Repetitive transcranial magnetic stimulation may induce language switching in bilingual patients

The dorsolateral prefrontal cortex (DLPFC) may participate in the process of language switching in multilingual individuals. We present two cases of bilingual patients who experienced unexpected language switching after receiving high-frequency, repetitive transcranial magnetic stimulation (rTMS) to the left DLPFC as a treatment for major depression. These preliminary findings support the role of the DLPFC in language switching in polyglots and highlight the potential value of rTMS for non-invasively investigating language function in humans. Further investigation is warranted.     

When confessing sin feels good

This paper draws on a qualitative study of how young people engaged in two youth ministries in the Church of Norway reflect on sin and shame in relation to their existential dilemmas . The authors analyze this practice through the lens of Hartmut Rosa's concept of resonance, arguing that there is consonance between how young people in the study express shame and the Lutheran understanding of sin as being curved in on oneself. Both sin and shame prevent the subject from being open to the world, thus constituting resistance to resonance. Yet, the practice of confessing sin may be a remedy to this closing in on oneself, as confession affords a resonant space, countering feelings of existential inadequacy caused by both sin and shame. Bringing the concept of vulnerability into the discussion, the paper further argues that confessing sin may prove healing and liberating also for experiences of shame as long as it does not violate the subject's ability to speak with her own voice or involve harmful god-images or harmful power dynamics.     

Working memory improvement with non-invasive brain stimulation of the dorsolateral prefrontal cortex: A systematic review and meta-analysis

Recent studies have used non-invasive brain stimulation (NIBS) techniques, such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS), to increase dorsolateral prefrontal cortex (DLPFC) activity and, consequently, working memory (WM) performance. However, such experiments have yielded mixed results, possibly due to small sample sizes and heterogeneity of outcomes. Therefore, our aim was to perform a systematic review and meta-analyses on NIBS studies assessing the n-back task, which is a reliable index for WM. From the first data available to February 2013, we looked for sham-controlled, randomized studies that used NIBS over the DLPFC using the n-back task in PubMed/MEDLINE and other databases. Twelve studies (describing 33 experiments) matched our eligibility criteria. Active vs. sham NIBS was significantly associated with faster response times (RTs), higher percentage of correct responses and lower percentage of error responses. However, meta-regressions showed that tDCS (vs. rTMS) presented only an improvement in RT, and not in accuracy. This could have occurred in part because almost all tDCS studies employed a crossover design, possibly due to the reliable tDCS blinding. Study design was also associated with no improvement in correct responses in the active vs. sham groups. To conclude, rTMS of the DLPFC significantly improved all measures of WM performance whereas tDCS significantly improved RT, but not the percentage of correct and error responses. Mechanistic insights on the role of DLPFC in WM are further discussed, as well as how NIBS techniques could be used in neuropsychiatric samples presenting WM deficits, such as major depression, dementia and schizophrenia.     

疾病诊断谁说了算：临床诊断？影像诊断？

影像诊断是临床诊断的一个重要组成部分,与问诊、体格检查、实验室检查等一同构成临床诊断。影像诊断不能脱离临床诊断工作而单独存在,影像诊断的结论是否正确需要其他非影像学证据的支撑,其结论不能脱离症状、体征而存在。影像诊断专注于分析图像特征、从图像中寻找诊断证据,不需要采纳其他非影像学证据完善其结论;由于影像诊断是完全来源于图像分析,因而具有不可避免的局限性。影像诊断和其他诊断技术的融合推动了临床诊治技术的进步。     

认知判断中手部动作模拟的fMRI研究

该研究采用功能磁共振成像技术,考察不同条件下进行工具认知判断时手部姿势对认知判断的影响及动作模拟的神经机制。实验发现：手部姿势存在显著的主效应,冲突手部姿势条件下反应时最慢,且冲突手部姿势条件下与不冲突手部姿势条件下、自然状态条件下反应时存在显著差异,自然状态条件与不冲突手部姿势条件下反应时不存在显著差异。另外,f MRI成像结果发现,额中回、额下回、顶下小叶以及辅助运动区在自然状态下有显著激活,表明个体在进行认知判断过程中有动作模拟过程;海马结构、扣带回及楔前叶等与记忆有关的脑区有显著激活,表明身体经验在认知过程的作用。总的研究表明,不同的手部姿势状态对认知判断有不同影响,冲突手部姿势会对动作模拟产生干扰作用,手部动作模拟的神经机制主要涉及镜像神经元区,且在认知判断时存在具身效应。     

Influence of Zn incorporation on the microstructural and magnetic properties of La0.67Sr0.33Mn1−xZnxO3 nanoparticles synthesised by the sol–gel method

Perovskite manganite nanoparticles with the chemical formula La_0.67Sr_0.33Mn_1?xZn_xO₃ (x = 0, 0.1 and 0.2) were prepared by the sol–gel process and the influence of Zn substitution on their microstructural and magnetic properties studied in detail. X-ray diffractometry (XRD), scanning electron microscopy (SEM) and transmission electron microscopy (TEM) were employed for crystal structure determination and microstructural analysis. The results of XRD analysis confirmed the polycrystalline nature and rhombohedral crystal structure with space group R(-3c) for all compositions. SEM micrographs of the samples revealed an agglomeration/well-connected appearance of the particles. The composition and uniform distribution of all the elements were established by energy-dispersive spectroscopy. TEM images clearly confirmed an almost spherical shape of the nanoparticles with an average particle size of about 11, 14 and 13 nm for the 0, 10 and 20% Zn-doped samples, respectively. The magnetic behaviour of the nanoparticles was studied at room temperature with a vibrating sample magnetometer (VSM) up to a field of 1.8 Tesla. These measurements established a superparamagnetic nature with a variation in the saturation magnetization (M_s) with Zn content.     

Action observation produces motor resonance in Parkinson's disease

Observation of movement activates the observer's own motor system, influencing the performance of actions and facilitating social interaction. This motor resonance is demonstrated behaviourally through visuomotor priming, whereby response latencies are influenced by the compatibility between an intended action and an observed (task‐irrelevant) action. The impact of movement disorders such as Parkinson's disease (PD) on motor resonance is unclear, as previous studies of visuomotor priming have not separated imitative compatibility (specific to human movement) from general stimulus‐response compatibility effects. We examined visuomotor priming in 23 participants with mild‐to‐moderate PD and 24 healthy older adults, using a task that pitted imitative compatibility against general stimulus‐response compatibility. Participants made a key press after observing a task‐irrelevant moving human finger or rectangle that was either compatible or incompatible with their response. Imitative compatibility effects, rather than general stimulus‐response compatibility effects, were found specifically for the human finger. Moreover, imitative compatibility effects did not differ between groups, indicating intact motor resonance in the PD group. These findings constitute the first unambiguous demonstration of imitative priming in both PD and healthy ageing, and have implications for therapeutic techniques to facilitate action, as well as the understanding of social cognition in PD.     

Functional imaging of working memory and peripheral endothelial function in middle-aged adults

The current study examined the relationship between a prognostic indicator of vascular health, flow-mediated dilation (FMD), and working memory-related brain activation in healthy middle-aged adults. Forty-two participants underwent functional magnetic resonance imaging while completing a 2-Back working memory task. Brachial artery endothelial-dependent flow-mediated dilation (FMD) was assessed using B-mode ultrasound. The relationship between FMD and task-related brain activation in a priori regions of interest was modeled using hierarchical linear regression. Brachial FMD, was significantly related to reduced working memory-related activation in the right superior parietal lobule (β = 0.338, p = 0.027), independent of age, sex, systolic blood pressure, and full scale IQ (F(5, 36) = 2.66, p = 0.038). These data provide preliminary support for the association between a preclinical marker of endothelial dysfunction and cerebral hemodynamic alterations in healthy middle-aged adults. Considering the modifiable nature of endothelial function, additional investigations on the prognostic significance of FMD on future cognitive impairment are warranted.     

Sex differences in the adolescent brain

Adolescence is a time of increased divergence between males and females in physical characteristics, behavior, and risk for psychopathology. Here we will review data regarding sex differences in brain structure and function during this period of the lifespan. The most consistent sex difference in brain morphometry is the 9–12% larger brain size that has been reported in males. Individual brain regions that have most consistently been reported as different in males and females include the basal ganglia, hippocampus, and amygdala. Diffusion tensor imaging and magnetization transfer imaging studies have also shown sex differences in white matter development during adolescence. Functional imaging studies have shown different patterns of activation without differences in performance, suggesting male and female brains may use slightly different strategies for achieving similar cognitive abilities. Longitudinal studies have shown sex differences in the trajectory of brain development, with females reaching peak values of brain volumes earlier than males. Although compelling, these sex differences are present as group averages and should not be taken as indicative of relative capacities of males or females.     

磁共振动态增强扫描(DCE-MRI)与动脉粥样硬化斑块内新生微血管相关性实验研究

通过动物实验探讨磁共振动态增强扫描成像参数S及SI%与动脉粥样硬化斑块内新生微血管的相关性。磁共振动态增强扫描参数S及SI%与新生微血管内皮细胞计数具有相关性(R=0.479,P0.01;R=0.433,P0.05),通过测定参数S及SI%对动脉粥样硬化斑块内新生微血管进行半定量测定,评价动脉硬化斑块易损性,为临床早期干预及治疗动脉硬化斑块提供可靠的影像学依据。