Chenkennedy2376

Attention-deficit/hyperactivity disorder (ADHD) has been the focus of magnetic resonance imaging studies for more than 30 years, with more than 2200 articles listed in PubMed. Nevertheless, the brain substrates of ADHD remain poorly understood. This reflects the crisis of replicability across nearly all scientific endeavors, deriving from factors such as small sample sizes combined with a proliferation in analytical approaches, yielding high rates of false positive results. The field of molecular genetics confronted this by adopting open and immediate sharing of raw data and insistence on rigorous corrections for multiple comparisons. These strategies are yielding more robust genetic findings, albeit with much smaller effect sizes than before. This brief review focuses on two recent consortium efforts, i.e., the international Enhancing Neuro-Imaging Genetics through Meta-Analysis (ENIGMA), and the U.S. Adolescent Behavior & Cognitive Developm ent Study (ABCD). Both embrace the culture of open science, and are beginning to yield credible findings, despite being limited initially to cross-sectional analyses. As the field continues to mature, these and other ongoing longitudinal large-scale studies are poised to transform our understanding of the pathophysiology of ADHD to bring closer the day when neuroimaging can contribute to clinical utility.This study aims to contribute to a better understanding of attention deficit hyperactivity disorder (ADHD) by comprehensively examining the relationship between two of the main cognitive deficits of the disorder (attention and inhibitory control), symptomatology (inattention and hyperactivity/impulsivity) and functional impairment in 85 children and adolescents with ADHD without other comorbid disorders. We found, independent of general intellectual functioning and age, that i) greater attentional and inhibitory deficits predicted greater severity of ADHD symptoms, ii) greater attentional and inhibitory deficits predicted greater functional impairment, but not in a direct way but through symptoms, and iii) greater symptomatic severity predicted greater functional impairment. Beginning to explore and understand the complexity of ADHD is key to advance our knowledge of the disorder and for correct clinical decision making.Traumatic brain injury (TBI) as well as Attention Deficit Disorder with or without hyperactivity (ADHD) are very common problems that affect children. It is known that patients who suffer a traumatic brain injury may present symptoms of ADHD, which often go unnoticed in the acute period, especially when there are more serious injuries that hide them and are only evident when the patient returns to their regular cognitive activity after discharge. Symptoms can vary depending on the mechanism of injury, the location in the brain where the trauma or its effects occur, complications, and the severity of the injury. Some symptoms of TBI are identical to those of ADHD, making the diagnosis of these patients more difficult to discern either because the patient or their parents report them together or when the patient already had pre-existing ADHD. We describe some clinical scenarios in this article in which there is an interaction between these two processes that are explained in part because both can affect similar nerve conduction pathways and neurotransmitters. find more The clinician must recognize attention problems in patients with TBI and other presentations and offer appropriate and timely treatment when symptoms interfere with the patient's functioning. Treatment of ADHD in patients with TBI uses accommodations and medications similar to those used in patients who only have ADHD, but depending on the severity, they can vary in duration.In more than half of neurodevelopmental disorders, a genetic etiology is demonstrated. The detection of these pathogenic variants has a huge impact on the course of the disease of these patients. It allows the acceptance of the disease by the parents of the patients, issue a prognosis, anticipate the future consequences of the disease and in more and more cases establish a treatment or change the one already established. The genetic techniques that allow these etiological diagnoses are very recent therefore not yet fully assumed by neuropediatricians. Even in the diagnostic guides of the different scientific societies, their algorithms are outdated by the quick incorporation of new techniques. This article reviews the current techniques as well as the latest advances in them that are being incorporated into clinical practice.Neurodevelopmental disorders are the most common diagnosis in the clinical practice in child neurology. Since the 70's the terminology used for the diagnosis of these conditions, was developed with the goal of obtaining better services for those individuals affected. Over the years the classification has changed but the fundamental process for diagnosis continues the same. There is a new movement aiming to change the current classification and propose a new one based in the molecular deficits associated with the clinical phenotype rather than a collection of symptoms. This new approach focusses on the identification of the molecular defectcausing of the specific to design targeted interventions that will promise a curative approach, rather than the current symptom-based interventions available. Important progress has been done alrea dy, given the high association between cognitive/compartmental phenotype in some well-known genetic defects like Neurofibromatosis, TSC, Down syndrome, and the high association between different cognitive/compartmental phenotype in rare diseases. The future will hold opportunities to properly identify the molecular deficit and a tailored intervention for those conditions today called Neurodevelopmental disabilities.Modern neuroscience addresses the problem of the global functioning of the brain in order to understand the neurobiological processes that underlie mental functions, and especially, consciousness. Brain activity is based on the exchange of information between neurons through contacts or synapses. Neurons form networks of connection between them (circuits), which are dedicated to processing a specific type of information (visual, auditory, motor ...). The circuits establish networks among themselves, combining different modalities of information to generate what we know as mental activity. The study of connections between cortical regions, which has been called connectome, is being approached through neuroimaging techniques such as nuclear magnetic resonance that provide data on the density of connections in the brain. The brain's ability to create new connections based on experience (brain plasticity) suggests that the connectome is a dynamic structure in constant interaction with external and internal stimuli. The question about whether knowledge of an individual's connectome would allow us to predict his or her behavior seems to have no clear answer yet, because we do not know the physical parameters that link the complexity of the brain's connections with the appearance of mental functions and consciousness. At the moment, it seems that the complex and unpredictable behavior is not the simple result of linear processes of neuronal interaction. Uncertainty prevails over determinism, which opens the door to the possibility of a quantum mechanism to explain consciousness.The stratum corneum (SC) plays an important role in skin barrier function. It acts as a protective barrier against water loss, eliminates foreign substances and micro-organisms and acts against harmful effects of UVR. our aim was to study the impact of suberythemal doses of UVA and UVB exposure on the molecular structure, organization and barrier function of the SC by following different Raman descriptors. Twenty female volunteers, aged 20-30 years, with healthy skin were enrolled. Doses of 95 mJ/cm2 UVA and 15 mJ/cm2 UVB were applied to volunteers' forearms. In vivo Raman measurements were performed at irradiated and control regions. The impact of UVA and UVB irradiation was observed following several Raman descriptors, i.e. the ratio of vasymCH2/vsymCH2 (2885 cm-1/ 2850 cm-1) corresponding to the organizational order of the lipid bilayer. Water content and mobility descriptors were obtained by calculating vOH/vCH ratio. Finally, protein secondary structure was evaluated based on the 1670 cm-1/1650 cm-1 ratio related to β sheets and α helices, respectively. UVA induced a loosening of the lateral packing of lipids immediately after irradiation. In contrast, delayed impact caused a tightening of the lipid barrier, an increase in water content -mainly in the unbound water fraction and a higher relative amount of β sheets in SC proteins. Overall, these observations may explain the thickening of the SC observed in previous studies. A UVB dose of 15 mJ/cm2 was apparently below the threshold necessary to induce significant changes despite the trends observed in this study.Extramammary Paget's disease (EMPD) frequently extends beyond clinical borders, causing a high recurrence rate. Mohs micrographic surgery (MMS) has been used for management of EMPD, but its efficiency is compromised by technical limitations inherent in MMS. To identify clinicopathologic parameters of predictive value regarding MMS final margin width (FMW) for EMPD, and provide some preliminary guidance in selecting initial surgical margin width for improved efficiency. This was a retrospective study of 150 consecutive EMPD patients who underwent MMS between 2013 and 2019. Clinicopathological parameters and surgical data were collected to construct a classification tree of FMW. A six-node classification tree with a sensitivity of 86.25% and a specificity of 48.57% was generated. Lesion width, disease duration and inflammation score were used to select subgroups of patients in whom optimal initial margin width may be recommended. Classification tree analysis may help identify important variables to consider when selecting MMS initial surgical margins for EMPD.Existing driving fatigue detection methods rarely consider how to effectively fuse the advantages of the electroencephalogram (EEG) and electrocardiogram (ECG) signals to enhance detection performance under noise conditions. To address the issues, this article proposes a new type of the deep learning (DL) framework based on EEG and ECG called the product fuzzy convolutional network (PFCN). It should be noted that this article first investigates how to fuse EEG and ECG signals to deal with driving fatigue detection under noise conditions in both simulated and real-field driving environments. Specifically, the PFCN includes three subnetworks. The first uses a fuzzy neural network (FNN) with feedback and a product layer, effectively capturing the particularity and temporal variation of high-dimensional EEG signals and reducing the time-space complexity. The second subnetwork uses a 1-D convolution to convert the ECG data into feature sequences, providing high accuracy and low computational complexity in ECG data classification. The third subnetwork proposes a fusion-separation mechanism to effectively fuse the extracted ECG and EEG features, suppressing the noise interference and ensuring higher detection accuracy. To evaluate the performance of PFCN, a series of experiments has been set up in both simulated and real-field driving environments. The results indicate that the proposed PFCN model has better robustness and detection accuracy compared with several mainstream fatigue detection models.