Improvement of Information Transfer Rates Using a Hybrid EEG-NIRS Brain-Computer Interface with a Short Trial Length: Offline and Pseudo-Online Analyses

Electroencephalography (EEG) and near-infrared spectroscopy (NIRS) are non-invasive neuroimaging methods that record the electrical and metabolic activity of the brain, respectively. Hybrid EEG-NIRS brain-computer interfaces (hBCIs) that use complementary EEG and NIRS information to enhance BCI performance have recently emerged to overcome the limitations of existing unimodal BCIs, such as vulnerability to motion artifacts for EEG-BCI or low temporal resolution for NIRS-BCI. However, with respect to NIRS-BCI, in order to fully induce a task-related brain activation, a relatively long trial length (≥10 s) is selected owing to the inherent hemodynamic delay that lowers the information transfer rate (ITR; bits/min). To alleviate the ITR degradation, we propose a more practical hBCI operated by intuitive mental tasks, such as mental arithmetic (MA) and word chain (WC) tasks, performed within a short trial length (5 s). In addition, the suitability of the WC as a BCI task was assessed, which has so far rarely been used in the BCI field. In this experiment, EEG and NIRS data were simultaneously recorded while participants performed MA and WC tasks without preliminary training and remained relaxed (baseline; BL). Each task was performed for 5 s, which was a shorter time than previous hBCI studies. Subsequently, a classification was performed to discriminate MA-related or WC-related brain activations from BL-related activations. By using hBCI in the offline/pseudo-online analyses, average classification accuracies of 90.0 ± 7.1/85.5 ± 8.1% and 85.8 ± 8.6/79.5 ± 13.4% for MA vs. BL and WC vs. BL, respectively, were achieved. These were significantly higher than those of the unimodal EEG- or NIRS-BCI in most cases. Given the short trial length and improved classification accuracy, the average ITRs were improved by more than 96.6% for MA vs. BL and 87.1% for WC vs. BL, respectively, compared to those reported in previous studies. The suitability of implementing a more practical hBCI based on intuitive mental tasks without preliminary training and with a shorter trial length was validated when compared to previous studies

Alcohol intake and cardiovascular risk factors:A Mendelian randomisation study

Mendelian randomisation studies from Asia suggest detrimental influences of alcohol on cardiovascular risk factors, but such associations are observed mainly in men. The absence of associations of genetic variants (e.g. rs671 in ALDH2) with such risk factors in women – who drank little in these populations – provides evidence that the observations are not due to genetic pleiotropy. Here, we present a Mendelian randomisation study in a South Korean population (3,365 men and 3,787 women) that 1) provides robust evidence that alcohol consumption adversely affects several cardiovascular disease risk factors, including blood pressure, waist to hip ratio, fasting blood glucose and triglyceride levels. Alcohol also increases HDL cholesterol and lowers LDL cholesterol. Our study also 2) replicates sex differences in associations which suggests pleiotropy does not underlie the associations, 3) provides further evidence that association is not due to pleiotropy by showing null effects in male non-drinkers, and 4) illustrates a way to measure population-level association where alcohol intake is stratified by sex. In conclusion, population-level instrumental variable estimation (utilizing interaction of rs671 in ALDH2 and sex as an instrument) strengthens causal inference regarding the largely adverse influence of alcohol intake on cardiovascular health in an Asian population

CSF Otorrhea Resulting from Osteoradionecrosis of the Temporal Bone in a Patient with Recurrent Meningioma

Osteoradionecrosis of the temporal bone is a very rare but potentially lethal complication of radiotherapy for head and neck or skull base tumors. Only two cases of osteoradionecrosis of the temporal bone complicating cerebrospinal fluid (CSF) otorrhea have been reported in the literature. This report describes a case of CSF otorrhea and osteoradionecrosis of the temporal bone in a patient with meningioma who was treated with tympanomastoid surgery and autologous fat obliteration in the mastoid