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Dynamic coupling of neural signals is a hallmark of brain networks, but its potential relevance is still debated. Does coupling play a causal role for network functions, or is it just a by-product of structural connectivity or other physiological processes? With intervention techniques that have become available, experiments seem within reach that may provide answers to this long-standing question.

In classical representation-oriented approaches of social cognition, agents are thought to interact with conspecifics based on their capacity to develop a “theory-of-mind”, i.e., to generate complex models of the intentions, beliefs, and personalities of their interaction partners. In this framework, the primary mode of interaction with the social environment is that of a detached observer who theorizes and produces inferences about other participants. In contrast, this Research Topic seeks to turn the spotlight on the grounding of social cognition in dynamic sensorimotor and informational coupling of agents, in human-human as well as human-robot interaction settings. According to this view, interaction dynamics hold substantial clues to the mechanism of social understanding and its disturbances (as for example observed in autism spectrum disorders). The argument is that high-level social deficits may be rooted in the impaired capacity for entraining and sustaining sensorimotor and informational coupling. Beyond novel insights into the mechanisms of functional and dysfunctional social behavior, the investigation of basic sensorimotor interaction patterns may help the development of socially competent robot technology. Tapping into the same logic, robotic agents sensitive to interpersonal sensorimotor contingencies should have an advantage over technology that does not consider this key aspect of human interaction. This Research Topic provides an interdisciplinary overview of trends and recent developments in conceptual, methodological and basic research, as well as applications of sensorimotor approaches in social cognitive science, neuroscience, and robotic research. One of the key questions is how concepts and methods from social cognitive and neuroscience transfer to human-robot interaction. The authors acknowledge support by the EU through project socSMCs (H2020-641321).

Comprehending speech in noise is an essential cognitive skill for verbal communication. However, it remains unclear how our brain adapts to the noisy environment to achieve comprehension. The present study investigated the neural mechanisms of speech comprehension in noise using an functional near-infrared spectroscopy-based inter-brain approach. A group of speakers was invited to tell real-life stories. The recorded speech audios were added with meaningless white noise at four signal-to-noise levels and then played to listeners. Results showed that speaker–listener neural couplings of listener’s left inferior frontal gyri (IFG), that is, sensorimotor system, and right middle temporal gyri (MTG), angular gyri (AG), that is, auditory system, were significantly higher in listening conditions than in the baseline. More importantly, the correlation between neural coupling of listener’s left IFG and the comprehension performance gradually became more positive with increasing noise level, indicating an adaptive role of sensorimotor system in noisy speech comprehension; however, the top behavioral correlations for the coupling of listener’s right MTG and AG were only obtained in mild noise conditions, indicating a different and less robust mechanism. To sum up, speaker–listener coupling analysis provides added value and new sight to understand the neural mechanism of speech-in-noise comprehension.

While the increasingly globalized world has brought more and more demands for non-native language communication, the prevalence of background noise in everyday life poses a great challenge to non-native speech comprehension. The present study employed an interbrain approach based on functional near-infrared spectroscopy (fNIRS) to explore how people adapt to comprehend non-native speech information in noise. A group of Korean participants who acquired Chinese as their non-native language was invited to listen to Chinese narratives at 4 noise levels (no noise, 2 dB, −6 dB, and − 9 dB). These narratives were real-life stories spoken by native Chinese speakers. Processing of the non-native speech was associated with significant fNIRS-based listener–speaker neural couplings mainly over the right hemisphere at both the listener’s and the speaker’s sides. More importantly, the neural couplings from the listener’s right superior temporal gyrus, the right middle temporal gyrus, as well as the right postcentral gyrus were found to be positively correlated with their individual comprehension performance at the strongest noise level (−9 dB). These results provide interbrain evidence in support of the right-lateralized mechanism for non-native speech processing and suggest that both an auditory-based and a sensorimotor-based mechanism contributed to the non-native speech-in-noise comprehension.

The High Altitude Water Cherenkov (HAWC) gamma-ray observatory observes atmospheric showers produced by incident gamma rays and cosmic rays with energy from 300 GeV to more than 100 TeV. A crucial phase in analyzing gamma-ray sources using ground-based gamma-ray detectors like HAWC is to identify the showers produced by gamma rays or hadrons. The HAWC observatory records roughly 25,000 events per second, with hadrons representing the vast majority ($>99.9\%$) of these events. The standard gamma/hadron separation technique in HAWC uses a simple rectangular cut involving only two parameters. This work describes the implementation of more sophisticated gamma/hadron separation techniques, via machine learning methods (boosted decision trees and neural networks), and summarizes the resulting improvements in gamma/hadron separation obtained in HAWC., 35 pages, 9 figures, published in Nuclear Instruments and Methods in Physics Research Section A

BackgroundAnaesthesia and surgery can lead to cognitive decline, especially in the elderly. However, to date, the neurophysiological underpinnings of perioperative cognitive decline remain unknown.MethodsWe included male patients, who were 60 years or older scheduled for elective radical prostatectomy under general anaesthesia. We obtained neuropsychological (NP) tests as well as a visual match-to-sample working memory (WM) task with concomitant 62-channel scalp electroencephalography (EEG) before and after surgery.ResultsA total number of 26 patients completed neuropsychological assessments and EEG pre- and postoperatively. Behavioural performance declined in the neuropsychological assessment after anaesthesia (total recall; t-tests: t25 = -3.25, Bonferroni-corrected p = 0.015 d = -0.902), while WM performance showed a dissociation between match and mis-match accuracy (rmANOVA: match*session F1,25 = 3.866, p = 0.060). Distinct EEG signatures tracked behavioural performance: Better performance in the NP assessment was correlated with an increase of non-oscillatory (aperiodic) activity, reflecting increased cortical activity (cluster permutation tests: total recall r = 0.66, p = 0.029, learning slope r = 0.66, p = 0.015), while WM accuracy was tracked by distinct temporally-structured oscillatory theta/alpha (7 – 9 Hz), low beta (14 – 18 Hz) and high beta/gamma (34 – 38 Hz) activity (cluster permutation tests: matches: p < 0.001, mis-matches: p = 0.022).ConclusionsOscillatory and non-oscillatory (aperiodic) activity in perioperative scalp EEG recordings track distinct features of perioperative cognition. Aperiodic activity provides a novel electrophysiological biomarker to identify patients at risk for developing perioperative neurocognitive decline.

BackgroundFreezing of gait (FoG) is a disabling burden for Parkinson’s disease (PD) patients with poor response to conventional therapies. Combined deep brain stimulation of the subthalamic nucleus and substantia nigra (STN+SN DBS) moved into focus as a potential therapeutic option to treat the parkinsonian gait disorder and refractory FoG. The mechanisms of action of DBS within the cortical-subcortical-basal ganglia network on gait, particularly at the cortical level, remain unclear.MethodsTwelve patients with idiopathic PD and chronically-implanted DBS electrodes were assessed on their regular dopaminergic medication in a standardized stepping in place paradigm. Patients executed the task with DBS switched off (STIM OFF), conventional STN DBS and combined STN+SN DBS and were compared to healthy matched controls. Simultaneous high-density EEG and kinematic measurements were recorded during resting-state, effective stepping, and freezing episodes.ResultsClinically, STN+SN DBS was superior to conventional STN DBS in improving temporal stepping variability of the more affected leg. During resting-state and effective stepping, the cortical activity of PD patients in STIM OFF was characterized by excessive over-synchronization in the theta (4–8 Hz), alpha (9–13 Hz), and high-beta (21–30 Hz) band compared to healthy controls. Both active DBS settings similarly decreased resting-state alpha power and reduced pathologically enhanced high-beta activity during resting-state and effective stepping compared to STIM OFF. Freezing episodes during STN DBS and STN+SN DBS showed spectrally and spatially distinct cortical activity patterns when compared to effective stepping. During STN DBS, FoG was associated with an increase in cortical alpha and low-beta activity over central cortical areas, while with STN+SN DBS, an increase in high-beta was prominent over more frontal areas.ConclusionsSTN+SN DBS improved temporal aspects of parkinsonian gait impairment compared to conventional STN DBS and differentially affected cortical oscillatory patterns during regular locomotion and freezing suggesting a potential modulatory effect on dysfunctional cortical-subcortical communication in PD.

Palliative care is an integral part in the treatment of patients in uro-oncology. The German S3 guideline palliative care for patients with incurable cancer is an essential working basis for physicians and healthcare workers. In addition to basic recommendations in palliative care, the guideline provides evidence-based advice in a symptom-oriented approach. Basic knowledge in palliative care is recommended for every urologist who is treating uro-oncologic patients.Die palliativmedizinische Betreuung ist ein integrativer Bestandteil in der Betreuung uroonkologischer Patientinnen und Patienten. Die S3-Leitlinie Palliativmedizin für Patienten mit einer nichtheilbaren Krebserkrankung stellt eine wesentliche Arbeitsgrundlage für in der Palliativmedizin Tätige dar. Neben Grundlagen zur palliativmedizinischen Versorgung gibt sie evidenzbasierte, symptomorientierte Therapieempfehlungen. Jeder in der Uroonkologie tätige Urologe sollte über entsprechende palliativmedizinische Grundkenntnisse verfügen.

The extragalactic background light (EBL) contains all the radiation emitted by nuclear and accretion processes in stars and compact objects since the epoch of recombination. Measuring the EBL density directly is challenging, especially in the near- to far-infrared waveband, mainly due to the zodiacal light foreground. Instead, gamma-ray astronomy offers the possibility to indirectly set limits on the EBL by studying the effects of gamma-ray absorption in the very high energy (VHE:$>$100 GeV) spectra of distant blazars. The High Altitude Water Cherenkov gamma ray observatory (HAWC) is one of the few instruments sensitive to gamma rays with energies above 10 TeV. This offers the opportunity to probe the EBL in the near/mid IR region: $\lambda$ = 1 $\mu$m - 100 $\mu$m. In this study, we fit physically motivated emission models to Fermi Large Area Telescope (LAT) GeV data to extrapolate the intrinsic TeV spectra of blazars. We then simulate a large number of absorbed spectra for different randomly generated EBL model shapes and calculate Bayesian credible bands in the EBL intensity space by comparing and testing the agreement between the absorbed spectra and HAWC extragalactic observations of two blazars. The resulting bands are in agreement with current EBL lower and upper limits, showing a downward trend towards higher wavelength values $\lambda>10\, \mu$m also observed in previous measurements., Comment: Submitted to ApJ

Transcranial electric stimulation (tES) induces electric fields that propagate in the brain and depend on individual anatomies. The interaction between the electric fields and individual anatomies may contribute to the heterogenous results that are commonly observed across tES studies in humans. Targeted tES is able to account for some of these individual factors by adapting the electric field to the stimulation target. Here, the effect of individually targeted tES on simulated intracranial electric fields was evaluated in head models of twenty-one participants using the finite-element method (FEM). For all participants, two individually targeted tES montages were compared to a fixed stimulation montage that was not individually optimized. For a simulated parietal stimulation target with three different orientations, individual current densities showed varying intensities near the lower limit at which physiological efficacy of electric fields can be assumed. However, targeting algorithms were able to control different electric field properties, by either maximizing the target current densities or by increasing the specificity of electric fields with respect to target location and orientation. Electric fields were constrained by individual anatomical properties, but still showed considerable variation for the given parietal stimulation target across participants. Thus, we present findings of inter-individual variability within the same cortical region to complement recent studies that showed large variation across cortical regions in a single FEM head model. Our results support the usage of individual targeting for enhancing the efficacy of tES and for elucidating the underlying mechanisms of tES. At the same time, residual variability in electric fields is suggested to be utilized for the explanation of individual differences in the tES outcome.

Monoclonal antibodies (mAbs) are currently leading products in the global biopharmaceutical market. Multiple mAbs are in clinical development and novel biotherapeutic protein scaffolds, based on the canonical immunoglobulin G (IgG) fold, are emerging as treatment options for various medical conditions. However, fast approvals for biotherapeutics are challenging to achieve, because of difficult scientific development procedures and complex regulatory processes. Selecting molecular entities with superior physicochemical properties that proceed into clinical trials and the identification of stable formulations are crucial developability aspects. It is widely accepted that the solution pH has critical influences on both the protein's colloidal stability and its crystallization behavior. Furthermore, proteins usually crystallize best at solution conditions that enable high protein solubility, purity, stability, and monodispersity. Therefore, we hypothesize that the solution pH value is a central parameter that is linking together protein formulation, protein crystallization, and thermal protein stability. In order to experimentally test this hypothesis, we have investigated the effect of the solution pH on the thermal stabilities and crystallizabilities for three different mAbs. Combining biophysical measurements with high throughput protein (HTP) crystallization trials we observed a correlation in the buffer pH values for eminent mAb stability and successful crystallization. Specifically, differential scanning fluorimetry (DSF) was used to determine pH values that exert highest thermal mAb stabilities and additionally led to the identification of unfolding temperatures of individual mAb domains. Independently performed crystallization trials with the same mAbs resulted in their successful crystallization at pH values that displayed highest thermal stabilities. In summary, the presented results suggest a strategy how protein crystallization could be used as a screening method for the development of biotherapeutic protein formulations with improved in vitro stabilities.

Stressful events impact memory formation, in particular for emotionally arousing stimuli. Although these stress effects on emotional memory formation have potentially far-reaching implications, the underlying neural mechanisms are not fully understood. Specifically, the temporal processing dimension of the mechanisms involved in emotional memory formation under stress remains elusive. Here, we used magnetoencephalography (MEG) to examine the neural processes underlying stress effects on emotional memory formation with high temporal and spatial resolution and a particular focus on theta oscillations previously implicated in mnemonic binding. Healthy participants (n = 53) underwent a stress or control procedure before encoding emotionally neutral and negative pictures, while MEG was recorded. Memory for the pictures was probed in a recognition test 24 h after encoding. In this recognition test, stress did not modulate the emotional memory enhancement but led to significantly higher confidence in memory for negative compared to neutral stimuli. Our neural data revealed that stress increased memory-related theta oscillations specifically in medial temporal and occipito-parietal regions. Further, this stress-related increase in theta power emerged during memory formation for emotionally negative but not for neutral stimuli. These findings indicate that acute stress can enhance, in the medial temporal lobe, oscillations at a frequency that is ideally suited to bind the elements of an ongoing emotional episode, which may represent a mechanism to facilitate the storage of emotionally salient events that occurred in the context of a stressful encounter.

Hyper-brain studies analyze the brain activity of two or more individuals during some form of interaction. Several studies found signs of inter-subject brain activity coordination, such as power and phase synchronization or information flow. This hyper-brain coordination is frequently studied in paradigms which induce rhythms or even synchronization, e.g., by mirroring movements, turn-based activity in card or economic games, or joint music making. It is therefore interesting to figure out in how far coordinated brain activity may be induced by a rhythmicity in the task and/or the sensory feedback that the partners receive. We therefore studied the EEG brain activity of dyads in a task that required the smooth pursuit of a target and did not involve any extrinsic rhythms. Partners controlled orthogonal axes of the two-dimensional motion of an object that had to be kept on the target. Using several methods for analyzing hyper-brain coupling, we could not detect signs of coordinated brain activity. However, we found several brain regions in which the frequency-specific activity significantly correlated with the objective task performance, the subjective experience thereof, and of the collaboration. Activity in these regions has been linked to motor control, sensorimotor integration, executive control and emotional processing. Our results suggest that neural correlates of intersubjectivity encompass large parts of brain areas that are considered to be involved in sensorimotor control without necessarily coordinating their activity across agents.

The spatially-coded SSVEP BCI employs the retinotopic map in the human visual pathway to infer the gaze direction of the operator relative to a flicker stimulus inducing steady-state visual evoked potentials (SSVEPs) in the brain. It has been shown that with this method, up to 16 channels can be encoded using only a single flicker stimulus. Another advantage over conventional frequency-coded SSVEP BCIs, in which channels are encoded by different combinations of frequencies and phases, is that the operator does not have to gaze directly at flickering lights. This can reduce visual fatigue and improve user comfort. Whereas the frequency of the SSVEP response is well predictable, which has enabled the development of frequency-coded SSVEP BCIs which do not require training data, the spatial distribution of the SSVEP response over the scalp differs much more between different people. This requires collecting a substantial amount of training data before the spatially-coded BCI could be put into operation.In this study we address this issue by combining the spatially-coded BCI with a feedback channel which the operator uses to flag classification errors, and which allows the system to accumulate valid training data while the BCI is used to solve a spatial navigation task.Starting from the minimal number of samples required by the classification method, the approach achieved an average accuracy of 69 ± 15 %, corresponding to an ITR of 31 ± 17 bits/min, in solving the task for the first time. This accuracy improved to 87 ± 9 % (ITR: 54 ± 14 bits/min) after completing the task 2 more times. Further we show that participants with a stable SSVEP topography over repeated stimulation enable the BCI to achieve higher accuracies.Compared to a similar system with separate training and application phases, the time to achieve the same output is reduced by more than 50 %.Evaluating the approach in 17 participants suggests that the performance of the spatially-coded BCI with a minimal set of training samples is sufficient to be operational, and that performance keeps improving in the course of its application.

The aim of this review is to highlight the idea of grounding social cognition in sensorimotor interactions shared across agents. We discuss an action-oriented account that emerges from a broader interpretation of the concept of sensorimotor contingencies. We suggest that dynamic informational and sensorimotor coupling across agents can mediate the deployment of action-effect contingencies in social contexts. We propose this concept ofsocializing sensorimotor contingencies(socSMCs) as a shared framework of analysis for processes within and across brains and bodies, and their physical and social environments. In doing so, we integrate insights from different fields, including neuroscience, psychology, and research on human–robot interaction. We review studies on dynamic embodied interaction and highlight empirical findings that suggest an important role of sensorimotor and informational entrainment in social contexts. Furthermore, we discuss links to closely related concepts, such as enactivism, models of coordination dynamics and others, and clarify differences to approaches that focus on mentalizing and high-level cognitive representations. Moreover, we consider conceptual implications of rethinking cognition as social sensorimotor coupling. The insight that social cognitive phenomena like joint attention, mutual trust or empathy rely heavily on the informational and sensorimotor coupling between agents may provide novel remedies for people with disturbed social cognition and for situations of disturbed social interaction. Furthermore, our proposal has potential applications in the field of human–robot interaction where socSMCs principles might lead to more natural and intuitive interfaces for human users.

Optogenetic manipulation of neuronal activity through excitatory and inhibitory opsins has become an indispensable experimental strategy in neuroscience research. For many applications bidirectional control of neuronal activity allowing both excitation and inhibition of the same neurons in a single experiment is desired. This requires low spectral overlap between the excitatory and inhibitory opsin, matched photocurrent amplitudes and a fixed expression ratio. Moreover, independent activation of two distinct neuronal populations with different optogenetic actuators is still challenging due to blue-light sensitivity of all opsins. Here we report BiPOLES, an optogenetic tool for potent neuronal excitation and inhibition with light of two different wavelengths. BiPOLES enables sensitive, reliable dual-color neuronal spiking and silencing with single- or two-photon excitation, optical tuning of the membrane voltage, and independent optogenetic control of two neuronal populations using a second, blue-light sensitive opsin. The utility of BiPOLES is demonstrated in worms, flies, mice and ferrets., Currently, bidirectional control of activity in the same neurons in the same experiment is difficult. Here the authors report a Bidirectional Pair of Opsins for Light-induced Excitation and Silencing, BiPOLES, which they use in a range of organisms including worms, fruit flies, mice and ferrets.

Classical high-throughput screening (HTS) technologies for the analysis of ionic currents across biological membranes can be performed using fluorescence-based, radioactive, and mass spectrometry (MS)-based uptake assays. These assays provide rapid results for pharmacological HTS, but the underlying, indirect analytical character of these assays can be linked to high false-positive hit rates. Thus, orthogonal and secondary assays using more biological target-based technologies are indispensable for further compound validation and optimization. Direct assay technologies for transporter proteins are electrophysiology-based, but are also complex, time-consuming, and not well applicable for automated profiling purposes. In contrast to conventional patch clamp systems, solid supported membrane (SSM)-based electrophysiology is a sensitive, membrane-based method for transporter analysis, and current technical developments target the demand for automated, accelerated, and sensitive assays for transporter-directed compound screening. In this study, the suitability of the SSM-based technique for pharmacological compound identification and optimization was evaluated performing cell-free SSM-based measurements with the electrogenic amino acid transporter B

The spatially-coded SSVEP BCI exploits changes in the topography of the steady-state visual evoked response to visual flicker stimulation in the extrafoveal field of view. In contrast to frequency-coded SSVEP BCIs, the operator does not gaze into any flickering lights; therefore, this paradigm can reduce visual fatigue. Other advantages include high classification accuracies and a simplified stimulation setup. Previous studies of the paradigm used stimulation intervals of a fixed duration. For frequency-coded SSVEP BCIs, it has been shown that dynamically adjusting the trial duration can increase the system’s information transfer rate (ITR). We therefore investigated whether a similar increase could be achieved for spatially-coded BCIs by applying dynamic stopping methods. To this end we introduced a new stopping criterion which combines the likelihood of the classification result and its stability across larger data windows. Whereas the BCI achieved an average ITR of 28.4±6.4 bits/min with fixed intervals, dynamic intervals increased the performance to 81.1±44.4 bits/min. Users were able to maintain performance up to 60 minutes of continuous operation. We suggest that the dynamic response time might have worked as a kind of temporal feedback which allowed operators to optimize their brain signals and compensate fatigue.

Significance Prevalence and temporal dynamics of transient oscillations in the beta frequency band (15 to 35 Hz), referred to as β bursts, are correlated with motor performance. Disturbance of these activities is a candidate mechanism for motor impairment in Parkinson’s disease (PD), where the excessively long bursts correlate with symptom severity and are reduced by pharmacological and surgical treatments. Here we describe the changes in action potential firing that take place across multiple nodes of the cortical and basal ganglia circuit as these transient oscillations evolve. These analyses provide fresh insights into the network dynamics of β bursts that can guide novel strategies to interfere with their generation and maintenance in PD., Beta frequency oscillations (15 to 35 Hz) in cortical and basal ganglia circuits become abnormally synchronized in Parkinson’s disease (PD). How excessive beta oscillations emerge in these circuits is unclear. We addressed this issue by defining the firing properties of basal ganglia neurons around the emergence of cortical beta bursts (β bursts), transient (50 to 350 ms) increases in the beta amplitude of cortical signals. In PD patients, the phase locking of background spiking activity in the subthalamic nucleus (STN) to frontal electroencephalograms preceded the onset and followed the temporal profile of cortical β bursts, with conditions of synchronization consistent within and across bursts. Neuronal ensemble recordings in multiple basal ganglia structures of parkinsonian rats revealed that these dynamics were recapitulated in STN, but also in external globus pallidus and striatum. The onset of consistent phase-locking conditions was preceded by abrupt phase slips between cortical and basal ganglia ensemble signals. Single-unit recordings demonstrated that ensemble-level properties of synchronization were not underlain by changes in firing rate but, rather, by the timing of action potentials in relation to cortical oscillation phase. Notably, the preferred angle of phase-locked action potential firing in each basal ganglia structure was shifted during burst initiation, then maintained stable phase relations during the burst. Subthalamic, pallidal, and striatal neurons engaged and disengaged with cortical β bursts to different extents and timings. The temporal evolution of cortical and basal ganglia synchronization is cell type-selective, which could be key for the generation/ maintenance of excessive beta oscillations in parkinsonism.

Both phase-amplitude coupling (PAC) and beta-bursts in the subthalamic nucleus have been significantly linked to symptom severity in Parkinson's disease (PD) in humans and emerged independently as competing biomarkers for closed-loop deep brain stimulation (DBS). However, the underlying nature of subthalamic PAC is poorly understood and its relationship with transient beta burst-events has not been investigated. To address this, we studied macro- and micro electrode recordings of local field potentials (LFPs) and single unit activity from 15 hemispheres in 10 PD patients undergoing DBS surgery. PAC between beta phase and high frequency oscillation (HFO) amplitude was compared to single unit firing rates, spike triggered averages, power spectral densities, inter spike intervals and phase-spike locking, and was studied in periods of beta-bursting. We found a significant synchronisation of spiking to HFOs and correlation of mean firing rates with HFO-amplitude when the latter was coupled to beta phase (i.e. in the presence of PAC). In the presence of PAC, single unit power spectra displayed peaks in the beta and HFO frequency range and the HFO frequency was correlated with that in the LFP. Furthermore, inter spike interval frequencies peaked in the same frequencies for which PAC was observed. Finally, PAC significantly increased with beta burst-duration. Our findings offer new insight in the pathology of Parkinson's disease by providing evidence that subthalamic PAC reflects the locking of spiking activity to network beta oscillations and that this coupling progressively increases with beta-burst duration. These findings suggest that beta-bursts capture periods of increased subthalamic input/output synchronisation in the beta frequency range and have important implications for therapeutic closed-loop DBS. SIGNIFICANCE STATEMENT: Identifying biomarkers for closed-loop deep brain stimulation (DBS) has become an increasingly important issue in Parkinson's Disease (PD) research. Two such biomarkers, phase-amplitude coupling (PAC) and beta-bursts, recorded from the implanted electrodes in subthalamic nucleus in PD patients, correlate with motor impairment. However, the physiological basis of PAC, and it relationship to beta bursts, is unclear. We provide multiple lines of evidence that PAC in the human STN reflects the locking of spiking activity to network beta oscillations and that this coupling progressively increases with the duration of beta-bursts. This suggests that beta-bursts capture increased subthalamic input/output synchronisation and provides new insights in PD pathology with direct implications for closed-loop DBS therapy strategies.

Objective: We present a new type of brain-computer interface (BCI) that utilizes the retinotopic mapping of motion-onset visual evoked potentials (mVEP) to accomplish four control channels using a single motion stimulus. Methods: Participants selected a BCI command by fixating one of four target locations around a centrally presented visual motion stimulus. A template-matching method was employed to recognize the users’ intention by decoding the position of the motion stimulus in the peripheral visual field, and classification performances were evaluated in an offline manner. The motion stimulus eccentricity between the targets and the visual motion stimulus varied among 5.1°, 6.7°, 9.8°, and 13.0°. Results: Distinct N200 spatial patterns were elicited when participants directed attention overtly to the target locations. A four-class classification accuracy of 72.2 ± 5.05% was achieved with a distance of 5.1° visual angle between the targets and the visual motion stimulus. The classification accuracies decreased with increasing motion stimulus eccentricities but remained separable well above the chance level at 13.0° (47.3 ± 8.54%). Conclusion: Our results support the feasibility of a single-stimulus, multitarget mVEP BCI. Significance: The proposed system can simplify the visual stimulation of mVEP BCIs, improve user experience and pave the way for simple yet efficient BCI communication.

BackgroundTreatment success of a rheumatic disease crucially depends on whether a patient is sufficiently informed about the disease[1]. Visual methods are suitable for explaining diseases[2]. Cinematic rendering (CR) is a new method that allows to segment standard medical images into images that illustrate disease pathologies in a photorealistic way. As such, CR provides new opportunities to visualize diseases and but could therefore be a valuable tool for patients with rheumatic and musculoskeletal disease (RMD).[3]ObjectivesWe questioned, if it is possible to apply CR on images from structural lesions of patients with rheumatoid arthritis (RA), Psoriatic Arthritis (PsA) and axial Spondyloarthritis (axSpA) and to test whether such images are helpful to patients with RMDs to understand their disease process. application in doctor-patient communication.MethodsWe selected conventional computed tomography (CT) and high-resolution peripheral CT (HR-pQCT) from patients with rheumatoid arthritis (RA), Psoriatic Arthritis (PsA) and axial Spondyloarthritis (axSpA) that showed typical changes of the respective disease. HR-pQCT measurements were performed in RA and PsA at the Rheumatology Department. CT Measurements of the spine in an axSpA patient was provided from AH. All images were segmented to CR images using a prototype software by the manufacturer Siemens Healthineers. In a prospective study on consecutive patients with RA, PsA, axSpA these images were used to explain the depicted pathognomonic pathologies and compared to conventional imaging in a structured doctor-patient interview. In the last step, patients filled in a quantitative questionnaire (Likert Scale 1-5) about their perspectives answering following questions: Did you understand your disease in the provided Cinematic Rendering images? Did you understand your disease better through the presentation using Cinematic Rendering images than with a normal X-ray image? Do you think it would be reasonable to use this type of Cinematic Rendering to improve patients’ understanding of their disease? Descriptive statistical methods were used.ResultsCR images of rheumatic diseases were successfully generated from above mentioned imaging data (CT, HR-pQCT). Bone erosions, osteophytes, enthesiophytes, osteoporosis and ankylosis of the spine could be visualized in photorealistic detail. Figure 1 shows examples of a images of a patient with RA and axSpA with typical bone changes.65 patients (23 RA/23 PsA/19 axSpA; f 55%) were guided through CR images of their respective disease by an experienced rheumatologist, followed by completing the questionnaire mentioned above. Patients stated that CR was very helpful to understand their disease process (4.39±0.15), that understanding diseases by CR was better than the one obtained by conventional radiographs (4.43±0.20) and that they considered such technology helpful for improving disease understanding (4.35±0.09).ConclusionCR seems to be a promising teaching tool for RMD patients facilitating an improved understanding of their disease process and in consequence my also improve adherence of RMD patients to their anti-rheumatic treatment.References[1]Ritschl, V., et al., 2020 EULAR points to consider for the prevention, screening, assessment and management of non-adherence to treatment in people with rheumatic and musculoskeletal diseases for use in clinical practice. Ann Rheum Dis, 2020.[2]Kleyer, A., et al., Development of three-dimensional prints of arthritic joints for supporting patients’ awareness to structural damage. Arthritis Res Ther, 2017. 19(1): p. 34.[3]Berger, F., et al., Application of Cinematic Rendering in Clinical Routine CT Examination of Ankle Sprains. AJR Am J Roentgenol, 2018. 211(4): p. 887-890.AcknowledgementsSiemens Healthineers /Dr.Klaus Engel for providing CR expertiseDisclosure of InterestsNone declared

The High Altitude Water Cherenkov (HAWC) Gamma-Ray Observatory surveys the very high energy sky in the 300 GeV to $>100$ TeV energy range. HAWC has detected two blazars above $11\sigma$, Markarian 421 (Mrk 421) and Markarian 501 (Mrk 501). The observations are comprised of data taken in the period between June 2015 and July 2018, resulting in a $\sim 1038$ days of exposure. In this work we report the time-averaged spectral analysis for both sources above 0.5 TeV. Taking into account the flux attenuation due to the extragalactic background light (EBL), the intrinsic spectrum of Mrk 421 is described by a power law with an exponential energy cut-off with index $\alpha=2.26\pm(0.12)_{stat}(_{-0.2}^{+0.17})_{sys}$ and energy cut-off $E_c=5.1\pm(1.6)_{stat}(_{-2.5}^{+1.4})_{sys}$ TeV, while the intrinsic spectrum of Mrk 501 is better described by a simple power law with index $\alpha=2.61\pm(0.11)_{stat}(_{-0.07}^{+0.01})_{sys}$. The maximum energies at which the Mrk 421 and Mrk 501 signals are detected are 9 and 12 TeV, respectively. This makes these some of the highest energy detections to date for spectra averaged over years-long timescales. Since the observation of gamma radiation from blazars provides information about the physical processes that take place in their relativistic jets, it is important to study the broad-band spectral energy distribution (SED) of these objects. To this purpose, contemporaneous data in the gamma-ray band to X-ray range, and literature data in the radio to UV range, were used to build time-averaged SEDs that were modeled within a synchrotron self-Compton leptonic scenario., Comment: 16 pages, 5 tables, 9 figures

The Earth is bombarded by ultra-relativistic particles, known as cosmic rays (CRs). CRs with energies up to a few PeV (=10$^{15}$ eV), the knee in the particle spectrum, are believed to have a Galactic origin. One or more factories of PeV CRs, or PeVatrons, must thus be active within our Galaxy. The direct detection of PeV protons from their sources is not possible since they are deflected in the Galactic magnetic fields. Hundred TeV $\gamma$-rays from decaying $\pi^0$, produced when PeV CRs collide with the ambient gas, can provide the decisive evidence of proton acceleration up to the knee. Here we report the discovery by the High Altitude Water Cherenkov (HAWC) observatory of the $\gamma$-ray source, HAWC~J1825-134, whose energy spectrum extends well beyond 200 TeV without a break or cutoff. The source is found to be coincident with a giant molecular cloud. The ambient gas density is as high as 700 protons/cm$^3$. While the nature of this extreme accelerator remains unclear, CRs accelerated to energies of several PeV colliding with the ambient gas likely produce the observed radiation., Comment: Accepted for publication in ApJL

Abnormally sustained beta-frequency synchronisation between the motor cortex and subthalamic nucleus (STN) is associated with motor symptoms in Parkinson's disease (PD). It is currently unclear whether STN neurons have a preference for beta-frequency input (12-35 Hz), rather than cortical input at other frequencies, and how such a preference would arise following dopamine depletion. To address this question, we combined analysis of cortical and STN recordings from awake human PD patients undergoing deep brain stimulation surgery with recordings of identified STN neurons in anaesthetised rats. In these patients, we demonstrate that a subset of putative STN neurons is strongly and selectively sensitive to magnitude fluctuations of cortical beta oscillations over time, linearly increasing their phase-locking strength with respect to the full range of instantaneous amplitude in the beta-frequency range. In rats, we probed the frequency response of STN neurons in the cortico-basal-ganglia-network more precisely, by recording spikes evoked by short bursts of cortical stimulation with variable frequency (4-40 Hz) and constant amplitude. In both healthy and dopamine-depleted rats, only beta-frequency stimulation led to a progressive reduction in the variability of spike timing through the stimulation train. This suggests, that the interval of beta-frequency input provides an optimal window for eliciting the next spike with high fidelity. We hypothesize, that abnormal activation of the indirect pathway, via dopamine depletion and/or cortical stimulation, could trigger an underlying sensitivity of the STN microcircuit to beta-frequency input., Highlights • STN-neurons are selectively entrained to cortical beta oscillations in PD patients. • Phase-locking of STN-neurons is linearly dependent on oscillation magnitude. • Beta bursts in LFP/EEG are accompanied by transient synchronisation of STN spiking. • STN neurons are selectively entrained to cortical beta stimulation in rats. • Beta-selectivity of STN neurons is present in control and dopamine-depleted rats.