To reduce the morbidity associated with CVID, there needs to be greater awareness of respiratory complications, particularly amongst physicians caring for such patients. Emphasis has been placed on adequate dosage of immunoglobulin, but early involvement by a respiratory physician is essential to monitor lung function and initiate optimal therapy, to minimize the occurrence and progression of lung damage.
Computational modeling of the spontaneous dynamics over the whole brain provides critical insight into the spatiotemporal organization of brain dynamics at multiple resolutions and their alteration to changes in brain structure (e.g. in diseased states, aging, across individuals). Recent experimental evidence further suggests that the adverse effect of lesions is visible on spontaneous dynamics characterized by changes in resting state functional connectivity and its graph theoretical properties (e.g. modularity). These changes originate from altered neural dynamics in individual brain areas that are otherwise poised towards a homeostatic equilibrium to maintain a stable excitatory and inhibitory activity. In this work, we employ a homeostatic inhibitory mechanism, balancing excitation and inhibition in the local brain areas of the entire cortex under neurological impairments like lesions to understand global functional recovery (across brain networks and individuals). Previous computational and empirical studies have demonstrated that the resting state functional connectivity varies primarily due to the location and specific topological characteristics of the lesion. We show that local homeostatic balance provides a functional recovery by re-establishing excitation-inhibition balance in all areas that are affected by lesion. We systematically compare the extent of recovery in the primary hub areas (e.g. default mode network (DMN), medial temporal lobe, medial prefrontal cortex) as well as other sensory areas like primary motor area, supplementary motor area, fronto-parietal and temporo-parietal networks. Our findings suggest that stability and richness similar to the normal brain dynamics at rest are achievable by re-establishment of balance.
Brain oscillations from EEG and MEG shed light on neurophysiological mechanisms of human behavior. However, to extract information on cortical processing, researchers have to rely on source localization methods that can be very broadly classified into current density estimates such as exact low-resolution brain electromagnetic tomography (eLORETA), minimum norm estimates (MNE), and beamformers such as dynamic imaging of coherent sources (DICS) and linearly constrained minimum variance (LCMV). These algorithms produce a distributed map of brain activity underlying sustained and transient responses during neuroimaging studies of behavior. On the other hand, there are very few comparative analyses that evaluates the “ground truth detection” capabilities of these methods. The current article evaluates the reliability in estimation of sources of spectral event generators in the cortex using a two-pronged approach. First, simulated EEG data with point dipoles and distributed dipoles are used to validate the accuracy and sensitivity of each one of these methods of source localization. The abilities of the techniques were tested by comparing the localization error, focal width, false positive (FP) ratios while detecting already known location of neural activity generators under varying signal-to-noise ratios (SNRs). Second, empirical EEG data during auditory steady state responses (ASSRs) in human participants were used to compare the distributed nature of source localization. All methods were successful in recovery of point sources in favorable signal to noise scenarios and could achieve high hit rates if FPs are ignored. Interestingly, focal activation map is generated by LCMV and DICS when compared to eLORETA while control of FPs is much superior in eLORETA. Subsequently drawbacks and strengths of each method are highlighted with a detailed discussion on how to choose a technique based on empirical requirements.
Most probable number (MPN) test was done to detect the coliform in water samples collected from mobile vendors, sweet shops and tap water supplied from Burdwan municipality. The study revealed that the number of coliforms was very high ( 1600) in water samples collected from mobile vendors. The bacteria were identified as Escherichia coli. Bacteriological examination of water samples collected from different sources showed that the water of mobile vendors and sweet shops of Burdwan market area was not potable while the municipal tap water was found to be safe for drinking.
The morbidity rate following 112 operations on the parotid gland is reported. Facial nerve palsy (temporary, 38 per cent; permanent, 9 per cent) and Frey's syndrome (11 per cent) were common following superficial parotidectomy. For pleomorphic adenoma and malignant lesions this procedure is justified. Benign conditions, which can be diagnosed preoperatively, should be treated by more limited surgery which has a lower complication rate.
Previous computational models have related spontaneous resting-state brain activity with local excitatory−inhibitory balance in neuronal populations. However, how underlying neurotransmitter kinetics associated with E-I balance governs resting state spontaneous brain dynamics remains unknown. Understanding the mechanisms by virtue of which fluctuations in neurotransmitter concentrations, a hallmark of a variety of clinical conditions relate to functional brain activity is of critical importance. We propose a multi-scale dynamic mean field model (MDMF) – a system of coupled differential equations for capturing the synaptic gating dynamics in excitatory and inhibitory neural populations as a function of neurotransmitter kinetics. Individual brain regions are modelled as population of MDMF and are connected by realistic connection topologies estimated from Diffusion Tensor Imaging data. First, MDMF successfully predicts resting-state functionalconnectivity. Second, our results show that optimal range of glutamate and GABA neurotransmitter concentrations subserve as the dynamic working point of the brain, that is, the state of heightened metastability observed in empirical blood-oxygen-level dependent signals. Third, for predictive validity the network measures of segregation (modularity and clustering coefficient) and integration (global efficiency and characteristic path length) from existing healthy and pathological brain network studies could be captured by simulated functional connectivity from MDMF model.
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