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1.
Dev Psychol ; 60(3): 560-566, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37956034

RESUMO

The present study examines perceptions of relationship quality as antecedents of best friendship dissolution. Participants included 230 students in Florida (United States; 54.3% girls; ages = 8-13; 39.6% European American, 27.0% Hispanic American, 21.7% African American, and 2.6% Asian American) and 496 students in Lithuania (49.0% girls; ages = 8-14; 358 boys; nearly all ethnic Lithuanian) attending public schools in Florida (United States) and Lithuania. Reciprocated best friends were identified from friend nominations midway through the school year, at which time each partner described perceptions of social support and negativity in the relationship. Of the 363 reciprocated friend dyads, 26.2% (n = 95) were no longer friends 1-3 months later. Dyadic analyses were conducted with initial perceived friend negativity and initial perceived friend social support as predictors of subsequent friendship stability. When considered separately, perceived social support predicted self- and partner reports of friendship stability and perceived negativity predicted self- (but not partner) reports of friendship stability. In each case, lower initial social support and higher initial negativity predicted a greater incidence of friendship dissolution. When considered together, initial perceptions of social support predicted self- and partner reports of friendship dissolution, but perceptions of negativity predicted neither. The findings are consistent with those from married couples, which indicate that the absence of positive interactions is a stronger predictor of relationship instability than the presence of negative interactions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Assuntos
Comportamento do Adolescente , Amigos , Masculino , Feminino , Humanos , Adolescente , Relações Interpessoais , Apoio Social , Estudantes , Grupo Associado
2.
J Pers ; 2023 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-38014722

RESUMO

OBJECTIVE: Children perceived by peers as someone who is fun reap interpersonal rewards, but little is known about what makes someone fun or how being fun leads to social success. The present study is designed to identify what qualities makes someone fun and how being fun leads to social success. METHOD: Two studies of children in primary and middle school are reported. Participants in the present investigation attended a public-school representative of Florida school children in terms of ethnicity and income. In the first study, 351 (179 girls, 172 boys) students (8-11 years old) completed surveys twice (M = 8.5 weeks apart) during an academic year, describing the qualities of "someone who is fun." RESULTS: At both time points, kindness and humor were rated as more important than buffoonery. In the second study, 394 (210 girls, 184 boys) students (8-13 years old) completed peer nomination surveys thrice (M = 8.5 weeks apart) during an academic year. Replicating previous findings, being fun predicted increases in social status (i.e., likeability and popularity). CONCLUSIONS: Unique to this study, full longitudinal mediation analyses indicated that being perceived as fun early in the school year predicted friend gain from the beginning to the middle of the school year, which, in turn, predicted increases in perceived likeability and popularity from the middle to the end of the school year. The findings were unique to being fun. Kindness and humor did not predict friend gain.

3.
J Youth Adolesc ; 52(11): 2231-2242, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37537421

RESUMO

Adolescents who lack traits valued by peers are at risk for adjustment difficulties but the mechanisms responsible for deteriorating well-being have yet to be identified. The present study examines processes whereby low athleticism and low attractiveness give rise to adolescent adjustment difficulties. Participants were public middle school students (ages 10 to 13 years, Mage = 11.54, SDage = 1.00) in the USA and Lithuania (300 girls, 280 boys; 52.7% girls). Self-reports of alcohol misuse and loneliness were collected three times during an academic year (M = 12.3 week intervals). Athleticism, attractiveness, unpopularity, and peer rejection were assessed through peer nominations. Full longitudinal mediation analyses examined direct and indirect pathways from stigmatized traits (i.e., low athleticism, low attractiveness) to adjustment difficulties (i.e., alcohol misuse, loneliness) through two indices of low peer status: unpopularity and rejection. The results indicated that the possession of stigmatized traits predicted escalating unpopularity, which, in turn, predicted increasing adjustment difficulties. Similar indirect associations did not emerge with rejection as a mediator, underscoring the unique role of power and prominence (and the lack thereof) in socioemotional development. The findings underscore the adjustment risks and interpersonal challenges that confront children and adolescents who lack traits valued by peers.


Assuntos
Comportamento do Adolescente , Alcoolismo , Masculino , Criança , Feminino , Humanos , Adolescente , Lactente , Grupo Associado , Comportamento do Adolescente/psicologia , Autorrelato , Lituânia , Ajustamento Social
4.
Sensors (Basel) ; 23(12)2023 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-37420622

RESUMO

The evolution of human cognitive function is reliant on complex social interactions which form the behavioural foundation of who we are. These social capacities are subject to dramatic change in disease and injury; yet their supporting neural substrates remain poorly understood. Hyperscanning employs functional neuroimaging to simultaneously assess brain activity in two individuals and offers the best means to understand the neural basis of social interaction. However, present technologies are limited, either by poor performance (low spatial/temporal precision) or an unnatural scanning environment (claustrophobic scanners, with interactions via video). Here, we describe hyperscanning using wearable magnetoencephalography (MEG) based on optically pumped magnetometers (OPMs). We demonstrate our approach by simultaneously measuring brain activity in two subjects undertaking two separate tasks-an interactive touching task and a ball game. Despite large and unpredictable subject motion, sensorimotor brain activity was delineated clearly, and the correlation of the envelope of neuronal oscillations between the two subjects was demonstrated. Our results show that unlike existing modalities, OPM-MEG combines high-fidelity data acquisition and a naturalistic setting and thus presents significant potential to investigate neural correlates of social interaction.


Assuntos
Magnetoencefalografia , Dispositivos Eletrônicos Vestíveis , Humanos , Magnetoencefalografia/métodos , Neuroimagem Funcional , Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia
5.
PLoS One ; 18(5): e0283117, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37172045

RESUMO

The present study contrasts two forms of peer status as sources of friend influence: Relative likeability and relative popularity. Participants included 310 children (142 boys, 168 girls), ages 9 to 12, in stable reciprocated friendships. Peer nominations were collected at two time points, 8 to 14 weeks apart. After removing overlapping variance through residualization, partners in each friend dyad were categorized into roles on the basis of relative (to the partner) popularity and relative (to the partner) likeability. Dyadic analyses compared more- and less-liked friends and more- and less-popular friends in terms of their influence over physical aggression, relational aggression, prosocial behavior, and academic achievement. Higher initial relational aggression, prosocial behavior, and academic achievement among more-liked partners predicted greater increases in the same among less-liked partners, but not the reverse. Unexpectedly, physical aggression among less-liked partners predicted increases in physical aggression among more-liked partners. More popular friends did not influence less popular friends on any of these variables, although (also unexpectedly) less-popular friends influenced the academic achievement of more-popular friends. Taken together, the findings suggest that during the pre- and early adolescent years, relative influence within a friendship tends to be apportioned on the basis of likeability, not popularity.


Assuntos
Amigos , Relações Interpessoais , Masculino , Feminino , Adolescente , Humanos , Criança , Grupo Associado , Agressão , Emoções
6.
Neuroimage ; 274: 120157, 2023 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-37149237

RESUMO

The ability to collect high-quality neuroimaging data during ambulatory participant movement would enable a wealth of neuroscientific paradigms. Wearable magnetoencephalography (MEG) based on optically pumped magnetometers (OPMs) has the potential to allow participant movement during a scan. However, the strict zero magnetic field requirement of OPMs means that systems must be operated inside a magnetically shielded room (MSR) and also require active shielding using electromagnetic coils to cancel residual fields and field changes (due to external sources and sensor movements) that would otherwise prevent accurate neuronal source reconstructions. Existing active shielding systems only compensate fields over small, fixed regions and do not allow ambulatory movement. Here we describe the matrix coil, a new type of active shielding system for OPM-MEG which is formed from 48 square unit coils arranged on two planes which can compensate magnetic fields in regions that can be flexibly placed between the planes. Through the integration of optical tracking with OPM data acquisition, field changes induced by participant movement are cancelled with low latency (25 ms). High-quality MEG source data were collected despite the presence of large (65 cm translations and 270° rotations) ambulatory participant movements.


Assuntos
Magnetoencefalografia , Dispositivos Eletrônicos Vestíveis , Humanos , Magnetoencefalografia/métodos , Movimento , Campos Magnéticos , Fenômenos Eletromagnéticos , Encéfalo/fisiologia
7.
J Fam Psychol ; 37(6): 947-953, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37141010

RESUMO

The present study examines the interpersonal circumstances that facilitate the spread of political alienation between parents and adolescent children. A total of 571 German adolescents (314 girls, 257 boys) and their mothers and fathers each completed questionnaires describing their own political alienation at two time points, approximately 1 year apart. In addition, adolescents completed questionnaires describing their perceptions of warmth in relationships with parents. Adolescents were in the sixth (M = 12.24 years old), eighth (M = 13.48 years old), and 10th (M = 15.51 years old) grades at the outset. Dyadic analyses revealed that initial parent political alienation predicted subsequent increases in adolescent political alienation for youth who described relationships with parents as high in warmth but not for those describing relationships as low in warmth. Mothers and fathers did not differ in terms of the magnitude of their influence. Adolescents did not influence the political alienation of their parents. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Comportamento do Adolescente , Relações Pais-Filho , Masculino , Feminino , Humanos , Adolescente , Criança , Pais/psicologia , Emoções , Mães , Inquéritos e Questionários
8.
Ann N Y Acad Sci ; 1517(1): 107-124, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36065147

RESUMO

Magnetoencephalography (MEG) measures the small magnetic fields generated by current flow in neural networks, providing a noninvasive metric of brain function. MEG is well established as a powerful neuroscientific and clinical tool. However, current instrumentation is hampered by cumbersome cryogenic field-sensing technologies. In contrast, MEG using optically pumped magnetometers (OPM-MEG) employs small, lightweight, noncryogenic sensors that provide data with higher sensitivity and spatial resolution, a natural scanning environment (including participant movement), and adaptability to any age. However, OPM-MEG is new and the optimum way to design a system is unknown. Here, we construct a novel, 90-channel triaxial OPM-MEG system and use it to map motor function during a naturalistic handwriting task. Results show that high-precision magnetic field control reduced background fields to ∼200 pT, enabling free participant movement. Our triaxial array offered twice the total measured signal and better interference rejection compared to a conventional (single-axis) design. We mapped neural oscillatory activity to the sensorimotor network, demonstrating significant differences in motor network activity and connectivity for left-handed versus right-handed handwriting. Repeatability across scans showed that we can map electrophysiological activity with an accuracy ∼4 mm. Overall, our study introduces a novel triaxial OPM-MEG design and confirms its potential for high-performance functional neuroimaging.


Assuntos
Neuroimagem Funcional , Magnetoencefalografia , Humanos , Magnetoencefalografia/métodos , Encéfalo/fisiologia
9.
Sci Rep ; 12(1): 13561, 2022 08 09.
Artigo em Inglês | MEDLINE | ID: mdl-35945239

RESUMO

Magnetically shielded rooms (MSRs) use multiple layers of materials such as MuMetal to screen external magnetic fields that would otherwise interfere with high precision magnetic field measurements such as magnetoencephalography (MEG). Optically pumped magnetometers (OPMs) have enabled the development of wearable MEG systems which have the potential to provide a motion tolerant functional brain imaging system with high spatiotemporal resolution. Despite significant promise, OPMs impose stringent magnetic shielding requirements, operating around a zero magnetic field resonance within a dynamic range of ± 5 nT. MSRs developed for OPM-MEG must therefore effectively shield external sources and provide a low remnant magnetic field inside the enclosure. Existing MSRs optimised for OPM-MEG are expensive, heavy, and difficult to site. Electromagnetic coils are used to further cancel the remnant field inside the MSR enabling participant movements during OPM-MEG, but present coil systems are challenging to engineer and occupy space in the MSR limiting participant movements and negatively impacting patient experience. Here we present a lightweight MSR design (30% reduction in weight and 40-60% reduction in external dimensions compared to a standard OPM-optimised MSR) which takes significant steps towards addressing these barriers. We also designed a 'window coil' active shielding system, featuring a series of simple rectangular coils placed directly onto the walls of the MSR. By mapping the remnant magnetic field inside the MSR, and the magnetic field produced by the coils, we can identify optimal coil currents and cancel the remnant magnetic field over the central cubic metre to just |B|= 670 ± 160 pT. These advances reduce the cost, installation time and siting restrictions of MSRs which will be essential for the widespread deployment of OPM-MEG.


Assuntos
Neuroimagem Funcional , Magnetoencefalografia , Encéfalo , Humanos , Campos Magnéticos , Imageamento por Ressonância Magnética , Espectroscopia de Ressonância Magnética , Magnetoencefalografia/métodos
10.
Trends Neurosci ; 45(8): 621-634, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35779970

RESUMO

Magnetoencephalography (MEG) measures human brain function via assessment of the magnetic fields generated by electrical activity in neurons. Despite providing high-quality spatiotemporal maps of electrophysiological activity, current MEG instrumentation is limited by cumbersome field sensing technologies, resulting in major barriers to utility. Here, we review a new generation of MEG technology that is beginning to lift many of these barriers. By exploiting quantum sensors, known as optically pumped magnetometers (OPMs), 'OPM-MEG' has the potential to dramatically outperform the current state of the art, promising enhanced data quality (better sensitivity and spatial resolution), adaptability to any head size/shape (from babies to adults), motion robustness (participants can move freely during scanning), and a less complex imaging platform (without reliance on cryogenics). We discuss the current state of this emerging technique and describe its far-reaching implications for neuroscience.


Assuntos
Neuroimagem Funcional , Magnetoencefalografia , Adulto , Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Humanos , Magnetoencefalografia/métodos
11.
Neuroimage ; 252: 119027, 2022 05 15.
Artigo em Inglês | MEDLINE | ID: mdl-35217205

RESUMO

Optically-pumped magnetometers (OPMs) are an established alternative to superconducting sensors for magnetoencephalography (MEG), offering significant advantages including flexibility to accommodate any head size, uniform coverage, free movement during scanning, better data quality and lower cost. However, OPM sensor technology remains under development; there is flexibility regarding OPM design and it is not yet clear which variant will prove most effective for MEG. Most OPM-MEG implementations have either used single-axis (equivalent to conventional MEG) or dual-axis magnetic field measurements. Here we demonstrate use of a triaxial OPM formulation, able to characterise the full 3D neuromagnetic field vector. We show that this novel sensor is able to characterise magnetic fields with high accuracy and sensitivity that matches conventional (dual-axis) OPMs. We show practicality via measurement of biomagnetic fields from both the heart and the brain. Using simulations, we demonstrate how triaxial measurement offers improved cortical coverage, especially in infants. Finally, we introduce a new 3D-printed child-friendly OPM-helmet and demonstrate feasibility of triaxial measurement in a five-year-old. In sum, the data presented demonstrate that triaxial OPMs offer a significant improvement over dual-axis variants and are likely to become the sensor of choice for future MEG systems, particularly for deployment in paediatric populations.


Assuntos
Magnetoencefalografia , Magnetometria , Encéfalo , Pré-Escolar , Desenho de Equipamento , Estudos de Viabilidade , Humanos
12.
IEEE Trans Biomed Eng ; 69(2): 528-536, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34324421

RESUMO

BACKGROUND: Optically pumped magnetometers (OPMs) have made moving, wearable magnetoencephalography (MEG) possible. The OPMs typically used for MEG require a low background magnetic field to operate, which is achieved using both passive and active magnetic shielding. However, the background magnetic field is never truly zero Tesla, and so the field at each of the OPMs changes as the participant moves. This leads to position and orientation dependent changes in the measurements, which manifest as low frequency artefacts in MEG data. OBJECTIVE: We model the spatial variation in the magnetic field and use the model to predict the movement artefact found in a dataset. METHODS: We demonstrate a method for modelling this field with a triaxial magnetometer, then show that we can use the same technique to predict the movement artefact in a real OPM-based MEG (OP-MEG) dataset. RESULTS: Using an 86-channel OP-MEG system, we found that this modelling method maximally reduced the power spectral density of the data by 27.8 ± 0.6 dB at 0 Hz, when applied over 5 s non-overlapping windows. CONCLUSION: The magnetic field inside our state-of-the art magnetically shielded room can be well described by low-order spherical harmonic functions. We achieved a large reduction in movement noise when we applied this model to OP-MEG data. SIGNIFICANCE: Real-time implementation of this method could reduce passive shielding requirements for OP-MEG recording and allow the measurement of low-frequency brain activity during natural participant movement.


Assuntos
Campos Magnéticos , Magnetoencefalografia , Artefatos , Encéfalo , Humanos , Magnetoencefalografia/métodos
13.
Neuroimage ; 241: 118401, 2021 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-34273527

RESUMO

Optically-pumped magnetometers (OPMs) are highly sensitive, compact magnetic field sensors, which offer a viable alternative to cryogenic sensors (superconducting quantum interference devices - SQUIDs) for magnetoencephalography (MEG). With the promise of a wearable system that offers lifespan compliance, enables movement during scanning, and provides higher quality data, OPMs could drive a step change in MEG instrumentation. However, this potential can only be realised if background magnetic fields are appropriately controlled, via a combination of optimised passive magnetic screening (i.e. enclosing the system in layers of high-permeability materials), and electromagnetic coils to further null the remnant magnetic field. In this work, we show that even in an OPM-optimised passive shield with extremely low (<2 nT) remnant magnetic field, head movement generates significant artefacts in MEG data that manifest as low-frequency interference. To counter this effect we introduce a magnetic field mapping technique, in which the participant moves their head to sample the background magnetic field using a wearable sensor array; resulting data are compared to a model to derive coefficients representing three uniform magnetic field components and five magnetic field gradient components inside the passive shield. We show that this technique accurately reconstructs the magnitude of known magnetic fields. Moreover, by feeding the obtained coefficients into a bi-planar electromagnetic coil system, we were able to reduce the uniform magnetic field experienced by the array from a magnitude of 1.3±0.3 nT to 0.29±0.07 nT. Most importantly, we show that this field compensation generates a five-fold reduction in motion artefact at 0‒2 Hz, in a visual steady-state evoked response experiment using 6 Hz stimulation. We suggest that this technique could be used in future OPM-MEG experiments to improve the quality of data, especially in paradigms seeking to measure low-frequency oscillations, or in experiments where head movement is encouraged.


Assuntos
Encéfalo/fisiologia , Potenciais Evocados Visuais/fisiologia , Movimentos da Cabeça/fisiologia , Campos Magnéticos , Magnetoencefalografia/métodos , Dispositivos Eletrônicos Vestíveis , Desenho de Equipamento/instrumentação , Desenho de Equipamento/métodos , Dispositivos de Proteção da Cabeça , Humanos , Magnetoencefalografia/instrumentação , Magnetometria/instrumentação , Magnetometria/métodos
14.
Neuroimage ; 236: 118025, 2021 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-33838266

RESUMO

The optically pumped magnetometer (OPM) is a viable means to detect magnetic fields generated by human brain activity. Compared to conventional detectors (superconducting quantum interference devices) OPMs are small, lightweight, flexible, and operate without cryogenics. This has led to a step change in instrumentation for magnetoencephalography (MEG), enabling a "wearable" scanner platform, adaptable to fit any head size, able to acquire data whilst subjects move, and offering improved data quality. Although many studies have shown the efficacy of 'OPM-MEG', one relatively untapped advantage relates to improved array design. Specifically, OPMs enable the simultaneous measurement of magnetic field components along multiple axes (distinct from a single radial orientation, as used in most conventional MEG systems). This enables characterisation of the magnetic field vector at all sensors, affording extra information which has the potential to improve source reconstruction. Here, we conduct a theoretical analysis of the critical parameters that should be optimised for effective source reconstruction. We show that these parameters can be optimised by judicious array design incorporating triaxial MEG measurements. Using simulations, we demonstrate how a triaxial array offers a dramatic improvement on our ability to differentiate real brain activity from sources of magnetic interference (external to the brain). Further, a triaxial system is shown to offer a marked improvement in the elimination of artefact caused by head movement. Theoretical results are supplemented by an experimental recording demonstrating improved interference reduction. These findings offer new insights into how future OPM-MEG arrays can be designed with improved performance.


Assuntos
Córtex Cerebral/fisiologia , Fenômenos Magnéticos , Magnetoencefalografia/instrumentação , Magnetoencefalografia/métodos , Modelos Teóricos , Adulto , Artefatos , Simulação por Computador , Desenho de Equipamento , Humanos , Campos Magnéticos , Masculino
15.
J Sport Exerc Psychol ; 43(3): 223-233, 2021 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-33883297

RESUMO

While regular exercise is associated with a number of physical and mental health benefits, basing one's self-esteem largely on exercise is likely associated with negative outcomes. In the present studies, the authors developed a novel measure of this construct, something they term "exercise overvaluation." In Study 1, 820 participants completed an online survey measuring self-esteem, exercise attitudes and behaviors, and eating disorder symptoms. Exploratory and confirmatory factor analysis were employed to develop the 14-item Exercise Overvaluation Scale. The results provided evidence of discriminant and convergent validity and internal consistency reliability of scale scores. In Study 2, the Exercise Overvaluation Scale was administered to 134 university athletes, including those who participated in intramural sports, club sports, and collegiate athletics. The results from Study 2 supported the criterion validity and test-retest reliability of scale scores. This scale offers researchers a new tool to help understand the relationships among exercise, self-esteem, and physical and mental health outcomes.


Assuntos
Exercício Físico , Análise Fatorial , Humanos , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
16.
Neuroimage ; 230: 117815, 2021 04 15.
Artigo em Inglês | MEDLINE | ID: mdl-33524584

RESUMO

Optically-pumped magnetometers (OPMs) offer the potential for a step change in magnetoencephalography (MEG) enabling wearable systems that provide improved data quality, accommodate any subject group, allow data capture during movement and potentially reduce cost. However, OPM-MEG is a nascent technology and, to realise its potential, it must be shown to facilitate key neuroscientific measurements, such as the characterisation of brain networks. Networks, and the connectivities that underlie them, have become a core area of neuroscientific investigation, and their importance is underscored by many demonstrations of their disruption in brain disorders. Consequently, a demonstration of network measurements using OPM-MEG would be a significant step forward. Here, we aimed to show that a wearable 50-channel OPM-MEG system enables characterisation of the electrophysiological connectome. To this end, we measured connectivity in the resting state and during a visuo-motor task, using both OPM-MEG and a state-of-the-art 275-channel cryogenic MEG device. Our results show that resting-state connectome matrices from OPM and cryogenic systems exhibit a high degree of similarity, with correlation values >70%. In addition, in task data, similar differences in connectivity between individuals (scanned multiple times) were observed in cryogenic and OPM-MEG data, again demonstrating the fidelity of the OPM-MEG device. This is the first demonstration of network connectivity measured using OPM-MEG, and results add weight to the argument that OPMs will ultimately supersede cryogenic sensors for MEG measurement.


Assuntos
Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Magnetoencefalografia/métodos , Magnetometria/métodos , Desempenho Psicomotor/fisiologia , Dispositivos Eletrônicos Vestíveis , Adulto , Desenho de Equipamento/instrumentação , Desenho de Equipamento/métodos , Feminino , Humanos , Magnetoencefalografia/instrumentação , Magnetometria/instrumentação , Masculino , Adulto Jovem
17.
Diagn Microbiol Infect Dis ; 99(3): 115246, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33253962

RESUMO

BACKGROUND: Although most observational studies identify viral or bacterial pathogens in 50% or less of patients hospitalized with community-acquired pneumonia (CAP), we previously demonstrated that a multi-test bundle (MTB) detected a potential pathogen in 73% of patients. This study compares detection rates for potential pathogens with the MTB versus the Biofire® Pneumonia FilmArray® panel (BPFA) multiplex PCR platform and presents an approach for integrating BPFA results as a foundation for subsequent antibiotic stewardship (AS) activities. METHODS: Between January 2017 to March 2018, all patients admitted for CAP were enrolled. Patients were considered evaluable if all elements of the MTB and the BPFA were completed, and they met other a priori inclusion criteria. The primary endpoint was the percentage of potential pathogens detected using the MTB (8 viral and 6 bacterial targets) versus the BPFA (8 viral and 18 bacterial targets). Blood and sputum cultures were performed on all patients. Two or more procalcitonin (PCT) levels assisted clinical assessments as to whether detected bacteria were invading or colonizing. RESULTS: Of 585 enrolled patients, 274 were evaluable. A potential viral pathogen was detected in 40.5% with MTB versus 60.9% of patients with BPFA with an odds ratio (95% CI) of 9.00 (4.12 to 23.30) p<0.01. A potential bacterial pathogen was identified in 66.4% with the MTB vs 75.5% with the BPFA odds ratio (95% CI) of 2.09 (1.24 to 3.59), p 0.003). Low PCT levels helped identify detected bacteria as colonizers.


Assuntos
Bactérias/isolamento & purificação , Técnicas de Diagnóstico Molecular/métodos , Reação em Cadeia da Polimerase Multiplex/normas , Pneumonia/diagnóstico , Vírus/isolamento & purificação , Idoso , Idoso de 80 Anos ou mais , Gestão de Antimicrobianos , Bactérias/classificação , Bactérias/genética , Bactérias/patogenicidade , Infecções Comunitárias Adquiridas , Feminino , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Técnicas de Diagnóstico Molecular/instrumentação , Reação em Cadeia da Polimerase Multiplex/instrumentação , Reação em Cadeia da Polimerase Multiplex/métodos , Pneumonia/microbiologia , Pneumonia/virologia , Estudos Prospectivos , Kit de Reagentes para Diagnóstico , Escarro/microbiologia , Escarro/virologia , Vírus/classificação , Vírus/genética , Vírus/patogenicidade
18.
Neuroimage ; 225: 117443, 2021 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-33059052

RESUMO

Traditional magnetoencephalographic (MEG) brain imaging scanners consist of a rigid sensor array surrounding the head; this means that they are maximally sensitive to superficial brain structures. New technology based on optical pumping means that we can now consider more flexible and creative sensor placement. Here we explored the magnetic fields generated by a model of the human hippocampus not only across scalp but also at the roof of the mouth. We found that simulated hippocampal sources gave rise to dipolar field patterns with one scalp surface field extremum at the temporal lobe and a corresponding maximum or minimum at the roof of the mouth. We then constructed a fitted dental mould to accommodate an Optically Pumped Magnetometer (OPM). We collected data using a previously validated hippocampal-dependant task to test the empirical utility of a mouth-based sensor, with an accompanying array of left and right temporal lobe OPMs. We found that the mouth sensor showed the greatest task-related theta power change. We found that this sensor had a mild effect on the reconstructed power in the hippocampus (~10% change) but that coherence images between the mouth sensor and reconstructed source images showed a global maximum in the right hippocampus. We conclude that augmenting a scalp-based MEG array with sensors in the mouth shows unique promise for both basic scientists and clinicians interested in interrogating the hippocampus.


Assuntos
Hipocampo/diagnóstico por imagem , Magnetoencefalografia/instrumentação , Magnetoencefalografia/métodos , Neuroimagem Funcional , Hipocampo/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Boca , Palato Duro
19.
Sci Rep ; 10(1): 21609, 2020 12 10.
Artigo em Inglês | MEDLINE | ID: mdl-33303793

RESUMO

Several new technologies have emerged promising new Magnetoencephalography (MEG) systems in which the sensors can be placed close to the scalp. One such technology, Optically Pumped MEG (OP-MEG) allows for a scalp mounted system that provides measurements within millimetres of the scalp surface. A question that arises in developing on-scalp systems is: how many sensors are necessary to achieve adequate performance/spatial discrimination? There are many factors to consider in answering this question such as the signal to noise ratio (SNR), the locations and depths of the sources, density of spatial sampling, sensor gain errors (due to interference, subject movement, cross-talk, etc.) and, of course, the desired spatial discrimination. In this paper, we provide simulations which show the impact these factors have on designing sensor arrays for wearable MEG. While OP-MEG has the potential to provide high information content at dense spatial samplings, we find that adequate spatial discrimination of sources (< 1 cm) can be achieved with relatively few sensors (< 100) at coarse spatial samplings (~ 30 mm) at high SNR. After this point approximately 50 more sensors are required for every 1 mm improvement in spatial discrimination. Comparable discrimination for traditional cryogenic systems require more channels by these same metrics. We also show that sensor gain errors have the greatest impact on discrimination between deep sources at high SNR. Finally, we also examine the limitation that aliasing due to undersampling has on the effective SNR of on-scalp sensors.

20.
Neuroimage ; 219: 116995, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-32480036

RESUMO

Magnetoencephalography (MEG) is a powerful technique for functional neuroimaging, offering a non-invasive window on brain electrophysiology. MEG systems have traditionally been based on cryogenic sensors which detect the small extracranial magnetic fields generated by synchronised current in neuronal assemblies, however, such systems have fundamental limitations. In recent years, non-cryogenic quantum-enabled sensors, called optically-pumped magnetometers (OPMs), in combination with novel techniques for accurate background magnetic field control, have promised to lift those restrictions offering an adaptable, motion-robust MEG system, with improved data quality, at reduced cost. However, OPM-MEG remains a nascent technology, and whilst viable systems exist, most employ small numbers of sensors sited above targeted brain regions. Here, building on previous work, we construct a wearable OPM-MEG system with 'whole-head' coverage based upon commercially available OPMs, and test its capabilities to measure alpha, beta and gamma oscillations. We design two methods for OPM mounting; a flexible (EEG-like) cap and rigid (additively-manufactured) helmet. Whilst both designs allow for high quality data to be collected, we argue that the rigid helmet offers a more robust option with significant advantages for reconstruction of field data into 3D images of changes in neuronal current. Using repeat measurements in two participants, we show signal detection for our device to be highly robust. Moreover, via application of source-space modelling, we show that, despite having 5 times fewer sensors, our system exhibits comparable performance to an established cryogenic MEG device. While significant challenges still remain, these developments provide further evidence that OPM-MEG is likely to facilitate a step change for functional neuroimaging.


Assuntos
Encéfalo/diagnóstico por imagem , Desenho de Equipamento , Neuroimagem Funcional/instrumentação , Dispositivos de Proteção da Cabeça , Magnetoencefalografia/instrumentação , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
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