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1.
mSphere ; : e0017824, 2024 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-38591888

RESUMO

The genome of Pseudomonas fluorescens encodes >50 proteins predicted to play a role in bis-(3'-5')-cyclic dimeric guanosine monophosphate (c-di-GMP)-mediated biofilm formation. We built a network representation of protein-protein interactions and extracted key information via multidimensional scaling (i.e., principal component analysis) of node centrality measures, which measure features of proteins in a network. Proteins of different domain types (diguanylate cyclase, dual domain, phosphodiesterase, PilZ) exhibit unique network behavior and can be accurately classified by their network centrality values (i.e., roles in the network). The predictive power of protein-protein interactions in biofilm formation indicates the possibility of localized pools of c-di-GMP. A regression model showed a statistically significant impact of protein-protein interactions on the extent of biofilm formation in various environments. These results highlight the importance of a localized c-di-GMP signaling, extend our understanding of signaling by this second messenger beyond the current "Bow-tie Model," support a newly proposed "Hub Model," and suggest future avenues of investigation.

2.
Nat Commun ; 15(1): 1364, 2024 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-38355612

RESUMO

Link prediction algorithms are indispensable tools in many scientific applications by speeding up network data collection and imputing missing connections. However, in many systems, links change over time and it remains unclear how to optimally exploit such temporal information for link predictions in such networks. Here, we show that many temporal topological features, in addition to having high computational cost, are less accurate in temporal link prediction than sequentially stacked static network features. This sequential stacking link prediction method uses 41 static network features that avoid detailed feature engineering choices and is capable of learning a highly accurate predictive distribution of future connections from historical data. We demonstrate that this algorithm works well for both partially observed and completely unobserved target layers, and on two temporal stochastic block models achieves near-oracle-level performance when combined with other single predictor methods as an ensemble learning method. Finally, we empirically illustrate that stacking multiple predictive methods together further improves performance on 19 real-world temporal networks from different domains.

3.
Sci Rep ; 13(1): 20501, 2023 11 22.
Artigo em Inglês | MEDLINE | ID: mdl-37993522

RESUMO

Evidence on the harms and benefits of social media use is mixed, in part because the effects of social media on well-being depend on a variety of individual difference moderators. Here, we explored potential neural moderators of the link between time spent on social media and subsequent negative affect. We specifically focused on the strength of correlation among brain regions within the frontoparietal system, previously associated with the top-down cognitive control of attention and emotion. Participants (N = 54) underwent a resting state functional magnetic resonance imaging scan. Participants then completed 28 days of ecological momentary assessment and answered questions about social media use and negative affect, twice a day. Participants who spent more than their typical amount of time on social media since the previous time point reported feeling more negative at the present moment. This within-person temporal association between social media use and negative affect was mainly driven by individuals with lower resting state functional connectivity within the frontoparietal system. By contrast, time spent on social media did not predict subsequent affect for individuals with higher frontoparietal functional connectivity. Our results highlight the moderating role of individual functional neural connectivity in the relationship between social media and affect.


Assuntos
Mídias Sociais , Humanos , Mapeamento Encefálico , Encéfalo/diagnóstico por imagem , Emoções , Imageamento por Ressonância Magnética/métodos , Afeto , Vias Neurais
4.
Sci Rep ; 13(1): 12045, 2023 07 25.
Artigo em Inglês | MEDLINE | ID: mdl-37491371

RESUMO

Modifying behaviors, such as alcohol consumption, is difficult. Creating psychological distance between unhealthy triggers and one's present experience can encourage change. Using two multisite, randomized experiments, we examine whether theory-driven strategies to create psychological distance-mindfulness and perspective-taking-can change drinking behaviors among young adults without alcohol dependence via a 28-day smartphone intervention (Study 1, N = 108 participants, 5492 observations; Study 2, N = 218 participants, 9994 observations). Study 2 presents a close replication with a fully remote delivery during the COVID-19 pandemic. During weeks when they received twice-a-day intervention reminders, individuals in the distancing interventions reported drinking less frequently than on control weeks-directionally in Study 1, and significantly in Study 2. Intervention reminders reduced drinking frequency but did not impact amount. We find that smartphone-based mindfulness and perspective-taking interventions, aimed to create psychological distance, can change behavior. This approach requires repeated reminders, which can be delivered via smartphones.


Assuntos
Alcoolismo , COVID-19 , Humanos , Adulto Jovem , Consumo de Bebidas Alcoólicas/prevenção & controle , Consumo de Bebidas Alcoólicas/psicologia , Alcoolismo/prevenção & controle , Alcoolismo/psicologia , COVID-19/epidemiologia , COVID-19/prevenção & controle , Pandemias , Distância Psicológica
5.
Psychosom Med ; 85(2): 141-153, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36728904

RESUMO

OBJECTIVE: A holistic understanding of the naturalistic dynamics among physical activity, sleep, emotions, and purpose in life as part of a system reflecting wellness is key to promoting well-being. The main aim of this study was to examine the day-to-day dynamics within this wellness system. METHODS: Using self-reported emotions (happiness, sadness, anger, anxiousness) and physical activity periods collected twice per day, and daily reports of sleep and purpose in life via smartphone experience sampling, more than 28 days as college students ( n = 226 young adults; mean [standard deviation] = 20.2 [1.7] years) went about their daily lives, we examined day-to-day temporal and contemporaneous dynamics using multilevel vector autoregressive models that consider the network of wellness together. RESULTS: Network analyses revealed that higher physical activity on a given day predicted an increase of happiness the next day. Higher sleep quality on a given night predicted a decrease in negative emotions the next day, and higher purpose in life predicted decreased negative emotions up to 2 days later. Nodes with the highest centrality were sadness, anxiety, and happiness in the temporal network and purpose in life, anxiety, and anger in the contemporaneous network. CONCLUSIONS: Although the effects of sleep and physical activity on emotions and purpose in life may be shorter term, a sense of purpose in life is a critical component of wellness that can have slightly longer effects, bleeding into the next few days. High-arousal emotions and purpose in life are central to motivating people into action, which can lead to behavior change.


Assuntos
Emoções , Sono , Adulto Jovem , Humanos , Autorrelato , Exercício Físico , Estudantes
6.
Biol Psychiatry ; 93(8): 681-689, 2023 04 15.
Artigo em Inglês | MEDLINE | ID: mdl-36797176

RESUMO

Together, data from brain scanners and smartphones have sufficient coverage of biology, psychology, and environment to articulate between-person differences in the interplay within and across biological, psychological, and environmental systems thought to underlie psychopathology. An important next step is to develop frameworks that combine these two modalities in ways that leverage their coverage across layers of human experience to have maximum impact on our understanding and treatment of psychopathology. We review literature published in the last 3 years highlighting how scanners and smartphones have been combined to date, outline and discuss the strengths and weaknesses of existing approaches, and sketch a network science framework heretofore underrepresented in work combining scanners and smartphones that can push forward our understanding of health and disease.


Assuntos
Psiquiatria , Smartphone , Humanos , Psicopatologia , Encéfalo/diagnóstico por imagem
7.
bioRxiv ; 2023 Feb 18.
Artigo em Inglês | MEDLINE | ID: mdl-36824776

RESUMO

The aging brain undergoes major changes in its topology. The mechanisms by which the brain mitigates age-associated changes in topology to maintain robust control of brain networks are unknown. Here we used diffusion MRI data from cognitively intact participants (n=480, ages 40-90) to study age-associated changes in the controllability of structural brain networks, features that could mitigate these changes, and the overall effect on cognitive function. We found age-associated declines in controllability in control hubs and large-scale networks, particularly within the and frontoparietal control and default mode networks. Redundancy, quantified via the assessment of multi-step paths within networks, mitigated the effects of changes in topology on network controllability. Lastly, network controllability, redundancy, and grey matter volume each played important complementary roles in cognitive function. In sum, our results highlight the importance of redundancy for robust control of brain networks and in cognitive function in healthy-aging.

8.
Proc Natl Acad Sci U S A ; 120(2): e2201074119, 2023 01 10.
Artigo em Inglês | MEDLINE | ID: mdl-36595675

RESUMO

Mindful attention is characterized by acknowledging the present experience as a transient mental event. Early stages of mindfulness practice may require greater neural effort for later efficiency. Early effort may self-regulate behavior and focalize the present, but this understanding lacks a computational explanation. Here we used network control theory as a model of how external control inputs-operationalizing effort-distribute changes in neural activity evoked during mindful attention across the white matter network. We hypothesized that individuals with greater network controllability, thereby efficiently distributing control inputs, effectively self-regulate behavior. We further hypothesized that brain regions that utilize greater control input exhibit shorter intrinsic timescales of neural activity. Shorter timescales characterize quickly discontinuing past processing to focalize the present. We tested these hypotheses in a randomized controlled study that primed participants to either mindfully respond or naturally react to alcohol cues during fMRI and administered text reminders and measurements of alcohol consumption during 4 wk postscan. We found that participants with greater network controllability moderated alcohol consumption. Mindful regulation of alcohol cues, compared to one's own natural reactions, reduced craving, but craving did not differ from the baseline group. Mindful regulation of alcohol cues, compared to the natural reactions of the baseline group, involved more-effortful control of neural dynamics across cognitive control and attention subnetworks. This effort persisted in the natural reactions of the mindful group compared to the baseline group. More-effortful neural states had shorter timescales than less effortful states, offering an explanation for how mindful attention promotes being present.


Assuntos
Atenção Plena , Autocontrole , Humanos , Atenção/fisiologia , Encéfalo/diagnóstico por imagem , Fissura
9.
JCI Insight ; 8(2)2023 Jan 24.
Artigo em Inglês | MEDLINE | ID: mdl-36512427

RESUMO

Urinary catheterization facilitates urinary tract colonization by E. coli and increases infection risk. Here, we aimed to identify strain-specific characteristics associated with the transition from colonization to infection in catheterized patients. In a single-site study population, we compared E. coli isolates from patients with catheter-associated asymptomatic bacteriuria (CAASB) to those with catheter-associated urinary tract infection (CAUTI). CAUTI isolates were dominated by a phylotype B2 subclade containing the multidrug-resistant ST131 lineage relative to CAASB isolates, which were phylogenetically more diverse. A distinctive combination of virulence-associated genes was present in the CAUTI-associated B2 subclade. Catheter-associated biofilm formation was widespread among isolates and did not distinguish CAUTI from CAASB strains. Preincubation with CAASB strains could inhibit catheter colonization by multiple ST131 CAUTI isolates. Comparative genomic analysis identified a group of variable genes associated with high catheter biofilm formation present in both CAUTI and CAASB strains. Among these, ferric citrate transport (Fec) system genes were experimentally associated with enhanced catheter biofilm formation using reporter and fecA deletion strains. These results are consistent with a variable role for catheter biofilm formation in promoting CAUTI by ST131-like strains or resisting CAUTI by lower-risk strains that engage in niche exclusion.


Assuntos
Bacteriúria , Cateteres , Escherichia coli , Infecções Urinárias , Humanos , Bacteriúria/microbiologia , Biofilmes , Cateteres/efeitos adversos , Escherichia coli/genética , Proteínas de Escherichia coli , Receptores de Superfície Celular , Infecções Urinárias/microbiologia , Virulência
10.
Biol Psychiatry Glob Open Sci ; 2(4): 432-439, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36324655

RESUMO

Background: The waxing and waning of negative affect in daily life is normative, reflecting an adaptive capacity to respond flexibly to changing circumstances. However, understanding of the brain structure correlates of affective variability in naturalistic settings has been limited. Using network control theory, we examine facets of brain structure that may enable negative affect variability in daily life. Methods: We used diffusion-weighted imaging data from 95 young adults (age [in years]: mean = 20.19, SD = 1.80; 56 women) to construct structural connectivity networks that map white matter fiber connections between 200 cortical and 14 subcortical regions. We applied network control theory to these structural networks to estimate the degree to which each brain region's pattern of structural connectivity facilitates the spread of activity to other brain systems. We examined how the average controllability of functional brain systems relates to negative affect variability, computed by taking the standard deviation of negative affect self-reports collected via smartphone-based experience sampling twice per day over 28 days as participants went about their daily lives. Results: We found that high average controllability of the cingulo-insular system is associated with increased negative affect variability. We also found that greater negative affect variability is related to the presence of more depressive symptoms, yet average controllability of the cingulo-insular system was not associated with depressive symptoms. Conclusions: Our results highlight the role that brain structure plays in affective dynamics as observed in the context of daily life, suggesting that average controllability of the cingulo-insular system promotes normative negative affect variability.

11.
Proc Natl Acad Sci U S A ; 119(44): e2203682119, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36282912

RESUMO

Aging is associated with gradual changes in cognition, yet some individuals exhibit protection against age-related cognitive decline. The topological characteristics of brain networks that promote protection against cognitive decline in aging are unknown. Here, we investigated whether the robustness and resilience of brain networks, queried via the delineation of the brain's core network structure, relate to age and cognitive performance in a cross-sectional dataset of healthy middle- and old-aged adults (n = 478, ages 40 to 90 y). First, we decomposed each subject's functional brain network using k-shell decomposition and found that age was negatively associated with robust core network structures. Next, we perturbed these networks, via attack simulations, and found that resilience of core brain network nodes also declined in relationship to age. We then partitioned our dataset into middle- (ages 40 to 65 y, n = 300) and old- (ages 65 to 90 y, n = 178) aged subjects and observed that older individuals had less robust core connectivity and resilience. Following these analyses, we found that episodic memory was positively related to robust connectivity and core resilience, particularly within the default node, limbic, and frontoparietal control networks. Importantly, we found that age-related differences in episodic memory were positively related to core resilience, which indicates a potential role for core resilience in protection against cognitive decline. Together, these findings suggest that robust core connectivity and resilience of brain networks could facilitate high cognitive performance in aging.


Assuntos
Encéfalo , Imageamento por Ressonância Magnética , Adulto , Humanos , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Cognição , Envelhecimento/psicologia , Mapeamento Encefálico , Vias Neurais , Rede Nervosa
12.
Sci Rep ; 12(1): 15928, 2022 09 23.
Artigo em Inglês | MEDLINE | ID: mdl-36151268

RESUMO

Partitioning networks into communities of densely connected nodes is an important tool used widely across different applications, with numerous methods and software packages available for community detection. Modularity-based methods require parameters to be selected (or assume defaults) to control the resolution and, in multilayer networks, interlayer coupling. Meanwhile, most useful algorithms are heuristics yielding different near-optimal results upon repeated runs (even at the same parameters). To address these difficulties, we combine recent developments into a simple-to-use framework for pruning a set of partitions to a subset that are self-consistent by an equivalence with the objective function for inference of a degree-corrected planted partition stochastic block model (SBM). Importantly, this combined framework reduces some of the problems associated with the stochasticity that is inherent in the use of heuristics for optimizing modularity. In our examples, the pruning typically highlights only a small number of partitions that are fixed points of the corresponding map on the set of somewhere-optimal partitions in the parameter space. We also derive resolution parameter upper bounds for fitting a constrained SBM of K blocks and demonstrate that these bounds hold in practice, further guiding parameter space regions to consider. With publicly available code ( http://github.com/ragibson/ModularityPruning ), our pruning procedure provides a new baseline for using modularity-based community detection in practice.


Assuntos
Algoritmos , Heurística
13.
Addiction ; 117(12): 3049-3057, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-35915548

RESUMO

BACKGROUND AND AIM: Alcohol craving is an urge to consume alcohol that commonly precedes drinking; however, craving does not lead to drinking for all people under all circumstances. The current study measured the correlation between neural reactivity and alcohol cues as a risk, and purpose in daily life as a protective factor that may influence the link between alcohol craving and the subsequent amount of consumption. DESIGN: Observational study that correlated functional magnetic resonance imaging (fMRI) data on neural cue reactivity and ecological momentary assessments (EMA) on purpose in life and alcohol use. SETTING: Two college campuses in the United States. PARTICIPANTS: A total of 54 college students (37 women, 16 men, and 1 other) recruited via campus-based groups from January 2019 to October 2020. MEASUREMENTS: Participants underwent fMRI while viewing images of alcohol; we examined activity within the ventral striatum, a key region of interest implicated in reward and craving. Participants then completed 28 days of EMA and answered questions about daily levels of purpose in life and alcohol use, including how much they craved and consumed alcohol. FINDINGS: A significant three-way interaction indicated that greater alcohol cue reactivity within the ventral striatum was associated with heavier alcohol use following craving in daily life only when people were previously feeling a lower than usual sense of purpose. By contrast, individuals with heightened neural alcohol cue reactivity drank less in response to craving if they were feeling a stronger than their usual sense of purpose in the preceding moments (binteraction = -0.086, P < 0.001, 95% CI = -0.137, -0.035). CONCLUSIONS: Neural sensitivity to alcohol cues within the ventral striatum appears to be a potential risk for increased alcohol use in social drinkers, when people feel less purposeful. Enhancing daily levels of purpose in life may promote alcohol moderation among social drinkers who show relatively higher reactivity to alcohol cues.


Assuntos
Consumo de Bebidas Alcoólicas , Sinais (Psicologia) , Masculino , Humanos , Feminino , Fissura/fisiologia , Etanol , Condicionamento Psicológico
14.
Mol Psychiatry ; 27(11): 4673-4679, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35869272

RESUMO

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common neurodevelopmental disorders of childhood, and is often characterized by altered executive functioning. Executive function has been found to be supported by flexibility in dynamic brain reconfiguration. Thus, we applied multilayer community detection to resting-state fMRI data in 180 children with ADHD and 180 typically developing children (TDC) to identify alterations in dynamic brain reconfiguration in children with ADHD. We specifically evaluated MR derived neural flexibility, which is thought to underlie cognitive flexibility, or the ability to selectively switch between mental processes. Significantly decreased neural flexibility was observed in the ADHD group at both the whole brain (raw p = 0.0005) and sub-network levels (p < 0.05, FDR corrected), particularly for the default mode network, attention-related networks, executive function-related networks, and primary networks. Furthermore, the subjects with ADHD who received medication exhibited significantly increased neural flexibility (p = 0.025, FDR corrected) when compared to subjects with ADHD who were medication naïve, and their neural flexibility was not statistically different from the TDC group (p = 0.74, FDR corrected). Finally, regional neural flexibility was capable of differentiating ADHD from TDC (Accuracy: 77% for tenfold cross-validation, 74.46% for independent test) and of predicting ADHD severity using clinical measures of symptom severity (R2: 0.2794 for tenfold cross-validation, 0.156 for independent test). In conclusion, the present study found that neural flexibility is altered in children with ADHD and demonstrated the potential clinical utility of neural flexibility to identify children with ADHD, as well as to monitor treatment responses and disease severity.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Criança , Humanos , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Mapeamento Encefálico , Vias Neurais , Encéfalo , Imageamento por Ressonância Magnética
15.
Cell Rep Med ; 3(5): 100602, 2022 05 17.
Artigo em Inglês | MEDLINE | ID: mdl-35584624

RESUMO

Immune checkpoint blockade (ICB) has had remarkable success for treatment of solid tumors. However, as only a subset of patients exhibit responses, there is a continued need for biomarker development. Numerous reports have shown a link between tumor mutational burden (TMB) and ICB response, while others have identified a link between ICB response and mutation in DNA damage repair (DDR) genes. However, it remains unclear to what extent mutations in DDR genes hold predictive value above and beyond their association with TMB. Herein, we present a networks-based test and bipartite graph-based expected TMB score (BiG-BETS) with higher specificity for discriminating DDR genes and pathways that are associated with elevated TMB. Moreover, we find that mutations in certain DDR genes that are not associated with elevated TMB (low BiG-BETS) are nevertheless predictive of ICB benefit in high TMB patients, demonstrating that their inactivation contributes to ICB response in a TMB-independent manner.


Assuntos
Inibidores de Checkpoint Imunológico , Neoplasias , Biomarcadores Tumorais/genética , Humanos , Mutação , Neoplasias/tratamento farmacológico
16.
Front Microbiol ; 13: 837396, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35387076

RESUMO

Numerous metagenomic studies aim to discover associations between the microbial composition of an environment (e.g., gut, skin, oral) and a phenotype of interest. Multivariate analysis is often performed in these studies without critical a priori knowledge of which taxa are associated with the phenotype being studied. This approach typically reduces statistical power in settings where the true associations among only a few taxa are obscured by high dimensionality (i.e., sparse association signals). At the same time, low sample size and compositional sample space constraints may reduce beyond-study generalizability if not properly accounted for. To address these difficulties, we developed the Selection-Energy-Permutation (SelEnergyPerm) method, a nonparametric group association test with embedded feature selection that directly accounts for compositional constraints using parsimonious logratio signatures between taxonomic features, for characterizing and understanding alterations in microbial community structure. Simulation results show SelEnergyPerm selects small independent sets of logratios that capture strong associations in a range of scenarios. Additionally, our simulation results demonstrate SelEnergyPerm consistently detects/rejects associations in synthetic data with sparse, dense, or no association signals. We demonstrate the novel benefits of our method in four case studies utilizing publicly available 16S amplicon and whole-genome sequencing datasets. Our R implementation of Selection-Energy-Permutation, including an example demonstration and the code to generate all of the scenarios used here, is available at https://www.github.com/andrew84830813/selEnergyPermR.

17.
J R Soc Interface ; 19(186): 20210690, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-35016555

RESUMO

Social and spatial network analysis is an important approach for investigating infectious disease transmission, especially for pathogens transmitted directly between individuals or via environmental reservoirs. Given the diversity of ways to construct networks, however, it remains unclear how well networks constructed from different data types effectively capture transmission potential. We used empirical networks from a population in rural Madagascar to compare social network survey and spatial data-based networks of the same individuals. Close contact and environmental pathogen transmission pathways were modelled with the spatial data. We found that naming social partners during the surveys predicted higher close-contact rates and the proportion of environmental overlap on the spatial data-based networks. The spatial networks captured many strong and weak connections that were missed using social network surveys alone. Across networks, we found weak correlations among centrality measures (a proxy for superspreading potential). We conclude that social network surveys provide important scaffolding for understanding disease transmission pathways but miss contact-specific heterogeneities revealed by spatial data. Our analyses also highlight that the superspreading potential of individuals may vary across transmission modes. We provide detailed methods to construct networks for close-contact transmission pathogens when not all individuals simultaneously wear GPS trackers.


Assuntos
Rede Social , Humanos , Madagáscar/epidemiologia , Análise Espacial
18.
Neurobiol Aging ; 108: 179-188, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34614422

RESUMO

Hippocampal neurodegeneration, a primary component of Alzheimer's disease pathology, relates to poor cognition; however, the mechanisms underlying this relationship are not well understood. Using a sample of cognitively normal older adults and individuals with mild cognitive impairment, this study aims to determine the topological properties of functional networks accompanying hippocampal atrophy in aging, along with their association to cognition and clinical progression. We considered two conceptually differing topological properties: redundancy (the existence of alternative channels of functional commutation) and local efficiency (the efficiency of local information exchange). Hippocampal redundancy, but not local efficiency, mediated the association between low hippocampal volume and low memory in both the whole sample and in ß-amyloid positive participants. Additionally, participants with high hippocampal volume, redundancy, and memory clustered separately from those with low values on all three measures, with the latter group showing higher conversion rates to dementia within three years. Together, these results demonstrate that reduced hippocampal redundancy is one mechanism through which hippocampal atrophy associates with memory impairment in healthy and pathological aging.


Assuntos
Envelhecimento/patologia , Envelhecimento/fisiologia , Disfunção Cognitiva/etiologia , Disfunção Cognitiva/patologia , Hipocampo/patologia , Hipocampo/fisiologia , Transtornos da Memória/etiologia , Transtornos da Memória/patologia , Memória , Idoso , Idoso de 80 Anos ou mais , Peptídeos beta-Amiloides/metabolismo , Atrofia , Disfunção Cognitiva/diagnóstico por imagem , Feminino , Envelhecimento Saudável/patologia , Hipocampo/diagnóstico por imagem , Hipocampo/metabolismo , Humanos , Imageamento por Ressonância Magnética , Masculino , Transtornos da Memória/diagnóstico por imagem , Neuroimagem , Tamanho do Órgão
19.
Stroke ; 52(12): 4010-4020, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34407639

RESUMO

BACKGROUND AND PURPOSE: The criteria for choosing between drip and ship and mothership transport strategies in emergency stroke care is widely debated. Although existing data-driven probability models can inform transport decision-making at an epidemiological level, we propose a novel mathematical, physiologically derived framework that provides insight into how patient characteristics underlying infarct core growth influence these decisions. METHODS: We represent the physiology of time-dependent infarct core growth within an ischemic penumbra as an exponential function with consideration to rate-determining collateral blood flow. Monte Carlo methods generate distributions of infarct core volumes, which are translated to distributions of 90-day modified Rankin Scale scores. We apply the model to a stroke network that serves rural Bastrop County and urban Travis County by simulating transport strategies from thousands of potential patient pickup locations. In every pickup location, the simulation yields a distribution of outcomes corresponding to each transport strategy. A 2-sample Kolmogorov-Smirnov test and Student t test determine which transport strategy provides a significantly better probability of a good outcome for a given pickup location in each respective county (P<0.01). RESULTS: In Travis County, drip and ship provides significantly better probabilities of a good outcome in 24.0% of the pickup locations, while 59.8% favor mothership. In Bastrop County, 11.3% of the pickup locations favor drip and ship, while only 7.1% favor mothership. The remaining pickup locations in each county are not statistically significant in either direction. We also reveal how differing rates of infarct core growth, the application of bypass policies, and the use of large vessel occlusion field tests impact these results. CONCLUSIONS: Modeling stroke physiology enables the use of clinically relevant metrics for determining comparative significance between drip and ship and mothership in a given geography. This formalism can help understand and inform emergency medical service transport decision-making, as well as regional bypass policies.


Assuntos
Modelos Neurológicos , Modelos Teóricos , Acidente Vascular Cerebral/terapia , Transporte de Pacientes/métodos , Humanos , Tempo para o Tratamento
20.
Phys Rev E ; 104(1-1): 014211, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34412254

RESUMO

A fundamental understanding of synchronized behavior in multiagent systems can be acquired by studying analytically tractable Kuramoto models. However, such models typically diverge from many real systems whose dynamics evolve under nonnegligible resource constraints. Here we construct a system of coupled Kuramoto oscillators that consume or produce resources as a function of their oscillation frequency. At high coupling, we observe strongly synchronized dynamics, whereas at low coupling, we observe independent oscillator dynamics as expected from standard Kuramoto models. For intermediate coupling, which typically induces a partially synchronized state, we empirically observe that (and theoretically explain why) the system can exist in either: (i) a state in which the order parameter oscillates in time, or (ii) a state in which multiple synchronization states are simultaneously stable. Whether (i) or (ii) occurs depends upon whether the oscillators consume or produce resources, respectively. Relevant for systems as varied as coupled neurons and social groups, our paper lays important groundwork for future efforts to develop quantitative predictions of synchronized dynamics for systems embedded in environments marked by sparse resources.

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