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Roca-Ventura A, Solana-Sánchez J, Heras E, Anglada M, Missé J, Ulloa E, García-Molina A, Opisso E, Bartrés-Faz D, Pascual-Leone A, Tormos-Muñoz JM, Cattaneo G. "Guttmann Cognitest ®," a digital solution for assessing cognitive performance in adult population: A feasibility and usability pilot study. Digit Health 2024; 10:20552076231224246. [PMID: 38188861 PMCID: PMC10768632 DOI: 10.1177/20552076231224246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Accepted: 12/15/2023] [Indexed: 01/09/2024] Open
Abstract
Background As the world population continues to age, the prevalence of neurological diseases, such as dementia, poses a significant challenge to society. Detecting cognitive impairment at an early stage is vital in preserving and enhancing cognitive function. Digital tools, particularly mHealth, offer a practical solution for large-scale population screening and prompt follow-up assessments of cognitive function, thus overcoming economic and time limitations. Objective In this work, two versions of a digital solution called Guttmann Cognitest® were tested. Methods Two hundred and one middle-aged adults used the first version (Group A), while 132 used the second one, which included improved tutorials and practice screens (Group B). This second version was also validated in an older age group (Group C). Results This digital solution was found to be highly satisfactory in terms of usability and feasibility, with good acceptability among all three groups. Specifically for Group B, the system usability scale score obtained classifies the solution as the best imaginable in terms of usability. Conclusions Guttmann Cognitest® has been shown to be effective and well-perceived, with a high potential for sustained engagement in tracking changes in cognitive function.
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Affiliation(s)
- Alba Roca-Ventura
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain
- Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, Barcelona, Spain
| | - Javier Solana-Sánchez
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - Eva Heras
- Servei Envelliment i Salut Servei Andorrà d’Atenció Sanitària, Escaldes-Engordany, Andorra
| | - Maria Anglada
- Servei Envelliment i Salut Servei Andorrà d’Atenció Sanitària, Escaldes-Engordany, Andorra
| | - Jan Missé
- Servei Envelliment i Salut Servei Andorrà d’Atenció Sanitària, Escaldes-Engordany, Andorra
| | - Encarnació Ulloa
- Servei Envelliment i Salut Servei Andorrà d’Atenció Sanitària, Escaldes-Engordany, Andorra
| | - Alberto García-Molina
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - Eloy Opisso
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - David Bartrés-Faz
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Spain
- Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, Barcelona, Spain
| | - Alvaro Pascual-Leone
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Spain
- Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, USA
- Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Boston, MA, USA
- Department of Neurology, Harvard Medical School, Boston, MA, USA
| | - Josep M. Tormos-Muñoz
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - Gabriele Cattaneo
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra, Spain
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Cattaneo G, Pachón-García C, Roca A, Alviarez-Schulze V, Opisso E, García-Molina A, Bartrés-Faz D, Pascual-Leone A, Tormos-Muñoz JM, Solana-Sánchez J. "Guttmann Cognitest" ®, preliminary validation of a digital solution to test cognitive performance. Front Aging Neurosci 2022; 14:987891. [PMID: 36408102 PMCID: PMC9669647 DOI: 10.3389/fnagi.2022.987891] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 10/10/2022] [Indexed: 02/19/2024] Open
Abstract
Thanks to technological advances, the administration of cognitive assessments via digital solutions continues to increase, both in research and clinical practice. "Guttmann Cognitest"°ledR is a digital solution for cognitive assessment which includes seven computerized tasks designed to assess main cognitive functions requiring approximately 20 min to be completed. The purpose of the present study was to validate it against standard and more extensive in-person neuropsychological assessments in the context of the Barcelona Brain Health Initiative (BBHI) cohort study. We studied 274 participants of the BBHI (126 women, mean age = 56.14, age range 44-69), who underwent an extensive in-person assessment, including a classical paper-and-pencil neuropsychological assessment and a cognitive assessment via the "Guttmann Cognitest"°ledR. Principal component analysis indicated that "Guttmann Cognitest"°ledR measures four main cognitive domains and convergent validity analysis demonstrated that cognitive performance was associated with gold standard paper and pencil tests. Results also showed an expected negative correlation with age, a relation with educational level as well as a gender effect. Regression-based norming equations for the sample tested are also reported. Performing a cognitive assessment with this digital solution is feasible and potentially useful to gather information about cognitive functioning in large samples and experimental settings.
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Affiliation(s)
- Gabriele Cattaneo
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain
- Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Barcelona, Spain
| | - Catherine Pachón-García
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain
- Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Barcelona, Spain
| | - Alba Roca
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Barcelona, Spain
- Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, Barcelona, Spain
| | - Vanessa Alviarez-Schulze
- Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, Barcelona, Spain
- Departamento de Ciencias del Comportamiento, Escuela de Psicología, Universidad Metropolitana, Caracas, Venezuela
| | - Eloy Opisso
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain
- Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Barcelona, Spain
| | - Alberto García-Molina
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain
- Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Barcelona, Spain
| | - David Bartrés-Faz
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain
- Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, Barcelona, Spain
| | - Alvaro Pascual-Leone
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain
- Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, United States
- Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Boston, MA, United States
- Department of Neurology, Harvard Medical School, Boston, MA, United States
| | - Josep M. Tormos-Muñoz
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain
- Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Barcelona, Spain
| | - Javier Solana-Sánchez
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain
- Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Barcelona, Spain
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Gomes-Osman J, Solana-Sánchéz J, Rogers E, Cattaneo G, Souillard-Mandar W, Bates D, Gomez EJ, Tormos-Muñoz JM, Bartrés-Faz D, Pascual-Leone Á. Aging in the Digital Age: Using Technology to Increase the Reach of the Clinician Expert and Close the Gap Between Health Span and Life Span. Front Digit Health 2021; 3:755008. [PMID: 34870269 PMCID: PMC8639502 DOI: 10.3389/fdgth.2021.755008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2021] [Accepted: 10/25/2021] [Indexed: 01/26/2023] Open
Abstract
Age-related cognitive impairment (ARCI) has a profound impact on individuals, families, health care systems, and societies at large. Evidence suggests that ARCI is the consequence of underlying brain pathology. Therefore, efforts to minimize the impact of ARCI and thus closing the gap between health span and life span, which has widened in recent years, requires early detection and timely deployment of targeted, personalized interventions. Access to clinical experts is limited and technology screening and assessment methods are thus appealing. However, as traditionally implemented patients were deprived of the benefit of personalized connection with a clinician, which is particularly critical for the prescription and to ensure the adherence to and ultimate success of therapeutic interventions. We present the concept of Intelligent Technology Therapy Assistant (ITA) as a scalable solution that increases the reach of clinical experts while sustaining the personal connection between each patient and their clinician. We illustrate ITA with the "Guttman Neuro Personal Trainer"®, a tele-rehabilitation platform that provides neuropsychological evaluation and care, and the Barcelona Brain Health Initiative (BBHI) multimodal intervention coaching app, a mobile-based platform that provides lifestyle coaching support in domains related to brain health. In addition, we discuss the translation of these models to a large-scale enterprise with Linus Health. To this end, we conclude with a discussion of challenges and opportunities to move the field forward.
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Affiliation(s)
- Joyce Gomes-Osman
- Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, United States
- Linus Health, Waltham, MA, United States
| | - Javier Solana-Sánchéz
- Brain Health and Neurorehabilitation Institute, Institut Universitari de Neurorehabilitació Adscrit a la Universitat Autònoma de Barcelona (UAB), Badalona, Spain
- Departament de Medicina, Facultat de Medicina i Ciències de la Salut i Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain
| | | | - Gabriele Cattaneo
- Brain Health and Neurorehabilitation Institute, Institut Universitari de Neurorehabilitació Adscrit a la Universitat Autònoma de Barcelona (UAB), Badalona, Spain
- Departament de Medicina, Facultat de Medicina i Ciències de la Salut i Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain
| | | | | | - Enrique J. Gomez
- Center for Biomedical Technology, Biomedical Engineering and Telemedicine Centre, Escuela Técnica Superior de Ingenieros (ETSI) Telecomunicación, Universidad Politécnica de Madrid, Madrid, Spain
- Centro de Investigación Biomédica en Red, Biomateriales y Nanomedicina, Madrid, Spain
| | - Josep M. Tormos-Muñoz
- Brain Health and Neurorehabilitation Institute, Institut Universitari de Neurorehabilitació Adscrit a la Universitat Autònoma de Barcelona (UAB), Badalona, Spain
- Departament de Medicina, Facultat de Medicina i Ciències de la Salut i Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain
| | - David Bartrés-Faz
- Brain Health and Neurorehabilitation Institute, Institut Universitari de Neurorehabilitació Adscrit a la Universitat Autònoma de Barcelona (UAB), Badalona, Spain
- Departament de Medicina, Facultat de Medicina i Ciències de la Salut i Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain
| | - Álvaro Pascual-Leone
- Linus Health, Waltham, MA, United States
- Brain Health and Neurorehabilitation Institute, Institut Universitari de Neurorehabilitació Adscrit a la Universitat Autònoma de Barcelona (UAB), Badalona, Spain
- Departament de Medicina, Facultat de Medicina i Ciències de la Salut i Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain
- Department of Neurology, Harvard Medical School, Boston, MA, United States
- Hinda and Arthur Marcus Institute for Aging Research and Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Boston, MA, United States
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Moreno-Blanco D, Solana-Sánchez J, Sánchez-González P, Oropesa I, Cáceres C, Cattaneo G, Tormos-Muñoz JM, Bartrés-Faz D, Pascual-Leone Á, Gómez EJ. Technologies for Monitoring Lifestyle Habits Related to Brain Health: A Systematic Review. Sensors (Basel) 2019; 19:s19194183. [PMID: 31561599 PMCID: PMC6806336 DOI: 10.3390/s19194183] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Revised: 09/19/2019] [Accepted: 09/24/2019] [Indexed: 01/10/2023]
Abstract
Brain health refers to the preservation of brain integrity and function optimized for an individual’s biological age. Several studies have demonstrated that our lifestyles habits impact our brain health and our cognitive and mental wellbeing. Monitoring such lifestyles is thus critical and mobile technologies are essential to enable such a goal. Three databases were selected to carry out the search. Then, a PRISMA and PICOTS based criteria for a more detailed review on the basis of monitoring lifestyle aspects were used to filter the publications. We identified 133 publications after removing duplicates. Fifteen were finally selected from our criteria. Many studies still use questionnaires as the only tool for monitoring and do not apply advanced analytic or AI approaches to fine-tune results. We anticipate a transformative boom in the near future developing and implementing solutions that are able to integrate, in a flexible and adaptable way, data from technologies and devices that users might already use. This will enable continuous monitoring of objective data to guide the personalized definition of lifestyle goals and data-driven coaching to offer the necessary support to ensure adherence and satisfaction.
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Affiliation(s)
- Diego Moreno-Blanco
- Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación, Center for Biomedical Technology, Universidad Politécnica de Madrid, 28040 Madrid, Spain; (P.S.-G.); (I.O.); (C.C.); (E.J.G.)
- Correspondence:
| | - Javier Solana-Sánchez
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, 08916 Badalona, Spain; (J.S.-S.); (G.C.); (J.M.T.-M.); (D.B.-F.); (Á.P.-L.)
- Universitat Autònoma de Barcelona, 08193 Barcelona, Spain, and with Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, 08916 Badalona, Spain
| | - Patricia Sánchez-González
- Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación, Center for Biomedical Technology, Universidad Politécnica de Madrid, 28040 Madrid, Spain; (P.S.-G.); (I.O.); (C.C.); (E.J.G.)
- Centro de Investigación Biomédica en Red, Biomateriales y Nanomedicina (CIBER-BBN), 28029 Madrid, Spain
| | - Ignacio Oropesa
- Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación, Center for Biomedical Technology, Universidad Politécnica de Madrid, 28040 Madrid, Spain; (P.S.-G.); (I.O.); (C.C.); (E.J.G.)
| | - César Cáceres
- Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación, Center for Biomedical Technology, Universidad Politécnica de Madrid, 28040 Madrid, Spain; (P.S.-G.); (I.O.); (C.C.); (E.J.G.)
- ETSI Informática, Universidad Rey Juan Carlos, 28933 Madrid, Spain
| | - Gabriele Cattaneo
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, 08916 Badalona, Spain; (J.S.-S.); (G.C.); (J.M.T.-M.); (D.B.-F.); (Á.P.-L.)
- Institut d’Investigacions Biomèdiques August Pi i Sunyer, 08036 Barcelona, Spain
| | - Josep M. Tormos-Muñoz
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, 08916 Badalona, Spain; (J.S.-S.); (G.C.); (J.M.T.-M.); (D.B.-F.); (Á.P.-L.)
- Universitat Autònoma de Barcelona, 08193 Barcelona, Spain, and with Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, 08916 Badalona, Spain
| | - David Bartrés-Faz
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, 08916 Badalona, Spain; (J.S.-S.); (G.C.); (J.M.T.-M.); (D.B.-F.); (Á.P.-L.)
- Institut d’Investigacions Biomèdiques August Pi i Sunyer, 08036 Barcelona, Spain
- Departament de Medicina, Facultat de Medicina i Ciències de la Salut, i Institut de Neurociències, Universitat de Barcelona, 08036 Barcelona, Spain
| | - Álvaro Pascual-Leone
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, 08916 Badalona, Spain; (J.S.-S.); (G.C.); (J.M.T.-M.); (D.B.-F.); (Á.P.-L.)
- Hinda and Arthur Marcus Institute for Aging Research and the Center for Memory Health, Hebrew SeniorLife, Department of Neurology, Harvard Medical School, Boston, MA 02131, USA
| | - Enrique J. Gómez
- Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación, Center for Biomedical Technology, Universidad Politécnica de Madrid, 28040 Madrid, Spain; (P.S.-G.); (I.O.); (C.C.); (E.J.G.)
- Centro de Investigación Biomédica en Red, Biomateriales y Nanomedicina (CIBER-BBN), 28029 Madrid, Spain
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Bartrés-Faz D, Cattaneo G, Solana J, Tormos-Muñoz JM, Pascual-Leone A. P4‐172: MEANING IN LIFE: RESILIENCE BEYOND RESERVE. Alzheimers Dement 2018. [DOI: 10.1016/j.jalz.2018.06.2577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- David Bartrés-Faz
- Institut d'Investigacions Biomèdiques August Pi i SunyerBarcelonaSpain
- University of BarcelonaBarcelonaSpain
- Institut GuttmannBadalonaSpain
| | | | | | | | - Alvaro Pascual-Leone
- Berenson-Allen Center for Noninvasive Brain Stimulation and Cognitive Neurology UnitBeth Israel Deaconess Medical Center, Harvard Medical SchoolBostonMAUSA
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Pascual-Leone A, Tormos-Muñoz JM. [Transcranial magnetic stimulation: the foundation and potential of modulating specific neuronal networks]. Rev Neurol 2008; 46 Suppl 1:S3-S10. [PMID: 18302119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
AIM To offer an introduction to the neurophysiologic technique of transcranial magnetic stimulation (TMS). DEVELOPMENT We summarize the physics foundations and neurobiologic principles of action of TMS. We offer an introduction to the core aspects of instrument design and delivery technique of TMS to assure efficacy and safety. We discuss the possibility of real-time merging of TMS with neuroimaging methods (such as functional magnetic resonance imaging or positron emission tomography) to characterize neural networks in health and disease. We present evidence that repetitive TMS can be used to modulate excitability across a neural network and thus offers therapeutic applications in neurology, psychiatry, and rehabilitation. CONCLUSIONS TMS offers a unique opportunity to characterize and modulate neural networks in normal subjects and patients with diverse neuropsychiatric disorders. TMS can be used with diagnostic as well as therapeutic goals children, adults and elderly with neurologic and psychiatric disorders.
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Affiliation(s)
- A Pascual-Leone
- Berenson-Allen Center for Noninvasive Brain Stimulation, Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, Massachussets 02215, USA.
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