How does wrist position affect the length of the distal radioulnar ligament: a three-dimensional image study in vivo?

Purpose

This study was designed to investigate the length changes of the distal radioulnar ligament at different wrist positions and to determine the effect of hyperextension on the distal radioulnar ligament and to find out the most vulnerable position where the distal radioulnar ligament rupture and foveal avulsion.

Methods

We obtained computed tomography scans of the wrists for 12 volunteers including two groups: hyperextension group and hyperextension with maximal rotation group. The images were reconstructed to the three-dimensional bone structures with customized software. The four portions of the distal radioulnar ligament were measured and analyzed statistically.

Results

No significant differences were noted in the lengths of the each portion of the distal radioulnar ligament among neutral position, wrist hyperextension, and hyper-radial extension. From neutral position to hyperextension with maximal pronation, the lengths of the palmar superficial radioulnar ligament (psRU) and dorsal deep radioulnar ligament (ddRU) decreased significantly, whereas the dorsal superficial radioulnar ligaments (dsRU) and palmar deep radioulnar ligament (pdRU) increased significantly. From neutral position to hyperextension with maximal supination, the lengths of the pdRU and dsRU ligaments decreased significantly, and the lengths of psRU and ddRU ligaments changed little.

Conclusions

The factor of hyperextension has little effect on the length of the distal radioulnar ligament and the distal radioulnar ligament may be under great tension at the position of hyperextension with maximal pronation. These findings can provide more information to understand the pathomechanics of the triangular fibrocartilage complex injury caused by a fall on the outstretched hand and can provide information relevant to the distal radioulnar ligament restoration.

     

How does Pseudomonas aeruginosa affect the progression of bronchiectasis?

BackgroundPseudomonas aeruginosa is one of the most common pathogens isolated from respiratory tract specimen in patients with bronchiectasis. It is considered highly responsible for pathogenicity, progression and clinical outcomes of bronchiectasis.AimsTo summarize existing evidence on how different factors of Pseudomonas aeruginosa affect the pathogenicity, progression and clinical outcomes of bronchiectasis, so as to provide possible insights for clinical practice and related research in the future.SourcesPubMed was searched for studies pertaining to bronchiectasis and P. aeruginosa published to date, with no specific inclusion or exclusion criteria. Reference lists of retrieved reviews were searched for additional articles.ContentThis review focused on non–cystic fibrosis bronchiectasis and also provided some data on cystic fibrosis when studies in bronchiectasis were limited. We discussed various factors in relation to P. aeruginosa: virulence factors, drug resistance, regulatory systems, genomic diversity and transmission of P. aeruginosa, as well as treatment for P. aeruginosa. Their impacts on bronchiectasis and its management were discussed.ImplicationsThe impact of P. aeruginosa on bronchiectasis is definite, although conclusions in some aspects are still vague. Faced with the worrying drug-resistance status and treatment bottleneck, individualized management and novel therapies beyond the classic pathway are most likely to be a future trend. To confirm the independent or integrated impact of various factors of P. aeruginosa on bronchiectasis and to figure out all the problems mentioned, larger randomized control trials are truly needed in the future.     

How does the pitch and pattern of a signal affect auditory arousal thresholds?

How arousal thresholds vary with different sounds is a critical issue for emergency awakenings, especially as sleepers are dying in fires despite having a working smoke alarm. Previous research shows that the current high-pitched (3000+ Hz) smoke alarm signal is significantly less effective than an alternative signal, the 520 Hz square wave, in all populations tested. However, as the number of sounds tested has been small further research is needed. Here we measured auditory arousal thresholds (AATs) across signals with a range of characteristics to determine the most effective waking signal. Thirty-nine young adults participated over three nights. In Part A, nine signals were presented in stage 4 sleep with ascending decibel levels. Signals were short beeps in the low- to mid-frequency range with different spectral complexities: square waves, pure tones, whoops and white noise. Part B manipulated temporal patterns, inserting silences of 0, 10 and 21 s after each 12 s of beeps. It was found that the low-frequency (400 and 520 Hz) square waves yielded significantly lower AATs than the alternatives. A trend was found across the three temporal manipulations, with a 10 s intervening silence showing some advantage. These findings support earlier research indicating that the best sound for awakening from deep sleep is a low-frequency square wave. It is argued that the signal with the lowest response threshold when awake may be the same as the most arousing signal when asleep, especially where the sleeper processes the signal as meaningful.     

How does the brain control lifespan?

There is generally a positive correlation between brain/body size ratio and lifespan, particularly among mammals, suggesting a role for the brain in determining lifespan. Recent studies in diverse organisms including nematodes, flies and rodents have provided evidence that, indeed the brain may control lifespan. Signaling pathways involved in both central nervous system and peripheral stress responses and regulation of energy metabolism may play important roles in lifespan determination. Indeed, genetic and environmental manipulations of these systems can greatly affect lifespan by changing levels of hormones that modulate energy metabolism, stress resistance and regenerative capacity of cells throughout the body. A signal transduction pathway in neurons involving receptors coupled to phosphatidylinositol-3-kinase, Akt and glycogen synthase kinase-3beta appears to play a key role in regulation of longevity by the brain. Mutations in genes that encode proteins in the insulin signaling pathway can increase lifespan in C. elegans and Drosophila, this signaling pathway in neurons in the brain may be particularly important in limiting lifespan. Dietary restriction results in the upregulation of brain-derived neurotrophic factor (BDNF) in the brain, which may increase the resistance of neurons to aging. Interestingly, BDNF signaling in the brain can increase peripheral insulin sensitivity, suggesting a mechanism whereby the brain can control lifespan. We speculate that during evolution the brain took on the task of monitoring and controlling peripheral energy metabolism, and thereby regulating lifespan in the context of food availability. Roles for other evolutionarily conserved brain signaling pathways in lifespan determination are likely to be discovered in the near future.     

How many factors does the sense of community index assess?

Studies of university students’ sense of community (SOC) use various scales, one of which is the widely used Sense of Community Index (SCI), conceptualized as a 4‐factor model: membership, influence, needs fulfillment, and shared emotional connection. Research has been unable to show a reliable 4‐factor solution. One possible explanation may be that negatively worded items contribute to lack of model fit, which would be consistent with the claim that SOC was conceptualized as a unipolar positive construct. Data were collected using a positively worded SCI (N = 794). Four models were tested with confirmatory factor analysis in structural equation modeling: 1‐factor, theorized four‐factor, revised 3‐factor, and revised 4‐factor. None of the models showed good fit, though the fit of the 1‐factor model was improved over the 4‐factor. More studies are needed to attempt replication with a positively worded SCI.     

How does the emotionality of the witnessed event affect the source monitoring ability?

This study investigated if emotionality affects the occurrence of source misattribution, which seems to be the most valid mechanism of misinformation effect. A half of 120 participants saw an emotionally stressful videotaped movie, and the other half a neutral one. Then, they answered the questionnaire, which included misinformation about the details of the movie. After 15 minutes of 2 days, they answered the source monitoring test, which required them to select the source of the memory of details that had been presented in the movie and/or in the questionnaire, or not either of them. Several patterns of differences in test performance appeared between the emotional condition and the neutral condition. These differences suggest that the ability for source monitoring declined more saliently with time in the emotional condition than in the neutral condition, and that memories about visually central details are less vulnerable to misinformation effect with 15 minutes delay in the emotional condition than in the neutral condition.     

How does the Royal Family of Tudor rule the PIWI-interacting RNA pathway?

PIWI (P-element-induced wimpy testis) proteins are a subset of the Argonaute proteins and are expressed predominantly in the germlines of a variety of organisms, including Drosophila and mammals. PIWI proteins associate specifically with PIWI-interacting RNAs (piRNAs), small RNAs that are also expressed predominantly in germlines, and silence transposable DNA elements and other genes showing complementarities to the sequences of associated piRNAs. This mechanism helps to maintain the integrity of the genome and the development of gametes. PIWI proteins have been shown recently to contain symmetrical dimethyl arginines (sDMAs), and this modification is mediated by the methyltransferase PRMT5 (also known as Dart5 or Capsuleen). It was then demonstrated that multiple members of the Tudor (Tud) family of proteins, which are necessary for gametogenesis in both flies and mice, associate with PIWI proteins specifically through sDMAs in various but particular combinations. Although Tud domains in Tud family members are known to be sDMA-binding modules, involvement of the Tudor family at the molecular level in the piRNA pathway has only recently come into focus.     

How reliable are the functional connectivity networks of MEG in resting states?

We investigated the reliability of nodal network metrics of functional connectivity (FC) networks of magnetoencephalography (MEG) covering the whole brain at the sensor level in the eyes-closed (EC) and eyes-open (EO) resting states. Mutual information (MI) was employed as a measure of FC between sensors in theta, alpha, beta, and gamma frequency bands of MEG signals. MI matrices were assessed with three nodal network metrics, i.e., nodal degree (Dnodal), nodal efficiency (Enodal), and betweenness centrality (normBC). Intraclass correlation (ICC) values were calculated as a measure of reliability. We observed that the test-retest reliabilities of the resting states ranged from a poor to good level depending on the bands and metrics used for defining the nodal centrality. The dominant alpha-band FC network changes were the salient features of the state-related FC changes. The FC networks in the EO resting state showed greater reliability when assessed by Dnodal (maximum mean ICC = 0.655) and Enodal (maximum mean ICC = 0.604) metrics. The gamma-band FC network was less reliable than the theta, alpha, and beta networks across the nodal network metrics. However, the sensor-wise ICC values for the nodal centrality metrics were not uniformly distributed, that is, some sensors had high reliability. This study provides a sense of how the nodal centralities of the human resting state MEG are distributed at the sensor level and how reliable they are. It also provides a fundamental scientific background for continued examination of the resting state of human MEG.     

How does cognitive reappraisal affect the response to gains and losses?

To investigate the influence of cognitive reappraisal, one important kind of emotion regulation strategy, on psychological and electrophysiological responses to gains and losses, a monetary gambling task was performed in two conditions, that is, spontaneity and regulation. Event‐related potentials (ERP) and self‐rating emotional experiences to outcome feedback were recorded during the task. Cognitive reappraisal reduced self‐rating emotional experience to both gains and losses and the amplitudes of the feedback‐related negativity (FRN) and the P3 of ERPs. According to these results, we suggest that the application of cognitive reappraisal strategy significantly modulated the motivational salience of current outcomes, thus weakening the subjective emotional experience elicited. In addition, cognitive reappraisal might have changed the allocation of cognitive resources during outcome evaluation. This study extends emotion regulation studies by applying monetary outcomes as emotional stimuli, and also implicates the significance of emotion regulation in decision‐making processes.     

How does the brain respond to unimodal and bimodal sensory demand in movement of the lower extremity?

Numerous electroencephalography (EEG) studies have shown that neurophysiological signals change in response to visual and sensory adaptations in upper extremity tasks. However, this has not been clearly studied in the lower extremity. In this study, we evaluated how sensory loading affects brain activations related to knee movement. Thirty-two channel EEG was recorded while ten subjects performed knee extension in four different conditions: no weight and no visual target (NWNT), weight affixed to the ankle and no visual target (WNT), no weight and a visual target (NWT), and both weight and target (WT). Surface electromyography (EMG) was recorded from the vastus medialis and vastus lateralis muscles to determine onset of the movement. EEG was epoched from −4.5 s before to 1 s after EMG onset. Epochs were averaged to acquire movement-related cortical potentials (MRCPs) of each task condition. MRCP amplitude during the pre-movement period from −2 s to EMG onset was evaluated at electrodes over motor, sensory, frontal, and parietal areas. The amplitude of the pre-movement potentials for the conditions was different across areas of interest. Over the motor area, NWNT had lower amplitude than any other condition and WT had higher amplitude than any other condition. There was no difference between unimodal NWT and WNT conditions. Mesial frontal and parietal areas showed larger MRCP to the bimodal condition than either unimodal or NWNT conditions. The parietal cortex was the only region that showed a difference between unimodal conditions with greater amplitude for NWT condition. Information concerning added sensory demand is processed by the motor cortex in a way that may be indifferent to the type of modality, but is influenced by the quantity of modalities at the level of the knee. Other brain structures such as parietal and premotor cortices respond based on the modality type to help plan appropriate strategies for motor control in response to sensory manipulations. This suggests that additional task demands in motor training may create a rich sensory environment that may be beneficial in promoting optimal neuromotor recovery.     

How does study quality affect the results of a diagnostic meta-analysis?

Background  

The use of systematic literature review to inform evidence based practice in diagnostics is rapidly expanding. Although the primary diagnostic literature is extensive, studies are often of low methodological quality or poorly reported. There has been no rigorously evaluated, evidence based tool to assess the methodological quality of diagnostic studies.     

How does the collection of genetic test results affect research participants?

The collection of genetic test results has become routine in clinical research. Yet, there are few data on the impact of this practice. The present study provides the first empirical data that we are aware of on the impact this practice has on research participants. The findings suggest that collection of genetic test results in the research setting increases many individuals' desire to know the results themselves. Some respondents attributed this effect to the fact that the data existed, while others did not want investigators to have information about them that they did not possess. A smaller proportion of respondents assumed that investigators who had collected genetic test results would monitor their clinical significance over time. These respondents were less inclined to want to know their genetic test results once an investigator was aware of them. Investigators and IRBs should recognize these phenomena and address them in the design and conduct of studies which collect genetic information.     

Is pre‐attentive processing compromised by prolonged wakefulness? Effects of total sleep deprivation on the mismatch negativity

We investigated the potential influence of sustained wakefulness on pre-attentive capacities by recording the mismatch negativity (MMN), an electrophysiological manifestation associated with nonintentional detection of auditory oddball stimuli. The MMN was elicited by pitch deviants presented to both ears via earphones, at the beginning of a total sleep deprivation session (baseline), after 24 hr, and after 36 hr of continuous controlled wakefulness. A conspicuous MMN response was elicited at all three sessions. With time, however, a small yet significant gradual reduction in the MMN amplitude was evident. Whereas previous research suggested that controlled attention-demanding tasks are hampered by sleep deprivation, the balance of the present results suggests that passive (total) sleep deprivation may also bring about some degradation in the pre-attentive detection of environmental irregularities and as a consequence may disrupt the reflexive shift of attention induced by such events.