Altered rich club and frequency-dependent subnetworks organization in mild traumatic brain injury: A MEG resting-state study

Functional brain connectivity networks exhibit “small-world” characteristics and some of these networks follow a “rich-club” organization, whereby a few nodes of high connectivity (hubs) tend to connect more densely among themselves than to nodes of lower connectivity. The Current study followed an “attack strategy” to compare the rich-club and small-world network organization models using Magnetoencephalographic (MEG) recordings from mild traumatic brain injury (mTBI) patients and neurologically healthy controls to identify the topology that describes the underlying intrinsic brain network organization. We hypothesized that the reduction in global efficiency caused by an attack targeting a model’s hubs would reveal the “true” underlying topological organization. Connectivity networks were estimated using mutual information as the basis for cross-frequency coupling. Our results revealed a prominent rich-club network organization for both groups. In particular, mTBI patients demonstrated hypersynchronization among rich-club hubs compared to controls in the d band and the d-g1, "-g1, and b-g2 frequency pairs. Moreover, rich-club hubs in mTBI patients were overrepresented in right frontal brain areas, from " to g1 frequencies, and underrepresented in left occipital regions in the d-b, d-g1, "-b, and b-g2 frequency pairs. These findings indicate that the rich-club organization of resting-state MEG, considering its role in information integration and its vulnerability to various disorders like mTBI, may have a significant predictive value in the development of reliable biomarkers to help the validation of the recovery frommTBI. Furthermore, the proposed approachmight be used as a validation tool to assess patient recovery

Reconfiguration of dominant coupling modes in mild traumatic brain injury mediated by δ-band activity: a resting state MEG study

During the last few years, rich-club (RC) organization has been studied as a possible brain-connectivity organization model for large-scale brain networks. At the same time, empirical and simulated data of neurophysiological models have demonstrated the significant role of intra-frequency and inter-frequency coupling among distinct brain areas. The current study investigates further the importance of these couplings using recordings of resting-state magnetoencephalographic activity obtained from 30 mild traumatic brain injury (mTBI) subjects and 50 healthy controls. Intra-frequency and inter-frequency coupling modes are incorporated in a single graph to detect group differences within individual rich-club subnetworks (type I networks) and networks connecting RC nodes with the rest of the nodes (type II networks). Our results show a higher probability of inter-frequency coupling for (δ–γ1), (δ–γ2), (θ–β), (θ–γ2), (α–γ2), (γ1–γ2) and intra-frequency coupling for (γ1–γ1) and (δ–δ) for both type I and type II networks in the mTBI group. Additionally, mTBI and control subjects can be correctly classified with high accuracy (98.6%), whereas a general linear regression model can effectively predict the subject group using the ratio of type I and type II coupling in the (δ, θ), (δ, β), (δ, γ1), and (δ, γ2) frequency pairs. These findings support the presence of an RC organization simultaneously with dominant frequency interactions within a single functional graph. Our results demonstrate a hyperactivation of intrinsic RC networks in mTBI subjects compared to controls, which can be seen as a plausible compensatory mechanism for alternative frequency-dependent routes of information flow in mTBI subjects

Improving the detection of mtbi via complexity analysis in resting - state magnetoencephalography

Diagnosis of mild Traumatic Brain Injury (mTBI) is difficult due to the variability of obvious brain lesions using imaging scans. A promising tool for exploring potential biomarkers for mTBI is magnetoencephalography which has the advantage of high spatial and temporal resolution. By adopting proper analytic tools from the field of symbolic dynamics like Lempel-Ziv complexity, we can objectively characterize neural network alterations compared to healthy control by enumerating the different patterns of a symbolic sequence. This procedure oversimplifies the rich information of brain activity captured via MEG. For that reason, we adopted neural-gas algorithm which can transform a time series into more than two symbols by learning brain dynamics with a small reconstructed error. The proposed analysis was applied to recordings of 30 mTBI patients and 50 normal controls in δ frequency band. Our results demonstrated that mTBI patients could be separated from normal controls with more than 97% classification accuracy based on high complexity regions corresponding to right frontal areas. In addition, a reverse relation between complexity and transition rate was demonstrated for both groups. These findings indicate that symbolic complexity could have a significant predictive value in the development of reliable biomarkers to help with the early detection of mTBI

Mediterranean Sea response to climate change in an ensemble of twenty first century scenarios

The Mediterranean climate is expected to become warmer and drier during the twenty-first century. Mediterranean Sea response to climate change could be modulated by the choice of the socio-economic scenario as well as the choice of the boundary conditions mainly the Atlantic hydrography, the river runoff and the atmospheric fluxes. To assess and quantify the sensitivity of the Mediterranean Sea to the twenty-first century climate change, a set of numerical experiments was carried out with the regional ocean model NEMOMED8 set up for the Mediterranean Sea. The model is forced by air–sea fluxes derived from the regional climate model ARPEGE-Climate at a 50-km horizontal resolution. Historical simulations representing the climate of the period 1961–2000 were run to obtain a reference state. From this baseline, various sensitivity experiments were performed for the period 2001–2099, following different socio-economic scenarios based on the Special Report on Emissions Scenarios. For the A2 scenario, the main three boundary forcings (river runoff, near-Atlantic water hydrography and air–sea fluxes) were changed one by one to better identify the role of each forcing in the way the ocean responds to climate change. In two additional simulations (A1B, B1), the scenario is changed, allowing to quantify the socio-economic uncertainty. Our 6-member scenario simulations display a warming and saltening of the Mediterranean. For the 2070–2099 period compared to 1961–1990, the sea surface temperature anomalies range from +1.73 to +2.97 °C and the SSS anomalies spread from +0.48 to +0.89. In most of the cases, we found that the future Mediterranean thermohaline circulation (MTHC) tends to reach a situation similar to the eastern Mediterranean Transient. However, this response is varying depending on the chosen boundary conditions and socio-economic scenarios. Our numerical experiments suggest that the choice of the near-Atlantic surface water evolution, which is very uncertain in General Circulation Models, has the largest impact on the evolution of the Mediterranean water masses, followed by the choice of the socio-economic scenario. The choice of river runoff and atmospheric forcing both have a smaller impact. The state of the MTHC during the historical period is found to have a large influence on the transfer of surface anomalies toward depth. Besides, subsurface currents are substantially modified in the Ionian Sea and the Balearic region. Finally, the response of thermosteric sea level ranges from +34 to +49 cm (2070–2099 vs. 1961–1990), mainly depending on the Atlantic forcing

The Europeanization of the political system and the public administration in Germany

No abstractThis article is an analysis of the main patterns of institutional continuity and change that characterize the German federal political system under the influence of ‘Europeanization’. It shows the different degrees of Europeanization to which the German political institutions and public policies have already adapted. Introducing some guiding theoretical approaches that have been applied to raise the analytical validity of Europeanization, it attempts to explain the range and the degree to which the German state and its domestic polities, politics and public policies have been integrated into the EU governance system. After analyzing the core institutional features of the German federal system which generally resist European integration, it presents some evidence on the adjustments made to the (reunified) German intergovernmental system, designed to further stimulate European integration. Finally, it presents a brief summary of the lessons learnt from ‘Europeanizing German federalism’ in order to examine whether typical patterns explaining the Europeanization of the EU member states can be identified

The role of the “Justice for Greece committee” for the American involvement in Greece after World War II

Among the numerous political action groups that were organized duringthe immediate post-War era, one was the “Justice for Greece Committee”.This initiative of the organized American citizens of Greek descent sought tofocus the attention of the American public and government upon the variousproblems in Greece associated with the ending of the Second World War. Themain platform of this Committee involved the economic reconstruction of wardevastedGreece and the annexation of such Greek-speaking areas as theDodecanese Islands (then in possession of Italy), and Northern Epirus (thesouthern part of Albania). Even though these disputed regions were currentlycontrolled by other European countries, the national aspirations of the unitedHellenic-American communities on both sides of the Atlantic could not bereadily dismissed by Congress, especially since the “Justice for Greece Committee”employed the U.S. media in its tactics to publicize its programmethrough both newspapers and radio. This campaign was designed to remind theAmerican public about the hardships which the Greek population had previouslysuffered under Fascism and was now experiencing from Communist aggressionalong its territorial frontiers, which faced imminent invasion by thearmed forces of the three neighboring states converted to Soviet Communism.To prevent the Communist domination of Greece, the “Justice for GreeceCommittee” frequently alluded to traditional American philhellenism whichhad originally inspired the American government to provide the Greeks with military and economic assistance during the Greek Revolution of the 1820s.Even though the United States did not conform with all the demands of the“Justice for Greece Committee», the Truman government extended in a formalplan of assistance known as “Truman Doctrine” enough support to haltCommunist aggression against Greece

The Europeanization of the political system and the public administration in Germany

No abstractThis article is an analysis of the main patterns of institutional continuity and change that characterize the German federal political system under the influence of ‘Europeanization’. It shows the different degrees of Europeanization to which the German political institutions and public policies have already adapted. Introducing some guiding theoretical approaches that have been applied to raise the analytical validity of Europeanization, it attempts to explain the range and the degree to which the German state and its domestic polities, politics and public policies have been integrated into the EU governance system. After analyzing the core institutional features of the German federal system which generally resist European integration, it presents some evidence on the adjustments made to the (reunified) German intergovernmental system, designed to further stimulate European integration. Finally, it presents a brief summary of the lessons learnt from ‘Europeanizing German federalism’ in order to examine whether typical patterns explaining the Europeanization of the EU member states can be identified

Effect of Clarithromycin in Patients with Sepsis and Ventilator-Associated Pneumonia

Background. Because clarithromycin provided beneficiary nonantibiotic effects in experimental studies, its efficacy was tested in patients with sepsis and ventilator-associated pneumonia (VAP). Methods. Two hundred patients with sepsis and VAP were enrolled in a double-blind, randomized, multicenter trial from June 2004 until November 2005. Clarithromycin (1 g) was administered intravenously once daily for 3 consecutive days in 100 patients; another 100 patients were treated with placebo. Main outcomes were resolution of VAP, duration of mechanical ventilation, and sepsis-related mortality within 28 days. Results. The groups were well matched with regard to demographic characteristics, disease severity, pathogens, and adequacy of the administered antimicrobials. Analysis comprising 141 patients who survived revealed that the median time for resolution of VAP was 15.5 days and 10.0 days among placebo- and clarithromycin-treated patients, respectively (P=.011); median times for weaning from mechanical ventilation were 22.5 days and 16.0 days, respectively (P=.049). Analysis comprising all enrolled patients showed a more rapid decrease of the clinical pulmonary infection score and a delay for advent of multiple organ dysfunction in clarithromycin-treated patients, compared with those of placebo-treated patients (P=.047). Among the 45 patients who died of sepsis, time to death was significantly prolonged in clarithromycin-treated compared with placebo-treated patients (P=.004). Serious adverse events were observed in 0% and 3% of placebo- and clarithromycin-treated patients, respectively (P=.25). Conclusions. Clarithromycin accelerated the resolution of VAP and weaning from mechanical ventilation in surviving patients and delayed death in those who died of sepsis. The mortality rate at day 28 was not altered. Results are encouraging and render new perspectives on the management of sepsis and VA

Hydrology and circulation in the North Aegean (eastern Mediterranean) throughout 1997 and 1998

The combination of two research projects offered us the opportunity to perform a comprehensive study of the seasonal evolution of the hydrological structure and the circulation of the North Aegean Sea, at the northern extremes of the eastern Mediterranean. The combination of brackish water inflow from the Dardanelles and the sea-bottom relief dictate the significant differences between the North and South Aegean water columns. The relatively warm and highly saline South Aegean waters enter the North Aegean through the dominant cyclonic circulation of the basin. In the North Aegean, three layers of distinct water masses of very different properties are observed: The 20-50 m thick surface layer is occupied mainly by Black Sea Water, modified on its way through the Bosphorus, the Sea of Marmara and the Dardanelles. Below the surface layer there is warm and highly saline water originating in the South Aegean and the Levantine, extending down to 350-400 m depth. Below this layer, the deeper-than-400 m basins of the North Aegean contain locally formed, very dense water with different θ /S characteristics at each subbasin. The circulation is characterised by a series of permanent, semi-permanent and transient mesoscale features, overlaid on the general slow cyclonic circulation of the Aegean. The mesoscale activity, while not necessarily important in enhancing isopycnal mixing in the region, in combination with the very high stratification of the upper layers, however, increases the residence time of the water of the upper layers in the general area of the North Aegean. As a result, water having out-flowed from the Black Sea in the winter, forms a separate distinct layer in the region in spring (lying between “younger” BSW and the Levantine origin water), and is still traceable in the water column in late summer