7,396 research outputs found
Failure of Delayed Feedback Deep Brain Stimulation for Intermittent Pathological Synchronization in Parkinson's Disease
Suppression of excessively synchronous beta-band oscillatory activity in the
brain is believed to suppress hypokinetic motor symptoms of Parkinson's
disease. Recently, a lot of interest has been devoted to desynchronizing
delayed feedback deep brain stimulation (DBS). This type of synchrony control
was shown to destabilize the synchronized state in networks of simple model
oscillators as well as in networks of coupled model neurons. However, the
dynamics of the neural activity in Parkinson's disease exhibits complex
intermittent synchronous patterns, far from the idealized synchronous dynamics
used to study the delayed feedback stimulation. This study explores the action
of delayed feedback stimulation on partially synchronized oscillatory dynamics,
similar to what one observes experimentally in parkinsonian patients. We employ
a model of the basal ganglia networks which reproduces experimentally observed
fine temporal structure of the synchronous dynamics. When the parameters of our
model are such that the synchrony is unphysiologically strong, the feedback
exerts a desynchronizing action. However, when the network is tuned to
reproduce the highly variable temporal patterns observed experimentally, the
same kind of delayed feedback may actually increase the synchrony. As network
parameters are changed from the range which produces complete synchrony to
those favoring less synchronous dynamics, desynchronizing delayed feedback may
gradually turn into synchronizing stimulation. This suggests that delayed
feedback DBS in Parkinson's disease may boost rather than suppress
synchronization and is unlikely to be clinically successful. The study also
indicates that delayed feedback stimulation may not necessarily exhibit a
desynchronization effect when acting on a physiologically realistic partially
synchronous dynamics, and provides an example of how to estimate the
stimulation effect.Comment: 19 pages, 8 figure
Convergence and non-convergence in a nonlocal gradient flow
We study the asymptotic convergence of solutions of , a nonlocal differential equation that is formally a gradient flow in a
constant-mass subspace of arising from simplified models of phase
transitions. In case the solution takes finitely many values, we provide a new
proof of stabilization that uses a {\L}ojasiewicz-type gradient inequality near
a degenerate curve of equilibria. Solutions with infinitely many values in
general need not converge to equilibrium, however, which we demonstrate by
providing counterexamples for piecewise linear and cubic functions .
Curiously, the exponential rate of convergence in the finite-value case can
jump from order to arbitrarily small values upon perturbation of
parameters.Comment: 31 pages, 2 figure
Student Evaluation of Online Pharmaceutical Compounding Videos
Objective. To describe pharmacy students’ views on the effectiveness of an expansion of the compounding laboratory website at the UNC Eshelman School of Pharmacy
Neural Dynamics in Parkinsonian Brain:The Boundary Between Synchronized and Nonsynchronized Dynamics
Synchronous oscillatory dynamics is frequently observed in the human brain.
We analyze the fine temporal structure of phase-locking in a realistic network
model and match it with the experimental data from parkinsonian patients. We
show that the experimentally observed intermittent synchrony can be generated
just by moderately increased coupling strength in the basal ganglia circuits
due to the lack of dopamine. Comparison of the experimental and modeling data
suggest that brain activity in Parkinson's disease resides in the large
boundary region between synchronized and nonsynchronized dynamics. Being on the
edge of synchrony may allow for easy formation of transient neuronal
assemblies
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False-positive interferences of common urine drug screen immunoassays: a review.
Urine drug screen (UDS) immunoassays are a quick and inexpensive method for determining the presence of drugs of abuse. Many cross-reactivities exist with other analytes, potentially causing a false-positive result in an initial drug screen. Knowledge of these potential interferents is important in determining a course of action for patient care. We present an inclusive review of analytes causing false-positive interferences with drugs-of-abuse UDS immunoassays, which covers the literature from the year 2000 to present. English language articles were searched via the SciFinder platform with the strings 'false positive [drug] urine' yielding 173 articles. These articles were then carefully analyzed and condensed to 62 that included data on causes of false-positive results. The discussion is separated into six sections by drug class with a corresponding table of cross-reacting compounds for quick reference. False-positive results were described for amphetamines, opiates, benzodiazepines, cannabinoids, tricyclic antidepressants, phencyclidine, lysergic acid diethylamide and barbiturates. These false-positive results support the generally accepted practice that immunoassay positive results are considered presumptive until confirmed by a second independent chemical technique
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