Efficacy of early neonatal vitamin A supplementation in reducing mortality during infancy in Ghana, India and Tanzania: study protocol for a randomized controlled trial

Vitamin A supplementation of 6-59 month old children is currently recommended by the World Health Organization based on evidence that it reduces mortality. There has been considerable interest in determining the benefits of neonatal vitamin A supplementation, but the results of existing trials are conflicting. A technical consultation convened by WHO pointed to the need for larger scale studies in Asia and Africa to inform global policy on the use of neonatal vitamin A supplementation. Three trials were therefore initiated in Ghana, India and Tanzania to determine if vitamin A supplementation (50,000 IU) given to neonates once orally on the day of birth or within the next two days will reduce mortality in the period from supplementation to 6 months of age compared to placebo. The trials are individually randomized, double masked, and placebo controlled. The required sample size is 40,200 in India and 32,000 each in Ghana and Tanzania. The study participants are neonates who fulfil age eligibility, whose families are likely to stay in the study area for the next 6 months, who are able to feed orally, and whose parent(s) provide informed written consent to participate in the study. Neonates randomized to the intervention group receive 50,000 IU vitamin A and the ones randomized to the control group receive placebo at the time of enrollment. Mortality and morbidity information are collected through periodic home visits by a study worker during infancy. The primary outcome of the study is mortality from supplementation to 6 months of age. The secondary outcome of the study is mortality from supplementation to 12 months of age. The three studies will be analysed independent of each other. Subgroup analysis will be carried out to determine the effect by birth weight, sex, and timing of DTP vaccine, socioeconomic groups and maternal large-dose vitamin A supplementation. The three ongoing studies are the largest studies evaluating the efficacy of vitamin A supplementation to neonates. Policy formulation will be based on the results of efficacy of the intervention from the ongoing randomized controlled trials combined with results of previous studies

The James Webb Space Telescope Mission

Twenty-six years ago a small committee report, building on earlier studies, expounded a compelling and poetic vision for the future of astronomy, calling for an infrared-optimized space telescope with an aperture of at least $4m$. With the support of their governments in the US, Europe, and Canada, 20,000 people realized that vision as the $6.5m$ James Webb Space Telescope. A generation of astronomers will celebrate their accomplishments for the life of the mission, potentially as long as 20 years, and beyond. This report and the scientific discoveries that follow are extended thank-you notes to the 20,000 team members. The telescope is working perfectly, with much better image quality than expected. In this and accompanying papers, we give a brief history, describe the observatory, outline its objectives and current observing program, and discuss the inventions and people who made it possible. We cite detailed reports on the design and the measured performance on orbit.Comment: Accepted by PASP for the special issue on The James Webb Space Telescope Overview, 29 pages, 4 figure

Familiarity and voice representation: From acoustic-based representation to voice averages

The ability to recognize an individual from their voice is a widespread ability with a long evolutionary history. Yet, the perceptual representation of familiar voices is ill-defined. In two experiments, we explored the neuropsychological processes involved in the perception of voice identity. We specifically explored the hypothesis that familiar voices (trained-to-familiar (Experiment 1), and famous voices (Experiment 2)) are represented as a whole complex pattern, well approximated by the average of multiple utterances produced by a single speaker. In experiment 1, participants learned three voices over several sessions, and performed a three-alternative forced-choice identification task on original voice samples and several “speaker averages,” created by morphing across varying numbers of different vowels, e.g., (a) and (i) produced by the same speaker. In experiment 2, the same participants performed the same task on voice samples produced by familiar speakers. The two experiments showed that for famous voices, but not for trained-to-familiar voices, identification performance increased and response times decreased as a function of the number of utterances in the averages. This study sheds light on the perceptual representation of familiar voices, and demonstrates the power of average in recognizing familiar voices. The speaker average captures the unique characteristics of a speaker, and thus retains the information essential for recognition; it acts as a prototype of the speaker

Diffusion MRI-based Connectivity Enriched with Microstructure Information Predicts the Propagation of Cortico-Cortical Evoked Potentials

International audiencePropagation of Cortico-Cortical Evoked Potentials (CCEPs) varies depending on numerous structural features of brain tissue. In this work, we show that dMRI-based connectivity enriched with microstructure data has the potential to measure cortico-cortical communication as it predicts CCEP-based effective connectivity. Our multiple linear regression model incorporates q-space indices like Q-space Inverse Variance, Non-Gaussianity and Return to Plane Probability with minimum streamline lengths obtained from tractography to predict delays and amplitudes of the N1 peaks in CCEPs. In our experiment, we use presurgical dMRI and intrasurgical ECoG recordings of 9 patients operated on brain tumor in the awake condition

Towards Linking Diffusion MRI based Macro-and Microstructure Measures with Cortico-Cortical Transmission in Brain Tumor Patients

International audienceWe aimed to link macro-and microstructure measures of brain white matter obtained from diffusion MRI with effective connectivity measures based on a propagation of cortico-cortical evoked potentials induced with intrasurgical direct electrical stimulation. For this, we compared streamline lengths and log-transformed ratios of streamlines computed from presurgical diffusion-weighted images, and the delays and amplitudes of N1 peaks recorded intrasurgically with electrocorticography electrodes in a pilot study of 9 brain tumor patients. Our results showed positive correlation between these two modalities in the vicinity of the stimulation sites (Pearson coefficient 0.54±0.13 for N1 delays, and 0.47±0.23 for N1 amplitudes), which could correspond to the neural propagation via U-fibers. In addition, we reached high sensitivities (0.78±0.07) and very high specificities (0.93±0.03) in a binary variant of our comparison. Finally, we used the structural connectivity measures to predict the effective connectivity using a multiple linear regression model, and showed a significant role of brain microstructure-related indices in this relation

Towards Validating Structural Connectivity in the Human Language System: An Intraoperative Cortico-Cortical Stimulation Experiment

International audienceWe aimed to validate structural connectivity measures based on diffusion MRI with Electrical Stimulation (ES) of the human brain cortex. For this, we combined white matter fiber tractography with propagation of Cortico-Cortical Evoked Potentials (CCEPs) induced by in-trasurgical ES in the language system of brain tumor patients. Our results showed high correlation (Pearson's coefficient 0.5-0.9) between delays of CCEPs and pathways connecting stimulation sites with recording electrodes. Our approach outperformed earlier study based on Diffusion Tensor Imaging. This potentially indicates that probabilistic tractogra-phy is an effective tool to quantify cortico-cortical communication non-invasively

Bridging Brain Structure and Function by Correlating Structural Connectivity and Cortico-Cortical Transmission

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The effect of real-time auditory feedback on learning new characters

International audienceThe present study investigated the effect of handwriting sonification on graphomotor learning. Thirty-two adults, distributed in two groups, learned four new characters with their non-dominant hand. The experimental design included a pre-test, a training session, and two post-tests, one just after the training sessions and another 24h later. Two characters were learned with and two without real-time auditory feedback (FB). The first group first learned the two non-sonified characters and then the two sonified characters whereas the reverse order was adopted for the second group. Results revealed that auditory FB improved the speed and fluency of handwriting movements but reduced, in the short-term only, the spatial accuracy of the trace. Transforming kinematic variables into sounds allows the writer to perceive his/her movement in addition to the written trace and this might facilitate handwriting learning. However, there were no differential effects of auditory FB, neither long-term nor short-term for the subjects who first learned the characters with auditory FB. We hypothesize that the positive effect on the handwriting kinematics was transferred to characters learned without FB. This transfer effect of the auditory FB is discussed in light of the Theory of Event Coding