RSA

RSA
  • 文章类型: Journal Article
    功能性成分是食品生产和消费中的主要关注点。因为富含功能性成分的食品具有抗氧化能力,对保持消费者健康至关重要。平菇是富含功能性成分的食物之一。然而,其功能成分受多种因素的影响。本研究比较了在不同基质上生长的平菇的抗氧化能力:TEF(Trt1)的秸秆,大麦(Trt2),和小麦(Trt3),蚕豆壳(Trt4),和豌豆(Trt5),木屑(Trt6),和上述与1:1w/w(Trt7)的混合物。Trt7具有显著较高的自由基清除活性(RSA)(73.27%),维生素C(10.61毫克/100克),与其他治疗相比,维生素D(4.92mg/100g)。而RSA的最低值(44.24%),维生素C(5.39毫克/100克),在Trt2中发现了维生素D(1.21mg/100g)。结果表明,混合底物可能是功能有益的平菇的良好生长底物,并且可能是天然抗氧化剂的有希望的来源。
    Functional constituents are the main concern in food production and consumption. Because foods rich in functional constituents have antioxidant capacity and are important in keeping consumers healthy. Pleurotus ostreatus is among foods rich in functional constituents. However, its functional constituents are affected by various factors. This study compared the antioxidant capacity of P. ostreatus grown on different substrates: straws of tef (Trt1), barley (Trt2), and wheat (Trt3), husks of faba bean (Trt4), and field pea (Trt5), sawdust (Trt6), and the mixture of the above with 1:1 w/w (Trt7). Trt7 had significantly higher radical scavenging activity (RSA) (73.27%), vitamin C (10.61 mg/100 g), and vitamin D (4.92 mg/100 g) compared to other treatments. Whereas the lowest values of RSA (44.24%), vitamin C (5.39 mg/100 g), and vitamin D (1.21 mg/100 g) were found in Trt2. The results indicated that mixed substrate may be a good growth substrate for functionally beneficial P. ostreatus and could be a promising source of natural antioxidants.
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  • 文章类型: Journal Article
    我们报告了对脑部病变患者PS的面部和物体处理所涉及的神经过程的调查,一个有据可查的纯获得性prosopagnosis病例.我们从PS和神经典型中收集了大量的高密度电生理记录数据集。使用代表性相似性分析,我们以一种有助于直接比较时间点的格式产生了时间分辨的大脑表示,不同的个体,和计算模型。为了了解PS腹侧的病变如何影响她大脑表征的时间演变,我们计算了她大脑表征的时间概括。我们发现PS的早期大脑表现与后来的表现有不同寻常的相似性,暗示对早期视觉模式的过度概括。为了揭示潜在的计算缺陷,我们将PS\'大脑表示与深度神经网络(DNN)的表示相关联。我们发现,与对照组相比,PS脑活动的基础计算与视觉DNN的早期层更相似。然而,与PS相比,神经典型的大脑表现变得更类似于模型的后几层。通过证明她的大脑表示与语义DNN的相似性较小,我们证实了PS在高级大脑表示中的缺陷。
    We report an investigation of the neural processes involved in the processing of faces and objects of brain-lesioned patient PS, a well-documented case of pure acquired prosopagnosia. We gathered a substantial dataset of high-density electrophysiological recordings from both PS and neurotypicals. Using representational similarity analysis, we produced time-resolved brain representations in a format that facilitates direct comparisons across time points, different individuals, and computational models. To understand how the lesions in PS\'s ventral stream affect the temporal evolution of her brain representations, we computed the temporal generalization of her brain representations. We uncovered that PS\'s early brain representations exhibit an unusual similarity to later representations, implying an excessive generalization of early visual patterns. To reveal the underlying computational deficits, we correlated PS\' brain representations with those of deep neural networks (DNN). We found that the computations underlying PS\' brain activity bore a closer resemblance to early layers of a visual DNN than those of controls. However, the brain representations in neurotypicals became more akin to those of the later layers of the model compared to PS. We confirmed PS\'s deficits in high-level brain representations by demonstrating that her brain representations exhibited less similarity with those of a DNN of semantics.
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  • 文章类型: Journal Article
    背景:X射线计算机断层扫描(CT)是测量土壤中植物根系生长的有力工具。然而,用更大的罐子快速扫描,这是吞吐量优先的作物育种所必需的,导致高噪声水平,低分辨率,CT体积中的根段模糊。此外,虽然植物根系分割对于根系量化至关重要,关于分割嘈杂根段的详细条件研究很少。本研究旨在研究扫描时间和基于深度学习的图像质量恢复对CT体积中模糊水稻(Oryzasativa)根段语义分割的影响。
    结果:VoxResNet,基于卷积神经网络的逐体素残差网络,被用作分割模型。使用在33、66、150、300和600s的扫描时间获得的CT体积比较模型的训练效率。样本的学习效率相似,除了33和66s的扫描时间。此外,预测体积的噪声水平因扫描条件而异,说明扫描时间≥150s的噪声水平不影响模型训练效率。传统的过滤方法,如中值滤波和边缘检测,在任何条件下,培训效率都提高了约10%。然而,33和66s扫描样本的训练效率仍然相对较低。我们得出结论,扫描时间必须至少为150s,以免影响分割。最后,我们构建了150个s扫描CT体积的语义分割模型,骰子损失达到0.093。该模型无法预测侧根,这些数据不包括在训练数据中。这种限制将通过准备适当的训练数据来解决。
    结论:即使使用具有高噪声水平的快速扫描CT体积,也可以构建语义分割模型。鉴于扫描时间≥150s不影响分割结果,这种技术有望用于快速和低剂量扫描。这项研究提供了对具有高噪声水平的CT体积以外的图像的见解,这些图像在注释时具有挑战性。
    BACKGROUND: X-ray computed tomography (CT) is a powerful tool for measuring plant root growth in soil. However, a rapid scan with larger pots, which is required for throughput-prioritized crop breeding, results in high noise levels, low resolution, and blurred root segments in the CT volumes. Moreover, while plant root segmentation is essential for root quantification, detailed conditional studies on segmenting noisy root segments are scarce. The present study aimed to investigate the effects of scanning time and deep learning-based restoration of image quality on semantic segmentation of blurry rice (Oryza sativa) root segments in CT volumes.
    RESULTS: VoxResNet, a convolutional neural network-based voxel-wise residual network, was used as the segmentation model. The training efficiency of the model was compared using CT volumes obtained at scan times of 33, 66, 150, 300, and 600 s. The learning efficiencies of the samples were similar, except for scan times of 33 and 66 s. In addition, The noise levels of predicted volumes differd among scanning conditions, indicating that the noise level of a scan time ≥ 150 s does not affect the model training efficiency. Conventional filtering methods, such as median filtering and edge detection, increased the training efficiency by approximately 10% under any conditions. However, the training efficiency of 33 and 66 s-scanned samples remained relatively low. We concluded that scan time must be at least 150 s to not affect segmentation. Finally, we constructed a semantic segmentation model for 150 s-scanned CT volumes, for which the Dice loss reached 0.093. This model could not predict the lateral roots, which were not included in the training data. This limitation will be addressed by preparing appropriate training data.
    CONCLUSIONS: A semantic segmentation model can be constructed even with rapidly scanned CT volumes with high noise levels. Given that scanning times ≥ 150 s did not affect the segmentation results, this technique holds promise for rapid and low-dose scanning. This study offers insights into images other than CT volumes with high noise levels that are challenging to determine when annotating.
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  • 文章类型: Journal Article
    背景:反向肩关节成形术是肩袖撕裂性关节病患者的既定手术。然而,肩胛骨下肌腱的固定仍然是一个有争议且经常被讨论的话题.这项前瞻性随机研究旨在评估反向肩关节置换术后肩胛骨下再固定的临床益处。
    方法:将50名患者(f:36,m:14)随机分配到“修复”(rep)或“未修复”(nrep)队列。术中,肩胛骨下肌腱在代表队列中用四根肌腱-肌腱缝线重新连接,而nrep队列中没有进行重新固定。术前以及术后12和36个月评估了Constant-Murley评分(CS)和活动范围。术后36个月进行主观肩峰值(SSV)和提离试验。术后肩胛骨下完整性进行超声评估。
    结果:术后12个月,代表队列在CS中表现出更好的结果(代表:71vs.nrep:66,p:0.037)。在rep-队列中归一化的CS为80%,在nrep-队列中为75%(p:0.114)。在36个月后的最后一次随访中,我们没有发现CS中代表队列和nrep队列之间的显着差异(代表:76vs.nrep:75,p:0.285)和归一化CS(rep:91%vs.nrep:91%,P:0.388)。关于内部旋转(以点为单位),代表队列比nrep队列取得了更好的结果(代表:7.3vs.nrep:6.6,p:0.040)。屈伸(代表:145°vs.nrep:151°,p:0.826),外展(代表:135°vs.nrep:137°p:0.816),外部旋转(代表:34°与nrep:37°,p:0.817)和SSV(代表:81%vs.nrep:77%,p:0.398)表示队列之间没有显着差异。36个月后的超声检查显示70%的肌腱完整。
    结论:虽然肩胛骨下再固定对术后内旋有积极影响,rTSA术后中期随访的总体结果无差异.Further,外旋转不受肩胛骨下肌腱固定的影响。
    BACKGROUND: Reverse shoulder arthroplasty is an established procedure for patients with rotator cuff tear arthropathy. However, the refixation of the subscapularis tendon remains a controversial and frequently discussed topic. This prospective randomized study was conducted to evaluate the clinical benefit of the subscapularis refixation after reverse shoulder arthroplasty.
    METHODS: Fifty patients (f: 36, m:14) were randomized and assigned to either the \"repaired\" (rep) or the \"not repaired\" (nrep) cohort. Intraoperatively, the subscapularis tendon was reattached in the rep-cohort with four tendon-to-tendon sutures, whereas no refixation was performed in the nrep-cohort. The Constant-Murley Score (CS) and the range of motion was evaluated preoperatively as well as 12 and 36 months postoperatively. The Subjective Shoulder Value (SSV) and the Lift-off test were performed 36 months postoperatively. The postoperative subscapularis integrity was assessed sonographically.
    RESULTS: Twelve months postoperatively the rep-cohort presented better results in the CS (rep: 71 vs. nrep: 66, p: 0.037). The normalized CS was 80% in the rep-cohort and 75% in the nrep-cohort (p: 0.114). At our last follow-up after 36 months we did not find significant differences between the rep-cohort and the nrep-cohort in the CS (rep: 76 vs. nrep: 75, p: 0.285) and normalized CS (rep: 91% vs. nrep: 91%, p: 0.388). Concerning internal rotation (in points) the rep-cohort achieved better results than the nrep-cohort (rep: 7.3 vs. nrep: 6.6, p: 0.040). Flexion (rep: 145° vs. nrep: 151°, p: 0.826), abduction (rep: 135° vs. nrep: 137° p: 0.816), external rotation (rep: 34° vs. nrep: 37°, p: 0.817) and the SSV (rep: 81% vs. nrep: 77%, p: 0.398) presented no significant differences between the cohorts. The ultrasound examination after 36 months displayed an intact tendon in 70%.
    CONCLUSIONS: While the subscapularis refixation effects the postoperative internal rotation positively, there were no differences in mid-term follow-up concerning the overall results after rTSA. Further, the external rotation is not affected by the refixation of the subscapularis tendon.
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  • 文章类型: Journal Article
    人脸感知是一个复杂的过程,涉及高度专业化的程序和机制。对面部感知的研究可以帮助我们更好地理解大脑是如何处理细粒度的,多维信息。这项研究旨在深入研究面部信息的不同维度如何在特定的大脑区域或通过隐式面部识别任务通过区域间连接来表示。为了捕获大脑中各种面部信息的表示,我们采用支持向量机解码,功能连接,和基于模型的功能磁共振成像数据的代表性相似性分析,从而确定了三个重要的发现。首先,尽管任务的内隐性质,情绪仍然表现在大脑中,与所有其他面部信息形成对比。其次,发现内侧杏仁核和海马旁回之间的联系对于内隐任务中面部情绪的表现至关重要。第三,在隐式任务中,唤醒表现发生在海马旁回,而效价取决于初级视觉皮层和海马旁回之间的联系。总之,这些发现分离了情绪效价和唤醒的神经机制,揭示人脸多维信息处理的精确空间模式。
    Face perception is a complex process that involves highly specialized procedures and mechanisms. Investigating into face perception can help us better understand how the brain processes fine-grained, multidimensional information. This research aimed to delve deeply into how different dimensions of facial information are represented in specific brain regions or through inter-regional connections via an implicit face recognition task. To capture the representation of various facial information in the brain, we employed support vector machine decoding, functional connectivity, and model-based representational similarity analysis on fMRI data, resulting in the identification of three crucial findings. Firstly, despite the implicit nature of the task, emotions were still represented in the brain, contrasting with all other facial information. Secondly, the connection between the medial amygdala and the parahippocampal gyrus was found to be essential for the representation of facial emotion in implicit tasks. Thirdly, in implicit tasks, arousal representation occurred in the parahippocampal gyrus, while valence depended on the connection between the primary visual cortex and the parahippocampal gyrus. In conclusion, these findings dissociate the neural mechanisms of emotional valence and arousal, revealing the precise spatial patterns of multidimensional information processing in faces.
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  • 文章类型: Journal Article
    背景:反向肩关节置换术(RSA)后肩胛骨下的作用仍然存在争议:修复可以恢复足够的内旋和肩关节稳定性,但可能会损害外部旋转。这项多中心研究的目的是,在使用三角学方法进行的大量RSAs中,是为了确定肩胛骨下术前状态和术中修复对活动范围的影响,至少随访2年的临床评分和并发症发生率。
    目的:功能性肩胛骨下的修复在不影响外旋的情况下给予更好的内旋和稳定性。
    方法:我们回顾性回顾了由14名外科医生进行的所有RSAs(n=916)的记录,排除了234个由前上方法操作的方法,42为类风湿性关节炎手术,骨折,不稳定或创伤后后遗症,和8个有辅助背阔肌肌腱转移(LDTT)。这留下了632个注册会计师,其中肩胛骨在594年脱离,在495年脱离后修复。患者完成术前和术后恒定评分和术后主观肩关节值(SSV)。活动前高程,主动外部旋转(ER),在术前和术后记录主动内旋(IR)。RSA后的并发症需要保守治疗,在不移除植入物的情况下再次手术,记录了再手术以及移除植入物的情况。
    结果:在最初的632个肩群中,120人(19%)失去随访,12人(2%)因与RSA无关的原因死亡,26例(4%)通过移除植入物进行了修订。剩下的474个肩膀,259例(55%)肩胛骨下功能修复(FR组),59例(12%)肩胛骨下无功能修复(nFR组),而68(14%)的肩胛骨下未修复(nR组)。患者人口统计学比较(年龄,体重指数和性别)显示三组之间没有显着差异。术后恒定评分(p=0.031)和SSV(p=0.016)三组间差异有统计学意义。但效应量小,与临床无关.三组之间术后ER和术后IR的差异不显着:FR组91(35%)获得了功能性IR,11(19%)在nFR组中,nR组中有13名(19%)。在FR组中,三肩(1.2%)报告主观不稳定,1肩(0.4%)脱臼,但nFR或nR组中都没有。
    结论:尽管三组之间的ConstantScore和SSV有统计学上的显著差异,这些差异的临床相关性可以忽略不计,因此,功能性肩胛骨下修复对功能结局影响很小或没有影响。在RSA期间,通过deltopecorial方法,功能性肩胛骨下修复可以稍微改善一些患者的内旋,但不会损害外旋,正向抬高或临床评分,在修复无功能的肩胛骨下,与非修复相比,没有改善运动范围或临床评分。
    方法:III;回顾性比较。
    The role of the subscapularis following reverse shoulder arthroplasty (RSA) remains controversial as repair could restore adequate internal rotation and shoulder stability, but might compromise external rotation. The purpose of this multi-centre study, on a large cohort of RSAs performed using the deltopectoral approach, was to determine the effect of subscapularis preoperative status and intraoperative repair on range of motion, clinical scores and rates of complications at a minimum follow-up of 2 years.
    Repair of a functional subscapularis grants better internal rotation and stability without compromising external rotation.
    We retrospectively reviewed records of all RSAs (n=916) performed by 14 surgeons that participated in a large national society symposium, and excluded 234 operated by the anterosuperior approach, 42 operated for rheumatoid arthritis, fractures, instability or post traumatic sequalae, and eight that had adjuvant latissimus dorsi tendon transfer (LDTT). This left 632 RSAs, in which the subscapularis was detached in 594, and repaired after detachment in 495. Patients completed pre- and postoperative Constant Score and postoperative Subjective Shoulder Value (SSV). Active forward elevation, active external rotation (ER), and active internal rotation (IR) were recorded pre- and postoperatively. Complications following RSA that required conservative treatment, reoperation without implant removal, as well as reoperation with implant removal were recorded.
    Of the initial cohort of 632 shoulders, 120 (19%) were lost to follow-up, 12 (2%) died due to causes unrelated to RSA, and 26 (4%) were revised with implant removal. Of the remaining 474 shoulders, 259 (55%) had a functional repaired subscapularis (Group FR), 59 (12%) had a non-functional repaired subscapularis (Group nFR), whereas 68 (14%) had a not repaired subscapularis (Group nR). Comparison of patient demographics revealed no significant differences among the three groups. Postoperative Constant Score (p=0.031) and SSV (p=0.016) were significantly different among the three groups, but effect sizes were small and not clinically relevant. Differences in postoperative ER as well as postoperative IR were not significant among the three groups: 91 (35%) gained functional IR in Group FR, 11 (19%) in Group nFR, and 13 (19%) in Group nR. Three shoulders (1.2%) reported subjective instability and 1 (0.4%) dislocated in Group FR, but none in either Groups nFR or nR.
    Despite statistically significant differences in Constant Score and SSV among the three groups, the clinical relevance of these differences is negligible, so repair of functional subscapularis has little or no influence on functional outcomes. During RSA by deltopectoral approach, repair of a functional subscapularis could slightly improve internal rotation in some patients but does not compromise external rotation, forward elevation or clinical scores, while repair of a non-functional subscapularis, compared to non-repair, did not improve range of motion or clinical scores.
    III; retrospective comparative.
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  • 文章类型: Journal Article
    当观看负面情绪电影时,我们因人而异,在我们参与的容易程度和我们在时间上不断发展的叙事中脱离的困难。我们调查了情绪处理的神经反应,通过在主观情感参与和脱离中考虑个体间的同步。这些共享反应的神经基础理想地在自然主义场景中进行研究,例如电影观看,其中个人在整个叙事过程中以自己的时间和节奏在情感上参与和脱离。尽管自然主义设计可以为研究带来丰富的数据,在确定主观参与和脱离的时间分辨行为标记及其潜在的神经反应方面存在挑战.我们使用了受试者内部交叉设计,指导22名受试者在进行功能磁共振成像(fMRI)时观看中性或悲伤内容的剪辑。参与者第二次观看同一部电影,同时不断注释感知的情感强度,从而实现大脑活动和情感体验的映射。我们的分析显示,参与者之间在情感强度的打蜡(参与)和减弱(脱离)之间的相似性与电影期间大脑激活的时空模式中的参与者之间的相似性直接相关。类似的参与模式反映了双侧腹内侧前额叶皮层的共同激活,经常参与自我参考评估和负面情绪产生的区域。类似的脱离接触模式反映了通常参与自上而下情绪调节的中央执行和默认模式网络区域的共同激活。这项工作有助于更好地理解认知和神经机制,这些机制支持从情感唤起的叙事中参与和脱离。
    When watching a negative emotional movie, we differ from person to person in the ease with which we engage and the difficulty with which we disengage throughout a temporally evolving narrative. We investigated neural responses of emotional processing, by considering inter-individual synchronization in subjective emotional engagement and disengagement. The neural underpinnings of these shared responses are ideally studied in naturalistic scenarios like movie viewing, wherein individuals emotionally engage and disengage at their own time and pace throughout the course of a narrative. Despite the rich data that naturalistic designs can bring to the study, there is a challenge in determining time-resolved behavioral markers of subjective engagement and disengagement and their underlying neural responses. We used a within-subject cross-over design instructing 22 subjects to watch clips of either neutral or sad content while undergoing functional magnetic resonance imaging (fMRI). Participants watched the same movies a second time while continuously annotating the perceived emotional intensity, thus enabling the mapping of brain activity and emotional experience. Our analyses revealed that between-participant similarity in waxing (engagement) and waning (disengagement) of emotional intensity was directly related to the between-participant similarity in spatiotemporal patterns of brain activation during the movie(s). Similar patterns of engagement reflected common activation in the bilateral ventromedial prefrontal cortex, regions often involved in self-referenced evaluation and generation of negative emotions. Similar patterns of disengagement reflected common activation in central executive and default mode network regions often involved in top-down emotion regulation. Together this work helps to better understand cognitive and neural mechanisms underpinning engagement and disengagement from emotionally evocative narratives.
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  • 文章类型: Journal Article
    皮质和副交感神经系统都被认为可以调节情感唤醒,为健康发展服务。系统协调,或耦合,假定的调节功能之间始于儿童早期。然而,幼儿皮质和副交感神经系统之间的耦合程度仍不清楚,特别是与典型或非典型情绪功能的发展有关。我们测试了在学龄前儿童(N=121)的认知挑战期间,皮质(ERN)和副交感神经(呼吸窦性心律失常[RSA])调节标志物是否耦合。我们没有发现RSA预测ERN的主要作用。然后,我们测试了儿童的典型和非典型情绪行为(上下文适当/上下文不适当的恐惧,焦虑症状,神经内分泌反应性)作为早期偶联的调节剂,以努力将偶联模式与适应性情绪发展联系起来。负耦合(即,较小的ERN,更多的RSA抑制或更大的ERN,较少的RSA抑制)在3岁时与更大的非典型和不太典型的情绪行为相关,预示着更大的风险。对于5岁时广泛性焦虑症症状更大,皮质醇反应性减弱的儿童,3岁时也可见负耦合。结果表明,负耦合可能反映了在学龄前期间可以识别的整个监管系统的适应不良模式。
    Both cortical and parasympathetic systems are believed to regulate emotional arousal in the service of healthy development. Systemic coordination, or coupling, between putative regulatory functions begins in early childhood. Yet the degree of coupling between cortical and parasympathetic systems in young children remains unclear, particularly in relation to the development of typical or atypical emotion function. We tested whether cortical (ERN) and parasympathetic (respiratory sinus arrhythmia [RSA]) markers of regulation were coupled during cognitive challenge in preschoolers (N = 121). We found no main effect of RSA predicting ERN. We then tested children\'s typical and atypical emotion behavior (context-appropriate/context-inappropriate fear, anxiety symptoms, neuroendocrine reactivity) as moderators of early coupling in an effort to link patterns of coupling to adaptive emotional development. Negative coupling (i.e., smaller ERN, more RSA suppression or larger ERN, less RSA suppression) at age 3 was associated with greater atypical and less typical emotion behaviors, indicative of greater risk. Negative age 3 coupling was also visible for children who had greater Generalized Anxiety Disorder symptoms and blunted cortisol reactivity at age 5. Results suggest that negative coupling may reflect a maladaptive pattern across regulatory systems that is identifiable during the preschool years.
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  • 文章类型: Journal Article
    目的:肩袖撕裂性关节病(RCTA)的腋窝(AN)和/或肩胛骨上(SSN)神经病的患病率尚不清楚。我们旨在前瞻性评估术前神经诊断异常,以确定其患病率。location,以及对反向肩关节置换术(RSA)结局的影响。
    方法:前瞻性纳入接受RCTA的RSA患者。手术前后进行了肌电图和神经传导研究。临床情况:VAS,相对恒定Murley评分(rCMS)和ROM在至少两年的随访。
    结果:40例患者符合纳入标准;平均随访28.4个月(SD4.4)。RCTA的损伤发生率为83.9%(AN为77.4%,SSN为45.2%)。术前VAS无差异,ROM,有术前神经损伤和无术前神经损伤的患者之间的rCMS。在慢性术前损伤下记录了四种急性术后神经损伤。RSA六个月后,69%的术前神经病变得到改善(82.14%的慢性损伤和77.7%的废用损伤)。未发现废用和慢性损伤之间的改善差异,但术前神经病变患者在术后6个月的肌电图研究中没有改善,在VAS(1.44vs2.66;第14页)和rCMS(91.6vs89.04;第27页)上得分更差。
    结论:RCTA中腋窝和肩胛骨上神经病变的频率远高于预期。这些损伤大多在手术后改善,几乎完全的神经生理恢复,对RSA的功能影响很小。然而,那些术前有神经病变且术后6个月无神经生理学改善的患者,其功能结果较低.
    OBJECTIVE: Prevalence of axillary (AN) and/or suprascapular (SSN) neuropathy in rotator cuff tear arthropathy (RCTA) is unknown. We aimed to prospectively evaluate for preoperative neurodiagnostic abnormalities in order to determine their prevalence, location, and influence on reverse shoulder arthroplasty (RSA) outcomes.
    METHODS: Patients who underwent RSA for RCTA were prospectively included. An electromyography and nerve conduction study were performed pre and post-surgery. Clinical situation: VAS, Relative Constant-Murley Score (rCMS) and ROM over a minimum of two years follow-up.
    RESULTS: Forty patients met the inclusion criteria; mean follow-up was 28.4 months (SD 4.4). Injuries in RCTA were present in 83.9% (77.4% in AN and 45.2% in SSN). There were no differences on preoperative VAS, ROM, and rCMS between patients with and without preoperative nerve injuries. Four acute postoperative neurological injuries were registered under chronic preoperative injuries. Six months after RSA, 69% of preoperative neuropathies had improved (82.14% chronic injuries and 77.7% disuse injuries). No differences in improvement between disuse and chronic injuries were found, but patients with preoperative neuropathy that had not improved at the postoperative electromyographic study at six months, scored worse on the VAS (1.44 vs 2.66; p .14) and rCMS (91.6 vs 89.04; p .27).
    CONCLUSIONS: The frequency of axillary and suprascapular neuropathies in RCTA is much higher than expected. Most of these injuries improve after surgery, with almost complete neurophysiological recovery and little functional impact on RSA. However, those patients with preoperative neuropathies and absence of neurophysiological improvement six months after surgery have lower functional results.
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  • 文章类型: Journal Article
    无论他们的观点如何,识别面孔对于社交互动至关重要。传统理论认为,视图选择性的早期视觉表示逐渐容忍沿腹侧视觉层次结构的观点变化。较新的理论,基于单神经元猴电生理记录,建议一个三阶段的体系结构,包括一个中间的面部选择补丁突然实现镜像对称的面部视图的不变性。结合神经影像学和多变量模式分析(MVPA)的人体研究为早期视觉区域的视野选择性提供了一致的证据。然而,已经得出了矛盾的结论,关于人类存在的镜像对称表示,就像在猕猴中观察到的那样。我们认为,这些矛盾来自低水平的刺激困惑和数据分析选择。为了调查低水平的困惑,我们分析了来自两个人脸数据库的图像。对图像亮度和对比度的分析揭示了由偶数多项式描述的人脸视图的偏差,即镜像对称。为了解释神经影像学研究的主要趋势,我们构建了一个包含三个约束的网络模型:皮质放大,收敛前馈投影,和半球间的联系。鉴于已确定的低水平偏见,我们表明,跨网络层的半球间连接逐渐增加足以在早期处理阶段复制视图调整,并在后期复制镜像对称。数据分析决策-模式差异度量和数据重新定位-解释了先前研究中对镜像对称性的不一致观察。对人类fMRI数据(任一性别)的模式分析显示出与我们的模型兼容的偏见。该模型为观点选择性的MVPA研究提供了统一的解释,并表明对人类镜像对称的观察源于不同人脸视图中无效归一化的信号失衡。重要性陈述无论观点如何,对身份的识别对于社会互动至关重要。在灵长类动物中,镜像对称人脸视图的表示被认为是从严格调整视图到视点不变表示的关键中间处理步骤。人体神经影像学研究,然而,在面部选择区域的观点信息表示方面得出了矛盾的结论,尽管在早期视觉区域是一致的。我们证明了低水平刺激的混淆和数据分析选择解释了这些矛盾的观察结果。我们提出了一个网络模型,该模型在早期处理阶段复制视图调整的观察结果,而不考虑分析选择。通过选择模式差异度量和数据重新定位来解释后期对镜像对称的可变观察。对功能磁共振成像数据的分析证实了偏见与我们的模型广泛兼容。
    Recognizing faces regardless of their viewpoint is critical for social interactions. Traditional theories hold that view-selective early visual representations gradually become tolerant to viewpoint changes along the ventral visual hierarchy. Newer theories, based on single-neuron monkey electrophysiological recordings, suggest a three-stage architecture including an intermediate face-selective patch abruptly achieving invariance to mirror-symmetric face views. Human studies combining neuroimaging and multivariate pattern analysis (MVPA) have provided convergent evidence of view selectivity in early visual areas. However, contradictory conclusions have been reached concerning the existence in humans of a mirror-symmetric representation like that observed in macaques. We believe these contradictions arise from low-level stimulus confounds and data analysis choices. To probe for low-level confounds, we analyzed images from two face databases. Analyses of image luminance and contrast revealed biases across face views described by even polynomials-i.e., mirror-symmetric. To explain major trends across neuroimaging studies, we constructed a network model incorporating three constraints: cortical magnification, convergent feedforward projections, and interhemispheric connections. Given the identified low-level biases, we show that a gradual increase of interhemispheric connections across network-layers is sufficient to replicate view-tuning in early processing stages and mirror-symmetry in later stages. Data analysis decisions-pattern dissimilarity measure and data recentering-accounted for the inconsistent observation of mirror-symmetry across prior studies. Pattern analyses of human fMRI data (of either sex) revealed biases compatible with our model. The model provides a unifying explanation of MVPA studies of viewpoint selectivity and suggests observations of mirror-symmetry originate from ineffectively normalized signal imbalances across different face views.
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