• Mouridsen Spencer posted an update 9 hours, 27 minutes ago

    16; P=.045) with LVEF normalization during follow-up and was the only morphological parameter independently associated with the composite endpoint (OR, 1.15; P=.038). A cutoff value less then -8.2% was able to predict the incidence of this event during follow-up (log-rank 4.6; P=.032). CONCLUSIONS Left ventricular strain analysis with FT is feasible and reproducible in NIDC. Global circumferential strain was able to predict LVEF recovery and the appearance of major cardiovascular events during follow-up. A 46-year-old woman presented to the emergency department with 2-day fever and cough at seven days after returning from Macau. COVID-19 and pneumonia was diagnosed based on the positive real-time RT-PCR tests for oropharyngeal swab samples and the presence of anti-SARS-COV-2 IgG starting from the illness day 11 and post-exposure 18-21 days. V.BACKGROUND Emotion dysregulation is a key dimensional trait in psychopathology. It is of particular interest in attention-deficit/hyperactivity disorder (ADHD) because individual differences in emotion dysregulation predict impairment. Despite growing recognition of its importance, an understanding of emotional functioning in ADHD needs to be better integrated with the well-known nonemotional attentional impairments in the disorder. Here, we assess differences in early, reactive and later, regulatory attention to emotional stimuli, as well as how impairments in attentional control to nonemotional stimuli are affected under different emotional contexts. METHODS In all, 130 adolescents (nADHD = 61) completed an emotional go/no-go task while 32-channel electroencephalography data were recorded. Reaction time and accuracy were analyzed using the linear ballistic accumulator model. RESULTS The multimethod approach provided convergent evidence of increased early, reactive attention capture and overarousal (faster drift rates, increased P1) by positively valenced stimuli in ADHD, but no differences in later attention to emotional stimuli. Overarousal in positive-valence contexts appeared to exacerbate existing ADHD-related impairments in attentional control to nonemotional stimuli as well (reduced N2 amplitude). In contrast, positive-valence contexts facilitated attentional control to nonemotional stimuli for typically developing adolescents. CONCLUSIONS Results highlight the dynamic interaction of emotion with attentional control in ADHD. Distinguishing reactive and regulatory contributions to emotion dysregulation has been informative for clarifying mechanisms and spurring the development of novel interventions in other disorders. It can be informative in ADHD as well. BACKGROUND The last trimester of pregnancy is a critical period for the establishment of cortical gyrification, and altered folding patterns have been reported following very preterm birth ( less then 33 weeks of gestation) in childhood and adolescence. However, research is scant on the persistence of such alterations in adulthood and their associations with cognitive and psychiatric outcomes. METHODS We studied 79 very preterm and 81 age-matched full-term control adults. T1-weighted magnetic resonance images were used to measure a local gyrification index (LGI), indicating the degree of folding across multiple vertices of the reconstructed cortical surface. Group and group-by-sex LGI differences were assessed by means of per-vertex adjustment for cortical thickness and overall intracranial volume. Within-group correlations were also computed between LGI and functional outcomes, including general intelligence (IQ) and psychopathology. RESULTS Very preterm adults had significantly reduced LGI in extensive cortical regions encompassing the frontal, anterior temporal, and occipitoparietal lobes. Alterations in lateral fronto-temporal-parietal and medial occipitoparietal regions were present in both men and women, although men showed more extensive alterations. In both very preterm and control adults, higher LGI was associated with higher IQ and lower psychopathology scores, with the spatial distribution of these associations substantially differing between the two groups. CONCLUSIONS Very preterm adults’ brains are characterized by significant and widespread local hypogyria, and these alterations might be implicated in cognitive and psychiatric outcomes. Gyrification reflects an early developmental process and provides a fingerprint for very preterm birth. Etiology of complex diseases, such as breast cancer, involves multiple genetic, behavioral and environmental factors. Gene sequencing enabled detection of genetic risks with relatively small effect size, and high-resolution metabolomics (HRM) to provide omics level data for exposures is poised to do the same for environmental epidemiology. Coupling HRM to the Child Health and Development Studies (CHDS) cohort combines two unique resources to create a prototype for exposome epidemiology, in which omics scale measures of exposure are used for study of distribution and determinants of health and disease. mTOR inhibitor Using this approach, exposures and biologic responses during pregnancy have been linked to breast cancer in the CHDS. With improved chemical coverage and extension to larger populations and other disease processes, development of exposome epidemiology portends discovery of new disease-associated environment factors with small effect size as well as new capabilities to disentangle these from behavioral and other risk factors. OBJECTIVE The application of intra-operative completion studies may have contributed to the ongoing improvement of peri-operative outcomes in carotid surgery. METHODS This prospective study aimed to compare angiography and duplex ultrasound (IDUS) as intra-operative completion studies after carotid endarterectomy (CEA) with respect to differences in the rating of vessel wall defects and interobserver reliability. Patients undergoing CEA for symptomatic or asymptomatic carotid stenosis were included. After CEA, angiography and IDUS were performed. Intra-operatively obtained video footage was evaluated at a later date by three independent and blinded raters with different levels of clinical experience. Rating was done according to a four step rating scale, with higher grades representing more severe defects. Standard statistical methods (Pearson’s chi square test; permutation test; Wilcoxon signed rank test; Kendall’s coefficient of concordance, Wt) were applied. RESULTS In total, 150 patients (mean ± standard deviation age 72 ± 7 years, 68.