Statistical Parametric Mapping as a Measure of Differences Between Limbs: Applications to Clinical Populations

In healthy individuals, symmetrical lower-extremity movement is often assumed and calculated using discrete points during various tasks. However, measuring overall movement patterns using methods such as statistical parametric mapping (SPM) may allow for better interpretation of human movement. This study demonstrated the ability of SPM to assess interlimb differences in lower-extremity movement during 2 example tasks: running and landing. Three-dimensional motion analysis was used to determine sagittal and frontal plane lower-extremity joint angles in (1) young and older individuals during running and (2) patients with anterior cruciate ligament reconstruction and uninjured control athletes during landing. Interlimb differences within each group were compared using SPM and paired t tests on peak discrete angles. No differences between limbs were found between young and older runners using SPM. Peak ankle eversion and plantar flexion angles differed between limbs in young and older runners. Sagittal plane hip angle varied between limbs in uninjured control athletes. Frontal plane ankle angle and sagittal plane knee and hip angles differed between limbs in patients with anterior cruciate ligament reconstruction using SPM and discrete analysis. These data suggest that SPM can be useful to determine clinically meaningful interlimb differences during running and landing in multiple populations.

How Grammar Introduces Asymmetry Into Cognitive Structures: Compositional Semantics, Metaphors, and Schematological Hybrids

This paper presents a preliminary and tentative formulation of a novel empirical generalization governing the relationship between grammar and cognition across a variety of independent domains. Its point of departure is an abstract distinction between two kinds of cognitive structures: symmetric and asymmetric. While in principle any feature whatsoever has the potential for introducing asymmetry, this paper focuses on one specific feature, namely thematic-role assignment. Our main empirical finding concerns the role of language, or, more specifically, grammar, in effecting and maintaining the distinction between symmetric and asymmetric cognitive structures. Specifically, whereas symmetric structures devoid of thematic-role assignment more commonly occur in a non-grammatical and usually also non-verbal medium, asymmetric structures involving thematic-role assignment are more likely to be associated with a grammatical medium. Our work draws together three independent strands of empirical research associated with three diverse phenomenological domains: compositional semantics, metaphors and schematological hybrids. These three domains instantiate conceptual combinations, bringing together two or more subordinate entities into a single superordinate entity. For compositional semantics this consists of a juxtaposition of constituent signs to form a single more complex sign; for metaphors this entails the bringing together of two different concepts in order to produce a comparison; while for schematological hybrids this involves the combination of different entities to form a single new hybrid entity. Our empirical results reveal a remarkable parallelism between the above three domains. Within each domain, symmetric structures tend to be associated with a non-verbal or otherwise non-grammatical medium, while asymmetric structures are more frequently associated with a grammatical medium. Thus, within each domain, grammar introduces asymmetry. More specifically, we find that in all three domains, the asymmetry in question is one that involves the assignment of thematic roles. To capture this effect, we posit two distinct levels, or tiers, of cognition: non-grammatical cognition, more commonly associated with symmetric structures, and grammatical cognition more conducive to asymmetric structures. Within each of the three phenomenological domains, we find the distinction between non-grammatical and grammatical cognition to be manifest in three independent realms, phylogeny, ontogeny, and the architecture of human cognition. Thus, grammar constitutes the driving force behind the transition from symmetric to asymmetric cognitive structures.

Planar Asymmetries in the C. elegans Embryo Emerge by Differential Retention of aPARs at Cell-Cell Contacts

Formation of the anteroposterior and dorsoventral body axis in Caenorhabditis elegans depends on cortical flows and advection of polarity determinants. The role of this patterning mechanism in tissue polarization after formation of cell-cell contacts is not fully understood. Here, we demonstrate that planar asymmetries are established during left-right symmetry breaking: Centripetal cortical flows asymmetrically and differentially advect anterior polarity determinants (aPARs) from contacts to the medial cortex, resulting in their unmixing from apical myosin. Contact localization and advection of PAR-6 requires balanced CDC-42 activation, while asymmetric retention and advection of PAR-3 can occur independently of PAR-6. Concurrent asymmetric retention of PAR-3, E-cadherin/HMR-1 and opposing retention of antagonistic CDC-42 and Wnt pathway components leads to planar asymmetries. The most obvious mark of planar asymmetry, retention of PAR-3 at a single cell-cell contact, is required for proper cytokinetic cell intercalation. Hence, our data uncover how planar polarity is established in a system without the canonical planar cell polarity pathway through planar asymmetric retention of aPARs.

Effects of Age and Sex on Subcortical Volumes

Purpose

In an increasingly aging society, it is of great importance to consider trajectories of subcortical volumes at different ages for understanding biological markers of aging. Thus, we investigated sex, age, and their interactions on subcortical volumes, including the basal ganglia (caudate, putamen, accumbens, and pallidum), thalamus, hippocampus, and amygdala.

Methods

We analyzed the adult lifespan trajectory of subcortical volumes and asymmetries in 563 healthy subjects aged from 19 to 86 using magnetic resonance imaging (MRI) data from the publicly available 7IXI data set.

Results

The sex made strong contributions to the trajectories of subcortical volumes with aging, including the right putamen, right pallidum, bilateral thalamus, hippocampus, and amygdala. The volume of the right putamen, right pallidum, and right thalamus decreased more rapidly in males than in females, and the volume of the left thalamus, bilateral hippocampus, and amygdala in males followed a quadratic model, while those in females followed a linear decline model. The asymmetries in the caudate and hippocampus showed a linear decline, and a sex and age interaction was found in the hippocampus; that is, the asymmetry in the hippocampus decreased only in the males and not in the females. Changes in the accumbens and pallidum fit quadratic trajectories, in which females increased until 39.26 years old in the accumbens asymmetry and then began to rapidly decline, and males showed a linear decline. The asymmetry in the pallidum in males and females showed a slow decreasing period until almost 45 years of age and then increased.

Conclusion

The results suggest that compared with females, males have a faster decline in the volume of the right putamen, right pallidum, and right thalamus, while aging occurred later but also faster in the left thalamus, bilateral hippocampus, and amygdala. Interestingly, we found the inflection point in the thalamus, bilateral hippocampus, and amygdala volume in the quadratic model, and after this point, the volume change accelerated with aging, which may have resulted from the stronger work pressure in the middle-aged men and the low levels of testosterone in the older adults. The interaction of age and sex on individual subcortical structures provides evidence to support the impact of sex on psychopathologies associated with degenerative brain disorders in the elderly. The findings may be significant to investigate the occurrence and prevalence of degenerative brain disorders in males and females. Future studies can focus on the functional and behavioral relations with subcortical structures for preventive measures of related disorders.

Evaluation of Power Production Asymmetry during Cycling in Persons with Multiple Sclerosis

Lower limb asymmetries have been observed in persons with multiple sclerosis (PwMS), and have been associated with mobility impairment. An incremental cycling test was performed on a cycle ergometer to determine peak power output (PPO) and peak oxygen consumption (VO₂peak). Then, participants cycled at 50%, 60%, and 70% of their PPO to assess the contribution of each lower limb to power production. Two-way repeated measures ANOVA was used to detect group × intensity differences in power production asymmetry. Eight PwMS and six healthy individuals (Non-MS) completed the study. No statistically significant (p > 0.05) group × intensity interactions or main effects were present when examining between-limb differences in power production. The current data do not indicate a statistically significant difference in power production asymmetry between groups and exercise intensities. Previous research has established a 10% difference between contralateral limbs as a threshold for asymmetry. The average asymmetry in power production in PwMS exceeded the 10% threshold at all measured outputs, suggesting the presence of asymmetry in power production.

Strain-Mediated Bending of InP Nanowires through the Growth of an Asymmetric InAs Shell

Controlling nanomaterial shape beyond its basic dimensionality is a concurrent challenge tackled by several growth and processing avenues. One of these is strain engineering of nanowires, implemented through the growth of asymmetrical heterostructures. Here, we report metal-organic molecular beam epitaxy of bent InP/InAs core/shell nanowires brought by precursor flow directionality in the growth chamber. We observe the increase of bending with decreased core diameter. We further analyze the composition of a single nanowire and show through supporting finite element simulations that strain accommodation following the lattice mismatch between InP and InAs dominates nanowire bending. The simulations show the interplay between material composition, shell thickness, and tapering in determining the bending. The simulation results are in good agreement with the experimental bending curvature, reproducing the radius of 4.3 µm (±10%), for the 2.3 µm long nanowire. The InP core of the bent heterostructure was found to be compressed at about 2%. This report provides evidence of shape control and strain engineering in nanostructures, specifically through the exchange of group-V materials in III-V nanowire growth.

Fast Orthostatic Tremor in Parkinson's Disease: Case Report and Comprehensive Review of Literature

Background

Orthostatic tremor (OT) is a rare symmetric tremor disorder occasionally observed in association with other movement disorders.

Case report

We report the presence of a fast OT in a case of Parkinson’s disease (PD), and provide a comprehensive review of the literature.

Discussion

A fast OT presenting as unsteadiness may be a presenting symptom of PD. This symptom may be nonresponsive to levodopa, and benzodiazepines should be prescribed to adequately control the OT and reduce disability.

Subcortical connectivity correlates selectively with attention's effects on spatial choice bias

Forebrain mechanisms of visuospatial attention have been widely studied. Yet, how the midbrain contributes to attention remains comparatively unknown. Here, we examined the role of the superior colliculus (SC), a vertebrate midbrain structure, in attention. Does the SC control sensitivity to attended information, or enable biasing choices toward attended information, or both? We mapped structural connections of the human SC with neocortical regions and found that the strengths of these connections correlated with, and were strongly predictive of, individuals’ choice bias, but not sensitivity. Taken together with previous animal studies, our results suggest that the human SC may play an evolutionarily conserved role in controlling choice bias during visual attention.

Neural mechanisms of attention are extensively studied in the neocortex; comparatively little is known about how subcortical regions contribute to attention. The superior colliculus (SC) is an evolutionarily conserved, subcortical (midbrain) structure that has been implicated in controlling visuospatial attention. Yet how the SC contributes mechanistically to attention remains unknown. We investigated the role of the SC in attention, combining model-based psychophysics, diffusion imaging, and tractography in human participants. Specifically, we asked whether the SC contributes to enhancing sensitivity (d′) to attended information, or whether it contributes to biasing choices (criteria) in favor of attended information. We tested human participants on a multialternative change detection task, with endogenous spatial cueing, and quantified sensitivity and bias with a recently developed multidimensional signal detection model (m-ADC model). At baseline, sensitivity and bias exhibited complementary patterns of asymmetries across the visual hemifields: While sensitivity was consistently higher for detecting changes in the left hemifield, bias was higher for reporting changes in the right hemifield. Remarkably, white matter connectivity of the SC with the neocortex mirrored this pattern of asymmetries. Specifically, the asymmetry in SC–cortex connectivity correlated with the asymmetry in choice bias, but not in sensitivity. In addition, SC–cortex connectivity strength could predict cueing-induced modulation of bias, but not of sensitivity, across individuals. In summary, the SC may be a key node in an evolutionarily conserved network for controlling choice bias during visuospatial attention.

Asymmetric Insular Connectomics Revealed by Diffusion Magnetic Resonance Imaging Analysis of Healthy Brain Development

The insula has been implicated in playing important roles in various brain functions including consciousness, homeostasis, perception, self-awareness, language processing, and interpersonal experience. Abnormalities of the insula have been observed in patients suffering from addiction, deteriorating language function, anorexia, and emotional dysregulation. We analyzed typical development of insular connections in a large-scale pediatric population using 642 magnetic resonance imaging examinations. Interpreting large quantities of acquired data is one of the major challenges in connectomics. This article focuses its analysis on the connectivity observed between the insula and many other regions throughout the brain and performs a hemispheric asymmetry analysis comparing localized connectome measurements. Results demonstrate asymmetries in the pathways connecting the insula to the superior temporal region, pars opercularis, etc. that may be representative of language lateralization in the brain. Results also demonstrate multiple fiber pathways that exhibit hemispheric dominance in tract length and an inverted hemispheric dominance in tract counts, implying the presence of asymmetric lateralization of some of the brain's insular pathways. This study illustrates the investigative potential of performing connectomics-style analyses in a clinical context across a large population of children as part of routine imaging, demonstrating the feasibility of using current technologies to perform regionally focused clinical connectivity studies.

Hand asymmetries of tactile attention in younger and older adults

Background/Objectives: The allocation of attention can alter the perception of magnitude. When performing line bisections, young adults deviate leftward (pseudoneglect), a bias thought to be induced by right hemisphere dominance for allocating spatial attention. However, when performing body bisections young adults deviate rightward, suggesting left hemisphere dominance for allocating body-centered attention. With aging, there is a reduction of pseudoneglect thought to result from either an age-related decrease in right hemispheric functions (right hemi-aging) or from hemispheric asymmetry reduction in older adults (HAROLD). The goal of this study was to learn if there are tactile body-centered perceptual-attentional right-left asymmetries in that change with aging. Methods: The participants were younger and older healthy adults. Semmes-Weinstein Monofilaments were used to test for differences in the perceived magnitude of pressure differences between a reference stimulus and test stimuli applied to the right and left palmar thenar eminence. Results: Young adults perceived the magnitude of difference in the lightest pressure stimuli applied to the right hand as being greater than the older adults. Young adults perceived the magnitude of difference between the lightest pressure and reference applied to the right hand to be greater than the left hand, but older adults perceived a lighter stimulus greater on the left compared to the right. Conclusions: Whereas the right hemisphere appears to be dominant in mediating spatial attention, the left hemisphere may play a dominant role in the allocation of body-centered attention. Like the aging-related reduction of the visual perception of the magnitude (length) of the left side of a line, this tactile reduction in magnitude (pressure) perception in older adults suggests that with aging, there is a reduction of left-hemispheric mediated allocation of tactile attention, and this result is not fully consistent with either the HAROLD or hemi-aging models.

Influence of between-limb asymmetry in muscle mass, strength, and power on functional capacity in healthy older adults

PURPOSE

Numerous daily tasks such as walking and rising from a chair involve bilateral lower limb movements. During such tasks, lower extremity function (LEF) may be compromised among older adults. LEF may be further impaired due to high degrees of between-limb asymmetry. The present study investigated the prevalence of between-limb asymmetry in muscle mass, strength, and power in a cohort of healthy older adults and examined the influence of between-limb asymmetry on LEF.

METHODS

Two hundred and eight healthy older adults (mean age 70.2 ± 3.9 years) were tested for LEF (400 m walking and 30-seconds chair stand). Furthermore, maximal isometric and dynamic knee extensor strength, leg extensor power, and lower limb lean tissue mass (LTM) were obtained unilaterally.

RESULTS

Mean between-limb asymmetry in maximal muscle strength and power ranged between 10% and 13%, whereas LTM asymmetry was 3 ± 2.3%. Asymmetry in dynamic knee extensor strength was larger for women compared with men (15.0 ± 11.8% vs 11.1 ± 9.5%; P = .005) Leg strength and power were positively correlated with LEF (r²  = .43-.46, P < .001). The weakest leg was not a stronger predictor of LEF than the strongest leg. Between-limb asymmetry in LTM and isometric strength was negatively associated with LEF (LTM; r²  = .12, P = .005, isometric peak torque; r²  = 0.40, P = .03.) but dynamic strength and power were not.

CONCLUSION

The present study supports the notion that in order to improve or maintain LEF, healthy older adults should participate in training interventions that increase muscle strength and power, whereas the effects of reducing between-limb asymmetry in these parameters might be of less importance.

Thickness and Sphericity Control of Hollow Hard Silica Shells through Iron (III) Doping: Low Threshold Ultrasound Contrast Agents

Silica particles are convenient ultrasound imaging contrast agents because of their long imaging time and ease of modification; however, they require a relatively high insonation power for imaging and have low biodegradability. In this study, 2 μm ultrathin asymmetric hollow silica particles doped with iron (III) (Fe(III)-SiO2) are synthesized to produce biodegradable hard shelled particles with a low acoustic power threshold comparable with commercial soft microbubble contrast agents (Definity) yet with much longer in vivo ultrasound imaging time. Furthermore, high intensity focused ultrasound ablation enhancement with these particles shows a 2.5-fold higher temperature elevation than with Definity at the same applied power. The low power visualization improves utilization of the silica shells as an adjuvant in localized immunotherapy. The data are consistent with asymmetric engineering of hard particle properties that improve functionality of hard versus soft particles.

Early Sibling Conflict May Ultimately Benefit the Family

Relatives often interact differently with each other than with nonrelatives, and whether kin cooperate or compete has important consequences for the evolution of mating systems, seed size, dispersal, and competition. Previous research found that the larger of the size dimorphic seeds produced by the annual plant Aegilops triuncialis suppressed germination of their smaller sibs by 25%-60%. Here, we found evidence for kin recognition and sibling rivalry later in life among Aegilops seedlings that places seed-seed interactions in a broader context. In experiments with size dimorphic seeds, seedlings reduced the growth of sibling seedlings by ∼40% but that of nonsibling seedlings by ∼25%. These sequential antagonistic interactions between seeds and then seedlings provide insight into conflict and cooperation among kin. Kin-based conflict among seeds may maintain dormancy for some seeds until the coast is clear of more competitive siblings. If so, biotically induced seed dormancy may be a unique form of cooperation, which increases the inclusive fitness of maternal plants and offspring by minimizing competition among kin.

Intra-arterial Administration of Human Umbilical Cord Blood Derived Cells Inversed Learning Asymmetry Resulting From Focal Brain Injury in Rat

Background: Focal brain injury is a leading cause of serious disability significantly worsening patients' quality of life. Such damage disrupts the existing circuits, leads to motor, and cognitive impairments as well as results in a functional asymmetry. To date, there is still no therapy to effectively restore the lost functions. We examined the effectiveness of human umbilical cord blood (HUCB)-derived cells after their intra-arterial infusion following focal stroke-like brain damage.

Methods: The model of stroke was performed using ouabain stereotactic injection into the right dorsolateral striatum in rats. Two days following the brain injury 10⁷ cells were infused into the right carotid artery. The experimental animals were placed into enriched environment housing conditions to enhance the recovery process. Behavioral testing was performed using a battery of tasks visualizing motor as well as cognitive deficits for 30 days following brain injury. We assessed animal asymmetry while they were moving forward at time of testing in different tasks.

Results: We found that intra-arterial infusion of HUCB-derived cells inversed lateralized performance resulting from the focal brain injury at the early stage of T-maze habit learning task training. The inversion was independent from the level of neural commitment of infused cells. The learning asymmetry inversion was observed only under specific circumstances created by the applied task design. We did not found such inversion in walking beam task, vibrissae elicited forelimb placing, the first exploration of open field, T-maze switching task as well as apomorphine induced rotations. Both the asymmetry induced by the focal brain injury and its inversion resulting from cell infusion decreased along the training. The inversion of learning asymmetry was also independent on the range of the brain damage.

Conclusions: Intra-arterial infusion of HUCB-derived cells inversed lateralized performance of learning task resulting from focal brain damage. The inversion was not visible in any other of the used motor as well as cognitive tests. The observed behavioral effect of cell infusion was also not related to the range of the brain damage. Our findings contribute to describing the effects of systemic treatment with the HUCB-derived cells on functional recovery following focal brain injury.

Neurocranial shape variation among Tarascan populations: Evidence for varying degrees in artificially modified crania in pre-Hispanic West Mexico (1200-1400 AD)

INTRODUCTION

Along the Mesoamerican western margin, the Zacapu basin has yielded a large number of human remains demonstrating usage of artificial cranial modification (ACM). However, at the onset of the Middle Postclassic (1200-1400 AD) only few individuals still exhibit clear signs of ACM. Some authors have suggested that, rather than disappearing entirely, ACM may have become less visible anatomically, making it difficult to identify based on simple visual analyses. Here, we used 3D geometric morphometric methods to investigate the extent to which ACM persisted during the Postclassic in this region.

MATERIALS AND METHODS

We measured the 3D vault's shape changes in a sample of surface-scanned human crania: 55 individuals from the Postclassic Zacapu basin and a control group of 31 individuals from a Huichol Mexican Indian sample and a French medieval series from La Granède. We used a principal component analysis to explore the shape variation within the sample and employed the neighbor joining method to identify morphological groups. Finally, we quantified each individual's asymmetry.

RESULTS

We identified three groups displaying shape features diverging from those of the control group. The first group is characterized by marked fronto-obelionic ACM, whereas the other two show mild forms of ACM. The individuals in all three groups display moderate to high degrees of asymmetry compared to the control group.

DISCUSSION

The marked fronto-obelionic modification is clear evidence of a specific ACM technique. The two types of mild ACM most likely result from different techniques but their moderate degree of modification brings into question the intentions behind their production.

Relationship between vertical stiffness and soft-tissue injuries in professional Australian football

Soft-tissue injuries are common in Australian football. Recently, literature has identified non-modifiable and modifiable risk factors, including vertical stiffness (K_vert). However, limitations regarding measurement frequency and duration exist; thus, further information is required about the role of K_vert as a modifiable risk factor for injury. This study examined the seasonal variation in K_vert and its relationship to soft-tissue injuries in professional Australian football. The mean K_vert and bilateral asymmetry were assessed and compared between injured and non-injured players. For the seasonal analysis, 56 players were tested across two seasons with no variation in bilateral asymmetry evident (p= 0.33). While there were generally no changes in K_vert, the value from the end of the second pre-season revealed 5% lower values than the mean of two seasons (p= 0.02). Considering the injury analysis, 21 lower-body soft-tissue injuries were recorded from 18 participants. No differences were recorded for mean K_vert between the injured and non-injured groups (p= 0.16-0.76). When assessing K_vert asymmetry, the injured group displayed a 4.5% higher value than the non-injured group at the end of the pre-season test (p= 0.03) but not at other time-points (p= 0.16-0.99). Higher K_vert bilateral asymmetry measures after the pre-season appear to be related to lower-body soft-tissue injury in professional Australian footballers. Medical and conditioning staff should consider this measure when trying to mitigate the onset of injury or identify at-risk players.

THE EFFECTS OF POSTURAL AND ANATOMICAL ALIGNMENT ON SPEED, POWER, AND ATHLETIC PERFORMANCE IN MALE COLLEGIATE ATHLETES: A RANDOMIZED CONTROLLED TRIAL

BACKGROUND

Many human beings are strongly influenced by right-sided dominance. This may cause potentially pathologic or dysfunctional asymmetries within the innominates of the pelvis, which in turn influences movement throughout the body including the glenohumeral (GH), vertebral, femoral acetabular (FA), sacroiliac, and costovertebral joints. Techniques based upon the science of Postural Restoration® may help correct these asymmetries and improve multiple physiological and mechanical aspects of sports performance.

PURPOSE

To examine difference between non-manual, Postural Restoration® exercises and traditional postural interventions on anatomical alignment, available range of motion and symmetry, and speed and power in active college-aged males.

STUDY DESIGN

Randomized control trial, pretest-posttest control group design.

METHODS

25 male collegiate students (age = 21 ± 3 years) who met the ACSM guidelines to be considered physically active were chosen to participate. Participants completed a vertical jump test using a power analyzer (Tendo Sport, Lexington, SC, USA) and the pro agility test. Anatomical alignment was assessed through an adduction drop test, extension drop test, and standard goniometric measurements including femoral acetabular external rotation (ER), internal rotation (IR), flexion, and abduction, and glenohumeral internal rotation. Participants were randomly assigned to either non-manual, Postural Restoration® techniques or traditional posture improvement exercises. Following a four-week intervention period, participants were reassessed using the same aforementioned outcomes completed pre-intervention.

RESULTS

Participants who completed the non-manual, Postural Restoration^® techniques demonstrated significant improvements in pro-agility scores (-0.03 ± 0.10 seconds; p=0.0005). Neither set of interventions improved vertical jump scores (Treatment: + 35.7 ± 288.02 W, p=0.1000; Control: -10.08 ± 301.04 W, p=0.381). Areas of anatomical alignment that demonstrated significant change included the treatment group for FA IR (p=0.010) and FA abduction (p=0.035) symmetry and the left adduction drop test (p=0.039).

CONCLUSION

Non-manual exercise techniques based upon the science of Postural Restoration® may equalize asymmetries present in FA internal rotation and hip abduction. Improvements in symmetry of joint motion may indicate a restoration of neutrality of the pelvis and femoroacetabular joints. By improving anatomical alignment, through establishing a neutral pelvis, athletes may demonstrate improved neuromechanical efficiency, and kinesthetic control of multi-directional motions required for enhanced sports performance markers.

LEVEL OF EVIDENCE

1b.

Novel mutation of EDA causes new asymmetrical X-linked hypohidrotic ectodermal dysplasia phenotypes in a female

Hypohidrotic ectodermal dysplasia (HED) is a rare hereditary disorder that affects tissues derived from the ectoderm including hair, teeth and sweat glands. EDA is the major causative gene of HED. This study recruited a Chinese family with HED, including a male proband and his mother with a fetus. The proband had typical clinical features of HED and the mother had identical but milder features. Interestingly, some phenotypes of the mother appeared asymmetrically between the right and left side of the body that were not reported in previous studies. Targeted sequencing was performed in the proband and a novel frame-shift mutation (NM_001399.4: c.381_382delinsG, p.Q128Rfs*9) in EDA was found. Sanger sequencing validated the mutation and identified the same mutation in the mother. Our study expands the clinical and genetic spectrum of EDA-related disorders and reports new asymmetrical phenotypes in a female.

[Structural and functional changes in the retinal layers in patients with primary glaucoma and possible means of retinoprotection]

Glaucoma is one of the most severe forms of ophthalmic pathology which can lead to low vision and blindness. Therapy aimed only at reducing intraocular pressure (IOP) may be insufficient in patients with this disease.

PURPOSE

To study the structural and functional changes occurring in the retina and the effect of peptide bioregulator on the state of various retinal layers in patients with primary open-angle glaucoma (POAG).

MATERIAL AND METHODS

The study included 62 patients (123 eyes) with POAG. The control group consisted of 25 people (50 eyes) of the same age. After the initial examination, patients of the glaucomatous group were divided into two equal subgroups. Patients of the first subgroup received 10 intramuscular injections of the peptide bioregulator; in the second subgroup, patients did not receive any retinoprotective therapy. The state of the visual analyzer was assessed using spectral optical coherence tomography (SOKT), electrophysiological research methods (ERG, PERG, flicker ERG), photostress test.

RESULTS

Patients with POAG were found to have current and developing changes in the thickness and the configuration of various layers of the retina in the macular area as the disease progresses - particularly, in the nerve fiber layer (p=0.02), ganglion cells (p=0.002), inner nuclear layer (p=0.003) and the layer of pigment epithelium (p=0.049). Electrophysiological research methods helped reveal statistically significant changes in the functional parameters reflecting the generation and conduction of nerve impulses in retinal layers in patients with glaucoma. The patients undergoing peptide bioregulator therapy showed statistically significant positive changes in the state of ganglion cells observed as a decrease in the latency of the PERG N-95 wave (p=0.002) and stabilization of the structural indicators of SOCT (RNFL peripapillary zone).

CONCLUSION

Patients with POAG exhibit progressive decrease in the thickness of not only the inner, but also the outer layers of the retinal macular area. According to objective structural and functional criteria, retinoprotective therapy leads to stabilization of the glaucomatous process.

Facing the truth: are there hemifacial differences in the communication of trustworthiness?

As the right hemisphere is dominant for emotion processing, the left cheek expresses emotion more intensely than the right cheek. This prompts a leftward bias: people offer the left cheek to communicate emotion and viewers perceive left cheek poses as more emotive. Perceptions of trustworthiness are positively influenced by emotional expressivity, with smiling faces deemed more trustworthy than neutral faces. Thus as the left hemiface is more emotionally expressive than the right, the present study sought to determine whether people offer the left cheek to communicate trustworthiness, and the right to express untrustworthiness. One hundred and twenty-six participants (57 males, 69 females) completed a posing task asking them to read one of two scenarios (randomly assigned: trusted babysitter; untrustworthy car salesman), consider it for 30 seconds, and then pose for a photograph communicating their trustworthiness or untrustworthiness. Contrary to expectation, binary logistic regression results indicated no posing bias for communicating trustworthiness, however people were more likely to offer the left than right cheek when posing to communicate untrustworthiness. The novel finding of a left cheek bias for untrustworthiness is previously unreported, and highlights the need for future investigations of trustworthiness to examine both sides of the trustworthy coin.

Recognition of Foot Strike Pattern in Asian Recreational Runners

Close to 90% of recreational runners rearfoot strike in a long-distance road race. This prevalence has been obtained from North American cohorts of runners. The prevalence of rearfoot strikers has not been extensively examined in an Asian population of recreational runners. Therefore, the aim of this study was to determine the prevalence of rearfoot, midfoot, and forefoot strikers during a long-distance road race in Asian recreational runners and compare this prevalence to reported values in the scientific literature. To do so, we classified the foot strike pattern of 950 recreational runners at the 10 km mark of the Singapore marathon (77% Asian field). We observed 71.1%, 16.6%, 1.7%, and 10.6% of rearfoot, midfoot, forefoot, and asymmetric strikers, respectively. Chi-squared tests revealed significant differences between our foot strike pattern distribution and those reported from North American cohorts (P < 0.001). Our foot strike pattern distribution was similar to one reported from elite half-marathon runners racing in Japan (Fisher exact test, P = 0.168). We conclude that the prevalence of rearfoot strikers is lower in Asian than North American recreational runners. Running research should consider and report ethnicity of participants given that ethnicity can potentially explain biomechanical differences in running patterns.

Evaluating arcuate fasciculus laterality measurements across dataset and tractography pipelines

The arcuate fasciculi are white-matter pathways that connect frontal and temporal lobes in each hemisphere. The arcuate plays a key role in the language network and is believed to be left-lateralized, in line with left hemisphere dominance for language. Measuring the arcuate in vivo requires diffusion magnetic resonance imaging-based tractography, but asymmetry of the in vivo arcuate is not always reliably detected in previous studies. It is unknown how the choice of tractography algorithm, with each method's freedoms, constraints, and vulnerabilities to false-positive and -negative errors, impacts findings of arcuate asymmetry. Here, we identify the arcuate in two independent datasets using a number of tractography strategies and methodological constraints, and assess their impact on estimates of arcuate laterality. We test three tractography methods: a deterministic, a probabilistic, and a tractography-evaluation (LiFE) algorithm. We extract the arcuate from the whole-brain tractogram, and compare it to an arcuate bundle constrained even further by selecting only those streamlines that connect to anatomically relevant cortical regions. We test arcuate macrostructure laterality, and also evaluate microstructure profiles for properties such as fractional anisotropy and quantitative R1. We find that both tractography choice and implementing the cortical constraints substantially impact estimates of all indices of arcuate laterality. Together, these results emphasize the effect of the tractography pipeline on estimates of arcuate laterality in both macrostructure and microstructure.

Differentiation of Heart Failure Patients by the Ratio of the Scaling Exponents of Cardiac Interbeat Intervals

Heart failure (HF) is one of the most frequent heart diseases. It is usually characterized with structural and functional cardiac abnormalities followed by dysfunction of autonomic cardiac control. Current methods of heartbeat interval analysis are not capable to differentiate HF patients and some new differentiation of HF patients could be useful in the determination of the direction of their treatment. In this study, we examined potential of the ratio of the short-term and long-term scaling exponents (α 1 and α 2) to separate HF patients with similar level of reduced cardiac autonomic nervous system control and with no significant difference in age, left ventricular ejection fraction (LVEF) and NYHA class. Thirty-five healthy control subjects and 46 HF patients underwent 20 min of continuous supine resting ECG recording. The interbeat interval time series were analyzed using standardized power spectrum analysis, detrended fluctuation analysis method and standard Poincaré plot (PP) analysis with measures of asymmetry of the PP. Compared with healthy control group, in HF patients linear measures of autonomic cardiac control were statistically significantly reduced (p < 0.05), heart rate asymmetry was preserved (C up > C down, p < 0.01), and long-term scaling exponent α 2 was significantly higher. Cluster analysis of the ratio of short- and long-term scaling exponents showed capability of this parameter to separate four clusters of HF patients. Clusters were determined by interplay of presence of short-term and long-term correlations in interbeat intervals. Complementary measure, commonly accepted ratio of the PP descriptors, SD2/SD1, showed tendency toward statistical significance to separate HF patients in obtained clusters. Also, heart rate asymmetry was preserved only in two clusters. Finally, a multiple regression analysis showed that the ratio α 1/α 2 could be used as an integrated measure of cardiac dynamic with complex physiological background which, besides spectral components as measures of autonomic cardiac control, also involves breathing frequency and mechanical cardiac parameter, left ventricular ejection fraction.

Simple-Structured Micromotors Based on Inherent Asymmetry in Crystalline Phases: Design, Large-Scale Preparation, and Environmental Application

The key principle of designing a micro/nanomotor is to introduce asymmetry to a micro/nanoparticle. However, micro/nanomotors designed based on external asymmetry and inherent chemical and geometrical asymmetry usually suffer from tedious small-scale preparation, high cost, and/or complexity of external power and control devices, making them face insurmountable hurdles in practical applications. Herein, considering the possible distinct properties of different polymorphs, we propose a novel design strategy of simple-structured micromotors by introducing inherent asymmetry in crystalline phases. The inherent phase asymmetry can be easily introduced in spherical TiO₂ particles by adjusting the calcination temperature to control the phase transition and growth of primary grains. The as-designed anatase/rutile TiO₂ micromotors not only show efficient autonomous motions controlled by light in liquid media stemming from the asymmetric surface photocatalytic redox reactions but also have a promising application in environmental remediation due to their high photocatalytic activity in "on-the-fly" degradation of organic pollutants, facile large-scale fabrication, and low cost. The proposed design strategy may pave the way for the large-scale productions and applications of micro/nanomotors.

Asymmetric Multimetallic Mesoporous Nanospheres

Mesoporous colloidal nanospheres with tailorable asymmetric nanostructures and multimetallic elemental compositions are building blocks in next-generation heterogeneous catalysts. Introducing structural asymmetry into metallic mesoporous frameworks has never been demonstrated, but it would be beneficial because the asymmetry enables the spatial control of catalytic interfaces, facilitates the electron/mass transfer and assists in the removal of poisonous intermediates. Herein, we describe a simple bottom-up strategy to generate uniform sub-100 nm multimetallic asymmetric bowl-shaped mesoporous nanospheres (BMSs). This method uses a surfactant-directed "dual"-template to control the kinetics of metal reduction on the surface of a vesicle, forming mesoporous metal islands on its surface whose spherical cone angle can be precisely controlled. The asymmetric BMS mesostructures with different spherical cone angles (structural asymmetries) and elemental compositions are demonstrated. The high surface area and asymmetric nature of the metal surfaces are shown to enhance catalytic performance in the alcohol oxidation reactions. The findings described here offer novel and interesting opportunities for rational design and synthesis of hierarchically asymmetric nanostructures with desired functions for a wide range of applications.