUMEN

BACKGROUND: Gambling is a popular leisure activity in many countries, often expected to boost regional economies. Nevertheless, its negative impacts remain a significant concern. Gambling disorder is recognized as the most severe consequence; however, even non- or low-risk gamblers may also face negative impacts. This study aimed to estimate the number of Japanese gamblers experiencing gambling-related harm (GRH) and its distribution across six life domains, financial, relational, emotional, health, social and other aspects, based on the severity of their problem gambling risk. METHODS: This cross-sectional study relied on an online survey conducted between August 5 and 11, 2020. Participants aged 20 years and above, who engaged in gambling during 2019 were recruited via a market research company. The survey assessed the prevalence of GRH 72 items among four gambler risk groups (non-problem, low-, moderate-, and high-risk), as categorized by the Problem Gambling Severity Index. The data was adjusted for population weighting using representative national survey data: the 2017 Comprehensive Survey of Living Conditions and the 2017 Epidemiological Survey on Gambling Addictions. RESULTS: Out of the 28,016 individuals invited to the survey, 6,124 participated in the screening, 3,113 in the main survey, and 3,063 provided valid responses. After adjusting the survey data, it was estimated that 39.0 million (30.8%) of Japan's 126.8 million citizens gambled in 2019. Among them, 4.44 million (11.4%) experienced financial harm, 2.70 million (6.9%) health harm, 2.54 million (6.5%) emotional harm, 1.31 million (3.4%) work/study harm, 1.28 million (3.3%) relationship harm, and 0.46 million (1.2%) other harm. Although high-risk gamblers experienced severe harm at the individual level, over 60% of gamblers who experienced GRHs were non- and low-risk gamblers, with the exception of other harm, at the population level. CONCLUSIONS: The study highlighted the prevention paradox of gambling in Japan. While national gambling policies primarily focus on the prevention and intervention for high-risk gamblers, a more effective approach would involve minimizing GRH across the entire population.


Asunto(s)
Juego de Azar , Humanos , Juego de Azar/epidemiología , Juego de Azar/psicología , Japón/epidemiología , Estudios Transversales , Masculino , Adulto , Femenino , Persona de Mediana Edad , Adulto Joven , Encuestas y Cuestionarios , Anciano , Costo de Enfermedad , Prevalencia
4.
Psychiatry Clin Neurosci ; 78(5): 322-331, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38414202

RESUMEN

AIM: While conservatism bias refers to the human need for more evidence for decision-making than rational thinking expects, the jumping to conclusions (JTC) bias refers to the need for less evidence among individuals with schizophrenia/delusion compared to healthy people. Although the hippocampus-midbrain-striatal aberrant salience system and the salience, default mode (DMN), and frontoparietal networks ("triple networks") are implicated in delusion/schizophrenia pathophysiology, the associations between conservatism/JTC and these systems/networks are unclear. METHODS: Thirty-seven patients with schizophrenia and 33 healthy controls performed the beads task, with large and small numbers of bead draws to decision (DTD) indicating conservatism and JTC, respectively. We performed independent component analysis (ICA) of resting functional magnetic resonance imaging (fMRI) data. For systems/networks above, we investigated interactions between diagnosis and DTD, and main effects of DTD. We similarly applied ICA to structural and diffusion MRI to explore the associations between DTD and gray/white matter. RESULTS: We identified a significant main effect of DTD with functional connectivity between the striatum and DMN, which was negatively correlated with delusion severity in patients, indicating that the greater the anti-correlation between these networks, the stronger the JTC and delusion. We further observed the main effects of DTD on a gray matter network resembling the DMN, and a white matter network connecting the functional and gray matter networks (all P < 0.05, family-wise error [FWE] correction). Function and gray/white matter showed no significant interactions. CONCLUSION: Our results support the novel association of conservatism and JTC biases with aberrant salience and default brain mode.


Asunto(s)
Toma de Decisiones , Red en Modo Predeterminado , Deluciones , Imagen por Resonancia Magnética , Esquizofrenia , Humanos , Adulto , Red en Modo Predeterminado/fisiopatología , Red en Modo Predeterminado/diagnóstico por imagen , Masculino , Femenino , Esquizofrenia/fisiopatología , Esquizofrenia/diagnóstico por imagen , Deluciones/fisiopatología , Deluciones/diagnóstico por imagen , Toma de Decisiones/fisiología , Red Nerviosa/diagnóstico por imagen , Red Nerviosa/fisiopatología , Sustancia Blanca/diagnóstico por imagen , Sustancia Blanca/fisiopatología , Sustancia Blanca/patología , Persona de Mediana Edad , Adulto Joven , Cuerpo Estriado/diagnóstico por imagen , Cuerpo Estriado/fisiopatología , Sustancia Gris/diagnóstico por imagen , Sustancia Gris/fisiopatología , Sustancia Gris/patología
5.
Hist Psychiatry ; 35(2): 206-214, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38379314

RESUMEN

It is widely recognized that Emil Kraepelin explicitly advocated for eugenic ideas in his academic works. Given the renewed interest in related concepts such as self-domestication and neo-Lamarckism in different contexts, this article revisits his eugenic arguments by scrutinizing a section of his seminal work, the 8th edition of his textbook published in 1909. Our analysis reveals that Kraepelin's arguments consisted of multiple theories and ideas prevalent at the time (i.e. self-domestication hypothesis, neo-Lamarckism, degeneration theory, social Darwinism, racism and ethnic nationalism), each of which presented individual fundamental claims. Nevertheless, Kraepelin amalgamated them into one combined narrative, which crystallized into an anti-humanistic psychiatry in the next generation. This paper cautions that a similar 'packaging of ideas' might be emerging now.


Asunto(s)
Eugenesia , Psiquiatría , Eugenesia/historia , Humanos , Historia del Siglo XX , Psiquiatría/historia , Historia del Siglo XIX
6.
Opt Express ; 31(17): 27821-27829, 2023 Aug 14.
Artículo en Inglés | MEDLINE | ID: mdl-37710849

RESUMEN

Optical isolators provide one-way propagation and are necessary to protect laser diodes from damage and unstable operation caused by reflected light. Although magneto-optical (MO) devices can operate as isolators, achieving high-density integration using conventional direct bonding methods is difficult because a large and thick growth substrate remains on the circuits. We experimentally demonstrated a compact Mach-Zehnder interferometer-based MO isolator with Si waveguides by the µ-transfer printing of a Ce:YIG/SGGG coupon. The isolator has a footprint of 0.25 mm2 with a Ce:YIG/SGGG coupon of 50 × 800 µm2 and ∼ 1-µm thickness and achieved a maximum isolation ratio of 14 dB in telecom bands.

7.
Proc Natl Acad Sci U S A ; 117(8): 4385-4391, 2020 02 25.
Artículo en Inglés | MEDLINE | ID: mdl-32041879

RESUMEN

Social-anxiety disorder involves a fear of embarrassing oneself in the presence of others. Taijin-kyofusho (TKS), a subtype common in East Asia, additionally includes a fear of embarrassing others. TKS individuals are hypersensitive to others' feelings and worry that their physical or behavioral defects humiliate others. To explore the underlying neurocognitive mechanisms, we compared TKS ratings with questionnaire-based empathic disposition, cognitive flexibility (set-shifting), and empathy-associated brain activity in 23 Japanese adults. During 3-tesla functional MRI, subjects watched video clips of badly singing people who expressed either authentic embarrassment (EMBAR) or hubristic pride (PRIDE). We expected the EMBAR singers to embarrass the viewers via emotion-sharing involving affective empathy (affEMP), and the PRIDE singers to embarrass via perspective-taking involving cognitive empathy (cogEMP). During affEMP (EMBAR > PRIDE), TKS scores correlated positively with dispositional affEMP (personal-distress dimension) and with amygdala activity. During cogEMP (EMBAR < PRIDE), TKS scores correlated negatively with cognitive flexibility and with activity of the posterior superior temporal sulcus/temporoparietal junction (pSTS/TPJ). Intersubject correlation analysis implied stronger involvement of the anterior insula, inferior frontal gyrus, and premotor cortex during affEMP than cogEMP and stronger involvement of the medial prefrontal cortex, posterior cingulate cortex, and pSTS/TPJ during cogEMP than affEMP. During cogEMP, the whole-brain functional connectivity was weaker the higher the TKS scores. The observed imbalance between affEMP and cogEMP, and the disruption of functional brain connectivity, likely deteriorate cognitive processing during embarrassing situations in persons who suffer from other-oriented social anxiety dominated by empathic embarrassment.


Asunto(s)
Fobia Social/psicología , Encéfalo/diagnóstico por imagen , Encéfalo/fisiopatología , Mapeo Encefálico , Cognición , Desconcierto , Emociones , Empatía , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Fobia Social/diagnóstico por imagen , Fobia Social/fisiopatología , Adulto Joven
8.
Psychiatry Clin Neurosci ; 77(6): 345-354, 2023 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-36905180

RESUMEN

AIM: Increasing evidence suggests that psychiatric disorders are linked to alterations in the mesocorticolimbic dopamine-related circuits. However, the common and disease-specific alterations remain to be examined in schizophrenia (SCZ), major depressive disorder (MDD), and autism spectrum disorder (ASD). Thus, this study aimed to examine common and disease-specific features related to mesocorticolimbic circuits. METHODS: This study included 555 participants from four institutes with five scanners: 140 individuals with SCZ (45.0% female), 127 individuals with MDD (44.9%), 119 individuals with ASD (15.1%), and 169 healthy controls (HC) (34.9%). All participants underwent resting-state functional magnetic resonance imaging. A parametric empirical Bayes approach was adopted to compare estimated effective connectivity among groups. Intrinsic effective connectivity focusing on the mesocorticolimbic dopamine-related circuits including the ventral tegmental area (VTA), shell and core parts of the nucleus accumbens (NAc), and medial prefrontal cortex (mPFC) were examined using a dynamic causal modeling analysis across these psychiatric disorders. RESULTS: The excitatory shell-to-core connectivity was greater in all patients than in the HC group. The inhibitory shell-to-VTA and shell-to-mPFC connectivities were greater in the ASD group than in the HC, MDD, and SCZ groups. Furthermore, the VTA-to-core and VTA-to-shell connectivities were excitatory in the ASD group, while those connections were inhibitory in the HC, MDD, and SCZ groups. CONCLUSION: Impaired signaling in the mesocorticolimbic dopamine-related circuits could be an underlying neuropathogenesis of various psychiatric disorders. These findings will improve the understanding of unique neural alternations of each disorder and will facilitate identification of effective therapeutic targets.


Asunto(s)
Trastorno del Espectro Autista , Trastorno Depresivo Mayor , Trastornos Mentales , Humanos , Femenino , Masculino , Trastorno Depresivo Mayor/diagnóstico por imagen , Dopamina , Teorema de Bayes , Vías Nerviosas/diagnóstico por imagen , Imagen por Resonancia Magnética , Corteza Prefrontal/diagnóstico por imagen , Trastornos Mentales/diagnóstico por imagen
9.
Neuropsychol Rehabil ; 33(1): 85-102, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-34635005

RESUMEN

This study examined the effectiveness of a novel information and communication technology (ICT) tool developed for external memory compensation to improve memory function in participants with brain injuries. In this 3-month randomized control study, participants with memory impairment secondary to brain injury were randomly assigned on a 1:1 basis to either intervention (the ICT tool [ARATA]) or 3-month waitlist control groups. This study's primary outcome measure was memory-related difficulties in everyday life, assessed using the Everyday Memory Checklist (EMC). Secondary outcomes included tests for memory function and psychosocial status, all of which were administered by blinded assessors. Seventy-eight participants (53 males, 25 females; mean age, 43.5 ± 12.7 [SD] years) were enrolled and 39 participants were allocated to each group (intervention and control). There was no significant difference in EMC scores between the two groups throughout the study (mean 0.26; 95% CI: -2.55-3.07; p=0.853); however, the intervention group scored significantly higher on the Rivermead Behavioural Memory and General Self-Efficacy tests compared to the control group. While the ICT tool did not improve the primary study outcome, evidence suggests that the ICT tool can improve memory functions related to activities of daily living.


Asunto(s)
Actividades Cotidianas , Lesiones Encefálicas , Masculino , Femenino , Humanos , Adulto , Persona de Mediana Edad , Lesiones Encefálicas/complicaciones , Trastornos de la Memoria/complicaciones , Programas Informáticos , Autoeficacia
10.
J Neurovirol ; 28(3): 355-366, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-35776340

RESUMEN

Altered white matter microstructure has been reported repeatedly using diffusion tensor imaging (DTI) in HIV-associated neurocognitive disorders. However, the associations between neurocognitive deficits and impaired white matter remains obscure due to frequent physical and psychiatric comorbidities in the patients. Severe immune suppression, reflected by low nadir CD4 T-cell counts, is reported to be associated with the neurocognitive deficits in the patients. In the present study, we examined white matter integrity using DTI and tract-based spatial statistics (TBSS), and neurocognitive functions using a battery of tests, in 15 HIV-infected patients with low nadir CD4, 16 HIV-infected patients with high nadir CD4, and 33 age- and sex-matched healthy controls. As DTI measures, we analyzed fractional anisotropy (FA) and mean diffusivity (MD). In addition, we investigated the correlation between white matter impairments and neurocognitive deficits. Among the three participant groups, the patients with low nadir CD4 showed significantly lower performance in processing speed and motor skills, and had significantly increased MD in widespread regions of white matter in both hemispheres. In the patients with low nadir CD4, there was a significant negative correlation between motor skills and MD in the right motor tracts, as well as in the corpus callosum. In summary, this study may provide white matter correlates of neurocognitive deficits in HIV-infected patients with past severe immune suppression as legacy effects.


Asunto(s)
Infecciones por VIH , Sustancia Blanca , Anisotropía , Cuerpo Calloso/diagnóstico por imagen , Imagen de Difusión Tensora , Infecciones por VIH/complicaciones , Infecciones por VIH/diagnóstico por imagen , Humanos , Sustancia Blanca/diagnóstico por imagen
11.
Opt Express ; 30(11): 18054-18065, 2022 May 23.
Artículo en Inglés | MEDLINE | ID: mdl-36221613

RESUMEN

Thermomagnetic recording is a technique used as a writing process for magneto-optical (MO) drives. Despite their significant advantages, such as rewritability, nonvolatility, reliability, and large cycling endurance, MO drives are rarely used today because of the complex drive systems that must deal with magnetic field and lightwave simultaneously. This study reports on the light-induced thermomagnetic recording of a ferromagnetic thin-film CoFeB on a Si photonic platform. Lightwave guided in the Si waveguide evanescently coupled to the thin-film magnet and underwent optical absorption, resulting in heating and a decrease in coercive force. Therefore, we observed magnetization reversal with an applied magnetic field for both continuous and modulated light pulses using a magneto-optical Kerr effect microscope, and the light-induced thermomagnetic recording was experimentally demonstrated on a Si photonic platform. The proposed scheme enables the realization of on-chip MO memories on the Si photonic platform in which neither bulky free-space optics nor mechanical rotation systems are required.

12.
J Child Psychol Psychiatry ; 63(12): 1553-1562, 2022 12.
Artículo en Inglés | MEDLINE | ID: mdl-35416284

RESUMEN

BACKGROUND: Williams syndrome (WS) is a rare genetic disorder caused by a microdeletion at the 7q11.23 region and is characterized by diverse symptoms encompassing physical and cognitive features. WS was reported to be associated to altered DNA methylation (DNAm) patterns. However, due to the limited information from long-term studies, it remains unclear whether WS accelerates aging. Genome-wide DNAm profiles can serve as "epigenetic clocks" to help estimate biological aging along with age-related markers, such as plasma proteins and telomere length. METHODS: We investigated GrimAge, DNAm-based telomere length (DNAmTL), and other epigenetic clocks in blood samples of 32 patients with WS and 32 healthy controls. RESULTS: We observed a significant acceleration in GrimAge, DNAmTL, and other epigenetic clocks in patients with WS as compared with those of controls. In addition, several GrimAge components, such as adrenomedullin, growth differentiation factor-15, leptin and plasminogen activator inhibitor-1, were altered in patients with WS. CONCLUSIONS: This study provides novel evidence supporting the hypothesis that WS may be associated to accelerated biological aging. A better understanding of the overall underlying biological effects of WS can provide new foundations for improved patient care; thus, long-term follow-up studies are still warranted.


Asunto(s)
Síndrome de Williams , Humanos , Síndrome de Williams/genética , Envejecimiento/genética , Metilación de ADN/genética , Biomarcadores , Epigénesis Genética
13.
J Neuropsychiatry Clin Neurosci ; 34(2): 158-167, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-34794328

RESUMEN

OBJECTIVE: Depression and apathy are common after traumatic brain injury (TBI), and different intervention strategies are recommended for each. However, a differential diagnosis can be difficult in clinical settings, especially given that apathy is considered to be a symptom of depression. In this study, the investigators aimed to isolate apathy from depression among patients with TBI and to examine whether apathy is exclusively associated with the amount of daily activity, as previously reported in the literature. METHODS: Eighty-eight patients with chronic TBI completed the Japanese versions of the 21-item Beck Depression Inventory-II (BDI-II) and the Starkstein Apathy Scale (AS). Daily activity was measured with a 24-hour life log. A hierarchical cluster analysis was applied to divide the BDI-II data into separable components, and components' correlations with results of the AS and 24-hour life log scale were evaluated. RESULTS: The BDI-II and AS revealed that 37 patients (42.0%) had both depression and apathy. BDI-II data were classified into four separate clusters (somatic symptoms, loss of self-worth, affective symptoms, and apathy symptoms). Loss of self-worth and apathy symptoms subscores were significantly positively correlated with total AS score (r=0.32, p=0.002, and r=0.52, p<0.001, respectively). The apathy symptoms subscore was significantly correlated with the amount of daily activity (r=-0.29, p=0.009). CONCLUSIONS: The findings suggest that the BDI-II can differentiate between apathy and depression among patients with TBI, which is essential when selecting intervention options. Moreover, apathy symptoms predicted patients' real-life daily activity.


Asunto(s)
Apatía , Lesiones Traumáticas del Encéfalo , Síntomas Afectivos , Lesiones Traumáticas del Encéfalo/complicaciones , Análisis por Conglomerados , Depresión/complicaciones , Depresión/etiología , Humanos , Escalas de Valoración Psiquiátrica
14.
Psychiatry Clin Neurosci ; 76(6): 260-267, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-35279904

RESUMEN

AIM: Recently, a machine-learning (ML) technique has been used to create generalizable classifiers for psychiatric disorders based on information of functional connections (FCs) between brain regions at resting state. These classifiers predict diagnostic labels by a weighted linear sum (WLS) of the correlation values of a small number of selected FCs. We aimed to develop a generalizable classifier for gambling disorder (GD) from the information of FCs using the ML technique and examine relationships between WLS and clinical data. METHODS: As a training dataset for ML, data from 71 GD patients and 90 healthy controls (HCs) were obtained from two magnetic resonance imaging sites. We used an ML algorithm consisting of a cascade of an L1-regularized sparse canonical correlation analysis and a sparse logistic regression to create the classifier. The generalizability of the classifier was verified using an external dataset. This external dataset consisted of six GD patients and 14 HCs, and was collected at a different site from the sites of the training dataset. Correlations between WLS and South Oaks Gambling Screen (SOGS) and duration of illness were examined. RESULTS: The classifier distinguished between the GD patients and HCs with high accuracy in leave-one-out cross-validation (area under curve (AUC = 0.89)). This performance was confirmed in the external dataset (AUC = 0.81). There was no correlation between WLS, and SOGS and duration of illness in the GD patients. CONCLUSION: We developed a generalizable classifier for GD based on information of functional connections between brain regions at resting state.


Asunto(s)
Juego de Azar , Algoritmos , Encéfalo/diagnóstico por imagen , Juego de Azar/diagnóstico por imagen , Humanos , Aprendizaje Automático , Imagen por Resonancia Magnética/métodos
15.
Brain ; 143(6): 1843-1856, 2020 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-32372102

RESUMEN

Recently, age-related timing dissociation between the superficial and deep venous systems has been observed; this was particularly pronounced in patients with normal pressure hydrocephalus, suggesting a common mechanism of ventriculomegaly. Establishing the relationship between venous drainage and ventricular enlargement would be clinically relevant and could provide insight into the mechanisms underlying brain ageing. To investigate a possible link between venous drainage and ventriculomegaly in both normal ageing and pathological conditions, we compared 225 healthy subjects (137 males and 88 females) and 71 traumatic brain injury patients of varying ages (53 males and 18 females) using MRI-based volumetry and a novel perfusion-timing analysis. Volumetry, focusing on the CSF space, revealed that the sulcal space and ventricular size presented different lifespan profiles with age; the latter presented a quadratic, rather than linear, pattern of increase. The venous timing shift slightly preceded this change, supporting a role for venous drainage in ventriculomegaly. In traumatic brain injury, a small but significant disease effect, similar to idiopathic normal pressure hydrocephalus, was found in venous timing, but it tended to decrease with age at injury, suggesting an overlapping mechanism with normal ageing. Structural bias due to, or a direct causative role of ventriculomegaly was unlikely to play a dominant role, because of the low correlation between venous timing and ventricular size after adjustment for age in both patients and controls. Since post-traumatic hydrocephalus can be asymptomatic and occasionally overlooked, the observation suggested a link between venous drainage and CSF accumulation. Thus, hydrocephalus, involving venous insufficiency, may be a part of normal ageing, can be detected non-invasively, and is potentially treatable. Further investigation into the clinical application of this new marker of venous function is therefore warranted.


Asunto(s)
Envejecimiento/patología , Lesiones Traumáticas del Encéfalo/metabolismo , Hidrocefalia/metabolismo , Adulto , Anciano , Envejecimiento/fisiología , Lesiones Traumáticas del Encéfalo/diagnóstico por imagen , Lesiones Traumáticas del Encéfalo/fisiopatología , Ventrículos Cerebrales/patología , Femenino , Vena Femoral , Humanos , Hidrocefalia/etiología , Hidrocefalia/fisiopatología , Hidrocéfalo Normotenso/diagnóstico por imagen , Hidrocéfalo Normotenso/patología , Vena Ilíaca , Imagen por Resonancia Magnética/métodos , Masculino , Persona de Mediana Edad , Malformaciones del Sistema Nervioso/patología , Vena Poplítea , Tomografía Computarizada por Rayos X/métodos
16.
BMC Psychiatry ; 21(1): 57, 2021 01 26.
Artículo en Inglés | MEDLINE | ID: mdl-33499818

RESUMEN

BACKGROUND: Although epidemiological and genetic studies have provided scientific evidence that places schizophrenia into the framework of early neurodevelopmental disorders, the psycho-behavioral characteristics of children that later go on to develop schizophrenia have not been sufficiently clarified. This study aimed to retrospectively identify characteristics specific to patients with schizophrenia during childhood via their guardians' reporting of these characteristics. METHODS: Participants included 54 outpatients with schizophrenia in their twenties who fulfilled DSM-IV-TR criteria. Additionally, 192 normal healthy subjects participated as sex- and age-matched controls. The guardians of all participants were recruited to rate participants' childhood characteristics from 6 to 8 years of age on a modified version of the Child Behavior Checklist (CBCL), which was used as a retrospective assessment questionnaire. Using t-tests, logistic regression, and Receiver Operating Characteristic (ROC) curve analysis, we estimated the psycho-behavioral characteristics specific to schizophrenia during childhood. Using the obtained logistic regression model, we prototyped a risk-predicting algorithm based on the CBCL scores. RESULTS: Among the eight CBCL subscale t-scores, "withdrawn" (p = 0.002), "thought problems" (p = 0.001), and "lack of aggressive behavior" (p = 0.002) were each significantly associated with the later diagnosis of schizophrenia, although none of these mean scores were in the clinical range at the time of childhood. The algorithm of the logistic regression model, based on eight CBCL subscales, had an area under the ROC curve of 82.8% (95% CI: 76-89%), which indicated that this algorithm's prediction of late development of schizophrenia has moderate accuracy. CONCLUSIONS: The results suggest that according to guardian reports, participants showed psycho-behavioral characteristics during childhood, different to those of healthy controls, which could be predictive of the later development of schizophrenia. Our newly developed algorithm is available to use in future studies to further test its validity.


Asunto(s)
Trastornos de la Conducta Infantil , Esquizofrenia , Lista de Verificación , Niño , Humanos , Japón/epidemiología , Estudios Retrospectivos
17.
BMC Neurosci ; 21(1): 49, 2020 11 23.
Artículo en Inglés | MEDLINE | ID: mdl-33228525

RESUMEN

BACKGROUND: Previous studies have demonstrated that individuals with autism spectrum disorder (ASD) exhibit dysfunction in the three attention systems (i.e., alerting, orienting, and executive control) as well as atypical relationships among these systems. Additionally, other studies have reported that individuals with subclinical but high levels of autistic traits show similar attentional tendencies to those observed in ASD. Based on these findings, it was hypothesized that autistic traits would affect the functions and relationships of the three attention systems in a general population. Resting-state functional magnetic resonance imaging (fMRI) was performed in 119 healthy adults to investigate relationships between autistic traits and within- and between-system functional connectivity (FC) among the three attention systems. Twenty-six regions of interest that were defined as components of the three attention systems by a previous task-based fMRI study were examined in terms of within- and between-system FC. We assessed autistic traits using the Autism-Spectrum Quotient. RESULTS: Correlational analyses revealed that autistic traits were significantly correlated with between-system FC, but not with within-system FC. CONCLUSIONS: Our results imply that a high autistic trait level, even when subclinical, is associated with the way the three attention systems interact.


Asunto(s)
Atención , Trastorno del Espectro Autista/fisiopatología , Trastorno del Espectro Autista/psicología , Adulto , Trastorno del Espectro Autista/diagnóstico por imagen , Mapeo Encefálico , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Red Nerviosa/diagnóstico por imagen , Red Nerviosa/fisiopatología , Vías Nerviosas/diagnóstico por imagen , Vías Nerviosas/fisiopatología , Pruebas Neuropsicológicas , Adulto Joven
18.
J Neurovirol ; 26(4): 590-601, 2020 08.
Artículo en Inglés | MEDLINE | ID: mdl-32572834

RESUMEN

Although neuropsychological studies of human immunodeficiency virus (HIV)-infected patients have demonstrated heterogeneity in neurocognitive impairment and neuroimaging studies have reported diverse brain regions affected by HIV, it remains unclear whether individual differences in neurocognitive impairment are underpinned by their neural bases. Here, we investigated spatial distribution patterns of correlation between neurocognitive function and regional gray matter (GM) volume across patients with HIV. Thirty-one combination antiretroviral therapy-treated HIV-infected Japanese male patients and 33 age- and sex-matched healthy controls were included in the analysis after strict exclusion criteria, especially for substance use. Fifteen neurocognitive tests were used, and volumetric magnetic resonance imaging was performed. We used voxel-based morphometry to compare GM volume between groups and identify regional GM volumes that correlated with neurocognitive tests across patients. Using the Frascati criteria, 10 patients were diagnosed with asymptomatic neurocognitive impairment, while the others were not diagnosed with HIV-associated neurocognitive disorders. Patients showed a significantly lower performance in five neurocognitive tests as well as significantly reduced GM volume relative to controls, with volume-reduced regions spread diffusely across the whole brain. Different aspects of neurocognitive impairment (i.e., figural copy, finger tapping, and Pegboard) were associated with different GM regions. Our findings suggest a biological background constituting heterogeneity of neurocognitive impairment in HIV infection and support the clinical importance of considering individual differences for tailor-made medicine for people living with HIV.


Asunto(s)
Fármacos Anti-VIH/uso terapéutico , Disfunción Cognitiva/fisiopatología , Sustancia Gris/fisiopatología , Infecciones por VIH/fisiopatología , Adulto , Terapia Antirretroviral Altamente Activa , Enfermedades Asintomáticas , Atención/efectos de los fármacos , Estudios de Casos y Controles , Disfunción Cognitiva/diagnóstico por imagen , Disfunción Cognitiva/tratamiento farmacológico , Disfunción Cognitiva/virología , Función Ejecutiva/efectos de los fármacos , Sustancia Gris/diagnóstico por imagen , Sustancia Gris/efectos de los fármacos , Sustancia Gris/virología , Giro del Cíngulo/diagnóstico por imagen , Giro del Cíngulo/efectos de los fármacos , Giro del Cíngulo/fisiopatología , Giro del Cíngulo/virología , Infecciones por VIH/diagnóstico por imagen , Infecciones por VIH/tratamiento farmacológico , Infecciones por VIH/virología , Hipocampo/diagnóstico por imagen , Hipocampo/efectos de los fármacos , Hipocampo/fisiopatología , Hipocampo/virología , Humanos , Imagen por Resonancia Magnética , Masculino , Memoria/efectos de los fármacos , Pruebas de Estado Mental y Demencia , Persona de Mediana Edad , Destreza Motora/efectos de los fármacos , Neuroimagen/métodos , Lóbulo Occipital/diagnóstico por imagen , Lóbulo Occipital/efectos de los fármacos , Lóbulo Occipital/fisiopatología , Lóbulo Occipital/virología , Lóbulo Parietal/diagnóstico por imagen , Lóbulo Parietal/efectos de los fármacos , Lóbulo Parietal/fisiopatología , Lóbulo Parietal/virología , Corteza Prefrontal/diagnóstico por imagen , Corteza Prefrontal/efectos de los fármacos , Corteza Prefrontal/fisiopatología , Corteza Prefrontal/virología , Índice de Severidad de la Enfermedad , Habla/efectos de los fármacos
19.
Opt Express ; 28(21): 31675-31685, 2020 Oct 12.
Artículo en Inglés | MEDLINE | ID: mdl-33115135

RESUMEN

Nonvolatile optical switches are promising components for low-power photonic integrated circuits with multiple functionalities. In this study, we experimentally demonstrate magneto-optical switches integrated with a magnet array. Optical switches in both microring and Mach-Zehnder configurations are fabricated on a high-quality single-crystalline magneto-optical material Ce:YIG. The switched state is alternated by a current-induced magnetic field from an integrated electromagnet and remained without any external power supply owing to the nonvolatile magnetization of thin-film magnets. Subsequently, the arbitrary level control of optical transmission is demonstrated by changing the magnetization state of integrated thin-film magnets with a current applied in the microring gate switch, and a maximum switching ratio over 25 dB is achieved in the Mach-Zehnder switch. The latching operation is presented with a 1-µs pulsed voltage.

20.
J Int Neuropsychol Soc ; 26(4): 418-429, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-31822311

RESUMEN

OBJECTIVES: Patients with Parkinson's disease (PD) exhibit impaired semantic and socioemotional processes, which are thought to be related to dysfunctions in the fronto-striatal circuit. However, little is known about how the memory enhancement by these processes was reduced in PD. The present study investigated this issue. METHODS: The retrieval performance of face memories encoded by semantic and socioemotional processes was compared between 24 PD patients and 24 age-matched healthy controls (HC). During encoding, participants were presented with unfamiliar faces and made judgment about them in three encoding conditions of semantic judgment (Semantics), attractiveness judgment (Attractiveness), and form judgment (Form). In Semantics, participants rated to what degree each face looked like an office worker, whereas in Attractiveness, participants rated how attractive each face was. The Form condition as a control required participants to judge the shape of each face. During retrieval after encoding, participants made old or new judgment for target and distracter faces. RESULTS: In HC, the retrieval of faces encoded by Semantics and Attractiveness was significantly more accurate than that encoded by Form, whereas this memory enhancement was not identified in PD. In addition, individual scores in frontal lobe function and long-term memory correlated with the retrieval performance of memories encoded in Semantics and Attractiveness but not Form. CONCLUSIONS: These findings suggest that the processing of semantic and socioemotional signals conveyed from faces could be impaired in PD and that the impairment of these processes could decrease the enhancement of face memories by semantic and socioemotional elaborations.


Asunto(s)
Disfunción Cognitiva/fisiopatología , Reconocimiento Facial/fisiología , Trastornos de la Memoria/fisiopatología , Recuerdo Mental/fisiología , Enfermedad de Parkinson/fisiopatología , Anciano , Disfunción Cognitiva/etiología , Femenino , Humanos , Juicio/fisiología , Masculino , Trastornos de la Memoria/etiología , Persona de Mediana Edad , Enfermedad de Parkinson/complicaciones , Semántica
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