Long-term Enhancement Research Articles

Exploring prevalent injuries among tennis players and optimal rehabilitation approaches: A systematic review protocol.

Tennis is a globally popular sport known for its numerous health benefits. However, it also underscores the physical demands and potential injuries associated with high-performance play. This review emphasizes the role of kinetic chains in executing powerful movements and discusses common injuries, particularly in the upper limbs due to the sport's overhead nature. It highlights the importance of effective rehabilitation methods for swift recovery and long-term performance enhancement in high-performance tennis players. The review aims to investigate the relationship between age, sex, and injury prevalence among high-performance tennis players to inform injury prevention strategies. This review protocol will provide a description on effective rehabilitation methods to tennis players, aiding coaches, physiotherapists and physicians. Methodologically, this systematic review will develop following the PRISMA guidelines, focusing on articles published between 2011 and 2024, with eligibility criteria specified. Data collection involved screening titles and abstracts, removing duplicates, and assessing full texts for eligibility. Data extraction will include information on authors, publication year, evidence level, participant demographics, injuries, treatments, etc. The GRADE framework will be used for evidence quality assessment, and NIH criteria were applied for study quality assessment. Prospero registration number: CRD42023453182.

Exploring the Effect of Single-Session Transcranial Direct Current Stimulation on Attention, Verbal Fluency, and Working Memory in Patients With Alzheimer's Disease-Related Dementia.

Alzheimer's disease (AD) is a leading cause of morbidity and mortality among the elderly. Transcranial direct current stimulation (tDCS) applies low-intensity currents to the brain, resulting in short-term neurocognitive effects and long-term neuroplasticity enhancement. Limited research reported on the impact of tDCS on cognitive functions in dementia due to AD. This study aims to compare changes in verbal fluency and working memory following a single tDCS application to the left dorsolateral prefrontal cortex (DLPFC) in AD patients. Patients with mild dementia due to AD underwent cognitive assessment using the Standardized Mini-Mental Test, Clock Drawing Test, Rey Auditory Verbal Learning Test, Functional Activities Questionnaire, Informant Questionnaire on Cognitive Decline in the Elderly, and Montreal Cognitive Assessment Scale. A single-session tDCS was administered by applying anodal tDCS to the left DLPFC for a duration of 30 minutes. Verbal fluency and working memory were evaluated before and after tDCS using the WAIS-R Digit Span Test forward and backward subscales, Trail Making Test (TMT) A and B, and Verbal Fluency Test. Regarding cognitive test scores before and after tDCS application, there were statistically significant reductions in the durations of TMT-A and TMT-B. However, there were no significant differences observed for TMT B-A, VFT, DST-forward, and DST-backward performances. The findings indicate that a single anodal tDCS targeting the left DLPFC enhances attention and processing speed in AD patients but has no effect on working memory or verbal fluency.

A Lipid-Raft Theory of Alzheimer's Disease.

I present a theory of Alzheimer's disease (AD) that explains its symptoms, pathology, and risk factors. To do this, I introduce a new theory of brain plasticity that elucidates the physiological roles of AD-related agents. New events generate synaptic and branching candidates competing for long-term enhancement. Competition resolution crucially depends on the formation of membrane lipid rafts, which requires astrocyte-produced cholesterol. Sporadic AD is caused by impaired formation of plasma-membrane lipid rafts, preventing the conversion of short- to long-term memory and yielding excessive tau phosphorylation, intracellular cholesterol accumulation, synaptic dysfunction, and neurodegeneration. Amyloid β (Aβ) production is promoted by cholesterol during the switch to competition resolution, and cholesterol accumulation stimulates chronic Aβ production, secretion, and aggregation. The theory addresses all of the major established facts known about the disease and is supported by strong evidence.

Operating Room Orientation Using Visual Media Virtual Reality Box (Vr.Box) On Decreasing The Level of Fear of Pre Operation Patients

Background: Effective new patient orientation is crucial in reducing preoperative anxiety, which can significantly impact patient outcomes. Anxiety in patients often stems from unmet needs for security and fear of imminent threats. The Virtual Reality Box (VR Box) has emerged as a potential tool to alleviate this anxiety by providing a distracting and calming experience. Purposes: This study evaluates the impact of operating room orientation on preoperative anxiety levels, with a focus on its effectiveness when combined with VR Box technology. Methods: This study utilized the Amsterdam Preoperative Anxiety and Information Scale (APAIS) to measure anxiety levels in patients before and after receiving operating room orientation. The intervention involved providing comprehensive orientation about the nursing process and surgical environment. A total of [number] preoperative patients participated in the study, and their anxiety levels were assessed pre- and post-orientation. Findings: The analysis revealed a reduction in average anxiety levels from 20.1% before the orientation to 16.2% after the orientation, indicating a 3.9% decrease in anxiety. This suggests that the orientation process effectively mitigated some of the anxiety associated with preoperative procedures. Conclusion: The findings demonstrate that operating room orientation can significantly reduce preoperative anxiety. The integration of orientation strategies with tools such as the VR Box could enhance patient comfort and preparedness, potentially improving overall surgical outcomes. Future research should explore the long-term benefits and potential enhancements of combining orientation with advanced anxiety-reducing technology.

The Impact of Chronic Exercise on Cognitive Function: An Overview of Reviews

Objective: Understanding the associations between cognitive function and chronic exercise has gained significant attention in the last decade. This overview aims to consolidate current knowledge and shed light on potential benefits of long-term exercise on cognitive abilities. Method: Relevant databases, including Scopus, PubMed, and Web of Science, were searched through predefined keywords related to chronic exercise and cognitive function. We included all relevant systematic-reviews and meta-analysis in our data-synthesizing. Results: We identified 74 references across PubMed (33), Scopus (35), and Web of Sciences (6). After deduplication, 52 unique references remained. Screening by title and abstract yielded 28 relevant studies. Full-text review based on inclusion criteria resulted in nine eligible articles. Most were meta-analyses, examining 10 to 71 randomized controlled trials on executive functions across various age groups and health statuses. Both acute and chronic exercises demonstrated small to moderate positive effects on cognitive functions, with chronic exercise outcomes influenced by type, duration, frequency, session length, age, and cognitive status. Conclusion: Extensive research underscores a robust and compelling link between involving in regular, long-term physical exercise and enhancement of cognitive functioning. This connection emphasizes the critical role that consistent physical activity plays in safeguarding mental well-being and maintaining sharp cognitive abilities throughout various life stages. Positive effect of sustained physical exercise on cognitive functioning serves as a compelling reason to integrate exercise as a fundamental component of a holistic approach to mental wellness and cognitive longevity.

Enhancing carbon reduction and sustainable agriculture in Thailand: An assessment of rice straw utilization strategies

This research explores strategies for carbon reduction through the utilization of rice straw waste in Thailand, focusing on three project approaches: (1) converting rice straw into biomass fuel pellets for power plants, (2) transforming rice straw into biochar using high-tech systems and blending it with fertilizers, and (3) using conventional systems for biochar production. The study assesses the greenhouse gas (GHG) reduction potential of these approaches compared to traditional open-field burning of rice straw. The results indicate that Project 2, which involves high-tech biochar production, exhibits the highest potential for GHG reduction and carbon sequestration, with a potential to reduce emissions by approximately 12.19–13.05 MTCO2e/year. This approach also has potential for generating valuable carbon credits due to biochar’s long-term carbon sequestration and soil enhancement benefits. In contrast, Project 1 yields a reduction of about 4.06–4.35 MTCO2e/year, while Project 3 results in negative emission reduction. The study recommends prioritizing and incentivizing biochar production projects, upgrading low-tech systems, balancing the use of biomass fuel pellets, leveraging carbon credits for funding, and enhancing public awareness.

Apnoea as a novel method to improve exercise performance: A current state of the literature.

Acute breath-holding (apnoea) induces a spleen contraction leading to a transient increase in haemoglobin concentration. Additionally, the apnoea-induced hypoxia has been shown to lead to an increase in erythropoietin concentration up to 5h after acute breath-holding, suggesting long-term haemoglobin enhancement. Given its potential to improve haemoglobin content, an important determinant for oxygen transport, apnoea has been suggested as a novel training method to improve aerobic performance. This review aims to provide an update on the current state of the literature on this topic. Although the apnoea-induced spleen contraction appears to be effective in improving oxygen uptake kinetics, this does not seem to transfer into immediately improved aerobic performance when apnoea is integrated into a warm-up. Furthermore, only long and intense apnoea protocols in individuals who are experienced in breath-holding show increased erythropoietin and reticulocytes. So far, studies on inexperienced individuals have failed to induce acute changes in erythropoietin concentration following apnoea. As such, apnoea training protocols fail to demonstrate longitudinal changes in haemoglobin mass and aerobic performance. The low hypoxic dose, as evidenced by minor oxygen desaturation, is likely insufficient to elicit a strong erythropoietic response. Apnoea therefore does not seem to be useful for improving aerobic performance. However, variations in apnoea, such as hypoventilation training at low lung volume and repeated-sprint training in hypoxia through short end-expiratory breath-holds, have been shown to induce metabolic adaptations and improve several physical qualities. This shows promise for application of dynamic apnoea in order to improve exercise performance. HIGHLIGHTS: What is the topic of this review? Apnoea is considered as an innovative method to improve performance. This review discusses the effectiveness of apnoea (training) on performance. What advances does it highlight? Although the apnoea-induced spleen contraction and the increase in EPO observed in freedivers seem promising to improve haematological variables both acutely and on the long term, they do not improve exercise performance in an athletic population. However, performing repeated sprints on end-expiratory breath-holds seems promising to improve repeated-sprint capacity.

Long-Term Enhancement of Botulinum Toxin Injections for Post-Stroke Spasticity by Use of Stretching Exercises-A Randomized Controlled Trial.

Botulinum toxin A (BONT/A) injections play a central role in the treatment of upper limb spasticity in stroke patients. We proposed structured stretching exercises to enhance the effect of post-stroke spasticity relief of the upper limbs following BONT/A injections. A total of 43 patients who had a stroke with grade 2 spasticity or higher on the Modified Ashworth Scale (MAS) in their upper-limb muscles were randomly assigned to the intervention (n = 21) or control group (n = 22). The former received structured stretching exercises after their BONT/A injections for 20 min, 5 days per week, for 6 months at a hospital, while the others conducted self-stretching exercises at home. The outcome measures were assessed before the intervention (T0) and after three (T1) and six months (T2). Significantly greater improvements in the MAS scores of the elbows, wrists, and fingers were found in the intervention group's patients at T1 and T2. The behavioral outcome measures, including shoulder pain, activities of daily living, and quality of life, and our electrophysiological studies also showed a significantly higher enhancement in this patient group. In conclusion, the structured stretching exercises plus BONT/A injections for six months showed a superior effect in relieving post-stroke upper-limb spasticity compared to self-stretching exercises.

Luxury application of biochar does not enhance rice yield and methane mitigation: a review and data analysis

PurposeIt is unclear whether a higher biochar (BC) application rate enhances rice (Oryza sativa L.) yield and reduces CH4 emissions. This study investigated changes in rice yield and CH4 emissions with varying BC application rates.MethodsData on rice yield and CH4 emission from paddies amended with or without BC were collected from the literature, and the biochar effects were analyzed using the data set.ResultsAcross the biochar application rate from 2 to 48 t ha-1, the rice yield increased (by 10.8%) while the area-scaled (by 14.4%) and yield-scaled CH4 emission (by 22.2%) decreased. However, the correlation of BC application rates with rice yield and CH4 mitigation was not significant, implying that a higher BC application rate did not enhance rice yield and CH4 reduction. Interestingly, for a data set showing increased rice yield and decreased CH4 emission by BC, the magnitude of change in the rice yield and CH4 mitigation per unit weight of BC (1 t ha-1) decreased with an increase in the BC application rate. These results suggest that BC effects on rice yield and CH4 mitigation are not additive, probably because of the decreases in the inherent capacity of unit weight of BC to enhance rice yield and reduce CH4 emission, which might be caused by the adverse effects of toxic compounds contained in BC, losses of BC, and a higher degree of nutrient immobilization by BC.ConclusionsAnnual BC application at a low rate (e.g., 2 t ha-1) rather than a luxury application may be an effective and economical strategy for long-term rice yield enhancement and CH4 mitigation using BC.

Hierarchical carbon chain network ‘armor’ escorts long-term cycling stability for vanadium redox flow batteries

Nowadays, the bottleneck constraining the development of electrode materials for all-vanadium flow batteries lies in their poor performances at high current densities. Pertinently, we propose a high-stability hierarchical N and S co-doped carbon chain network ‘armor’ strategy to achieve long-term stability enhancement for electrodes. It is found that hierarchical carbon chain network can effectively enhance the voltage efficiency, energy efficiency, and long-term cycling stability for all-vanadium flow batteries. The modified electrode presents superior long-term stability over 1900 cycles, and the energy efficiency is maintained at about 80 % at 180 mA cm−2. In addition, the energy efficiency can also reach over 70 % at 320 mA cm−2, while at 280 mA cm−2 the modified electrode can circulate stably for over 800 turns. It is proved that the bridging effect of polydopamine facilitates the stable carbon chain network, and effectively regulates the N and S co-doping, further constructing the N and S co-doping sites to assemble electrochemical catalytic network. More importantly, the carbon chain network ‘armor’ design can effectively prevent electrode breakage. This work provides a reference way for the design of long-term stable electrodes, which is of great significance for advancing commercial applications of all-vanadium flow batteries.

Using a non-precious metal catalyst for long-term enhancement of methane production in a zero-gap microbial electrosynthesis cell

Microbial electrosynthesis (MES) cells exploit the ability of microbes to convert CO2 into valuable chemical products such as methane and acetate, but high rates of chemical production may need to be mediated by hydrogen and thus require a catalyst for the hydrogen evolution reaction (HER). To avoid the usage of precious metal catalysts and examine the impact of the catalyst on the rate of methane generation by microbes on the electrode, we used a carbon felt cathode coated with NiMo/C and compared performance to a bare carbon felt or a Pt/C-deposited cathode. A zero-gap configuration containing a cation exchange membrane was developed to produce a low internal resistance, limit pH changes, and enhance direct transport of H2 to microorganisms on the biocathode. At a fixed cathode potential of –1 V vs Ag/AgCl, the NiMo/C biocathode enabled a current density of 23 ± 4 A/m2 and a high methane production rate of 4.7 ± 1.0 L/L-d. This performance was comparable to that using a precious metal catalyst (Pt/C, 23 ± 6 A/m2, 5.4 ± 2.8 L/L-d), and 3–5 times higher than plain carbon cathodes (8 ± 3 A/m2, 1.0 ± 0.4 L/L-d). The NiMo/C biocathode was operated for over 120 days without observable decay or severe cathode catalyst leaching, reaching an average columbic efficiency of 53 ± 9 % based on methane production under steady state conditions. Analysis of microbial community on the biocathode revealed the dominance of the hydrogenotrophic genus Methanobacterium (∼40 %), with no significant difference found for biocathodes with different materials. These results demonstrated that HER catalysts improved rates of methane generation through facilitating hydrogen gas evolution to an attached biofilm, and that the long-term enhancement of methane production in MES was feasible using a non-precious metal catalyst and a zero-gap cell design.

Optimized porous nanostructure of carbon fibers enabling excellent stability of Pt-based catalysts for oxygen reduction reaction

Facile synthesis of highly-dispersed Pt-based electrocatalysts on porous carbon supports with strong durability is extremely desirable for oxygen reduction reaction but remains challenging. The influence of pores in carbon supports on the stability and activity of catalysts is ambiguous and needs to be elucidated. Targeting this aim, herein, we prepared a series of carbon nanofibers with tunable pore diameter and specific surface area using the resorcinol-formaldehyde (RF) resins as a model system. Homogeneous composite precursors composed of RF resins and silica colloids were synthesized by the surfactant-assisted simultaneous polycondensation of RF resins and tetraethylorthosilicate (TEOS). The diameter of the pores induced by removal of silica could be controllable tailored through thermal treatment of the composite under various target temperatures. Pt3Co alloy nanoparticles loaded on the as-synthesized porous carbon nanofibers were prepared by an optimized wet-impregnation method. The experimental results indicated that the carbon nanofibers with pore size distribution focused on ∼1.27 nm and ∼2.34 nm provided the best stability without limiting current density decay, and negative shift of half-wave potential (E1/2) and mass activity (MA) loss of Pt after 20000 potential cycles are relatively mild. Conversely, negative shift of 21 mV, 15 mV and 22 mV in E1/2 and mass activity loss of 51.8%, 30.2% and 33.0% were observed for the Pt3Co nanoparticles supported on MC-60, MC-100 and MC-140 matrices which have pore size distribution focused on ∼2.73 nm, ∼2.73 nm as well as ∼4.66 nm, and ∼4.66 nm, respectively. This work demonstrates the importance of micropores and small mesopores for activity and long-term stability enhancement of carbon supported Pt-based electrocatalysts.

Communication—Fueling from the Electrochemistry of Halide Solid Electrolytes

Unveiling the electrochemistry of solid-state Li2ZrCl6 halide electrolyte, we reveal its triple function as an ion conductor and a supplementary reversible, and sacrificial, electron source/sink. This groundbreaking discovery leads to a remarkable long-term enhancement of the specific capacity of industry-relevant heavily loaded LiFePO4 electrodes by several tens of percent, while significantly amplifying that of Si-based or anode-less full cells through effective compensation for side reactions. We show that these effects can potentially be tuned by adjusting the initial xLiCl-ZrCl4 composition of the solid electrolyte, which may thus become a new and mighty parameter for balancing the two electrodes.

Long-term enhancements in antidepressant efficacy and neurogenesis: Effects of intranasal co-administration of neuropeptide Y 1 receptor (NPY1R) and galanin receptor 2 (GALR2) agonists in the ventral hippocampus.

This study evaluates the sustained antidepressant-like effects and neurogenic potential of a 3-day intranasal co-administration regimen of galanin receptor 2 (GALR2) agonist M1145 and neuropeptide Y Y1 receptor (NPY1R) agonist [Leu31, Pro34]NPY in the ventral hippocampus of adult rats, with outcomes analyzed 3 weeks post-treatment. Utilizing the forced swimming test (FST), we found that this co-administration significantly enhances antidepressant-like behaviors, an effect neutralized by the GALR2 antagonist M871, highlighting the synergistic potential of these neuropeptides in modulating mood-related behaviors. Insitu proximity ligation assay (PLA) indicated a significant increase in GALR2/NPYY1R heteroreceptor complexes in the ventral hippocampal dentate gyrus, suggesting a molecular basis for the behavioral outcomes observed. Moreover, proliferating cell nuclear antigen (PCNA) immunolabeling revealed increased cell proliferation in the subgranular zone of the dentate gyrus, specifically in neuroblasts as evidenced by co-labeling with doublecortin (DCX), without affecting quiescent neural progenitors or astrocytes. The study also noted a significant uptick in the number of DCX-positive cells and alterations in dendritic morphology in the ventral hippocampus, indicative of enhanced neuronal differentiation and maturation. These morphological changes highlight the potential of these agonists to facilitate the functional integration of new neurons into existing neural circuits. By demonstrating the long-lasting effects of a brief, 3-day intranasal administration of GALR2 and NPY1R agonists, our findings contribute significantly to the understanding of neuropeptide-mediated neuroplasticity and herald novel therapeutic strategies for the treatment of depression and related mood disorders, emphasizing the therapeutic promise of targeting neurogenesis and neuronal maturation processes.

Appraisal of reclaimed asphalt pavement as coarse aggregates in cement concrete

This systematic literature review evaluates reclaimed asphalt pavement (RAP) in concrete construction, targeting reduced natural aggregate use and lower construction carbon footprint. It comprehensively covers RAP in concrete, including mechanical properties, durability, test methods, mix design, performance, influencing factors, RAP content, processing, admixtures, curing, and environmental aspects. RAP concrete matches traditional concrete mechanically while increasing sustainability through waste reduction. Durability parameters, like permeability, freeze-thaw resistance, and chloride penetration, suggest long-term structural enhancement. Reliable testing methods and standards are vital for RAP in concrete assessment. The review explores RAP in mix design, considering content, gradation, and processing. Admixtures and additives optimize RAP concrete. Curing and environmental conditions influence RAP concrete performance. Gaps indicate a need for long-term studies, understanding mechanisms, specific environmental exploration, standardized testing, and economic assessment. The study recommends future research directions to guide sustainable construction practices.

Recommendations for the specialist further training of nursing personnel on intensive care units in the treatment of abdominal aortic aneurysms: results of a modified Delphi procedure with experts

The medical development in the previous 15 years and the changes in treatment reality of the comprehensive elective treatment of abdominal aortic aneurysms necessitate a re-evaluation of the quality assurance guidelines of the Federal Joint Committee in Germany (QBAA-RL). In the current version this requires a specialist further training quota for nursing personnel in intensive care wards of 50%. The quota was determined in 2008 based on expert opinions, although a direct empirical evidence base for this does not exist. Representatives from the fields of patient representation, physicians, nursing personnel and other relevant interface areas were invited to participate in a modified Delphi procedure. Following a comprehensive narrative literature search, a survey and focus group discussions with national and international experts, a total of three anonymized online-based voting rounds were carried out for which previously determined key statements were assessed with a 4‑point Likert scale (totally disagree up to totally agree). In addition, the expert panel had also defined a recommendation for a minimum quota for the specialist training of nursing personnel on intensive care wards in the treatment of abdominal aortic aneurysms, whereby an a priori agreement of 80% of the participants was defined as the consensus limit. Overall, 37 experts participated in the discussions and three successive voting rounds (participation rate 89%). The panel confirmed the necessity of a re-evaluation of the guideline recommendations and recommended the introduction of a shift-related minimum quota of 30% of the full-time equivalent of nursing personnel on intensive care wards and the introduction of structured promotional programs for long-term elevation of the quota. In this national Delphi procedure with medical and nursing experts as well as representatives of patients, the fundamental benefits and needs of professional specialist qualifications in the field of intensive care medicine were confirmed. The corresponding minimum quota for specialist further training of intensive care nursing personnel should generally apply without limitations to specific groups. The expert panel stipulates a shift-related minimum quota for intensive care nursing personnel with specialist training of 30% of the nursing personnel on intensive care wards and the obligatory introduction of structured and transparent promotion programs for the long-term enhancement.

Energy-economy-environment nexus in China: The role of renewable energies toward carbon neutrality

Global climate change triggered by the escalating carbon dioxide (CO2) emissions resulting from heightened economic expansion and consumption of energy represents the foremost environmental concern in the contemporary global context. China is accountable for nearly 27% of total global CO2 emissions, making it the largest emitter worldwide. This study explores the consequences of economic outgrowth, fossil fuel, and renewable energy utilization on China's emissions of CO2. The study utilized an autoregressive distributed lag (ARDL) model to analyze China's annual data from 1965 to 2022. The ARDL bounds test results indicate the presence of long-term cointegration among the variables. The empirical results specify that a 1% growth in the utilization of fossil fuels and the economy leads to long-term growth of 4.97% and 0.58% in CO2 emissions. In the short term, these increases amount to 2.42% and 1.21%, respectively. Conversely, a long-term enhancement of 1% in renewable energy utilization could result in a reduction of CO2 emissions by 1.39%, whereas in the short term, the reduction would be 0.50%. This study proposes policy suggestions for the attainment of sustainable development and carbon neutrality.

Rapid spin changes around a magnetar fast radio burst.

Magnetars are neutron stars with extremely high magnetic fields (≳1014 gauss) that exhibit various X-ray phenomena such as sporadic subsecond bursts, long-term persistent flux enhancements and variable rotation-period derivative1,2. In 2020, a fast radio burst (FRB), akin to cosmological millisecond-duration radio bursts, was detected from the Galactic magnetar SGR 1935+2154 (refs. 3-5), confirming the long-suspected association between some FRBs and magnetars. However, the mechanism for FRB generation in magnetars remains unclear. Here we report the X-ray observation of two glitches in SGR 1935+2154 within a time interval of approximately nine hours, bracketing an FRB that occurred on 14 October 20226,7. Each glitch involved a significant increase in the magnetar's spin frequency, being among the largest abrupt changes in neutron-star rotation8-10 observed so far. Between the glitches, the magnetar exhibited a rapid spin-down phase, accompanied by an increase and subsequent decline in its persistent X-ray emission and burst rate. We postulate that a strong, ephemeral, magnetospheric wind11 provides the torque that rapidly slows the star's rotation. The trigger for the first glitch couples the star's crust to its magnetosphere, enhances the various X-ray signals and spawns the wind that alters magnetospheric conditions that might produce the FRB.

Wonder symphony: epigenetics and the enchantment of the arts.

Epigenetics, the study of heritable changes in gene expression without altering the DNA sequence, has gained significant attention due to its implications for gene regulation and chromatin stability. Epigenetic mechanisms play a fundamental role in gene-environment interactions, shaping individual development and adaptation. DNA methylation, histone modifications, and non-coding RNAs are key epigenetic regulators. Epigenetic changes can be triggered by environmental factors, including stress, toxins, and social interactions, influencing health and well-being. Positive experiences, such as engagement with the arts, have been linked to emotional responses and neurotransmitter release. While the impacts of detrimental factors on epigenetics have been widely studied, the effects of positive influences are less explored. Specifically, visual art and music have profound effects on emotions, cognition, and mood regulation. Exposure to arts enhances memory, reduces stress, and fosters social inclusion. Recent research has begun to explore the links between positive experiences and epigenetic modifications, suggesting that aesthetic experiences, including visual art and music fruition, might induce dynamic and/or stable changes in gene expression profiles. However, this field is in its infancy, and more research is needed to establish clear connections. Collaborative efforts among genetics, epigenetics, neuroscience, psychology, and the arts are essential for a comprehensive understanding. Longitudinal studies tracking sustained exposure to positive experiences and examining the influence of childhood artistic education on the biological bases of therapeutic effects of art and music are promising avenues for future research. Ultimately, understanding how positive experiences influence epigenetics could provide insights into the long-term enhancement of human well-being.

A pilot time-in-bed restriction intervention behaviorally enhances slow-wave activity in older adults

IntroductionIdentifying intervention methods that target sleep characteristics involved in memory processing is a priority for the field of cognitive aging. Older adults with greater sleep efficiency and non-rapid eye movement slow-wave activity (SWA) (0.5–4 Hz electroencephalographic activity) tend to exhibit better memory and cognitive abilities. Paradoxically, long total sleep times are consistently associated with poorer cognition in older adults. Thus, maximizing sleep efficiency and SWA may be a priority relative to increasing mere total sleep time. As clinical behavioral sleep treatments do not consistently enhance SWA, and propensity for SWA increases with time spent awake, we examined with a proof-of concept pilot intervention whether a greater dose of time-in-bed (TiB) restriction (75% of habitual TiB) would increase both sleep efficiency and SWA in older adults with difficulties staying asleep without impairing memory performance.MethodsParticipants were adults ages 55–80 with diary-reported sleep efficiency < 90% and wake after sleep onset (WASO) >20 min. Sleep diary, actigraphy, polysomnography (PSG), and paired associate memory acquisition and retention were assessed before and after a week-long TiB restriction intervention (n = 30). TiB was restricted to 75% of diary-reported habitual TiB. A comparison group of n = 5 participants repeated assessments while following their usual sleep schedule to obtain preliminary estimates of effect sizes associated with repeated testing.ResultsSubjective and objective sleep measures robustly improved in the TiB restriction group for sleep quality, sleep depth, sleep efficiency and WASO, at the expense of TiB and time spent in N1 and N2 sleep. As hypothesized, SWA increased robustly with TiB restriction across the 0.5–4 Hz range, as well as subjective sleep depth, subjective and objective WASO. Despite increases in sleepiness ratings, no impairments were found in memory acquisition or retention.ConclusionA TiB restriction dose equivalent to 75% of habitual TiB robustly increased sleep continuity and SWA in older adults with sleep maintenance difficulties, without impairing memory performance. These findings may inform long-term behavioral SWA enhancement interventions aimed at improving memory performance and risk for cognitive impairments.