Acute kidney injury (AKI) has been reported in up to 25% of critically-ill patients with SARS-CoV-2 infection, especially in those with underlying comorbidities. AKI is associated with high mortality ...rates in this setting, especially when renal replacement therapy is required. Several studies have highlighted changes in urinary sediment, including proteinuria and hematuria, and evidence of urinary SARS-CoV-2 excretion, suggesting the presence of a renal reservoir for the virus. The pathophysiology of COVID-19 associated AKI could be related to unspecific mechanisms but also to COVID-specific mechanisms such as direct cellular injury resulting from viral entry through the receptor (ACE2) which is highly expressed in the kidney, an imbalanced renin–angotensin–aldosteron system, pro-inflammatory cytokines elicited by the viral infection and thrombotic events. Non-specific mechanisms include haemodynamic alterations, right heart failure, high levels of PEEP in patients requiring mechanical ventilation, hypovolemia, administration of nephrotoxic drugs and nosocomial sepsis. To date, there is no specific treatment for COVID-19 induced AKI. A number of investigational agents are being explored for antiviral/immunomodulatory treatment of COVID-19 and their impact on AKI is still unknown. Indications, timing and modalities of renal replacement therapy currently rely on non-specific data focusing on patients with sepsis. Further studies focusing on AKI in COVID-19 patients are urgently warranted in order to predict the risk of AKI, to identify the exact mechanisms of renal injury and to suggest targeted interventions.
•We tested neural and behavior synchrony in male-female couples, best friends, and strangers.•During motor coordination, beta and gamma synchrony emerged in central regions.•Couples showed highest ...neural and behavioral synchrony and fastest performance.•Empathy-giving elicited alpha, beta, and gamma synchrony in central and temporal areas.•Couples showed highest behavior and lowest neural synchrony and strangers the reverse.
The human brain has undergone massive expansion across primate evolution through life amidst multi-layered social attachments; within families, among friends, and between clan members and this enabled humans to coordinate their brains with those of others toward the execution of complex social goals. We examined how human attachments facilitate efficient, resource-sensitive performance of social goals by balancing neural and behavioral synchrony. Using hyperscanning EEG, we collected neural data from male-female pairs in three groups (N=158, 79 pairs); long-term couples, best friends, and unfamiliar group members, during two ecologically-valid naturalistic tasks; motor coordination and empathy giving. Across groups and tasks, neural synchrony was supported by behavior coordination and orchestrated multiple neural rhythms. In the goal-directed motor task, interbrain synchrony implicated beta and gamma rhythms localized to sensorimotor areas. Couples showed the highest neural synchrony combined with greatest behavioral synchrony and such brain-behavior linkage resulted in speedy performance, conserving energy in the long run. The socially-oriented empathy task triggered neural synchrony in widely-distributed sensorimotor and bilateral temporal regions, integrated alpha, beta, and gamma rhythms, and implicated brain-behavior complementarity; couples displayed the highest behavioral synchrony combined with lowest neural synchrony toward greatest felt support while strangers exhibited the opposite pattern. Findings suggest that human attachments provide a familiar backdrop of temporal regularities, required for the brain's allostatic function, and interbrain and behavioral synchrony are sculpted by familiarity and closeness toward resource-sensitive performance of survival-related social goals, toiled by two.
During social interaction, both participants are continuously active, each modifying their own actions in response to the continuously changing actions of the partner. This continuous mutual ...adaptation results in interactional synchrony to which both members contribute. Freely exchanging the role of imitator and model is a well-framed example of interactional synchrony resulting from a mutual behavioral negotiation. How the participants' brain activity underlies this process is currently a question that hyperscanning recordings allow us to explore. In particular, it remains largely unknown to what extent oscillatory synchronization could emerge between two brains during social interaction. To explore this issue, 18 participants paired as 9 dyads were recorded with dual-video and dual-EEG setups while they were engaged in spontaneous imitation of hand movements. We measured interactional synchrony and the turn-taking between model and imitator. We discovered by the use of nonlinear techniques that states of interactional synchrony correlate with the emergence of an interbrain synchronizing network in the alpha-mu band between the right centroparietal regions. These regions have been suggested to play a pivotal role in social interaction. Here, they acted symmetrically as key functional hubs in the interindividual brainweb. Additionally, neural synchronization became asymmetrical in the higher frequency bands possibly reflecting a top-down modulation of the roles of model and imitator in the ongoing interaction.
Autism spectrum disorder is a construct used to describe individuals with a specific combination of impairments in social communication and repetitive behaviours, highly restricted interests and/or ...sensory behaviours beginning early in life. The worldwide prevalence of autism is just under 1%, but estimates are higher in high-income countries. Although gross brain pathology is not characteristic of autism, subtle anatomical and functional differences have been observed in post-mortem, neuroimaging and electrophysiological studies. Initially, it was hoped that accurate measurement of behavioural phenotypes would lead to specific genetic subtypes, but genetic findings have mainly applied to heterogeneous groups that are not specific to autism. Psychosocial interventions in children can improve specific behaviours, such as joint attention, language and social engagement, that may affect further development and could reduce symptom severity. However, further research is necessary to identify the long-term needs of people with autism, and treatments and the mechanisms behind them that could result in improved independence and quality of life over time. Families are often the major source of support for people with autism throughout much of life and need to be considered, along with the perspectives of autistic individuals, in both research and practice.
Background
SARS coronavirus 2 (SARS-CoV-2) is responsible for high morbidity and mortality worldwide, mostly due to the exacerbated inflammatory response observed in critically ill patients. However, ...little is known about the kinetics of the systemic immune response and its association with survival in SARS-CoV-2+ patients admitted in ICU. We aimed to compare the immuno-inflammatory features according to organ failure severity and in-ICU mortality.
Methods
Six-week multicentre study (
N
= 3) including SARS-CoV-2+ patients admitted in ICU. Analysis of plasma biomarkers at days 0 and 3–4 according to organ failure worsening (increase in SOFA score) and 60-day mortality.
Results
101 patients were included. Patients had severe respiratory diseases with PaO2/FiO2 of 155 111–251 mmHg), SAPS II of 37 31–45 and SOFA score of 4 3–7. Eighty-three patients (83%) required endotracheal intubation/mechanical ventilation and among them, 64% were treated with prone position. IL-1β was barely detectable. Baseline IL-6 levels positively correlated with organ failure severity. Baseline IL-6 and CRP levels were significantly higher in patients in the worsening group than in the non-worsening group (278 70–622 vs. 71 29–153 pg/mL,
P
< 0.01; and 178 100–295 vs. 100 37–213 mg/L,
P
< 0.05, respectively). Baseline IL-6 and CRP levels were significantly higher in non-survivors compared to survivors but fibrinogen levels and lymphocyte counts were not different between groups. After adjustment on SOFA score and time from symptom onset to first dosage, IL-6 and CRP remained significantly associated with mortality. IL-6 changes between Day 0 and Day 3–4 were not different according to the outcome.
A contrario
, kinetics of CRP and lymphocyte count were different between survivors and non-survivors.
Conclusions
In SARS-CoV-2+ patients admitted in ICU, a systemic pro-inflammatory signature was associated with clinical worsening and 60-day mortality.
human dynamic clamp as a paradigm for social interaction Dumas, Guillaume; de Guzman, Gonzalo C; Tognoli, Emmanuelle ...
Proceedings of the National Academy of Sciences - PNAS,
09/2014, Letnik:
111, Številka:
35
Journal Article
Recenzirano
Odprti dostop
Significance The human dynamic clamp (HDC) is proposed as a general paradigm for studies of elementary forms of social behavior in complex biological systems. HDC enables parametric control of ...real-time bidirectional interaction between humans and empirically grounded theoretical models of coordination dynamics. It thus provides necessary experimental access for laboratory investigations, while preserving the reciprocity and open boundary conditions inherent in daily life social interactions. As proof of concept, different implementations are illustrated, ranging from coordination of rhythmic and discrete movements to adaptive and directed behaviors. The HDC may be a powerful tool for blending theory and experiment at different levels of description, from neuronal populations to cognition and social behavior.
•Technologically-assisted communication is prevalent, yet, its impact on the social brain is unknown.•We measured mother-child brain-to-brain synchrony during live and technologically-assisted remote ...interaction.•The live interaction elicited 9 cross-brain links between densely inter-connected frontal and temporal areas in the beta range.•The remote interaction yielded only 1 significant cross-brain cross-hemisphere link.•Brain-behavior associations emerged only during the live interaction.•Further research should examine the cost of social technology to brain maturation, particularly among youth.
The transition to technologically-assisted communication has permeated all facets of human social life; yet, its impact on the social brain is still unknown and the effects may be particularly intense during periods of developmental transitions. Applying a two-brain perspective, the current preregistered study utilized hyperscanning EEG to measure brain-to-brain synchrony in 62 mother-child pairs at the transition to adolescence (child age; M = 12.26, range 10–14) during live face-to-face interaction versus technologically-assisted remote communication. The live interaction elicited 9 significant cross-brain links between densely inter-connected frontal and temporal areas in the beta range 14–30 Hz. Mother's right frontal region connected with the child's right and left frontal, temporal, and central regions, suggesting its regulatory role in organizing the two-brain dynamics. In contrast, the remote interaction elicited only 1 significant cross-brain-cross-hemisphere link, attenuating the robust right-to-right-brain connectivity during live social moments that communicates socio-affective signals. Furthermore, while the level of social behavior was comparable between the two interactions, brain-behavior associations emerged only during the live exchange. Mother-child right temporal-temporal synchrony linked with moments of shared gaze and the degree of child engagement and empathic behavior correlated with right frontal-frontal synchrony. Our findings indicate that human co-presence is underpinned by specific neurobiological processes that should be studied in depth. Much further research is needed to tease apart whether the "Zoom fatigue" experienced during technological communication may stem, in part, from overload on more limited inter-brain connections and to address the potential cost of social technology for brain maturation, particularly among youth.
The study explores interbrain neural coupling when interlocutors engage in a conversation whether it be in their native or nonnative language. To this end, electroencephalographic hyperscanning was ...used to study brain-to-brain phase synchronization during a two-person turn-taking verbal exchange with no visual contact, in either a native or a foreign language context. Results show that the coupling strength between brain signals is increased in both, the native language context and the foreign language context, specifically, in the alpha frequency band. A difference in brain-to speech entrainment to native and foreign languages is also shown. These results indicate that between brain similarities in the timing of neural activations and their spatial distributions change depending on the language code used. We argue that factors like linguistic alignment, joint attention and brain-entrainment to speech operate with a language-idiosyncratic neural configuration, modulating the alignment of neural activity between speakers and listeners. Other possible factors leading to the differential interbrain synchronization patterns as well as the potential features of brain-to-brain entrainment as a mechanism are briefly discussed. We concluded that linguistic context should be considered when addressing interpersonal communication. The findings here open doors to quantifying linguistic interactions.
This article introduces a three-axis framework indicating how AI can be informed by biological examples of social learning mechanisms. We argue that the complex human cognitive architecture owes a ...large portion of its expressive power to its ability to engage in social and cultural learning. However, the field of AI has mostly embraced a solipsistic perspective on intelligence. We thus argue that social interactions not only are largely unexplored in this field but also are an essential element of advanced cognitive ability, and therefore constitute metaphorically the “dark matter” of AI. In the first section, we discuss how social learning plays a key role in the development of intelligence. We do so by discussing social and cultural learning theories and empirical findings from social neuroscience. Then, we discuss three lines of research that fall under the umbrella of Social NeuroAI and can contribute to developing socially intelligent embodied agents in complex environments. First, neuroscientific theories of cognitive architecture, such as the global workspace theory and the attention schema theory, can enhance biological plausibility and help us understand how we could bridge individual and social theories of intelligence. Second, intelligence occurs in time as opposed to over time, and this is naturally incorporated by dynamical systems. Third, embodiment has been demonstrated to provide more sophisticated array of communicative signals. To conclude, we discuss the example of active inference, which offers powerful insights for developing agents that possess biological realism, can self-organize in time, and are socially embodied.
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