Emotional face expressions are differentiated with brain oscillations.

The differentiation of "facial expressions" is a process of higher mental activity, which has considerable applications in "psychology of moods and emotions". We applied the approach of event-related oscillations (EROs) to investigate the modulation of electrical manifestations related to emotional expression in EEG recordings of 20 healthy subjects. EROs of "neutral, angry and happy" faces in 13 electrical recordings sites (F(3), F(4), C(z), C(3), C(4), T(3), T(4), T(5), T(6), P(3), P(4), O(1), O(2)) were analyzed. Following the recording session, the subjects were asked to express the degree of their emotional involvement (valence and arousal) using the Self-Assessment Manikin ratings. Amplitude frequency characteristics (AFCs) were used to determine the frequencies of interest and the ranges for digital pass-band filtering applied accordingly. Consecutively, peak to peak amplitude measures of oscillatory responses were computed for the selected frequency bands and for the differentiation of the different stimuli. A differentiation between angry and happy facial expressions was observed especially in the alpha (9-13 Hz) and beta (15-24 Hz) frequencies, however, only when selecting stimuli with high mood involvement. Therefore, these frequency bands are the main focus of this report. The amplitudes of the alpha responses upon angry face stimulation were significantly higher than upon presentation of the happy faces at posterior locations. At F(3), C(z) and C(3), beta responses upon angry face stimulation were significantly higher in amplitude compared with the happy face stimulation. It is discussed that the frontal theta response is highly increased in comparison to all theta responses also encountered in studies of face recognition: During observation of facial expression, the occipital theta is much higher. We conclude and emphasize that the analysis of brain oscillatory responses distributed over the scalp in combination with subjective ratings of emotional impact of stimuli provide a good basis for analysing the influence of emotional information processing in the brain. In congruence with others, the results support the phylogenetical viewpoint suggesting that angry face stimulations are faster and more ample in responding. Furthermore, frontal, temporal, parietal and occipital lobes seem to be involved in processing of facial expressions, as reflected in an ensemble of different frequency brain oscillatory responses distributed over the scalp.     

Adaptive radiation therapy of breast cancer by repeated imaging during irradiation

Breast cancer is the most frequent cancer among females and also a leading cause of cancer related mortality worldwide. A multimodality treatment approach may be utilized for optimal management of patients with combinations of surgery, radiation therapy (RT) and systemic treatment. RT composes an integral part of breast conserving treatment, and is typically used after breast conserving surgery to improve local control. Recent years have witnessed significant improvements in the discipline of radiation oncology which allow for more focused and precise treatment delivery. Adaptive radiation therapy (ART) is among the most important RT techniques which may be utilized for redesigning of treatment plans to account for dynamic changes in tumor size and anatomy during the course of irradiation. In the context of breast cancer, ART may serve as an excellent tool for patients receiving breast irradiation followed by a sequential boost to the tumor bed. Primary benefits of ART include more precise boost localization and potential for improved normal tissue sparing with adapted boost target volumes particularly in the setting of seroma reduction during the course of irradiation. Herein, we provide a concise review of ART for breast cancer in light of the literature.     

Association of simple hematological parameters with disease manifestations,activity, and severity in patients with systemic sclerosis

Clinical Rheumatology - Neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), mean platelet volume (MPV), and red cell distribution width (RDW) may potentially reflect...     

Is it possible that direct rigid laryngoscope-related ischemia–reperfusion injury occurs in the tongue during suspension laryngoscopy as detected by ultrasonography: a prospective controlled study

Abstract

Background: Tongue-related complications can be seen in suspension laryngoscopy (SL) procedures.

Aims/objectives: This study aimed to detect tongue edema associated with the pressure exerted by a rigid direct laryngoscope by measuring the tongue area using ultrasonography (USG) in patients undergoing SL procedures.

Material and methods: The study group included 31 patients and the control group consisted of 33 patients. Submental USG examinations of the tongue in the coronal plane were performed. In the study and control groups, the first examination (TA¹) was done immediately after intubation and the second examination (TA²) was done after the surgery procedure but before extubation. The USG results regarding tongue area for both the groups were compared.

Results: The study and control groups significantly differed in terms of the postoperative tongue area measurements (TA²), as well as tongue edema (based on the TA²???TA¹) values.

Conclusions and significance: Direct rigid laryngoscopes may cause tongue edema in SL procedures which was demonstrated by the USG. This tongue edema can be a result of ischemia–reperfusion injury in the tongue due to the pressure exerted by a direct rigid laryngoscope. This study is the first to demonstrate the possible role of USG examination in determining the side effects of SL procedures on the tongue.

Trial Registration ClinicalTrials.gov Identifier: NCT04205253