Reduction In Amplitude Research Articles

Chrono-EEG dynamics influencing hand gesture decoding: a 10-hour study

Long-term electroencephalography (EEG) recordings have primarily been used to study resting-state fluctuations. These recordings provide valuable insights into various phenomena such as sleep stages, cognitive processes, and neurological disorders. However, this study explores a new angle, focusing for the first time on the evolving nature of EEG dynamics over time within the context of movement. Twenty-two healthy individuals were measured six times from 2 p.m. to 12 a.m. with intervals of 2 h while performing four right-hand gestures. Analysis of movement-related cortical potentials (MRCPs) revealed a reduction in amplitude for the motor and post-motor potential during later hours of the day. Evaluation in source space displayed an increase in the activity of M1 of the contralateral hemisphere and the SMA of both hemispheres until 8 p.m. followed by a decline until midnight. Furthermore, we investigated how changes over time in MRCP dynamics affect the ability to decode motor information. This was achieved by developing classification schemes to assess performance across different scenarios. The observed variations in classification accuracies over time strongly indicate the need for adaptive decoders. Such adaptive decoders would be instrumental in delivering robust results, essential for the practical application of BCIs during day and nighttime usage.

Assessing the visual afferent pathway with the multifocal visual evoked potentials in the radiologically isolated syndrome

The early identification of individuals with radiologically isolated syndrome (RIS) who are at an elevated risk of progressing to multiple sclerosis (MS) is essential for making informed treatment decisions. This study aimed to evaluate the predictive potential of multifocal Visual Evoked Potentials (mfVEP) measures in individuals with RIS with respect to their conversion to MS. A prospective observational cohort study was conducted, involving 21 individuals with RIS recruited from a MS center. Baseline assessments, including mfVEP, magnetic resonance imaging (MRI), and clinical examinations, were performed, and participants were longitudinally followed for up to 24 months. The primary outcome measures were the conversion to MS. Over a clinical follow-up period of 24 months, five individuals (5/21) with RIS progressed to MS. MfVEP amplitude responses (interocular and monocular probability analysis) demonstrated abnormal cluster visual field defects in 47.6% of RIS eyes at baseline, whereas multifocal VEP latency analysis showed significant delays in 38.4%. A reduction in interocular amplitude [OR = 0.036, (95% CI 0.003–0.503); P = 0.014], monocular amplitude [OR = 0.083, (95% CI 0.007–0.982); P = 0.048], and a prolonged interocular latency [OR = 0.095, (95% CI 0.009–0.972); P = 0.047] were associated with a higher relative risk of clinical conversion at the 2-year follow-up. Multifocal VEP may serve as a novel and independent risk factor for predicting the conversion to MS in individuals with Radiologically Isolated Syndrome.

Diaphragmatic myoclonus post cerebellar hemorrhage: a case report

BackgroundDiaphragmatic myoclonus is a rare motor disorder that affects muscle tone. It is characterized by involuntary movements of the abdominal wall and rhythmic, repetitive contractions of the accessory or respiratory muscles, all of which are innervated by the cervical nerve roots.Case descriptionWe reviewed the case of a 57-year-old male patient who underwent surgery for a left cerebellar hemorrhage. He exhibited persistent myoclonus in the palate, jaw, and thoracoabdominal region. Following treatment, there was a significant reduction in flutter amplitude in these areas.ConclusionThe clinical rarity and variability of presentations often make diagnosis challenging and delayed. It is believed that this condition stems from abnormal excitation within the central nervous system or neural pathways that involve the phrenic nerve. Another potential mechanism is the direct irritation of the diaphragm. Ultrasound, chest fluoroscopy, and electromyography (EMG) can support the diagnosis. Various pharmacological and surgical treatments have been tried, yet specific treatment guidelines are still lacking.

Neurotoxicity induced by aged microplastics from plastic bowls: Abnormal neurotransmission in Caenorhabditis elegans

The use of plastic bowls (PB) has garnered increasing scrutiny due to the inevitable generation of microplastics (MPs) throughout their lifecycle. Despite this concern, there exists a limited understanding of the behaviors, toxicological effects, and mechanisms associated with aged PB (A-PB). This research investigated the photoaging properties of A-PB following ultraviolet irradiation and evaluated the neurotoxic impact of exposure to A-PB at environmentally relevant concentrations (0.001–1 mg/L) on Caenorhabditis elegans. Significant alterations in the crystallinity, elemental composition, and functional groups of A-PB were observed compared to virgin PB (V-PB), along with the emergence of environmentally persistent free radicals and reactive oxygen species. Toxicity assessments revealed that exposure to 0.1–1 mg/L A-PB induced greater neurotoxicity on locomotion behaviors compared to V-PB, as evidenced by marked reductions in head thrashes, body bends, wavelength, and mean amplitude. Exposure to A-PB also altered the fluorescence intensities and neurodegeneration percentage of dopaminergic, serotonergic, and GABAergic neurons, suggesting neuronal damage in the nematodes. Correspondingly, decreases in the levels of dopamine, serotonin, and GABA were noted together with significant drops in the expression of neurotransmitter-related genes (e.g., dat-1, tph-1, and unc-47). Correlation analyses established a significant positive relationship between these genes and locomotion behaviors. Further exploration showed the absence of locomotion behaviors in dat-1 (ok157), tph-1 (mg280), and unc-47 (e307) mutants, underscoring the pivotal roles of the dat-1, tph-1, and unc-47 genes in mediating neurotoxicity in C. elegans. This study sheds light on the photoaging characteristics and heightened toxicity of A-PB, elucidating the mechanisms driving A-PB-induced neurotoxicity.

Strain amplitude dependency of cyclic hardening/softening behavior of 490 N/mm2 class steel

Existing studies on the strain amplitude dependency of cyclic softening behavior in structural steels often involve limited cycles or strain amplitudes below 2.5%, failing to provide a comprehensive understanding of stabilized cyclic behavior. This study performed uniaxial tension–compression cyclic loading tests using SN490B structural steel under three loading patterns: constant, variable, and offset constant strain amplitudes. The cyclic hardening and softening behaviors and stress–strain hysteresis loops were compared. Under variable strain amplitude loading, the specimens were subjected to increasing and decreasing strain amplitudes to investigate the strain amplitude dependency of the cyclic hardening and softening behaviors. Under offset constant strain amplitude loading, mean strains were initially introduced in either the tension or compression strain range, followed by cyclic loading with a constant strain amplitude centered around the mean strains. The test results revealed the following: (1) Under constant strain amplitude cyclic loading, the material exhibited cyclic softening and hardening behaviors at strain amplitudes smaller than and larger than 0.5%, respectively; (2) Under variable strain amplitude cyclic loading, increased and reduced strain amplitudes resulted in cyclic hardening and softening behaviors, respectively. The cyclic hardening/softening behavior strongly depended on the strain amplitude. Applying a significant number of cycles after strain amplitude reduction resulted in the stress–strain curves closely resembling those under constant strain amplitude conditions; (3) Even under offset constant strain amplitude cyclic loading conditions with nonzero mean strain, the peak stresses and shapes of the hysteresis loops approached those under constant strain amplitude conditions without mean strain.

Ultrasound enabled simultaneous measurement of coating wear depth and lubricant film thickness in a sliding bearing

Sliding bearings, serving as critical supporting components in rotating machinery, often work by riding on an ultra-thin oil film. The rupture of this oil film can cause wear of the soft coating on the bearing and even lead to catastrophic failures. This paper introduces a novel ultrasonic reflection-based approach to simultaneously measure both lubricant film thickness and coating wear depth. Through an analysis of the ultrasonic wave propagation in a worn bearing, it is observed that the echo waveform remains independent of wear depth but correlates with changes in the time of flight back to the transducer. Given this, the captured time or phase shift between the reflected and incident waves, together with the reduction in the wave amplitude, enables a simultaneous calculation of both oil film thickness and coating wear depth. The efficacy of the proposed method is validated through acoustic simulations and experiments with varied coating roughness.

The P300 component of the auditory event-related potential in adult psychiatric and neurologic disorders: a narrative review of clinical and experimental evidence.

The auditory P300 wave, also known as P3b, is an event-related potential component thought to reflect central information processes involved in stimulus evaluation or categorization. It is typically elicited using the oddball paradigm, which involves mixing low-probability target items with high-probability standard stimuli. Its latency is associated with the timing of cognitive processes such as stimulus evaluation and response preparation, while its amplitude is related to the amount of attentional resources engaged during the task. Despite decades of use in research settings, its application in clinical practice has been limited. Prolongation of latencies and reduction of amplitudes in the auditory P3b have been observed in both psychiatric and neurological conditions. This includes cases where traditional neuropsychological tests are challenging due to severe motor or speech dysfunctions, or in conditions characterized by subtle cognitive deficits. Additionally, specific laterality patterns in psychoses and a loss of P300 habituation in migraines have been described. The wealth of experimental evidence supports the use of this evoked potential, which can be elicited through a relatively simple paradigm, for objectively evaluating cognition in psychiatric and neurological patients, particularly in follow-up assessments. Therefore, the auditory P300 appears to be a valuable tool for monitoring the clinical course of patients with mental and neurological disorders in certain circumstances.

Comprehensive analysis of a butterfly-shaped piezoelectric shunting vibration absorber for robust vibration reduction and isolation: Theoretical and experimental validation

The Piezoelectric Shunting Vibration Absorber (PSVA) has garnered attention for its effectiveness in vibration control. This paper aims to propose a novel PSVA capable of simultaneously amplitude reduction and vibration isolation under various conditions. The PSVA consists of a butterfly-shaped link component and a piezoelectric stack, connected to the structure to be damped via bolts. Subsequently, an equivalent schematic diagram of the PSVA is established, and its equivalent stiffness is determined. Taking a single-degree-of-freedom structure as an example, considering the dynamic stiffness of the shunting circuit, a dynamic model of the electromechanical coupled system is developed, obtaining the system’s acceleration response and force transmissibility frequency response functions. Following this, experimental equipment is designed and fabricated, and the performance of the PSVA is tested under various excitation conditions. Finally, inspired by the experimental results, a segmented inductance circuit is designed and tested for its capability to broaden the vibration control bandwidth.

A study of soft and hard impact effects in single-particle impact dampers

Single-particle impact dampers (SPIDs) are simple, yet impactful devices that mitigate vibrations in various applications such as high-rise structures, machinery, and satellites. However, the high-intensity impact forces transmitted to the host structure pose a risk to older and vulnerable structures. Therefore, this study investigates the performance of SPIDs with soft impacts, employing viscoelastic materials to minimize the impact forces and noise levels without degrading the damping performance. Four different materials (rubber, ethylene-vinyl acetate, acrylic and poly-urethane foams) exhibiting different viscoelastic properties are studied and compared with hard impact. An approximate Voigt model for the stiffness and damping coefficient of viscoelastic material is used to conduct numerical simulations and to evaluate the damping performance of SPIDs. Dynamic mechanical analyser (DMA) tests are conducted to determine the dynamic properties of viscoelastic materials. An experimental rig which includes a single-degree-of-freedom host structure, and a prototype SPID is designed and manufactured. Experiments are conducted to determine the damping performance, impact force, and noise level with soft impacts and the results are compared with hard impacts. The results reveal a 40% reduction in vibration amplitude at resonance frequency, an impressive 96% reduction in impact force at resonance, an 11.55 dB reduction in the noise level using poly-urethane foam (softest impact) compared to steel (hard impact). Although viscoelastic materials may not be suitable in harsh environmental conditions, this study demonstrates that introducing a viscoelastic material in SPID can resolve its major drawbacks such as impact forces and noise leading to a simple, cost-effective, and safe SPID.

Natural Course of Electrocardiographic Features in Arrhythmogenic Right Ventricular Cardiomyopathy and Their Relation to Ventricular Arrhythmic Events.

Electrocardiographic abnormalities are common in arrhythmogenic right ventricular cardiomyopathy and are included in the 2010 Task Force Criteria. Their time course, however, remains uncertain. In this retrospective observational study, we aimed to assess the long-term evolution of electrocardiographic characteristics and their relation to ventricular arrhythmias. Three hundred fifty-three patients with arrhythmogenic right ventricular cardiomyopathy as per the 2010 Task Force Criteria with 6871 automatically processed 12-lead digital ECGs were included. The relationship between the electrocardiographic parameters and the risk of ventricular arrhythmias was assessed at 10 years from the first ECG. Electrocardiographic parameters were compared between the first contact ECG, the ECG at diagnosis, and the most recent ECG. Median time between the first and the latest ECG was 6 [interquartile range, 1-14] years. Reductions of QRS voltage, R- and T-wave amplitudes between the first, diagnostic, and the latest ECGs were observed across precordial and extremity leads. Mean QRS duration increased from 96 to 102 ms (P<0.001), terminal activation duration (V1) from 47 to 52 ms (P<0.001), and QTc from 419 to 432 ms (P<0.001). T-wave inversions in leads V3 to V6 and aVF at first ECG were associated with ventricular arrhythmias (adjusted hazard ratio [HRadj][V3], 2.03 [95% CI, 1.23-3.34] and HRadj[aVF], 1.87 [95% CI, 1.13-3.08]). Depolarization and repolarization parameters evolved over time in patients with arrhythmogenic right ventricular cardiomyopathy, supporting the progressive nature of arrhythmogenic right ventricular cardiomyopathy. Electrocardiographic abnormalities may be detected before diagnosis and might, although not fulfilling the 2010 Task Force Criteria, be markers of early disease. T-wave inversion in leads V3 or aVF before diagnosis was associated with ventricular arrhythmias during follow-up.

Examining the Complex Mismatch Negativity in Early Phase Psychosis Using the Dual Rule Paradigm.

Using electroencephalography (EEG) to examine the simple mismatch negativity (MMN), a marker of auditory cortex function, has been of great interest in the exploration of biomarkers for psychotic illness. Despite many studies reporting MMN deficits in chronic schizophrenia, there are inconsistent reports of MMN reductions in the early phases of psychotic illness, suggesting the MMN elicited by traditional paradigms may not be a sensitive enough measure of vulnerability to be used as a biomarker. Recently, a more computationally complex measure of auditory cortex function (the complex mismatch negativity; cMMN) has been hypothesized to provide a more sensitive marker of illness vulnerability. The current study employed a novel dual rule paradigm, in which two pattern rules are established and violated, to examine the cMMN in 14 individuals with early phase psychosis (EPP, < 5 years illness) and 15 healthy controls (HC). Relationships between cMMN waveforms, symptom severity, and measures of functioning were explored. We found reductions of cMMN amplitudes at the site of maximal amplitude in EPP (p = .017) with large effect sizes (Hedges' g = 0.96). This study is an early step in the exploration of the cMMN as a biomarker for psychosis. Our results provide evidence that the dual rule cMMN paradigm shows promise as a method for cMMN elicitation that captures more subtle neurofunctional changes in the early stages of illness.

Evaluating the effect of denoising submillimeter auditory fMRI data with NORDIC

Abstract Functional magnetic resonance imaging (fMRI) has emerged as an essential tool for exploring human brain function. Submillimeter fMRI, in particular, has emerged as a tool to study mesoscopic computations. The inherently low signal-to-noise ratio (SNR) at submillimeter resolutions warrants the use of denoising approaches tailored at reducing thermal noise—the dominant contributing noise component in high-resolution fMRI. NOise Reduction with DIstribution Corrected Principal Component Analysis (NORDIC PCA) is one of such approaches, and has been benchmarked against other approaches in several applications. Here, we investigate the effects that two versions of NORDIC denoising have on auditory submillimeter data. While investigating auditory functional responses poses unique challenges, we anticipated NORDIC to have a positive impact on the data on the basis of previous applications. Our results show that NORDIC denoising improves the detection sensitivity and the reliability of estimates in submillimeter auditory fMRI data. These effects can be explained by the reduction of the noise-induced signal variability. However, we did observe a reduction in the average response amplitude (percent signal change) within regions of interest, which may suggest that a portion of the signal of interest, which could not be distinguished from general i.i.d. noise, was also removed. We conclude that, while evaluating the effects of the signal reduction induced by NORDIC may be necessary for each application, using NORDIC in high-resolution auditory fMRI studies may be advantageous because of the large reduction in variability of the estimated responses.

Lateralized Subthalamic Stimulation for Axial Dysfunction in Parkinson's Disease: Exploratory Outcomes and Open-Label Extension.

A randomized trial suggested that reducing left-sided subthalamic stimulation amplitude could improve axial dysfunction. To explore open-label tolerability and associations between trial outcomes and asymmetry data. We collected adverse events in trial participants treated with open-label lateralized settings for ≥3 months. We explored associations between trial outcomes, location of stimulation and motor asymmetry. 14/17 participants tolerated unilateral amplitude reduction (left-sided = 10, right-sided = 4). Two hundred eighty-four left-sided and 1113 right-sided stimulated voxels were associated with faster gait velocity, 81 left-sided and 22 right-sided stimulated voxels were associated with slower gait velocity. Amplitude reduction contralateral to shorter step length was associated with 2.4-point reduction in axial MDS-UPDRS. Reduction contralateral to longer step length was associated with 10-point increase in MDS-UPDRS. Left-sided amplitude reduction is potentially more tolerable than right-sided amplitude reduction. Right-sided more than left-sided stimulation could be associated with faster gait velocity. Shortened step length might reflect contralateral overstimulation.

Altered somatosensory processing in adult attention deficit hyperactivity disorder

BackgroundTactile sensitivity and sensory overload in ADHD are well-documented in clinical-, self-, and parent- reports, but empirical evidence is scarce and ambiguous and focuses primarily on children. Here, we compare both empirical and self-report tactile sensitivity and ADHD symptomatology in adults with ADHD and neurotypical controls. We evaluate whether tactile sensitivity and integration is more prevalent in ADHD and whether it is related to ADHD symptom severity.MethodsSomatosensory evoked potential (SEP) amplitudes were measured in 27 adults with ADHD and 24 controls during four conditions (rest, stroking of the own arm, stroking of the arm by a researcher, and stroking of an object). Participants also filled out questionnaires on tactile sensitivity and ADHD symptoms and performed a Qb-test as an objective measure of ADHD symptom severity.ResultsParticipants with ADHD self-reported greater tactile sensitivity and ADHD symptom severity than controls and received higher scores on the Qb-test. These values correlated with one another. ADHD participants showed lower tolerable threshold for electrical radial nerve stimulus, and greater reduction in cortical SEP amplitudes during additional tactile stimuli which was correlated with ADHD symptoms.ConclusionsWe find that ADHD symptomatology and touch sensitivity are directly linked, using both self-reports and experimental measures. We also find evidence of tactile sensory overload in ADHD, and an indication that this is linked to inattention specifically. Tactile sensitivity and sensory overload impact the functioning and life quality of many people with ADHD, and clinicians should consider this when treating their patients.

Visual selective attention in individuals with age-related hearing loss

Evidence from epidemiological studies suggests that hearing loss is associated with an accelerated decline in cognitive function, but the underlying pathophysiological mechanism remains poorly understood. Studies using auditory tasks have suggested that degraded auditory input increases the cognitive load for auditory perceptual processing and thereby reduces the resources available for other cognitive tasks. Attention-related networks are among the systems overrecruited to support degraded auditory perception, but it is unclear how they function when no excessive recruitment of cognitive resources for auditory processing is needed. Here, we implemented an EEG study using a nonauditory visual attentional selection task in 30 individuals with age-related hearing loss (ARHLs, 60–73 years) and compared them with aged (N = 30, 60–70 years) and young (N = 35, 22–29 years) normal-hearing controls. Compared with their normal-hearing peers, ARHLs demonstrated a significant amplitude reduction for the posterior contralateral N2 component, which is a well-validated index of the allocation of selective visual attention, despite the comparable behavioral performance. Furthermore, the amplitudes were observed to correlate significantly with hearing acuities (pure tone audiometry thresholds) and higher-order hearing abilities (speech-in-noise thresholds) in aged individuals. The target-elicited alpha lateralization, another mechanism of visuospatial attention, demonstrated in control groups was not observed in ARHLs. Although behavioral performance is comparable, the significant decrease in N2pc amplitude in ARHLs provides neurophysiologic evidence that may suggest a visual attentional deficit in ARHLs even without extra-recruitment of cognitive resources by auditory processing. It supports the hypothesis that constant degraded auditory input in ARHLs has an adverse impact on the function of cognitive control systems, which is a possible mechanism mediating the relationship between hearing loss and cognitive decline.

A locally resonant metamaterial and its application in vibration isolation: Experimental and numerical investigations

AbstractVibration isolation metamaterial barrier has been extensively studied in mitigating the damage induced by vibration, while a deeper understanding of the vibration isolation characteristics based on laboratory experiments is still lacking. In this work, a locally resonant metamaterial barrier is proposed, and a large‐scale laboratory experiment was first designed to investigate the isolation mechanism of the proposed metamaterial barrier. The metamaterial vibration isolation barrier is assembled by arraying 5 × 5 resonators. To better explain the observations in experiments and unveil the underlying isolation mechanism, COMSOL Multiphysics was also employed to simulate the laboratory experiment. Subsequently, the vibration isolation effect is quantitatively analyzed by analyzing the acceleration amplitude reduction spectrum (ARS) of the ground surface. The vibration isolation mechanism is discussed by monitoring the acceleration field around the metamaterial barrier. The results indicate that two significant locally resonant attenuation domains are observed, which are induced by the first‐order and second‐order vertical resonance frequencies of the metamaterial. Another experimental scheme that simultaneously monitored the acceleration of the mass block and the bottom of resonators was implemented to investigate vibration in the resonator. The vibration energy distribution on the mass block and the bottom of the resonator is found to depend significantly on the vibration frequency. When the frequency is lower than a certain frequency, the locally resonant is dominant. Otherwise, the geometric scattering is dominant. The vibration isolation mechanism of the locally resonance metamaterial was investigated by laboratory experiments and provided an effective solving path for isolating the low‐frequency vibration.

An ERP investigation of perceptual vs motoric iconicity in sign production

The type of form-meaning mapping for iconic signs can vary. For perceptually-iconic signs there is a correspondence between visual features of a referent (e.g., the beak of a bird) and the form of the sign (e.g., extended thumb and index finger at the mouth for the American Sign Language (ASL) sign BIRD). For motorically-iconic signs there is a correspondence between how an object is held/manipulated and the form of the sign (e.g., the ASL sign FLUTE depicts how a flute is played). Previous studies have found that iconic signs are retrieved faster in picture-naming tasks, but type of iconicity has not been manipulated. We conducted an ERP study in which deaf signers and a control group of English speakers named pictures that targeted perceptually-iconic, motorically-iconic, or non-iconic ASL signs. For signers (unlike the control group), naming latencies varied by iconicity type: perceptually-iconic < motorically-iconic < non-iconic signs. A reduction in the N400 amplitude was only found for the perceptually-iconic signs, compared to both non-iconic and motorically-iconic signs. No modulations of N400 amplitudes were observed for the control group. We suggest that this pattern of results arises because pictures eliciting perceptually-iconic signs can more effectively prime lexical access due to greater alignment between features of the picture and the semantic and phonological features of the sign. We speculate that naming latencies are facilitated for motorically-iconic signs due to later processes (e.g., faster phonological encoding via cascading activation from semantic features). Overall, the results indicate that type of iconicity plays role in sign production when elicited by picture-naming tasks.

Intraoperative Neuromonitoring for the Lower-Extremity Region Using Motor-Evoked Potential With Direct Cortical Stimulation in Brain Tumor Surgeries.

To evaluate the motor function of the lower extremity (LE), we used direct cortical stimulation motor-evoked potential (D-MEP) monitoring with a single six-contact subdural strip electrode placed in the interhemispheric fissure. Intraoperative neuromonitoring using D-MEPs in the LE was performed in 18 cases (16 patients) for brain tumor surgery from December 2018 to April 2023 with a follow-up period of at least 3 months. After dural opening, a single six-contact subdural strip electrode was placed inside the interhemispheric fissure. To identify the central sulcus, phase reversal was recorded using somatosensory evoked potentials. Next, direct cortical stimulation was applied to the primary motor cortex. The baseline waveform was defined as a reproducible waveform of 30 µV or higher, and a significant decrease of ≥50% in the amplitude resulted in a warning during surgery. The success rate of central sulcus identification in the LE was 66.7% (12/18 cases). Direct cortical stimulation motor-evoked potential monitoring could record stable contralateral motor-evoked potentials of the tibialis anterior, gastrocnemius, and abductor hallucis in 16 of 18 cases (88.9%). The mean intensity of stimulation for D-MEPs was 20.5 ± 9.9 mA, and the 16 cases showed no significant reduction in amplitude. Seventeen cases showed no deterioration of motor function of the LE at 1 and 3 months postoperatively. In the remaining case with unsuccessful D-MEP, paralysis of the LE worsened at 1 and 3 months postoperatively. The placement of electrodes in the interhemispheric fissure on the primary motor cortex of the LE enabled motor-function monitoring in the LE with D-MEPs, suggesting that D-MEP-based monitoring may be a reliable approach.

The predictive value of intraoperative bulbocavernosus reflex monitoring for postoperative voiding function in patients with conus medullaris and cauda equina tumors: a retrospective single center study

BACKGROUND CONTEXTSurgical resection is the preferred treatment in most conus medullaris and cauda equina tumor (CMCET) cases. However, total resection is usually challenging to obtain and has a strong possibility of causing various complications if forcibly attempted. Intraoperative neurophysiological monitoring (IONM) has become a necessary adjunctive tool for CMCET resection. PURPOSEThe current study aimed to evaluate the application value of bulbocavernosus reflex (BCR) monitoring in CMCET surgery. STUDY DESIGNA retrospective clinical study. PATIENT SAMPLEThe medical records of patients who underwent CMCET resection by the same neurosurgical team at our hospital from September 2020 to June 2022 were retrospectively reviewed. IONM was conducted in all surgeries. According to inclusion criteria and exclusion criteria, ultimately, 105 patients were enrolled in the study. OUTCOME MEASURESThe voiding function was assessed before surgery, 1 month after, and 6 months after surgery using the Neurogenic Bladder Symptom Score (NBSS). If the NBSS obtained 1 month after surgery exceeds 9 points than that before surgery, it can be considered that the patient suffered new-onset postoperative voiding dysfunctions (PVDs). Moreover, if the NBSS could restored (less than 9 points higher than before the surgery) at 6 months after surgery, it was defined as a short-term PVD. Otherwise, it was defined as a long-term PVD. METHODSThe amplitude reduction ratios (ARRs) of bilateral BCR waveforms were calculated and compared between patients with PVDs and those without. The receiver operating characteristic curve analysis was subsequently applied to determine the cut-off value of the maximal and minimal ARRs for predicting PVDs. RESULTSThe maximal and minimal ARRs were significantly correlated with short-term and long-term PVDs (p<.001 for all comparisons, Mann-Whitney U test). The threshold values of maximal ARR for predicting short-term and long-term PVD were 68.80% (AUC=0.996, p<.001) and 72.10% (AUC=0.996, p<.001), respectively. While those of minimal ARR were 50.20% (AUC=0.976, p<.001) and 53.70% AUC=0.999, p<.001). CONCLUSIONSThe amplitude reduction of intraoperative bilateral BCR waveforms showed high predictive value for PVDs.

Advancing Offshore Renewable Energy: Integrative Approaches in Floating Offshore Wind Turbine-Oscillating Water Column Systems Using Artificial Intelligence-Driven Regressive Modeling and Proportional-Integral-Derivative Control

This research investigates the integration of Floating Offshore Wind Turbines (FOWTs) with Oscillating Water Columns (OWCs) to enhance sustainable energy generation, focusing on addressing dynamic complexities and uncertainties inherent in such systems. The novelty of this study lies in its dual approach, which integrates regressive modeling with an aero-hydro-elasto-servo-mooring coupled system with a deep data-driven network and implements a proportional-integral-derivative (PID) control mechanism to improve system stability. By employing Artificial Neural Networks (ANNs), the study circumvents the challenges of real-time closed-loop control on FOWT structures using the OpenFAST simulation tool. Data-driven models, trained on OpenFAST datasets, facilitate real-time predictive behavior analysis and decision-making. Advanced computational learning techniques, particularly ANNs, accurately replicate the dynamics of FOWT-OWC numerical models. An intelligent PID control mechanism is subsequently applied to mitigate structural vibrations, ensuring effective control. A comparative analysis with traditional barge-based FOWT systems underscores the enhanced modeling and control methodologies’ effectiveness. In this sense, the experimental results demonstrate substantial reductions in the mean oscillation amplitude, with reductions from 5% to 35% observed across various scenarios. Specifically, at a wave period from 20 s and a wind speed of 5 m/s, the fore-aft displacement was reduced by 35%, exemplifying the PID control system’s robustness and efficacy under diverse conditions. This study highlights the potential of ANN-driven modeling as an alternative to managing the complex non-linear dynamics of NREL 5 MW FOWT models and underscores the significant improvements in system stability through tailored PID gain scheduling across various operational scenarios.