Bilateral redundancy gain and callosal integrity in a man with callosal lipoma: a diffusion-tensor imaging study

We investigated whether abnormalities in the structural organisation of the corpus callosum in the presence of curvilinear lipoma are associated with increased facilitation of response time to bilateral stimuli, an effect known as the redundancy gain. A patient (A.J.) with a curvilinear lipoma of the corpus callosum, his genetically-identical twin, and age-matched control participants made speeded responses to luminant stimuli. Structural organisation of callosal regions was assessed with diffusion-tensor imaging. A.J. was found to have reduced structural integrity in the splenium of the corpus callosum and produced a large redundancy gain suggestive of neural summation

Bilateral redundancy gain and callosal integrity in a man with callosal lipoma: a diffusion-tensor imaging study

We investigated whether abnormalities in the structural organisation of the corpus callosum in the presence of curvilinear lipoma are associated with increased facilitation of response time to bilateral stimuli, an effect known as the redundancy gain. A patient (A.J.) with a curvilinear lipoma of the corpus callosum, his genetically-identical twin, and age-matched control participants made speeded responses to luminant stimuli. Structural organisation of callosal regions was assessed with diffusion-tensor imaging. A.J. was found to have reduced structural integrity in the splenium of the corpus callosum and produced a large redundancy gain suggestive of neural summation

Tibial stress during running following a repeated calf‐raise protocol

This is the author accepted manuscript. The final version is available on open access from Wiley via the DOI in this recordTibial stress fractures are a problematic injury amongst runners. Increased loading of the tibia has been observed following prolonged weight‐bearing activity and is suggested to be the result of reduced activity of the plantar flexor muscles. The musculature that spans the tibia contributes to bending of the bone and influences the magnitude of stress on the tibia during running. Participant‐specific models of the tibia can be used as a non‐invasive estimate of tibial stress. This study aimed to quantify tibial stress during running using participant‐specific bone geometry and to compare tibial stress before and after a protocol of repeated muscular contractions of the plantar flexor muscle group. Fourteen participants who run recreationally were included in the final analysis of the study. Synchronised force and kinematic data were collected during overground running before and after an exhaustive, weighted calf‐raise protocol. Bending moments and stress at the distal third of the tibia were estimated using beam theory combined with inverse dynamics and musculoskeletal modelling. Bone geometry was obtained from magnetic resonance images. There was no difference in stress at the anterior, posterior, medial or lateral peripheries of the tibia after the calf‐raise protocol compared with before. These findings suggest that an exhaustive, repeated calf‐raise protocol did not alter tibial stress during running

Tibial stress during running following a repeated calf‐raise protocol

Abstract Tibial stress fractures are a problematic injury amongst runners. Increased loading of the tibia has been observed following prolonged weight‐bearing activity and is suggested to be the result of reduced activity of the plantar flexor muscles. The musculature that spans the tibia contributes to bending of the bone and influences the magnitude of stress on the tibia during running. Participant‐specific models of the tibia can be used as a non‐invasive estimate of tibial stress. This study aimed to quantify tibial stress during running using participant‐specific bone geometry and to compare tibial stress before and after a protocol of repeated muscular contractions of the plantar flexor muscle group. Fourteen participants who run recreationally were included in the final analysis of the study. Synchronised force and kinematic data were collected during overground running before and after an exhaustive, weighted calf‐raise protocol. Bending moments and stress at the distal third of the tibia were estimated using beam theory combined with inverse dynamics and musculoskeletal modelling. Bone geometry was obtained from magnetic resonance images. There was no difference in stress at the anterior, posterior, medial or lateral peripheries of the tibia after the calf‐raise protocol compared with before. These findings suggest that an exhaustive, repeated calf‐raise protocol did not alter tibial stress during running.This accepted article is published as Rice, H.M., Kenny, M., Ellison, M.A., Fulford, J., Meardon, S.A., Derrick, T.R., Hamill, J., Tibial stress during running following a repeated calf‐raise protocol. Scandinavian Journal of Medicine & Science in Sports, August 5 2020. Doi: 10.1111/sms.13794. Posted with permission. </p

Nerve hyperplasia : a unique feature of ketamine cystitis

Background: There is an emerging association between ketamine abuse and the development of urological symptoms including dysuria, frequency and urgency, which have a neurological component. In addition, extreme cases are associated with severe unresolving bladder pain in conjunction with a thickened, contracted bladder and an ulcerated/absent urothelium. Here we report on unusual neuropathological features seen by immunohistology in ketamine cystitis. Results: In all cases, the lamina propria was replete with fine neurofilament protein (NFP+) nerve fibres and in most patients (20/21), there was prominent peripheral nerve fascicle hyperplasia that showed particular resemblance to Morton’s neuroma. The nerve fascicles, which were positive for NFP, S100 and the p75 low-affinity nerve growth factor receptor (NGFR), were generally associated with a well-developed and in places, prominent, epithelial membrane antigen+/NGFR+ perineurium. This peripheral nerve fascicle hyperplasia is likely to account for the extreme pain experienced by ketamine cystitis patients. Urothelial damage was a notable feature of all ketamine cystitis specimens and where urothelium remained, increased NGFR expression was observed, with expansion from a basal-restricted normal pattern of expression into the suprabasal urothelium. Conclusions: The histological findings were distinguishing features of ketamine cystitis and were not present in other painful bladder conditions. Ketamine cystitis afflicts predominantly young patients, with unknown long-term consequences, and requires a strategy to control severe bladder pain in order to remove a dependency on the causative agent. Our study indicates that the development of pain in ketamine cystitis is mediated through a specific neurogenic mechanism that may also implicate the urothelium.7 page(s

Effect of nitrate supplementation on hepatic blood flow and glucose homeostasis: A double-blind, placebo controlled, randomised control trial.

Nitric oxide alters gastric blood flow, improves vascular function and mediates glucose uptake within the intestines and skeletal muscle. Dietary nitrate, acting as a source of nitric oxide, appears to be a potential low cost therapy that may help maintain glucose homeostasis. In a randomised, double-blind, placebo-controlled crossover study, 31 young and older adult participants had a standardised breakfast, supplemented with either nitrate rich beetroot juice (11.91 mmol nitrate) or nitrate depleted beetroot juice as placebo (0.01 mmol nitrate). MRI was used to assess apparent diffusion coefficient (ADC), portal vein flux and velocity. Plasma glucose, incretin and C-peptide concentrations and BP were assessed. Outcome variables were measured at baseline and hourly for 3 hours. Compared with a placebo, beetroot juice resulted in a significant elevation in plasma nitrate and plasma nitrite concentration. No differences were seen for the young or older adult cohorts between placebo and beetroot juice for ADC, or portal vein flux. There was an interaction effect in the young adults, which was absent in the older adults between visits for portal vein velocity. Nitrate supplementation did not reduce plasma glucose active GLP-1, total GLP-1 or plasma C-peptide concentrations for the young or older adult cohorts. Despite a significant elevation in plasma nitrite concentration following an acute dose of 11.91 mmol of nitrate, there was no effect on hepatic blood flow, plasma glucose, C-peptide, or incretin concentration in healthy adults

Behavioral and neural signatures of visual imagery vividness extremes: Aphantasia vs. Hyperphantasia

Although Galton recognised in 1880 that some individuals lack visual imagery, this phenomenon was largely neglected over the following century. We recently coined the terms ‘aphantasia’ and ‘hyperphantasia’ to describe visual imagery vividness extremes, unlocking a sustained surge of public interest. Aphantasia is associated with subjective impairment of face recognition and autobiographical memory. Here we report the first systematic, wide-ranging neuropsychological and brain imaging study of people with aphantasia (n=24), hyperphantasia (n=25) and mid-range imagery vividness (n=20). Despite equivalent performance on standard memory tests, there were marked group differences on measures of autobiographical memory and imagination, participants with hyperphantasia outperforming controls who outperformed participants with aphantasia. Face recognition difficulties were reported more commonly in aphantasia. The Revised NEO Personality Inventory highlighted reduced extroversion in the aphantasia group and increased openness in the hyperphantasia group. Resting-state fMRI revealed stronger connectivity between prefrontal cortices and the visual network among hyperphantasic than aphantasic participants. In an active fMRI paradigm, there was greater anterior parietal activation among hyperphantasic and control than aphantasic participants when comparing visualisation of famous faces and places with perception. These behavioral and neural signatures of visual imagery vividness extremes validate and illuminate this significant but neglected dimension of individual difference

Global issues, local solutions: rethinking wealth and health through the lens of social enteprise

The Yunus Centre for Social Business &#38; Health was opened by Nobel Peace Laureate, Professor Muhammad Yunus, in June 2010. In short, the Centre aims to build a research portfolio in the broad area of "social business as a public health intervention", thus working on the cutting edges of (and interfaces between) public health research, social science and research applied to the "Third Sector". Staff and PhD students come from disciplines such as mainstream economics, health economics, sociology and social policy, anthropology, international finance, development and politics. A central part of the Centre's work involves researching the impact of Professor Yunus' ideas, particularly in the context of disadvantaged communities in advanced economies. In this respect, two main programmes of work are being pursued: - "microcredit, health and wellbeing"; and - "social enterprise, health and wellbeing". In this paper, we discuss the Centre's planned research programme in the latter area, although many issues (e.g. of study design and measurement) cut across the two. What is described here is a programme that has been put together by a group of people from the social enterprise sector and from various disciplines (statistics, history, geography, public health, art and design, in addition to those mentioned above) and subject areas (active ageing, homelessness, entrepreneurship, Third Sector) within Universities, across Scotland. The importance of placing this proposed research in a health economics working paper series is that (a) it has been funded by the UK's Medical research Council and Economic &#38; Social Research Council to the tune of £1.96m, and (b) although many of the arguments are well-rehearsed in other fields, it would be portrayed as offering a new branch of health economics. Given that the research programme has just commenced, it seemed worthwhile to submit the basics of the research proposed to the scrutiny of our health economics colleagues. The originality of this research programme is a product of the range of interests and fields of expertise represented in this collective, hopefully creating a new scientific and research interface, that of "social enterprise as a public health and wellbeing intervention". What this then offers each part of the collaboration is as follows: - for social enterprise, we offer a new way of thinking about how this sector views itself and measures success; - for public health science and practice, we propose a genuine "upstream" route to health creation amongst the most deprived communities; and - for economics and other social sciences, coalescing around a grand "cost-benefit analysis" of the impact of social enterprise on poverty, isolation, ill-health and well-being will offer new and enduring frameworks for evaluating future activities, not only of this nature but also, hopefully, more broadly in the Third and Public Sectors