Autonomic Profile Research Articles

Artificial Intelligence in e-Learning Plausible Scenarios in Latin America and New Graduation Competencies

Industry 4.0, as a result of the technological revolution, reached an unprecedented impact worldwide; this transformation continues, now in search of an inclusive and just society, where smart technologies coexist under control and for the service of human beings. Faced with this scenario, the university is responsible for training software engineers with autonomous and competitive profiles in artificial intelligence as a means of access to social and economic development in each country. A proposal of e-learning graduate competencies is proposed after a prospective analysis of artificial intelligence in a virtual environment in Latin America.

Evaluation of Variations of Qt Interval in Hypothyroidism Through Autonomic and Vascular Profiling of Cardiac Function

Background Hypothyroidism increases the risk of cardiac disease as well as autonomic dysfunction (abnormalities of the autonomic nervous system). A prospective case-control study was conducted. The purpose of this study was to compare the QT variability and vascular stiffness of SH patients. Materials and Methods:Using ABI, we compared female SH patients to age- and sex-matched normal controls in order to better understand their condition. HF (0.15–0.4 Hz) and LF (0.003–0.04 Hz) frequencies were investigated spectroscopically. The HF represents vagal regulation, whereas the LF reflects both vagal and limbic regulation. Result In this case research 32 women participated who were 28.02+7.8 years old and 28 women in control group who were age-matched (30.2+ 7.1). Patients had greater QT variability indices (P = 0.01) than healthy controls. Cases showed a higher LF/HF ratio than controls (P = 0.03), which was statistically significant. It was shown that there was a 0.02 point difference in left-right ABI between patients and controls. Conclusion In these circumstances, sympathetic activity predominated over parasympathetic activity, with less of the latter. QTvi may be beneficial in determining the risk of cardiovascular mortality in this particular patient population.

Heart rate variability and sympathetic skin response for the assessment of autonomic dysfunction in leucine-rich repeat kinase 2 associated Parkinson's disease

ObjectivesWe aimed to assess and compare autonomic function in Parkinson's disease (PD) associated with the leucine-rich repeat kinase (LRRK2) G2019S mutation (LRRK2-PD) and non-LRRK2 PD, by the study of heart rate variability (HRV) and sympathetic skin responses (SSR). MethodsIn a cross-sectional three-year study, fifty LRRK2-PD and fifty clinically matched non-LRRK2 PD patients were included. Cardiac parasympathetic functions were assessed using heart rate variation to deep breathing (HR-DB), to the Valsalva maneuver (HR-V) and to standing (HR-S) and the sympathetic autonomic system by sympathetic skin responses (SSR). ResultsNeurophysiological, parasympathetic and sympathetic dysautonomia were found in 78%, 69% and 37% of all PD patients respectively. Rates of dysautonomia in the LRRK2-PD and non-LRRK2 PD patient subgroups were 76% vs 80% (p = 0.405) for neurophysiological, 62% vs 76% (p = 0.123) for parasympathetic and 38% vs 36% (p = 0.500) for sympathetic dysautonomia. HR-S was the most frequently altered parameter in both groups, and was significantly associated with the tremor-dominant (TD) motor phenotype of PD in the total cohort (p = 0.004) and in LRRK2-PD (p = 0.015). In LRRK2-PD patients, female gender was associated with parasympathetic dysfunction (p = 0.024), and with altered HR-DB (p = 0.022). Early-onset parkinsonism was also significantly associated with preserved neurophysiological autonomic functions (p = 0.044) in LRRK2-PD. In non-LRRK2 PD patients, male gender was associated with early parasympathetic (p = 0.043) and sympathetic dysfunction (p = 0.007). ConclusionOur study showed a roughly similar neurophysiological autonomic profile in non-LRRK2 PD and LRRK2-PD. The latter had some peculiarities with more marked parasympathetic dysfunction and more altered HR-DB in females, more altered HR-S in the TD-motor phenotype, and preserved autonomic functions in early-onset parkinsonism. These preliminary findings would require further investigations on larger genetically homogeneous cohorts to explore the multiple facets of autonomic dysfunction in PD.

Autonomic profiles and self-regulation outcomes in early childhood.

This study examined autonomic profiles in preschoolers (N=278, age=4.7 years) and their relations to self-regulation outcomes concurrently and one year later, in kindergarten. Children's sympathetic (preejection period [PEP]) and parasympathetic activity (respiratory sinus arrythmia [RSA]) were measured at rest and during cognitive and emotional tasks. Three self-regulatory competencies were assessed: executive functions, emotion regulation and behavioral regulation. Executive functioning was measured at ages 4 and 5 using laboratory tasks designed to assess updating/working memory, inhibitory control, and cognitive flexibility. Emotion regulation was observed during emotionally distressing tasks in the laboratory, both at ages 4 and 5. Behavioral regulation and emotional reactivity were assessed via teacher ratings in kindergarten, at age 5. Latent profile analysis yielded four autonomic profiles: moderate parasympathetic inhibition (45%), reciprocal sympathetic activation (26%), coinhibition (25%), and high sympathetic activation (7%). The reciprocal sympathetic activation group showed better executive functioning in preschool and kindergarten, particularly compared to the high sympathetic activation group. The moderate parasympathetic inhibition group showed lower emotional reactivity and better behavioral regulation in kindergarten, compared to the other three groups. Findings suggest that autonomic profiles meaningfully associate with self-regulation outcomes in early childhood, such that certain profiles relate to better self-regulation than others.

Short- and long-term effects of whole-body photobiomodulation on pain, functionality, tissue quality, central sensitisation and psychological factors in a population suffering from fibromyalgia: protocol for a triple-blinded randomised clinical trial.

Background:The development of an integral and global treatment to improve the quality of life in those with fibromyalgia syndrome (FMS) is challenging. The aim of this study is to investigate the impact of whole-body photobiomodulation (PBM) on pain perception, functionality, quality of soft tissue, central sensitisation and psychological factors in patients suffering with FMS.Methods:This study is a randomised, placebo-controlled clinical trial. A total of 44 participants will be recruited in a private care practice and randomised to receive either a whole-body PBM therapy programme or placebo in the same care centre. The parameters of the PBM programme are as follows: wavelengths of red and near-infrared LEDs 50:50 ratio with 660–850 nanometers; fluence of 25.2 J/cm2; treatment time of 1200 s and a total power emitted of 967 W. Treatment sessions will be 3 times weekly for a period of 4 weeks, totalling 12 treatment sessions. Primary outcome will be pain (Numeric Pain Rating Scale; Widespread Pain Index; Symptom Severity Score). Secondary outcomes will be functionality (Fibromyalgia Impact Questionnaire; the Leisure Time Physical Activity Instrument), quality of soft tissue (elastography), central sensitisation (pain pressure threshold and the Autonomic Symptom Profile) and psychological factors (Pain Catastrophising scale, Tampa Scale, Self-Efficacy questionnaire). Assessments will be at baseline (T1), after session 6 (T2), after treatment (T3) and 2 weeks (T4), 3 (T5) and 6 (T6) month follow-up.Discussion:PBM therapy has been shown to reduce pain and inflammation and to increase the rate of tissue repair for a wide range of conditions, but its potential use as a whole-body treatment in FM is yet to be explored. This trial will investigate whether whole-body PBM therapy is effective at reducing pain intensity, improving functionality, quality of soft tissue, central sensitisation symptoms and psychological measurements. Furthermore, 3- and 6-month follow-up will investigate long-term efficacy of this treatment.Trial registration:NCT04248972. Registered on January 29, 2020, https://clinicaltrials.gov/ct2/show/NCT04248972?term=navarro-ledesma+santiago&draw=2&rank=2.

Impact of angiotensin-converting enzyme inhibition on hemodynamic and autonomic profile of elastase-2 knockout mice.

Elastase-2 (ELA-2) is an angiotensin II-generating enzyme that participates in the cardiovascular system. ELA-2 is involved in hemodynamic and autonomic control and is upregulated in myocardial infarction and hypertension. The inhibition of angiotensin-converting enzyme (ACE) increased ELA-2 expression in the carotid arteries and heart of spontaneously hypertensive rats. In this study, we sought to investigate the role of ACE inhibition in hemodynamic and autonomic balance in elastase-2 knockout (ELA-2 KO) mice. Male ELA-2 KO and C57BL/6 mice were treated with the ACE inhibitor enalapril or saline for 10 days. After treatment, mice underwent surgery for cannulation of the femoral artery and arterial pressure recordings were made five days later in awake animals. The variability of systolic blood pressure (SBP) and pulse interval (PI) was evaluated in the time and frequency domain. Spontaneous baroreflex was assessed by the sequencing method. ACE inhibition caused a significant decrease in mean arterial pressure (117±2.2 vs 100±2.8 mmHg) and an increase in heart rate (570±32 vs 655±15 bpm) in ELA-2 KO mice. Despite a tendency towards reduction in the overall heart rate variability (standard deviation of successive values: 7.6±1.1 vs 4.7±0.6 ms, P=0.08), no changes were found in the root of the mean sum of squares or in the power of the high-frequency band. ACE inhibition did not change the spontaneous baroreflex indices (gain and baroreflex effectiveness index) in ELA-2 KO mice. Altogether, this data suggested that ACE played a role in the maintenance of hemodynamic function in ELA-2 KO mice.

Sustained hypoxia in mice increases parasympathetic but not sympathetic tone.

The autonomic profile of mice submitted to sustained hypoxia (SH) was not yet fully evaluated. Herein, we characterized the cardiovascular and autonomic profile of conscious freely moving mice submitted to SH using two sequential experimental protocols to evaluate the parasympathetic and sympathetic tone to the heart and the sympathetic tone to the vascular resistance. In the first protocol the sequence of antagonists was methyl-atropine followed by propranolol and then by prazosin, while in the second protocol the sequence was propranolol followed by methyl-atropine and then by prazosin. In SH the baseline heart rate was significantly lower than in control mice and the antagonism of the parasympathetic and sympathetic tone to the heart in both experimental protocols indicated an increased parasympathetic tone in SH mice and no changes in the sympathetic tone. Antagonism of the sympathetic tone to the vascular resistance with prazosin produced similar changes in arterial pressure in control and SH mice. Altogether these findings support the concept that mice submitted to SH present a significant increase in the parasympathetic but not in the sympathetic tone, which may explain why the baseline arterial pressure was not increased in SH mice.

Relationships Between Cardiovascular Autonomic Profile and Work Ability in Patients With Pure Autonomic Failure.

Pure autonomic failure (PAF) is a rare disorder belonging to the group of synucleinopathies, characterized by autonomic nervous system degeneration. Severe orthostatic intolerance with recurrent syncope while standing are the two most disabling manifestations. Symptoms may start at middle age, thus affecting people at their working age. The aims of this study were to evaluate the autonomic and work ability impairment of a group of PAF patients and assess the relationships between cardiovascular autonomic control and work ability in these patients. Eleven PAF patients (age 57.3 ± 6.7 years), engaged in work activity, participated in the study. They completed the Composite Autonomic Symptom Score (COMPASS-31, range 0 no symptom-100 maximum symptom intensity) and Work Ability questionnaires (Work Ability Index, WAI, range 7–49; higher values indicate better work ability and lower values indicating unsatisfactory or jeopardized work ability). Electrocardiogram, blood pressure and respiratory activity were continuously recorded for 10 min while supine and during 75° head-up tilt (HUT). Autoregressive spectral analysis of cardiac cycle length approximated as the time distance between two consecutive R-wave peaks (RR) and systolic arterial pressure (SAP) variabilities provided the power in the high frequency (HF, 0.15–0.40 Hz) and low frequency (LF, 0.04–0.15 Hz) bands of RR and SAP variabilities. Cardiac sympatho-vagal interaction was assessed by LF to HF ratio (LF/HF), while the LF power of SAP (LFSAP) quantified the vascular sympathetic modulation. Changes in cardiovascular autonomic indexes induced by HUT were calculated as the delta (Δ) between HUT and supine resting positions. Spearman correlation analysis was applied. PAF patients were characterized by a moderate autonomic dysfunction (COMPASS-31 total score 47.08 ± 20.2) and by a reduction of work ability (WAI 26.88 ± 10.72). Direct significant correlations were found between WAI and ΔLFRR (r = 0.66, p = 0.03) and ΔLF/HFRR (r = 0.70, p = 0.02). Results indicate that patients who were better able to modulate heart rate, as revealed by a greater cardiac sympathetic increase and/or vagal withdrawal during the orthostatic stimulus, were those who reported higher values of WAI. This finding could be relevant to propose new strategies in the occupational environment to prevent early retirement or to extend the working life of these patients.

Principles for Monte Carlo agent-based evacuation simulations including occupants who need assistance. From RSET to RiSET

A few modelling approaches are available to assess the egress of people who need assistance to evacuate, since both physical and cognitive aspects should be considered. In this study, an agent-based approach has been adopted with a focus on the behavioural rules assigned to the agents depending on their characteristics and goals. In emergency, while the majority of the occupants recognise the risk and start their evacuation autonomously, the people who need assistance do not necessarily act in that way. Trained and skilled staff are required to contact and assist those needing help that could otherwise remain inside. In this study, “meta-communication” defines the different ways that “link” the rescuers and the people who need assistance during the evacuation. A unified framework is proposed to establish a standard codification of the occupant profiles, both autonomous and those who need assistance, in order to evaluate their evacuation capabilities for use in agent-based models. Based on their mobility and way-finding abilities, occupants are classified into a basic set of five categories. For each occupant category, the mobility device and the staff assistance eventually required are specified. This codification may originate a variety of design occupant profiles which are applied to specific groups of building occupants. Apart from occupant characteristics, it is necessary to define the service discipline, consisting of three components: the staffskills and consistency, the scheduling policy, and the mobility device eventually required to relocate the assisted occupant. The movement of people as groups should also be considered to establish a link between the occupants, including those who need assistance. The inclusive approach proposed in this study has been implemented using Pathfinder software and applied to the analysis of the assisted horizontal evacuation scenario of a hospital ward. The stochastics variables representing the occupant characteristics and the service discipline have been described by probability distributions, including both autonomous and assisted profiles. The Monte Carlo methods provide the means to address the parameter uncertainty in probabilistic risk analysis. The general relationship between the number of iterations executed and the accuracy of the results of interest (mean, variance, proportion of population of the output stochastic variable of interest) is discussed. Based on the Central Limit Theorem, a general a priori estimate of the number of trials required for a specified accuracy in the evacuation time modelling is obtained and a predictor-corrector scheme for conducting and terminating a single loop Monte Carlo evacuation modelling analysis is proposed and applied to the worked case. Model validation is then required to establish whether the results of the simulations are accurate and correctly predict the relevant evacuation scenario. The principles of performance-based inclusive design are thus established, introducing the occupants who need assistance, the assisting staff role, and the service discipline, in a generalization of the conventional Required Safe Escape Time (RSET): the Required Safe and inclusive Escape Time (RiSET).

Autonomic symptoms and associated factors in patients with chronic heart failure

Objective Autonomic disorders are common in chronic illness, and their symptoms may restrict the daily functioning of patients. However, in chronic heart failure, extensive knowledge about autonomic symptoms is still lacking. This study aims to explore self-perceived autonomic symptoms, associated factors, and their relationship with health-related quality of life in chronic heart failure. Methods One hundred and twenty-four patients with documented chronic heart failure (men and women; 50–86 years) and 124 sex and age-matched controls participated in this study. The participants filled validated questionnaires about autonomic symptom profile (COMPASS 31), fatigue (CIS, Checklist for individual strength), anxiety and depression (HADS, Hospital Anxiety and Depression), and health-related quality of life (SF36). Non-parametric statistics were performed to analyse the data. Results Total score for autonomic symptoms was higher in chronic heart failure compared to controls [Median: 14.9; IQR: 6.2–25.1 vs. 7.3; 0–18; p < 0.001], especially for orthostatic hypotension [Median: 8; IQR: 0–16 vs. 0; 0–12; p < 0.001], vasomotor [Median: 0; IQR: 0–0 vs. 0; 0–0; p < 0.001] and secretomotor function [Median: 0; IQR: 0–4.2 vs. 0; 0–2.1; p = 0.013]. High scores for autonomic symptoms were moderate correlated with higher scores of fatigue, anxiety and depression (0.343 ≤ rs ≥ 0.420; p < 0.001) and with decreased health-related quality of life (−0.454; p < 0.01). Conclusion Autonomic symptoms, especially for orthostatic intolerance, vasomotor and secretomotor subdomains, are prevalent and are associated with fatigue complaints and poor health-related quality of life in CHF.

Effects of a cool classroom microclimate on cardiac autonomic control and cognitive performances in undergraduate students

An inverted U-shape relationship between cognitive performance and indoor temperature with best performance peaking at 21.6 °C was previously described. Little is known on classroom temperature reduction effects on cognitive performances and cardiac autonomic profile, during the cold season.Fifteen students underwent electrocardiogram recording during a lecture in two days in December when classroom temperatures were set as neutral (NEUTRAL, 20–22 °C) and cool (COOL, 16–18 °C). Cognitive performance (memory, verbal ability, reasoning, overall cognitive C-score) was assessed by Cambridge Brain Science cognitive evaluation tool. Cardiac autonomic control was evaluated via the analysis of spontaneous fluctuations of heart period, as the temporal distance between two successive R-wave peaks (RR). Spectral analysis provided the power in the high frequency (HF, 0.15–0.40 Hz) and low frequency (LF, 0.04–0.15 Hz) bands of RR variability. Sympatho-vagal interaction was assessed by LF to HF ratio (LF/HF). Symbolic analysis provided the fraction of RR patterns composed by three heart periods with no variation (0 V%) and two variations (2 V%), taken as markers of cardiac sympathetic and vagal modulations, respectively. The students' thermal comfort was assessed during NEUTRAL and COOL trials.Classroom temperatures were 21.5 ± 0.8 °C and 18.4 ± 0.4 °C during NEUTRAL and COOL. Memory, verbal ability, C-Score were greater during COOL (13.01 ± 3.43, 12.32 ± 2.58, 14.29 ± 2.90) compared to NEUTRAL (9.98 ± 2.26, p = 0.002; 8.57 ± 1.07, p = 0.001 and 10.35 ± 3.20, p = 0.001). LF/HF (2.4 ± 1.7) and 0 V% (23.2 ± 11.1%) were lower during COOL compared to NEUTRAL (3.7 ± 2.8, p = 0.042; 28.1 ± 12.2.1%, p = 0.031). During COOL, 2 V% was greater (30.5 ± 10.9%) compared to NEUTRAL (26.2 ± 11.3, p = 0.047). The students' thermal comfort was slightly reduced during COOL compared to NEUTRAL trial.During cold season, a better cognitive performance was obtained in a cooler indoor setting enabling therefore energy saving too.

Motivational profiles and change in physical activity during a weight loss intervention: a secondary data analysis

BackgroundHigh levels of moderate-to-vigorous intensity physical activity (MVPA) are strongly associated with sustained weight loss, however the majority of adults are unsuccessful in maintaining high levels of MVPA long-term. Our goal was to identify profiles based on exercise motives, and examine the association between motivational profile and longitudinal changes in MVPA during a weight loss intervention.MethodsAdults with overweight or obesity (n = 169, mean ± SE; age 39 ± 0.7 years, BMI 34.4 ± 0.3 kg/m2, 83% female) underwent an 18-month behavioral weight loss program, including 6 months of supervised exercise, followed by 6 months of unsupervised exercise. Participants self-reported behavioral regulations for exercise at baseline (BREQ-2). Latent profile analysis identified subgroups from external, introjected, identified, and intrinsic regulations measured at baseline. Mean differences in device-measured total MVPA were compared across motivational profiles at baseline, after 6 months of supervised exercise and after a subsequent 6 months of unsupervised exercise.ResultsThree motivational profiles emerged: high autonomous (high identified and intrinsic, low external regulations; n = 52), high combined (high scores on all exercise regulations; n = 25), and moderate combined (moderate scores on all exercise regulations; n = 92). Motivational profile was not associated with baseline level of MVPA or the increase in MVPA over the 6-month supervised exercise intervention (high autonomous: 21 ± 6 min/d; high combined: 20 ± 9 min/d; moderate combined: 33 ± 5 min/d; overall P > 0.05). However, during the transition from supervised to unsupervised exercise, MVPA decreased, on average, within all three profiles, but the high autonomous profile demonstrated the least attenuation in MVPA (− 3 ± 6 min/d) compared to the moderate combined profile (− 20 ± 5 min/d; P = 0.043).ConclusionsResults were in alignment with the Self-Determination Theory. Adults motivated by autonomous reasons (value benefits of exercise, intrinsic enjoyment) may be more likely to sustain increases in MVPA once support is removed, whereas participants with moderate-to-high scores on all types of exercise regulations may need additional long-term support in order to sustain initial increases in MVPA.Clinical trial registrationNCT01985568. Registered 24 October 2013.

The Autonomic Profile in Postural Orthostatic Tachycardia Syndrome, about 12 Patients

The Autonomic Profile in Postural Orthostatic Tachycardia Syndrome, about 12 Patients

A Novel Complete-Surface-Finding Algorithm for Online Surface Scanning with Limited View Sensors.

Robotised Non-Destructive Testing (NDT) has revolutionised the field, increasing the speed of repetitive scanning procedures and ability to reach hazardous environments. Application of robot-assisted NDT within specific industries such as remanufacturing and Aersopace, in which parts are regularly moulded and susceptible to non-critical deformation has however presented drawbacks. In these cases, digital models for robotic path planning are not always available or accurate. Cutting edge methods to counter the limited flexibility of robots require an initial pre-scan using camera-based systems in order to build a CAD model for path planning. This paper has sought to create a novel algorithm that enables robot-assisted ultrasonic testing of unknown surfaces within a single pass. Key to the impact of this article is the enabled autonomous profiling with sensors whose aperture is several orders of magnitude smaller than the target surface, for surfaces of any scale. Potential applications of the algorithm presented include autonomous drone and crawler inspections of large, complex, unknown environments in addition to situations where traditional metrological profiling equipment is not practical, such as in confined spaces. In simulation, the proposed algorithm has completely mapped significantly curved and complex shapes by utilising only local information, outputting a traditional raster pattern when curvature is present only in a single direction. In practical demonstrations, both curved and non-simple surfaces were fully mapped with no required operator intervention. The core limitations of the algorithm in practical cases is the effective range of the applied sensor, and as a stand-alone method it lacks the required knowledge of the environment to prevent collisions. However, since the approach has met success in fully scanning non-obstructive but still significantly complex surfaces, the objectives of this paper have been met. Future work will focus on low-accuracy environmental sensing capabilities to tackle the challenges faced. The method has been designed to allow single-pass scans for Conformable Wedge Probe UT scanning, but may be applied to any surface scans in the case the sensor aperture is significantly smaller than the part.

Natural vs. trawling-induced water turbidity and suspended sediment transport variability within the Palamós Canyon (NW Mediterranean)

Increases of water turbidity and suspended sediment transport in submarine canyons have been associated with high-energy events such as storms, river floods and dense shelf water cascading (DSWC), and occasionally with bottom trawling along canyon flanks and rims. To assess the variations on the water column turbidity and sediment transport in the Palamós Canyon linked to both natural and trawling-induced processes, an autonomous hydrographic profiler, as well as a near-bottom current meter and a turbidimeter were deployed in the canyon axis (929 m depth) from February to June 2017, covering a trawling closure (February) and trawling activities (March-June). Periods of enhanced water turbidity during the trawling closure were mostly associated with storms and DSWC events, transporting turbid dense waters into the canyon. In absence of such events, the water column displayed low suspended sediment concentrations (~ 0.3 mg L− 1) until the trawling season began, when particulate matter detachments, ranging between > 1 mg L− 1 and 3.8 mg L− 1, were observed at the water depths where the trawling grounds are found. During the trawling closure, high near-bottom suspended sediment fluxes (35–44 g m− 2 s− 1) were sporadically registered at ~ 920 m depth associated with a major storm and DSWC event. Smaller but more frequent increases of near-bottom suspended sediment fluxes (0.1–1.4 g m− 2 s− 1) were recorded during trawling activities. Despite these smaller trawling-induced suspended sediment fluxes, 30 days of continuous bottom trawling activity transported a total amount of 40 kg m− 2, of similar magnitude to that generated by a major DSWC event (50 kg m− 2). Since bottom trawling in Palamós Canyon is practiced on a daily basis throughout the year, a much larger contribution of anthropogenically derived water turbidity and suspended sediment transport can be expected.

Heart Rate Variability in Children and Adolescents with Autism, ADHD and Co-occurring Autism and ADHD, During Passive and Active Experimental Conditions

Despite overlaps in clinical symptomatology, autism and ADHD may be associated with opposite autonomic arousal profiles which might partly explain altered cognitive and global functioning. We investigated autonomic arousal in 106 children/adolescents with autism, ADHD, co-occurring autism/ADHD, and neurotypical controls. Heart rate variability was recorded during resting-state, a ‘passive’ auditory oddball task and an ‘active’ response conflict task. Autistic children showed hyper-arousal during the active task, while those with ADHD showed hypo-arousal during resting-state and the passive task. Irrespective of diagnosis, children characterised by hyper-arousal showed more severe autistic symptomatology, increased anxiety and reduced global functioning than those displaying hypo-arousal, suggesting the importance of considering individual autonomic arousal profiles for differential diagnosis of autism/ADHD and when developing personalised interventions.

Autonomic, Endocrine, and Inflammation Profiles in Functional Neurological Disorder: A Systematic Review and Meta-Analysis.

Functional neurological disorder (FND) is a core neuropsychiatric condition. To date, promising yet inconsistently identified neural circuit profiles have been observed in patients with FND, suggesting that gaps remain in our systems-level neurobiological understanding. As such, other important physiological variables, including autonomic, endocrine, and inflammation findings, need to be contextualized for a more complete mechanistic picture. The investigators conducted a systematic review and meta-analysis of available case-control and cohort studies of FND. PubMed, PsycINFO, and Embase databases were searched for studies from January 1, 1900, to September 1, 2020, that investigated autonomic, endocrine, and inflammation markers in patients with FND. Sixty-six of 2,056 screened records were included in the review, representing 1,699 patients; data from 20 articles were used in the meta-analysis. Findings revealed that children and adolescents with FND, compared with healthy control subjects (HCs), have increased resting heart rate (HR); there is also a tendency toward reduced resting HR variability in patients with FND across the lifespan compared with HCs. In adults, peri-ictal HR differentiated patients with functional seizures from those with epileptic seizures. Other autonomic and endocrine profiles for patients with FND were heterogeneous, with several studies highlighting the importance of individual differences. Inflammation research in FND remains in its early stages. Moving forward, there is a need for the use of larger sample sizes to consider the complex interplay between functional neurological symptoms and behavioral, psychological, autonomic, endocrine, inflammation, neuroimaging, and epigenetic/genetic data. More research is also needed to determine whether FND is mechanistically (and etiologically) similar or distinct across phenotypes.

Clinical and instrumental characterization of GBA-related Parkinson's disease: Focus on cardiovascular and sudomotor autonomic dysfunction and other non-motor features. Does the type of mutation matter?

Some non-motor features (e.g. dementia) present more frequently in glucocerebrosidase-associated Parkinson's Disease (GBA-PD). What is the autonomic profile in GBA-PD compared to PD non-carriers (iPD)? Is there any difference between carriers of severe (GBA-SM) vs. mild (GBA-MM) mutations?

New Ocean Subsurface Optical Properties From Space Lidars: CALIOP/CALIPSO and ATLAS/ICESat‐2

AbstractRemote sensing from Earth‐observing satellites is now providing valuable information about ocean phytoplankton distributions. This paper presents the new ocean subsurface optical properties obtained from two space‐based lidars: the Cloud‐Aerosol Lidar with Orthogonal Polarization (CALIOP) aboard the Cloud‐Aerosol Lidar and Infrared Pathfinder Satellite Observations satellite and the Advanced Topographic Laser Altimeter System (ATLAS) aboard the Ice, Cloud, and land Elevation Satellite‐2 satellite. Obtaining reliable estimates of subsurface biomass necessitates removing instrument artifacts peculiar to each sensor, that is, polarization crosstalk artifacts in the CALIOP signals and after pulsing effects arising from the ATLAS photodetectors. We validate the optical properties derived from the corrected lidar backscatter signals using MODerate‐resolution Imaging Spectroradiometer ocean color measurements and autonomous biogeochemical Argo float profiles. Our results support the continued use of present and future spaceborne lidars to study the global plankton system and characterize its vertical structures in the upper ocean.

The Imprint of Primary Production on High-Frequency Profiles of Lake Optical Properties.

Water inherent optical properties (IOPs) contain integrative information on the optical constituents of surface waters. In lakes, IOP measurements have not been traditionally collected. This study describes how high-frequency IOP profiles can be used to document short-term physical and biogeochemical processes that ultimately influence the long-term trajectory of lake ecosystems. Between October 2018 and May 2020, we collected 1373 high-resolution hyperspectral IOP profiles in the uppermost 50 m of the large mesotrophic Lake Geneva (Switzerland-France), using an autonomous profiler. A data set of this size and content does not exist for any other lake. Results showed seasonal variations in the IOPs, following the expected dynamic of phytoplankton. We found systematic diel patterns in the IOPs. Phases of these diel cycles were consistent year-round, and amplitudes correlated to the diurnal variations of dissolved oxygen, clarifying the link between IOPs and phytoplankton metabolism. Diel amplitudes were largest in spring and summer under low wind condition. Wind-driven changes in thermal stratification impacted the dynamic of the IOPs, illustrating the potential of high-frequency profiles of water optical properties to increase our understanding of carbon cycling in lake ecosystems.