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Background: Stroke still has a high incidence with a tremendous public health burden and it is a leading cause of mortality and disability. However, biomarkers for early diagnosis are absent and the metabolic alterations associated with ischemic stroke are not clearly understood. The objectives of this case-control study are to identify serum biomarkers and explore the metabolic alterations of ischemic stroke. Methods: Metabonomic analysis was performed using ultra-performance liquid chromatography quadrupole time-of-flight tandem mass spectrometry and multivariate statistical analysis was employed to study 60 patients with or without ischemic stroke (30 cases and 30 controls). Results: Serum metabolic profiling identified a series of 12 metabolites with significant alterations, and the related metabolic pathways involved glycerophospholipid, sphingolipid, phospholipid, fat acid, acylcarnitine, heme, and purine metabolism. Subsequently, multiple logistic regression analyses of these metabolites showed uric acid, sphinganine and adrenoyl ethanolamide were potential biomarkers of ischemic stroke with an area under the receiver operating characteristic curve of 0.941. Conclusions: These findings provide insights into the early diagnosis and potential pathophysiology of ischemic stroke. [ABSTRACT FROM AUTHOR]

In this study we aim to examine how the implicit learning of statistical regularities of successive stimuli affects the ability to exert cognitive control. In three experiments, sequences of flanker stimuli were segregated into pairs, with the second stimulus contingent on the first. Response times were reliably faster for the second stimulus if its congruence tended to match the congruence of the preceding stimulus, even though most participants were not explicitly aware of the statistical regularities (Experiment 1). In contrast, performance was not enhanced if the congruence of the second stimuli tended to mismatch the congruence of the first stimulus (Experiment 2). The lack of improvement appears to result from a failure of learning mismatch contingencies (Experiment 3). The results suggest that implicit learning of inter-stimulus relationships can facilitate cognitive control. [ABSTRACT FROM AUTHOR]