Locomotor Network Dynamics Governed By Feedback Control In Crayfish Posture And Walking

Sensorimotor circuits integrate biomechanical feedback with ongoing motor activity to produce behaviors that adapt to unpredictable environments. Reflexes are critical in modulating motor output by facilitating rapid responses. During posture, resistance reflexes generate negative feedback that opposes perturbations to stabilize a body. During walking, assistance reflexes produce positive feedback that facilitates fast transitions between swing and stance of each step cycle. Until recently, sensorimotor networks have been studied using biomechanical feedback based on external perturbations in the presence or absence of intrinsic motor activity. Experiments in which biomechanical feedback driven by intrinsic motor activity is studied in the absence of perturbation have been limited. Thus, it is unclear whether feedback plays a role in facilitating transitions between behavioral states or mediating different features of network activity independent of perturbation. These properties are important to understand because they can elucidate how a circuit coordinates with other neural networks or contributes to adaptable motor output. Computational simulations and mathematical models have been used extensively to characterize interactions of negative and positive feedback with nonlinear oscillators. For example, neuronal action potentials are generated by positive and negative feedback of ionic currents via a membrane potential. While simulations enable manipulation of system parameters that are inaccessible through biological experiments, mathematical models ascertain mechanisms that help to generate biological hypotheses and can be translated across different systems. Here, a three-tiered approach was employed to determine the role of sensory feedback in a crayfish locomotor circuit involved in posture and walking. In vitro experiments using a brain-machine interface illustrated that unperturbed motor output of the circuit was changed by closing the sensory feedback loop. Then, neuromechanical simulations of the in vitro experiments reproduced a similar range of network activity and showed that the balance of sensory feedback determined how the network behaved. Finally, a reduced mathematical model was designed to generate waveforms that emulated simulation results and demonstrated how sensory feedback can control the output of a sensorimotor circuit. Together, these results showed how the strengths of different approaches can complement each other to facilitate an understanding of the mechanisms that mediate sensorimotor integration

Geometric Analysis of Soft Thresholds in Action Potential Initiation and the Consequences for Understanding Phase Response Curves and Model Tuning

We perform visualization of the nullcline dynamics around threshold, and characterize important geometric properties via dominant scale analysis, which avoids the need to make asymptotic approximations. In particular, we analyze the transient dynamics during the passage through the ghost of a saddle-node bifurcation in the (V, m) phase-plane projection of a local 3D approximation to the 4D H-H equations (where sodium inactivation h is held constant)

Periphery Plots for Contextualizing Heterogeneous Time-Based Charts

Patterns in temporal data can often be found across different scales, such as days, weeks, and months, making effective visualization of time-based data challenging. Here we propose a new approach for providing focus and context in time-based charts to enable interpretation of patterns across time scales. Our approach employs a focus zone with a time and a second axis, that can either represent quantities or categories, as well as a set of adjacent periphery plots that can aggregate data along the time, value, or both dimensions. We present a framework for periphery plots and describe two use cases that demonstrate the utility of our approach.Comment: To Appear in IEEE VIS 2019 Short Papers. Open source software and other materials available on github: https://github.com/PrecisionVISSTA/PeripheryPlots Video figure available on Vimeo: https://vimeo.com/34967814

Frontiers in photonics spotlight

Highlighting remarkable research output is an important mission of journals and scientists engaged in dissemination. With this spotlight-review we would like to provide visibility to some of the best recent research outputs and stress the pivotal role of their authors in the Photonics field

The Effect of Race, Sex, and Insurance Status on Time-to-Listing Decisions for Liver Transplantation

Fair allocation of organs to candidates listed for transplantation is fundamental to organ-donation policies. Processes leading to listing decisions are neither regulated nor understood. We explored whether patient characteristics affected timeliness of listing using population-based data on 144,507 adults hospitalized with liver-related disease in Pennsylvania. We linked hospitalizations to other secondary data and found 3,071 listed for transplants, 1,537 received transplants, and 57,020 died. Among candidates, 61% (n = 1,879) and 85.5% (n = 2,626) were listed within 1 and 3 years of diagnosis; 26.7% (n = 1,130) and 95% (n = 1,468) of recipients were transplanted within 1 and 3 years of listing. Using competing-risks models, we found few overall differences by sex, but both black patients and those insured by Medicare and Medicaid (combined) waited longer before being listed. Patients with combined Medicare and Medicaid insurance, as well as those with Medicaid alone, were also more likely to die without ever being listed. Once listed, the time to transplant was slightly longer for women, but it did not differ by race/ethnicity or insurance. The early time period from diagnosis to listing for liver transplantation reveals unwanted variation related to demographics that jeopardizes overall fairness of organ allocation and needs to be further explored

Frontiers in photonics spot light

Recognizing remarkable achievements and innovations is an important mission in scientific dissemination. The editors of Frontiers in Photonics would like to acknowledge and give visibility to some of the best recent research outputs and to their authors in this spot-light review

Performance Measures Based on How Adults With Cancer Feel and Function: Stakeholder Recommendations and Feasibility Testing in Six Cancer Centers

PURPOSE Patient-reported outcome measures (PROMs) that assess how patients feel and function have potential for evaluating quality of care. Stakeholder recommendations for PRO-based performance measures (PMs) were elicited, and feasibility testing was conducted at six cancer centers. METHODS Interviews were conducted with 124 stakeholders to determine priority symptoms and risk adjustment variables for PRO-PMs and perceived acceptability. Stakeholders included patients and advocates, caregivers, clinicians, administrators, and thought leaders. Feasibility testing was conducted in six cancer centers. Patients completed PROMs at home 5-15 days into a chemotherapy cycle. Feasibility was operationalized as $75$ 75% patient acceptability. RESULTS Stakeholder priority PRO-PMs for systemic therapy were GI symptoms (diarrhea, constipation, nausea, vomiting), depression/anxiety, pain, insomnia, fatigue, dyspnea, physical function, and neuropathy. Recommended risk adjusters included demographics, insurance type, cancer type, comorbidities, emetic risk, and difficulty paying bills. In feasibility testing, 653 patients enrolled (approximately 110 per site), and 607 (93%) completed PROMs, which indicated high feasibility for home collection. The majority of patients (470 of 607; 77%) completed PROMs without a reminder call, and 137 (23%) of 607 completed them after a reminder call. Most patients (72%) completed PROMs through web, 17% paper, or 2% interactive voice response (automated call that verbally asked patient questions). For acceptability, . 95% of patients found PROM items to be easy to understand and complete. CONCLUSION Clinicians, patients, and other stakeholders agree that PMs that are based on how patients feel and function would be an important addition to quality measurement. This study also shows that PRO-PMs can be feasibly captured at home during systemic therapy and are acceptable to patients. PRO-PMs may add value to the portfolio of PMs as oncology transitions from fee-for-service payment models to performance-based care that emphasizes outcome measures

An Integrated TCGA Pan-Cancer Clinical Data Resource to Drive High-Quality Survival Outcome Analytics

For a decade, The Cancer Genome Atlas (TCGA) program collected clinicopathologic annotation data along with multi-platform molecular profiles of more than 11,000 human tumors across 33 different cancer types. TCGA clinical data contain key features representing the democratized nature of the data collection process. To ensure proper use of this large clinical dataset associated with genomic features, we developed a standardized dataset named the TCGA Pan-Cancer Clinical Data Resource (TCGA-CDR), which includes four major clinical outcome endpoints. In addition to detailing major challenges and statistical limitations encountered during the effort of integrating the acquired clinical data, we present a summary that includes endpoint usage recommendations for each cancer type. These TCGA-CDR findings appear to be consistent with cancer genomics studies independent of the TCGA effort and provide opportunities for investigating cancer biology using clinical correlates at an unprecedented scale. Analysis of clinicopathologic annotations for over 11,000 cancer patients in the TCGA program leads to the generation of TCGA Clinical Data Resource, which provides recommendations of clinical outcome endpoint usage for 33 cancer types