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1.
Hum Mol Genet ; 32(16): 2558-2575, 2023 08 07.
Artigo em Inglês | MEDLINE | ID: mdl-36229920

RESUMO

NRSF/REST (neuron-restrictive silencer element, also known as repressor element 1-silencing transcription factor), plays a key role in neuronal homeostasis as a transcriptional repressor of neuronal genes. NRSF/REST relates to cognitive preservation and longevity of humans, but its specific functions in age-dependent and Alzheimer's disease (AD)-related memory deficits remain unclear. Here, we show that conditional NRSF/REST knockout either in the dorsal telencephalon or specially in neurons induced an age-dependently diminished retrieval performance in spatial or fear conditioning memory tasks and altered hippocampal synaptic transmission and activity-dependent synaptic plasticity. The NRSF/REST deficient mice were also characterized by an increase of activated glial cells, complement C3 protein and the transcription factor C/EBPß in the cortex and hippocampus. Reduction of NRSF/REST by conditional depletion upregulated the activation of astrocytes in APP/PS1 mice, and increased the C3-positive glial cells, but did not alter the Aß loads and memory retrieval performances of 6- and 12-month-old APP/PS1 mice. Simultaneously, overexpression of NRSF/REST improved cognitive abilities of aged wild type, but not in AD mice. These findings demonstrated that NRSF/REST is essential for the preservation of memory performance and activity-dependent synaptic plasticity during aging and takes potential roles in the onset of age-related memory impairments. However, while altering the glial activation, NRSF/REST deficiency does not interfere with the Aß deposits and the electrophysiological and cognitive AD-like pathologies.


Assuntos
Doença de Alzheimer , Proteínas Repressoras , Humanos , Camundongos , Animais , Idoso , Lactente , Proteínas Repressoras/genética , Doença de Alzheimer/genética , Fatores de Transcrição/genética , Regulação da Expressão Gênica , Cognição , Transtornos da Memória
2.
J Cogn Neurosci ; 36(2): 217-224, 2024 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-38010291

RESUMO

The ongoing reproducibility crisis in psychology and cognitive neuroscience has sparked increasing calls to re-evaluate and reshape scientific culture and practices. Heeding those calls, we have recently launched the EEGManyPipelines project as a means to assess the robustness of EEG research in naturalistic conditions and experiment with an alternative model of conducting scientific research. One hundred sixty-eight analyst teams, encompassing 396 individual researchers from 37 countries, independently analyzed the same unpublished, representative EEG data set to test the same set of predefined hypotheses and then provided their analysis pipelines and reported outcomes. Here, we lay out how large-scale scientific projects can be set up in a grassroots, community-driven manner without a central organizing laboratory. We explain our recruitment strategy, our guidance for analysts, the eventual outputs of this project, and how it might have a lasting impact on the field.


Assuntos
Eletroencefalografia , Projetos de Pesquisa , Humanos , Reprodutibilidade dos Testes
3.
Neuroimage ; 299: 120830, 2024 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-39245398

RESUMO

Understanding the correct intention of a speaker is critical for social interaction. Speech prosody is an important source for understanding speakers' intentions during verbal communication. However, the neural dynamics by which the human brain translates the prosodic cues into a mental representation of communicative intentions in real time remains unclear. Here, we recorded EEG (electroencephalograph) while participants listened to dialogues. The prosodic features of the critical words at the end of sentences were manipulated to signal either suggestion, warning, or neutral intentions. The results showed that suggestion and warning intentions evoked enhanced late positive event-related potentials (ERPs) compared to the neutral condition. Linear mixed-effects model (LMEM) regression and representational similarity analysis (RSA) analyses revealed that these ERP effects were distinctively correlated with prosodic acoustic analysis, emotional valence evaluation, and intention interpretation in different time windows; The onset latency significantly increased as the processing level of abstractness and communicative intentionality increased. Neural representations of intention and emotional information emerged and parallelly persisted over a long time window, guiding the correct identification of communicative intention. These results provide new insights into understanding the structural components of intention processing and their temporal neural dynamics underlying communicative intention comprehension from speech prosody in online social interactions.


Assuntos
Compreensão , Eletroencefalografia , Potenciais Evocados , Intenção , Percepção da Fala , Humanos , Feminino , Masculino , Percepção da Fala/fisiologia , Adulto Jovem , Adulto , Compreensão/fisiologia , Potenciais Evocados/fisiologia , Encéfalo/fisiologia , Emoções/fisiologia
4.
Cogn Affect Behav Neurosci ; 24(1): 126-142, 2024 02.
Artigo em Inglês | MEDLINE | ID: mdl-38200281

RESUMO

A recent Cyberball study has indicated that the experience of loss of control can affect how people process subsequent social exclusion. This "preexposure effect" supports the idea of a common cognitive system involved in the processing of different types of social threats. To test the validity of this assumption in the current study, we reversed the sequence of the preexposure setup. We measured the effects of social exclusion on the subsequent processing of loss of control utilizing event-related brain potentials (ERPs) and self-reports. In the control group (CG, n = 26), the transition to loss of control elicited significant increases in both the P3 amplitude and the self-reported negative mood. Replicating the results of the previous preexposure study, these effects were significantly reduced by the preexposure to an independent social threat (here: social exclusion). In contrast to previous findings, these effects were not modulated by the discontinuation (EG1disc, n = 25) or continuation (EG2cont, n = 24) of the preexposure threat. Given that the P3 effect is related to the violation of subjective expectations, these results support the notion that preexposure to a specific social threat has widespread effects on the individuals' expectancy of upcoming social participation and control.


Assuntos
Eletroencefalografia , Percepção Social , Humanos , Potenciais Evocados/fisiologia , Encéfalo/fisiologia , Isolamento Social
5.
Opt Express ; 32(11): 20207-20217, 2024 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-38859136

RESUMO

Random numbers are at the heart of diverse fields, ranging from simulations of stochastic processes to classical and quantum cryptography. The requirement for true randomness in these applications has motivated various proposals for generating random numbers based on the inherent randomness of quantum systems. The generation of true random numbers with arbitrarily defined probability distributions is highly desirable for applications, but it is very challenging. Here we show that single-photon quantum walks can generate multi-bit random numbers with on-demand probability distributions, when the required "coin" parameters are found with the gradient descent (GD) algorithm. Our theoretical and experimental results exhibit high fidelity for various selected distributions. This GD-enhanced single-photon system provides a convenient way for building flexible and reliable quantum random number generators. Multi-bit random numbers are a necessary resource for high-dimensional quantum key distribution.

6.
Acta Pharmacol Sin ; 2024 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-39284878

RESUMO

Chronic itch is a maladaptive and debilitating symptom in patients with allergic contact dermatitis (ACD), adversely affecting their quality of life. There is a lack of effective treatments for ACD-associated uncontrollable itch. In this study, we explored the antipruritic effects of baicalein (BE), a bioactive flavonoid extracted from the root of Scutellaria baicalensis Georgi, and the underlying mechanisms in alleviating chronic itch triggered by diphenylcyclopropenone (DCP) in a mouse model of ACD. The ACD mice were intraperitoneally injected with BE (5, 30, and 60 mg·kg-1·d-1) for 7 days during the DCP challenge phase. The results showed that DCP-treated mice exhibited severe spontaneous scratching behaviors that was reduced after BE injections in a dose-dependent manner accompanied by inhibition of spinal astrocyte activation. We observed that the spinal astrocytic STAT3-LCN2 cascade plays a crucial role in controlling the activation of astrocytes in chronic itch. Intrathecal injection of the STAT3 inhibitor AG490 or Lcn2 siRNA significantly reduced scratching behavior and astrocyte activation in ACD mice. Moreover, BE markedly attenuated the increased phosphorylation of STAT3 (p-STAT3) and LCN2 expression in the spinal cords of ACD mice and in lipopolysaccharide-stimulated primary spinal astrocytes. Altogether, BE relieved chronic itch by suppressing the spinal astrocytic STAT3-LCN2 cascade. These findings provide a potential avenue for the management of chronic itch. Schematic summary of the main findings illustrating that BE alleviates chronic itch through suppressing the spinal astrocytic STAT3-LCN2 cascade. Specifically, BE suppresses the expression of p-STAT3 to inhibit the reactive state of astrocytes in spinal dorsal horn, and then decreases the expression of astrocytic LCN2 to alleviate chronic itch in ACD mice.

7.
Cogn Emot ; : 1-18, 2024 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-39462758

RESUMO

This study examined the effect of emotional context on the semantic memory of subsequent emotional words during discourse comprehension in two eye-tracking experiments. Four-sentence discourses were used as experimental materials. The first three sentences established an emotional or neutral context, while the fourth contained an emotional target word consistent with the preceding emotional context's valence. The discourses were presented twice using the text change paradigm, where the target words were replaced with strongly - or weakly-related words during the second presentation. Thus, four conditions were included in the present study: Emotional-strongly-related, Emotional-weakly-related, Neutral-strongly-related and Neutral-weakly-related. In Experiment 1, negative contexts and negative target words were used, whereas in Experiment 2, positive contexts and positive target words were used. The results revealed a semantic relatedness effect, whereby the strongly-related words have lower change detection accuracy, longer reading times and more fixations in both Experiments 1 and 2. Furthermore, across both experiments, the magnitude of the semantic relatedness effect was greater in the emotionally congruent contexts than in the neutral contexts. These results suggest that emotional context could increase efforts to change the discrimination of subsequent words and demonstrate an important role of emotional context on semantic memory during discourse processing.

8.
J Neuroinflammation ; 20(1): 96, 2023 Apr 18.
Artigo em Inglês | MEDLINE | ID: mdl-37072793

RESUMO

Parkinson's disease (PD) is mainly characterized by the progressive degeneration of dopaminergic neurons in the substantia nigra pars compacta (SNpc) and neuroinflammation mediated by overactivated microglia and astrocytes. NLRC5 (nucleotide-binding oligomerization domain-like receptor family caspase recruitment domain containing 5) has been reported to participate in various immune disorders, but its role in neurodegenerative diseases remains unclear. In the current study, we found that the expression of NLRC5 was increased in the nigrostriatal axis of mice with 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine hydrochloride (MPTP)-induced PD, as well as in primary astrocytes, microglia and neurons exposed to different neurotoxic stimuli. In an acute MPTP-induced PD model, NLRC5 deficiency significantly reduced dopaminergic system degeneration and ameliorated motor deficits and striatal inflammation. Furthermore, we found that NLRC5 deficiency decreased the expression of the proinflammatory genes IL-1ß, IL-6, TNF-α and COX2 in primary microglia and primary astrocytes treated with neuroinflammatory stimuli and reduced the inflammatory response in mixed glial cells in response to LPS treatment. Moreover, NLRC5 deficiency suppressed activation of the NF-κB and MAPK signaling pathways and enhanced the activation of AKT-GSK-3ß and AMPK signaling in mixed glial cells. Furthermore, NLRC5 deficiency increased the survival of primary neurons treated with MPP+ or conditioned medium from LPS-stimulated mixed glial cells and promoted activation of the NF-κB and AKT signaling pathways. Moreover, the mRNA expression of NLRC5 was decreased in the blood of PD patients compared to healthy subjects. Therefore, we suggest that NLRC5 promotes neuroinflammation and dopaminergic degeneration in PD and may serve as a marker of glial activation.


Assuntos
Doença de Parkinson , Camundongos , Animais , Doença de Parkinson/genética , Doença de Parkinson/metabolismo , Doenças Neuroinflamatórias , NF-kappa B/metabolismo , Proteínas NLR/metabolismo , Lipopolissacarídeos/metabolismo , Glicogênio Sintase Quinase 3 beta , Proteínas Proto-Oncogênicas c-akt/metabolismo , Microglia/metabolismo , Neurônios Dopaminérgicos/metabolismo , Dopamina/metabolismo , Camundongos Endogâmicos C57BL , Modelos Animais de Doenças , 1-Metil-4-Fenil-1,2,3,6-Tetra-Hidropiridina/farmacologia , Peptídeos e Proteínas de Sinalização Intracelular/genética , Peptídeos e Proteínas de Sinalização Intracelular/metabolismo
9.
Epilepsy Behav ; 141: 109120, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36868167

RESUMO

OBJECTIVE: Refractory temporal lobe epilepsy (TLE) with recurring seizures causing continuing pathological changes in neural reorganization. There is an incomplete understanding of how spatiotemporal electrophysiological characteristics changes during the development of TLE. Long-term multi-site epilepsy patients' data is hard to obtain. Thus, our study relied on animal models to reveal the changes in electrophysiological and epileptic network characteristics systematically. METHODS: Long-term local field potentials (LFPs) were recorded over a period of 1 to 4 months from 6 pilocarpine-treated TLE rats. We compared variations of seizure onset zone (SOZ), seizure onset pattern (SOP), the latency of seizure onsets, and functional connectivity network from 10-channel LFPs between the early and late stages. Moreover, three machine learning classifiers trained by early-stage data were used to test seizure detection performance in the late stage. RESULTS: Compared to the early stage, the earliest seizure onset was more frequently detected in hippocampus areas in the late stage. The latency of seizure onsets between electrodes became shorter. Low-voltage fast activity (LVFA) was the most common SOP and the proportion of it increased in the late stage. Different brain states were observed during seizures using Granger causality (GC). Moreover, seizure detection classifiers trained by early-stage data were less accurate when tested in late-stage data. SIGNIFICANCE: Neuromodulation especially closed-loop deep brain stimulation (DBS) is effective in the treatment of refractory TLE. Although the frequency or amplitude of the stimulation is generally adjusted in existing closed-loop DBS devices in clinical usage, the adjustment rarely considers the pathological progression of chronic TLE. This suggests that an important factor affecting the therapeutic effect of neuromodulation may have been overlooked. The present study reveals time-varying electrophysiological and epileptic network properties in chronic TLE rats and indicates that classifiers of seizure detection and neuromodulation parameters might be designed to adapt to the current state dynamically with the progression of epilepsy.


Assuntos
Epilepsia do Lobo Temporal , Epilepsia , Ratos , Animais , Epilepsia do Lobo Temporal/induzido quimicamente , Epilepsia do Lobo Temporal/complicações , Epilepsia do Lobo Temporal/terapia , Convulsões , Encéfalo , Hipocampo
10.
Epilepsy Behav ; 143: 109212, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37172446

RESUMO

Responsive neurostimulation (RNS) has shown promising but limited efficacy in the treatment of drug-resistant epilepsy. The clinical utility of RNS is hindered by the incomplete understanding of the mechanism behind its therapeutic effects. Thus, assessing the acute effects of responsive stimulation (AERS) based on intracranial EEG recordings in the temporal lobe epilepsy rat model may provide a better understanding of the potential therapeutic mechanisms underlying the antiepileptic effect of RNS. Furthermore, clarifying the correlation between AERS and seizure severity may help guide the optimization of RNS parameter settings. In this study, RNS with high (130 Hz) and low frequencies (5 Hz) was applied to the subiculum (SUB) and CA1. To quantify the changes induced by RNS, we calculated the AERS during synchronization by Granger causality and analyzed the band power ratio in the classic power band after different stimulations were delivered in the interictal and seizure onset periods, respectively. This demonstrates that only targets combined with an appropriate stimulation frequency could be efficient for seizure control. High-frequency stimulation of CA1 significantly shortened the ongoing seizure duration, which may be causally related to increased synchronization after stimulation. Both high-frequency stimulation of the CA1 and low-frequency stimulation delivered to the SUB reduced seizure frequency, and the reduced seizure risk may correlate with the change in power ratio near the theta band. It indicated that different stimulations may control seizures in diverse manners, perhaps with disparate mechanisms. More focus should be placed on understanding the correlation between seizure severity and synchronization and rhythm around theta bands to simplify the process of parameter optimization.


Assuntos
Estimulação Encefálica Profunda , Epilepsia Resistente a Medicamentos , Epilepsia do Lobo Temporal , Animais , Ratos , Convulsões/terapia , Epilepsia Resistente a Medicamentos/terapia , Epilepsia do Lobo Temporal/terapia , Eletrocorticografia
11.
J Cogn Neurosci ; 34(2): 236-257, 2022 01 05.
Artigo em Inglês | MEDLINE | ID: mdl-34813653

RESUMO

Although prediction plays an important role in language comprehension, its precise neural basis remains unclear. This fMRI study investigated whether and how semantic-category-specific and common cerebral areas are recruited in predictive semantic processing during sentence comprehension. We manipulated the semantic constraint of sentence contexts, upon which a tool-related, a building-related, or no specific category of noun is highly predictable. This noun-predictability effect was measured not only over the target nouns but also over their preceding transitive verbs. Both before and after the appearance of target nouns, left anterior supramarginal gyrus was specifically activated for tool-related nouns and left parahippocampal place area was activated specifically for building-related nouns. The semantic-category common areas included a subset of left inferior frontal gyrus during the anticipation of incoming target nouns (activity enhancement for high predictability) and included a wide spread of areas (bilateral inferior frontal gyrus, left superior/middle temporal gyrus, left medial pFC, and left TPJ) during the integration of actually perceived nouns (activity reduction for high predictability). These results indicated that the human brain recruits fine divisions of cortical areas to distinguish different semantic categories of predicted words, and anticipatory semantic processing relies, at least partially, on top-down prediction conducted in higher-level cortical areas.


Assuntos
Compreensão , Semântica , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico , Humanos , Idioma , Imageamento por Ressonância Magnética
12.
Cogn Emot ; 36(2): 211-229, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-34702138

RESUMO

People tend to choose smaller, immediate rewards over larger, delayed rewards. This phenomenon is thought to be associated with emotional engagement. However, few studies have demonstrated the real-time impact of incidental emotions on intertemporal choices. This research investigated the effects of music-induced incidental emotions on intertemporal choices, during which happy or sad music was played simultaneously. We found that music-induced happiness made participants prefer smaller-but-sooner rewards (SS), whereas music-induced sadness made participants prefer larger-but-later rewards (LL). Time perception partially mediated this effect: the greater the perceived temporal difference, the more likely they were to prefer SS. Tempo and mode were then manipulated to disentangle the effects of arousal and mood on intertemporal choices. Only tempo-induced arousal, but not mode-induced mood, affected intertemporal choices. These results suggest the role of arousal in intertemporal decision making and provide evidence in support of equate-to-differentiate theory with regard to the non-compensatory mechanism in intertemporal choices.


Assuntos
Desvalorização pelo Atraso , Música , Nível de Alerta , Tomada de Decisões , Emoções , Humanos , Recompensa
13.
Brain Cogn ; 152: 105771, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34217125

RESUMO

Tension is a bridge between music structure and emotion. It is known that tension is affected by prediction in music listening as music unfolds. Combining behavioral and neural responses, the current research investigated how musical predictions influence tension in the process of prediction build-up based on musical context (anticipatory stage) and its integration with upcoming stimuli (integration stage). The results showed that, at the anticipatory stage, compared with high-prediction conditions, in low-prediction conditions tension curve changed faster and unstable, and a larger N5 in ERP response was elicited. Furthermore, at the integration stage, compared with congruent conditions, in incongruent conditions the behavioral rating of tension were higher regardless of the predictability of the final chord; a right negativity and P600 were elicited, and the amplitude of P600 was modulated by the predictability of the final chord. These results indicated that the effect of prediction on tension was modulated by contextual predictability. The findings provide a more comprehensive view on how musical prediction affects musical tension.


Assuntos
Música , Estimulação Acústica , Percepção Auditiva , Eletroencefalografia , Emoções , Humanos
14.
BMC Psychiatry ; 21(1): 80, 2021 02 08.
Artigo em Inglês | MEDLINE | ID: mdl-33557776

RESUMO

BACKGROUND: Coronavirus disease 2019 (COVID-19) has affected more than 5 million people around the world and killed more than 300,000 people; thus, it has become a global public health emergency. Our objective was to investigate the mental health of hospitalized patients diagnosed with COVID-19. METHODS: The PTSD checklist for DSM-5 (PCL-5), Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7), Trauma Exposure Scale, abbreviated version of the Connor-Davidson Resilience Scale (CD-RISC-10), Perceived Social Support Scale (PSSS) and Demographic Questionnaire were used to examine posttraumatic stress disorder (PTSD), depression, anxiety, trauma exposure, resilience and perceived social support among 898 patients who were hospitalized after being diagnosed with COVID-19 in China. The data were analyzed with t tests, one-way ANOVA and multivariable logistic regression analysis. RESULTS: The results showed that the prevalence of PTSD, depression and anxiety was 13.2, 21.0 and 16.4%, respectively. Hospitalized patients who were more impacted by negative news reports, had greater exposure to traumatic experiences, and had lower levels of perceived social support reported higher PTSD, depression and anxiety. CONCLUSIONS: Effective professional mental health services should be designed to support the psychological wellbeing of hospitalized patients, especially those who have severe disease, are strongly affected by negative news and have high levels of exposure to trauma.


Assuntos
COVID-19 , Transtornos de Estresse Pós-Traumáticos , Ansiedade/diagnóstico , Ansiedade/epidemiologia , China/epidemiologia , Estudos Transversais , Depressão/diagnóstico , Depressão/epidemiologia , Humanos , Prevalência , SARS-CoV-2 , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/epidemiologia
15.
Med Sci Monit ; 26: e920720, 2020 Mar 24.
Artigo em Inglês | MEDLINE | ID: mdl-32205836

RESUMO

BACKGROUND Rhubarb and astragalus capsule (RAC) has been used in the clinical treatment of chronic kidney disease for decades. However, the mechanism of RAC has not been fully elucidated. This study aimed to investigate the protective effect and mechanisms of RAC on unilateral ureteral obstruction (UUO)-induced renal interstitial fibrosis. MATERIAL AND METHODS The main components of RAC are detected by high-performance liquid phase (HPLC). A rat model of UUO was established, and a subset of rats underwent treatment with RAC. Renal function and renal pathology were examined at 14 days and 21 days after the UUO operation. Renal cell apoptosis was detected by TUNEL staining. The levels of Bcl-2 and Bax in the kidney were examined by western blotting, and the levels of collagen I, alpha-SMA, transforming growth factor (TGF)-ß1, and p38 MAPK in the kidneys were detected by immunohistochemistry. RESULTS High-performance liquid phase chromatography showed that RAC contained 1.12 mg/g aloe-emodin, 2.25 mg/g rhein, 1.75 mg/g emodin, and 4.50 mg/g chrysophanol. Administration of RAC significantly decreased the levels of urinary N-acetyl-ß-D-glucosaminidase (NAG), serum blood urea nitrogen (BUN), and creatinine (Scr) and also reduced renal tissue damages and interstitial fibrosis induced by UUO in rats. Moreover, the increased levels of collagen I, alpha-SMA, TGF-ß1, p38 MAPK, and the Bax/Bcl-2 ratio, as well as cell apoptosis in the kidney, were induced by UUO, and were all found deceased by RAC treatment. CONCLUSIONS RAC can improve the renal interstitial fibrosis induced by UUO, and the mechanism may be related to inhibition of renal tubular cell apoptosis via TGF-ß1/p38 MAPK pathway.


Assuntos
Apoptose , Astrágalo/química , Medicamentos de Ervas Chinesas/uso terapêutico , Nefropatias/tratamento farmacológico , Rheum/química , Fator de Crescimento Transformador beta1/metabolismo , Obstrução Ureteral/tratamento farmacológico , Proteínas Quinases p38 Ativadas por Mitógeno/metabolismo , Acetilglucosaminidase/sangue , Actinas/metabolismo , Animais , Apoptose/efeitos dos fármacos , Nitrogênio da Ureia Sanguínea , Cápsulas , Colágeno Tipo I/metabolismo , Creatinina/sangue , Medicamentos de Ervas Chinesas/farmacologia , Fibrose , Rim/patologia , Nefropatias/sangue , Nefropatias/complicações , Masculino , Ratos Sprague-Dawley , Transdução de Sinais , Obstrução Ureteral/sangue , Obstrução Ureteral/complicações , Proteína X Associada a bcl-2/metabolismo
16.
J Emerg Med ; 59(6): 918-926, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32978029

RESUMO

BACKGROUND: Subclavian vein puncture is commonly used in the intensive care unit (ICU) but is associated with complications. OBJECTIVE: Our aim was to compare the efficacy and safety of static ultrasound-guided subclavian vein puncture with traditional anatomical landmark-guided subclavian vein puncture in critically ill patients in the ICU. METHODS: This pilot randomized controlled trial enrolled patients admitted to the ICU and requiring subclavian vein puncture between November 2017 and September 2018. The patients were randomized to ultrasound-guided puncture or anatomical landmark-guided puncture. The primary outcome measure was the puncture success rate. The secondary outcome measures included the number of punctures, rate of success at the first attempt, puncture time (i.e., procedure duration) and incidence of complications. RESULTS: A total of 194 patients were included in the analyses. Compared with the anatomical landmarks group, the ultrasound group had a higher puncture success rate (91.7% vs. 77.6%; p = 0.007), lower rate of complications (7.3% vs. 20.4%; p = 0.008), and lower incidence of mispuncture of an artery (2.1% vs. 14.3%; p = 0.002). There were no significant differences in the number of punctures and puncture time between the two groups (both, p > 0.05). CONCLUSIONS: Static ultrasound-guided subclavian vein puncture is superior to the traditional landmark-guided approach for critically ill patients in the ICU. It is suggested that static ultrasound-guided puncture techniques should be considered for subclavian vein puncture in the ICU. TRIAL REGISTRATION: ChiCTR1900024051.


Assuntos
Cateterismo Venoso Central , Veia Subclávia , Cateterismo Venoso Central/efeitos adversos , Humanos , Unidades de Terapia Intensiva , Projetos Piloto , Punções , Veia Subclávia/diagnóstico por imagem , Ultrassonografia de Intervenção
17.
Neuroimage ; 203: 116200, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31536803

RESUMO

We conducted a meta-analysis of 78 task-based functional magnetic resonance imaging (fMRI) studies (1976 total participants) to reveal underlying brain activations and their overlap with large-scale neural networks in the brain during general discourse comprehension and its sub-processes. We found that discourse comprehension involved a neural system consisting of widely distributed brain regions that comprised not only the bilateral perisylvian language zones, but also regions in the superior and medial frontal cortex and the medial temporal lobe. Moreover, this neural system can be categorized into several sub-systems representing various sub-processes of discourse comprehension, with the left inferior frontal gyrus and middle temporal gyrus serving as core regions across all sub-processes. At a large-scale network level, we found that discourse comprehension relied most heavily on the default network, particularly on its dorsal medial subsystem. The pattern associated with large-scale network cooperation varied according to the respective sub-processes required. Our results reveal the functional dissociation within the discourse comprehension neural system and highlight the flexible involvements of large-scale networks.


Assuntos
Encéfalo/fisiologia , Compreensão/fisiologia , Percepção da Fala/fisiologia , Mapeamento Encefálico , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Vias Neurais/fisiologia , Psicolinguística , Comportamento Verbal
18.
Cogn Affect Behav Neurosci ; 19(1): 154-164, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30357658

RESUMO

Using event-related potentials, in this study we examined how implied emotion is derived from sentences. In the same sentential context, different emotionally neutral words rendered the whole sentence emotionally neutral and semantically congruent, emotionally negative and semantically congruent, or emotionally neutral and semantically incongruent. Relative to the words in the neutral-congruent condition, the words in the neutral-incongruent condition elicited a larger N400, indicating increased semantic processing, whereas the words in the negative-congruent condition elicited a long-lasting positivity between 300 and 1,000 ms, indicating an emotional response. The overlapping time windows of semantic processing and the emotional response suggest that the construction of emotional meaning operates concurrently with semantic unification. The results indicate that the implied emotional processing of sentences may be a result of unification operations but does not necessarily involve causal appraisal of a sentence's mental representation.


Assuntos
Emoções/fisiologia , Potenciais Evocados/fisiologia , Leitura , Semântica , Adulto , Análise de Variância , Mapeamento Encefálico/métodos , Eletroencefalografia/métodos , Feminino , Humanos , Idioma , Masculino , Adulto Jovem
19.
Acta Biochim Biophys Sin (Shanghai) ; 51(2): 204-215, 2019 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-30649153

RESUMO

Stress is a potent risk factor for depression. Chronic stress can exacerbate and induce symptoms of depression. Clinical studies suggested that depressive patients are more likely to develop coronary artery diseases. However, the causal relationship between depression and heart failure progression remains unclear. In this study, we aimed to explore the relevance between stress and heart failure (HF) in a mouse model subjected to chronic restraint stress and left anterior descending coronary artery (LAD) ligation. Mice were restrained for 3 h daily for 21 days and the processes were repeated once 3 months later. After the repeated chronic restraint stress, mice showed dramatically increased immobility time in the forced swim test, indicating a state of despair. Restrained and control mice were further subjected to LAD ligation surgery. Echocardiography was conducted 1 week, 2 weeks, and 1 month afterward. LAD-operated mice showed a significant decrease in the values of left ventricular ejection fraction (LVEF), and there was no difference in the LVEF values between the restrained and control mice. Relevant gene expression, neurotransmitter system, glial activation, and morphology of the heart-brain axis were comprehensively evaluated. We found no overall differences between the restrained and control mice with HF. Our results revealed that the repeated chronic restraint stress may have little effects on the progression of heart failure.


Assuntos
Depressão/fisiopatologia , Modelos Animais de Doenças , Insuficiência Cardíaca/fisiopatologia , Estresse Psicológico/fisiopatologia , Animais , Encéfalo/metabolismo , Encéfalo/fisiopatologia , Depressão/genética , Depressão/metabolismo , Progressão da Doença , Ecocardiografia , Regulação da Expressão Gênica , Insuficiência Cardíaca/genética , Insuficiência Cardíaca/metabolismo , Humanos , Masculino , Camundongos Endogâmicos C57BL , Atividade Motora/fisiologia , Restrição Física/psicologia , Natação/psicologia
20.
Sensors (Basel) ; 19(8)2019 Apr 22.
Artigo em Inglês | MEDLINE | ID: mdl-31013613

RESUMO

Following the development of wireless multimedia sensor networks (WMSN), the coverage of the sensors in the network constitutes one of the key technologies that have a significant influence on the monitoring ability, quality of service, and network lifetime. The application environment of WMSN is always a complex surface, such as a hilly surface, that would likely cause monitoring shadowing problems. In this study, a new coverage-enhancing algorithm is presented to achieve an optimal coverage ratio of WMSN based on three-dimensional (3D) complex surfaces. By aiming at the complex surface, the use of a 3D sensing model, including a sensor monitoring model and a surface map calculation algorithm, is proposed to calculate the WMSN coverage information in an accurate manner. The coverage base map allowed the efficient estimation of the degree of monitoring occlusion efficiently and improved the system's accuracy. To meet the requests of complex 3D surface monitoring tasks for multiple sensors, we propose a modified cuckoo search algorithm that considers the features of the WMSN coverage problem and combines the survival of the fittest, dynamic discovery probability, and the self-adaptation strategy of rotation. The evaluation outcomes demonstrate that the proposed algorithm can describe the 3D covering field but also improve both the coverage quality and efficiency of the WMSN on a complex surface.

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