Cortical Mirror-System Activation During Real-Life Game Playing: An Intracranial Electroencephalography (EEG) Study

Analogous to the mirror neuron system repeatedly described in monkeys as a possible substrate for imitation learning and/or action understanding, a neuronal execution/observation matching system (OEMS) is assumed in humans, but little is known to what extent this system is activated in non-experimental, real-life conditions. In the present case study, we investigated brain activity of this system during natural, non-experimental motor behavior as it occurred during playing of the board game "Malefiz". We compared spectral modulations of the high-gamma band related to ipsilateral reaching movement execution and observation of the same kind of movement using electrocorticography (ECoG) in one participant. Spatially coincident activity during both conditions execution and observation was recorded at electrode contacts over the premotor/primary motor cortex. The topography and amplitude of the high-gamma modulations related to both, movement observation and execution were clearly spatially correlated over several fronto-parietal brain areas. Thus, our findings indicate that a network of cortical areas contributes to the human OEMS, beyond primary/premotor cortex including Brocas area and the temporo-parieto-occipital junction area, in real-life conditions.Comment: 4 pages, 2 figure, CCN 2018 conference pape

Reaching Movement Onset- and End-Related Characteristics of EEG Spectral Power Modulations

The spectral power of intracranial field potentials shows movement-related modulations during reaching movements to different target positions that in frequencies up to the high-γ range (approximately 50 to above 200 Hz) can be reliably used for single-trial inference of movement parameters. However, identifying spectral power modulations suitable for single-trial analysis for non-invasive approaches remains a challenge. We recorded non-invasive electroencephalography (EEG) during a self-paced center-out and center-in arm movement task, resulting in eight reaching movement classes (four center-out, four center-in). We found distinct slow (≤5 Hz), μ (7.5–10 Hz), β (12.5–25 Hz), low-γ (approximately 27.5–50 Hz), and high-γ (above 50 Hz) movement onset- and end-related responses. Movement class-specific spectral power modulations were restricted to the β band at approximately 1 s after movement end and could be explained by the sensitivity of this response to different static, post-movement electromyography (EMG) levels. Based on the β band, significant single-trial inference of reaching movement endpoints was possible. The findings of the present study support the idea that single-trial decoding of different reaching movements from non-invasive EEG spectral power modulations is possible, but also suggest that the informative time window is after movement end and that the informative frequency range is restricted to the β band

Forced Return of Embedded Asylum-Seeking Families with Children to Armenia from a Children’s Rights Perspective:A Qualitative Study of Their Developmental Needs and Best Interests

Asylum-seeking families with children can be forced to return to their country of origin after staying several years in the Netherlands. The best interests of the child should play a role in return decisions. It is unclear whether the development of these children is threatened after forced return. This study aims to gain insight from a children’s rights perspective into the situation of children who were forced to return to Armenia. Data were collected by semi-structured interviews with 17 children and their parents. Results show that children are negative about their lives in Armenia after forced return. They experience psychosocial, identity and physical problems. Access to basic needs, care and education is limited. The parents’ emotional availability decreases. From a children’s rights perspective, it can be concluded that the decision to return children in this study did not meet their developmental needs, their best interests and children’s rights are contravened

Zusammenarbeit zwischen Expertinnen und Experten an Fachhochschulen. Cluster an der Hochschule Luzern Wirtschaft

Die acht öffentlich-rechtlichen Schweizer Fachhochschulen (FHs) haben einen vierfachen gesetzlichen Auftrag: praxisorientierte Aus- und Weiterbildung, anwendungsorientierte Forschung und Dienstleistungen für Dritte. Um diesem Auftrag im komplexen, wandlungsintensiven und leistungsorientierten FH-Umfeld gerecht zu werden, müssen Expertinnen und Experten an FHs zusammenarbeiten. Dieser Kooperationsimperativ ist in der Arbeitspsychologie und der Organisationssoziologie seit gut 50 Jahren unbestritten. In Bildungsinstitutionen generell und an FHs spezifisch wird er jedoch kaum systematisch umgesetzt. Um dem entgegenzuwirken, wurde an der Hochschule Luzern - Wirtschaft im Kompetenzzentrum für Public & Nonprofit Management Anfang 2018 der systematische Fachaustausch in sogenannten Clustern eingeführt und knapp zwei Jahre später in einer Einzelfallstudie empirisch untersucht. Die Forschungsfrage lautete: Unter welchen Bedingungen gelingt die Zusammenarbeit in Clustern zwischen Expertinnen und Experten im Kompetenzzentrum für Public & Nonprofit Management an der Fachhochschule Luzern Wirtschaft? Bevor das Forschungsdesign ausgeführt und die Forschungsfrage beantwortet wird, gilt es, den implizierten Kooperationsimperativ zu begründen. (DIPF/Verlag

Deep brain and cortical stimulation for epilepsy

Background : Despite optimal medical treatment, including epilepsy surgery, many epilepsy patients have uncontrolled seizures. In the last decades, interest has grown in invasive intracranial neurostimulation as a treatment for these patients. Intracranial stimulation includes both deep brain stimulation (DBS) (stimulation through depth electrodes) and cortical stimulation (subdural electrodes). Objectives : To assess the efficacy, safety and tolerability of deep brain and cortical stimulation for refractory epilepsy based on randomized controlled trials. Search methods : We searched PubMed (6 August 2013), the Cochrane Epilepsy Group Specialized Register (31 August 2013), Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2013, Issue 7 of 12) and reference lists of retrieved articles. We also contacted device manufacturers and other researchers in the field. No language restrictions were imposed. Selection criteria : Randomized controlled trials (RCTs) comparing deep brain or cortical stimulation to sham stimulation, resective surgery or further treatment with antiepileptic drugs. Data collection and analysis : Four review authors independently selected trials for inclusion. Two review authors independently extracted the relevant data and assessed trial quality and overall quality of evidence. The outcomes investigated were seizure freedom, responder rate, percentage seizure frequency reduction, adverse events, neuropsychological outcome and quality of life. If additional data were needed, the study investigators were contacted. Results were analysed and reported separately for different intracranial targets for reasons of clinical heterogeneity. Main results : Ten RCTs comparing one to three months of intracranial neurostimulation to sham stimulation were identified. One trial was on anterior thalamic DBS (n = 109; 109 treatment periods); two trials on centromedian thalamic DBS (n = 20; 40 treatment periods), but only one of the trials (n = 7; 14 treatment periods) reported sufficient information for inclusion in the quantitative meta-analysis; three trials on cerebellar stimulation (n = 22; 39 treatment periods); three trials on hippocampal DBS (n = 15; 21 treatment periods); and one trial on responsive ictal onset zone stimulation (n = 191; 191 treatment periods). Evidence of selective reporting was present in four trials and the possibility of a carryover effect complicating interpretation of the results could not be excluded in 4 cross-over trials without any washout period. Moderate-quality evidence could not demonstrate statistically or clinically significant changes in the proportion of patients who were seizure-free or experienced a 50% or greater reduction in seizure frequency (primary outcome measures) after 1 to 3 months of anterior thalamic DBS in (multi) focal epilepsy, responsive ictal onset zone stimulation in (multi) focal epilepsy patients and hippocampal DBS in (medial) temporal lobe epilepsy. However, a statistically significant reduction in seizure frequency was found for anterior thalamic DBS (-17.4% compared to sham stimulation; 95% confidence interval (CI) -32.1 to -1.0; high-quality evidence), responsive ictal onset zone stimulation (-24.9%; 95% CI -40.1 to 6.0; high-quality evidence)) and hippocampal DBS (-28.1%; 95% CI -34.1 to -22.2; moderate-quality evidence). Both anterior thalamic DBS and responsive ictal onset zone stimulation do not have a clinically meaningful impact on quality life after three months of stimulation (high-quality evidence). Electrode implantation resulted in asymptomatic intracranial haemorrhage in 3% to 4% of the patients included in the two largest trials and 5% to 13% had soft tissue infections; no patient reported permanent symptomatic sequelae. Anterior thalamic DBS was associated with fewer epilepsy-associated injuries (7.4 versus 25.5%; P = 0.01) but higher rates of self-reported depression (14.8 versus 1.8%; P = 0.02) and subjective memory impairment (13.8 versus 1.8%; P = 0.03); there were no significant differences in formal neuropsychological testing results between the groups. Responsive ictal-onset zone stimulation was well tolerated with few side effects but SUDEP rate should be closely monitored in the future (4 per 340 [= 11.8 per 1000] patient-years; literature: 2.2-10 per 1000 patient-years). The limited number of patients preclude firm statements on safety and tolerability of hippocampal DBS. With regards to centromedian thalamic DBS and cerebellar stimulation, no statistically significant effects could be demonstrated but evidence is of only low to very low quality. Authors' conclusions : Only short term RCTs on intracranial neurostimulation for epilepsy are available. Compared to sham stimulation, one to three months of anterior thalamic DBS ((multi) focal epilepsy), responsive ictal onset zone stimulation ((multi) focal epilepsy) and hippocampal DBS (temporal lobe epilepsy) moderately reduce seizure frequency in refractory epilepsy patients. Anterior thalamic DBS is associated with higher rates of self-reported depression and subjective memory impairment. SUDEP rates require careful monitoring in patients undergoing responsive ictal onset zone stimulation. There is insufficient evidence to make firm conclusive statements on the efficacy and safety of hippocampal DBS, centromedian thalamic DBS and cerebellar stimulation. There is a need for more, large and well-designed RCTs to validate and optimize the efficacy and safety of invasive intracranial neurostimulation treatments