Effects of feedback reliability on event-related potentials in an arrow flanker task.

The processing of feedback is essential for learning, error detection, and correction. However, the underlying mechanisms of the feedback's characteristics, such as its reliability, valence, and expectations in the processing of error information, are not completely clear. The two degrees of feedback reliability, reliable feedback and unreliable feedback, respectively, were established by manipulating the feedback valence. The time course of event-related potentials (ERP) during the arrow flanker tasks was used to investigate the effects of feedback reliability and responses on brain activity. Three ERP components, the error-related negativity (ERN), feedback-related negativity (FRN), and P3, respectively, were measured. The impacts of feedback reliability and responses on ERN, FRN, and P3 had a different profile. Specifically, ERN and P3 are associated with the responses but not the feedback reliability, while FRN is associated with feedback reliability and feedback expectations but not the responses. The ERN, FRN, and P3 reflect distinct cognitive processes in the processing of error information.

Case Report: Danon Disease: Six Family Members and Literature Review.

Danon disease is a rare X-linked dominant genetic disorder that manifests with a clinical triad of cardiomyopathy, skeletal myopathy, and intellectual disability. It is caused by mutations in the lysosome-associated membrane 2 (LAMP2) gene. We report one case of Danon disease and his family members, characterized by ventricular pre-excitation, ventricular hypertrophy, abnormal muscle enzymes, and aberrant liver function. All the patients were confirmed to have Danon disease through genetic screening. Relevant literature was reviewed as a reference for the diagnosis and treatment of the disease.

Thrombus aspiration during primary percutaneous coronary intervention improved outcome in patients with STEMI and a large thrombus burden.

BACKGROUND: The benefit of thrombus aspiration (TA) during primary percutaneous coronary intervention (PPCI) to patients with ST-segment elevation myocardial infarction (STEMI) remains controversial. This study aimed to assess TA's impact on the outcome and prognosis for patients with STEMI and a large thrombus burden during PPCI. METHODS: This retrospective study evaluated consecutive patients with STEMI and a large thrombus burden (thrombolysis in myocardial infraction [TIMI] thrombus grade ≥4) who underwent conventional PPCI (n = 126) or PPCI + TA (n = 208) between February 2017 and January 2019. The procedure outcome and clinical prognosis were compared. RESULTS: Postprocedural vessel diameter was larger, and corrected TIMI frame count (cTFC) was lower in the PPCI + TA compared with the PPCI group. The proportion of postprocedural TIMI 3 flow was 83.3% in the PPC group and 94.2% in the PPCI+TA group. During the 12-month follow-up, no significant differences existed in the incidence of cardiac death, reinfarction, stent thrombosis, target vessel revascularization, or stroke. CONCLUSION: Application of TA in patients with STEMI and a large thrombus burden during PPCI may improve the procedural outcome, but it showed no benefit on the clinical prognosis in the 12-month follow-up. Longer follow-up studies are needed to confirm TA's clinical implications in patients with STEMI.