Rapid Improvement on a Temporal Attention Task within a Single Session of High-frequency Transcranial Random Noise Stimulation.

This study explored the modulatory effects of high-frequency transcranial random noise stimulation (tRNS) on visual sensitivity during a temporal attention task. We measured sensitivity to different onset asynchronies during a temporal order judgment task as a function of active stimulation relative to sham. While completing the task, participants were stimulated bilaterally for 20 min over either the TPJ or the human middle temporal area. We hypothesized that tRNS over the TPJ, which is critical to the temporal attention network, would selectively increase cortical excitability and induce cognitive training-like effects on performance, perhaps more so in the left visual field [Matthews, N., & Welch, L. Left visual field attentional advantage in judging simultaneity and temporal order. Journal of Vision, 15, 1-13, 2015; Romanska, A., Rezlescu, C., Susilo, T., Duchaine, B., & Banissy, M. J. High-frequency transcranial random noise stimulation enhances perception of facial identity. Cerebral Cortex, 25, 4334-4340, 2015]. In Experiment 1, we measured the performance of participants who judged the order of Gabors temporally imbedded in flickering discs, presented with onset asynchronies ranging from -75 msec (left disc first) to +75 msec (right disc first). In Experiment 2, we measured whether each participant's temporal sensitivity increased with stimulation by using temporal offsets that the participant initially perceived as simultaneous. We found that parietal cortex stimulation temporarily increased sensitivity on the temporal order judgment task, especially in the left visual field. Stimulation over human middle temporal area did not alter cortical excitability in a way that affected performance. The effects were cumulative across blocks of trials for tRNS over parietal cortex but dissipated when stimulation ended. We conclude that single-session tRNS can induce temporary improvements in behavioral sensitivity and that this shows promising insight into the relationship between cortical stimulation and neural plasticity.

Network Connectivity of the Right STS in Three Social Perception Localizers.

The posterior STS (pSTS) is an important brain region for perceptual analysis of social cognitive cues. This study seeks to characterize the pattern of network connectivity emerging from the pSTS in three core social perception localizers: biological motion perception, gaze recognition, and the interpretation of moving geometric shapes as animate. We identified brain regions associated with all three of these localizers and computed the functional connectivity pattern between them and the pSTS using a partial correlations metric that characterizes network connectivity. We find a core pattern of cortical connectivity that supports the hypothesis that the pSTS serves as a hub of the social brain network. The right pSTS was the most highly connected of the brain regions measured, with many long-range connections to pFC. Unlike other highly connected regions, connectivity to the pSTS was distinctly lateralized. We conclude that the functional importance of right pSTS is revealed when considering its role in the large-scale network of brain regions involved in various aspects of social cognition.

The Pivotal Role of the Right Parietal Lobe in Temporal Attention.

The visual system is extremely efficient at detecting events across time even at very fast presentation rates; however, discriminating the identity of those events is much slower and requires attention over time, a mechanism with a much coarser resolution [Cavanagh, P., Battelli, L., & Holcombe, A. O. Dynamic attention. In A. C. Nobre & S. Kastner (Eds.), The Oxford handbook of attention (pp. 652-675). Oxford: Oxford University Press, 2013]. Patients affected by right parietal lesion, including the TPJ, are severely impaired in discriminating events across time in both visual fields [Battelli, L., Cavanagh, P., & Thornton, I. M. Perception of biological motion in parietal patients. Neuropsychologia, 41, 1808-1816, 2003]. One way to test this ability is to use a simultaneity judgment task, whereby participants are asked to indicate whether two events occurred simultaneously or not. We psychophysically varied the frequency rate of four flickering disks, and on most of the trials, one disk (either in the left or right visual field) was flickering out-of-phase relative to the others. We asked participants to report whether two left-or-right-presented disks were simultaneous or not. We tested a total of 23 right and left parietal lesion patients in Experiment 1, and only right parietal patients showed impairment in both visual fields while their low-level visual functions were normal. Importantly, to causally link the right TPJ to the relative timing processing, we ran a TMS experiment on healthy participants. Participants underwent three stimulation sessions and performed the same simultaneity judgment task before and after 20 min of low-frequency inhibitory TMS over right TPJ, left TPJ, or early visual area as a control. rTMS over the right TPJ caused a bilateral impairment in the simultaneity judgment task, whereas rTMS over left TPJ or over early visual area did not affect performance. Altogether, our results directly link the right TPJ to the processing of relative time.

Cr(III)-HMC (HMC = 5,5,7,12,12,14-Hexamethyl-1,4,8,11-tetraazacyclotetradecane) Alkynyl Complexes: Preparation and Emission Properties.

Presented here is the chemistry of Cr(III) alkynyl complexes based on the rac-HMC and meso-HMC ligands (HMC = 5,5,7,12,12,14-hexamethyl-1,4,8,11-tetraazacyclotetradecane). Thus far, two pairs of cis/trans-[Cr(rac/meso-HMC)(C2R)2]Cl (R = Ph, C2H/C2SiMe3) complexes have been synthesized from reactions between cis/trans-[Cr(rac/meso-HMC)Cl2]Cl and LiC2R. These complexes were characterized using single crystal X-ray diffraction, UV-vis spectroscopy, FT-IR spectroscopy, and fluorimetry. Single crystal X-ray diffraction studies revealed that these complexes adopt a pseudo-octahedral geometry. The electronic spectra of both the cis- and trans-[Cr(rac/meso-HMC)(C4R')2]Cl (R' = H or SiMe3) complexes exhibit d-d bands with pronounced vibronic progression associated with the asymmetric stretch of the Cr-bound C≡C bonds. All of these complexes are phosphorescent and show structured emissions originating from the ligand field excited states.

Turning a New Leaf on Metal-TMC Chemistry: Ni(II)(TMC) Acetylides.

Novel [Ni(TMC)C≡CY](+)-type compounds 1-4 [TMC = 1,4,8,11-tetramethyl-1,4,8,11-tetraazacyclotetradecane; Y = SiMe3 (1), Si(i)Pr3 (2), Ph (3), and C2H (4)] have been synthesized and characterized. Single-crystal X-ray diffraction studies revealed that these compounds adopt a distorted square-pyramidal geometry, with the acetylide ligand occupying the apical position and a RSRS isomer for the TMC ligand. The room temperature magnetic properties of 1-4 are consistent with an S = 1 ground state, as corroborated by CASSCF and density functional theory calculations, which indicate that the singly occupied molecular orbitals are d(z(2)) and d(x(2)-y(2)).

Diruthenium-polyyn-diyl-diruthenium wires: electronic coupling in the long distance regime.

Reported herein is a series of Ru2(Xap)4 capped polyyn-diyl compounds, where Xap is either 2-anilinopyridinate (ap) or its aniline substituted derivatives. Symmetric [Ru2(Xap)4](µ-C4k)[Ru2(Xap)4] (compounds 4ka (X = 3-isobutoxy) and 4kc (X = 3,5-dimethoxy) with k = 2, 3, 4, and 5) was obtained from the Glaser coupling reaction of Ru2(Xap)4(C2kH). Unsymmetric [Ru2(Xap)4](µ-C(4k+2))[Ru2(ap)4] (compounds 4k+2b with k = 2, 3, and 4) were prepared from the Glaser coupling reaction between Ru2(Xap)4(C(2k+2)H) and Ru2(ap)4(C2kH). X-ray diffraction study of compound 12c revealed both the sigmoidal topology of the polyyn-diyl bridge and the fine structural detail about the Ru2 cores. Cyclic and differential pulse voltammetric (CV and DPV) measurements and spectroelectrochemical studies revealed that (i) the reduced monoanions [Ru2-C2m-Ru2](-1) (m = 4-8) belong to the Robin-Day class II mixed valent ions and (ii) the electronic coupling between Ru2 termini depends on the length of the polyyn-diyl bridge with an attenuation constant (γ) between 0.12 and 0.15 Å(-1). In addition, spin-unrestricted DFT calculations provide insight about the nature of orbitals that mediate the long distance electronic coupling.

Feature-based attention promotes biological motion recognition.

Motion perception is important for visually segregating and identifying objects from their surroundings, but in some cases extracting motion cues can be taxing to the human attention system. We measured the strength of feature salience required for individuals to correctly judge three types of moving events: biological motion, coherent motion, and multiple object tracking. The motion animations were embedded within a larger Gabor grid and constructed such that motion was conveyed by a salient single-feature dimension (second order) or by alternating across equisalient feature dimensions (third order). In the single-feature displays, we found biological motion to require less difference in the Gabor features (relative to background) to yield equivalent task performance as the coherent motion or multiple object tracking. This main effect of feature magnitude may reflect the inherent salience of biological motion as a visual stimulus. In the alternating-feature displays, both the biological motion and coherent motion discriminations needed additional salience, as compared to the single-feature displays, to achieve threshold discrimination levels. Accuracy in the multiple object tracking task did not vary as a function of salience. Together, these findings demonstrate the effectiveness with which attention-based motion mechanisms operate in complex dynamic sequences and argue for a critical role of feature-based attention in promoting biological motion perception.

Automaticity of lexical access in deaf and hearing bilinguals: Cross-linguistic evidence from the color Stroop task across five languages.

The well-known Stroop interference effect has been instrumental in revealing the highly automated nature of lexical processing as well as providing new insights to the underlying lexical organization of first and second languages within proficient bilinguals. The present cross-linguistic study had two goals: 1) to examine Stroop interference for dynamic signs and printed words in deaf ASL-English bilinguals who report no reliance on speech or audiological aids; 2) to compare Stroop interference effects in several groups of bilinguals whose two languages range from very distinct to very similar in their shared orthographic patterns: ASL-English bilinguals (very distinct), Chinese-English bilinguals (low similarity), Korean-English bilinguals (moderate similarity), and Spanish-English bilinguals (high similarity). Reaction time and accuracy were measured for the Stroop color naming and word reading tasks, for congruent and incongruent color font conditions. Results confirmed strong Stroop interference for both dynamic ASL stimuli and English printed words in deaf bilinguals, with stronger Stroop interference effects in ASL for deaf bilinguals who scored higher in a direct assessment of ASL proficiency. Comparison of the four groups of bilinguals revealed that the same-script bilinguals (Spanish-English bilinguals) exhibited significantly greater Stroop interference effects for color naming than the other three bilingual groups. The results support three conclusions. First, Stroop interference effects are found for both signed and spoken languages. Second, contrary to some claims in the literature about deaf signers who do not use speech being poor readers, deaf bilinguals' lexical processing of both signs and written words is highly automated. Third, cross-language similarity is a critical factor shaping bilinguals' experience of Stroop interference in their two languages. This study represents the first comparison of both deaf and hearing bilinguals on the Stroop task, offering a critical test of theories about bilingual lexical access and cognitive control.

Attention network modulation via tRNS correlates with attention gain.

Transcranial random noise stimulation (tRNS) can enhance vision in the healthy and diseased brain. Yet, the impact of multi-day tRNS on large-scale cortical networks is still unknown. We investigated the impact of tRNS coupled with behavioral training on resting-state functional connectivity and attention. We trained human subjects for 4 consecutive days on two attention tasks, while receiving tRNS over the intraparietal sulci, the middle temporal areas, or Sham stimulation. We measured resting-state functional connectivity of nodes of the dorsal and ventral attention network (DVAN) before and after training. We found a strong behavioral improvement and increased connectivity within the DVAN after parietal stimulation only. Crucially, behavioral improvement positively correlated with connectivity measures. We conclude changes in connectivity are a marker for the enduring effect of tRNS upon behavior. Our results suggest that tRNS has strong potential to augment cognitive capacity in healthy individuals and promote recovery in the neurological population.

Prolonged Neuromodulation of Cortical Networks Following Low-Frequency rTMS and Its Potential for Clinical Interventions.

Non-invasive brain stimulation safely induces persistent large-scale neural modulation in functionally connected brain circuits. Interruption models of repetitive transcranial magnetic stimulation (rTMS) capitalize on the acute impact of brain stimulation, which decays over minutes. However, rTMS also induces longer-lasting impact on cortical functions, evident by the use of multi-session rTMS in clinical population for therapeutic purposes. Defining the persistent cortical dynamics induced by rTMS is complicated by the complex balance of excitation and inhibition among functionally connected networks. Nonetheless, it is these neuronal dynamic responses that are essential for the development of new neuromodulatory protocols for translational applications. We will review evidence of prolonged changes of cortical response, tens of minutes following one session of low frequency rTMS over the cortex. We will focus on the different methods which resulted in prolonged behavioral and brain changes, such as the combination of brain stimulation techniques, and individually tailored stimulation protocols. We will also highlight studies which apply these methods in multi-session stimulation practices to extend stimulation impact into weeks and months. Our data and others' indicate that delayed cortical dynamics may persist much longer than previously thought and have potential as an extended temporal window during which cortical plasticity may be enhanced.

Nickel Complexes of C-Substituted Cyclams and Their Activity for CO2 and H+ Reduction.

Several nickel(II) complexes of cyclams bearing aryl groups on the carbon backbone were prepared and evaluated for their propensity to catalyze the electrochemical reduction of CO2 to CO and/or H+ to H2, representing the first catalytic analysis to be performed on an aryl-cyclam metal complex. Cyclic voltammetry (CV) revealed the attenuation of catalytic activity when the aryl group bears the strong electron-withdrawing trifluoromethyl substituent, whereas the phenyl, p-tolyl, and aryl-free derivatives displayed a range of catalytic activities. The gaseous-product distribution for the active complexes was determined by means of controlled-potential electrolysis (CPE) and revealed that the phenyl derivative is the most active as well as the most selective for CO2 reduction over proton reduction. Stark differences in the activity of the complexes studied are rationalized through comparison of their X-ray structures, absorption spectra, and CPE profiles. Further CV studies on the phenyl derivative were undertaken to provide a kinetic insight.

Functional connectivity of parietal cortex during temporal selective attention.

Perception of natural experiences requires allocation of attention towards features, objects, and events that are moving and changing over time. This allocation of attention is controlled by large-scale brain networks that, when damaged, cause widespread cognitive deficits. In particular, damage to ventral parietal cortex (right lateralized TPJ, STS, supramarginal and angular gyri) is associated with failures to selectively attend to and isolate features embedded within rapidly changing visual sequences (Battelli, Pascual-Leone, & Cavanagh, 2007; Husain, Shapiro, Martin, & Kennard, 1997). In this study, we used fMRI to investigate the neural activity and functional connectivity of intact parietal cortex while typical subjects judged the relative onsets and offsets of rapidly flickering tokens (a phase discrimination task in which right parietal patients are impaired). We found two regions in parietal cortex correlated with task performance: a bilateral posterior TPJ (pTPJ) and an anterior right-lateralized TPJ (R aTPJ). Both regions were deactivated when subjects engaged in the task but showed different patterns of functional connectivity. The bilateral pTPJ was strongly connected to nodes within the default mode network (DMN) and the R aTPJ was connected to the attention network. Accurate phase discriminations were associated with increased functional correlations between sensory cortex (hMT+) and the bilateral pTPJ, whereas accuracy on a control task was associated with yoked activity in the hMT+ and the R aTPJ. We conclude that temporal selective attention is particularly sensitive for revealing information pathways between sensory and core cognitive control networks that, when damaged, can lead to nonspatial attention impairments in right parietal stroke patients.

Risk of intracranial pathologic conditions requiring emergency intervention after a first complex febrile seizure episode among children.

OBJECTIVE: To determine the likelihood of intracranial pathologic conditions requiring emergency neurosurgical or medical intervention among children without meningitis who presented to the pediatric emergency department after a first complex febrile seizure. METHODS: We performed a retrospective review of prospectively collected data for children in neurologically normal condition who presented to a single pediatric emergency department after a first complex febrile seizure (focal, multiple, or prolonged). The complex febrile seizure classification was determined independently by 2 epileptologists. The presence of intracranial pathologic conditions was determined through review of neuroimaging results, telephone interviews, or medical record review. RESULTS: Data for 71 children with first complex febrile seizures were analyzed. Fifty-one (72%) had a single complex feature (20 focal, 22 multiple, and 9 prolonged), and 20 (28%) had multiple complex features. None of the 71 patients (1-sided 95% confidence interval: 4%) had intracranial pathologic conditions that required emergency neurosurgical or medical intervention. CONCLUSIONS: For children with first complex febrile seizures, the risk of intracranial pathologic conditions that require emergency neurosurgical or medical intervention is low, which suggests that routine emergency neuroimaging for this population is unnecessary.

Controversies in rapid sequence intubation in children.

PURPOSE OF REVIEW: Rapid sequence intubation is the method of choice for intubation of the emergency department patient. The purpose of the present review is to address several controversies pertaining to emergency department rapid sequence intubation of children. RECENT FINDINGS: The topics covered in this review include the determination of the appropriate clinician to perform emergency department intubation, the use of atropine and lidocaine as premedications, the choice of sedative agents depending upon the clinical scenario, and the choice of neuromuscular blockade agent. Concerning these topics: The literature supports that emergency department physicians, with appropriate training, successfully perform intubation in most patients. Limited data exist to determine the appropriate use of atropine and lidocaine for rapid sequence intubation. Etomidate has clearly become a preferred sedative for rapid sequence intubation with a low risk of cardiovascular side effects. Thiopental and propofol may more readily provide adequate sedation as compared with etomidate but both have the potential to reduce blood pressure. Succinylcholine arguably remains the preferred neuromuscular blockade agent for rapid sequence intubation in most children. The side effects of succinylcholine occur in relatively predictable circumstances. Rocuronium is a commonly used nondepolarizing paralytic agent but its prolonged duration of action must be weighed against the risk of side effects associated with succinylcholine. SUMMARY: Though more research is needed, the available data allow for the development of protocols that will result in a rational, scenario-based approach to rapid sequence intubation in children.