We investigated how spatiotemporal neural dynamics underlying perceptual integration changed with the degree of conscious access to a set of backward-masked pacman-shaped inducers that generated the percept of an illusory triangle. We kept the stimulus parameters at a fixed near-threshold level throughout the experiment and recorded electroencephalography from participants who reported the orientation and subjective visibility of the illusory triangle on each trial. Our multivariate pattern analysis revealed that posterior and central areas initially used dynamic neural code and later switched to stable neural code. The transition from dynamic to stable neural code in posterior area occurred increasingly later and eventually disappeared with decreasing conscious access. Anterior area primarily used stable neural code which waned with decreasing conscious access, but increased at below-median visibility and remained even when stimulus awareness was minimal. These results demonstrate differential spatiotemporal neural dynamics underlying perceptual integration depending on conscious access and emphasize a unique role of anterior area in processing integrated shape information especially under low subjective visibility.
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http://dx.doi.org/10.1016/j.neuroimage.2024.120984 | DOI Listing |
Gastroenterol Nurs
December 2024
About the authors: Frances R. Roe, MSN, RN, CNOR, Clinical Practice Support, Legacy Health, Portland, Oregon.
Anesthesia shortages impact patient accessibility to endoscopy procedures. The administration of midazolam and fentanyl by a nurse is an accepted practice of delivering procedural sedation, though there is still controversy around the safety of a nurse administered propofol sedation (NAPS) program. Applicable professional organizations have provided statements supporting NAPS by a trained and competent nurse under the direction of an appropriately credentialed proceduralist.
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November 2024
Department of Pediatrics, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, JPN.
The clinical manifestation of intracranial mycotic aneurysms (ICMAs), which are rare but carry high risks of rupture and early mortality, remains poorly understood. We present a case of an ICMA that rapidly developed and ruptured after the diagnosis of meningitis caused by (), which rarely causes bacterial meningitis. A 54-year-old man presented with a headache that worsened on coughing, without altered consciousness or vomiting.
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November 2024
Neurology, National Institute of Neurology and Neurosurgery "Dr. Manuel Velasco Suárez", Mexico City, MEX.
Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis stands as the most prevalent form of autoimmune encephalitis, primarily affecting young patients and exhibiting a higher incidence among females. Patients frequently present with psychiatric symptoms or cognitive impairments such as speech disturbances, decreased level of consciousness, autonomic dysfunction, as well as seizures, dyskinesias, and catatonia due to overactivation of extrasynaptic NMDA receptors. To date, there is no gold standard for the diagnosis of catatonia; however, a few rating scales exist to measure this phenomenon, with the Bush Francis Catatonia Rating Scale being the most commonly used due to its validity, reliability, and ease of application.
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November 2024
Trauma and Orthopaedics, Buckinghamshire Healthcare NHS Trust, Stoke Mandeville Hospital, Aylesbury, GBR.
This case report presents a 77-year-old female with dementia and hypertension who experienced reduced consciousness during hydrotherapy. She was found to have hypotension, a low Glasgow Coma Scale score, and right thigh pain. Blood work showed acute kidney injury and elevated inflammatory markers, while imaging revealed surgical emphysema in the right thigh and pelvis without trauma.
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November 2024
Center for Neurodiagnostic and Therapeutic Services, Metropolitan Medical Center, Manila, PHL.
Background: There are currently seven coronaviruses that can infect humans and the latest addition to these viruses is the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Infection by SARS-CoV-2 is known commonly as coronavirus disease 2019 (COVID-19). Aside from common manifestations of cough and fever, neurologic symptoms such as headache, disturbed consciousness, paresthesia, and seizures have also been seen.
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