BOLD and perfusion changes during epileptic generalised spike wave activity

It is unclear whether neurovascular coupling is maintained during epileptic discharges. Knowing this is important to allow appropriate inferences from functional imaging studies of epileptic activity. Recent blood oxygen level-dependent (BOLD) functional MRI (fMRI) studies have demonstrated negative BOLD responses (NBR) in frontal, parietal and posterior cingulate cortices during generalised spike wave activity (GSW). We hypothesized that GSW-related NBR commonly reflect decreased cerebral blood flow (CBF). We measured BOLD and cerebral blood flow responses using simultaneous EEG with BOLD and arterial spin label (ASL) fMRI at 3 T. Four patients with epilepsy were studied; two with idiopathic generalized epilepsy (IGE) and two with secondary generalized epilepsy (SGE). We found GSW-related NBR in frontal, parietal and posterior cingulate cortices. We measured the coupling between BOLD and CBF changes during GSW and normal background EEG and found a positive correlation between the simultaneously measured BOLD and CBF throughout the imaged volume. Frontal and thalamic activation were seen in two patients with SGE, concordant with the electro-clinical features of their epilepsy. There was striking reproducibility of the GSW-associated BOLD response in subjects previously studied at 1.5 T. Our results show a preserved relationship between BOLD and CBF changes during rest and GSW activity consistent with normal neurovascular coupling in patients with generalized epilepsy and in particular during GSW activity. Cortical activations appear to reflect areas of discharge generation whilst deactivations reflect changes in conscious resting state activity

Improving parsing by incorporating "prosodic clause boundaries" into a grammar

In written language, punctuation is used to separate main and subordinate clause. In spoken language, ambiguities arise due to missing punctuation, but clause boundaries are often marked prosodically and can be used instead. We detect PCBs (Prosodically markedClauseBoundaries) by using prosodic features (duration, intonation, energy, and pause information) with a neural network, achieving a recognition rate of 82%. PCBs are integrated into our grammar using a special syntactic category "break" that can be used in the phrase-structure rules of the grammar in a similar way as punctuation is used in grammars for written language. Whereas punctuation in most cases is obligatory, PCBs are sometimes optional. Moreover, they can in principle occur everywhere in the sentence due e.g. to hesitations or misrecognition. To cope with these problems we tested two different approaches: A slightly modified parser for word chains containing PCBs and a word graph parser that takes the probabilities of PCBs into account. Tests were conducted on a subset of infinitive subordinate clauses from a large speech database containing sentences from the domain of train table inquiries. The average number of syntactic derivations could be reduced by about 70 % even when working on recognized word graphs

1 The Prosodic Marking of Phrase Boundaries: Expectations and Results

ABSTRACT Using sentence templates and a stochastic context-free grammar a large corpus (10,000 sentences) has been created, where prosodic phrase boundaries are labeled in the sentences automatically during sentence generation. With perception experiments on a subset of 500 utterances we verified that 92 % of the automatically marked boundaries were perceived as prosodically marked. In initial automatic classification experiments for three levels of boundaries recognition rates up to 81 % could be achieved. 1.1 Introduction and Material A successful automatic detection of phrase boundaries can be of great help for parsing a word hypotheses graph in an automatic speech understanding (ASU) system. Our recognition paradigm lies within the statistical approach; we therefore need a large training database, i.e. a corpus with reference labels for prosodically marked phrase boundaries. In this paper we wil

Automatic classification of prosodically marked phrase boundaries in German

A large corpus has been created automatically and read by speakers. Phrase boundaries were labeled in the sentences automatically during sentence generation. Perception experiments on a subset of 500 utterances showed a high agreement between the automatically generated boundary markers and the ones perceived by listeners. Gaussian distribution and polynomial classifiers were trained on a set of prosodic features computed from the speech signal using the automatically generated boundary markers. Comparing the classification results with the judgments of the listeners yielded in a recognition rate of 87%. A combination with stochastic language models improved the recognition rate to 90%. We found that the pause and the durational features are most important for the classification, but that the influence of F0 is not neglectable

Improving parsing of spontaneous speech with the help of prosodic boundaries

Parsing can be improved in automatic speech understanding if prosodic boundary marking is taken into account, because syntactic boundaries are often marked by prosodic means. Because large databases are needed for the training of statistical models for prosodic boundaries, we developed a labeling scheme for syntactic-prosodic boundaries within the German VERBMOBIL project (automatic speech-to-speech translation). We compare the results of classifiers (multi-layer perceptrons and language models) trained on these syntactic-prosodic boundary labels with classifiers trained on perceptual-prosodic and purely syntactic labels. Recognition rates of up to 96% were achieved. The turns that we need to parse consist of 20 words on the average and frequently contain sequences of partial sentence equivalents due to restarts, ellipsis, etc. For this material, the boundary scores computed by our classifiers can successfully be integrated into the syntactic parsing of word graphs; currently, they improve the parse time by 92% and reduce the number of parse trees by 96%. This is achieved by introducing a special Prosodic Syntactic Clause Boundary symbol (PSCB) into our grammar and guiding the search for the best word chain with the prosodic boundary scores

Stem cell- and growth factor-based regenerative therapies for avascular necrosis of the femoral head

Avascular necrosis (AVN) of the femoral head is a debilitating disease of multifactorial genesis, predominately affects young patients, and often leads to the development of secondary osteoarthritis. The evolving field of regenerative medicine offers promising treatment strategies using cells, biomaterial scaffolds, and bioactive factors, which might improve clinical outcome. Early stages of AVN with preserved structural integrity of the subchondral plate are accessible to retrograde surgical procedures, such as core decompression to reduce the intraosseous pressure and to induce bone remodeling. The additive application of concentrated bone marrow aspirates, ex vivo expanded mesenchymal stem cells, and osteogenic or angiogenic growth factors (or both) holds great potential to improve bone regeneration. In contrast, advanced stages of AVN with collapsed subchondral bone require an osteochondral reconstruction to preserve the physiological joint function. Analogously to strategies for osteochondral reconstruction in the knee, anterograde surgical techniques, such as osteochondral transplantation (mosaicplasty), matrix-based autologous chondrocyte implantation, or the use of acellular scaffolds alone, might preserve joint function and reduce the need for hip replacement. This review summarizes recent experimental accomplishments and initial clinical findings in the field of regenerative medicine which apply cells, growth factors, and matrices to address the clinical problem of AVN. © 2012 BioMed Central Ltd

Cell‐ and Gene‐Based Therapeutic Strategies for Periodontal Regenerative Medicine

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/142086/1/jper1223.pd

Emerging IT risks: insights from German banking

How do German banks manage the emerging risks stemming from IT innovations such as cyber risk? With a focus on process, roles and responsibilities, field data from ten banks participating in the 2014 ECB stress test were collected by interviewing IT managers, risk managers and external experts. Current procedures for handling emerging risks in German banks were identified from the interviews and analysed, guided by the extant literature. A clear gap was found between enterprise risk management (ERM) as a general approach to risks threatening firms’ objectives and ERM’s neglect of emerging risks, such as those associated with IT innovations. The findings suggest that ERM should be extended towards the collection and sharing of knowledge to allow for an initial understanding and description of emerging risks, as opposed to the traditional ERM approach involving estimates of impact and probability. For example, as cyber risks emerge from an IT innovation, the focus may need to switch towards reducing uncertainty through knowledge acquisition. Since individual managers seldom possess all relevant knowledge of an IT innovation, various stakeholders may need to be involved to exploit their expertise

The Human Operculo-Insular Cortex Is Pain-Preferentially but Not Pain-Exclusively Activated by Trigeminal and Olfactory Stimuli

Increasing evidence about the central nervous representation of pain in the brain suggests that the operculo-insular cortex is a crucial part of the pain matrix. The pain-specificity of a brain region may be tested by administering nociceptive stimuli while controlling for unspecific activations by administering non-nociceptive stimuli. We applied this paradigm to nasal chemosensation, delivering trigeminal or olfactory stimuli, to verify the pain-specificity of the operculo-insular cortex. In detail, brain activations due to intranasal stimulation induced by non-nociceptive olfactory stimuli of hydrogen sulfide (5 ppm) or vanillin (0.8 ppm) were used to mask brain activations due to somatosensory, clearly nociceptive trigeminal stimulations with gaseous carbon dioxide (75% v/v). Functional magnetic resonance (fMRI) images were recorded from 12 healthy volunteers in a 3T head scanner during stimulus administration using an event-related design. We found that significantly more activations following nociceptive than non-nociceptive stimuli were localized bilaterally in two restricted clusters in the brain containing the primary and secondary somatosensory areas and the insular cortices consistent with the operculo-insular cortex. However, these activations completely disappeared when eliminating activations associated with the administration of olfactory stimuli, which were small but measurable. While the present experiments verify that the operculo-insular cortex plays a role in the processing of nociceptive input, they also show that it is not a pain-exclusive brain region and allow, in the experimental context, for the interpretation that the operculo-insular cortex splay a major role in the detection of and responding to salient events, whether or not these events are nociceptive or painful