Unsupervised Multitaper Spectral Method for Identifying REM Sleep in Intracranial EEG Recordings Lacking EOG/EMG Data

A large number of human intracranial EEG (iEEG) recordings have been collected for clinical purposes, in institutions all over the world, but the vast majority of these are unaccompanied by EOG and EMG recordings which are required to separate Wake episodes from REM sleep using accepted methods. In order to make full use of this extremely valuable data, an accurate method of classifying sleep from iEEG recordings alone is required. Existing methods of sleep scoring using only iEEG recordings accurately classify all stages of sleep, with the exception that wake (W) and rapid-eye movement (REM) sleep are not well distinguished. A novel multitaper (Wake vs. REM) alpha-rhythm classifier is developed by generalizing K-means clustering for use with multitaper spectral eigencoefficients. The performance of this unsupervised method is assessed on eight subjects exhibiting normal sleep architecture in a hold-out analysis and is compared against a classical power detector. The proposed multitaper classifier correctly identifies 36±6 min of REM in one night of recorded sleep, while incorrectly labeling less than 10% of all labeled 30 s epochs for all but one subject (human rater reliability is estimated to be near 80%), and outperforms the equivalent statistical-power classical test. Hold-out analysis indicates that when using one night's worth of data, an accurate generalization of the method on new data is likely. For the purpose of studying sleep, the introduced multitaper alpha-rhythm classifier further paves the way to making available a large quantity of otherwise unusable IEEG data.

Clinical outcome of anterior cruciate ligament reconstruction with modified transtibial and anteromedial portal

Arthroscopic ACL reconstruction is the current standard care of treatment for anterior cruciate ligament (ACL) injuries. Modified transtibial (mTT) and anteromedial portal (AMP) techniques aim at the anatomical placement of femoral tunnel. Controversy existed in the literature with regard to the outcome of these techniques. Hence, we designed a retrospective comparative study to analyse the clinical and functional outcomes of mTT and AMP techniques. We hypothesized that there would be no difference between the clinical and functional outcomes in mTT and AMP techniques. This retrospective observational study was conducted in consecutive patients who underwent arthroscopic ACL reconstruction using semitendinosus-gracilis (STG) quadrupled graft in our tertiary care centre with a minimum follow-up of two years. Out of 69 patients, 37 had undergone ACL reconstruction by mTT technique and remaining by AMP technique. All the patients were assessed clinically by anterior drawer, Lachman's, pivot shift and single-legged hop test. Lysholm Knee Scoring Scale and International Knee Documentation Committee (IKDC) subjective knee evaluation score were used for the functional status. Knee instability was assessed objectively by KT-1000 arthrometer. There was no statistically significant difference in baseline demographic characteristics between mTT and AMP groups. At the end of 2 years, no statistically significant difference was noted in the anterior drawer and Lachman's test. Though not significant, IKDC scores and Lysholm's scores showed a better outcome in the AMP group when compared to the mTT group. AMP group showed significantly better outcome with KT-1000 arthrometer. Based on the results obtained, we presume that overall both mTT and AMP have similar functional outcome. However, as AMP technique offers significantly improved subjective rotational stability on pivot shift test, better hop limb symmetry index and KT 1000 readings compared to mTT, we suggest AMP over mTT.

Cortical circuit-based lossless neural integrator for perceptual decision-making: A computational modeling study

The intrinsic uncertainty of sensory information (i.e., evidence) does not necessarily deter an observer from making a reliable decision. Indeed, uncertainty can be reduced by integrating (accumulating) incoming sensory evidence. It is widely thought that this accumulation is instantiated via recurrent rate-code neural networks. Yet, these networks do not fully explain important aspects of perceptual decision-making, such as a subject’s ability to retain accumulated evidence during temporal gaps in the sensory evidence. Here, we utilized computational models to show that cortical circuits can switch flexibly between “retention” and “integration” modes during perceptual decision-making. Further, we found that, depending on how the sensory evidence was readout, we could simulate “stepping” and “ramping” activity patterns, which may be analogous to those seen in different studies of decision-making in the primate parietal cortex. This finding may reconcile these previous empirical studies because it suggests these two activity patterns emerge from the same mechanism.

Bifocal Stabilisation of Acute Acromioclavicular Joint Dislocation using Suture Anchor and Temporary K-Wires: A Retrospective Analysis

Introduction

The acromioclavicular joint (ACJ) is a major link connecting the upper limb to the torso. The acromioclavicular and coracoclavicular (CC) ligaments help in stabilising the joint. We feel it is prudent to address both these ligament injuries, to achieve optimum result. This study was undertaken to analyse the results of a simple frugal surgical technique we used to deal with this injury considering stabilisation for both these ligaments.

Materials and methods

In this retrospective study, skeletally mature patients with Type III, IV or V ACJ dislocations who underwent open reduction and stabilisation of the joint with temporary K-wires, repair of the capsule and augmentation of CC ligaments with suture anchors were included. Clinico-radiological and functional outcome was evaluated. Functional assessment of the upper limb was analysed using the Disabilities of Arm, Shoulder, and Hand Score (DASH), Constant shoulder score (CSS) and Oxford shoulder score (OSS).

Results

Clinical and radiological evaluation of the 32 patients who had completed two years from the index surgery, was done. Out of the 37 patients included initially, five were lost in follow-up. Majority of the subjects included were males and type V was the most common injury. Mean pre-operative CC distance on the affected side was 13.92±4.94mm. In the immediate post-operative radiograph, it was 7.63±2.08mm and in the final follow- up was 9.36±2.75mm. Measurements were taken by two independent investigators and inter, and intra-observer reliability were analysed by Interclass correlation coefficient. Excellent functional outcome was noted despite the 1.81±1.50mm average loss of correction. At final follow-up, mean DASH score was 4.67±4.18, Oxford shoulder score was 44.06±2.44 and Constant shoulder score was 86.37±5.81. The severity of the injury had no significant effect on the functional outcome post our method of stabilisation and rehabilitation.

Conclusion

Bifocal fixation restores the multidirectional stability of the disrupted ACJ. Adequate radiological reduction, good functional outcome and simplicity of execution make this technique an undemanding one for use in regular practice.

Experimental investigation and mechanism analysis: Effect of concentration and temperature on the heat transfer characteristics of novel MWCNT-mustard oil nanofluid

ABSTRACT. The bio-oils as alternative lubricating fluid are potential solution for the automotive and industrial mechanical systems. The development of novel renewable and non-toxic bio-oils with better heat transfer distinctiveness will strengthen the economy of farmers in the agricultural based countries. The most innovative approach to improve the heat transfer characteristics of bio-oils is converting it into nanofluids by dispersing nanomaterials which has extremely high heat transfer characteristics. In this study, MWCNT-Mustard oil nanofluids were formulated through ultrasonication and their dispersion stability was estimated through Zeta-potential technique.  The thermal stability of the MWCNT-Mustard oil nanofluids are estimated through thermogravimetric analysis and concentration and temperature dependent density, thermal conductivity and specific heat capacity of MWCNT-Mustard oil nanofluids are also determined and their characteristics are discussed. The heat transfer characteristics of MWCNT-Mustard oil nanofluids observed through the heat pipe test rig at different inlet temperatures, mass flow rate of nanofluids and Reynolds number. The results exhibits that the dispersion of MWCNT enhances the heat transfer characteristics of MWCNT-Mustard oil nanofluids.   KEY WORDS: Non-toxic bio-oils, Nanomaterials, Nanofluids, Thermogravimetric analysis, MWCNT, Mustard oil Bull. Chem. Soc. Ethiop. 2022, 36(3), 675-686.                                                                DOI: https://dx.doi.org/10.4314/bcse.v36i3.16

0623 Neural Dynamics During Sleep in Parkinson’s Disease Patients

Introduction

Parkinson’s Disease (PD) is a neurodegenerative disease marked by tremor, body tone changes, and cognitive decline with deficits in motor task learning. Characteristic neural patterns during non-Rapid Eye Movement (NREM) sleep have been correlated with learning procedural motor memory tasks. We seek to understand how the neural dynamics of NREM sleep (e.g., sleep spindles and slow waves) interact with motor learning ability in a neurodegenerative disease process. This information might be used to identify electrical biomarkers that could be therapeutically targeted.

Methods

PD subjects and healthy age-matched controls were identified by physician interview, flyering, and medical chart review. Eligibility requirements for subjects precluded severe cognitive decline and untreated sleep disorders. Baseline sleep characteristics were ascertained via survey data collected prior to and on the day of the sleep study. Subjects were fitted with EEG electrodes prior to an all night polysomnogram. Subjects were also fitted with EMG and EOG electrodes for sleep scoring purposes. Motor tasks were performed prior to and following overnight sleep.

Results

Surveys indicated worse sleep quality among PD subjects compared to age-matched controls prior to their sleep session. Sleep macro-architecture of PD subjects showed a smaller percentage of sleep time in N2/N3 stages, and at the spectral level, there were indications of reduced power for slow waves and spindling. Furthermore, we observed aberrant patterns of coupling between slow waves and spindling in PD subjects.

Conclusion

Our study has implications for sleep as a component of motor skill learning and as a marker for a neurodegenerative movement disorder. NREM sleep rhythms such as sleep spindles and slow waves, and their relationships to one another, are thought to be important in motor learning and memory. Aberrations in these rhythms and their coupling may inform potential therapies to enhance motor learning and mitigate the progression of PD.

Support (If Any)

NCATS of the NIH, Award Number UL1TR003015.

Multitaper estimates of phase-amplitude coupling

Phase-amplitude coupling (PAC) is the association of the amplitude of a high-frequency oscillation with the phase of a low-frequency oscillation. In neuroscience, this relationship provides a mechanism by which neural activity might be coordinated between distant regions. The dangers and pitfalls of assessing PAC with commonly used statistical measures have been well-documented. The limitations of these measures include: (1) response to non-oscillatory, high-frequency, broad-band activity, (2) response to high-frequency components of the low-frequency oscillation, (3) adhoc selection of analysis frequency-intervals, and (4) reliance upon data shuffling to assess statistical significance.Objective.To address issues (1)-(4) by introducing a nonparametric multitaper estimator of PAC.Approach.In this work, a multitaper PAC estimator is proposed that addresses these issues. Specifically, issue (1) is addressed by replacing the analytic signal envelope estimator computed using the Hilbert transform with a multitaper estimator that down-weights non-sinusoidal activity using a classical, multitaper super-resolution technique. Issue (2) is addressed by replacing coherence between the low-frequency and high-frequency components in a standard PAC estimator with multitaper partial coherence, while issue (3) is addressed with a physical argument regarding meaningful neural oscillation. Finally, asymptotic statistical assessment of the multitaper estimator is introduced to address issue (4).Main results.Multitaper estimates of PAC are introduced. Their efficacy is demonstrated in simulation and on human intracranial recordings obtained from epileptic patients.Significance.This work facilitates a more informative statistical assessment of PAC, a phenomena exhibited by many neural systems, and provides a basis upon which further nonparametric multitaper-related methods can be developed.

TB case fatality and recurrence in a private sector cohort in Mumbai, India

BACKGROUND: Half of India´s three million TB patients are treated in the largely unregulated private sector, where quality of care is often poor. Private provider interface agencies (PPIAs) seek to improve private sector quality of care, which can be measured in terms of case fatality and recurrence rates.METHODS: We conducted a retrospective cohort survey of 4,000 private sector patients managed by the PATH PPIA between 2014 and 2017. We estimated treatment and post-treatment case-fatality ratios (CFRs) and recurrence rates. We used Cox proportional hazards models to identify predictors of fatality and recurrence. Patient loss to follow-up was adjusted for using selection weighting.RESULTS: The treatment CFR was 7.1% (95% CI 6.0-8.2). At 24 months post-treatment, the CFR was 2.4% (95% CI 1.7-3.0) and the recurrence rate was 1.9% (95% CI 1.3-2.5). Treatment fatality was associated with age (HR 1.02, 95% CI 1.02-1.03), clinical diagnosis (HR 0.61, 95% CI 0.45-0.84), treatment duration (HR 0.09, 95% CI 0.06-0.10) and adherence. Post-treatment fatality was associated with treatment duration (HR 0.87, 95% CI 0.79-0.91) and adherence.CONCLUSIONS: We found a moderate treatment phase CFR among PPIA-managed private sector patient with low rates of post-treatment fatality and recurrence. Routine monitoring of patient outcomes after treatment would strengthen PPIAs and inform future post TB interventions.

Drying characteristics of mint leaves (Mentha arvensis) dried in a solid desiccant dehumidifier system

In this present study, solid desiccant-based pressure-swing adsorption (PSA) dehumidifier was developed and the process parameters were optimized to deliver the air continuously at 0.1% relative humidity. Mint (Mentha arvensis) leaves are tested to study the drying characteristics at varied flow rates of dehumidified air in the drying chamber. The initial moisture content of 5.059 g water/g dry matter have been reduced to a safe storage level in 360 min at 0.160 m³/min volume low rate. The effective moisture diffusivity of the mint leaves was found in the range of 2.07534 × 10^-11m²/s to 3.45817 × 10^-11m²/s. The percentage of retention of ascorbic acid in dried mint leaves is increased by an increase in the volume flow rate of dry air and a maximum of 70.11% is achieved by 0.160 m³/min. The colour measurement and chlorophyll content of the dried samples indicated that the desiccant dehumidified air dryers are suitable for heat sensitive green leafy vegetables.

0124 A Prefrontal-Amygdala Network Model of the Cellular and Circuit-Level Mechanisms of Emotional Memory Consolidation During the Awake State and REM Sleep

Introduction

Rapid eye movement (REM) sleep has been implicated in the consolidation of emotional memories. Our recent work found a candidate system for REM-related memory consolidation. We showed that during REM sleep, the frontal cortices are dominated by theta (4–8 Hz) oscillations and bursts of beta (15–35 Hz) activity. Studies suggest that rhythmic interactions between the frontal cortices and limbic structures, in particular the amygdala, play a critical role in the consolidation of emotional memories. However, the mechanisms responsible for memory consolidation during these rhythmic interactions during REM sleep remain unknown.

Methods

We used biophysically based neural models to build a large-scale network model of the prefrontal cortex (PFC) and amygdala (AMY) and incorporated synaptic plasticity mechanisms, such as spike-timing dependent plasticity (STDP), into the connections between these two regions. Norepinephrine (NE) and serotonin (SE) levels were manipulated to mimic the different physiological conditions during the awake state and REM sleep.

Results

We were able to reproduce the oscillatory dynamics observed in experimental studies and identify cell-type specific synaptic changes caused by STDP. During the awake state, PFC connections to all cell types of the AMY become strengthened when PFC neurons provide theta frequency inputs, with the connections strengthening to a greater extent when inputs are in burst mode rather than single spike mode. When the PFC provides beta inputs, we see the exact opposite relationship: synaptic strengths become weaker when inputs are in burst mode rather than single spike mode. During REM sleep conditions, the connections to all principal cell types of the AMY become strengthened, with synaptic connections to some subtypes of pyramidal cells becoming stronger than others. Surprisingly, however, the synaptic connections to the interneurons become weaker in response to theta frequency inputs.

Conclusion

Using our large-scale network model, we show how the levels of the neurotransmitters NE and SE during the awake state and REM sleep affect oscillatory dynamics and in turn influence the strengthening or weakening of connections related to emotional memories.

Support

United States Army Research Office, Award number ARO W91lNF-17-1-0300

Haploinsufficiency of X-linked intellectual disability gene CASK induces post-transcriptional changes in synaptic and cellular metabolic pathways

Heterozygous mutations in the X-linked gene CASK are associated with intellectual disability, microcephaly, pontocerebellar hypoplasia, optic nerve hypoplasia and partially penetrant seizures in girls. The Cask^+/- heterozygous knockout female mouse phenocopies the human disorder and exhibits postnatal microencephaly, cerebellar hypoplasia and optic nerve hypoplasia. It is not known if Cask^+/- mice also display seizures, nor is known the molecular mechanism by which CASK haploinsufficiency produces the numerous documented phenotypes. 24-h video electroencephalography demonstrates that despite sporadic seizure activity, the overall electrographic patterns remain unaltered in Cask^+/- mice. Additionally, seizure threshold to the commonly used kindling agent, pentylenetetrazol, remains unaltered in Cask^+/- mice, indicating that even in mice the seizure phenotype is only partially penetrant and may have an indirect mechanism. RNA sequencing experiments on Cask^+/- mouse brain uncovers a very limited number of changes, with most differences arising in the transcripts of extracellular matrix proteins and the transcripts of a group of nuclear proteins. In contrast to limited changes at the transcript level, quantitative whole-brain proteomics using iTRAQ quantitative mass-spectrometry reveals major changes in synaptic, metabolic/mitochondrial, cytoskeletal, and protein metabolic pathways. Unbiased protein-protein interaction mapping using affinity chromatography demonstrates that CASK may form complexes with proteins belonging to the same functional groups in which altered protein levels are observed. We discuss the mechanism of the observed changes in the context of known molecular function/s of CASK. Overall, our data indicate that the phenotypic spectrum of female Cask^+/- mice includes sporadic seizures and thus closely parallels that of CASK haploinsufficient girls; the Cask^+/- mouse is thus a face-validated model for CASK-related pathologies. We therefore surmise that CASK haploinsufficiency is likely to affect brain structure and function due to dysregulation of several cellular pathways including synaptic signaling and cellular metabolism.

Survival of Extremotolerant Bacteria from the Mukundpura Meteorite Impact Crater

Carbonaceous meteorites provide clues with regard to prebiotic chemistry and the origin of life. Geological Survey of India recorded a carbonaceous chondrite meteorite fall in Mukundpura, India, on June 6, 2017. We conducted a study to investigate the microbial community that survived the meteorite impact. 16S rRNA metagenomic sequencing indicates the presence of Actinobacteria, Proteobacteria, and Acidobacteria in meteorite impact soil. Comparative phylogenetic analysis revealed an intriguing abundance of class Bacilli in the impact soil. Bacillus thermocopriae IR-1, a moderately thermotolerant organism, was isolated from a rock, impacted by the Mukundpura meteorite. We investigated the resilience of B. thermocopriae IR-1 to environmental stresses and impact shock in a Reddy shock tube. Bacillus thermocopriae IR-1 survived (28.82% survival) the effect of shock waves at a peak shock pressure of 300 kPa, temperature 400 K, and Mach number of 1.47. This investigation presents the first report on the effect of impact shock on B. thermocopriae IR-1. The study is also the first report on studying the microbial diversity and isolation of bacteria from impact crater soil immediately after meteorite impact event.

Frontal beta-theta network during REM sleep

We lack detailed knowledge about the spatio-temporal physiological signatures of REM sleep, especially in humans. By analyzing intracranial electrode data from humans, we demonstrate for the first time that there are prominent beta (15–35 Hz) and theta (4–8 Hz) oscillations in both the anterior cingulate cortex (ACC) and the DLPFC during REM sleep. We further show that these theta and beta activities in the ACC and the DLPFC, two relatively distant but reciprocally connected regions, are coherent. These findings suggest that, counter to current prevailing thought, the DLPFC is active during REM sleep and likely interacting with other areas. Since the DLPFC and the ACC are implicated in memory and emotional regulation, and the ACC has motor areas and is thought to be important for error detection, the dialogue between these two areas could play a role in the regulation of emotions and in procedural motor and emotional memory consolidation.

DOI:http://dx.doi.org/10.7554/eLife.18894.001

Over the course of a night we cycle through several different stages of sleep. During one of these stages, our eyes move rapidly from side to side behind our closed eyelids. This movement gives this stage its name: rapid eye movement sleep, or REM sleep for short. Most other muscles are paralyzed during REM sleep, possibly to prevent us from acting out the vivid dreams that also occur during this stage of sleep. But despite the distinctive properties of REM sleep, relatively little is known about about why we need it or how the brain generates it.

Vijayan et al. have now obtained new insights into the brain activity that underlies REM sleep by recording from the brains of human patients with epilepsy. The patients all had electrodes temporarily inserted into their brains to help neurologists identify the area of the brain that was responsible for their seizures. By recording from these electrodes overnight, Vijayan et al. were able to study the activity of individual brain regions while the patients slept.

Analysis of the recordings revealed rhythmic waves of neuronal activity in areas at the front of the brain during REM sleep. Two types of brain waves dominated: theta waves, which are relatively slow waves with a frequency of 4–8 cycles per second (Hertz), and beta waves, which are faster with a frequency of 15–35 Hertz. These theta and beta waves were especially pronounced in two subregions of the frontal lobe of the brain, called the dorsolateral prefrontal cortex (DLPFC) and the anterior cingulate cortex (ACC).

The discovery of prominent rhythmic activity in the DLPFC was unexpected. This is because previous studies had shown that this region, which is involved in decision-making and planning, was relatively inactive during REM sleep. Indeed it had been suggested that the limited activity of the DLPFC subregion might be responsible for the often bizarre and illogical nature of our dreams. Instead, Vijayan et al. showed that the ACC and the DLPFC coordinate their activity during REM sleep. The next challenge is to find out whether this dual activity helps support other roles that the two regions share in common, such as the strengthening of memories and the regulation of emotions.

DOI:http://dx.doi.org/10.7554/eLife.18894.002

Thalamic mechanisms underlying alpha-delta sleep with implications for fibromyalgia

Alpha-delta sleep is the abnormal intrusion of alpha activity (8- to 13-Hz oscillations) into the delta activity (1- to 4-Hz oscillations) that defines slow-wave sleep. Alpha-delta sleep is especially prevalent in fibromyalgia patients, and there is evidence suggesting that the irregularities in the sleep of these patients may cause the muscle and tissue pain that characterizes the disorder. We constructed a biophysically realistic mathematical model of alpha-delta sleep. Imaging studies in fibromyalgia patients suggesting altered levels of activity in the thalamus motivated a thalamic model as the source of alpha activity. Since sodium oxybate helps to alleviate the symptoms of fibromyalgia and reduces the amount of alpha-delta sleep in fibromyalgia patients, we examined how changes in the molecular targets of sodium oxybate affected alpha-delta activity in our circuit. Our model shows how alterations in GABAB currents and two thalamic currents, Ih (a hyperpolarization-activated current) and a potassium leak current, transform a circuit that normally produces delta oscillations into one that produces alpha-delta activity. Our findings suggest that drugs that reduce Ih conductances and/or increase potassium conductances, without necessarily increasing GABAB conductances, might be sufficient to restore delta sleep. Furthermore, they suggest that delta sleep might be restored by drugs that preferentially target these currents in the thalamus; such drugs might have fewer side effects than drugs that act systemically.

Brain rhythms connect impaired inhibition to altered cognition in schizophrenia

In recent years, schizophrenia research has focused on inhibitory interneuron dysfunction at the level of neurobiology and on cognitive impairments at the psychological level. Reviewing both experimental and computational findings, we show how the temporal structure of the activity of neuronal populations, exemplified by brain rhythms, can begin to bridge these levels of complexity. Oscillations in neuronal activity tie the pathophysiology of schizophrenia to alterations in local processing and large-scale coordination, and these alterations in turn can lead to the cognitive and perceptual disturbances observed in schizophrenia.

Revision cartilage cell transplantation for failed autologous chondrocyte transplantation in chronic osteochondral defects of the knee

The management of failed autologous chondrocyte implantation (ACI) and matrix-assisted autologous chondrocyte implantation (MACI) for the treatment of symptomatic osteochondral defects in the knee represents a major challenge. Patients are young, active and usually unsuitable for prosthetic replacement. This study reports the results in patients who underwent revision cartilage transplantation of their original ACI/MACI graft for clinical or graft-related failure. We assessed 22 patients (12 men and 10 women) with a mean age of 37.4 years (18 to 48) at a mean of 5.4 years (1.3 to 10.9). The mean period between primary and revision grafting was 46.1 months (7 to 89). The mean defect size was 446.6 mm(2) (150 to 875) and they were located on 11 medial and two lateral femoral condyles, eight patellae and one trochlea. The mean modified Cincinnati knee score improved from 40.5 (16 to 77) pre-operatively to 64.9 (8 to 94) at their most recent review (p < 0.001). The visual analogue pain score improved from 6.1 (3 to 9) to 4.7 (0 to 10) (p = 0.042). A total of 14 patients (63%) reported an 'excellent' (n = 6) or 'good' (n = 8) clinical outcome, 5 'fair' and one 'poor' outcome. Two patients underwent patellofemoral joint replacement. This study demonstrates that revision cartilage transplantation after primary ACI and MACI can yield acceptable functional results and continue to preserve the joint.