11 research outputs found

    The Human Phenotype Ontology in 2024: phenotypes around the world.

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    The Human Phenotype Ontology (HPO) is a widely used resource that comprehensively organizes and defines the phenotypic features of human disease, enabling computational inference and supporting genomic and phenotypic analyses through semantic similarity and machine learning algorithms. The HPO has widespread applications in clinical diagnostics and translational research, including genomic diagnostics, gene-disease discovery, and cohort analytics. In recent years, groups around the world have developed translations of the HPO from English to other languages, and the HPO browser has been internationalized, allowing users to view HPO term labels and in many cases synonyms and definitions in ten languages in addition to English. Since our last report, a total of 2239 new HPO terms and 49235 new HPO annotations were developed, many in collaboration with external groups in the fields of psychiatry, arthrogryposis, immunology and cardiology. The Medical Action Ontology (MAxO) is a new effort to model treatments and other measures taken for clinical management. Finally, the HPO consortium is contributing to efforts to integrate the HPO and the GA4GH Phenopacket Schema into electronic health records (EHRs) with the goal of more standardized and computable integration of rare disease data in EHRs

    Modulation of rostrolateral prefrontal cortex during cognitive introspection using real-time fmri

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    The main purpose of this study was to examine the ability of healthy individuals to gain control over RLPFC activation by making use of feedback provided to them in real-time about the level of activation in their RLPFC. It was hypothesized that RLPFC is involved in introspective evaluation of thought processes. It was also hypothesized that healthy volunteers could achieve improved modulation of their RLPFC activation by using real-time fMRI feedback from that region. Seven healthy volunteers completed a pre-training session, four to six training sessions, and a post-training session. Subjects were instructed to turn their attention toward their own thoughts in order to up-regulate, and turn their attention toward external sensations to down-regulate the target brain region. During the training sessions, subjects received feedback about their level of activation in bilateral RLPFC, while no feedback was provided during the pre- and post-training sessions. Group analysis of individual sessions revealed enhanced left RLPFC activation throughout the feedback training. In addition, direct comparison of post-training versus pre-training sessions resulted in a significant cluster of activation in left RLPFC. These findings are consistent with the hypothesized role of RLPFC in introspective evaluation of thought processes. They also demonstrate the feasibility of using real-time fMRI feedback training to achieve enhanced modulation of higher cognitive regions such as RLPFC. Finally, the findings underscore important limitations of real-time fMRI studies including global signal modulation and potential undesirable effects of feedback on task performance. Future studies will need to address these limitations.Medicine, Faculty ofGraduat

    Patterns of pharmacotherapy for bipolar disorder:A GBC survey

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    International audienceAbstract Objectives To understand treatment practices for bipolar disorders (BD), this study leveraged the Global Bipolar Cohort collaborative network to investigate pharmacotherapeutic treatment patterns in multiple cohorts of well‐characterized individuals with BD in North America, Europe, and Australia. Methods Data on pharmacotherapy, demographics, diagnostic subtypes, and comorbidities were provided from each participating cohort. Individual site and regional pooled proportional meta‐analyses with generalized linear mixed methods were conducted to identify prescription patterns. Results This study included 10,351 individuals from North America ( n = 3985), Europe ( n = 3822), and Australia ( n = 2544). Overall, participants were predominantly female (60%) with BD‐I (60%; vs. BD‐II = 33%). Cross‐sectionally, mood‐stabilizing anticonvulsants (44%), second‐generation antipsychotics (42%), and antidepressants (38%) were the most prescribed medications. Lithium was prescribed in 29% of patients, primarily in the Australian (31%) and European (36%) cohorts. First‐generation antipsychotics were prescribed in 24% of the European versus 1% in the North American cohort. Antidepressant prescription rates were higher in BD‐II (47%) compared to BD‐I (35%). Major limitations were significant differences among cohorts based on inclusion/exclusion criteria, data source, and time/year of enrollment into cohort. Conclusions Mood‐stabilizing anticonvulsants, second‐generation antipsychotics, and antidepressants were the most prescribed medications suggesting prescription patterns that are not necessarily guideline concordant. Significant differences exist in the prescription practices across different geographic regions, especially the underutilization of lithium in the North American cohorts and the higher utilization of first‐generation antipsychotics in the European cohorts. There is a need to conduct future longitudinal studies to further explore these differences and their impact on outcomes, and to inform and implement evidence‐based guidelines to help improve treatment practices in BD
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