Prolactin receptor potentiates chemotherapy through miRNAs-induced G6PD/TKT inhibition in pancreatic cancer.

Pancreatic ductal adenocarcinoma (PDAC) is one of the most aggressive malignancies, with a notoriously dismal prognosis. As a competitive inhibitor of DNA synthesis, gemcitabine is the cornerstone drug for treating PDAC at all stages. The therapeutic effect of gemcitabine, however, is often hindered by drug resistance, and the underlying mechanisms remain largely unknown. It is unclear whether their response to chemotherapeutics is regulated by endocrine regulators, despite the association between PDAC risk and endocrine deregulation. Here, we show that prolactin receptor (PRLR) synergizes with gemcitabine in both in vitro and in vivo treatment of PDAC. Interestingly, PRLR promotes the expression of miR-4763-3p and miR-3663-5p, two novel miRNAs whose functions are unknown. Furthermore, the analysis of transcriptome sequencing data of tumors from lactating mouse models enriches the PPP pathway, a multifunctional metabolic pathway. In addition to providing energy, the PPP pathway mainly provides a variety of raw materials for anabolism. We demonstrate that two key enzymes of the pentose phosphate pathway (PPP), G6PD and TKT, are directly targeted by miR-4763-3p and miR-3663-5p. Notably, miR-4763-3p and miR-3663-5p diminish the nucleotide synthesis of the PPP pathway, thereby increasing gemcitabine sensitivity. As a result, PRLR harnesses these two miRNAs to suppress PPP and nucleotide synthesis, subsequently elevating the gemcitabine sensitivity of PDAC cells. Also, PDAC tissues and tumors from LSL-KrasG12D/+, LSL-Trp53R172H/+, and PDX1-cre (KPC) mice exhibit downregulation of PRLR. Bisulfite sequencing of PDAC tissues revealed that PRLR downregulation is due to epigenetic methylation. In this study, we show for the first time that the endocrine receptor PRLR improves the effects of gemcitabine by boosting two new miRNAs that block the PPP pathway and nucleotide synthesis by inhibiting two essential enzymes concurrently. The PRLR-miRNAs-PPP axis may serve as a possible therapeutic target to supplement chemotherapy advantages in PDAC.

Tactile Location Perception Encoded by Gamma-Band Power.

BACKGROUND: The perception of tactile-stimulation locations is an important function of the human somatosensory system during body movements and its interactions with the surroundings. Previous psychophysical and neurophysiological studies have focused on spatial location perception of the upper body. In this study, we recorded single-trial electroencephalography (EEG) responses evoked by four vibrotactile stimulators placed on the buttocks and thighs while the human subject was sitting in a chair with a cushion. METHODS: Briefly, 14 human subjects were instructed to sit in a chair for a duration of 1 h or 1 h and 45 min. Two types of cushions were tested with each subject: a foam cushion and an air-cell-based cushion dedicated for wheelchair users to alleviate tissue stress. Vibrotactile stimulations were applied to the sitting interface at the beginning and end of the sitting period. Somatosensory-evoked potentials were obtained using a 32-channel EEG. An artificial neural net was used to predict the tactile locations based on the evoked EEG power. RESULTS: We found that single-trial beta (13-30 Hz) and gamma (30-50 Hz) waves can best predict the tactor locations with an accuracy of up to 65%. Female subjects showed the highest performances, while males' sensitivity tended to degrade after the sitting period. A three-way ANOVA analysis indicated that the air-cell cushion maintained location sensitivity better than the foam cushion. CONCLUSION: Our finding shows that tactile location information is encoded in EEG responses and provides insights on the fundamental mechanisms of the tactile system, as well as applications in brain-computer interfaces that rely on tactile stimulation.

A Nutrient-Deficient Microenvironment Facilitates Ferroptosis Resistance via the FAM60A-PPAR Axis in Pancreatic Ductal Adenocarcinoma.

Ferroptosis, a nonapoptotic form of cell death, is an emerging potential therapeutic target for various diseases, including cancer. However, the role of ferroptosis in pancreatic cancer remains poorly understood. Pancreatic ductal adenocarcinoma (PDAC) is characterized by a poor prognosis and chemotherapy resistance, attributed to its high Kirsten rats arcomaviral oncogene homolog mutation rate and severe nutritional deficits resulting from a dense stroma. Several studies have linked rat sarcoma (RAS) mutations to ferroptosis, suggesting that inducing ferroptosis may be an effective strategy against oncogenic RAS-bearing tumors. We investigated the role of Family With Sequence Similarity 60 Member A (FAM60A) in this study, a protein closely associated with a poor prognosis and highly expressed in PDAC and tumor tissue from KrasG12D/+;Trp53R172H/+; Pdx1-Cre mice, in regulating ferroptosis, tumor growth, and gemcitabine sensitivity in vitro and in vivo. Our results demonstrate that FAM60A regulates 3 essential metabolic enzymes, ACSL1/4 and GPX4, to protect PDAC cells from ferroptosis. Furthermore, we found that YY1 transcriptionally regulates FAM60A expression by promoting its transcription, and the Hippo-YY1 pathway is restricted in the low-amino-acid milieu in the context of nutrient deprivation, leading to downstream suppression of peroxisome proliferator-activated receptor and ACSL1/4 and activation of GPX4 pathways. Importantly, FAM60A knockdown sensitized PDAC cells to gemcitabine treatment. A new understanding of FAM60A transcriptional regulation pattern in PDAC and its dual function in ferroptosis reliever and chemotherapy resistance is provided by our study. Targeting FAM60A may therefore offer a promising therapeutic approach for PDAC by simultaneously addressing 2 major features of the disease (high RAS mutation rate and tumor microenvironment nutrient deficiency) and preventing tumor cell metabolic adaptation.

Progesterone receptor potentiates macropinocytosis through CDC42 in pancreatic ductal adenocarcinoma.

Endocrine receptors play an essential role in tumor metabolic reprogramming and represent a promising therapeutic avenue in pancreatic ductal adenocarcinoma (PDAC). PDAC is characterized by a nutrient-deprived microenvironment. To meet their ascendant energy demands, cancer cells can internalize extracellular proteins via macropinocytosis. However, the roles of endocrine receptors in macropinocytosis are not clear. In this study, we found that progesterone receptor (PGR), a steroid-responsive nuclear receptor, is highly expressed in PDAC tissues obtained from both patients and transgenic LSL-KrasG12D/+; LSL-Trp53R172H/+; PDX1-cre (KPC) mice. Moreover, PGR knockdown restrained PDAC cell survival and tumor growth both in vitro and in vivo. Genetic and pharmacological PGR inhibition resulted in a marked attenuation of macropinocytosis in PDAC cells and subcutaneous tumor models, indicating the involvement of this receptor in macropinocytosis regulation. Mechanistically, PGR upregulated CDC42, a critical regulator in macropinocytosis, through PGR-mediated transcriptional activation. These data deepen the understanding of how the endocrine system influences tumor progression via a non-classical pathway and provide a novel therapeutic option for patients with PDAC.

Competing Visual Cues Revealed by Electroencephalography: Sensitivity to Motion Speed and Direction.

Motion speed and direction are two fundamental cues for the mammalian visual system. Neurons in various places of the neocortex show tuning properties in term of firing frequency to both speed and direction. The present study applied a 32-channel electroencephalograph (EEG) system to 13 human subjects while they were observing a single object moving with different speeds in various directions from the center of view to the periphery on a computer monitor. Depending on the experimental condition, the subjects were either required to fix their gaze at the center of the monitor while the object was moving or to track the movement with their gaze; eye-tracking glasses were used to ensure that they followed instructions. In each trial, motion speed and direction varied randomly and independently, forming two competing visual features. EEG signal classification was performed for each cue separately (e.g., 11 speed values or 11 directions), regardless of variations in the other cue. Under the eye-fixed condition, multiple subjects showed distinct preferences to motion direction over speed; however, two outliers showed superb sensitivity to speed. Under the eye-tracking condition, in which the EEG signals presumably contained ocular movement signals, all subjects showed predominantly better classification for motion direction. There was a trend that speed and direction were encoded by different electrode sites. Since EEG is a noninvasive and portable approach suitable for brain-computer interfaces (BCIs), this study provides insights on fundamental knowledge of the visual system as well as BCI applications based on visual stimulation.

Hematological and Neurological Expressed 1 Promotes Tumor Progression Through mTOR Signaling in Ovarian Cancer.

Ovarian cancer (OV) is a highly aggressive malignancy with poor prognosis due to recurrence and drug resistance. Therefore, it is imperative to investigate the key molecular mechanisms underlying OV progression in order to develop promising diagnostic and therapeutic interventions. Although the importance of hematological and neurological expressed 1 (HN1) protein in hemopoietic cell and neurological development has been well-established, its function in cancer, particularly in OV, remains uncertain. In this study, we compared the expression of HN1 in ovarian cancers and para-tumor tissues and predicted potential related signaling pathways through enrichment analysis. In order to confirm the role of HN1 in vitro and vivo, we carried out a variety of experiments including bioinformation analysis, colony formation, flow cytometry analysis, and subcutaneous tumor models. The results demonstrated that HN1 was upregulated in OV and was negatively associated with clinical prognosis. Moreover, we observed that HN1 enhances cell proliferation, migration, and drug resistance, while suppressing apoptosis in OV cells. Notably, we discovered that HN1 functions as a novel regulator of mTOR pathways. Our findings suggest that HN1-mediated mTOR regulation facilitates OV advancement and targeting HN1 could provide a promising therapeutic approach for clinical OV treatment.

Localizing concurrent sound sources with binaural microphones: A simulation study.

The human auditory system can localize multiple sound sources using time, intensity, and frequency cues in the sound received by the two ears. Being able to spatially segregate the sources helps perception in a challenging condition when multiple sounds coexist. This study used model simulations to explore an algorithm for localizing multiple sources in azimuth with binaural (i.e., two) microphones. The algorithm relies on the "sparseness" property of daily signals in the time-frequency domain, and sound coming from different locations carrying unique spatial features will form clusters. Based on an interaural normalization procedure, the model generated spiral patterns for sound sources in the frontal hemifield. The model itself was created using broadband noise for better accuracy, because speech typically has sporadic energy at high frequencies. The model at an arbitrary frequency can be used to predict locations of speech and music that occurred alone or concurrently, and a classification algorithm was applied to measure the localization error. Under anechoic conditions, averaged errors in azimuth increased from 4.5° to 19° with RMS errors ranging from 6.4° to 26.7° as model frequency increased from 300 to 3000 Hz. The low-frequency model performance using short speech sound was notably better than the generalized cross-correlation model. Two types of room reverberations were then introduced to simulate difficult listening conditions. Model performance under reverberation was more resilient at low frequencies than at high frequencies. Overall, our study presented a spiral model for rapidly predicting horizontal locations of concurrent sound that is suitable for real-world scenarios.

Diet-Induced Obesity Promotes Liver Metastasis of Pancreatic Ductal Adenocarcinoma via CX3CL1/CX3CR1 Axis.

Pancreatic ductal adenocarcinoma (PDAC) is one of the most aggressive cancers, and the patients are generally diagnosed with distant metastasis. Liver is one of the preferred organs of distant metastasis, and liver metastasis is the leading cause of death in PDAC. Diet-induced obesity (DIO) is a risk factor for PDAC, and it remains unclear whether and how DIO contributes to liver metastasis of PDAC. In our study, we found that DIO significantly promoted PDAC liver metastasis compared with normal diet (ND) in intrasplenic injection mouse model. RNA-seq analysis for liver metastasis nodules showed that the various chemokines and several chemokine receptors were altered between ND and DIO samples. The expression levels of CX3CL1 and CX3CR1 were significantly upregulated in DIO-induced liver metastasis of PDAC compared to ND. Increased CX3CL1 promoted the recruitment of CX3CR1-expressing pancreatic tumor cells. Taken together, our data demonstrated that DIO promoted PDAC liver metastasis via CX3CL1/CX3CR1 axis.

3D finite-element modeling of air-cell-based cushions and buttock tissues during prolonged sitting.

INTRODUCTION: Prolonged sitting can lead to serious health issues. Patients with spinal cord injuries may even develop pressure ulcers as stress accumulates on the ischial tuberosity. Air-cell-based (ACB) cushions have been shown to reduce tissue stress and help mitigate the effects of chronic sitting. Meanwhile, finite-element simulations have been implemented for different patient conditions. However, existing models are mostly two-dimensional with unrealistic simplifications. METHODS: A realistic three-dimensional multi-physics model with fewer artificial assumptions is presented. A commercial ACB cushion and an emulational buttock consisting of an actual hip bone and soft tissue (muscle, fat, and skin layers) were considered. Computational Fluid Dynamics and Transient Structural Analysis using ANSYS were utilized to simulate the ACB cushion during expansion and buttock tissue during sitting. RESULTS: Profile of airflow and pressure distributions caused by the airflow within the ACB cushion were computed when the air was pumped into the cells. Expansion of the ACB cushion was simulated, and an optimal inner pressure range (100-500 Pa) was determined. The human buttock sitting on the cushion was then simulated and visualized. CONCLUSIONS: The realistic three-dimensional model can accurately capture deformation and stress profiles pertinent to sitting on an ACB cushion. The model allows us to optimize the ACB cushions and operating conditions missing in previous studies. The model has also resolved several weaknesses in former models, such as the artificial air layers between air cells and unrealistically imposed internal pressure.

A low amino acid environment promotes cell macropinocytosis through the YY1-FGD6 axis in Ras-mutant pancreatic ductal adenocarcinoma.

Pancreatic ductal adenocarcinoma (PDAC), cancer with a high mortality rate and the highest rate of KRAS mutation, reportedly internalizes proteins via macropinocytosis to adapt to low amino acid levels in the tumor microenvironment. Here, we aimed to identify a key regulator of macropinocytosis for the survival of tumor cells in a low amino acid environment in PDAC. FYVE, RhoGEF, and PH domain-containing protein 6 (FGD6) were identified as key regulators of macropinocytosis. FGD6 promoted PDAC cell proliferation, macropinocytosis, and tumor growth both in vitro and in vivo. The macropinocytosis level was decreased with FGD6 knockdown in PDAC cell lines. Moreover, FGD6 promoted macropinocytosis by participating in the trans-Golgi network and enhancing the membrane localization of growth factor receptors, especially the TGF-beta receptor. TGF-beta enhanced macropinocytosis in PDAC cells. Additionally, YAP nuclear translocation induced by a low amino acid tumor environment initiated FGD6 expression by coactivation with YY1. Clinical data analysis based on TCGA and GEO datasets showed that FGD6 expression was upregulated in PDAC tissue, and high FGD6 expression was correlated with poor prognosis in patients with PDAC. In tumor tissue from KrasG12D/+/Trp53R172H/-/Pdx1-Cre (KPC) mice, FGD6 expression escalated during PDAC development. Our results uncover a previously unappreciated mechanism of macropinocytosis in PDAC. Strategies to target FGD6 and growth factors membrane localization might be developed for the treatment of PDAC.

Speech Perception with Noise Vocoding and Background Noise: An EEG and Behavioral Study.

This study explored the physiological response of the human brain to degraded speech syllables. The degradation was introduced using noise vocoding and/or background noise. The goal was to identify physiological features of auditory-evoked potentials (AEPs) that may explain speech intelligibility. Ten human subjects with normal hearing participated in syllable-detection tasks, while their AEPs were recorded with 32-channel electroencephalography. Subjects were presented with six syllables in the form of consonant-vowel-consonant or vowel-consonant-vowel. Noise vocoding with 22 or 4 frequency channels was applied to the syllables. When examining the peak heights in the AEPs (P1, N1, and P2), vocoding alone showed no consistent effect. P1 was not consistently reduced by background noise, N1 was sometimes reduced by noise, and P2 was almost always highly reduced. Two other physiological metrics were examined: (1) classification accuracy of the syllables based on AEPs, which indicated whether AEPs were distinguishable for different syllables, and (2) cross-condition correlation of AEPs (rcc) between the clean and degraded speech, which indicated the brain's ability to extract speech-related features and suppress response to noise. Both metrics decreased with degraded speech quality. We further tested if the two metrics can explain cross-subject variations in their behavioral performance. A significant correlation existed for rcc, as well as classification based on early AEPs, in the fronto-central areas. Because rcc indicates similarities between clean and degraded speech, our finding suggests that high speech intelligibility may be a result of the brain's ability to ignore noise in the sound carrier and/or background.

Two novel lead-based coordination polymers for luminescence sensing of anions, cations and small organic molecules.

Two novel lead-based coordination polymers, namely [Pb(cbdcp)]·0.5H2O·0.5CH3OH (1) and [Pb(cbdcp)] (2), have been solvothermally constructed by using a zwitterionic ligand 4-carboxy-1-(3,4-dicarboxy-benzyl)-pyridinium chloride (abbreviated as H3cbdcpCl). Compound 1 has a three-dimensional framework displaying a valence-bonded SrAl2 topology with the 42·63·8 symbol, while compound 2 has a two-dimensional sheet structure that can be simplified into a three-dimensional ππ interaction-connected topology with the {44·62}2{48·615·85} symbol. Notably, compound 1 proved to be a promising potential luminescent sensor capable of selectively detecting anions, cations and small organic molecules, especially Cr2O72-, CrO42-, Fe3+ and nitrobenzene.

Spectral and Temporal Envelope Cues for Human and Automatic Speech Recognition in Noise.

Acoustic features of speech include various spectral and temporal cues. It is known that temporal envelope plays a critical role for speech recognition by human listeners, while automated speech recognition (ASR) heavily relies on spectral analysis. This study compared sentence-recognition scores of humans and an ASR software, Dragon, when spectral and temporal-envelope cues were manipulated in background noise. Temporal fine structure of meaningful sentences was reduced by noise or tone vocoders. Three types of background noise were introduced: a white noise, a time-reversed multi-talker noise, and a fake-formant noise. Spectral information was manipulated by changing the number of frequency channels. With a 20-dB signal-to-noise ratio (SNR) and four vocoding channels, white noise had a stronger disruptive effect than the fake-formant noise. The same observation with 22 channels was made when SNR was lowered to 0 dB. In contrast, ASR was unable to function with four vocoding channels even with a 20-dB SNR. Its performance was least affected by white noise and most affected by the fake-formant noise. Increasing the number of channels, which improved the spectral resolution, generated non-monotonic behaviors for the ASR with white noise but not with colored noise. The ASR also showed highly improved performance with tone vocoders. It is possible that fake-formant noise affected the software's performance by disrupting spectral cues, whereas white noise affected performance by compromising speech segmentation. Overall, these results suggest that human listeners and ASR utilize different listening strategies in noise.

Design and verification of 5-channel 1.5T knee joint receiving coil based on wearable technology.

BACKGROUND: Over the past 20 years, magnetic resonance receiving coil technology has developed rapidly. The traditional, commercial knee joint coil has a fixed mechanical structure. To meet the imaging needs of most patients, it is necessary to ensure that the mechanical geometry of the coil is as large as possible. Therefore, different quality images can be obtained by filling coefficients under loads of knees of different sizes. Lufkin et al. [1] have demonstrated that the signal-to-noise ratio (SNR) of coil imaging is directly proportional to its filling coefficient, which is S/N≈QL*η. Thus, the pursuit of an optimal coil filling coefficient is an important way to improve the coil imaging quality. OBJECTIVE: This study combines wearable concepts and coil development techniques and applies flexible and elastic materials to coil designs. METHODS: We used an elastic material instead of the traditional fixed mechanical structure to develop a 1.5T 5-channel knee joint receiving coil that can be attached to knee joints of different sizes within a certain range, allowing the coil to achieve a maximum filling coefficient under the loads of knees of different sizes. RESULTS: Compared to commercial 8-channel knee coils, the phantom test and clinical knee joint imaging demonstrated that the SNR of the developed coil increased by four times in the shallow layer and two times in the deep layer, under different load conditions. CONCLUSION: This high SNR performance demonstrates potential for the realization of high resolution and fast imaging sequences in knee imaging.

Effectiveness of neuromuscular electrical stimulation therapy in patients with urinary incontinence after stroke: A randomized sham controlled trial.

BACKGROUND: This study aimed to evaluate the effectiveness of neuromuscular electrical stimulation (NMES) therapy in patients with urinary incontinence after stroke (UIAS). METHODS: A total of 82 patients with UIAS were randomly assigned to 2 groups that received NMES therapy (NMES group) or sham NMES (sham group) for 10 weeks. The primary efficacy endpoints were measured by urodynamic values, and Overactive Bladder Symptom Score (OABSS). The secondary efficacy endpoints were assessed by International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) score, Barthel Index (BI) scale, and adverse events. All outcomes were evaluated at baseline and at the end of 10 weeks treatment. RESULTS: After 10-week treatment, the patients received NMES therapy showed better efficacy in primary endpoints of urodynamic values (P <.01) and OABSS (P <.01), and secondary endpoints of ICIQ-SF (P <.01) and BI (P <.01), compared with patients who underwent sham NMES. No adverse events were recorded in both groups. CONCLUSIONS: In summary, we demonstrated that 10 weeks of NMES therapy was efficacious in patients with UIAS.

Extremely stable europium-organic framework for luminescent sensing of Cr2O72- and Fe3+ in aqueous systems.

Three novel 3D lanthanide-organic frameworks, namely [Ln2L(1,3-bdc)3]·5H2O (Ln: Eu, Sm and Dy), with a 412·63 topology based on a zwitterionic ligand, 4-bis(4-carboxylatopyridinium-1-methylene)benzene dichloride (H2LCl2), and 1,3-benzene dicarboxylic acid (1,3-H2bdc) have been synthesized hydrothermally. Notably, the Ln-MOFs are extremely stable in an aqueous system and are capable of resisting acids or bases over a wide pH range from 3 to 11. Meanwhile, an Eu-MOF is further proven to be a promising dual sensor in an aqueous system toward Cr2O72- and Fe3+.

Anti-Inflammatory Effects of Fargesin on Chemically Induced Inflammatory Bowel Disease in Mice.

Fargesin is a bioactive lignan from Flos Magnoliae, an herb widely used in the treatment of allergic rhinitis, sinusitis, and headache in Asia. We sought to investigate whether fargesin ameliorates experimental inflammatory bowel disease (IBD) in mice. Oral administration of fargesin significantly attenuated the symptoms of dextran sulfate sodium (DSS)-induced colitis in mice by decreasing the inflammatory infiltration and myeloperoxidase (MPO) activity, reducing tumor necrosis factor (TNF)-α secretion, and inhibiting nitric oxide (NO) production in colitis mice. The degradation of inhibitory κBα (IκBα), phosphorylation of p65, and mRNA expression of nuclear factor κB (NF-κB) target genes were inhibited by fargesin treatment in the colon of the colitis mice. In vitro, fargesin blocked the nuclear translocation of p-p65, downregulated the protein levels of inducible NO synthase (iNOS) and cyclooxygenase-2 (COX-2), and dose-dependently inhibited the activity of NF-κB-luciferase in lipopolysaccharide (LPS)-stimulated RAW264.7 macrophages. Taken together, for the first time, the current study demonstrated the anti-inflammatory effects of fargesin on chemically induced IBD might be associated with NF-κB signaling suppression. The findings may contribute to the development of therapies for human IBD by using fargesin or its derivatives.

Effects of Tai Chi on balance and gait in stroke survivors: A systematic meta-analysis of randomized controlled trials.

OBJECTIVE: To investigate the effects of tai chi on balance and gait in stroke survivors. METHODS: A systematic meta-analysis of randomized controlled trials on the effects of tai chi on balance and gait in stroke survivors. RESULTS: Five randomized controlled trials, with a total of 346 patients, were included in the meta-analysis. All of these studies had a high bias based on the Cochrane Collaboration recommendation, and a relatively small sample size. In the pooled analysis, the tai chi group exhibited a significantly better gait ability than the control group, as evaluated with the Timed Up and Go (TUG) test and Short Physical Performance Battery (SPPB) (-0.26 [-0.50 to -0.03], p = 0.027; I2=0%, p = 0.682), but no significant difference in dynamic standing balance scores was found between tai chi and control groups (0.154 [-0.269 to 0.578], p = 0.475; I2=26.6%, p = 0.256). CONCLUSION: Tai chi may be beneficial for stroke survivors with respect to gait ability in the short term, but further large, long-term randomized controlled trials with standard evaluation indicators are needed to confirm this conclusion.

Observation of modified fornix-based approach for minimal incision surgery in the treatment of children with the horizontal strabismus / 眼科新进展

Objective To evaluate the modified foruix-based technique with Guyton hook as an approach for the treatment of children with horizontal strabismus.Methods The clinical data of 128 patients (170 eyes) who underwent horizontal strabismus surgery between January 2014 and June 2017 were retrospectively reviewed,including 60 males and 68 females.The mean age was 1.5-17.0 (6.5 ± 1.6) years.All procedures under general anesthesia were performed using the modified fornix-based conjunctival incision with Guyton hook,and the follow-up period was 6 to 12 months.The clinical and cosmetic outcomes of strabismus surgery,the complications and interventions related to the incision were assessed.Results At 3 months after surgery,orthophoria with excellent cosmetics was achieved in 119 patients (93％) with the deviation ≤ ± 10△.Together 102 eyes (60％) had no intraoperative suture.Moreover,the incision was sutured with one stitch in 45 eye (26.5％),in 20 (11.8％) with 2 stitches,and in 3 (1.8％) with 3 stitches.During the follow up period,there was no severe intraoperative or postoperative complications.The swelling and redness of conjunctiva recovered quickly.Patients' discomfort was alleviated in a few days after the surgery.No oblivious scarring was found along the incision lines.Conclusion The modified fornix-based approach with Guyton hook is an effective and safe method for minimal incision surgery in children with horizontal strabis.

Decoding spatial attention with EEG and virtual acoustic space.

Decoding spatial attention based on brain signals has wide applications in brain-computer interface (BCI). Previous BCI systems mostly relied on visual patterns or auditory stimulation (e.g., loudspeakers) to evoke synchronous brain signals. There would be difficulties to cover a large range of spatial locations with such a stimulation protocol. The present study explored the possibility of using virtual acoustic space and a visual-auditory matching paradigm to overcome this issue. The technique has the flexibility of generating sound stimulation from virtually any spatial location. Brain signals of eight human subjects were obtained with a 32-channel Electroencephalogram (EEG). Two amplitude-modulated noise or speech sentences carrying distinct spatial information were presented concurrently. Each sound source was tagged with a unique modulation phase so that the phase of the recorded EEG signals indicated the sound being attended to. The phase-tagged sound was further filtered with head-related transfer functions to create the sense of virtual space. Subjects were required to pay attention to the sound source that best matched the location of a visual target. For all the subjects, the phase of a single sound could be accurately reflected over the majority of electrodes based on EEG responses of 90 s or less. The electrodes providing significant decoding performance on auditory attention were fewer and may require longer EEG responses. The reliability and efficiency of decoding with a single electrode varied with subjects. Overall, the virtual acoustic space protocol has the potential of being used in practical BCI systems.