Partial Correlation Analysis Research Articles

Microstructural brain abnormalities and associated neurocognitive dysfunction in obstructive sleep apnea: a pilot study with diffusion kurtosis imaging.

To assess the possible brain abnormalities in adult patients with moderate and severe obstructive sleep apnea (OSA) using the mean kurtosis (MK) from diffusion kurtosis imaging (DKI) and analyze the correlation between MK and cognitive function. A total of 30 patients with moderate and severe OSA and 30 healthy controls (HCs) evaluated by the Montreal Cognitive Assessment (MoCA) scale were enrolled. All subjects underwent DKI and 3D T1-weighted imaging (T1WI) on a 3.0T MR scanner. The MK values of gray and white matter brain regions were compared. Partial correlation analysis was used to analyze the correlation between respiratory sleep parameters/cognitive score and MK values in different brain regions. Compared with the HCs, the MK of 20 brain regions (13 after false discovery rate (FDR) correction) and cognitive scores in the OSA group were significantly lower. In the OSA group, the apnea-hypopnea index (AHI) was negatively correlated with the MK in the white matter of the right occipital lobe; the LSpO2 was positively correlated with the MK in the bilateral parietal, precentral, and right postcentral cortex; the total score of MoCA scale was positively correlated with MK in the left hippocampus; the language function was positively correlated with MK in the white matter of left parietal lobe, and the delayed recall was positively correlated with the MK in right insula cortex and bilateral cingulate. After FDR correction, only the correlations of LSpO2 with right precentral gyrus cortex, and bilateral parietal cortex were significant. MK values of DKI imaging may provide valuable information in assessing the neurological impacts of obstructive sleep apnea.

Interrelationships Among Accumulations of Intra- and Periorgan Fats, Visceral Fat, and Subcutaneous Fat.

We aimed to clarify the relationship between intra- and peri-organ fat, visceral fat, and subcutaneous fat. We used abdominal CT to evaluate intra- and peri-organ fat accumulations in the pancreas, liver, spleen, renal parenchyma, renal sinus, and skeletal muscle. The relationships between these fats, visceral fat, and subcutaneous fat were examined by using the partial correlation and covariance analysis, adjusting for BMI. We found that visceral fat and each intraand peri-organ fat accumulation were positively correlated, whereas subcutaneous fat and the accumulation of each intra- and peri-organ fat and visceral fat were negatively correlated. Pancreas fat, liver fat, renal sinus fat, and skeletal muscle fat accumulated significantly more in people with excessive visceral fat accumulation than in those without excessive visceral fat accumulation (p = 0.01, 0.006, 0.008, 0.02, respectively). In conclusion, intra- and peri-organ fat accumulation in each organ shows a positive correlation with visceral fat and a negative correlation with subcutaneous fat, independent of BMI.

Respiratory syncytial virus seasonality, transmission zones, and implications for seasonal prevention strategy in China: a systematic analysis

Respiratory syncytial virus (RSV) represents a substantial global health challenge, with a disproportionately high disease burden in low-income and middle-income countries. RSV exhibits seasonality in most areas globally, and a comprehensive understanding of within-country variations in RSV seasonality could help to define the timing of RSV immunisation programmes. This study focused on China, and aimed to describe the geographical distribution of RSV seasonality, identify distinct RSV transmission zones, and evaluate the potential suitability of a seasonal RSV prevention strategy. We did a systematic analysis of RSV seasonality in China, with use of data on RSV activity extracted from a systematic review of studies published on Embase, MEDLINE, Web of Science, China National Knowledge Infrastructure, Wanfang Data, Chongqing VIP Information, and SinoMed, from database inception until May 5, 2023. We included studies of any design in China reporting at least 25 RSV cases, which aggregated RSV case number by calendar month or week at the province level, and with data covering at least 12 consecutive months before the year 2020 (prior to the COVID-19 pandemic). Studies that used only serology for RSV testing were excluded. We also included weekly data on RSV activity from open-access online databases of the Taiwan National Infection Disease Statistics System and Hong Kong Centre for Health Protection, applying the same eligiblity requirements. Across all datasets, we excluded data on RSV activity from Jan 1, 2020, onwards. We estimated RSV seasonal epidemic onset and duration using the annual average percentage (AAP) approach, and summarised seasonality at the provincial level. We used Pearson's partial correlation analysis to assess the correlation between RSV season duration and the latitude and longitude of the individual provinces. To define transmission zones, we used two independent approaches, an infant-passive-immunisation-driven approach (the moving interval approach, 6-month interval) and a data-driven approach (k-means), to identify groups of provinces with similar RSV seasonality. The systematic review was registered on PROSPERO, CRD42022376993. A total of 157 studies were included along with the two online datasets, reporting data on 194 596 RSV cases over 442 study-years (covering the period from Jan 1, 1993 to Dec 31, 2019), from 52 sites in 23 provinces. Among 21 provinces with sufficient data (≥100 reported cases), the median duration of RSV seasonal epidemics was 4·6 months (IQR 4·1-5·4), with a significant latitudinal gradient (r=-0·69, p<0·0007), in that provinces on or near the Tropic of Cancer had the longest epidemic duration. We found no correlation between longitude and epidemic duration (r=-0·15, p=0·53). 15 (71%) of 21 provinces had RSV epidemics from November to March. 13 (62%) of 21 provinces had clear RSV seasonality (epidemic duration ≤5 months). The moving interval approach categorised the 21 provinces into four RSV transmission zones. The first zone, consisting of five provinces (Fujian, Guangdong, Hong Kong, Taiwan, and Yunnan), was assessed as unsuitable for seasonal RSV immunisation strategies; the other three zones were considered suitable for seasonal RSV immunisation strategies with the optimal start month varying between September (Hebei), October (Anhui, Chongqing, Henan, Hubei, Jiangsu, Shaanxi, Shandong, Shanghai, Sichuan, and Xinjiang), and November (Beijing, Gansu, Guizhou, Hunan, and Zhejiang). The k-means approach identified two RSV transmission zones, primarily differentiated by whether the province was on or near the Tropic of Cancer (Fujian, Guangdong, Hong Kong, Taiwan, Yunan, and Hunan) or not (the remaining 15 provinces). Although substantial variations in RSV seasonality were observed across provinces of China, our study identified distinct transmission zones with shared RSV circulating patterns. These findings could have important implications for decision making on RSV passive immunisation strategy. Furthermore, the methodological framework in this study for defining RSV seasons and identifying RSV transmission zones is potentially applicable to other countries or regions. Nanjing Medical University. For the Chinese translation of the abstract see Supplementary Materials section.

Spatial-Temporal Evolution Characteristics and Driving Force Analysis of NDVI in Hubei Province, China, from 2000 to 2022

Exploring the characteristics of vegetation dynamics and quantitatively analyzing the potential drivers and the strength of their interactions are of great significance to regional ecological environmental protection and sustainable development. Therefore, based on the 2000–2022 MODIS NDVI dataset, supplemented by climatic, topographic, surface cover, and anthropogenic data for the same period, the Sen+Mann–Kendall trend analysis, coefficient of variation, and Hurst exponent were employed to examine the spatial and temporal characteristics and trends of NDVI in Hubei Province, and a partial correlation analysis and geographical detector were used to explore the strength of the influence of driving factors on the spatial differentiation of NDVI in vegetation and the underlying mechanisms of interaction. The results showed that (1) the mean NDVI value of vegetation in Hubei Province was 0.762 over 23 years, with an overall increasing trend and fluctuating upward at a rate of 0.01/10a (p &lt; 0.005); geospatially, there is a pattern of “low east and high west”; the spatial change in NDVI shows a trend of “large-scale improvement in the surrounding hills and mountains and small-scale degradation in the middle plains”; it also presents the spatial fluctuation characteristics of “uniform distribution in general, an obvious difference between urban and rural areas, and a high fluctuation of rivers and reservoirs”, (2) the future trend of NDVI in 70.76% of the region in Hubei Province is likely to maintain the same trend as that of the 2000–2022 period, with 70.78% of the future development being benign and dominated by sustained improvement, and (3) a combination of partial correlation analysis and geographical detector analysis of the drivers of vegetation NDVI change shows that land cover type and soil type are the main drivers; the interactions affecting the distribution and change characteristics of NDVI vegetation all showed two-factor enhancement or nonlinear enhancement relationships. This study contributes to a better understanding of the change mechanisms in vegetation NDVI in Hubei Province, providing support for differentiated ecological protection and project implementation.

Structural Brain MR Imaging Alterations in Patients with Systemic Lupus Erythematosus with and without Neuropsychiatric Events.

Systemic lupus erythematosus is a complex autoimmune disease known for its diverse clinical manifestations, including neuropsychiatric systemic lupus erythematosus, which impacts a patient's quality of life. Our aim was to explore the relationships among brain MR imaging morphometric findings, neuropsychiatric events, and laboratory values in patients with systemic lupus erythematosus, shedding light on potential volumetric biomarkers and diagnostic indicators for neuropsychiatric systemic lupus erythematosus. Twenty-seven patients with systemic lupus erythematosus (14 with neuropsychiatric systemic lupus erythematosus, 13 with systemic lupus erythematosus), 24 women and 3 men (average age, 43 years, ranging from 21 to 62 years) were included in this cross-sectional study, along with 10 neuropsychiatric patients as controls. An MR imaging morphometric analysis, with the VolBrain online platform, to quantitatively assess brain structural features and their differences between patients with neuropsychiatric systemic lupus erythematosus and systemic lupus erythematosus, was performed. Correlations and differences between MR imaging morphometric findings and laboratory values, including disease activity scores, such as the Systemic Lupus Erythematosus Disease Activity Index and the Systemic Lupus International Collaborating Clinics Damage Index, were explored. An ordinary least squares regression analysis further explored the Systemic Lupus Erythematosus Disease Activity Index and Systemic Lupus International Collaborating Clinics Damage Index relationship with MR imaging features. For neuropsychiatric systemic lupus erythematosus and non-neuropsychiatric systemic lupus erythematosus, the brain regions with the largest difference in volumetric measurements were the insular central operculum volume (P value = .003) and the occipital cortex thickness (P = .003), which were lower in neuropsychiatric systemic lupus erythematosus. The partial correlation analysis showed that the most correlated morphometric features with neuropsychiatric systemic lupus erythematosus were subcallosal area thickness asymmetry (P < .001) and temporal pole thickness asymmetry (P = .011). The ordinary least squares regression analysis yielded an R 2 of 0.725 for the Systemic Lupus Erythematosus Disease Activity Index score, with calcarine cortex volume as a significant predictor, and an R 2 of 0.715 for the Systemic Lupus International Collaborating Clinics Damage Index score, with medial postcentral gyrus volume as a significant predictor. The MR imaging volumetric analysis, along with the correlation study and the ordinary least squares regression analysis, revealed significant differences in brain regions and their characteristics between patients with neuropsychiatric systemic lupus erythematosus and those with systemic lupus erythematosus, as well as between patients with different Systemic Lupus Erythematosus Disease Activity Index and Systemic Lupus International Collaborating Clinics Damage Index scores.

The relationship between environmentally induced emotion and memory for a naturalistic virtual experience

ABSTRACT Emotional stimuli (e.g. words, images) are often remembered better than neutral stimuli. However, little is known about how memory is affected by an environmentally induced emotional state (without any overtly emotional occurrences) – the focus of this study. Participants were randomly assigned to discovery (n = 305) and replication (n = 306) subsamples and viewed a desktop virtual environment before rating their emotions and completing objective (i.e. item, temporal-order, duration) and subjective (e.g. vividness, sensory detail, coherence) memory measures. In both samples, a Partial Least Squares Correlation analysis showed that an emotional state characterised by high negative emotion (i.e. threat, fear, anxiety) and arousal was reliably associated with better memory in both objective (i.e. item) and subjective (i.e. vividness and sensory detail) domains. No reliable associations were observed for any temporal memory measures (objective or subjective). Thus, an environmentally induced state of negative emotion corresponds with enhanced memory for indices of episodic memory pertaining to “what” happened, but not necessarily “when” it happened.

Analysis of Vegetation Environmental Stress and the Lag Effect in Countries along the “Six Economic Corridors”

Climate conditions have a significant impact on the growth of vegetation in terrestrial ecosystems, and the response of vegetation to climate shows different lag effects with the change in spatial pattern and category of the ecosystem. Exploring the interaction mechanism between climate and vegetation growth is helpful to promote the sustainable development of the regional ecological environment. Using normalized vegetation index (NDVI) and meteorological data, based on univariate linear regression and partial correlation analysis, this study explores the temporal and spatial pattern and change trend of vegetation cover in regions and node cities along the “six economic corridors”, and analyzes the environmental stress of vegetation growth and the lag effect of climate response. This study shows that there are great differences in the overall vegetation coverage along the “six economic corridors”. The vegetation coverage in Southeast Asia is the best and that in central and West Asia is the worst. The vegetation coverage in the study area shows an improvement trend, accounting for 39.6% of the total area. There are significant differences in the lag effect of vegetation response and the main climate factors affecting vegetation growth, which is related to the diversity of vegetation and climate characteristics. In this study, we selected regions along the “six economic corridors” that exhibit large latitude and altitude gradients, diverse climate types, and significant seasonal changes and spatial differences in climate conditions as our research areas. Additionally, we considered the impact of different regions and various types of vegetation on their response to climate change. This is of great significance for gaining a deeper understanding of the response mechanism of global climate change and vegetation ecology. Furthermore, our research can provide valuable information to support the ecological environment protection of different typical vegetation against extreme climates, ultimately contributing to the sustainable development of “the Belt and Road”.

Targeted metabolomic profiles of serum amino acids are independently correlated with malnutrition in older adults.

Malnutrition is a common geriatric syndrome that is closely associated with adverse clinical outcomes and poses significant harm to older adults. Early assessment of nutritional status plays a crucial role in preventing and intervening in cases of malnutrition. However, there is currently a lack of measurable methods and biomarkers to evaluate malnutrition in older adults accurately. The aim of this study is to investigate the independent correlation between serum levels of amino acids and malnutrition in older adults, and to identify effective metabolomics biomarkers that can aid in the early detection of geriatric malnutrition. A total of 254 geriatric medical examination participants from Beijing Hospital were included in the study, consisting of 182 individuals with normal nutritional status (Normal group) and 72 patients at risk of malnutrition or already malnourished (MN group). Malnutrition was assessed using the Mini-Nutritional Assessment Short-Form (MNA-SF). Demographic data were collected, and muscle-related and lipid indexes were determined. Serum amino acid concentrations were measured using isotope dilution liquid chromatography-tandem mass spectrometry (LC-MS/MS). The correlation between serum amino acid levels and malnutrition was analyzed using non-parametric tests, partial correlation analysis, linear regression, and logistic regression. The geriatric MN group exhibited significantly lower serum aromatic amino acid levels (P < 0.05) compared to the normal group. A positive correlation was observed between serum aromatic amino acid levels and the MNA-SF score (P = 0.002), as well as with known biomarkers of malnutrition such as body mass index (BMI) (P < 0.001) and hemoglobin (HGB) (P = 0.005). Multivariable logistic or linear regression analyses showed that aromatic amino acid levels were negatively correlated with MN and positively correlated with the MNA-SF score, after adjusting for some confounding factors, such as age, gender, BMI, smoking status, history of dyslipidemia, diabetes mellitus and frailty. Stratified analyses revealed that these trends were more pronounced in individuals without a history of frailty compared to those with a history of frailty, and there was an interaction between aromatic amino acid levels and frailty history (P = 0.004). Our study suggests that serum aromatic amino acids are independently associated with malnutrition in older adults. These results have important implications for identifying potential biomarkers to predict geriatric malnutrition or monitor its progression and severity, as malnutrition can result in poor clinical outcomes.

Association of impulsive behavior and cerebrospinal fluid/plasma oxidation and antioxidation ratio in Chinese men

ObjectivesImpulsive behavior is the precursor of many psychiatric and neurological conditions. High levels of impulsive behavior will increase health risk behavior and related injuries. Impulsive behavior is produced and regulated by central and peripheral biological factors, and oxidative stress (OS) can aggravate it. However, previous studies only showed that impulsive behavior was related to the level of the peripheral OS. Therefore, this study aims to clarify the relationship between OS and impulsive behavior in the brain and peripheral blood. MethodsWe recruited 64 Chinese men. We measured superoxide dismutase (SOD) (including copper, zinc and manganese) and nitric oxide synthase (NOS) (including total, inducible and constitutive) in cerebrospinal fluid (CSF) and plasma. The Barratt Impulsiveness Scale version 11 (BIS-11) was used to evaluate impulsive behavior. The relationship between OS and impulsive behavior was evaluated by partial correlation analysis and stepwise multiple regression analysis. ResultsPartial correlation analysis showed that the ratio of total NOS-to-MnSOD and iNOS-to-MnSOD in CSF were negatively correlated with the BIS-11 motor scores (r = −0.431, p = −0.001; r = −0.434, p = −0.001). Stepwise multiple regression analysis showed that the ratio of CSF iNOS-to-MnSOD was the most influential variable on the BIS-11 motor scores(β = −0.434, t = −3.433, 95 %CI(−0.374, −0.098), p = 0.001). Conclusions and RelevanceThe imbalance of central oxidation and antioxidation is related to impulsive behavior, which broadens our understanding of the correlation between impulsive behavior and OS.

Spatiotemporal variation and response of gross primary productivity to climate factors in forests in Qiannan state from 2000 to 2020

Accurate estimation of terrestrial gross primary productivity (GPP) is essential for quantifying the carbon exchange between the atmosphere and biosphere. Light use efficiency (LUE) models are widely used to estimate GPP at different spatial scales. However, difficulties in properly determining the maximum LUE (LUEmax) and downregulation of LUEmax into actual LUE result in uncertainties in the LUE-estimated GPP. The recently developed P model, a new LUE model, captures the adaptability of vegetation to the environment and simplifies parameterization. Site-level studies have proven the superior performance of the P model over LUE models. As a representative karst region with significant changes in forest cover in Southwest China, Qiannan is useful for exploring the spatiotemporal variation in forest GPP and its response to climate change for formulating forest management policies to address climate changes, e.g., global warming. Based on remote sensing and meteorological data, this study estimated the forest ecosystem GPP in Qiannan from 2000–2020 via the P model. This study explored the spatiotemporal changes in GPP in the study region over the past 20 years, used the Hurst index to predict future development trends from a time series perspective, and used partial correlation analysis to analyse the spatiotemporal GPP changes over the past 20 years in response to three factors: temperature, precipitation, and vapor pressure deficit (VPD). Our results showed that (1) the total amount of GPP and average GPP in Qiannan over the past 21 years (2000–2020) were 1.9 × 104 ± 2.0 × 103 MgC ha−1 year−1 and 1238.9 ± 107.9 gC m−2 year−1, respectively. The forest GPP generally increased at a rate of 6.1 gC m−2 year−1 from 2000 to 2020 in Qiannan, and this increase mainly occurred in the nongrowing season. (2) From 2000 to 2020, the forest GPP in Qiannan was higher in the southeast and lower in the northwest, indicating significant spatial heterogeneity. In the future, more than 70% of regional forest GPP will experience a weak increase in nonsustainability. (3) In Qiannan, forest GPP was positively correlated with both temperature and precipitation, with partial correlation coefficients of 0.10 and 0.11, respectively. However, the positive response of GPP to precipitation was approximately 70.47%, while that to temperature was 64.05%. Precipitation had a stronger restrictive effect on GPP than did temperature in this region, and GPP exhibited a negative correlation with VPD. The results showed that an increase in VPD inhibits GPP to some extent. Under rapid global change, the P model GPP provides new GPP data for global ecology studies, and the comparison of various stress factors allows for improvement of the GPP model in the future. The results of this study will aid in understanding the dynamic processes of terrestrial carbon. These findings are helpful for estimating and predicting the carbon budget of forest ecosystems in karst regions, clarifying the regional carbon absorption capacity, clarifying the main factors limiting vegetation growth in these regions, promoting sustainable regional forestry development and serving the “dual carbon goal.” This work has important guiding significance for policy formulation to mitigate climate change.

Assessing the Potential for Photochemical Reflectance Index to Improve the Relationship between Solar-Induced Chlorophyll Fluorescence and Gross Primary Productivity in Crop and Soybean

Photosynthesis is influenced by dynamic energy allocation under various environmental conditions. Solar-induced chlorophyll fluorescence (SIF), an important pathway for dissipating absorbed energy, has been extensively used to evaluate gross primary productivity (GPP). However, the potential for photochemical reflectance index (PRI), as an indicator of non-photochemical quenching (NPQ), to improve the SIF-based GPP estimation, has not been thoroughly investigated. In this study, using continually tower-based observations, we examined how PRI affected the link between SIF and GPP for corn and soybean at half-hourly and daily timescales. The relationship of GPP to SIF and PRI is impacted by stress indicated by vapor pressure deficit (VPD) and crop water stress index (CWSI). Moreover, the ratio of GPP to SIF of corn was more sensitive to PRI compared to soybean. Whether in Pearson or Partial correlation analysis, the relationships of PRI to the ratio of GPP to SIF were almost all significant, regardless of controlling structural-physiological (stomatal conductance, vegetation indices) and environmental variables (light intensity, etc.). Therefore, PRI significantly affects the SIF–GPP relationship for corn (r &gt; 0.31, p &lt; 0.01) and soybean (r &gt; 0.22, p &lt; 0.05). After combining SIF and PRI using the multi-variable linear model, the GPP estimation has been largely improved (the coefficient of determination, abbreviated as R2, increased from 0.48 to 0.49 to 0.78 to 0.84 and the Root Mean Square Error, abbreviated as RMSE, decreased from 6.38 to 10.22 to 3.56 to 6.60 μmol CO2·m−2·s−1 for corn, R2 increased from 0.54 to 0.62 to 0.78 to 0.82 and RMSE decreased from 6.25 to 9.59 to 4.34 to 6.60 μmol CO2·m−2·s−1 for soybean). It suggests that better GPP estimations for corn and soybean can be obtained when SIF is combined with PRI.

Wetting or greening? Probing the global trends in Vegetation Condition Index (VCI)

Vegetation Condition Index (VCI), as a widely used drought index for monitoring vegetation drought stress and estimating drought trends, is constructed by normalizing the long-term satellite-based Normalized Difference Vegetation Index (NDVI) data. However, under global greening, vegetation across different regions has shown an increasing trend in greenness, which may cause VCI to inherit the greening trend in NDVI and further hamper its ability in drought trend analysis. Therefore, this study quantitatively explored the underlying relationship among VCI, global greening, and drought from 2001 to 2021 to examine the utility of VCI in a changing environment. Multi-source indicators were employed as surrogates for vegetation greenness and drought, respectively. Particularly, the Leaf Area Index (LAI) and Net Primary Production (NPP) were used as proxies for vegetation greenness while the Root-Zone Soil Moisture (RZSM), Palmer Drought Severity Index (PDSI), and Standardized Precipitation-Evapotranspiration Index (SPEI) were used for drought indices. Based on Sen’s slope estimator, Mann-Kendall (MK) test, and partial correlation analysis, our results show that the proportion of pixels with an increasing trend in VCI is approximately 38.5%, which is similar to the greenness-related indices (i.e., NPP [26.47%] and LAI [59.14%]), and is significantly higher than the other drought indices (i.e., RZSM [19.83%], PDSI [10.38%], and SPEI [9.32%]). Furthermore, our results demonstrate that the VCI, as a drought index, exhibits a closer correlation with greenness-related indicators (LAI and NPP) than other drought indices (RZSM, PDSI, and SPEI). These results reveal the potential limitations in the practical applications of VCI and could enhance our understanding of vegetation dynamics and drought trends, especially in the current greening globe. Additionally, this study serves as a cautionary note for the scientific community involved in drought monitoring, emphasizing that the VCI may not be a suitable tool for evaluating long-term trends in drought impacts on vegetation.

Study on pulp metabolism of patients with pulpitis using ultra-performance liquid chromatography coupled with Orbitrap mass spectrometry

Background and aimsPulpitis, a pulp disease caused by caries, trauma, and other factors, has a high clinical incidence. This study focused on identifying possible metabolic biomarkers of pulpitis cases and analyzing the related metabolic pathways for providing a theoretical foundation to diagnose and prevent pulpitis. Materials and methodsPulp samples from 20 pulpitis cases together with 20 normal participants were analyzed with a serum metabolomics approach using ultra-high-performance liquid chromatography (UPLC)/Orbitrap mass spectrometry. Moreover, this work carried out multivariate statistical analysis for screening potential biomarkers of pulpitis. ResultsThrough biomarker analysis and identification, such as partial least squares discrimination analysis, orthogonal partial least squares discriminant analysis model establishment, correlation analysis, and biomarker pathway analysis, 40 biomarkers associated with 20 metabolic pathways were identified, including 20 upregulated and 20 downregulated metabolites. Those major biomarkers included oxoglutaric acid, inosine, citric acid, and PA(14:1(9Z)/PGD1). Among them, oxoglutaric acid and inosine were most significantly downregulated and had the highest correlation with pulpitis. Among these metabolic pathways, GABAergic synapse and alanine, aspartate, and glutamate metabolism were positively correlated with pulpitis. 4. ConclusionsThese biomarkers as well as metabolic pathways may offer the theoretical foundation to understand pulpitis pathogenesis and develop preventive drugs.

Vascular dysfunction in sporadic bvFTD: white matter hyperintensity and peripheral vascular biomarkers

BackgroundVascular dysfunction was recently reported to be involved in the pathophysiological process of neurodegenerative diseases, but its role in sporadic behavioral variant frontotemporal dementia (bvFTD) remains unclear. The aim of this study was to systematically explore vascular dysfunction, including changes in white matter hyperintensities (WMHs) and peripheral vascular markers in bvFTD.MethodsThirty-two patients with bvFTD who with no vascular risk factors were enrolled in this cross-sectional study and assessed using positron emission tomography/magnetic resonance (PET/MRI) imaging, peripheral plasma vascular/inflammation markers, and neuropsychological examinations. Group differences were tested using Student’s t-tests and Mann–Whitney U tests. A partial correlation analysis was implemented to explore the association between peripheral vascular markers, neuroimaging, and clinical measures.ResultsWMH was mainly distributed in anterior brain regions. All peripheral vascular factors including matrix metalloproteinases-1 (MMP-1), MMP-3, osteopontin, and pentraxin-3 were increased in the bvFTD group. WMH was associated with the peripheral vascular factor pentraxin-3. The plasma level of MMP-1 was negatively correlated with the gray matter metabolism of the frontal, temporal, insula, and basal ganglia brain regions. The WMHs in the frontal and limbic lobes were associated with plasma inflammation markers, disease severity, executive function, and behavior abnormality. Peripheral vascular markers were associated with the plasma inflammation markers.ConclusionsWMHs and abnormalities in peripheral vascular markers were found in patients with bvFTD. These were found to be associated with the disease-specific pattern of neurodegeneration, indicating that vascular dysfunction may be involved in the pathogenesis of bvFTD. This warrants further confirmation by postmortem autopsy. Targeting the vascular pathway might be a promising approach for potential therapy.

Sex-specific associations of plasma neutrophil gelatinase-associated lipocalin (NGAL) with cognition in patients with drug-naïve schizophrenia

This present study aimed to investigate the sex-specific association of plasma neutrophil gelatinase-associated lipocalin (NGAL) with cognition in drug-naïve schizophrenia patients for the first time. A total of 204 participants in this study, including 137 drug-naïve schizophrenia (DNS) patients and 67 healthy controls (HCs). All participants completed the Measurements and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB), and were collected fasting venous blood for NGAL measurement. DNS patients also complete the Positive and Negative Syndrome Scale (PANSS). Partial correlation analysis and multiple linear regression were used to explore sex-specific associations between NGAL and cognition. All dimensions of MCCB scores were significantly lower in both male and female DNS patients than HCs. Sex differences were significant in cognitive performance in both DNS patients and HCs. Female DNS patients experienced poorer working memory and reason& problem solving than male patients. Female HCs performed a better attention/vigilance and visual learning, a poorer reason& problem solving than male HCs. In patients with DNS, NGAL levels were negatively associated with positive subscale of PANSS and positively associated with working memory and visual learning only in female. However, there was no significant correlation between NGAL levels and all cognitive tests in both male and female HCs. Regression model showed that higher level of NGAL was an independent protective factor for cognitive performance in female patients with DNS, whereas there was no such role in male patients. Our findings suggest sex specificity between NGAL levels and cognitive performance in DNS patients.

Clarifying the role of inhibitory control in L2 phonological processing: A preregistered, close replication of Darcy et al. (2016)

Abstract Darcy et al. (2016) examined the relationship between language abilities and general cognition, or specifically, how inhibitory control might relate to L2 speech perception and production. Given that their findings unexpectedly indicated a stronger relationship between inhibitory control and perception in comparison to inhibitory control and production, and because inhibitory control was measured using a single, retrieval-induced inhibition task, the current study is a close replication with the inclusion of two additional tasks of intentional inhibition: the Stroop task and the Simon task. A comparison of the descriptive statistics for the tests of phonological processing and retrieval-induced inhibition between the initial study and current replication indicated negligible differences between the two participant samples. However, results of the partial correlation analyses in the current replication did not indicate clear relationships between phonological variables and inhibitory control. Possible explanations for the different patterning of results and implications for future replications are discussed.

Visitors' consistent stay behavior patterns within free-roaming scenic architectural complexes: Considering impacts of temporal, spatial, and environmental factors

GPS positioning data are increasingly utilized in environmental behavior studies to explore the spatial-temporal behavioral patterns of individuals. However, individuals' stay behavioral pattern and its influencing factors, which are particularly significant for the design and management of scenic architectural complexes, have not been thoroughly examined. Using GPS trajectory data collected from the Palace Museum in Beijing (China), this paper investigated the visitors' stay behavior patterns associated with temporal, spatial, and environmental influencing factors. Types of stay behavior and characteristics of stay in main stay areas were automatically recognized using Python algorithms for further and quantitative analysis. Results showed that visitors' stay time exhibited a consistent pattern regarding psychological time allocation, a relatively unsignificant pattern regarding lunch hour, and no clear pattern regarding fatigue feature. Grouped regression analysis showed positive linear relationships with similar slopes between the average stay length and the number of stay occurrences in each type of stay area. Partial correlation analysis revealed the underlying connection between the impact of seats and greenery on stay behavior. Individually, each of the two environmental elements showed limited effect on stay frequency and stay length, while incorporating greenery into seating areas would notably increase both stay frequency and stay length.

Hearing dysfunction heralds an increase in non-motor burden and a worse quality of life in Parkinson's disease: new insights from non-motor spectrum.

Sensorial non-motor symptoms (NMSs) in Parkinson's disease (PD) still lack appropriate investigation in clinical practice. This study aimed to assess if and to what extent auditory dysfunction is associated with other NMSs in PD and its impact on patient's quality of life (QoL). We selected patients with idiopathic PD, without other concomitant neurological diseases, dementia, or diagnosis of any audiological/vestibular disease. Demographic and clinical data were collected. Patients underwent otoscopic examination, audiological testing with pure tone audiometry (PTA) and distortion product otoacoustic emissions (DPOAEs) and completed Non-Motor Symptoms Scale (NMSS) and Parkinson's Disease Questionnaires-39 (PDQ-39). ANCOVA and partial correlation analysis have been used for statistical analysis. 60 patients were enrolled and completed PTA and DPOAEs. 32 patients with hearing impairment (HI), assessed by PTA, (hearing threshold ≥ 25dB) showed similar disease duration, motor impairment, and staging, compared to patients without HI, but higher scores both in NMSS and in PDQ-39, except for cardiovascular (CV), gastrointestinal (GI), urogenital (U) and sexual function (SF) of NMSS. In addition, DPOAEs showed a significant correlation with higher scores both in NMSS and PDQ-39, except for CV, SF, GI, U and perceptual problem subdomains of NMSS. This study demonstrated that PD patients with HI have a greater burden of NMS and lower related QoL and functioning. Our results highlight the importance to reconsider HI as a NMS, in parallel with the others. HI evaluation, even in asymptomatic patients, may reveal a wider pathology with a worse QoL.

Altered Cortical Gyrification Morphology in Nonsucidal Self-injury

IntroductionNonsuicidal self-injury (NSSI) is defined as deliberate and direct damage to one’s body tissues without any suicidal intent. NSSI is now recognized as a major risk factor for suicide and is prevalent among adolescents, with prevalence rates ranging from 7.5% to 46.5%, leading to increased interest in the pathophysiology of NSSI. This study aimed to examine cortical gyrification morphology, a neurobiological index of cortical folding and patterning, among unmedicated individuals with NSSI, which is prevalent in adolescents and young adults.Objectives The main objective of this study is to compare cortical morphological abnormalities between individuals with NSSI and controls in terms of the local gyrification index (LGI), the ratio of the smooth cortical surface area at each vertex to the corresponding sulcal folds. In addition, we hypothesized that the LGI, a stable neurodevelopmental marker of cortical and subcortical circuit intergrity, would correlate with clinical measures in youth with NSSI.Methods A total of 101 individuals with NSSI and 100 age-, gender-, and handedness-matched controls completed self-report questionnaires and structural magnetic resonance imaging (MRI) data were acquired on a 3T Siemens scanner. A surface-based analysis was conducted using the Computational Anatomy Toolbox (CAT12) in Statistical Parametric Mapping (SPM12). Partial correlation analysis was also performed using R software to investigate the association between the LGI values extracted from the region of interest (ROI) and clinical symptoms, including depression, anxiety, emotion dysregulation, and anhedonia in individuals with NSSI.ResultsIndividuals with NSSI showed significantly increased LGI in the right insula sulcus and left superior temporal sulcus (STS), along with decreased LGI in the right calcarine and left superior parietal sulcus (SPS), compared to controls (5000 permutation correction, threshold-free cluster enhancement with a threshold of p &lt; .05). In addition, higher LGI in left STS was correlated with greater scores of the Beck Anxiety Inventory (r = 0.22, p &lt; .05) and of the Impulse Control Difficulties subscale of the Difficulties in Emotion Regulation Scale (r = 0.34, p &lt; .001). Conversely, reduced LGI of the right calcarine was associated with a higher score on the Anhedonia subscale of the Beck Depression Inventory (r = -0.23, p &lt; .05) within individuals with NSSI.ConclusionsThis study identified hypergyria in the right insular and left STS and hypogyria in the right calcarine and left SPS in individuals with NSSI. The former pattern was associated with anxiety and impulse control difficulties, and the latter was with anhedonia. This study is the first to alter distinct neurodevelopmental patterns of local gyrification and their correlations with clinical manifestations in individuals with NSSI.Disclosure of InterestNone Declared

Axonal stimulation affects the linear summation of single-point perception in three Argus II users.

Objective.Retinal implants use electrical stimulation to elicit perceived flashes of light ('phosphenes'). Single-electrode phosphene shape has been shown to vary systematically with stimulus parameters and the retinal location of the stimulating electrode, due to incidental activation of passing nerve fiber bundles. However, this knowledge has yet to be extended to paired-electrode stimulation.Approach.We retrospectively analyzed 3548 phosphene drawings made by three blind participants implanted with an Argus II Retinal Prosthesis. Phosphene shape (characterized by area, perimeter, major and minor axis length) and number of perceived phosphenes were averaged across trials and correlated with the corresponding single-electrode parameters. In addition, the number of phosphenes was correlated with stimulus amplitude and neuroanatomical parameters: electrode-retina and electrode-fovea distance as well as the electrode-electrode distance to ('between-axon') and along axon bundles ('along-axon'). Statistical analyses were conducted using linear regression and partial correlation analysis.Main results.Simple regression revealed that each paired-electrode shape descriptor could be predicted by the sum of the two corresponding single-electrode shape descriptors (p < .001). Multiple regression revealed that paired-electrode phosphene shape was primarily predicted by stimulus amplitude and electrode-fovea distance (p < .05). Interestingly, the number of elicited phosphenes tended to increase with between-axon distance (p < .05), but not with along-axon distance, in two out of three participants.Significance.The shape of phosphenes elicited by paired-electrode stimulation was well predicted by the shape of their corresponding single-electrode phosphenes, suggesting that two-point perception can be expressed as the linear summation of single-point perception. The impact of the between-axon distance on the perceived number of phosphenes provides further evidence in support of the axon map model for epiretinal stimulation. These findings contribute to the growing literature on phosphene perception and have important implications for the design of future retinal prostheses.