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1.
Front Neurosci ; 17: 1190310, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37389367

RESUMO

Compact optically-pumped magnetometers (OPMs) are now commercially available with noise floors reaching 10 fT/Hz1/2. However, to be used effectively for magnetoencephalography (MEG), dense arrays of these sensors are required to operate as an integrated turn-key system. In this study, we present the HEDscan, a 128-sensor OPM MEG system by FieldLine Medical, and evaluate its sensor performance with regard to bandwidth, linearity, and crosstalk. We report results from cross-validation studies with conventional cryogenic MEG, the Magnes 3,600 WH Biomagnetometer by 4-D Neuroimaging. Our results show high signal amplitudes captured by the OPM-MEG system during a standard auditory paradigm, where short tones at 1000 Hz were presented to the left ear of six healthy adult volunteers. We validate these findings through an event-related beamformer analysis, which is in line with existing literature results.

2.
Transpl Infect Dis ; 24(6): e13923, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35915957

RESUMO

Solid organ transplant (SOT) recipients are at high risk for severe disease with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Emerging variants of concern have disproportionately affected this population. Data on severity and outcomes with the Omicron variant in SOT recipients are limited. Thus we conducted this single-center, retrospective cohort study of SOT recipients diagnosed with SARS-CoV-2 infection from December 18, 2021 to January 18, 2022, when prevalence of the Omicron variant was more than 80%-95% in the community. Univariate and multivariate logistic regression analysis was performed to identify risk factors for hospital admission. We identified 166 SOT patients: 112 (67.5%) kidney, 22 (13.3%) liver, 10 (6.0%) lung, seven (4.2%) heart, and 15 (9.0%) combined transplants. SARS-CoV-2 vaccine series was completed in 59 (35.5%) recipients. Ninety-nine (59.6%) and 13 (7.8%) recipients received casirivimab/imdevimab and sotrovimab, respectively. Fifty-three (32%) recipients required hospital admission, of which 19 (35.8%) required intensive care unit level of care. Median follow-up was 50 (interquartile range, 25-59) days, with mortality reported in six (3.6%) patients. Risk factors identified for hospital admission were African American race (p < .001, odds ratio [OR] 4.00, 95% confidence interval [CI] 1.84-8.70), history of coronary artery disease (p = .031, OR 3.50, 95% CI 1.12-10.87), and maintenance immunosuppression with corticosteroids (p = .048, OR 2.00, 95% CI 1.01-4.00). In conclusion, contrary to that in the general population, we found a higher hospital admission rate in SOT recipients with omicron variant infection. Further studies to investigate the efficacy of newer treatments are necessary, even as outcomes continue to improve.


Assuntos
COVID-19 , Transplante de Órgãos , Humanos , COVID-19/epidemiologia , Vacinas contra COVID-19 , Estudos Retrospectivos , SARS-CoV-2 , Transplante de Órgãos/efeitos adversos , Transplantados
3.
eNeuro ; 9(3)2022.
Artigo em Inglês | MEDLINE | ID: mdl-35443990

RESUMO

The neural underpinnings of humans' ability to process faces and how it changes over typical development have been extensively studied using paradigms where face stimuli are oversimplified, isolated, and decontextualized. The prevalence of this approach, however, has resulted in limited knowledge of face processing in ecologically valid situations, in which faces are accompanied by contextual information at multiple time scales. In the present study, we use a naturalistic movie paradigm to investigate how neuromagnetic activation and phase synchronization elicited by faces from movie scenes in humans differ between children and adults. We used MEG data from 22 adults (6 females, 3 left handed; mean age, 27.7 ± 5.28 years) and 20 children (7 females, 1 left handed; mean age, 9.5 ± 1.52 years) collected during movie viewing. We investigated neuromagnetic time-locked activation and phase synchronization elicited by movie scenes containing faces in contrast to other movie scenes. Statistical differences between groups were tested using a multivariate data-driven approach. Our results revealed lower face-elicited activation and theta/alpha phase synchrony between 120 and 330 ms in children compared with adults. Reduced connectivity in children was observed between the primary visual areas as well as their connections with higher-order frontal and parietal cortical areas. This is the first study to map neuromagnetic developmental changes in face processing in a time-locked manner using a naturalistic movie paradigm. It supports and extends the existing evidence of core face-processing network maturation accompanied by the development of an extended system of higher-order cortical areas engaged in face processing.


Assuntos
Mapeamento Encefálico , Filmes Cinematográficos , Adulto , Mapeamento Encefálico/métodos , Criança , Feminino , Humanos , Magnetoencefalografia/métodos , Masculino , Adulto Jovem
4.
JMIR Biomed Eng ; 6(2): e26332, 2021 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-38907380

RESUMO

BACKGROUND: Mindfulness-based stress reduction has demonstrated some efficacy for chronic pain management. More recently, virtual reality (VR)-guided meditation has been used to assist mindfulness-based stress reduction. Although studies have also found electroencephalograph (EEG) changes in the brain during mindfulness meditation practices, such changes have not been demonstrated during VR-guided meditation. OBJECTIVE: This exploratory study is designed to explore the potential for recording and analyzing EEG during VR experiences in terms of the power of EEG waveforms, topographic mapping, and coherence. We examine how these measures changed during a VR-guided meditation experience in participants with cancer-related chronic pain. METHODS: A total of 10 adult patients with chronic cancer pain underwent a VR-guided meditation experience while EEG signals were recorded during the session using a BioSemi ActiveTwo system (64 channels, standard 10-20 configuration). The EEG recording session consisted of an 8-minute resting condition (pre), a 30-minute sequence of 3 VR-guided meditation conditions (med), and a final rest condition (post). Power spectral density (PSD) was compared between each condition using a cluster-based permutation test and across conditions using multivariate analysis of variance. A topographic analysis, including coherence exploration, was performed. In addition, an exploratory repeated measures correlation was used to examine possible associations between pain scores and EEG signal power. RESULTS: The predominant pattern was for increased ß and γ bandwidth power in the meditation condition (P<.025), compared with both the baseline and postexperience conditions. Increased power in the δ bandwidth was evident, although not statistically significant. The pre versus post comparison also showed changes in the θ and α bands (P=.02) located around the frontal, central, and parietal cortices. Across conditions, multivariate analysis of variance tests identified 4 clusters with significant (P<.05) PSD differences in the δ, θ, ß, and γ bands located around the frontal, central, and parietal cortices. Topographically, 5 peak channels were identified: AF7, FP2, FC1, CP5, and P5, and verified the changes in power in the different brain regions. Coherence changes were observed primarily between the frontal, parietal, and occipital regions in the θ, α, and γ bands (P<.0025). No significant associations were observed between pain scores and EEG PSD. CONCLUSIONS: This study demonstrates the feasibility of EEG recording in exploring neurophysiological changes in brain activity during VR-guided meditation and its effect on pain reduction. These findings suggest that distinct altered neurophysiological brain signals are detectable during VR-guided meditation. However, these changes were not necessarily associated with pain. These exploratory findings may guide further studies to investigate the highlighted regions and EEG bands with respect to VR-guided meditation. TRIAL REGISTRATION: ClinicalTrials.gov NCT00102401; http://clinicaltrials.gov/ct2/show/NCT00102401.

5.
Neuroimage ; 216: 116414, 2020 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-31794854

RESUMO

Naturalistic stimuli such as watching a movie while in the scanner provide an ecologically valid paradigm that has the potential of extracting valuable information on how the brain processes complex stimuli in realistic visual and auditory contexts. Naturalistic viewing is also easier to conduct with challenging participant groups including patients and children. Given the high temporal resolution of MEG, in the present study, we demonstrate how a short movie clip can be used to map distinguishable activation and connectivity dynamics underlying the processing of specific classes of visual stimuli such as face and hand manipulations, as well as contrasting activation dynamics for auditory words and non-words. MEG data were collected from 22 healthy volunteers (6 females, 3 left handed, mean age - 27.7 â€‹± â€‹5.28 years) during the presentation of naturalistic audiovisual stimuli. The MEG data were split into trials with the onset of the stimuli belonging to classes of interest (words, non-words, faces, hand manipulations). Based on the components of the averaged sensor ERFs time-locked to the visual and auditory stimulus onset, four and three time-windows, respectively, were defined to explore brain activation dynamics. Pseudo-Z, defined as the ratio of the source-projected time-locked power to the projected noise power for each vertex, was computed and used as a proxy of time-locked brain activation. Statistical testing using the mean-centered Partial Least Squares analysis indicated periods where a given visual or auditory stimuli had higher activation. Based on peak pseudo-Z differences between the visual conditions, time-frequency resolved analyses were performed to assess beta band desynchronization in motor-related areas, and inter-trial phase synchronization between face processing areas. Our results provide the first evidence that activation and connectivity dynamics in canonical brain regions associated with the processing of particular classes of visual and auditory stimuli can be reliably mapped using MEG during presentation of naturalistic stimuli. Given the strength of MEG for brain mapping in temporal and frequency domains, the use of naturalistic stimuli may open new techniques in analyzing brain dynamics during ecologically valid sensation and perception.


Assuntos
Encéfalo/fisiologia , Magnetoencefalografia/métodos , Filmes Cinematográficos , Rede Nervosa/fisiologia , Percepção Visual/fisiologia , Estimulação Acústica/métodos , Adulto , Percepção Auditiva/fisiologia , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico/métodos , Feminino , Humanos , Masculino , Rede Nervosa/diagnóstico por imagem , Estimulação Luminosa/métodos , Adulto Jovem
6.
Neuroimage ; 208: 116386, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31786165

RESUMO

Functional brain connectivity is increasingly being seen as critical for cognition, perception and motor control. Magnetoencephalography and electroencephalography are modalities that offer noninvasive mapping of electrophysiological interactions among brain regions, yet suffer from signal leakage and signal cancellation when estimating brain activity. This leads to biased connectivity values which complicate interpretation. In this study, we test the hypothesis that a Multiple Constrained Minimum Variance beamformer (MCMV) outperforms the more traditional Linearly Constrained Minimum Variance beamformer (LCMV) for estimation of electrophysiological connectivity. To this end, MCMV and LCMV performance is compared in task related analyses with both simulated data and human MEG recordings of visual steady state signals, and in resting state analyses with simulated data and human MEG data of 89 subjects. In task related scenarios connectivity was estimated using coherence and phase locking values, whereas envelope correlations were used for the resting state data. We also introduce a novel Augmented Pairwise MCMV (APW-MCMV) approach for signal leakage suppression in resting state analyses and assess its performance against LCMV and more conventional MCMV approaches. We demonstrate that with MCMV effects of signal mixing and coherent source cancellation are greatly reduced in both task related and resting state conditions, while in contrast to other approaches 0- and short time lag interactions are preserved. In addition, we demonstrate that in resting state analyses, APW-MCMV strongly reduces spurious connections while better controlling for false negatives compared to more conservative measures such as symmetrical orthogonalization.


Assuntos
Córtex Cerebral/fisiologia , Conectoma/métodos , Eletroencefalografia/métodos , Magnetoencefalografia/métodos , Modelos Teóricos , Adulto , Conectoma/normas , Eletroencefalografia/normas , Humanos , Magnetoencefalografia/normas
7.
Hum Brain Mapp ; 40(2): 377-393, 2019 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-30240494

RESUMO

Blink-related oscillations (BROs) have been linked with environmental monitoring processes associated with blinking, with cortical activations in the bilateral precuneus. Although BROs have been described under resting and passive fixation conditions, little is known about their characteristics under cognitive loading. To address this, we investigated BRO effects during both mental arithmetic (MA) and passive fixation (PF) tasks using magnetoencephalography (n =20), while maintaining the same sensory environment in both tasks. Our results confirmed the presence of BRO effects in both MA and PF tasks, with similar characteristics including blink-related increase in global field power and blink-related activation of the bilateral precuneus. In addition, cognitive loading due to MA also modulated BRO effects by decreasing BRO-induced cortical activations in key brain regions including the bilateral anterior precuneus. Interestingly, blinking during MA-but not PF-activated regions of the ventral attention network (i.e., right supramarginal gyrus and inferior frontal gyrus), suggesting possible recruitment of these areas for blink processing under cognitive loading conditions. Time-frequency analysis revealed a consistent pattern of BRO-related effects in the precuneus in both tasks, but with task-related functional segregation within the anterior and posterior subregions. Based on these findings, we postulate a potential neurocognitive mechanism for blink processing in the precuneus. This study is the first investigation of BRO effects under cognitive loading, and our results provide compelling new evidence for the important cognitive implications of blink-related processing in the human brain.


Assuntos
Atenção/fisiologia , Piscadela/fisiologia , Ondas Encefálicas/fisiologia , Fixação Ocular/fisiologia , Rede Nervosa/fisiologia , Lobo Parietal/fisiologia , Córtex Pré-Frontal/fisiologia , Resolução de Problemas/fisiologia , Adulto , Feminino , Humanos , Magnetoencefalografia , Masculino , Conceitos Matemáticos , Adulto Jovem
8.
J Neural Eng ; 16(1): 016008, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30507557

RESUMO

OBJECTIVE: The ability to orient with respect to the current context (e.g. current time or location) is crucial for daily functioning, and is used to measure overall cognitive health across many frontline clinical assessments. However, these tests are often hampered by their reliance on verbal probes (e.g. 'What city are we in?') in evaluating orientation. Objective, physiology-based measures of orientation processing are needed, but no such measures are currently in existence. We report the initial development of potential brainwave-based markers of orientation processing as characterized using electroencephlography (EEG) and magnetoencephalography (MEG). APPROACH: An auditory stimulus sequence embedded with words corresponding to orientation-relevant (i.e. related to the 'here and now') and orientation-irrelevant (i.e. unrelated to the current context) conditions was used to elicit orientation processing responses. EEG/MEG data, in concert with clinical assessments, were collected from 29 healthy adults. Analysis at sensor and source levels identified and characterized neural signals related to orientation processing. MAIN RESULTS: Orientation-irrelevant stimuli elicited increased negative amplitude in EEG-derived event-related potential (ERP) waveforms during the 390-570 ms window (p < 0.05), with cortical activations across the left frontal, temporal, and parietal regions. These effects are consistent with the well-known N400 response to semantic incongruence. In contrast, ERP responses to orientation-relevant stimuli exhibited increased positive amplitude during the same interval (p < 0.05), with activations across the bilateral temporal and parietal regions. Importantly, these differential responses were robust at the individual level, with machine-learning classification showing high accuracy (89%), sensitivity (0.88) and specificity (0.90). SIGNIFICANCE: This is the first demonstration of a neurotechnology platform that elicits, captures, and evaluates electrophysiological markers of orientation processing. We demonstrate neural responses to orientation stimuli that are validated across EEG and MEG modalities and robust at the individual level. The extraction of physiology-based markers through this technique may enable improved objective brain functional evaluation in clinical applications.


Assuntos
Estimulação Acústica/métodos , Mapeamento Encefálico/métodos , Encéfalo/fisiologia , Eletroencefalografia/métodos , Magnetoencefalografia/métodos , Orientação Espacial/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Fenômenos Eletromagnéticos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
9.
J Transl Med ; 16(1): 151, 2018 06 04.
Artigo em Inglês | MEDLINE | ID: mdl-29866112

RESUMO

BACKGROUND: For nearly four decades, the N400 has been an important brainwave marker of semantic processing. It can be recorded non-invasively from the scalp using electrical and/or magnetic sensors, but largely within the restricted domain of research laboratories specialized to run specific N400 experiments. However, there is increasing evidence of significant clinical utility for the N400 in neurological evaluation, particularly at the individual level. To enable clinical applications, we recently reported a rapid evaluation framework known as "brain vital signs" that successfully incorporated the N400 response as one of the core components for cognitive function evaluation. The current study characterized the rapidly evoked N400 response to demonstrate that it shares consistent features with traditional N400 responses acquired in research laboratory settings-thereby enabling its translation into brain vital signs applications. METHODS: Data were collected from 17 healthy individuals using magnetoencephalography (MEG) and electroencephalography (EEG), with analysis of sensor-level effects as well as evaluation of brain sources. Individual-level N400 responses were classified using machine learning to determine the percentage of participants in whom the response was successfully detected. RESULTS: The N400 response was observed in both M/EEG modalities showing significant differences to incongruent versus congruent condition in the expected time range (p < 0.05). Also as expected, N400-related brain activity was observed in the temporal and inferior frontal cortical regions, with typical left-hemispheric asymmetry. Classification robustly confirmed the N400 effect at the individual level with high accuracy (89%), sensitivity (0.88) and specificity (0.90). CONCLUSION: The brain vital sign N400 characteristics were highly consistent with features of the previously reported N400 responses acquired using traditional laboratory-based experiments. These results provide important evidence supporting clinical translation of the rapidly acquired N400 response as a potential tool for assessments of higher cognitive functions.


Assuntos
Encéfalo/fisiologia , Potenciais Evocados/fisiologia , Semântica , Sinais Vitais , Estimulação Acústica , Encéfalo/anatomia & histologia , Eletroencefalografia , Feminino , Humanos , Magnetoencefalografia , Masculino , Fatores de Tempo , Adulto Jovem
10.
Front Hum Neurosci ; 11: 489, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29085289

RESUMO

Spontaneous blinking occurs 15-20 times per minute. Although blinking has often been associated with its physiological role of corneal lubrication, there is now increasing behavioral evidence suggesting that blinks are also modulated by cognitive processes such as attention and information processing. Recent low-density electroencephalography (EEG) studies have reported so-called blink-related oscillations (BROs) associated with spontaneous blinking at rest. Delta-band (0.5-4 Hz) BROs are thought to originate from the precuneus region involved in environmental monitoring and awareness, with potential clinical utility in evaluation of disorders of consciousness. However, the neural mechanisms of BROs have not been elucidated. Using magnetoencephalography (MEG), we characterized delta-band BROs in 36 healthy individuals while controlling for background brain activity. Results showed that, compared to pre-blink baseline, delta-band BROs resulted in increased global field power (p < 0.001) and time-frequency spectral power (p < 0.05) at the sensor level, peaking at ~250 ms post-blink maximum. Source localization showed that spontaneous blinks activated the bilateral precuneus (p < 0.05 FWE), and source activity within the precuneus was also consistent with sensor-space results. Crucially, these effects were only observed in the blink condition and were absent in the control condition, demonstrating that results were due to spontaneous blinks rather than as part of the inherent brain activity. The current study represents the first MEG examination of BROs. Our findings suggest that spontaneous blinks activate the precuneus regions consistent with environmental monitoring and awareness, and provide important neuroimaging support for the cognitive role of spontaneous blinks.

11.
Biomed Eng Lett ; 7(3): 215-219, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30603168

RESUMO

A non-magnetic MEG compatible device has been developed that provides continuous force and velocity information. Combined with MEG, this device may find utility in characterizing brain regions associated with force and velocity relative to individual digits or movement pattern. 15 healthy right-handed participants were given visual cues to perform random finger movements on the prototype finger sensor for 21 s and then rest for 21 s (7 times). Respective finger flexion data were obtained, during 151-channel MEG brain scanning, by feeding the signal from finger sensor into four input Analog to Digital Converter (ADC) channels in the MEG hardware. The source activity was reconstructed in beta band using a Linearly Constrained Minimum Variance (LCMV) beamformer in the beta band. The ADC channels were used as regressors for a continuous time General Linear Model (GLM) and a Region of Interest (ROI) was identified to examine activity. MEG analysis showed bilateral activation in the primary motor cortex region. Because individual digits could be isolated in the ADC data, somatotopy of the fingers were observed consistent with the homunculus except pinky finger. The total span was calculated to be 5.5662 mm. The study confirms that the finger sensor is magnetically compatible with MEG measurements and may potentially provide a means to study complex sensorimotor functions. Improved isolation of individual digit information along with the use of machine learning algorithms can help retrieve more accurate results.

12.
Front Psychol ; 4: 271, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23730293

RESUMO

The core human capacity of syntactic analysis involves a left hemisphere network involving left inferior frontal gyrus (LIFG) and posterior middle temporal gyrus (LMTG) and the anatomical connections between them. Here we use magnetoencephalography (MEG) to determine the spatio-temporal properties of syntactic computations in this network. Listeners heard spoken sentences containing a local syntactic ambiguity (e.g., "… landing planes …"), at the offset of which they heard a disambiguating verb and decided whether it was an acceptable/unacceptable continuation of the sentence. We charted the time-course of processing and resolving syntactic ambiguity by measuring MEG responses from the onset of each word in the ambiguous phrase and the disambiguating word. We used representational similarity analysis (RSA) to characterize syntactic information represented in the LIFG and left posterior middle temporal gyrus (LpMTG) over time and to investigate their relationship to each other. Testing a variety of lexico-syntactic and ambiguity models against the MEG data, our results suggest early lexico-syntactic responses in the LpMTG and later effects of ambiguity in the LIFG, pointing to a clear differentiation in the functional roles of these two regions. Our results suggest the LpMTG represents and transmits lexical information to the LIFG, which responds to and resolves the ambiguity.

13.
Pain ; 154(10): 1946-1952, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23711638

RESUMO

Children born very prematurely (< or =32 weeks) often exhibit visual-perceptual difficulties at school-age, even in the absence of major neurological impairment. The alterations in functional brain activity that give rise to such problems, as well as the relationship between adverse neonatal experience and neurodevelopment, remain poorly understood. Repeated procedural pain-related stress during neonatal intensive care has been proposed to contribute to altered neurocognitive development in these children. Due to critical periods in the development of thalamocortical systems, the immature brain of infants born at extremely low gestational age (ELGA; < or =28 weeks) may have heightened vulnerability to neonatal pain. In a cohort of school-age children followed since birth we assessed relations between functional brain activity measured using magnetoencephalogragy (MEG), visual-perceptual abilities and cumulative neonatal pain. We demonstrated alterations in the spectral structure of spontaneous cortical oscillatory activity in ELGA children at school-age. Cumulative neonatal pain-related stress was associated with changes in background cortical rhythmicity in these children, and these alterations in spontaneous brain oscillations were negatively correlated with visual-perceptual abilities at school-age, and were not driven by potentially confounding neonatal variables. These findings provide the first evidence linking neonatal pain-related stress, the development of functional brain activity, and school-age cognitive outcome in these vulnerable children.


Assuntos
Idade Gestacional , Lactente Extremamente Prematuro/fisiologia , Dor/fisiopatologia , Estresse Psicológico/fisiopatologia , Córtex Visual/fisiologia , Percepção Visual/fisiologia , Criança , Feminino , Humanos , Recém-Nascido de Peso Extremamente Baixo ao Nascer/fisiologia , Recém-Nascido , Recém-Nascido Prematuro/fisiologia , Estudos Longitudinais , Magnetoencefalografia/métodos , Masculino , Dor/diagnóstico , Medição da Dor/métodos , População , Gravidez , Estresse Psicológico/diagnóstico
14.
BMC Public Health ; 12: 1129, 2012 Dec 31.
Artigo em Inglês | MEDLINE | ID: mdl-23276067

RESUMO

BACKGROUND: This paper describes efforts to generate evidence for community-developed programs to enhance family relationships in the Chinese culture of Hong Kong, within the framework of community-based participatory research (CBPR). METHODS: The CBPR framework was applied to help maximize the development of the intervention and the public health impact of the studies, while enhancing the capabilities of the social service sector partners. RESULTS: Four academic-community research teams explored the process of designing and implementing randomized controlled trials in the community. In addition to the expected cultural barriers between teams of academics and community practitioners, with their different outlooks, concerns and languages, the team navigated issues in utilizing the principles of CBPR unique to this Chinese culture. Eventually the team developed tools for adaptation, such as an emphasis on building the relationship while respecting role delineation and an iterative process of defining the non-negotiable parameters of research design while maintaining scientific rigor. Lessons learned include the risk of underemphasizing the size of the operational and skills shift between usual agency practices and research studies, the importance of minimizing non-negotiable parameters in implementing rigorous research designs in the community, and the need to view community capacity enhancement as a long term process. CONCLUSIONS: The four pilot studies under the FAMILY Project demonstrated that nuanced design adaptations, such as wait list controls and shorter assessments, better served the needs of the community and led to the successful development and vigorous evaluation of a series of preventive, family-oriented interventions in the Chinese culture of Hong Kong.


Assuntos
Pesquisa Participativa Baseada na Comunidade/organização & administração , Relações Familiares , Desenvolvimento de Programas , Prática de Saúde Pública , Pesquisadores , Fortalecimento Institucional , China/etnologia , Cultura , Hong Kong , Humanos , Inovação Organizacional
15.
Pediatr Res ; 70(2): 171-5, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21544009

RESUMO

Resting cortical activity is characterized by a distinct spectral peak in the alpha frequency range. Slowing of this oscillatory peak toward the upper theta-band has been associated with a variety of neurological and neuropsychiatric conditions and has been attributed to altered thalamocortical dynamics. Children born very preterm exhibit altered development of thalamocortical systems. To test the hypothesis that peak oscillatory frequency is slowed in children born very preterm, we recorded resting magnetoencephalography (MEG) from school age children born very preterm (≤ 32 wk gestation) without major intellectual or neurological impairment and age-matched full-term controls. Very preterm children exhibit a slowing of peak frequency toward the theta-band over bilateral frontal cortex, together with reduced alpha-band power over bilateral frontal and temporal cortex, suggesting that mildly dysrhythmic thalamocortical interactions may contribute to altered spontaneous cortical activity in children born very preterm.


Assuntos
Ritmo alfa/fisiologia , Lobo Frontal/fisiologia , Nascimento Prematuro/fisiopatologia , Lobo Temporal/fisiologia , Tálamo/fisiologia , Criança , Humanos , Magnetoencefalografia/métodos
16.
Jt Comm J Qual Patient Saf ; 37(1): 3-10, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21306060

RESUMO

BACKGROUND: Prevention of health care-associated infections starts with scrupulous hand hygiene (HH). Improving HH compliance is a major target for the World Health Organization Patient Safety Challenge and is one of The Joint Commission's National Patient Safety Goals. Yet, adherence to HH protocols is generally poor for health care professionals, despite interventions designed to improve compliance. At Tufts Medical Center (Boston), HH compliance rates were consistently low despite the presence of a traditional HH campaign that used communication and education. METHODS: A comprehensive program incorporated strong commitment by hospital leadership-who were actively involved in responsibilities previously only performed by infection preventionists and quality and patient safety staff-dedication of financial resources, including securing a grant; collaborating with a private advertising firm in a marketing campaign; and employing a multifaceted approach to education, observation, and feedback. RESULTS: This campaign resulted in a rapid and sustained improvement in HH compliance: Compared with the mean HH compliance rate for the six months before the campaign (72%), postcampaign HH compliance (mean = 94%) was significantly greater (p < .0001). Factors contributing to the success of the campaign included the development of the marketing campaign to fit this academic medical center's particular culture, strong support from the medical center leadership, a multifaceted educational approach, and monthly feedback on HH compliance. CONCLUSIONS: A comprehensive campaign resulted in rapid and sustained improvement in HH compliance at an academic medical center after traditional communication and education strategies failed to improve HH performance.


Assuntos
Fidelidade a Diretrizes/organização & administração , Desinfecção das Mãos/métodos , Capacitação em Serviço/organização & administração , Guias de Prática Clínica como Assunto , Centros Médicos Acadêmicos , Hospitais com 300 a 499 Leitos , Humanos , Avaliação de Programas e Projetos de Saúde
17.
Am J Intellect Dev Disabil ; 115(2): 113-27, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20441389

RESUMO

Results of a magnetoencephalography (MEG) brain imaging study conducted to examine the cortical responses during action execution and action observation in 10 healthy adults and 8 age-matched adults with Down syndrome are reported. During execution, the motor responses were strongly lateralized on the ipsilateral rather than the contralateral side in the Down syndrome group. Observation of movement activated a network of cortical regions that was similar to the control group; however, there was no significant peak activity in the motor areas. In addition, the overall pattern of neural activation was more scattered and less organized in the Down syndrome group. These results further support the hypothesis of a dysfunction in the execution/observation matching system in adults with Down syndrome.


Assuntos
Síndrome de Down/patologia , Síndrome de Down/fisiopatologia , Magnetoencefalografia , Córtex Motor/patologia , Córtex Motor/fisiopatologia , Adulto , Feminino , Dedos/inervação , Dedos/fisiologia , Lateralidade Funcional/fisiologia , Humanos , Masculino , Movimento/fisiologia , Adulto Jovem
18.
IFMBE Proc ; 29(9): 250-253, 2010 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-21331353

RESUMO

Children born very preterm, even with broadly normal IQ, commonly show selective difficulties in visuospatial processing and executive functioning. Very little, however, is known what alterations in cortical processing underlie these deficits. We recorded MEG while eight children born very preterm (≤32 weeks gestational age) and eight full-term controls performed a visual short-term memory task at mean age 7.5 years (range 6.4 - 8.4). Previously, we demonstrated increased long-range alpha and beta band phase synchronization between MEG sensors during STM retention in a group of 17 full-term children age 6-10 years. Here we present preliminary evidence that long-range phase synchronization in very preterm children, relative to controls, is reduced in the alpha-band but increased in the theta-band. In addition, we investigated cortical activation during STM retention employing synthetic aperture magnetometry (SAM) beamformer to localize changes in gamma-band power. Preliminary results indicate sequential activation of occipital, parietal and frontal cortex in control children, as well as reduced activation in very preterm children relative to controls. These preliminary results suggest that children born very preterm exhibit altered inter-regional functional connectivity and cortical activation during cognitive processing.

19.
Exp Brain Res ; 201(4): 719-27, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19943040

RESUMO

Local alpha-band synchronization has been associated with both cortical idling and active inhibition. Recent evidence, however, suggests that long-range alpha synchronization increases functional coupling between cortical regions. We demonstrate increased long-range alpha and beta band phase synchronization during short-term memory retention in children 6-10 years of age. Furthermore, whereas alpha-band synchronization between posterior cortex and other regions is increased during retention, local alpha-band synchronization over posterior cortex is reduced. This constitutes a functional dissociation for alpha synchronization across local and long-range cortical scales. We interpret long-range synchronization as reflecting functional integration within a network of frontal and visual cortical regions. Local desynchronization of alpha rhythms over posterior cortex, conversely, likely arises because of increased engagement of visual cortex during retention.


Assuntos
Ritmo alfa , Encéfalo/fisiologia , Sincronização Cortical , Memória de Curto Prazo/fisiologia , Percepção Visual/fisiologia , Ritmo beta , Córtex Cerebral/fisiologia , Criança , Feminino , Humanos , Magnetoencefalografia , Masculino , Testes Neuropsicológicos , Periodicidade
20.
Hum Brain Mapp ; 31(1): 160-71, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19593776

RESUMO

How humans understand the actions and intentions of others remains poorly understood. Here we report the results of a magnetoencephalography (MEG) experiment to determine the temporal dynamics and spatial distribution of brain regions activated during execution and observation of a reach to grasp motion using real world stimuli. We show that although both conditions activate similar brain areas, there are distinct differences in the timing, pattern and location of activation. Specifically, observation of motion revealed a right hemisphere dominance with activation involving a network of regions that include frontal, temporal and parietal areas. In addition, the latencies of activation showed a task specific pattern. During movement execution, the earliest activation was observed in the left premotor and somatosensory regions, followed closely by left primary motor and STG at the time of movement onset. During observation, there was a shift in the timing of activation with the earliest activity occurring in the right temporal region followed by activity in the left motor areas. Activity within these areas was also characterized by a shift to a lower frequency in comparison with action execution. These results add to the growing body of evidence indicating a complex interaction within a distributed network involving motor and nonmotor regions during observation of real actions.


Assuntos
Córtex Cerebral/anatomia & histologia , Córtex Cerebral/fisiologia , Força da Mão/fisiologia , Rede Nervosa/fisiologia , Desempenho Psicomotor/fisiologia , Adulto , Braço/inervação , Braço/fisiologia , Mapeamento Encefálico , Dominância Cerebral/fisiologia , Potenciais Evocados/fisiologia , Função Executiva/fisiologia , Feminino , Lateralidade Funcional/fisiologia , Humanos , Comportamento Imitativo/fisiologia , Magnetoencefalografia , Masculino , Músculo Esquelético/inervação , Músculo Esquelético/fisiologia , Rede Nervosa/anatomia & histologia , Vias Neurais/anatomia & histologia , Vias Neurais/fisiologia , Testes Neuropsicológicos , Tempo de Reação/fisiologia , Fatores de Tempo , Adulto Jovem
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