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1.
J Neurosci ; 43(31): 5723-5737, 2023 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-37474310

RESUMO

To fluidly engage with the world, our brains must simultaneously represent both the scene in front of us and our memory of the immediate surrounding environment (i.e., local visuospatial context). How does the brain's functional architecture enable sensory and mnemonic representations to closely interface while also avoiding sensory-mnemonic interference? Here, we asked this question using first-person, head-mounted virtual reality and fMRI. Using virtual reality, human participants of both sexes learned a set of immersive, real-world visuospatial environments in which we systematically manipulated the extent of visuospatial context associated with a scene image in memory across three learning conditions, spanning from a single FOV to a city street. We used individualized, within-subject fMRI to determine which brain areas support memory of the visuospatial context associated with a scene during recall (Experiment 1) and recognition (Experiment 2). Across the whole brain, activity in three patches of cortex was modulated by the amount of known visuospatial context, each located immediately anterior to one of the three scene perception areas of high-level visual cortex. Individual subject analyses revealed that these anterior patches corresponded to three functionally defined place memory areas, which selectively respond when visually recalling personally familiar places. In addition to showing activity levels that were modulated by the amount of visuospatial context, multivariate analyses showed that these anterior areas represented the identity of the specific environment being recalled. Together, these results suggest a convergence zone for scene perception and memory of the local visuospatial context at the anterior edge of high-level visual cortex.SIGNIFICANCE STATEMENT As we move through the world, the visual scene around us is integrated with our memory of the wider visuospatial context. Here, we sought to understand how the functional architecture of the brain enables coexisting representations of the current visual scene and memory of the surrounding environment. Using a combination of immersive virtual reality and fMRI, we show that memory of visuospatial context outside the current FOV is represented in a distinct set of brain areas immediately anterior and adjacent to the perceptually oriented scene-selective areas of high-level visual cortex. This functional architecture would allow efficient interaction between immediately adjacent mnemonic and perceptual areas while also minimizing interference between mnemonic and perceptual representations.


Assuntos
Córtex Cerebral , Córtex Visual , Masculino , Feminino , Humanos , Encéfalo , Córtex Visual/diagnóstico por imagem , Memória , Imageamento por Ressonância Magnética/métodos , Mapeamento Encefálico/métodos , Percepção , Percepção Visual
2.
Eur J Appl Physiol ; 124(8): 2303-2313, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38446191

RESUMO

The present study tested the hypothesis that ingesting 800 mg Ibuprofen prior to self-paced cycling at a fixed rating of perceived exertion (RPE) improves performance by attenuating the release of Interleukin (IL)-6 and its signalling molecules, whilst simultaneously modulating cortical activity and cerebral oxygenation to the brain. Eight healthy, recreationally active males ingested 800 mg Ibuprofen or a placebo ~ 1 h prior to performing fixed RPE cycling for 60 min in 35 °C and 60% relative humidity at an intensity of hard to very hard (RPE = 16) with intermittent maximal (RPE = 20) sprints every 10 min. Power output (PO), core and mean skin temperatures (Tc, Tsk), respectively, and heart rate (HR) were measured continuously. Electroencephalography (EEG) recordings at the frontal (Fz), motor (Cz) and Parietal (Pz) areas (90 s) were collected every 5 min. IL-6, soluble glycoprotein receptor (sgp130) and IL-6 receptor (R) were collected at pre-, 30 min and immediately post-exercise. Mean PO, HR, Tc and Tsk, and RPE were not different between trials (P ≥ 0.33). At end-exercise, the change in IL-6, sgp130 and sIL-6R was not different between trials (P ≥ 0.12). The increase in α and ß activity did not differ in any cortices between trials (P ≥ 0.07); however, there was a significant reduction in α/ß activity in the Ibuprofen compared to placebo trials at all sites (P ≤ 0.05). Ingesting a maximal, over-the-counter dose of Ibuprofen prior to exercise in the heat does not attenuate the release of IL-6, nor improve performance, but may influence cortical activity evidenced by a greater reduction in α/ß activity.


Assuntos
Ibuprofeno , Interleucina-6 , Humanos , Masculino , Ibuprofeno/farmacologia , Ibuprofeno/administração & dosagem , Interleucina-6/metabolismo , Interleucina-6/sangue , Adulto , Temperatura Alta , Esforço Físico/fisiologia , Esforço Físico/efeitos dos fármacos , Frequência Cardíaca/efeitos dos fármacos , Exercício Físico/fisiologia , Córtex Cerebral/efeitos dos fármacos , Córtex Cerebral/metabolismo , Córtex Cerebral/fisiologia , Adulto Jovem , Receptores de Interleucina-6/metabolismo , Anti-Inflamatórios não Esteroides/farmacologia , Anti-Inflamatórios não Esteroides/administração & dosagem
3.
Proc Natl Acad Sci U S A ; 117(24): 13821-13827, 2020 06 16.
Artigo em Inglês | MEDLINE | ID: mdl-32513698

RESUMO

Color ignites visual experience, imbuing the world with meaning, emotion, and richness. As soon as an observer opens their eyes, they have the immediate impression of a rich, colorful experience that encompasses their entire visual world. Here, we show that this impression is surprisingly inaccurate. We used head-mounted virtual reality (VR) to place observers in immersive, dynamic real-world environments, which they naturally explored via saccades and head turns. Meanwhile, we monitored their gaze with in-headset eye tracking and then systematically altered the visual environments such that only the parts of the scene they were looking at were presented in color and the rest of the scene (i.e., the visual periphery) was entirely desaturated. We found that observers were often completely unaware of these drastic alterations to their visual world. In the most extreme case, almost a third of observers failed to notice when less than 5% of the visual display was presented in color. This limitation on perceptual awareness could not be explained by retinal neuroanatomy or previous studies of peripheral visual processing using more traditional psychophysical approaches. In a second study, we measured color detection thresholds using a staircase procedure while a set of observers intentionally attended to the periphery. Still, we found that observers were unaware when a large portion of their field of view was desaturated. Together, these results show that during active, naturalistic viewing conditions, our intuitive sense of a rich, colorful visual world is largely incorrect.


Assuntos
Cor , Visão Ocular , Adolescente , Adulto , Atenção , Conscientização , Feminino , Humanos , Masculino , Realidade Virtual , Adulto Jovem
4.
J Aging Phys Act ; 31(3): 417-429, 2023 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-36288787

RESUMO

Regular exercise is reported to improve depressive symptoms and quality of life for people experiencing mental illness. For older adults, including strength and balance can also decrease falls. Mental health services seldom include funding for Accredited Exercise Physiologist programs. A 9-week Accredited Exercise Physiologist-led program for older adults receiving mental health treatment with a community Older People's Mental Health Service was trialed in regional Australia. This clinician-conceived small-scale feasibility study utilized a two-phase concurrent triangulation mixed-method design to evaluate physical and psychological program outcomes and identify factors related to engaging in physical activity. This tailored exercise program led to improvements in measures of psychological distress and physical and psychological function. These changes corresponded with participants identifying benefits of exercising as a group of adults living with mental illness. Such findings suggest a supervised, individualized program for older mental health consumers confers physical and psychological benefits; however, further research evaluating exercise interventions with this population is required.


Assuntos
Transtornos Mentais , Qualidade de Vida , Humanos , Idoso , Transtornos Mentais/terapia , Saúde Mental , Austrália , Exercício Físico
5.
Neuroimage ; 264: 119723, 2022 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-36328274

RESUMO

fMRI is an indispensable tool for neuroscience investigation, but this technique is limited by multiple sources of physiological and measurement noise. These noise sources are particularly problematic for analysis techniques that require high signal-to-noise ratio for stable model fitting, such as voxel-wise modeling. Multi-echo data acquisition in combination with echo-time dependent ICA denoising (ME-ICA) represents one promising strategy to mitigate physiological and hardware-related noise sources as well as motion-related artifacts. However, most studies employing ME-ICA to date are resting-state fMRI studies, and therefore we have a limited understanding of the impact of ME-ICA on complex task or model-based fMRI paradigms. Here, we addressed this knowledge gap by comparing data quality and model fitting performance of data acquired during a visual population receptive field (pRF) mapping (N = 13 participants) experiment after applying one of three preprocessing procedures: ME-ICA, optimally combined multi-echo data without ICA-denoising, and typical single echo processing. As expected, multi-echo fMRI improved temporal signal-to-noise compared to single echo fMRI, with ME-ICA amplifying the improvement compared to optimal combination alone. However, unexpectedly, this boost in temporal signal-to-noise did not directly translate to improved model fitting performance: compared to single echo acquisition, model fitting was only improved after ICA-denoising. Specifically, compared to single echo acquisition, ME-ICA resulted in improved variance explained by our pRF model throughout the visual system, including anterior regions of the temporal and parietal lobes where SNR is typically low, while optimal combination without ICA did not. ME-ICA also improved reliability of parameter estimates compared to single echo and optimally combined multi-echo data without ICA-denoising. Collectively, these results suggest that ME-ICA is effective for denoising task-based fMRI data for modeling analyzes and maintains the integrity of the original data. Therefore, ME-ICA may be beneficial for complex fMRI experiments, including voxel-wise modeling and naturalistic paradigms.


Assuntos
Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Humanos , Imageamento por Ressonância Magnética/métodos , Processamento de Imagem Assistida por Computador/métodos , Reprodutibilidade dos Testes , Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Artefatos , Mapeamento Encefálico/métodos
6.
Nat Rev Neurosci ; 18(11): 671-684, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28951611

RESUMO

Autism is a complex neurodevelopmental condition, and little is known about its neurobiology. Much of autism research has focused on the social, communication and cognitive difficulties associated with the condition. However, the recent revision of the diagnostic criteria for autism has brought another key domain of autistic experience into focus: sensory processing. Here, we review the properties of sensory processing in autism and discuss recent computational and neurobiological insights arising from attention to these behaviours. We argue that sensory traits have important implications for the development of animal and computational models of the condition. Finally, we consider how difficulties in sensory processing may relate to the other domains of behaviour that characterize autism.


Assuntos
Percepção Auditiva/fisiologia , Transtorno Autístico/fisiopatologia , Tato/fisiologia , Percepção Visual/fisiologia , Animais , Transtorno Autístico/diagnóstico por imagem , Transtorno Autístico/psicologia , Humanos , Neuroimagem/métodos , Estimulação Luminosa/métodos , Sensação/fisiologia
7.
J Cogn Neurosci ; 33(2): 159-166, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33054553

RESUMO

Real-world navigation requires movement of the body through space, producing a continuous stream of visual and self-motion signals, including proprioceptive, vestibular, and motor efference cues. These multimodal cues are integrated to form a spatial cognitive map, an abstract, amodal representation of the environment. How the brain combines these disparate inputs and the relative importance of these inputs to cognitive map formation and recall are key unresolved questions in cognitive neuroscience. Recent advances in virtual reality technology allow participants to experience body-based cues when virtually navigating, and thus it is now possible to consider these issues in new detail. Here, we discuss a recent publication that addresses some of these issues (D. J. Huffman and A. D. Ekstrom. A modality-independent network underlies the retrieval of large-scale spatial environments in the human brain. Neuron, 104, 611-622, 2019). In doing so, we also review recent progress in the study of human spatial cognition and raise several questions that might be addressed in future studies.


Assuntos
Realidade Virtual , Sinais (Psicologia) , Humanos , Imageamento por Ressonância Magnética , Movimento , Propriocepção
8.
Cytokine ; 146: 155648, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34320459

RESUMO

AIM: This study aimed to investigate the effects of 6-weeks of moderate intensity aerobic exercise on markers of inflammation and symptom severity in those undergoing management of a mental health disorder. METHOD: Twenty six participants were allocated into two groups, those reporting as apparently healthy (AH, n = 13) or those undergoing the management of a mental health disorder (MI, n = 13). Following a baseline testing and familiarization session, participants commenced the 6-week aerobic training intervention, involving stationary cycling at 65% heart rate reserve for 35 min progressing to 70% for 40 min. Measures of aerobic fitness (VO2peak), anthropometric variables, symptom questionnaires and venous blood were collect pre- and post-intervention. Venous blood was assessed for nod-like receptor pyrin containing-3, interleukin (IL)-6, tumor necrosis factor-alpha (TNF-α), IL-1ß, C-reactive protein (CRP) and brain-derived neurotropic factor (BDNF). RESULTS: There were no baseline differences between groups, however following the intervention the AH demonstrated lower TNF-α (p = 0.049) than the MI group. Within change was observed for the MI group with an increase in VO2peak (p = 0.049) and declines in symptom severity (p = 0.00-0.005). Significant correlations between variables indicated a positive association between body fat, body fat percentage, CRP and symptom severity (p = 0.01-0.04). Conversely, symptom severity and CRP were inversely associated with VO2peak values (p = 0.02-0.04). CONCLUSION: Six-weeks of moderate intensity aerobic exercise increases VO2peak and reduces symptom severity in those currently undergoing management of a mental health disorder. Further, there may be a physiological link between aerobic capacity, symptom severity, inflammation and adiposity, however greater exploration is required.


Assuntos
Exercício Físico/fisiologia , Inflamação/patologia , Transtornos Mentais/patologia , Saúde Mental , Índice de Gravidade de Doença , Adolescente , Adulto , Ansiedade/sangue , Fator Neurotrófico Derivado do Encéfalo/sangue , Proteína C-Reativa/metabolismo , Depressão/sangue , Feminino , Humanos , Inflamação/sangue , Masculino , Transtornos Mentais/sangue , Pessoa de Meia-Idade , Proteína 3 que Contém Domínio de Pirina da Família NLR/sangue , Estresse Psicológico/sangue , Fator de Necrose Tumoral alfa/sangue , Adulto Jovem
9.
J Neurosci ; 39(42): 8398-8407, 2019 10 16.
Artigo em Inglês | MEDLINE | ID: mdl-31451579

RESUMO

Binocular rivalry is a classic experimental tool to probe the neural machinery of perceptual awareness. During rivalry, perception alternates between the two eyes, and the ebb and flow of perception is modeled to rely on the strength of inhibitory interactions between competitive neuronal populations in visual cortex. As a result, rivalry has been suggested as a noninvasive perceptual marker of inhibitory signaling in visual cortex, and its putative disturbance in psychiatric conditions, including autism. Yet, direct evidence causally implicating inhibitory signaling in the dynamics of binocular rivalry is currently lacking. We previously found that people with higher GABA levels in visual cortex, measured using magnetic resonance spectroscopy, have stronger perceptual suppression during rivalry. Here, we present direct causal tests of the impact of GABAergic inhibition on rivalry dynamics, and the contribution of specific GABA receptors to these dynamics. In a crossover pharmacological design with male and female adult participants, we found that drugs that modulate the two dominant GABA receptor types in the brain, GABAA (clobazam) and GABAB (arbaclofen), increase perceptual suppression during rivalry relative to a placebo. Crucially, these results could not be explained by changes in reaction times or response criteria, as determined through rivalry simulation trials, suggesting a direct and specific influence of GABA on perceptual suppression. A full replication study of the GABAB modulator reinforces these findings. These results provide causal evidence for a link between the strength of inhibition in the brain and perceptual suppression during rivalry and have implications for psychiatric conditions including autism.SIGNIFICANCE STATEMENT How does the brain accomplish perceptual gating? Here we use a direct and causal pharmacological manipulation to present insight into the neural machinery of a classic illusion of perceptual awareness: binocular rivalry. We show that drugs that increase GABAergic inhibition in the brain, clobazam (GABAA modulator) and arbaclofen (GABAB modulator), increase perceptual suppression during rivalry relative to a placebo. These results present the first causal link between GABAergic inhibition and binocular rivalry in humans, complementing classic models of binocular rivalry, and have implications for our understanding of psychiatric conditions, such as autism, where binocular rivalry is posited as a behavioral marker of disruptions in inhibitory signaling in the brain.


Assuntos
Baclofeno/análogos & derivados , Clobazam/farmacologia , Agonistas de Receptores de GABA-A/farmacologia , Agonistas dos Receptores de GABA-B/farmacologia , Visão Binocular/efeitos dos fármacos , Percepção Visual/efeitos dos fármacos , Adolescente , Adulto , Conscientização/efeitos dos fármacos , Baclofeno/farmacologia , Estudos Cross-Over , Método Duplo-Cego , Feminino , Humanos , Masculino , Adulto Jovem
10.
Neuroimage ; 220: 117112, 2020 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-32619710

RESUMO

Models of healthy brain function and psychiatric conditions assume that excitatory and inhibitory activity are balanced in the human brain at multiple spatial and temporal scales. In human neuroimaging, concentrations of the major excitatory (glutamate) and inhibitory (γ-aminobutyric acid, GABA) neurotransmitters are measured in vivo using magnetic resonance spectroscopy (MRS). However, despite the central importance of E/I balance to theories of brain function, a relationship between regional glutamate and GABA levels in the human brain has not been shown. We addressed this question in a large corpus of edited MRS data collected at 19 different sites (n â€‹= â€‹220). Consistent with the notion of E/I balance, we found that levels of glutamate+glutamine (Glx) and GABA+ were highly correlated (R â€‹= â€‹0.52, p â€‹= â€‹2.86 x 10-14). This relationship held when controlling for site, scanner vendor, and demographics. Controlling for neurochemicals associated with neuronal density and metabolism (i.e. N-acetylaspartate and creatine) significantly reduced the correlation between GABA+ and Glx, suggesting that the levels of GABA+ and Glx may be critically linked to regional metabolism. These results are consistent with the notion that excitation and inhibition are balanced in the human brain.


Assuntos
Encéfalo/metabolismo , Ácido Glutâmico/metabolismo , Glutamina/metabolismo , Ácido gama-Aminobutírico/metabolismo , Adulto , Encéfalo/diagnóstico por imagem , Feminino , Humanos , Espectroscopia de Ressonância Magnética , Masculino , Neuroimagem , Adulto Jovem
11.
J Therm Biol ; 63: 10-15, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28010806

RESUMO

There are a number of mechanisms thought to be responsible for the onset of fatigue during exercise-induced hyperthermia. A greater understanding of the way in which fatigue develops during exercise could be gleaned from the studies which have examined the maintenance of cerebral blood flow through the process of cerebral autoregulation. Given that cerebral blood flow is a measure of the cerebral haemodynamics, and might reflect a level of brain activation, it is useful to understand the implications of this response during exercise and in the development of fatigue. It is known that cerebral blood flow is significantly altered under certain conditions such as altitude and exacerbated during exercise induced - hyperthermia. In this brief review we consider the processes of cerebral autoregulation predominantly through the measurement of cerebral blood flow and contrast these responses between exercise undertaken in normothermic versus heat stress conditions in order to draw some conclusions about the role cerebral blood flow might play in determining fatigue.


Assuntos
Encéfalo/fisiologia , Exercício Físico , Fadiga/fisiopatologia , Resposta ao Choque Térmico , Encéfalo/irrigação sanguínea , Fadiga/etiologia , Homeostase , Temperatura Alta/efeitos adversos , Humanos
12.
J Vis ; 16(5): 17, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26998801

RESUMO

Enhanced spatial processing of local visual details has been reported in individuals with autism spectrum conditions (ASC), and crowding is postulated to be a mechanism that may produce this ability. However, evidence for atypical crowding in ASC is mixed, with some studies reporting a complete lack of crowding in autism and others reporting a typical magnitude of crowding between individuals with and without ASC. Here, we aim to disambiguate these conflicting results by testing both the magnitude and the spatial extent of crowding in individuals with ASC (N = 25) and age- and IQ-matched controls (N = 23) during an orientation discrimination task. We find a strong crowding effect in individuals with and without ASC, which falls off as the distance between target and flanker is increased. Both the magnitude and the spatial range of this effect were comparable between individuals with and without ASC. We also find typical (uncrowded) orientation discrimination thresholds in individuals with ASC. These findings suggest that the spatial extent of crowding is unremarkable in ASC, and is therefore unlikely to account for the visual symptoms reported in individuals with the diagnosis.


Assuntos
Transtorno Autístico/fisiopatologia , Aglomeração , Percepção Visual/fisiologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Orientação , Processamento Espacial , Adulto Jovem
13.
Brain ; 137(Pt 9): 2588-99, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25060095

RESUMO

Individuals with autism are often characterized as 'seeing the trees, but not the forest'-attuned to individual details in the visual world at the expense of the global percept they compose. Here, we tested the extent to which global processing deficits in autism reflect impairments in (i) primary visual processing; or (ii) decision-formation, using an archetypal example of global perception, coherent motion perception. In an event-related functional MRI experiment, 43 intelligence quotient and age-matched male participants (21 with autism, age range 15-27 years) performed a series of coherent motion perception judgements in which the amount of local motion signals available to be integrated into a global percept was varied by controlling stimulus viewing duration (0.2 or 0.6 s) and the proportion of dots moving in the correct direction (coherence: 4%, 15%, 30%, 50%, or 75%). Both typical participants and those with autism evidenced the same basic pattern of accuracy in judging the direction of motion, with performance decreasing with reduced coherence and shorter viewing durations. Critically, these effects were exaggerated in autism: despite equal performance at the long duration, performance was more strongly reduced by shortening viewing duration in autism (P < 0.015) and decreasing stimulus coherence (P < 0.008). To assess the neural correlates of these effects we focused on the responses of primary visual cortex and the middle temporal area, critical in the early visual processing of motion signals, as well as a region in the intraparietal sulcus thought to be involved in perceptual decision-making. The behavioural results were mirrored in both primary visual cortex and the middle temporal area, with a greater reduction in response at short, compared with long, viewing durations in autism compared with controls (both P < 0.018). In contrast, there was no difference between the groups in the intraparietal sulcus (P > 0.574). These findings suggest that reduced global motion perception in autism is driven by an atypical response early in visual processing and may reflect a fundamental perturbation in neural circuitry.


Assuntos
Transtorno Autístico/diagnóstico , Transtorno Autístico/fisiopatologia , Percepção de Movimento/fisiologia , Estimulação Luminosa/métodos , Córtex Visual/fisiologia , Adolescente , Adulto , Transtorno Autístico/psicologia , Humanos , Masculino , Desempenho Psicomotor/fisiologia , Tempo de Reação/fisiologia , Córtex Visual/crescimento & desenvolvimento
14.
BMC Fam Pract ; 16: 2, 2015 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-25608728

RESUMO

BACKGROUND: Physicians are frequently confronted with complex health situations of patients, but knowledge of intensive forms of multimorbidity and their development during life is lacking. This study explores patterns and trajectories of chronic health problems of patients with multimorbidity particularly those with more than ten conditions and type and variety of organ systems involved in these patterns during life. METHOD: Life time prevalence patterns of chronic health problems were determined in patients with illness trajectories accumulating more than ten chronic health problems during life as registered by general practitioners in the South of the Netherlands in the Registration Network Family Practices (RNH). RESULTS: Overall 4,560 subjects (5%) were registered with more than ten chronic health problems during their life (MM11+), accounting for 61,653 (20%) of the 302,808 registered health problems in the population (N = 87,837 subjects). More than 30% accumulates 4 or more chronic health conditions (MM4-5: 4-5 conditions (N = 14,199; 16.2%); MM6-10: 6-10 conditions (N = 14,365; 16.4%). Gastro-intestinal, cardiovascular, locomotor, respiratory and metabolic conditions occur more frequently in the MM11+ patients than in the other patients, while the nature and variety of body systems involved in lifetime accumulation of chronic health problem clusters is both generic and specific. Regarding chronic conditions afflicting multiple sites throughout the body, the number of neoplasms seems low (N = 3,592; 5.8%), but 2,461 (49%) of the 4,560 subjects have registered at least one neoplasm condition during life. A similar pattern is noted for inflammation (N = 3,537, 78%), infection (N = 2,451, 54%) and injury (N = 3,401, 75%). CONCLUSION: There are many challenges facing multimorbidity research, including the implementation of a longitudinal, life-time approach from a family practice perspective. The present study, although exploratory by nature, shows that both general and specific mechanisms characterize the development of multimorbidity trajectories. A small proportion of patients has a high number of chronic health problems (MM11+) and keeps adding health problems during life. However, GP's need to realise that more than one third of their patients accumulate four or more chronic health problems (MM4-5 and MM6-10) during life.


Assuntos
Doença Crônica/epidemiologia , Comorbidade , Clínicos Gerais , Idoso , Idoso de 80 Anos ou mais , Doenças Cardiovasculares/epidemiologia , Feminino , Transtornos Neurológicos da Marcha/epidemiologia , Medicina Geral , Nível de Saúde , Humanos , Masculino , Doenças Metabólicas/epidemiologia , Pessoa de Meia-Idade , Neoplasias/epidemiologia , Países Baixos/epidemiologia , Papel do Médico , Prevalência , Doenças Respiratórias/epidemiologia
15.
J Vis ; 15(13): 11, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26382002

RESUMO

The dynamics of binocular rivalry may be a behavioral footprint of excitatory and inhibitory neural transmission in visual cortex. Given the presence of atypical visual features in Autism Spectrum Conditions (ASC), and the growing evidence in support of the idea of an imbalance in excitatory/inhibitory neural transmission in animal and genetic models of ASC, we hypothesized that binocular rivalry might prove a simple behavioral marker of such a transmission imbalance in the autistic brain. In support of this hypothesis, we previously reported a slower rate of rivalry in ASC, driven by longer transitional states between dominant percepts. We tested whether atypical dynamics of binocular rivalry in ASC are specific to certain stimulus features. 53 participants (26 with ASC, matched for age, sex, and IQ) participated in a binocular rivalry experiment in which the dynamics of rivalry were measured at two levels of stimulus complexity, low (grayscale gratings) and high (colored objects). Individuals with ASC experienced a slower rate of binocular rivalry, driven by longer transitional states between dominant percepts. These exaggerated transitional states were present at both low and high levels of stimulus complexity (gratings and objects), suggesting that atypical binocular dynamics in autism are robust with respect to stimulus choice. Interactions between stimulus properties and rivalry dynamics in autism indicate that achromatic grating stimuli produce stronger group differences. These results confirm the finding of atypical dynamics of binocular rivalry in ASC. These dynamics were present for stimuli of both low and high levels of visual complexity, suggesting a pervasive imbalance in competitive interactions throughout the visual system of individuals with ASC.


Assuntos
Transtorno Autístico/fisiopatologia , Disparidade Visual/fisiologia , Visão Binocular/fisiologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Córtex Visual/fisiologia , Adulto Jovem
16.
J Neurosci ; 33(16): 6776-81, 2013 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-23595736

RESUMO

Enhanced perception of detail has long been regarded a hallmark of autism spectrum conditions (ASC), but its origins are unknown. Normal sensitivity on all fundamental perceptual measures-visual acuity, contrast discrimination, and flicker detection-is strongly established in the literature. If individuals with ASC do not have superior low-level vision, how is perception of detail enhanced? We argue that this apparent paradox can be resolved by considering visual attention, which is known to enhance basic visual sensitivity, resulting in greater acuity and lower contrast thresholds. Here, we demonstrate that the focus of attention and concomitant enhancement of perception are sharper in human individuals with ASC than in matched controls. Using a simple visual acuity task embedded in a standard cueing paradigm, we mapped the spatial and temporal gradients of attentional enhancement by varying the distance and onset time of visual targets relative to an exogenous cue, which obligatorily captures attention. Individuals with ASC demonstrated a greater fall-off in performance with distance from the cue than controls, indicating a sharper spatial gradient of attention. Further, this sharpness was highly correlated with the severity of autistic symptoms in ASC, as well as autistic traits across both ASC and control groups. These findings establish the presence of a form of "tunnel vision" in ASC, with far-reaching implications for our understanding of the social and neurobiological aspects of autism.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/etiologia , Transtorno Autístico/complicações , Transtornos da Percepção/etiologia , Percepção Espacial/fisiologia , Acuidade Visual/fisiologia , Adulto , Estudos de Casos e Controles , Sensibilidades de Contraste , Feminino , Humanos , Masculino , Estimulação Luminosa , Psicometria , Estatística como Assunto
17.
J Neurosci ; 33(43): 16983-91, 2013 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-24155303

RESUMO

An imbalance between cortical excitation and inhibition is a central component of many models of autistic neurobiology. We tested a potential behavioral footprint of this proposed imbalance using binocular rivalry, a visual phenomenon in which perceptual experience is thought to mirror the push and pull of excitatory and inhibitory cortical dynamics. In binocular rivalry, two monocularly presented images compete, leading to a percept that alternates between them. In a series of trials, we presented separate images of objects (e.g., a baseball and a broccoli) to each eye using a mirror stereoscope and asked human participants with autism and matched control subjects to continuously report which object they perceived, or whether they perceived a mixed percept. Individuals with autism demonstrated a slower rate of binocular rivalry alternations than matched control subjects, with longer durations of mixed percepts and an increased likelihood to revert to the previously perceived object when exiting a mixed percept. Critically, each of these findings was highly predictive of clinical measures of autistic symptomatology. Control "playback" experiments demonstrated that differences in neither response latencies nor response criteria could account for the atypical dynamics of binocular rivalry we observed in autistic spectrum conditions. Overall, these results may provide an index of atypical cortical dynamics that may underlie both the social and nonsocial symptoms of autism.


Assuntos
Transtorno Autístico/fisiopatologia , Visão Binocular , Percepção Visual , Adulto , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tempo de Reação , Córtex Visual/fisiopatologia
18.
Prim Care Respir J ; 23(1): 14-21, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24449016

RESUMO

BACKGROUND: Corresponding with the T helper cell type 1/T helper cell type 2 hypothesis, autoimmune and allergic diseases are considered pathologically distinct and mutually exclusive conditions. Co-occurrence of autoimmune disorders and allergy within patients, however, has been reported. Transgenerational co-occurrence of autoimmune and allergic disease has been less often described and may differ from the intra-patient results. AIMS: To test the hypothesis that autoimmune disorders in parents are a risk factor for the development of an allergic disease in their offspring. METHODS: Prospectively registered (by academic general practitioners) International Classifications of Primary Care (ICPC) for diagnoses of autoimmune disorders and allergy within families were evaluated (n=5,604 families) by performing multiple logistic regression analyses. RESULTS: The presence of any ICPC-encoded autoimmune disorder in fathers appeared to be associated with an increased risk in their eldest children of developing an allergy (odds ratio (OR) 1.4, 95% CI 1.042 to 1.794). Psoriasis in fathers was particularly shown to be of influence (OR 1.5, 95% CI 1.061 to 2.117) and, although any ICPC-encoded autoimmune disease in mothers was found not to be of significance, the combined international code for registering rheumatoid arthritis/ankylosing spondylitis in mothers was OR 1.7 (95% CI 1.031 to 2.852). CONCLUSIONS: The occurrence of ICPC-encoded autoimmune disorders in parents, especially psoriasis and rheumatoid arthritis/ankylosing spondylitis, significantly increases the occurrence of allergic disease in their children. After validation in follow-up research in a larger sample, these results may lead to the inclusion of 'parental autoimmune condition' as a risk factor in the general practitioner's diagnostics of allergic disease.


Assuntos
Doenças Autoimunes/genética , Hipersensibilidade/epidemiologia , Hipersensibilidade/genética , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Feminino , Medicina Geral , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Fatores de Risco , Adulto Jovem
19.
bioRxiv ; 2024 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-39386498

RESUMO

The hippocampus is thought to coordinate sensory-mnemonic information streams in the brain, representing both the apex of the visual processing hierarchy and the central hub of mnemonic processing. Yet, the mechanisms underlying sensory-mnemonic interactions in the hippocampus are poorly understood. Recent work in cortex suggests that a retinotopic code - typically thought to be exclusive to visual areas - may help organize internal and external information at the cortical apex via opponent interactions. Here, we leverage high-resolution 7T functional MRI to test whether a bivalent retinotopic code structures activity within the human hippocampus and mediates hippocampal-cortical interactions. In seven densely-sampled individuals, we defined the retinotopic preferences of individual voxels within the hippocampus and cortex during a visual mapping task, as well as their functional connectivity during independent runs of resting-state fixation. Our findings reveal a robust retinotopic code in the hippocampus, characterized by stable population receptive fields (pRFs) with consistent preferred visual field locations across experimental runs. Notably, this retinotopic code is comprised of roughly equal proportions of positive and negative pRFs, aligning with the hypothesized role of negative pRFs in mnemonic processing. Finally, the signed amplitude of hippocampal pRFs predicts functional connectivity between retinotopic hippocampal and cortical voxels. Taken together, these results suggest that retinotopic coding may scaffold internal mnemonic and external sensory information processing within the hippocampus, and across hippocampal-cortical interactions.

20.
bioRxiv ; 2024 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-39386717

RESUMO

How the human brain integrates internally-(i.e., mnemonic) and externally-oriented (i.e., perceptual) information is a long-standing puzzle in neuroscience. In particular, the internally-oriented networks like the default network (DN) and externally-oriented dorsal attention networks (dATNs) are thought to be globally competitive, which implies DN disengagement during cognitive states that drive the dATNs and vice versa. If these networks are globally opposed, how is internal and external information integrated across these networks? Here, using precision neuroimaging methods, we show that these internal/external networks are not as dissociated as traditionally thought. Using densely sampled high-resolution fMRI data, we defined individualized whole-brain networks from participants at rest, and the retinotopic preferences of individual voxels within these networks during an independent visual mapping task. We show that while the overall network activity between the DN and dATN is opponent at rest, a latent retinotopic code structures this global opponency. Specifically, the anti-correlation (i.e., global opponency) between the DN and dATN at rest is structured at the voxel-level by each voxel's retinotopic preferences, such that the spontaneous activity of voxels preferring similar visual field locations are more anti-correlated than those that prefer different visual field locations. Further, this retinotopic scaffold integrates with the domain-specific preferences of subregions within these networks, enabling efficient, parallel processing of retinotopic and domain-specific information. Thus, DN and dATN dynamics are opponent, but not competitive: voxel-scale anti-correlation between these networks preserves and encodes information in the negative BOLD responses, even in the absence of visual input or task demands. These findings suggest that retinotopic coding may serve as a fundamental organizing principle for brain-wide communication, providing a new framework for understanding how the brain balances and integrates internal cognition with external perception.

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