Late Potentials Research Articles

Deficits in spontaneous versus instructed emotion regulation in problematic pornographyuse.

Deficits in emotion regulation (ER) are considered a key factor in the development of addiction, highlighting ER as a potential target for treatment. However, ER in problematic pornography use (PPU) remains poorly understood. The current study investigated both spontaneous and instructed ER in male individuals at-risk for PPU (n = 35, average age = 20.40 ± 1.29) and in a control group (n = 33, average age = 20.06 ± 1.44). Initially, participants were evaluated with the Emotion Regulation Profile-Revised (ERP-R) to measure their spontaneous use of eight ER strategies across various negative emotion-eliciting scenarios. Subsequently, they completed an emotion reappraisal task, in which they were instructed to either observe or reappraise their reactions to negative images. Subjective emotional ratings (valence and arousal) and event-related potentials (ERPs) were recorded to examine the effects of deliberate ER on emotional processing. The results indicated that individuals at-risk for PPU reported less frequent spontaneous use of reappraisal compared to those in the control group. Furthermore, in both groups, reappraisal led to a decrease in the late positive potential (LPP) and the self-reported intensity of emotions elicited by negative images. This indicates that both groups were able to effectively downregulate negative emotions through reappraisal when instructed. Our findings underscore the importance of incorporating ER skills, particularly reappraisal-based strategies, into the prevention and psychotherapy of PPU.

The neural correlates of emotion processing and reappraisal as reflected in EEG

Successful reappraisal modulates the impact of emotion-inducing stimuli through reinterpretation of their meaning and decreases subjective emotional experience. Here the question is addressed how the altered emotional experience is related to altered electro-cortical responses, and about the neural mechanisms underlying regulation itself. To this end, we recorded EEG during a cued emotion-regulation paradigm including negative and neutral pictures. Firstly, based on hypothesis-driven analysis of the Late Positive Potential (LPP), we found that the early fronto-centro-parietal LPP (400–1000 ms) increased when passively viewing negative versus neutral pictures. Reappraisal did not decrease this LPP. Instead, only during reappraisal, the emotion effect on the parietal LPP was sustained until the picture offset. Secondly, we applied a localizer approach to uncover reappraisal effects with other spatiotemporal characteristics than the traditional LPP but did not observe such effects. Despite indications of theta oscillations being associated with cognitive and/or affective control, no significant effects were found on theta activity for emotion processing or reappraisal. Our findings suggest that emotion regulation may affect the LPP in several ways, depending on the task design and including affective as well as more cognitive influences. A potential role for theta in emotion regulation remains to be elucidated.

The Effects of Hearing One's Own Name on Subsequent Attention to Visual Stimuli in Autistic and Neurotypical Children: An ERP Study.

Hearing one's own name produces unique patterns of brain activation which triggers attention and orienting responses to the caller. Children with autism spectrum disorder (ASD) rarely orientate towards people calling their own name, but the extent to which it may facilitate processing of the following external stimuli are not yet clear. The current study consisted of both auditory and visual stimuli. Electroencephalogram (EEG) was measured in 28 autistic and neurotypical children (aged 3-7years) to investigate auditory event-related brain potentials (ERPs) while hearing either their own or an unfamiliar name, and subsequent visual ERPs when viewing objects after hearing them. The results demonstrated that, unlike neurotypical children, autistic children did not show enhanced P300 responses upon hearing their own name, but exhibited more negative N1 response in the left frontal region to hearing their own name than an unfamiliar name. However, both autistic and neurotypical children showed equivalent changes in N2, P3 and Late positive potential (LPP) visual ERPs when viewing objects after hearing their own name relative to an unfamiliar name. These findings suggest that autistic children who do not overtly respond to their own name (characterized by a head-turn), nevertheless exhibit increased attention to visual objects in their environment after hearing it. This implies that autistic children do recognize the sound of their name as important but may not understand the social meaning of it.

The moderating role of the late positive potential in the link between attachment anxiety and emotion regulation difficulties.

Understanding how adults experience and regulate their emotions is strongly linked to attachment orientations. Numerous studies indicate emotional regulation difficulties in both attachment avoidance and anxiety. Additionally, emotional Event-Related Potentials (ERPs), such as the Late Positive Potential (LPP), reveal the process of emotional information at the cerebral level, and thus, LPP is commonly used in studies examining emotion regulation processes. For instance, when individuals are asked to use cognitive strategies to increase, maintain, or decrease their emotional responses to stimuli, changes in LPP amplitude can reflect the effectiveness of these regulation strategies. However, little is known about the potential moderating effect of the LPP during the implementation of emotional regulation strategies in the relationship between attachment dimensions and emotional dysregulation. To address this oversight, the purpose of the present study was to examine the association between both dimensions of attachment, anxiety and avoidance, and emotional dysregulation, as well as the moderating role of the LPP during the induced implementation of cognitive reappraisal. Brain activity was recorded using EEG from n = 63 adults while they performed a task in which they were instructed to either reappraise or suppress emotions elicited by unpleasant images. To assess the associations between LPP, emotional dysregulation, and attachment orientations, the Difficulties in Emotion Regulation Scale Spanish version (DERS-E) and the Experiences in Close Relationships questionnaire (ECR-12) were used. Interestingly, we found that greater LPP amplitudes during reappraisal implementation intensified the association between attachment anxiety and emotional regulation difficulties. Conversely, this relationship was non-significant under lower levels of LPP amplitude-Providing supporting evidence for the moderating role of LPP. Our results highlight how attachment anxiety can influence the ability to regulate emotions. This study provides new insights into how variations in LPP contribute to the effectiveness of emotion regulation strategies.

A case-by-case analysis of EPN and LPP components within a "one-picture-per-emotion-category" protocol.

Stimuli encountered in the environment are continuously evaluated according to their affective stimulus significance. Numerous event-related potential studies have shown that the early posterior negativity (EPN) and the late positive potential (LPP) are larger for high than low arousing emotional pictures. The group approach has been recently extended to the study of the individual case. Usually, many exemplars are used to represent an emotion category. Determining how many pictures are needed to reliably assess affective stimulus evaluation processes at the individual level is crucial when moving toward the goal of exploring idiosyncratic emotional stimuli. Accordingly, in the present study (N = 16), singular images displaying erotic, neutral, and mutilation content were shown 800 times while dense sensor EEG was recorded. At the group level, enhanced EPN and LPP amplitudes for high compared to low arousing stimuli emerged. At the single subject level, significantly larger amplitudes to the erotic than neutral image were observed in 15 out of 16 tests for the EPN and LPP components. Regarding the mutilation image, 15 participants showed a significant EPN effect, while the LPP effect was only found in 10 cases. Notably, emotional modulation of the EPN and LPP was stable over time. The present study contributes to the development of experimental designs tailored to the needs of the case-by-case approach. Since the process of affective stimulus evaluation is considered as a process common-to-all, the use of a singular stimulus exemplar may prove useful to investigate the idiosyncratic nature of emotion.

Effects of repetitive transcranial magnetic stimulation combined with repetitive peripheral magnetic stimulation on upper limb motor function after stroke: a systematic review and meta-analysis.

To evaluate the effectiveness of repetitive transcranial magnetic stimulation (rTMS) combined with repetitive peripheral magnetic stimulation (rPMS) on upper limb motor dysfunction after stroke. We systematically searched databases up to May 2024, including PubMed, Embase, Cochrane Library, Web of Science, CNKI, VIP, Wanfang, and CBM. Randomized controlled trials (RCTs) examining the application of rTMS combined rPMS on upper limb motor dysfunction after stroke were included based on predefined inclusion criteria. We used Cochrane Risk of Bias 2 tool to assess bias risk of the included RCTs. Meta-analysis was conducted using RevMan 5.4 and Stata 17.0 software. A total of 9 RCTs involving 483 participants were included in this study. Compared with the control groups that used either conventional therapy or rTMS alone, the experimental group that used rTMS combined rPMS showed significant improvements in stroke patients' upper limb motor function [MD = 3.65, 95% CI (2.75, 4.54), P < 0.05], ability of daily living [MD = 4.50, 95% CI (3.50, 5.50), P < 0.05], and spasticity [MD = -0.34, 95% CI (-0.48, -0.20), P < 0.05]. Meanwhile, in terms of neurophysiological indicators, significant differences were found both for motor evoked potential latency [MD = -1.77, 95% CI (-3.19, -0.35), P < 0.05] and motor evoked potential amplitude [MD = 0.25, 95% CI (0.01, 0.49), P < 0.05]. This study provides low-level evidence that the therapy of LF-rTMS or HF-rTMS combined with rPMS can improve the upper limb motor function and daily living ability of stroke patients. However, given that the low quality of the evidence for the evaluation results, further evidence from high-quality studies is needed to substantiate this conclusion. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024539195, PROSPERO Platform [CRD42024539195].

Pain modulates brain potentials and behavioral responses to unfairness.

Pain may initially contribute to the evolution of moral decision-making as it elicits avoidance behavior. The current study aims to support this perspective by conducting a behavioral study to investigate whether pain leads to a self-oriented tendency, and an exploratory electroencephalogram (EEG) study to examine how pain affects moral decision-making. In Experiment 1, 34 participants were recruited and treated with both capsaicin (pain condition) and hand cream (control condition) in separate days. After treatment, they were asked to complete a third-party punishment task. Results showed that pain increased punishment and decreased compensation towards unfair allocations in the task. In Experiment 2, 68 participants with either pain or control treatment participated in an EEG experiment. It revealed that pain enlarged the disparity of late positive potential (LPP) between fair and unfair situations, suggesting that individuals in pain may exert more cognitive effort when facing unfair allocations. Meanwhile pain did not affect the early components P2 and the medial frontal negativity, indicating unaffected attentional or anticipatory responses towards unfairness. It demonstrates that pain can effectively modulate responses to unfairness, manifesting as a self-oriented approach with negative consequences for others. It suggests a potential evolutionary impact of pain on moral decisions.

The aging of emotional words processing in implicit and explicit emotion task: an ERP study.

This study examined how cognitive aging affects emotional word processing using event-related potential technique. Young and older adults completed both implicit lexical decision and explicit emotion categorization tasks involving positive, negative, and neutral words. Behaviorally, older adults displayed a negative emotion effect in the implicit task, which was absent in young adults. While both age groups exhibited both positive and negative emotion effects in the explicit task, older adults demonstrated a greater positivity bias compared to young adults. Event-related potential technique data revealed that young adults exhibited an early negative emotion effect on the P2 and a late emotion effect on the late positivity potentials in the implicit task. In contrast, older adults exhibited an early negativity bias effect on the P2, as well as both negative and positive emotion effects on the N400, and positive emotion effects on the late positivity potentials. In the explicit task, young adults showed both early and late negative emotion effects on the P2 and late positivity potentials, while older adults showed both negative and positive emotion effects on the late positivity potentials. The results suggest distinct processing mechanisms for emotion words in young and older adults, involving both bottom-up and top-down mechanisms, which support the socioemotional selectivity theory.

The immediate and lasting effects of imagery rescripting and their associations with imagery tendency in young adults with childhood maltreatment history: An ERP study.

The effectiveness of imagery rescripting (IR) in reducing psychological symptoms associated with aversive memories has been confirmed across various disorders. To better understand the neural mechanisms underlying IR, we assessed the immediate and lasting effects and their associations with imagery tendency by using unpleasant pictures depicting child maltreatment within a population with childhood maltreatment (CM) history. Participants (n = 68) were instructed to engage in two experimental phases while electroencephalogram was recorded. In the rescripting phase, participants viewed neutral or unpleasant pictures and then either imagined the same pictures or rescripted unpleasant ones to assess immediate effect. In the re-exposure phase, participants passively viewed all pictures without instruction to assess lasting effect. Participants rated their subjective valence and imagery vividness in the rescripting phase or intensity of negative feelings in the re-exposure phase. IR led to an attenuation of the late positive potential (LPP) amplitude in the late time window (2000-6000 ms at parietal-occipital electrodes) and a decrease in self-reported unpleasantness during the rescripting phase. After 5-min interval, unpleasant pictures with rescripted history elicited smaller LPP (400-1500 ms at centro-parietal electrodes) and negative feelings than those with imagery history in the re-exposure phase. The higher habitual use of imagery was associated with a greater reduction in late LPP during the rescripting phase and full-time range LPP during the re-exposure phase. The current findings suggest that IR has an immediate effect and a lasting effect on subjective and neural response in the CM population. Individuals with higher imagery tendency are likely to profit more from IR.

Ferric carboxymaltose reduces the burden of arrhythmic events in heart failure with reduced ejection fraction: the role of the non-invasive arrhythmic biomarkers

BackgroundTreating iron deficiency (ID) with ferric carboxymaltose (FCM) in patients with heart failure with reduced ejection fraction (HFrEF) enhances morbidity, quality of life (QoL), and exercise capacity. MethodsThis single center, prospective follow-up study aims to assess FCM's impact on arrhythmic events and non-invasive markers in HFrEF patients with cardiac implantable electronic devices (CIEDs) and ID. Symptomatic HFrEF patients with ID and CIEDs scheduled for IV FCM were followed for 12-months. Arrhythmic activity was evaluated from CIEDs and non-invasive markers from Holter recordings pre- and post-FCM. Ventricular tachycardia/ventricular fibrillation (VT/VF) episodes, non-sustained VT (nsVT), late potentials (LPs), Microvolt T-wave alternans (MTWA), heart rate variability, turbulence (HRT) QTc, and premature ventricular contractions (PVCs, number and Lown and Wolf classification) were assessed. Left ventricular EF (LVEF), global longitudinal strain (LV GLS), QoL (KCCQ, EQ-5D-5L), six-minute walking distance (6MWD), peak oxygen consumption, and N-terminal prohormone of brain natriuretic peptide (NT-proBNP) levels were also recorded. ResultsNinety-six patients in optimal medical treatment participated (median age 71.9 [12.3] years, 83% male). Post-FCM treatment, VT/VF (P=0.043) and nsVT (P<0.001) frequency decreased significantly. The Lown and Wolf classification improved (P=0.002) and predicted VT/VF episodes better than other markers (AUC 0.737, P=.001). MTWA, LPs and HRT improved statistically significantly post-FCM. Hospitalization rates and NT-proBNP levels decreased, while LVEF, LV GLS, 6MWD, QoL and peak VO2 improved statistically significantly (P<0.001). ConclusionsOur study provides real-world evidence that IV FCM led to statistically significant reduction in ventricular arrhythmic episodes, as well as an improvement in non-invasive arrhythmic markers.

Outgroup homogeneity perception as a precursor to the generalization of threat across racial outgroup individuals

People who look different from oneself are often categorized as homogeneous members of another racial group. We examined whether the relationship between such categorization and the tendency to generalize across outgroup individuals is explained by perceived visual similarity, leading to an all-look-alike misperception. To address this question at the neural level, White participants perceived sequences of White and Black faces while event-related electrocortical activity was recorded. Prior to each face sequence, one specific ingroup or outgroup face was instructed as a cue for receiving unpleasant electric shocks (threat cue), and we were interested in the extent to which such threat effects generalize to other non-instructed faces (safety cues). Face stimuli were presented in adaptor-target pairs, consisting of two ingroup faces or two outgroup faces, which could depict either the same or different identities. Results show less identity processing of outgroup compared to ingroup faces in early visual processing, i.e., N170 repetition suppression was sensitive only to ingroup face identities. Subsequently, as indicated by enhanced Late Positive Potentials (LPP) to both threat and safety faces, instructed threat generalized stronger across outgroup compared to ingroup faces. These findings and their interaction suggest that the misperception of outgroup homogeneity may be an early precursor to the tendency to generalize threat associations across outgroup individuals.

Hydroxychloroquine Mitigates Cytokine Storm and Prevents Critical Illness Neuromyopathy in a Rat Sepsis Model.

Background and Objectives: It is known that critical illness and associated neuromuscular problems begin to appear in patients hospitalized in the intensive care unit (ICU) for more than a week. The goal of this study was to research the role of hydroxychloroquine (HCQ) in the treatment of cytokine storm and critical illness neuromyopathy (CINM) in a rat sepsis model. Materials and Methods: Rats were assigned into three groups, and a feces intraperitoneal-injection group (FIP) procedure was carried out on 30 rats to induce a model of sepsis for critical illness polyneuromyopathy (CINM). The study groups were as follows: Group 1: control (nonoperative and orally fed control, n = 10), Group 2: FIP with 0.9% NaCl saline was given as 1 mL/kg/day by oral gavage (n = 10), and Group 3: FIP with 10 mg/kg/day of hydroxychloroquine (Plaquenil 200 mg) administered by oral gavage (n = 10). Electrophysiological recordings (EMG) were conducted six days after surgery. EMG was carried out three times on the right sciatic nerve, which was stimulated with supramaximal intensity utilizing a bipolar needle electrode at the sciatic notch. Tumor necrosis factor-alpha (TNF-α), malondialdehyde (MDA), lactic acid levels, and interleukin-6 (IL-6) were evaluated. Results: In terms of TNF-α, MDA, lactic acid levels, and IL-6, there was a statistically significant decrease in the CINM + 10 mg/kg HCQ group compared to the CINM and saline group (p < 0.0001, p < 0.05, p < 0.05, and p < 0.05, respectively). Compound muscle action potentials (CMAPs) latency and duration were decreased in the CINM + 10 mg/kg HCQ group compared to other groups (p < 0.01 and p < 0.001). However, CMAP amplitude was significantly higher in the CINM + 10 mg/kg HCQ group unlike the CINM and saline group (p < 0.001). Conclusions: This is the first study to demonstrate the effects of HCQ on CINM in a rat model of sepsis. The findings of our research suggest that hydroxychloroquine may be used as a potential therapeutic agent in the treatment of sepsis. Hydroxychloroquine may have an important effect in the pathogenesis of sepsis-associated CINM by reducing cytokine production and oxidative stress.

NoSQL document data migration strategy in the context of schema evolution

In Agile development, one approach cannot be chosen and used all the time. Constant updates and strategy changes are necessary. We want to show that combining several migration strategies is better than choosing only one. Also, we emphasize the need to consider the type of schema change. This paper introduces a novel approach designed to optimize the migration process for NoSQL databases. The approach represents a significant advancement in migration strategy planning, providing a quantitative framework to guide decision-making. By incorporating critical factors such as schema changes, database size, the necessity of data in search functionalities, and potential latency issues, the approach comprehensively evaluates the migration feasibility and identifies the optimal migration path. Unlike existing methodologies, this approach adapts to the dynamic nature of NoSQL databases, offering a scalable and flexible approach to migration planning.

Sudden Cardiac Death Risk Prediction Based on Noise Interfered Single-Lead ECG Signals

Sudden cardiac death (SCD) represents a critical acute cardiovascular event characterized by rapid onset of cardiac and respiratory arrest, posing a significant threat to patients due to its high fatality rate. Monitoring indices related to SCD using wearable devices holds profound implications for preemptive measures aimed at reducing the incidence of such life-threatening events. Hence, this study proposed a predictive algorithm for SCD leveraging single-lead electrocardiogram (ECG) signals featuring low signal-to-noise ratios. Initially, simulated electrode motion artifact noise was introduced to ideal ECG signals to emulate the signal conditions with low signal-to-noise ratios encountered in everyday scenarios. To meet the criteria of simplicity and cost-effectiveness required for wearable devices, the analysis focused exclusively on single-lead signals. The proposed algorithm in this study employed a lightweight machine learning approach to extract 12-dimensional features encompassing ventricular late potentials, T-wave electrical alternation, and corrected QT intervals from the signal. The algorithm achieved an average prediction accuracy of 93.22% within 30 min prior to SCD onset, and 95.43% when utilizing a normal sinus rhythm database as a control, demonstrating robust performance. Additionally, a comprehensive Sudden Cardiac Death Index (SCDI) was devised to quantify the risk of SCD, formulated by integrating pivotal two-dimensional features contributing significantly to the algorithm. This index effectively distinguishes high-risk signals indicative of SCD from normal signals, thereby offering valuable supplementary insights in clinical settings.

Evaluation of Split Hand Syndrome in Early Diagnosis of Amyotrophic Lateral Sclerosis by Nerve Conduction Study as a Diagnostic Tool

Background: Amyotrophic lateral sclerosis (ALS), a degenerative disease of the motor neurons that can present diversly. Needle electromyography (EMG) is the gold standard investigation for the diagnosis of ALS. Split hand syndrome (SHS) demonstrated by nerve conduction study (NCS); a noninvasive tool could be useful in diagnosing ALS. This study aimed to assess SHS by NCS in ALS. Methods: This diagnostic accuracy case-control study included 37 cases of ALS and 37 age and gender-matched controls. Compound muscle action potential (CMAP) and distal motor latency (DML) of median and ulnar nerves and the ratio of median and ulnar CMAP and DML were compared between study groups. The diagnostic validity testing of electrophysiological SHS was also done. Results: The mean age of the ALS and control groups were similar, 39.8±2.7 and 39.3±2.6 years, respectively. Sixteen (43.2%) ALS patients were in 30-59 years age group. Male-female ratio was 5.2. In the ALS group, median-ulnar CMAP ratio was lower and median-ulnar DML ratio was prolonged than the control. The diagnostic efficacy of median-ulnar CMAP ratio and DML ratio were calculated. A median-ulnar CMAP ratio cut-off value ≤1 showed 70% sensitivity, 97% specificity, 96% positive predictive value and 77% negative predictive value. A median-ulnar DML ratio cut-off value ≥1.5 showed 48% sensitivity, 89% specificity, 82% positive predictive value and 65% negative predictive value. Conclusion: NCS demonstrating SHS can be an important tool in the early diagnosis of ALS. J Bangladesh Coll Phys Surg 2024; 42: 350-354

Prognostic parameters predict cardiac events in Brugada syndrome: a meta-analysis

Abstract Background Brugada syndrome (BrS) is recognized as a cause of sudden cardiac death (SCD), ventricular tachycardia or ventricular fibrillation (VT/VF). However, the prognosis varies among the patients with Brugada electrocardiograph (ECG) pattern. Furthermore, there is no prognostic tool to predict the worsening cardiac outcomes in BrS. Objectives Primary outcome was to assess the association between risks including patient history, ECG pattern, electrophysiology study (EPS) findings and cardiac events which is identified as VT/VF or SCD. Method We performed a meta-analysis of prospective and retrospective cohort studies which assessed the risks and cardiac events in patients with BrS. Pooled hazard ratios (HRs) was analyzed by using Random-effect model. Result A total of 27 studies involving 15,990 BrS patients. Of these, 17 were retrospective studies and 10 were prospective studies. In univariate analysis, the risks including male, aborted SCD, QRS duration≥120 msec, fragmented QRS (multiple spikes within the QRS complex in lead V1-V3), late potential (positive terminal filtered QRS complex of signal-averaged ECG), sinus node dysfunction or inducibility of ventricular tachyarrhythmias during EPS associated with a higher risk of cardiac events in BrS. In multivariate analysis, higher risks of cardiac events were associated in BrS patients with history of syncope (HR 2.65, 95% confidence interval (CI): 1.68-4.19, I2 = 54 %, p-value &amp;lt;0.001), family history of SCD (HR 2.64, 95%CI:1.39-5.01, I2 = 0%, p-value = 0.003), prior VF (HR 14.52, 95%CI: 3.36-62.84, I2 = 62%, p-value &amp;lt;0.001), type 1 Brugada ECG pattern (HR 2.07, 95%CI: 1.13-3.79, I2 = 0%, p-value = 0.018), spontaneous type 1 ECG pattern (HR 1.91, 95%CI: 1.01-3.61, I2 = 58%, p-value = 0.046), early repolarization pattern (HR 2.78, 95%CI: 1.9-4.07, I2 = 0%, p-value &amp;lt; 0.001) and history of atrial fibrillation before BrS diagnosis (HR 1.82, 95%CI: 1.03-3.23, I2 = 49%, p-value = 0.039) (Table 1). Conclusion Our findings suggest that patient history, ECG pattern, EPS findings can predict the cardiac events. Introducing a risk prediction model could aid in early management of BrS.

Clothing design factors, aesthetic experience, and preference: Additional insights from neuromarketing in civil defense clothing

ABSTRACT This study analyzed the relationships among clothing design factors, aesthetic experience, and preference and suggested ways to design civil defense clothing with better work performance. We use behavioral and electroencephalogram (EEG) experiments to identify user-preferred colors and styles and incorporate them into an improved civil defense clothing design. Through the behavioral experiment, we identified the civil defense clothing design preferred by users and explored the aesthetic experience that influenced user preference. We used the neuroscientific method of event-related potentials to further explore the neural mechanisms of users’ preferred civil defense clothing designs. In the EEG experiment, the preferred civil defense clothing contains frontal late positive potential (LPP) components involved in aesthetic experience. These results indicate that the improved civil defense clothing design evoked aesthetic experiences from users. We expect that using advanced materials and design improves the user’s aesthetic experience and preferences. This research contributes to the development of civil defense clothing that not only enhance functionality but also improve user experience and work performance.

Impact of Multidirectional Pacing on Activation and Repolarization Parameters to Localize Ischemic Ventricular Tachycardia Circuits

BackgroundIn ventricular tachycardia (VT), optimal substrate mapping strategies identifying arrhythmogenic sites are not established. ObjectivesThis study sought to evaluate multidirectional pacing on the distribution of specific conduction and repolarization metrics to localize re-entrant VT sites in a porcine infarct model. MethodsSubstrate maps were created in 13 pigs with chronic myocardial infarction using the Advisor HD Grid (Abbott) during right ventricular (RV), left ventricular, biventricular pacing (BIV), and sinus rhythm (SR). Critical VT sites of early-, mid-, and late-diastolic signals were delineated. Vulnerable sites to re-entry were defined as sites of latest activation timing within and post-QRS complex, largest activation and activation-recovery interval gradients. Distances between the 20 most vulnerable sites and diastolic VT points were measured, and identification of VT points was assessed using the area under the receiver-operating characteristic curve. ResultsA total of 34 VTs were mapped, and 48 sinus and pacing maps were obtained (10 BIV, 13 left ventricular, 13 RV, 12 SR). Late potential mapping in SR was taken as the established clinical standard for comparison. Latest activation time with BIV pacing provided the closest localization for VT isthmus (median 5.5 mm; IQR: 7.15 mm; P < 0.005). The gradient of activation-recovery interval using RV pacing had closest localization for VT exit and entrance (median 10.6 mm; IQR: 5.0 mm; P < 0.005 and 9.4 mm; IQR: 8.0 mm; P < 0.05). Global sensitivity and specificity analysis showed that gradient of activation-recovery interval in SR achieved the highest area under the receiver-operating characteristic curve, with similar results from the gradient of activation timing. ConclusionsMultidirectional pacing in combination with conduction and repolarization parameters enables better localization of VT diastolic critical sites vs SR late potentials.

Promotion of nerve regeneration and motor function recovery in SCI rats using LOCAS-iPSCs-NSCs

BackgroundSpinal cord injury (SCI) is a severe traumatic spinal condition with a poor prognosis. In this study, a scaffold called linearly ordered collagen aggregates (LOCAS) was created and loaded with induced pluripotent stem cells (iPSCs)-derived neural stem cells (NSCs) from human umbilical cord blood derived mesenchymal stem cells (hUCB-MSCs) to treat SCI in a rat model.MethodsThe rats underwent a complete transection SCI resulting in a 3-mm break at either the T9 or T10 level of the spinal cord.ResultsScanning electron microscope analysis revealed a uniform pore structure on the coronal plane of the scaffold. The LOCAS had a porosity of 88.52% and a water absorption of 1161.67%. Its compressive modulus and stress were measured at 4.1 MPa and 205 kPa, respectively, with a degradation time of 10 weeks. After 12 weeks, rats in the LOCAS-iPSCs-NSCs group exhibited significantly higher BBB scores (8.6) compared to the LOCAS-iPSCs-NSCs group (5.6) and the Model group (4.2). The CatWalk analysis showed improved motion trajectory, regularity index (RI), and swing speed in the LOCAS-iPSCs-NSCs group compared to the other groups. Motor evoked potentials latency was lower and amplitude was higher in the LOCAS-iPSCs-NSCs group, indicating better neural function recovery. Histological analysis demonstrated enhanced neuronal differentiation of NSCs and nerve fiber regeneration promoted by LOCAS-iPSCs-NSCs, leading to improved motor function recovery in rats. The LOCAS scaffold facilitated ordered neurofilament extension and guided nerve regeneration.ConclusionsThe combination of LOCAS and iPSCs-NSCs demonstrated a positive therapeutic impact on motor function recovery and tissue repair in rats with SCI. This development offers a more resilient bionic microenvironment and presents novel possibilities for clinical SCI repair.

QRS prolongation is associated with associated with adverse cardiac remodeling in hypertrophic cardiomyopathy

BackgroundSignal-averaged electrocardiogram (SAECG) records myocardial depolarization, and can detect inhomogeneous/slow conduction in fibrotic myocardium, which promotes reentrant ventricular arrhythmias (VAs). Hypertrophic cardiomyopathy (HCM) is associated with a high prevalence of cardiac fibrosis and VAs, but abnormal SAECG has low predictive power for VAs. We hypothesized that HCM-specific structural/electrical remodeling underlies this result. MethodsWe tested our hypothesis by retrospectively studying HCM patients (n = 73) who underwent transthoracic echocardiography (TTE) and cardiac magnetic resonance (CMR) imaging within 12 months of SAECG and 12‑lead ECG. Patients were divided into 2 groups (normal-SAECG, abnormal-SAECG) based on filtered-QRS duration (fQRSd), root-mean-square-voltage (RMS40) and low-amplitude (<40 μV) signal of terminal 40 ms of filtered-QRS (late potentials). Abnormal SAECG was defined as fQRSd > 114 ms, RMS40 < 20 μV or LAS40 > 38 ms. ResultsAbnormal SAECG was seen in ∼50 % of HCM patients (37/73). In the abnormal-SAECG group, 78 % (n = 29) only had prolonged fQRSd, and 22 % (n = 8) had prolonged fQRSd plus late potentials (RMS40 < 20 μV or LAS40 > 38 ms). Mean fQRSd and LAS40 were significantly higher in the abnormal-SAECG group. The abnormal-SAECG group had significantly larger LA size, lower global-LV longitudinal systolic strain/strain rate and early-diastolic strain rate by TTE; higher LV-mass index (LVMI) and LV-scar burden by CMR; higher prevalence of repolarization abnormalities on 12‑lead ECG. LVEF and adverse outcomes (VT/VF, heart failure, death) were similar in the 2 groups. Univariate analysis showed that fQRSd is positively correlated with LVMI, LV-scar mass, and negatively correlated with global-LV early diastolic strain rate. ConclusionsIn HCM, abnormal SAECG is associated with greater structural/electrical LV-remodeling, reflecting a severe global myopathy.