The nature and severity of mitral/tufted (M/T) cells reactions to odorants presented in anesthesia depend on various factors, and, above all, the nature and concentration of the odor, anesthesia, and ...the functional state of the olfactory bulb (OB). Compared to wakefulness, under anesthesia, the intensity of OB M/T cells responses to the odorants presented increases. However, the influence of anesthesia dynamics on the intensity of such responses has not been studied. To address this problem in rats, the activity of M/T cells and the local field potentials (LFP) in OB were recorded in the course of xylazine-tiletamine-zolazepam (XTZ) anesthesia. It has been shown that in the course of the anesthesia, the average frequency of background and odorant-induced single-unit activity of M/T cells increases, while the dominant frequency value of LFP in the gamma frequency range (90–170 Hz), on the contrary, decreases. The observed effects are assumed to be associated with changes in the functional state of the OB and systems for processing olfactory information in anesthesia.
Local field potentials (LFP) recorded in the olfactory bulb (OB) is largely generated in its local neural networks, is directly related to the processing of olfactory information, and is affected by ...various factors, including anesthetics. The effects of xylazine-tiletamine-zolazepam (XTZ) anesthesia on the spectral characteristics and coherence of LFP recorded from the dorsal surface of the OB in the frequency range 1–150 Hz for 2 h were studied using eight-electrode arrays in six domesticated adult male gray rats in chronic experimental conditions. The results showed that the most significant changes in LFP in the OB of rats under XTZ anesthesia occurred in the high γ frequency band. Statistically significant increases in the power (2–4 times) and coherence (up to 50%) of these frequencies was observed in the LFP of all animals within 10–15 min of onset of anesthesia. While the modal values of these frequencies were in the region of 70–80 Hz in waking, the corresponding frequencies after this duration of anesthesia were 110–130 Hz. During anesthesia there was a gradual shift in the modal value in the power distribution to the left, i.e., to lower frequencies (90–110 Hz), while total power (but not coherence) significantly decreased only when the animal came out of anesthesia.
•The utterance of imagined words denoting directions in space by right-handed people was accompanied by the formation of specific spatial coherence patterns in the left-brain hemisphere.•The ...differences in coherence values detected in the process of imagined speech within the right hemisphere, associated with a wider frequency range (beta-gamma) were observed.•The right hemisphere is involved in analyzing the context of an utterance to build a general idea, generates visual models of words and forms verbal intentions.•Statistically significant differences in imagined speech-related brain signals prove the promising use of EEG patterns associated with inner speech for the development of BCIs and neural control systems.
Although a significant number of studies have been devoted to the investigation of the electrographic correlates and neurophysiological mechanisms of spoken and inner (imagined) speech, there is a question on which EEG characteristics reflect its content. Considering that speech is a complex cognitive process which requires coordinated activity of a number of cortical structures of the large hemispheres, the EEG coherence values were studied. The values were recorded from 14 channels of 10 young men in the process of real verbalization (spoken speech) and during pronunciation of imagined words designating directions in space (up, down, right, left, forward, backward). It was shown that the level of EEG coherence is generally higher for real verbalization, most significantly at gamma-2-rhythm frequencies (55–70 Hz). Spatial coherence patterns specific to a number of words are formed in the left cerebral hemisphere during imagined utterance of words at gamma-2 frequencies. The application of machine learning and neural network classification has demonstrated a significant similarity of the generated spatial coherent patterns of spoken and inner (imagined) speech. The Multi-layer Perceptron (MLP) neural network classification method has shown the accuracy of word detection in the imagined speech according to brain activity patterns up to 49–61% for 3 classes and 33–40% for 7 classes, with a random recognition rate of 33,3 and 14,2% respectively. The latter indicates a promising application of coherence values and imagined speech denoting directions in space for the development of Brain-computer interfaces (BCIs).
Purpose of the study
. To analyze the physical and neuropsychiatric development of pediatric patients who underwent cranial irradiation in the period from 2015 to 2020 in the radiotherapy department ...of the National Research Center of Oncology and to assess the risk of post-radiation complications.
Materials and methods.
17 children aged from 3 to 17 years were hospitalized under medical supervision in the department of pediatric oncology of the National Medical Research Centre for Oncology. All the children underwent a course of conformal radiation therapy totally on the brain area and the first two cervical vertebrae in the radiotherapy department of the National Medical Research Centre for Oncology. 13 patients (76.7 %) underwent radiation therapy due to the prevention of neuroleukemia with a total dose of 12 Gy (a dose per fraction was 2 Gy), 2 patients with a confirmed relapse of acute lymphoblastic leukaemia (ALL) (11.65 %), 1 patient with a confirmed diagnosis of neuroleukemia (5.8 %) and 1 patient from the high-risk group (5.8 %) – with a total dose of 18 Gy (a dose per fraction was 2 Gy). Further 75 month regular medical checkup was carried out on the basis of the Regional Children's Clinical Hospital for.
Results
. None of the surviving patients showed growth retardation. Two patients (11.65 %) complained of increased fatigue, decreased concentration; one patient (5.8 %) showed unmotivated irritability and aggression during the examination. Intellectual development corresponded to age in all patients (100 %). One patient (5.8 %) experienced episodes of nausea and vomiting (grade 1 on the CTCAE scale), three patients (17.7 %) suffered from headache (grade 2 on the CTCAE scale), three patients (17.7 %) complained of fever up to 38 °C (1 degree on the CTCAE scale). Two out of 17 ALL patients died due to disease progression.
Conclusion
. Taking into account the different time intervals between treatment and the moment of the study (from 9 to 75 months), cranial irradiation demonstrates relative safety for patients undergoing treatment during critical periods of development of both physical and neuropsychic spheres. However, an objective assessment of the development prospects is difficult due to the relatively short time after undergoing therapy (from 9 to 75 months) and a small sample of patients.
A novel neural network approach to the real-time detection and classification of temporospatial EEG patterns accompanying performance of motor imagery (imaginary movements) based on a local ...approximation method using radial basis functions and an original algorithm for interpreting the time sequence of the responses of the neural network is proposed. This was used as the basis for creating and testing an asynchronous neural interface whose basic element was a classifier including a committee of five neural networks detecting EEG patterns accompanying four types of motor imagery. We present a comparative assessment of the EEG pattern recognition effectiveness for motor imagery using the method developed here and classical neural network methods, particularly radial basis networks, a multilayer perceptron, and the support vectors method. Experimental studies demonstrated a user learning effect with increases in recognition accuracy and EEG pattern classification, as well as speed of control.
Objective. To improve the results of complex surgical treatment of wounded and injured persons with thoracic trauma, complicated by bronchopleural fistulas, pleural empyema and defects in the ...thoracic wall soft tissues, basing on introduction of the proposed procedure of vacuum therapy in combination with bronchoscopic obturation of certain bronchus.
Materials and methods. Analysis of results of the complex surgical help delivery for 54 wounded persons with defects of the thoracic wall soft tissues, broncho-pleural fistulas and pleural empyema, caused by the combat thoracic trauma, on ІІІ and ІV levels of medical support while conduction of the Antiterrorist operation/Operation of the Joined Forces (the main group) and 73 injured persons with thoracic trauma of the peace period (the comparison group) in the 2014 - 2019 yrs period was conducted.
Results. Improvement of complex surgical treatment of the wounded and damaged persons with thoracic trauma and defects of the thoracic wall soft tissues have permitted to reduce the complications frequency by 6.7%, and lethality - by 9.2% in the main group.
Conclusion. There was proposed a procedure of vacuum therapy, ultrasound cavitation together with bronchoscopic bronchial obturation for its fistula, which have proved its efficacy in complex surgical treatment of severely wounded persons with the gun-shot thoracic damages and presence of combination of pleural empyema, bronchial fistula and defects of soft tissues.
The amplitude and spectral characteristics of the EEG recorded in 24 essentially healthy subjects during real and mental performance of hand, leg, and tongue movements were studied. Execution of ...movements was found to be accompanied by increases in the EEG power of the δ and θ frequencies on the background of marked reductions in the α and β1 frequencies. The sensorimotor and associative areas of both hemispheres of the brain were actively involved both in execution of real voluntary movements and mental imagery, especially at rapid (γ) frequencies.
Проанализирована значимость прогностических факторов эффективности терапии у детей с острым лимфобластным лейкозом (ОЛЛ), получающих терапию по протоколу ALL-MB-2002, в зависимости от группы риска. В ...исследование были включены 1544 первичных больных ОЛЛ в возрасте от 1 года до 18 лет, получавших лечение в 36 клиниках России и Беларуси в период с 15 апреля 2002 г. до 1 января 2008 г. Из 1544 больных, включенных в анализ, пациенты группы стандартного риска (SRG) составили 69,2 %, промежуточного риска (ImRG) — 24,5 % и 6,3 % пациентов были отнесены к группе высокого риска. Анализ, проведенный у пациентов SRG, продемонстрировал резкие различия в выживаемости между отдельными подгруппами больных. Выявлены достоверные различия в показателях выживаемости пациентов в зависимости от возраста (старше и младше 10 лет), инициального лейкоцитоза (более и менее 30 × 10 9 /л), инициального пальпаторного увеличения селезенки (более и менее 4 см из-под края реберной дуги) и параметров раннего ответа на терапию (8-й и 15-й день). При ретроспективном определении больных, относящихся к SRG, с использованием новых критериев (инициальный лейкоцитоз <30 × 10 9 /л; селезенка < 4 см), прогностическая значимость раннего ответа на терапию нивелировалась. Среди пациентов ImRG не обнаружено никаких достоверных различий в показателях бессобытийной, общей и безрецидивной выживаемости и риске развития изолированных нейрорецидивов в зависимости от инициального иммунофенотипа бластных клеток (Т-ОЛЛ/не-Т-ОЛЛ). Шестилетний кумулятивный риск развития изолированных нейрорецидивов не различался у пациентов с Т- и не-Т-ОЛЛ, однако был выше у больных с инициальным лейкоцитозом ≥ 100 × 10 9 /л независимо от иммунофенотипа. Наихудшие показатели выживаемости отмечены у пациентов с не-Т-ОЛЛ и количеством лейкоцитов ≥ 100 × 10 9 /л — бессобытийная выживаемость в этой подгруппе составила всего 58 ± 7 %. При проведении многофакторного анализа выявлено, что для пациентов с Т-ОЛЛ независимое прогностическое влияние на выживаемость оказывает только величина инициального лейкоцитоза (р = 0,0333), тогда как для больных не-Т-ОЛЛ независимое значение имеют возраст (р = 0,0063), инициальный лейкоцитоз (р = 0,0066) и наличие поражения центральной нервной системы (р = 0,0112).Перенести в английский вариант Prognostic significance of different risk factors in children with acute lymphoblastic leukemia (ALL) treating according to ALL-MB 2002 protocol depending on risk group is analyzed. 1544 primary patients aged from 1 to 18 years, treating in 36 clinics of Russia and Belarus from April, 15 th , 2002 to January, 1th, 2008, was included in the study. From 1544 patients included, 69.2% were standard risk group (SRG), 24.5 % — intermediate risk group (ImRG) and 6.3% — high risk group. The expressed differences in survival rate between certain patient’s subgroups were revealed. Significant survival differences according to age (older and younger 10 years), initial leukocyte count (more and less than 30 × 10 9 /l), spleen size (more and less 4 cm below a costal arch at a palpation) and early therapy response (8th and 15th days of induction) are revealed. At retrospective definition of SRG patients with use of new criteria (initial leukocytosis < 30 × 10 9 /l and spleen size <4 cm), prognostic significance of therapy response was leveled in this subgroup of patients. Among ImRG patients any significant differences in EFS, OS, RFS and cumulative risk of isolated CNS (CIR IN ) relapse according to blast cells immunophenotype (T-ALL/non-T-ALL) were not shown. 6-years CIRIN was not different between patients with T-ALL and non-T-ALL, however was high in patients with initial leukocyte count ≥ 100 × 10 9 /l irrespective to immunophenotype. The worst survival appeared in patients with non-T-ALL and leukocyte count ≥100 × 10 9 /l — EFS in this subgroup was only 58±7%. Only initial leukocytosis had prognostic significance for patients with T-ALL (р=0.0333), whereas age (р = 0.0063), initial leukocytosis (р = 0.0066) and CNS involvement (р = 0.0112) as independent prognostic factors for patients with non-T-ALL in multifactorial analysis was revealed.
We performed longitudinal examinations by neurofeedback in 17 subjects. The subjects were trained for 12 training seßsions (three weeks) to voluntarily increase the intensity of the ß
2
frequencies ...in the frontal EEG electrodes of the right (the
D
scenario) and the left (the
S
scenario) hemispheres. All the subjects were divided into three groups depending on the training efficacy: a group of subjects that successfully controlled the ß activity in the frontal electrodes of both hemispheres (nine subjects), a group of subjects that successfully controlled this activity only in the right hemisphere (four subjects), and a group of subjects that failed to train during the specified period (four subjects). Analysis of the obtained data showed that the training efficacy depended on the cognitive activity that was focused on achieving the corresponding EEG effects and on the individual personality characteristics.
The paper presents the results of a multicenter randomized study of two-dose COLI-ASP regimens in therapy of consolidation of standard risk-group (SRG) children and adolescents with acute ...lymphoblastic leukemia (ALL) treated by the ALL-MB-2002 protocol. The principal aim of the study was to elucidate whether the dose of COLI-ASP might be reduced without losing the efficiency of therapy. The analysis covered primary ALL patients notified at 36 clinics of Russia and Belarus, enrolled for the study in the period of May 1, 2002, to October 10, 2006. Out of 819 patients to be examined, 414 received COLI-ASP in a dose of 10,000 U/m2 (a control group), and 405 children took it in a dose of 5,000 U/m2 (a study group). No statistically significant differences were found between the patients in gender, age, baseline leukocytosis, and spleen size. The study showed no statistically and clinically significant differences in event-free, overall, and relapse-free survival (EFS, OS, and RFS, respectively) and relapse rates with the use of two-dose COLI-ASP regimens. However, in the control group, the death rate in remission was twice greater than that in the study group (p = 0.02). Detailed analysis of the outcomes of therapy in some subgroups revealed no differences between the control and study groups. The Cox multiple regression analysis has indicated that the factors influencing EFS and RFS are the baseline sizes of the spleen, baseline leukocytosis, age, and a response to treatment in the period of induction, rather than the dose of E. coli asparaginase. The authors have also found that among the SRG patients, there is a subgroup of patients without risk factors, in whom the reduction in the COLI-ASP dose may substantially increase survival rates, by lowering toxicity and mortality in remission.
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