Evaluating mental chronometry as a quantitative measure of information processing in early childhood autism.

OBJECTIVES: Mental chronometry is the scientific study of cognitive processing speed measured by reaction time (RT), which is the elapsed time between the onset of a stimulus and an individual's response. This study aims at measuring the RT among young children with autism spectrum disorders (ASD) and comparing it with normal (typically developing) children. METHODS: 60 ASD children were selected from different ASD centers, and 60 normal children were selected from different kindergartens for participation in this study. Participants were aged 3-6 years old. The RT was measured using the Fitlight trainer device. The findings were statistically evaluated using independent t-tests and ANOVA tests. RESULT: Significant differences (p < 0.0001) were found between both groups in all tasks, and ASD children demonstrated slower RT compared to the normal group. The RT measured through three senses (visual, auditory, and touch) for ASD and normal were 3.64 ± 2.16, 13.19 ± 2.41(trial), 1835.23 ± 757.95, 697.12 ± 87.83 (second), and 1550.89 ± 499.76, 752.67 ± 124.02 (second) respectively. CONCLUSION: The evaluated RT showed significant impairment in RT among ASD in comparison to normal children and this was true for the three senses. The Fitlight trainer could be used to assess RT and stimulus-response among ASD children in various cognitive tasks. Similar studies, involving larger samples from different areas and involving other sense organs, are indicated to confirm the results.

Disturbances in Electrodermal Activity Recordings Due to Different Noises in the Environment.

Electrodermal activity (EDA) is a widely used psychophysiological measurement in laboratory-based studies. In recent times, these measurements have seen a transfer from the laboratory to wearable devices due to the simplicity of EDA measurement as well as modern electronics. However, proper conditions for EDA measurement are recommended once wearable devices are used, and the ambient conditions may influence such measurements. It is not completely known how different types of ambient noise impact EDA measurement and how this translates to wearable EDA measurement. Therefore, this study explored the effects of various noise disturbances on the generation of EDA responses using a system for the simultaneous recording of all measures of EDA, i.e., skin conductance responses (SCRs), skin susceptance responses (SSRs), and skin potential responses (SPRs), at the same skin site. The SCRs, SSRs, and SPRs due to five types of noise stimuli at different sound pressure levels (70, 75, 80, 85, and 90 dB) were measured from 40 participants. The obtained results showed that EDA responses were generated at all levels and that the EDA response magnitudes were significantly (p < 0.001) influenced by the increasing noise levels. Different types of environmental noise may elicit EDA responses and influence wearable recordings outside the laboratory, where such noises are more likely than in standardized laboratory tests. Depending on the application, it is recommended to prevent these types of unwanted variation, presenting a challenge for the quality of wearable EDA measurement in real-world conditions. Future developments to shorten the quality gap between standardized laboratory-based and wearable EDA measurements may include adding microphone sensors and algorithms to detect, classify, and process the noise-related EDA.

Evaluation of the effect of several moisturizing creams using the low frequency electrical susceptance approach.

Moisturizers are cosmetic compounds designed to increase the moisture content of the skin. There are many types of these products in the market making it difficult for consumers to select the most effective moisturizer according to their age and gender. Hence, the aim of this study was to evaluate the effects of different moisturizers on skin hydration as well as to figure out any dependencies of the effects of these products on age or gender-related differences. We investigated the short-term moisturizing effects of five different skin moisturizers on 60 participants by using a low frequency electrical instrument. Skin surface susceptance was recorded and compared before and after the application of moisturizers. Statistically significant differences were observed in the moisturizing effect among different types of products. However, with respect to gender and age differences, there were insignificant differences in the effects of the moisturizers. Results of this study suggest that some types of moisturizers that exist in the markets are not as effective as required, which calls for a further evaluation of the moisturizers before entering markets and offering them for sale. In addition, findings suggest that gender or age differences are perhaps not important to consider in the application of moisturizers.

Serum Interleukin-19 Levels in Acne Vulgaris Patients of Varying Clinical Severity in Erbil City.

Background Acne vulgaris (AV) is a common multifactorial disorder affecting the pilosebaceous units. Research has shown that inflammation plays a crucial role in the pathogenesis of AV, including both inflammatory and non-inflammatory acne. Several studies have linked proinflammatory cytokines to AV; however, only a few have explored the correlation between interleukin-19 (IL-19) and AV. Our aim is to estimate the level of IL-19 in patients with AV compared to matched controls and to investigate the role of IL-19 in the pathogenesis of acne.  Materials and methods This prospective cross-sectional case and control study includes 80 patients and 40 matched controls. Patients were divided into mild (20), moderate (40), and severe (20) groups based on their global acne score severity index. Detailed history and complete general and dermatological examinations were taken from each patient. Furthermore, 5 ml of blood was taken from all participants to assess the level of IL-19. Results IL-19 levels were significantly higher in patients with AV compared to matched controls. Furthermore, IL-19 concentrations were found to be proportional to the severity of acne, with the highest levels detected in patients with severe AV (p-value <0.005). Conclusion IL-19 levels in AV were significantly higher than in matched control. The difference was proportional to its severity. This might indicate IL-19 as an inflammatory marker and could potentially be related to AV.

The Five Basic Human Senses Evoke Electrodermal Activity.

Electrodermal activity (EDA) usually relates to variations in the electrical properties of palmar or plantar skin sites. EDA responses, namely skin conductance responses (SCRs), skin potential responses (SPRs) and skin susceptance responses (SSRs) are shown to be sensitive indexes of sympathetic nervous system activation and are studied in many research projects. However, the association between EDA responses and the five basic human senses has not been investigated yet. Our study aimed to explore the relationship between the three EDA responses (SCRs, SSRs and SPRs) and the five basic human senses. These three EDA responses were measured simultaneously at the same skin site on each of the 38 volunteers. The tested five senses were sight, hearing, touch, taste and smell. The results showed that the different tested senses led to different degrees of EDA responses due to activation of the sympathetic nervous system and corresponding secretion of sweat. Although a controlled study on the degree of EDA as a function of the strength of each stimulus was not performed, we noted that the largest EDA responses were typically associated with the smell sense test. We conclude that EDA responses could be utilized as measures for examining the sensitivity of the human senses. Hence, EDA devices may have important roles in sensory systems for future clinical applications.

Monitoring the Skin Biophysical Parameters Among Coronavirus Patients for Three Days in a Row: a Preliminary Study.

The coronavirus epidemic 2019 is spreading all over the world now. Several parameters are used to monitor the status of hospitalized patients; however, monitoring variations in biophysical properties of the skin has not been investigated yet. In this preliminary study, we seek to monitor skin biophysical parameters among coronavirus patients for three days in a row. Skin moisture, pH, sebum, and temperature during the three days were monitored in 30 coronavirus patients by using non-invasive portable instruments. Skin biophysical parameters were increased on the third day of monitoring compared to the first one. In addition, the increase in both skin moisture and temperature were statistically significant. According to the results of this preliminary study, skin biophysical parameters changed (increased) during the specified period in which the patients were monitored. However, changes in skin sebum content and pH were not significant. These skin parameters need to be further investigated until we know their indication ability for the health condition of coronavirus patients in clinical applications.

Influence of ambient temperature on tonic and phasic electrodermal activity components.

Objective.Electrodermal activity (EDA) is a reliable indicator for variations in the skin electrical properties attributed to sympathetic nerve system activity. EDA recordings can be influenced by various internal and external factors including environmental ones. Ambient temperature can be considered as one of the possible factors which might influence EDA recordings. Hence, this study aimed to precisely investigate influence of ambient temperature on tonic and phasic EDA components by employing a new EDA measurement technique, which depends on simultaneously recording of several EDA parameters.Approach.Tonic and phasic EDA components during three different ambient temperature levels were recorded from 36 healthy participants. In addition, for evoking electrodermal responses, participants were exposed to cognitive, visual and breathing external stimuli.Main results.Significant effects of temperature on tonic skin conductance (SC), skin susceptance (SS) and skin potential (SP) were obtained, whereas such significant effects were not observed with phasic SC, SS and SP. Tonic EDA parameters were increased as a function of temperature, but changes in phasic component were fluctuating.Significance.This should mean that, keeping recording of tonic EDA component in normal room temperature is highly crucial, but for recording or analysis of phasic component it is not important as they are more robust in this context. This is important in applications of EDA instruments, particularly in wearable devices where environmental temperature typically cannot be controlled.

The correlations among the skin conductance features responding to physiological stress stimuli.

BACKGROUND/AIM: The skin conductance responses (SCRs) are a well-accepted indicator of physiological arousal for both research purposes and clinical approaches. The shape of SCRs is analyzed by various features. However, the estimation of how much (in %) one feature can explain another is still an open issue. The aim of this study was to assess whether variation in one SCR feature predicts changes in other features. METHODS: Skin conductance (SC) was measured during relaxation and mental stress in 40 subjects. SCRs were induced by three external stimuli, which were deep breath, a mental arithmetic, task and a visual task. RESULTS: The findings of this study showed that about 55% (R2  = 0.55) of the variation in the half recovery time (SCRs_rec 50%) can be explained by the rise time (SCRs_ris), whereas variation in amplitude of the skin conductance responses (SCRs_amp) and the skin conductance level (SCL) is independent and cannot be explained by the other features, as R2 values obtained from all analyses among these SCR features in average were lower 0.19. CONCLUSIONS: The study results suggest that the two timing phases (SCRs_rec and SCRs_ris) are not completely independent from each other, although they might be governed by different sweating mechanisms (secretion and reabsorption). However, SCRs_amp and SCL were independent. These findings can help in choosing the optimal set of features of an automated system for processing EDA, which reflect the alterations in the activation level generated during an emotional episode.

Using Q-methodology to understand the perspectives and practical experiences of dermatologists about treatment difficulties of cutaneous leishmaniasis.

BACKGROUND: During the outbreak of cutaneous leishmaniasis in the Kurdistan Region of Iraq that started in 2015, the course of the disease and the treatment were not consistent with the available literature. Physicians, particularly dermatologists, faced challenges with treating the cutaneous leishmaniasis lesions with high rates of treatment failure and resistance to treatment. We used Q-methodology to understand the range and diversities of opinions and the practical experiences of dermatologists about the treatment difficulties of cutaneous leishmaniasis. METHODS: This Q-methodology study was carried out in Erbil, Kurdistan Region of Iraq, and involved 37 dermatologists. A set of 40 statements related to different aspects of difficulties and uncertainties of treating cutaneous leishmaniasis was prepared. The dermatologists were requested to distribute the 40 statements into a scaled grid of nine piles from least agree to most agree. We applied by-person factor analysis using PQMethod 2.35 for the data analysis. RESULTS: The analysis revealed two different viewpoints about the treatment of cutaneous leishmaniasis and a consensus viewpoint. The first viewpoint emphasized the use of sodium stibogluconate-based combination therapy, concerns with treatment failure, and lack of compliance with the treatment. The second viewpoint emphasized the lack of standard treatment and advances in the treatment of cutaneous leishmaniasis. There was a consensus between both groups of respondents about many aspects of the treatment of cutaneous leishmaniasis, including considering sodium stibogluconate the first drug of choice for cutaneous leishmaniasis treatment. CONCLUSIONS: This study revealed a diversity of viewpoints and uncertainties about the effectiveness of the available treatment modalities and treatment difficulties and failure. Interrupted supply and poor quality of the available drugs and lack of a standard and advanced treatment are the main problems facing the treatment of cutaneous leishmaniasis. More research is required to determine the best treatment modalities for the different types of cutaneous leishmaniasis. There is a need for the development of treatment guidelines specific to the Iraqi context with a particular focus on the treatment of the resistant and atypical cases of cutaneous leishmaniasis.

Simultaneous measurement of electrodermal activity components correlated with age-related differences.

Electrodermal activity (EDA) measurements are influenced by various factors. Age-related psychological and physiological changes may be considered as one of the possible factors which may influence EDA measurements. In order to properly investigate the effects of such factors on EDA, techniques of precisely and simultaneously recording more than one EDA parameter are recommended. This study aims to explore the impact of age-related differences on EDA components through employing a new measuring technique, which is composed of a small front-end electronic box, DAQ card, and a laptop running LabVIEW software. It is dependent on the simultaneous recording of three EDA parameters: skin conductance (SC), skin potential (SP), and skin susceptance (SS) at the same skin site. EDA components as results of breathing, mathematical tasks, and image stimuli were recorded from 60 healthy participants simultaneously at the same skin site. They were categorized by age into young adults (ages 18-25), middle-aged adults (ages 30-40), and old adults (ages 50-70) years. It was found that skin potential responses (SPRs), and skin conductance level (SCL) (p < 0.001), were significantly decreased due to aging, but changes in other EDA parameters were nonsignificant (p > 0.05). Moreover, both tonic and phasic SS were the least affected and found to be more robust than SC and SP with respect to aging. The study suggests that it is important to take age into account in research studies where the mean aim of the study is to compare EDA parameters; however, in the meantime, the results from our small number and specific study population cannot be generalized to clinical applications.

Psychological Correlates of Nonspecific Electrodermal Responses.

Spontaneous fluctuations in electrodermal responses are known as nonspecific electrodermal responses (NS.EDRs). The use of NS.EDRs as a tool in applied psychophysiological research has resulted in a variety of publications. NS.EDRs are examined separately as associated with the (as a biomarker of) levels of anxiety. The aim of this study was to compare changes (in terms of amplitude, frequency and time components) in NS.EDRs at two different (pre and post of an external stimulus) resting phases. NS.EDRs (nonspecific skin conductance responses (NS.SCRs), nonspecific skin potential responses (NS.SPRs), and nonspecific skin susceptance responses (NS.SSRs)) were recorded from 50 apparently healthy volunteers simultaneously at the same skin area. They were scored as NS.SCRs and NS.SSRs for changes greater than 0.02 µS and NS.SPRs greater than 0.02 mV. It was found that NS.EDRs, in particular NS.SCRs and NS.SPRs, were significantly changed in the second resting period, following the specific stimulus. More specifically, the amplitude of NS.EDRs were significantly decreased for NS.SCRs (p<0.001) and for NS.SPRs (p<0.005), but NS.SSRs remained stable. Moreover, the rise time of NS.SCRs was decreased in the second resting time. Furthermore, the frequency of responses was also changed. The computed NS.EDRs, in particular NS.SCRs and NS.SPRs could be of psychological interest and be used to study the electrodermal responses in detail. NS.SSRs were found to be robust with respect to nonspecific stimuli at various relaxation periods and their role was found to be less important in analysis of NS.EDRs in comparison to NS.SCRs and NS.SPRs at low frequency (20 Hz AC current). This should be considered in analysis of NS.EDRs. The computed NS.EDRs, especially NS.SCRs and NS.SPRs may be used as a useful measure of arousal due to their fast response and sensitivity to nonspecific stimuli and may also be used in assessment of individual differences.

A Circuit for Simultaneous Measurements of Skin Electrical Conductance, Susceptance, and Potential.

A circuit is presented that enables measurement of skin electrical conductance, susceptance, and potential simultaneously beneath the same monopolar electrode. Example measurements are shown to confirm the function of the circuit. The measurements are also in accordance with earlier findings that changes in skin conductance and potential do not always correspond and hence contain unique information.

Influence of Relative Humidity on Electrodermal Levels and Responses.

BACKGROUND/AIM: Electrodermal activity (EDA) is a widely used measure in psychophysiological research, and its use in wearable devices has grown in recent times. It is recommended to have proper conditions for EDA measurement, and skin hydration is one factor that has a significant influence. It is, however, not known to what extent the ambient humidity influences the recording. This study explored the influence of relative humidity (RH) on EDA levels, and also the responses using a new technique for simultaneous recording of all measures of EDA: skin conductance (SC), skin susceptance (SS), and skin potential (SP) at the same skin site. METHODS: A total of 10 healthy subjects were exposed to environments of low and high RH while EDA measures were recorded, including cognitive, visual and breathing stimuli for evoking electrodermal responses of different origin. EDA levels and responses were compared between the two humidity levels for all stimuli and all EDA measures. RESULTS: It was found that EDA levels, in particular for SC and SS, were significantly increased during high humidity exposure, but that the change in EDA responses (SC, SS, and SP) was not statistically significant (p > 0.05, paired t test). CONCLUSION: This suggests that ambient humidity influences the recording of EDA levels and is important to consider when these parameters are used, but is not important in the recording or analysis of EDA responses.

Electrodermal Activity Responses for Quantitative Assessment of Felt Pain.

Accurate assessment of experienced pain is a well-known problem in the clinical practices. Therefore, a proper method for pain detection is highly desirable. Electrodermal activity (EDA) is known as a measure of the sympathetic nervous system activity, which changes during various mental stresses. As pain causes mental stress, EDA measures may reflect the felt pain. This study aims to evaluate changes in skin conductance responses (SCRs), skin potential responses (SPRs), and skin susceptance responses (SSRs) simultaneously as a result of sequences of electrical (painful) stimuli with different intensities. EDA responses as results of painful stimuli were recorded from 40 healthy volunteers. The stimuli with three different intensities were produced by using an electrical stimulator. EDA responses significantly changed (increased) with respect to the intensity of the stimuli. Both SCRs and SSRs showed linear relationship with the painful stimuli. It was found that the EDA responses, particularly SCRs (p < 0.001) and SSRs (p = 0.001) were linearly affected by the intensity of the painful stimuli. EDA responses, in particular SCRs, may be used as a useful indicator for assessment of experienced pain in clinical settings.

Mean platelet volume is associated with glycaemic control and retinopathy in patients with Type 2 Diabetes Mellitus / Volumen medio de plaquetas está asociado con el control glucémico y la retinopatía en pacientes con Diabetes Mellitus Tipo 2

OBJECTIVES: To investigate the relationship between mean platelet volume (MPV) and glycometabolic indices, to compare MPV according to HbA1c levels, and to analyse the difference in MPV between patients with and without microvascular complications. METHODS: This retrospective study was conducted on 60 Type 2 diabetic patients and 50 age- and sex-matched non-diabetic controls. We obtained demographic, clinical and laboratory data including MPV, platelet count, fasting and postprandial blood glucose (FBG and PBG), haemoglobin A1c (HbA1c), lipid profile, creatinine, systolic and diastolic blood pressure (BP) in patient and control groups, and diabetic microvascular complications including nephropathy, neuropathy, and retinopathy in the patient group. All analyses were performed using SPSS version 15.0 for Windows. RESULTS: Mean platelet volume in the diabetic group was higher than in the control group (p = 0.001). Mean platelet volume was positively correlated with FBG and HbA1c levels (p = 0.03 and p < 0.001, respectively). It was also negatively related to platelet count (p < 0.001). Mean platelet volume in patients with HbA1c > 7% was significantly higher than those with HbA1c < 7% (p < 0.001). Mean platelet volume was significantly increased in patients with retinopathy compared to those without retinopathy (p = 0.04). CONCLUSION: This study has shown that an increased MPV is closely associated with poor glycaemic control, which may be a risk factor for diabetic retinopathy. Nonetheless, further prospective studies are needed to assess the relationship between MPV, glycaemic indices and microvascular complications.

OBJETIVOS: Investigar la relación entre el volumen medio de plaquetas (MPV) y los índices glicometabólicos, comparar el MPV según los niveles de HbA1c, y analizar la diferencia de MPV entre los pacientes con y sin complicaciones microvasculares. MÉTODOS: Este estudio retrospectivo se realizó en 60 pacientes diabéticos tipo 2, y 50 controles no diabéticos pareados por sexo y edad. Obtuvimos datos demográficos, clínicos y de laboratorio - incluyendo MPV, conteo de plaquetas, glucosa en sangre en ayunas (FBG) y postprandial (PBG), hemoglobina A1c (HbA1c), perfil lipídico, creatinina, presión arterial (BP) sistólica y diastólica en los grupos de pacientes y de control, así como complicaciones microvasculares diabéticas, incluyendo nefropatía, neuropatía y retinopatía en el grupo de pacientes. Todos los análisis se realizaron utilizando el SPSS versión 15.0para Windows. RESULTADOS: El volumen medio de plaquetas en el grupo diabético fue superior al del grupo control (p = 0,001). El volumen medio de plaquetas guardó una correlación positiva con el FBG y los niveles de HbAlc (p = 0.03 y p < 0.001, respectivamente). También se observó una correlación negativa con el conteo de plaquetas (p < 0.001). El volumen medio de plaquetas en los pacientes con HbA1c > 7% fue significativamente mayor que en aquellos con HbAlc < 7% (p < 0.001). El volumen medio de plaquetas aumentó significativamente en los pacientes con retinopatía en comparación con aquellos sin retinopatía (p = 0,04). CONCLUSIÓN: Este estudio mostró que el aumento de MPV está estrechamente relacionado con un control glicémico pobre, lo cual puede ser un factor de riesgo para la retinopatía diabética. Sin embargo, otros estudios prospectivos son necesarios para evaluar la relación entre MPV, los índices glicémicos, y las complicaciones microvasculares.

Mean platelet volume is associated with glycaemic control and retinopathy in patients with type 2 diabetes mellitus.

OBJECTIVES: To investigate the relationship between mean platelet volume (MPV) and glycometabolic indices, to compare MPV according to HbA1c levels, and to analyse the difference in MPV between patients with and without microvascular complications. METHODS: This retrospective study was conducted on 60 Type 2 diabetic patients and 50 age- and sex-matched non-diabetic controls. We obtained demographic, clinical and laboratory data including MPV, platelet count, fasting and postprandial blood glucose (FBG and PBG), haemoglobin A1c (HbA1c), lipid profile, creatinine, systolic and diastolic blood pressure (BP) in patient and control groups, and diabetic microvascular complications including nephropathy, neuropathy, and retinopathy in the patient group. All analyses were performed using SPSS version 15.0 for Windows. RESULTS: Mean platelet volume in the diabetic group was higher than in the control group (p = 0.001). Mean platelet volume was positively correlated with FBG and HbA1c levels (p = 0.03 and p < 0.001, respectively). It was also negatively related to platelet count (p < 0.001). Mean platelet volume in patients with HbA1c > 7% was significantly higher than those with HbA1c ≤ 7% (p < 0.001). Mean platelet volume was significantly increased in patients with retinopathy compared to those without retinopathy (p = 0.04). CONCLUSION: This study has shown that an increased MPV is closely associated with poor glycaemic control, which may be a risk factor for diabetic retinopathy. Nonetheless, further prospective studies are needed to assess the relationship between MPV, glycaemic indices and microvascular complications.