Background Video anomaly detection has always been a hot topic and has attracted increasing attention.Many of the existing methods for video anomaly detection depend on processing the entire video rather than consider...Background Video anomaly detection has always been a hot topic and has attracted increasing attention.Many of the existing methods for video anomaly detection depend on processing the entire video rather than considering only the significant context. Method This paper proposes a novel video anomaly detection method called COVAD that mainly focuses on the region of interest in the video instead of the entire video. Our proposed COVAD method is based on an autoencoded convolutional neural network and a coordinated attention mechanism,which can effectively capture meaningful objects in the video and dependencies among different objects. Relying on the existing memory-guided video frame prediction network, our algorithm can significantly predict the future motion and appearance of objects in a video more effectively. Result The proposed algorithm obtained better experimental results on multiple datasets and outperformed the baseline models considered in our analysis. Simultaneously, we provide an improved visual test that can provide pixel-level anomaly explanations.展开更多
背景:重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)是一种新型的物理治疗技术,已经被广泛用于抑郁症的研究。尽管大量的临床实验发现相对于伪刺激,rTMS对抑郁症状有改善作用,但是由于rTMS治疗的频率、参数、部...背景:重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)是一种新型的物理治疗技术,已经被广泛用于抑郁症的研究。尽管大量的临床实验发现相对于伪刺激,rTMS对抑郁症状有改善作用,但是由于rTMS治疗的频率、参数、部位等不同,因此研究结论仍不一致。目的:本研究系统评价中英文研究中rTMS联合抗抑郁药物在随机、双盲、伪刺激对照试验中对郁抑症状治疗的安全性及有效性,探索其中与疗效和安全性的可能相关因素。方法:利用关键词"抑郁""经颅磁刺激"查询中文数据库:万方、维普、中国知网,英文电子数据库:Pubmed、Web of Science、Embase、PsycInfo、Cochrane Library共8个数据库截止到2017年1月5日收录的rTMS治疗抑郁症的临床随机对照研究(randomized controlled trials,RCTs),利用Cochrane风险偏倚评估工具评估纳入研究的文献质量,利用RevMan5.3软件,根据研究组别对纳入的研究治疗效果及安全性进行统计分析。结果:共检索到9798篇文献,最终29篇文献纳入本研究,总样本量1659例,其中研究组样本838例,对照组样本821例,进行Meta分析后发现rTMS联合抗抑郁药物可改善抑郁症患者的抑郁症状(SMD=-0.84,95%CI=-1.19^-0.48)。纳入的研究中均无重大不良事件报道,Meta分析两组间脱落率差异无统计学意义(RR=1.27,95%CI:0.75~2.12,Z=0.89,p=0.37)。GRADE对主要结局指标的证据质量评价为中等水平。结论:抗抑郁药物联合rTMS治疗抑郁症状相对于伪刺激有一定的治疗优势,副反应轻微,可接受性好,研究间差异较大,有待大样本临床研究探索影响疗效的相关因素。展开更多
Background Pharmacological and conventional nonpharmacological treatments are only moderately effective in treatingeneralised anxiety disorder(GAD).Recently,repetitive transcranial magnetic stimulation(rTMS)has attrac...Background Pharmacological and conventional nonpharmacological treatments are only moderately effective in treatingeneralised anxiety disorder(GAD).Recently,repetitive transcranial magnetic stimulation(rTMS)has attracted interest because of its potential therapeutic value.Aim To investigate the efficacy and safety of rTMS treatment for GAD.Methods Literature studies published in English or Chinese were screened in 10 electronic databases up to 5 December 2018.The included studies'bias risk was assessed using Cochrane risk of bias assessment tool.Meta-analysis was performed to compute the standardised mean difference(SMD)and risk ratio(RR)along with its 95%Cis through using RevMan V.5.3.Heterogeneity was inspected by I2 and the χ2 test.We performed subgroup analysis and meta-regression to investigate heterogeneity.We used funnel plot to assess publication bias.We used the GRADE approach to assess the whole quality of evidence.Results Twenty-one studies,with a total sample size of 1481,were analysed.The risk of bias in most studies included is moderate,the majority of which are lacking of blinding methods of treatment allocation.The treatment had beneficial effects in the rTMS group compared with the control group in mean anxiety score(SMD=-0.68;95%Cl-0.89 to-0.46).None of the 21 studies included here reported severe adverse events.As for dropout rates,there are no statistically significant differences between the two groups(RR 1.14,95%Cl 0.72 to 1.82)or adverse events(RR 0.95,95%Cl 0.77 to 1.18).No particular influence on the heterogeneity of any variable was observed.The risk of publication bias was low.According to the GRADE approach,the evidence levels of primary outcome(treatment effects)and secondary outcomes(acceptability and safety)were rated as‘medium’.Conclusion The use of rTMS combined with medication treatment may have a significant positive anti-anxiety effect on patients with GAD.However,we should interpret the results cautiously due to the relatively high heterogeneity of the meta-analysis.Future high-quality clinical trials are needed to confirm our results.展开更多
Phosphorus sulfide cage molecule based on P4S3 was investigated for the first time as anode material for the storage of alkali metal ions(Li+, Na+, K+). Such P4S3 sample was obtained in a large scale by a simple heati...Phosphorus sulfide cage molecule based on P4S3 was investigated for the first time as anode material for the storage of alkali metal ions(Li+, Na+, K+). Such P4S3 sample was obtained in a large scale by a simple heating reaction of low-cost rep P and S. X-ray diffraction refinement analysis indicates that P4S3 sample possesses a defect rich molecule crystal structure with S/P atom ratio of 0.74. The P4S3 anode delivered a high reversible capacity of 1266 m Ah g-1 for lithium-ion batteries at 0.1 A g-1 and good cycling performance. Experimental results demonstrated that the P4S3 anode undergoes a reversible Listorage reaction of P4S3+ 11 Li++ 11 e-←→ 0.5 Li4P2S6+ 3 Li3P during cycling. It also exhibited a high capacity of 1002 and 378 mAh g-1 at 0.1 A g-1 for Na+and K+storage, respectively. These properties suggest the promising application of P4S3 anode in high energy batteries.展开更多
Background Im paired sesitwity of he soin Mlush response bo miacin is one of the most rpicated findngs in patents with schizoprenia Howewer.prior studies have usaly focused on postonset psychusis,and ll is knowm about...Background Im paired sesitwity of he soin Mlush response bo miacin is one of the most rpicated findngs in patents with schizoprenia Howewer.prior studies have usaly focused on postonset psychusis,and ll is knowm about the dinical high-risk(CHR)phase of niacin senstity in psychosis Aims To proftle and compare the miacin flush responsge among CHR individuals(converters and non-coverters)patients with frstepso schinophrenia(FES)and healty controls(HCs).Methods Sensivily 1o ftour concentralions (0.1-0001M)of aqueous methylnicotinate was tested in 105 CHR individuals,57 patients with FES and 52 HCs.CHR individuals were further grouped as converters and non converters according to the 2-year follow-up outcomes.Skin flush response scores were rated on a 4-point scale.Results Of the 105 CHR individuals,21 individuals were lost during the study,leaving 84 CHR individuals;16(19.0%)converted to full psychosis at 2 years of fllow-up.Flush response scores identifed in the CHR samples were characterised as modest degree levels,intermediate between those of HC individuals and patients with FES.The flush responses in the CHR group mimicked the responses observed in the FES group at higher concentrations(0.01 M,0.1 M)and longer time points(15 min,20min);however,these became comparable vith the responses in the HC group at the shorter time points and at lower concentr ations.The converters exhibited lower mean flush response scores than the non-converters.Conclusions Attenuated niacin-induced flushing emerged during the early phase of psychosis.New devices should be developed and verified for objective quantification of skin responses in the CHR population.展开更多
Background Disrupted white matter(WM)microstructure has been commonly identified in youth at clinical high risk(CHR)for psychosis.Several lines of evidence suggest that fatty acids,especially unsaturated fatty acids(U...Background Disrupted white matter(WM)microstructure has been commonly identified in youth at clinical high risk(CHR)for psychosis.Several lines of evidence suggest that fatty acids,especially unsaturated fatty acids(UFAs),might play a crucial role in the WM pathology of early onset psychosis.However,evidence linking UFA and WM microstructure in CHR is quite sparse.Aims We investigated the relationship between the plasma UFA level and WM microstructure in CHR participants and healthy controls(HC).Methods Plasma fatty acids were assessed and diffusion tensor imaging(DTI)data were performed with tract-based spatial statistics(TBSS)analysis for 66 individuals at CHR for psychosis and 70 HC.Results Both the global and regional diffusion measures showed significant between-group differences,with decreased fractional anisotropy(FA)but increased mean diffusivity(MD)and radial diffusivity(RD)found in the CHR group compared with the HC group.On top of that,we found that in the HC group,plasma arachidic acid showed obvious trend-level associations with higher global FA,lower global MD and lower global RD,which regionally spread over the corpus callosum,right anterior and superior corona radiata,bilateral anterior and posterior limb of the internal capsule,and bilateral superior longitudinal fasciculus.However,there were no associations between global WM measures and any UFA in the CHR group.Conversely,we even found negative associations between arachidic acid levels and regional FA values in the right superior longitudinal fasciculus and right retrolenticular part of the internal capsule in the CHR group.Conclusions Compared with the HC group,CHR subjects exhibited a different pattern of association between WM microstructure and plasma UFA,with a neuroprotective effect found in the HC group but not in the CHR group.Such discrepancy could be due to the excessively upregulated UFAs accumulated in the plasma of the CHR group,highlighting the role of balanced plasma-membrane fatty acids homeostasis in WM development.展开更多
Background Clinical high risk(CHR)of psychosis is a state in which positive symptoms cause the subjects distress but do not approach a severity level that fulfils the criteria for a psychotic episode.CHR exhibits cogn...Background Clinical high risk(CHR)of psychosis is a state in which positive symptoms cause the subjects distress but do not approach a severity level that fulfils the criteria for a psychotic episode.CHR exhibits cognitive deficits;however,the underlying neurobiological mechanisms remain unclear.This study aimed to investigate whether brain activation measured by the levels of oxygenated hemoglobin(oxy-Hb)in CHR subjects could be correlated with cognitive deficits.Methods Fifty-eight CHR individuals who fulfilled the criteria for attenuated positive syndrome as specified in the Structured Interview for Prodromal Syndrome(SIPS)and the Scale of Prodromal Syndrome(SOPS)and 58 age-and sex-matched healthy participants were included in the study.All subjects completed the Measurement and Treatment Research to Improve Cognition in Schizophrenia(MATRICS)Consensus Cognitive Battery(MCCB)that includes tests measuring attention,verbal memory,verbal fluency,executive function,and general intelligence.Functional near-infrared spectroscopy(fNIRS)was used to measure the level of oxy-Hb in the dorsolateral prefrontal and frontotemporal cortices.Results We observed significantly decreased oxy-Hb levels in channel 32(located in the right superior temporal gyrus,rSTG)within the CHR individuals compared with that in the healthy controls(HCs)(t=−3.44,Bonferroni-corrected p=0.002),indicating lower brain activity.A significant positive correlation was observed between task-relatedβvalues and working memory in the CHR group(r=0.35,p=0.008).Conclusions The brain activation of rSTG is abnormal among subjects at clinicial high risk for psychosis.This abnormality is probably associated with the neural mechanisms of deficits in the working memory during the early stage of psychosis.展开更多
Background Neural oscillations directly reflect the rhythmic changes of brain activities during the resting state or while performing specific tasks.Abnormal neural oscillations have been discovered in patients with s...Background Neural oscillations directly reflect the rhythmic changes of brain activities during the resting state or while performing specific tasks.Abnormal neural oscillations have been discovered in patients with schizophrenia.However,there is limited evidence available on abnormal spontaneous neural oscillations in clinical high risk for psychosis(CHR-P).The brain signals recorded by the magnetoencephalography(MEG)technique are not to be disrupted by the skull and scalp.Methods In this study,we applied the MEG technique to record the resting-state neural activities in CHR-P.This was followed by a detailed MEG analysis method including three steps:(1)preprocessing,which was band-pass filtering based on the 0.5-60Hz frequency range,removal of 50Hz power frequency interference,and removal of electrocardiography(ECG)and electrooculography(EOG)artefacts by independent component analysis;(2)time-frequency analysis,a multitaper time-frequency transformation based on the Hanning window,and(3)source localisation.an exact low-resolution brain electromagnetic tomography.The method was verified by comparing aparticipant with CHR-P with a healthy control during the MEG recordings with an eyes-closed resting state.Results Experimental results show that the neural oscillations in CHR-P were significantly abnormal in the theta frequency band(4-7Hz)and the delta frequency band(1-3Hz).Also,relevant brain regions were located in the left occipital lobe and left temporo-occipital junction for the theta band and in the right dorsolateral prefrontal lobe and near orbitofrontal gyrus for the delta band.Conclusions Abnormal neural oscillations based on specific frequency bands and corresponding brain sources may become biomarkers for high-risk groups.Further work will validate these characteristics in CHR-P cohorts.展开更多
Background Self-reflectiveness,one dimension of cognitive insight,plays a protective role in an individual’s mental state.Both high and low levels of self-reflectiveness have been reported in patients with schizophre...Background Self-reflectiveness,one dimension of cognitive insight,plays a protective role in an individual’s mental state.Both high and low levels of self-reflectiveness have been reported in patients with schizophrenia and individuals at clinical high risk for the illness.Aims This study aimed to explore the relationship patterns between self-reflectiveness and clinical symptoms in individuals during the pre-morbid and early clinical stages of psychosis.Methods A total of 181 subjects,including individuals with attenuated positive symptoms(APS,n=122)and patients with first-episode psychosis(FEP,n=59),completed the Beck Cognitive Insight Scale and were evaluated using the Schedule of Assessment of Insight and Positive and Negative Syndrome Scale.All subjects were classified into three groups according to their level of selfreflectiveness:low level(LSR,n=59),medium level(MSR,n=67)and high level(HSR,n=55).Both linear and nonlinear relationships between self-reflectiveness and clinical symptoms were explored.Results More individuals with APS were classified into the MSR group,while more patients with FEP were classified into the LSR group.The LSR group demonstrated less awareness of illness than the MSR and HSR groups,more stereotyped thinking and poorer impulse control but less anxiety than the MSR group,and lower levels of blunted affect and guilt feelings than the HSR group.The MSR group demonstrated lower stereotyped thinking than the HSR group.Compared to the LSR group,the MSR group had increased selfreflectiveness,improved awareness of illness,decreased stereotyped thinking,and better impulse control,but increased feelings of guilt.The HSR group showed increased stereotyped thinking when compared to the MSR group,but the other variables did not change significantly between these two groups.Overall,self-reflectiveness demonstrated an approximately inverse S-shaped relationship with the awareness of illness,a U-shaped relationship with stereotyped thinking and poor impulse control,and an almost linear relationship with anxiety and guilt feelings.Conclusions Self-reflectiveness demonstrates complex relationships with clinical symptoms and fails to exert significant positive effects when reaching a certain high level.展开更多
In the state of the art,grayscale image enhancement algorithms are typically adopted for enhancement of RGB color images captured with low or non-uniform illumination.As these methods are applied to each RGB channel i...In the state of the art,grayscale image enhancement algorithms are typically adopted for enhancement of RGB color images captured with low or non-uniform illumination.As these methods are applied to each RGB channel independently,imbalanced inter-channel enhancements(color distortion)can often be observed in the resulting images.On the other hand,images with non-uniform illumination enhanced by the retinex algorithm are prone to artifacts such as local blurring,halos,and over-enhancement.To address these problems,an improved RGB color image enhancement method is proposed for images captured under nonuniform illumination or in poor visibility,based on weighted guided image filtering(WGIF).Unlike the conventional retinex algorithm and its variants,WGIF uses a surround function instead of a Gaussian filter to estimate the illumination component;it avoids local blurring and halo artifacts due to its anisotropy and adaptive local regularization.To limit color distortion,RGB images are first converted to HSI(hue,saturation,intensity)color space,where only the intensity channel is enhanced,before being converted back to RGB space by a linear color restoration algorithm.Experimental results show that the proposed method is effective for both RGB color and grayscale images captured under low exposure and non-uniform illumination,with better visual quality and objective evaluation scores than from comparator algorithms.It is also efficient due to use of a linear color restoration algorithm.展开更多
文摘Background Video anomaly detection has always been a hot topic and has attracted increasing attention.Many of the existing methods for video anomaly detection depend on processing the entire video rather than considering only the significant context. Method This paper proposes a novel video anomaly detection method called COVAD that mainly focuses on the region of interest in the video instead of the entire video. Our proposed COVAD method is based on an autoencoded convolutional neural network and a coordinated attention mechanism,which can effectively capture meaningful objects in the video and dependencies among different objects. Relying on the existing memory-guided video frame prediction network, our algorithm can significantly predict the future motion and appearance of objects in a video more effectively. Result The proposed algorithm obtained better experimental results on multiple datasets and outperformed the baseline models considered in our analysis. Simultaneously, we provide an improved visual test that can provide pixel-level anomaly explanations.
基金Shanghai Jiao Tong University Medical Crossing Project(YG2016QN42)Shanghai Municipal Health and Family Planning Commission Research Project(20174Y0013,20134282)+1 种基金National Natural Science Foundation of China(81671332)Shanghai Science and Technology Commission Medical guidance topics(16411965000)
文摘背景:重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)是一种新型的物理治疗技术,已经被广泛用于抑郁症的研究。尽管大量的临床实验发现相对于伪刺激,rTMS对抑郁症状有改善作用,但是由于rTMS治疗的频率、参数、部位等不同,因此研究结论仍不一致。目的:本研究系统评价中英文研究中rTMS联合抗抑郁药物在随机、双盲、伪刺激对照试验中对郁抑症状治疗的安全性及有效性,探索其中与疗效和安全性的可能相关因素。方法:利用关键词"抑郁""经颅磁刺激"查询中文数据库:万方、维普、中国知网,英文电子数据库:Pubmed、Web of Science、Embase、PsycInfo、Cochrane Library共8个数据库截止到2017年1月5日收录的rTMS治疗抑郁症的临床随机对照研究(randomized controlled trials,RCTs),利用Cochrane风险偏倚评估工具评估纳入研究的文献质量,利用RevMan5.3软件,根据研究组别对纳入的研究治疗效果及安全性进行统计分析。结果:共检索到9798篇文献,最终29篇文献纳入本研究,总样本量1659例,其中研究组样本838例,对照组样本821例,进行Meta分析后发现rTMS联合抗抑郁药物可改善抑郁症患者的抑郁症状(SMD=-0.84,95%CI=-1.19^-0.48)。纳入的研究中均无重大不良事件报道,Meta分析两组间脱落率差异无统计学意义(RR=1.27,95%CI:0.75~2.12,Z=0.89,p=0.37)。GRADE对主要结局指标的证据质量评价为中等水平。结论:抗抑郁药物联合rTMS治疗抑郁症状相对于伪刺激有一定的治疗优势,副反应轻微,可接受性好,研究间差异较大,有待大样本临床研究探索影响疗效的相关因素。
基金Shanghai Science and Technology Committee(18411952400,19411968600,16411965000)Shanghai Municipal Natural Science Foundation(18ZR1432600)+1 种基金Shanghai Municipal Commission of Health and Family Planning Foundation(20164Y0215,20174Y0021)SHSMU-ION Research Centre for Brain Disorders(2015NKX004).
文摘Background Pharmacological and conventional nonpharmacological treatments are only moderately effective in treatingeneralised anxiety disorder(GAD).Recently,repetitive transcranial magnetic stimulation(rTMS)has attracted interest because of its potential therapeutic value.Aim To investigate the efficacy and safety of rTMS treatment for GAD.Methods Literature studies published in English or Chinese were screened in 10 electronic databases up to 5 December 2018.The included studies'bias risk was assessed using Cochrane risk of bias assessment tool.Meta-analysis was performed to compute the standardised mean difference(SMD)and risk ratio(RR)along with its 95%Cis through using RevMan V.5.3.Heterogeneity was inspected by I2 and the χ2 test.We performed subgroup analysis and meta-regression to investigate heterogeneity.We used funnel plot to assess publication bias.We used the GRADE approach to assess the whole quality of evidence.Results Twenty-one studies,with a total sample size of 1481,were analysed.The risk of bias in most studies included is moderate,the majority of which are lacking of blinding methods of treatment allocation.The treatment had beneficial effects in the rTMS group compared with the control group in mean anxiety score(SMD=-0.68;95%Cl-0.89 to-0.46).None of the 21 studies included here reported severe adverse events.As for dropout rates,there are no statistically significant differences between the two groups(RR 1.14,95%Cl 0.72 to 1.82)or adverse events(RR 0.95,95%Cl 0.77 to 1.18).No particular influence on the heterogeneity of any variable was observed.The risk of publication bias was low.According to the GRADE approach,the evidence levels of primary outcome(treatment effects)and secondary outcomes(acceptability and safety)were rated as‘medium’.Conclusion The use of rTMS combined with medication treatment may have a significant positive anti-anxiety effect on patients with GAD.However,we should interpret the results cautiously due to the relatively high heterogeneity of the meta-analysis.Future high-quality clinical trials are needed to confirm our results.
基金the Natural Science Foundation of Shandong Province(ZR2017QB017)the Ph.D.Scientific Research Fund of Liaocheng University(No.318051406)+2 种基金the Natural Science Foundation of Shandong Province(ZR2016BQ41)the High Education Science and Technology Program of Shandong Province(J16LC03)the Cultivation Fund of Liaocheng University(318011615)。
文摘Phosphorus sulfide cage molecule based on P4S3 was investigated for the first time as anode material for the storage of alkali metal ions(Li+, Na+, K+). Such P4S3 sample was obtained in a large scale by a simple heating reaction of low-cost rep P and S. X-ray diffraction refinement analysis indicates that P4S3 sample possesses a defect rich molecule crystal structure with S/P atom ratio of 0.74. The P4S3 anode delivered a high reversible capacity of 1266 m Ah g-1 for lithium-ion batteries at 0.1 A g-1 and good cycling performance. Experimental results demonstrated that the P4S3 anode undergoes a reversible Listorage reaction of P4S3+ 11 Li++ 11 e-←→ 0.5 Li4P2S6+ 3 Li3P during cycling. It also exhibited a high capacity of 1002 and 378 mAh g-1 at 0.1 A g-1 for Na+and K+storage, respectively. These properties suggest the promising application of P4S3 anode in high energy batteries.
基金This study was supported by the National Natural Science Foundation of China(82171544,81971251,81671329,82001406 and 81871050)Science and Technology Comission of Shanghai Municipality(19441907800,16ZR1430500,19ZR1445200,19ZR1445100,17411953100,21S31903100,2018SHZDZX01,19410710800,19411969100,19411950800)+5 种基金Shanghai Clinical Research Center for Mental Health(19MC1911100)The Clinical Research Center at Shanghai Mental Health Center(CRC2018Z001,CRC2018ZD04)Project of the Key Discipline Construction,Shanghai 3-Year Public Health Action Plan(GWV-10.1-XK18)Clinical Research Center at Shanghai Jiao Tong University School of Medicine(DLY201817,20190102)Shanghai Municipal Science and Technology Major Project(No.2018SHZDZX01,2018SHZDZX05)ZJLab.Foundation of Shanghai Mental Health Center(2020-FX-02).
文摘Background Im paired sesitwity of he soin Mlush response bo miacin is one of the most rpicated findngs in patents with schizoprenia Howewer.prior studies have usaly focused on postonset psychusis,and ll is knowm about the dinical high-risk(CHR)phase of niacin senstity in psychosis Aims To proftle and compare the miacin flush responsge among CHR individuals(converters and non-coverters)patients with frstepso schinophrenia(FES)and healty controls(HCs).Methods Sensivily 1o ftour concentralions (0.1-0001M)of aqueous methylnicotinate was tested in 105 CHR individuals,57 patients with FES and 52 HCs.CHR individuals were further grouped as converters and non converters according to the 2-year follow-up outcomes.Skin flush response scores were rated on a 4-point scale.Results Of the 105 CHR individuals,21 individuals were lost during the study,leaving 84 CHR individuals;16(19.0%)converted to full psychosis at 2 years of fllow-up.Flush response scores identifed in the CHR samples were characterised as modest degree levels,intermediate between those of HC individuals and patients with FES.The flush responses in the CHR group mimicked the responses observed in the FES group at higher concentrations(0.01 M,0.1 M)and longer time points(15 min,20min);however,these became comparable vith the responses in the HC group at the shorter time points and at lower concentr ations.The converters exhibited lower mean flush response scores than the non-converters.Conclusions Attenuated niacin-induced flushing emerged during the early phase of psychosis.New devices should be developed and verified for objective quantification of skin responses in the CHR population.
基金This research was supported by National Natural Science Foundation of China grants(81971251,81671329,81871050,82171497,82101582,82001406)Clinical Research Center at Shanghai Mental Health Center grants(CRC2018ZD01,CRC2018ZD04,CRC2018YB01,CRC2019ZD02)+6 种基金Clinical Research Center at Shanghai Jiao Tong University School of Medicine(DLY201817,20190102)Shanghai Science and Technology Committee Foundations(19411950800,16ZR1430500,19411969100,19410710800,21ZR1481500,20ZR1448600,21S31903100,19ZR14451)Shanghai Clinical Research Center for Mental Health(19MC1911100)Project of the Key Discipline Construction,Shanghai 3-Year Public Health Action Plan(GWV-10.1-XK18)Shanghai Municipal Science and Technology Major Project(2018SHZDZX01,2018SHZDZX05)and ZJ LabFoundation of Shanghai Mental Health Center(2020-FX-02)Excellent Talents Training Project of Shanghai Municipal Commission of Health(GWV-10.2-YQ44).
文摘Background Disrupted white matter(WM)microstructure has been commonly identified in youth at clinical high risk(CHR)for psychosis.Several lines of evidence suggest that fatty acids,especially unsaturated fatty acids(UFAs),might play a crucial role in the WM pathology of early onset psychosis.However,evidence linking UFA and WM microstructure in CHR is quite sparse.Aims We investigated the relationship between the plasma UFA level and WM microstructure in CHR participants and healthy controls(HC).Methods Plasma fatty acids were assessed and diffusion tensor imaging(DTI)data were performed with tract-based spatial statistics(TBSS)analysis for 66 individuals at CHR for psychosis and 70 HC.Results Both the global and regional diffusion measures showed significant between-group differences,with decreased fractional anisotropy(FA)but increased mean diffusivity(MD)and radial diffusivity(RD)found in the CHR group compared with the HC group.On top of that,we found that in the HC group,plasma arachidic acid showed obvious trend-level associations with higher global FA,lower global MD and lower global RD,which regionally spread over the corpus callosum,right anterior and superior corona radiata,bilateral anterior and posterior limb of the internal capsule,and bilateral superior longitudinal fasciculus.However,there were no associations between global WM measures and any UFA in the CHR group.Conversely,we even found negative associations between arachidic acid levels and regional FA values in the right superior longitudinal fasciculus and right retrolenticular part of the internal capsule in the CHR group.Conclusions Compared with the HC group,CHR subjects exhibited a different pattern of association between WM microstructure and plasma UFA,with a neuroprotective effect found in the HC group but not in the CHR group.Such discrepancy could be due to the excessively upregulated UFAs accumulated in the plasma of the CHR group,highlighting the role of balanced plasma-membrane fatty acids homeostasis in WM development.
基金This research was supported by grants from the National Natural Science Foundation of China(82001406,81971251,81671329,81871050,82171497,82101582)Shanghai Science and Technology Committee Foundations(19ZR1445100,19411950800,16ZR1430500,19411969100,19410710800,21ZR1481500,20ZR1448600,21S31903100)+5 种基金Foundation of Shanghai Mental Health Center(2020-FX-02)Clinical Research Center at Shanghai Mental Health Center(CRC2018ZD01,CRC2018ZD04,CRC2018YB01,CRC2019ZD02)Clinical Research Center at Shanghai Jiao Tong University School of Medicine(DLY201817,20190102)Shanghai Clinical Research Center for Mental Health(19MC1911100)Project of the Key Discipline Construction,Shanghai 3-Year Public Health Action Plan(GWV-10.1-XK18)Shanghai Municipal Science and Technology Major Project(2018SHZDZX01,2018SHZDZX05)。
文摘Background Clinical high risk(CHR)of psychosis is a state in which positive symptoms cause the subjects distress but do not approach a severity level that fulfils the criteria for a psychotic episode.CHR exhibits cognitive deficits;however,the underlying neurobiological mechanisms remain unclear.This study aimed to investigate whether brain activation measured by the levels of oxygenated hemoglobin(oxy-Hb)in CHR subjects could be correlated with cognitive deficits.Methods Fifty-eight CHR individuals who fulfilled the criteria for attenuated positive syndrome as specified in the Structured Interview for Prodromal Syndrome(SIPS)and the Scale of Prodromal Syndrome(SOPS)and 58 age-and sex-matched healthy participants were included in the study.All subjects completed the Measurement and Treatment Research to Improve Cognition in Schizophrenia(MATRICS)Consensus Cognitive Battery(MCCB)that includes tests measuring attention,verbal memory,verbal fluency,executive function,and general intelligence.Functional near-infrared spectroscopy(fNIRS)was used to measure the level of oxy-Hb in the dorsolateral prefrontal and frontotemporal cortices.Results We observed significantly decreased oxy-Hb levels in channel 32(located in the right superior temporal gyrus,rSTG)within the CHR individuals compared with that in the healthy controls(HCs)(t=−3.44,Bonferroni-corrected p=0.002),indicating lower brain activity.A significant positive correlation was observed between task-relatedβvalues and working memory in the CHR group(r=0.35,p=0.008).Conclusions The brain activation of rSTG is abnormal among subjects at clinicial high risk for psychosis.This abnormality is probably associated with the neural mechanisms of deficits in the working memory during the early stage of psychosis.
基金This study was supported by the National Natural Science Foundation of China(81901832,82171544,82171497,62072014)Clinical Research Plan of SHDC(SHDC2020CR4066)+3 种基金Science and Technology Commission of Shanghai Municiality(19ZR1477800,19ZR1445200)Shanghai Key Laboratory of Psychotic Disorders(13d22260500)Clinical Research Center at Shanghai Mental Health Center(CRC2018ZD01,CRC2018ZD04 and CRC2018YB01)Shanghai Mental Health Center Foundation(2020-FX-01,2019-zd01).
文摘Background Neural oscillations directly reflect the rhythmic changes of brain activities during the resting state or while performing specific tasks.Abnormal neural oscillations have been discovered in patients with schizophrenia.However,there is limited evidence available on abnormal spontaneous neural oscillations in clinical high risk for psychosis(CHR-P).The brain signals recorded by the magnetoencephalography(MEG)technique are not to be disrupted by the skull and scalp.Methods In this study,we applied the MEG technique to record the resting-state neural activities in CHR-P.This was followed by a detailed MEG analysis method including three steps:(1)preprocessing,which was band-pass filtering based on the 0.5-60Hz frequency range,removal of 50Hz power frequency interference,and removal of electrocardiography(ECG)and electrooculography(EOG)artefacts by independent component analysis;(2)time-frequency analysis,a multitaper time-frequency transformation based on the Hanning window,and(3)source localisation.an exact low-resolution brain electromagnetic tomography.The method was verified by comparing aparticipant with CHR-P with a healthy control during the MEG recordings with an eyes-closed resting state.Results Experimental results show that the neural oscillations in CHR-P were significantly abnormal in the theta frequency band(4-7Hz)and the delta frequency band(1-3Hz).Also,relevant brain regions were located in the left occipital lobe and left temporo-occipital junction for the theta band and in the right dorsolateral prefrontal lobe and near orbitofrontal gyrus for the delta band.Conclusions Abnormal neural oscillations based on specific frequency bands and corresponding brain sources may become biomarkers for high-risk groups.Further work will validate these characteristics in CHR-P cohorts.
基金supported by the Ministry of Science and Technology of China,National Key R&D Program of China(2016YFC1306800)National Natural Science Foundation of China(81671332,81971251,81671329,81871050,81901832,81971251,82001406,82101582,82151314,and 82171497)+9 种基金Shanghai Municipal Science and Technology Major Project(2018SHZDZX01,2018SHZDZX05)and ZJLabScience and Technology Commission of Shanghai Municipality(16JC1420200,16ZR1430500,19410710800,19411950800,19411969100,19441907800,19ZR1445100,19ZR1477800,20ZR1448600,21ZR1481500,and 21S31903100)Shanghai Municipal Health Commission(202040361)Project of the Key Discipline Construction,Shanghai 3-Year Public Health Action Plan(GWV10.1-XK18)Shanghai Clinical Research Center for Mental Health(19MC1911100)Clinical Research Plan of SHDC(SHDC2020CR4066)Clinical Research Center at Shanghai Jiao Tong University School of Medicine(DLY201817,20190102)Shanghai Jiao Tong University Foundation(ZH2018ZDB03,ZH2018QNB19)The Clinical Research Center at Shanghai Mental Health Center(CRC2018ZD01,CRC2018ZD04,CRC2018YB01,CRC2019ZD02,and 2020-FX-02)Shanghai Mental Health Center(2019-zd01).
文摘Background Self-reflectiveness,one dimension of cognitive insight,plays a protective role in an individual’s mental state.Both high and low levels of self-reflectiveness have been reported in patients with schizophrenia and individuals at clinical high risk for the illness.Aims This study aimed to explore the relationship patterns between self-reflectiveness and clinical symptoms in individuals during the pre-morbid and early clinical stages of psychosis.Methods A total of 181 subjects,including individuals with attenuated positive symptoms(APS,n=122)and patients with first-episode psychosis(FEP,n=59),completed the Beck Cognitive Insight Scale and were evaluated using the Schedule of Assessment of Insight and Positive and Negative Syndrome Scale.All subjects were classified into three groups according to their level of selfreflectiveness:low level(LSR,n=59),medium level(MSR,n=67)and high level(HSR,n=55).Both linear and nonlinear relationships between self-reflectiveness and clinical symptoms were explored.Results More individuals with APS were classified into the MSR group,while more patients with FEP were classified into the LSR group.The LSR group demonstrated less awareness of illness than the MSR and HSR groups,more stereotyped thinking and poorer impulse control but less anxiety than the MSR group,and lower levels of blunted affect and guilt feelings than the HSR group.The MSR group demonstrated lower stereotyped thinking than the HSR group.Compared to the LSR group,the MSR group had increased selfreflectiveness,improved awareness of illness,decreased stereotyped thinking,and better impulse control,but increased feelings of guilt.The HSR group showed increased stereotyped thinking when compared to the MSR group,but the other variables did not change significantly between these two groups.Overall,self-reflectiveness demonstrated an approximately inverse S-shaped relationship with the awareness of illness,a U-shaped relationship with stereotyped thinking and poor impulse control,and an almost linear relationship with anxiety and guilt feelings.Conclusions Self-reflectiveness demonstrates complex relationships with clinical symptoms and fails to exert significant positive effects when reaching a certain high level.
基金This work was supported by the National Natural Science Foundation of China(Grant No.2019YFB1405000)the National Natural Science Basic Research Plan Program of Shaanxi,China(Grant Nos.2019JM-162 and 2019JM-348).
文摘In the state of the art,grayscale image enhancement algorithms are typically adopted for enhancement of RGB color images captured with low or non-uniform illumination.As these methods are applied to each RGB channel independently,imbalanced inter-channel enhancements(color distortion)can often be observed in the resulting images.On the other hand,images with non-uniform illumination enhanced by the retinex algorithm are prone to artifacts such as local blurring,halos,and over-enhancement.To address these problems,an improved RGB color image enhancement method is proposed for images captured under nonuniform illumination or in poor visibility,based on weighted guided image filtering(WGIF).Unlike the conventional retinex algorithm and its variants,WGIF uses a surround function instead of a Gaussian filter to estimate the illumination component;it avoids local blurring and halo artifacts due to its anisotropy and adaptive local regularization.To limit color distortion,RGB images are first converted to HSI(hue,saturation,intensity)color space,where only the intensity channel is enhanced,before being converted back to RGB space by a linear color restoration algorithm.Experimental results show that the proposed method is effective for both RGB color and grayscale images captured under low exposure and non-uniform illumination,with better visual quality and objective evaluation scores than from comparator algorithms.It is also efficient due to use of a linear color restoration algorithm.