Changes in cerebral activity after decreased upper-limb hypertonus: an EMG-fMRI study

Objective

Whereas several studies have used functional magnetic resonance imaging (fMRI) to investigate motor recovery, whether therapy to decrease post-stroke hypertonus alters central motor patterns remains unclear. In this study, we used continuous electromyography (EMG)-fMRI to investigate possible changes in movement-related brain activation in patients receiving Botulinum toxin (BoNT-A) for hand-muscle hypertonus after chronic stroke.

Methods

We studied eight stroke patients all of whom had hemiparesis and associated upper-limb hypertonus. All patients underwent an fMRI-EMG recording and clinical-neurological assessment before BoNT-A and 5 weeks thereafter. The handgrip motor task during imaging was fixed across both patients and controls. The movements were metronome paced, movement amplitude and force were controlled with a plastic orthosis, dynamometer and EMG recording. An age-matched control group was recruited from among healthy volunteers underwent the same fMRI-EMG recording.

Results

Before BoNT-A, while patients moved the paretic hand, fMRI detected wide bilateral activation in the sensorymotor areas (SM1), in the supplementary motor area (SMA) and cerebellum. After BoNT-A blood oxygenation level-dependent (BOLD) activation decreased in ipsilateral and contralateral motor areas and became more lateralized. BOLD activation decreased also in ipsilateral cerebellar regions and in the SMA.

Conclusion

Changes in peripheral upper-limb hypertonus after BoNT-A were associated to an improvement in active movements and more lateralized and focalized activation of motor areas. The clinical and EMG-fMRI coregistration technique we used to study hand-muscle hypertonus in patients receiving BoNT-A after chronic stroke should be useful in future studies seeking improved strategies for post-stroke neurorehabilitation.     

Effects of alfaxalone on cerebral blood flow and intrinsic neural activity of rhesus monkeys: A comparison study with ketamine

ObjectiveAlfaxalone has been used increasingly in biomedical research and veterinary medicine of large animals in recent years. However, its effects on the cerebral blood flow (CBF) physiology and intrinsic neuronal activity of anesthetized brains remain poorly understood.MethodsFour healthy adult rhesus monkeys were anesthetized initially with alfaxalone (0.125 mg/kg/min) or ketamine (1.6 mg/kg/min) for 50 min, then administrated with 0.8% isoflurane for 60 min. Heart rates, breathing beats, and blood pressures were continuously monitored. CBF data were collected using pseudo-continuous arterial spin-labeling (pCASL) MRI technique and rsfMRI data were collected using single-shot EPI sequence for each anesthetic.ResultsBoth the heart rates and mean arterial pressure (MAP) remained more stable during alfaxalone infusion than those during ketamine administration. Alfaxalone reduced CBF substantially compared to ketamine anesthesia (grey matter, 65 ± 22 vs. 179 ± 38 ml/100g/min, p<0.001; white matter, 14 ± 7 vs. 26 ± 6 ml/100g/min, p < 0.05); In addition, CBF increase was seen in all selected cortical and subcortical regions of alfaxalone-pretreated monkey brains during isoflurane exposure, very different from the findings in isoflurane-exposed monkeys pretreated with ketamine. Also, alfaxalone showed suppression effects on functional connectivity of the monkey brain similar to ketamine.ConclusionAlfaxalone showed strong suppression effects on CBF of the monkey brain.The residual effect of alfaxalone on CBF of isoflurane-exposed brains was evident and monotonous in all the examined brain regions when used as induction agent for inhalational anesthesia. In particular, alfaxalone showed similar suppression effect on intrinsic neuronal activity of the brain in comparison with ketamine. These findings suggest alfaxalone can be a good alternative to veterinary anesthesia in neuroimaging examination of large animal models. However, its effects on CBF and functional connectivity should be considered.     

EEG topography-specific BOLD changes: a continuous EEG-fMRI study in a patient with focal epilepsy

Blood oxygenation level dependent (BOLD) response related to interictal activity was evaluated in a patient with post-traumatic focal epilepsy at repeated continuous electroencephalogram (EEG)-functional magnetic resonance imaging examinations. Lateralized interictal EEG activity induced a main cluster of activation co-localized with the anatomical lesion. Spreading of EEG interictal activity to both frontal lobes evoked bilateral clusters of activation indicating that topography of BOLD response might depend on the spatial distribution of epileptiform activity.     

The combined effect of hypertension and type 2 diabetes mellitus on aortic stiffness and endothelial dysfunction: An integrated study with high-resolution MRI

Purpose

The purpose of this study was to investigate the combined effect of hypertension and type 2 diabetes mellitus (DM2) on aortic stiffness and endothelial dysfunction by using an integrated MRI approach.

Materials and Methods

A total of 31 non-hypertensive DM2 patients and 31 hypertensive DM2 patients underwent 3.0-T MRI. Aortic distensibility (AD), pulse wave velocity (PWV) and brachial artery flow-mediated dilation (FMD) were assessed. Student's t-test, Mann–Whitney U test, chi-squared test, Pearson correlation analysis, and univariable and multiple linear regression analyses were used for statistical analyses.

Results

The hypertensive patients showed lower AD at multiple levels (ascending aorta [AA]: 2.07 ± 0.98 × 10^− 3 mm Hg^− 1 vs. 3.21 ± 1.70 × 10^− 3 mm Hg^− 1, p < 0.01; proximal thoracic descending aorta [PDA]: 2.58 ± 0.72 × 10^− 3 mm Hg^− 1 vs. 3.58 ± 1.47 × 10^− 3 mm Hg^− 1, p < 0.01; distal descending aorta [DDA]: 3.11 ± 1.84 × 10^− 3 mm Hg^− 1 vs. 4.27 ± 1.75 × 10^− 3 mm Hg^− 1, p < 0.01); faster PWV (7.46 ± 2.28 m/s vs. 5.82 ± 1.12 m/s, p < 0.05) and lower FMD (12.67% ± 6.49% vs. 20.66% ± 9.7%; p < 0.01). Systolic blood pressure was an independent predictor of PWV, AA-AD, DDA-AD and FMD. FMD was statistically significantly associated with PWV (r = − 0.37, p < 0.01) and AD (p < 0.01).

Conclusions

Hypertension has a contributive effect on aortic stiffness and endothelial dysfunction in DM2 patients.     

Quantum tunneling: A general study in multi-dimensional potential barriers with and without dissipative coupling

Quantum tunneling is formulated in terms of the time evolution of a localized state and thus shown to be dependent upon the eigenspectrum of the system Hamiltonian. A number of exactly solvable models with local and non-local double-well potentials are discussed, and it is shown how, for local potentials, other solvable models can be generated by using Gelfand-Levitan and Darboux transformations. Tunneling in multi-dimensional potential barriers is investigated under semi-classical approximation by developing the method of asymptotic expansion of the wave function for large quantum numbers and the WKB approximation for separable systems. General expressions for the imaginary-time tunneling trajectory are obtained in both methods and specific applications are discussed. Approximation schemes for non-separable systems are also presented. A general study of dissipative multi-dimensional tunneling is carried out by using the Gisin equation, the Schrödinger-Langevin equation and the complex potential model. It is shown that, in general, different models of dissipation are not equivalent in the tunneling context. Using these models one can show (a) the existence of critical damping beyond which no tunneling can occur, (b) that tunneling trajectories are dependent on the damping constant and (c) that dissipation may stabilize the excited state rather than the ground state. Finally the tunneling time delay in one-dimensional systems for undamped and for dissipative systems is formulated in terms of the phase shift, and this has been used to show that the effect of damping on the time delay is ignorable.     

Dzyaloshinskii-Moriya interactions in systems with fabrication induced strain gradients: An ab-initio study

The Dzyaloshinskii-Moriya (DM) vectors arising from a fabrication induced perpendicular strain gradient in a film of bcc Fe are calculated by a combination of the ab initio density functional electron theory with a micromagnetic model. It is shown that even for large strain gradients the absolute values of the DM vectors are 1-2 orders of magnitude smaller than those calculated recently for a Fe bilayer on W(1 1 0). The breaking of the symmetry of the static and dynamic properties of a magnetic vortex with respect to its polarization is discussed for systems with DM interactions.     

Light propagation in media with a highly nonlinear response: An analytical study

The problem of light propagation in highly nonlinear media is studied with the help of a recently introduced systematic approach to the analytical solution of equations of nonlinear optics [L.L. Tatarinova, M.E. Garcia, Exact solutions of the eikonal equations describing self-focusing in highly nonlinear geometrical optics, Phys. Rev. A 78 (2008) 021806(R)(1—4)]. Numerous particular cases of media exhibiting high-order nonlinear refractive indices are considered. We obtain analytical expressions for determining the self-focusing position and a new exact expression for calculating the filament intensity. The constructed solutions allowed us to revise a so-called self-focusing scaling law, i.e., the functional dependence of the self-focusing position on the initial light peak intensity. It was demonstrated that this dependence is governed by the form of the nonlinear refractive index and not by the laser beam shape at the boundary.     

Interaction of oxygen and hydrogen with Pd-Au alloys: An AES and XPS study

Pd-Au alloys of three different concentrations have been studied with Auger Electron Spectroscopy and Photoelectron Spectroscopy. A quantitative method shows that the decontaminated surfaces possess the same composition as the bulk. Interaction of oxygen up to 600°C with gold rich alloys (>85%) is very weak. It starts around 300°C on the other two alloys and results in a significant palladium surface enrichment. On the 60 at% Pd-Au alloy, at 500–580°C, the surface may be completely covered with PdO. A hydrogen treatment at 350°C leads to a complete reduction of the oxide without reequilibration of the surface.     

An XPS study of carbon monoxide and nitric oxide adsorption on platinum (410): Unusual dissociation activity

The adsorption of NO and CO on platinum (410) is studied by X-ray photoemission spectroscopy (XPS). It is found that the (410) surface shows unusual activity for NO and CO bond breaking. CO is found to adsorb molecularly on Pt (410) at 300 K, but it partially dissociates upon heating to 500 K. NO is found to adsorb dissociatively under all conditions studied. By comparison, the low index faces of platinum and stepped surfaces considered previously give negligible dissociation of CO and negligible dissociation of NO up to 450 K. The (410) surface is also unusual from an orbital symmetry standpoint; in fact, it was predicted to be unusually active for NO and CO bond breaking based on Woodward-Hoffman ideas. The present results show, then, that Woodward-Hoffman (i.e., orbital symmetry conservation) methods could yield valuable insights into the nature of active sites on single crystal catalysts.     

Effects of swimming associated with risedronate in osteopenic bones: An experimental study with ovariectomized rats

Physical activity and risedronate sodium have effects on metabolic bone diseases, maintaining the integrity of bone tissue. Our objective was to evaluate the effects of swimming associated with risedronate as a prophylactic means in osteopenic bone of ovariectomized rats. A total of 24 animals of the Wistar strain were used and separated into four groups containing six animals: Ovariectomy (OVX), ovariectomy and swimming (OVXS), ovariectomy and risedronate (OVXM), ovariectomy, risedronate and swimming (OVXMS). The effectiveness of the treatments were evaluated using the tibia by means of biomechanical, radiographic, histomorphometric analyzes. Statistical analysis was performed by the non-parametric Kruskal–Wallis test (p < 0.05). The OVXM and OVXMS groups showed higher values ​​compared to OVX in maximum strength and rigidity. Microscopic analysis showed increased trabecular bone in the OVXM group in relation to the others, and in the OVXMS compared to OVXS. Proximal densitometry in the OVXM and OVXMS groups showed higher values than the OVX and OVXS groups. There were no significant differences in overall densitometry. In conclusion, when comparing the prophylactic means, risedronate was able to preserve bone mass significantly, unlike exercise where an improvement of bone tissue was observed, although not significant, and when swimming and risedronate are combined the result was even better.     

Temporo-insular enhancement of EEG low and high frequencies in patients with chronic tinnitus. QEEG study of chronic tinnitus patients

Background  

The physiopathological mechanism underlying the tinnitus phenomenon is still the subject of an ongoing debate. Since oscillatory EEG activity is increasingly recognized as a fundamental hallmark of cortical integrative functions, this study investigates deviations from the norm of different resting EEG parameters in patients suffering from chronic tinnitus.     

Reaction kinetics of OH radicals with 1,3,5-trimethyl benzene: An experimental and theoretical study

Alkylated aromatics are ubiquitous in transportation fuels. 1,3,5-Trimethyl benzene (135TMB) is a popular surrogate for the aromatic content of distillate fuels due to its symmetry (point group, C_3h), which facilitates the construction of an accurate chemical kinetic model. The reaction of OH radicals with 135TMB plays a crucial role in the oxidation kinetics of 135TMB. In this work, the reaction kinetics of OH-initiated oxidation of 135TMB were investigated behind reflected shock waves over 975–1318 K and atmospheric pressure. The reaction was followed by monitoring OH radicals near 307 nm. The rate coefficients were extracted from detailed chemical kinetic modeling of OH concentration-time profiles. Our measured data clearly showed a positive temperature dependence, in contrast to the negative temperature dependence of the literature low-temperature data. At 1000 K, our measured rate coefficient is 1.3 × 10⁻¹¹ cm³ molecule⁻¹ s⁻¹, which is roughly a factor of 5 lower than the room-temperature data reported in the literature. This observation reflects the complex nature of the OH + 135TMB reaction, similar to that observed for various aromatics + OH chemical systems. Our measurements did not show any discernible pressure dependence over the narrow pressure range of 870 – 1148 Torr. The title reaction has several possible channels in the reactive potential energy surface. The importance of each channel was characterized using ab initio/RRKM-ME calculations over T = 200–2000 K and P = 0.76 -7600 Torr. Our analyses revealed that addition channels and hydrogen abstraction from the methyl site have negative energy barriers. The reaction was found to undergo almost exclusively (∼93%) via the addition channel under ambient conditions. However, beyond 600 K, the abstraction channels take the lead, yielding the positive T-dependence of the overall rate coefficient. Although addition channels display a sharp fall-off behavior beyond 500 K, the general rate coefficients are pressure-independent. The title reaction shows a complex kinetic behavior due to competing channels whose contribution changes significantly with temperature. Our theoretical calculations nicely reproduced the complex T-dependence of the reaction. After adjusting the barrier height, our theory remarkably captured the positive T-dependence of our high-T kinetic data and the negative T-dependence of the low-T literature data. To our knowledge, this is the first detailed study on the reaction kinetics of 135TMB with OH radicals. The reported rate data will be helpful for the combustion modeling of alkylated aromatic species.     

Consistency in clinicians'' and clients'' behavior in voice therapy: An exploratory study

The primary purpose of this study was to investigate consistency in clinicians' behaviors during two voice therapy sessions. The secondary purpose was to examine relationships between ratings of clinicians' and clients' behaviors. Each clinician (n = 7) was observed working with two different clients. Two experienced evaluators, using the Adjective Checklist and fivepoint semantic differential scales, rated clinicians and clients. Results indicated that 6 of 10 aspects of therapy studied were found to be relatively inconsistent, with the pace of therapy being the least stable. Ratings of individual clinician traits (e.g., favorable, unfavorable, intraception) were the most stable.     

Metabolic alteration transients during paroxysmal activity in an epileptic patient with fixation-off sensitivity: a case study

The purpose of this study was to investigate short-time metabolic variations related to continuous epileptic activity elicited by fixation-off sensitivity (FOS). Time-resolved magnetic resonance spectroscopy was performed on a patient on whom previous clinical findings clearly indicated presence of FOS. The epileptic focus was localized with a simultaneous electroencephalographic and functional magnetic resonance imaging study. The results showed a linear increase of the sum of glutamate and glutamine with time of paroxysmal activity in epileptic focus and much greater concentration of choline-containing compounds in focus than in the contralateral side.     

Association of objectively measured physical activity with combined bilateral knee and low-back pain in older adults with knee osteoarthritis: A cross-sectional study

Objective: Knee pain (KP) and low-back pain (LBP) are common sites of pain and major public health issues among older adults. We investigated the combined association of bilateral KP and LBP with objectively measured physical activity (PA) among adults with knee osteoarthritis (OA). Methods: We recruited 150 knee OA adults and measured steps and PA intensity, including sedentary behavior (SB), low PA (LPA), and moderate-to-vigorous PA, using an accelerometer. KP and LBP were measured using a numerical rating scale. They were classified into 4 groups based on the presence of KP and LBP: with the only unilateral KP (UKP), with the combined UKP and LBP (UKP and LBP), with the bilateral KP (BKP), and with the combined bilateral KP and LBP (BKP and LBP). One-way analysis of covariance was performed to compare physical activity variables (intensity or steps) between the four groups. Results: Overall, 126 patients were enrolled. The prevalence of UKP, BKP, UKP and LBP, and BKP and LBP were 29.4%, 23.8%, 18.3%, and 28.6%. The proportion of SB was higher in the BKP and LBP group than in the other groups (F = 6.51, p < 0.01). The proportion of LPA was lower in the BKP and LBP group than in the other groups (F = 6.21, p < 0.01). Conclusions: The proportions of SB and LPA were significantly worse in knee OA adults with BKP and LBP than in those with UKP. Our findings may be a basis for considering knee OA adults for improving PA.     

X-ray and gamma-ray absorbed dose profiles in teeth: An EPR and modeling study

Dose profiles in teeth have been experimentally and theoretically studied for different energies and geometries of incident X- and gamma-rays. The experiments were conducted with teeth inside of an Alderson phantom using monodirectional radiation beams at selected energies; they revealed two effects: an apparent lack of dose attenuation between the buccal and the lingual sides of the teeth for energies higher than 120 keV and an attenuation between first and last tooth layers for low-energy beams in the range from 0.28 to 0.57. Monte Carlo simulations confirmed the experimental data and provided dose profiles for other energies and geometries. In particular, exposure in the rotational radiation field produces pronounced dose profiles only for energies lower than 60 keV. The usefulness of these data to estimate the average energy of accidental radiation field is discussed.     

The modulation of brain functional connectivity with manual acupuncture in healthy subjects:An electroencephalograph case study

Manual acupuncture is widely used for pain relief and stress control.Previous studies on acupuncture have shown its modulatory effects on the functional connectivity associated with one or a few preselected brain regions.To investigate how manual acupuncture modulates the organization of functional networks at a whole-brain level,we acupuncture at ST36 of a right leg to obtain electroencephalograph(EEG) signals.By coherence estimation,we determine the synchronizations between all pairwise combinations of EEG channels in three acupuncture states.The resulting synchronization matrices are converted into functional networks by applying a threshold,and the clustering coefficients and path lengths are computed as a function of threshold.The results show that acupuncture can increase functional connections and synchronizations between different brain areas.For a wide range of thresholds,the clustering coefficient during acupuncture and postacupuncture period is higher than that during the pre-acupuncture control period,whereas the characteristic path length is shorter.We provide further support for the presence of "small-world" network characteristics in functional networks by using acupuncture.These preliminary results highlight the beneficial modulations of functional connectivity by manual acupuncture,which could contribute to the understanding of the effects of acupuncture on the entire brain,as well as the neurophysiological mechanisms underlying acupuncture.Moreover,the proposed method may be a useful approach to the further investigation of the complexity of patterns of interrelations between EEG channels.     

Tympanic membrane perforations in cats: configurations of losses with and without ear canal extensions

In cat, a small tympanic membrane (TM) perforation produces a low-frequency loss--in terms of sound pressure changes (deltaSP) in front of the TM re a 10-micronV round window cochlear microphonic (RW CM)--that varies inversely with frequency at a rate of 12dB/octave with a surgically shortened external auditory meatus (EAM). Losses were determined at the outer opening (deltaSP00) and at the TM (deltaSPTM) of four artificial EAM's of various lengths, volumes, and leakiness. In the low-frequency region, a leaky EAM produced a flat loss. In the midfrequency region, the flatness of losses was attributable to (1) the length of the EAM and (2) the location at which the loss was determined. EAM volume was not related to the configuration of the loss. Losses, under all conditions, were always identical in shape and magnitude for the open and closed systems. Clinically, hearing losses due to TM perforations are essentially frequency independent, especially in the low frequencies. The relation between voltage changes (deltaV) across the transducer and losses with different EAM's suggests that the discrepency between audiometric results and CM losses--at least in the high and midfrequencies--may be due to the use of precalibrated SPL's in clinical audiometry.