Publications by authors named "Francesco Di Gregorio"

During the spread of SARS-CoV-2 virus, contact tracing proved to be a very effective public health tool. Within the local health authority of Trapani (Sicily Region, Southern Italy), contact tracing was managed by physician, prevention technicians, and administrative from the Health Prevention Department who were trained and updated during the evolution of the epidemic. Contact tracing has been extended to migrants who arrived in Trapani with the landings.

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A harmonic brain-body communication is fundamental to individual wellbeing and is the basis of human cognition and behavior. In the last 2 decades, the interaction between the brain and body functioning has become a central area of study for neurologists and neuroscientists in clinical and non-clinical contexts. Indeed, brain-body axis dysfunctions occur in many psychiatric, neurological and neurodegenerative diseases.

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Whether prestimulus oscillatory brain activity contributes to the generation of post-stimulus-evoked neural responses has long been debated, but findings remain inconclusive. We first investigated the hypothesized relationship via EEG recordings during a perceptual task with this correlational evidence causally probed subsequently by means of online rhythmic transcranial magnetic stimulation. Both approaches revealed a close link between prestimulus individual alpha frequency (IAF) and P1 latency, with faster IAF being related to shorter latencies, best explained via phase-reset mechanisms.

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Coordinated interactions between the central and autonomic nervous systems are crucial for survival due to the inherent propensity for human behavior to make errors. In our ever-changing environment, when individuals make mistakes, these errors can have life-threatening consequences. In response to errors, specific reactions occur in both brain activity and heart rate to detect and correct errors.

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Introduction: Millions of people survive injuries to the central or peripheral nervous system for which neurorehabilitation is required. In addition to the physical and cognitive impairments, many neurorehabilitation patients experience pain, often not widely recognised and inadequately treated. This is particularly true for multiple sclerosis (MS) patients, for whom pain is one of the most common symptoms.

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Functional brain connectivity is closely linked to the complex interactions between brain networks. In the last two decades, measures of functional connectivity based on electroencephalogram (EEG) data have proved to be an important tool for neurologists and clinical and non-clinical neuroscientists. Indeed, EEG-based functional connectivity may reveal the neurophysiological processes and networks underlying human cognition and the pathophysiology of neuropsychiatric disorders.

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Behavioral consequences and neural underpinnings of visuospatial attention have long been investigated. Classical studies using the Posner paradigm have found that visual perception systematically benefits from the use of a spatially informative cue pointing to the to-be-attended spatial location, compared with a noninformative cue. Lateralized α amplitude modulation during visuospatial attention shifts has been suggested to account for such perceptual gain.

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Article Synopsis
  • Stroke patients with left Hemispatial Neglect (LHN) struggle to perceive stimuli on their left side and favor the right side, but the neural mechanisms behind this are not well understood.
  • The study aimed to identify EEG measures that differentiate LHN patients from healthy controls and to create a neurophysiological model that connects these measures.
  • Two main pathways were found: one links pre-stimulus brain connectivity and alpha frequency to visual processing, while the other connects alpha amplitude between hemispheres to perceptual asymmetry, together explaining over 83% of the variance in perceptual performance.
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Alpha oscillations (7-13 Hz) are the dominant rhythm in both the resting and active brain. Accordingly, translational research has provided evidence for the involvement of aberrant alpha activity in the onset of symptomatological features underlying syndromes such as autism, schizophrenia, major depression, and Attention Deficit and Hyperactivity Disorder (ADHD). However, findings on the matter are difficult to reconcile due to the variety of paradigms, analyses, and clinical phenotypes at play, not to mention recent technical and methodological advances in this domain.

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Accurate outcome detection in neuro-rehabilitative settings is crucial for appropriate long-term rehabilitative decisions in patients with disorders of consciousness (DoC). EEG measures derived from high-density EEG can provide helpful information regarding diagnosis and recovery in DoC patients. However, the accuracy rate of EEG biomarkers to predict the clinical outcome in DoC patients is largely unknown.

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The combined use of transcranial magnetic stimulation (TMS), electroencephalogram (EEG), and behavioral performance allows investigation of causal relationships between neural markers and their functional relevance across a number of perceptual and cognitive processes. Here, we present a protocol for combining and applying these techniques on human subjects. We describe correlation approach and causal approach to disentangle the role of different oscillatory parameters, namely alpha frequency and amplitude that control for accuracy and metacognitive abilities, respectively, in a visual detection task.

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Humans are remarkably reliable in detecting errors in their behavior. Whereas error awareness has been assumed to emerge not until 200-400 ms after an error, the so-called early error sensations refer to the subjective feeling of having detected an error even before the erroneous response was executed. Here, we collected electroencephalogram (EEG) to track how early error sensations are reflected in neural correlates of performance monitoring.

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It is commonly held that what we see and what we believe we see are overlapping phenomena. However, dissociations between sensory events and their subjective interpretation occur in the general population and in clinical disorders, raising the question as to whether perceptual accuracy and its subjective interpretation represent mechanistically dissociable events. Here, we uncover the role that alpha oscillations play in shaping these two indices of human conscious experience.

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Article Synopsis
  • * Current scientific research on effective treatments for LHSN in TBI patients is limited, though it's hypothesized that an imbalance in brain activity, specifically hyperactivity in the left hemisphere, contributes to the condition.
  • * The study aims to test the effectiveness of repetitive Transcranial Magnetic Stimulation (rTMS) in reducing LHSN symptoms through a single-blind, randomized trial involving cognitive therapy over 15 days, ultimately providing novel empirical evidence on treatment efficacy for TBI patients.
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Schizophrenia is among the most debilitating neuropsychiatric disorders. However, clear neurophysiological markers that would identify at-risk individuals represent still an unknown. The aim of this study was to investigate possible alterations in the resting alpha oscillatory activity in normal population high on schizotypy trait, a physiological condition known to be severely altered in patients with schizophrenia.

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Background: Left hemispatial neglect (LHN) is a neuropsychological syndrome often associated with right hemispheric stroke. Patients with LHN have difficulties in attending, responding, and consciously representing the right side of space. Various rehabilitation protocols have been proposed to reduce clinical symptoms related to LHN, using cognitive treatments, or on non-invasive brain stimulation.

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Article Synopsis
  • - This study investigated changes in smell and taste among asymptomatic and symptomatic COVID-19 patients in Sicily, noting variations in incidence between northern and southern Italy.
  • - Out of 292 patients, 50 tested positive for SARS-CoV-2, with 52% of them reporting smell and taste disorders; the hospitalized group had more severe symptoms compared to the non-hospitalized group.
  • - The findings suggest that most SARS-CoV-2 positive patients in southern Italy had milder symptoms and did not require hospitalization, although alterations in smell and taste were common.
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Errors in choice tasks are not only detected fast and reliably, participants often report that they knew that an error occurred already before a response was produced. These early error sensations stand in contrast with evidence suggesting that the earliest neural correlates of error awareness emerge around 300 ms after erroneous responses. The present study aimed to investigate whether anecdotal evidence for early error sensations can be corroborated in a controlled study in which participants provide metacognitive judgments on the subjective timing of error awareness.

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Feedback reliability refers to the probability that the same decision leads to the same positive or negative feedback in the future. Previous research has shown that unreliable feedback is associated with attenuated feedback-related brain activity in ERPs, represented by a reduced fronto-central valence effect (feedback-related negativity or reward positivity) and a reduced feedback-related P3. Here, we asked whether these effects reflect top-down mechanisms or whether they can be explained by implicit feedback-outcome contingency learning.

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Errors in human behavior elicit a cascade of brain activity related to performance monitoring and error detection. Whereas the early error-related negativity (Ne/ERN) has been assumed to reflect a fast mismatch or prediction error signal in the medial frontal cortex, the later error positivity (Pe) is viewed as a correlate of conscious error processing. A still open question is whether these components represent two independent systems of error monitoring that rely on different types of information to detect an error.

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Error-related brain activity has been linked to error detection enabling adaptive behavioral adjustments. However, it is still unclear which role error awareness plays in this process. Here, we show that the error-related negativity (Ne/ERN), an event-related potential reflecting early error monitoring, is dissociable from the degree of error awareness.

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Detecting one's own errors and appropriately correcting behavior are crucial for efficient goal-directed performance. A correlate of rapid evaluation of behavioral outcomes is the error-related negativity (Ne/ERN) which emerges at the time of the erroneous response over frontal brain areas. However, whether the error monitoring system's ability to distinguish between errors and correct responses at this early time point is a necessary precondition for the subsequent emergence of error awareness remains unclear.

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