The relationship between interhemispheric synchrony, morphine and microstructural development of the corpus callosum in extremely preterm infants

Publisher Copyright: © 2022 The Authors. Human Brain Mapping published by Wiley Periodicals LLC.The primary aim of this study is to examine whether bursting interhemispheric synchrony (bIHS) in the first week of life of infants born extremely preterm, is associated with microstructural development of the corpus callosum (CC) on term equivalent age magnetic resonance imaging scans. The secondary aim is to address the effects of analgesics such as morphine, on bIHS in extremely preterm infants. A total of 25 extremely preterm infants (gestational age [GA] .5). ASI was positively associated with the administration of morphine (p <.05). Early cortical synchrony may be affected by morphine and is not associated with the microstructural development of the CC. More studies are needed to evaluate the long-term effects of neonatal morphine treatment to optimize sedation in this high-risk population.Peer reviewe

Unidirectional endobronchial valves for management of persistent air-leaks. Results of a multicenter study

Background: To evaluate the efficacy of Endo-Bronchial Valves in the management of persistent air-leaks (PALs) and the procedural cost. Methods: It was a retrospective multicenter study including consecutive patients with PALs for alveolar pleural fistula (APF) undergoing valve treatment. We assessed the efficacy and the cost of the procedure. Results: Seventy-four patients with persistent air leaks due to various etiologies were included in the analysis. In all cases the air leaks were severe and refractory to standard treatments. Sixty-seven (91%) patients underwent valve treatment obtaining a complete resolution of air-leaks in 59 (88%) patients; a reduction of air-leaks in 6 (9%); and no benefits in 2 (3%). The comparison of data before and after valve treatment showed a significant reduction of air-leak duration (16.2±8.8 versus 5.0±1.7 days; P<0.0001); chest tube removal (16.2±8.8 versus 7.3±2.7 days; P<0.0001); and length of hospital stay (LOS) (16.2±8.8 versus 9.7±2.8 days; P=0.004). Seven patients not undergoing valve treatment underwent pneumo-peritoneum with pleurodesis (n=6) or only pleurodesis (n=1). In only 1 (14%) patient, the chest drainage was removed 23 days later while the remaining 6 (86%) were discharged with a domiciliary chest drainage removed after 157±41 days. No significant difference was found in health cost before and after endobronchial valve (EBV) implant (P=0.3). Conclusions: Valve treatment for persistent air leaks is an effective procedure. The reduction of hospitalization costs related to early resolution of air-leaks could overcome the procedural cost

Soroprevalência de anticorpos do vírus SARS-CoV-2 em escolares no município de São Paulo, 2020

OBJECTIVE: To estimate seroprevalence of SARS-CoV-2 antibodies in schoolchildren aged 4 to 14 years living in the city of São Paulo, according to clinical, demographic, epidemiological, and social variables, during the school closure period as a measure against covid-19 spread. METHODS: A serological survey was made in September 2020 with a random sample stratified by school system (municipal public, state public and private) type. A venous blood sample was collected using the Wondfo SARS-CoV-2 Antibody Test (lateral flow method) for detection of total SARS-CoV-2 virus antibodies. Semi-structured questionnaires were applied to collect clinical, demographic, social, and epidemiological data. RESULTS: Seroprevalence of SARS-CoV-2 antibodies in schoolchildren was of 16.6% (95%CI 15.4–17.8). The study found higher seroprevalence in the municipal (18.5%; 95%CI 16.6–20.6) and state (16.2%; 95%CI 14.4–18.2) public school systems compared to the private school system (11.7; 95%CI 10.0–13.7), among black and brown students (18.4%; 95%CI 16.8–20.2) and in the most vulnerable social stratum (18.5 %;95%CI 16.9–20.2). Lower seroprevalence was identified in schoolchildren who reported following the recommended protective measures against covid-19. CONCLUSION: Seroprevalence of SARS-CoV-2 antibodies is found mainly in the most socially vulnerable schoolchildren. This study can contribute to support public policies that reinforce the importance of suspending face-to-face classes and developing strategies aimed at protective measures and monitoring of the serological status of those who have not yet been included in the vaccination schedule.OBJETIVO: Estimar a soroprevalência de anticorpos do vírus SARS-CoV-2 em escolares de quatro a 14 anos de idade residentes no município de São Paulo, segundo variáveis clínicas, demográficas, epidemiológicas e sociais, durante o período de fechamento das escolas como medida de controle da covid-19. MÉTODOS: Realizou-se um inquérito sorológico em setembro de 2020 com amostra aleatória estratificada por tipo de rede de ensino (pública municipal, pública estadual e privada). Foi coletada amostra de sangue venoso utilizando-se o teste de imunoensaio de fluxo lateral da fabricante Wondfo para detecção de anticorpos totais contra o vírus SARS-CoV-2. Aplicaram-se questionários semiestruturados para o levantamento de dados clínicos, demográficos, sociais e epidemiológicos. RESULTADOS: A soroprevalência de anticorpos do vírus SARS-CoV-2 em escolares foi de 16,6% (IC95% 15,4–17,8). O estudo encontrou soroprevalências mais elevadas na rede pública municipal (18,5%; IC95% 16,6–20,6) e estadual (16,2%; IC95% 14,4–18,2) em relação à rede privada (11,7; IC95% 10,0–13,7) e entre escolares da raça/cor preta e parda (18,4%; IC95% 16,8–20,2) e no estrato social mais vulnerável (18,5%; IC95% 16,9–20,2). A pesquisa identificou menores soroprevalências nos escolares que relataram seguir as medidas recomendadas de proteção contra a covid-19. CONCLUSÃO: A soroprevalência de anticorpos contra o vírus SARS-CoV-2 atinge principalmente os escolares socialmente mais vulneráveis. Este estudo pode contribuir para embasar políticas públicas que reforcem a importância da suspensão das aulas presenciais e da necessidade de estratégias de medidas de proteção e acompanhamento do status sorológico daqueles que ainda não foram contemplados no calendário vacinal

No training effects of top-down controlled response inhibition by practicing on the stop-signal task

The aim of the current study is to examine if the top-down controlled response inhibition on a stop-signal task (SST) can be trained. Results from previous studies have been equivocal, possibly because signal-response combinations are often not varied across training and test phases, allowing bottom-up signal-response associations to be formed that may improve response inhibition. The current study compared the response inhibition on the SST in a pre-test and post-test in an experimental group (EG) and control group (CG). In between tests, the EG received ten training sessions on the SST with varying signal-response combinations that were also different from the combinations in the test phase. The CG received ten training sessions on the choice reaction time task. Results failed to reveal a decrease in stop-signal reaction time (SSRT) during and after training, with Bayesian analyses revealing anecdotal and substantial evidence for the null hypothesis during and after training, respectively. Yet, the EG did show smaller go reaction times (Go_RT) and stop signal delays (SSD) after training. The results indicate that the top-down controlled response inhibition is difficult or impossible to improve

Neuroscience: memory modification without catastrophe

Adaptive behaviour is supported by changes in neuronal networks. Insight into maintaining these memories — preventing their catastrophic loss — despite further network changes occurring due to novel learning is provided in a new study

A Novel Solution to Find the Dynamic Response of an Euler–Bernoulli Beam Fitted with Intraspan TMDs under Poisson Type Loading

This contribution considers a virtual experiment on the vibrational response of rail and road bridges equipped with smart devices in the form of damping elements to mitigate vibrations. The internal damping of the bridge is considered a discontinuity that contain a dashpot. Exact complex eigenvalues and eigenfunctions are derived from a characteristic equation built as the determinant of a 4 &times; 4 matrix; this is accomplished through the use of the theory of generalized functions to find the response variables at the positions of the damping elements. To relate this to real world applications, the response of a bridge under Poisson type white noise is evaluated; this is similar to traffic loading that would be seen in a bridge&rsquo;s service life. The contribution also discusses the importance of smart damping and dampers to sustainability efforts through the reduction of required materials, and it discusses the role played by robust mathematical modelling in the design phase

Stochastic Response of Beams Equipped with Tuned Mass Dampers Subjected to Poissonian Loads

This contribution deals with the vibrational response of Euler-Bernoulli beams equipped with tuned mass dampers, subjected to random moving loads. The theory of generalised functions is used to capture the discontinuities of the response variables at the positions of the tuned mass dampers, which involves deriving exact complex eigenvalues and eigenfunctions from a characteristic equation built as the determinant of a 4 x 4 matrix, regardless of the number of tuned mass dampers. Building pertinent orthogonality conditions for the deflection eigenfunctions, the stochastic responses, under Poissonian white noise, are evaluated. In a numerical application, a beam with multiple tuned mass dampers, acted upon by random moving loads, is consideredThe research presented in this project was carried out as part of the H2020-MSCA-ETN-2016. This project has received funding from the European Unions H2020 Programme for research, technological development and demonstration under grant agreement number 72149