A Case Study in Attention-Deficit/Hyperactivity Disorder: An Innovative Neurofeedback-Based Approach

In research about attention-deficit/hyperactivity disorder (ADHD) there is growing interest in evaluating cortical activation and using neurofeedback in interventions. This paper presents a case study using monopolar electroencephalogram recording (brain mapping known as MiniQ) for subsequent use in an intervention with neurofeedback for a 10-year-old girl presenting predominantly inattentive ADHD. A total of 75 training sessions were performed, and brain wave activity was assessed before and after the intervention. The results indicated post-treatment benefits in the beta wave (related to a higher level of concentration) and in the theta/beta ratio, but not in the theta wave (related to higher levels of drowsiness and distraction). These instruments may be beneficial in the evaluation and treatment of ADHD.

Noncanonical projections to the hippocampal CA3 regulate spatial learning and memory by modulating the feedforward hippocampal trisynaptic pathway

The hippocampal formation (HF) is well documented as having a feedforward, unidirectional circuit organization termed the trisynaptic pathway. This circuit organization exists along the septotemporal axis of the HF, but the circuit connectivity across septal to temporal regions is less well described. The emergence of viral genetic mapping techniques enhances our ability to determine the detailed complexity of HF circuitry. In earlier work, we mapped a subiculum (SUB) back projection to CA1 prompted by the discovery of theta wave back propagation from the SUB to CA1 and CA3. We reason that this circuitry may represent multiple extended noncanonical pathways involving the subicular complex and hippocampal subregions CA1 and CA3. In the present study, multiple retrograde viral tracing approaches produced robust mapping results, which supports this prediction. We find significant noncanonical synaptic inputs to dorsal hippocampal CA3 from ventral CA1 (vCA1), perirhinal cortex (Prh), and the subicular complex. Thus, CA1 inputs to CA3 run opposite the trisynaptic pathway and in a temporal to septal direction. Our retrograde viral tracing results are confirmed by anterograde-directed viral mapping of projections from input mapped regions to hippocampal dorsal CA3 (dCA3). We find that genetic inactivation of the projection of vCA1 to dCA3 impairs object-related spatial learning and memory but does not modulate anxiety-related behaviors. Our data provide a circuit foundation to explore novel functional roles contributed by these noncanonical hippocampal circuit connections to hippocampal circuit dynamics and learning and memory behaviors.

Combined physical and cognitive exercises impact on the power of slow brainwaves of elderly with mild cognitive commitment (MCC)

Population aging is a global phenomenon, the passage from an aging state that is healthy to a process of loss of cognitive functions is mediated by the installation of a state of Mild Cognitive Commitment (MCC), which may or may not evolve into dementia. . In the early stages of dementia there is an increase in Theta activity and the more advanced stages there is an increase in Delta activity. The study verified the effect of the association of physical and cognitive stimuli on the power of Theta and Delta brain waves of elderly people with MCC. 18 elderly of both genders,aged over 60 years, diagnosed with CCL were divided into Control Group (CG, n=8); Experimental Group (GE, n=10). Brainwave power was determined via EEG with electrodes positioned according to the international 10/20 system. Asepsis of the checkpoints was performed with cotton and a 70º alcohol solution. For data collection, it was verified if the electrode impedance rate was below 20 (KΩ). Brain activity was monitored for 3 minutes to determine a baseline. The points of interest were points F7 which is related to visual and auditory working memory, selective and divided attention, F8 related to visual and spatial working memory, emotional processing and attention maintenance, and finally points P3 and P4 related to problem-solving, attention, and association, visual processing and non-verbal association. In addition to these, points A1 and A2 were used as a reference and another point as ground. The CG continued to attend memory training meetings. The GE went through training sessions that combined physical and cognitive exercises. Weekly 40-minute sessions were held for 7 weeks. Test T was used in all comparisons. It was found that the GC registered Theta increase in the parietal areas and Delta in both the parietal and frontal areas. The GE had a decrease in theta wave power in the parietal and frontal areas. None of the comparisons between groups proved to be statistically significant. It is concluded that the association of physical and cognitive stimuli applied in weekly sessions of 40 minutes for 7 weekswas not sufficient to produce statistically significant results. However, the observed results are qualitatively similar to those of other studies that indicate the efficiency of this type of training when used during longer intervention periods.

Clinical Findings in SMR Neurofeedback Protocol Training in Women with Fibromyalgia Syndrome

Fibromyalgia is related to central sensitization syndrome (CSS) and is associated with chronic pain and a decrease in general health. The aim of this study was to explore how changes in brain patterns of female fibromyalgia patients are shaped by neurofeedback therapy and how it affects pain perception and general health. A quasi-experimental study with pre- and post-tests was carried out with 37 female fibromyalgia patients referred by the Pain Unit of the National Health Service of Spain. The method involved applying a sensorimotor rhythm (SMR) protocol to monitor changes in brain waves under different conditions, taking pre-/post-test measurements of perceived pain, general health and the impact on fibromyalgia. Measures included the Fibromyalgia Impact Questionnaire Revised (FIQR), the Visual Analogue Scale (VAS), the General Health Questionnaire (GHQ-28) and EEG (SMR, theta waves). During therapy, the SMR/theta wave ratio increased significantly and after application of therapy, significant results were observed for the FIQR, VAS and GHQ-28. In conclusion, neurofeedback therapy increases the SMR/theta wave ratio in fibromyalgia, helping to maintain a balance between brain functions. This is associated with the activation of inhibitory processes, which is related to the perceived improvement of pain in fibromyalgia patients.

Learning spatio-temporal properties of hippocampal place cells

Hippocampal place cells have spatio-temporal properties: they generally respond to a single spatial position of a small environment; in addition, they also display a temporal property, the theta phase precession, namely that the phase of spiking relative to the theta wave shifts from the late phase to early phase as the animal crosses the place field. Grid cells in layer II of medial entorhinal cortex (MEC) also have spatio-temporal properties similar to hippocampal place cells, except that grid cells respond to multiple spatial locations that form a hexagonal pattern. Other non-grid spatial cells are also abundant in the entorhinal cortex (EC). EC is the upstream that projects strongly to the hippocampus, many EC-hippocampus models have been designed to explain how the spatial property of place cells emerges. However, there is no learning model explaining how the temporal properties of hippocampal place cells emerge from the EC input. A learning model is presented here based on non-negative sparse coding in which we show that the spatial and temporal properties of hippocampal place cells can be simultaneously learnt from EC input: both MEC grid cells and other EC spatial cells contribute to the spatial properties of hippocampal place cells while MEC grid cells contribute to the temporal properties of hippocampal place cells.

Optimalisasi Prestasi Akademis Berbasis Hipnosis

Purpose: Optimization of academic achievement based on Hypno-education aims to improve achievement using the hypnosis method, namely the subconscious power method. This methodology uses the power of suggestion to the theta waves in the student's subconscious mind. The achiever personality is inserted into the theta wave. The population of participants is students majoring in Management in Good Corporate Governance at the IPMI International Business School Campus of 72 schools. Students sit quietly in the lecture chair starting with fun things such as eye exercises, brain exercises, motoric movements and then calm with the aim of ice breaking, so that the atmosphere is conducive and not tense. Conducive conditions that are not tense will lead to a pleasant atmosphere so that the brain is open to being flexible when good suggestions are inserted. When the students are bowed down in a sleepy condition or half asleep and half awake, the next story is stimulated by theta music. This condition is the condition of the students' brains very ready for positive suggestions. The main objective is for students who are active in studying, do not receive lessons, and continuously return to the study table to pay more attention to their lessons. Method: This Community Service is the 10th time this activity has collected data on student achievement results before and after therapy. The data tabulation of the Mid-Semester Examination values (UTS) or Final Semester (UAS) before and after hypnosis therapy is an indica tor that believes in hypno-education. Results: The results of student achievement increased sharply in their academic achievement

Modulation of Septo-Hippocampal Neural Responses in Anesthetized and Behaving Rats by Septal AMPA Receptor Mechanisms

This study explored the effects of septal glutamatergic transmission on septal-hippocampal theta activity via intraseptal microinjection of antagonist at AMPA receptors (AMPAR). The current results showed that microinjection of AMPAR antagonist, NBQX (2,3-dihydroxy-6-nitro-7-sulfamoyl-benzo[f]quinoxaline-2,3-dione, 20 μg/μl, 0.5 μl), evoked a decrease in the frequency of theta activity evoked by various means in anesthetized and behaving rat. Theta wave activity was induced on: (a) intraseptal microinjection of carbachol, an agonist at cholinergic receptors, (b) reticular stimulation, (c) exploration in novel open field (OF), and (d) hind paw (HP) injection of the algogen, formalin. The effect on frequency in the formalin test was observed in an early period on injection of formalin, which was novel to the animal, but not in the later more sustained phase of the formalin test. The effect of NBQX, being seen in both anesthetized and behaving animals, suggests that the modulation of theta wave frequency, including in novelty, is a function of AMPAR in MS. The effect of the antagonist on theta power was less apparent, being observed only in anesthetized animals. In addition to theta power and frequency, intraseptal NBQX also attenuated suppression of CA1 population spike (PS) induced by intraseptal carbachol, thus suggesting that septal glutamate neurotransmission is involved in the spectrum of MS-mediated network responses. Indeed, in the context of behavior, formalin injection induced an increase in the level of septal glutamate, while NBQX attenuated nociceptive behaviors. Notably, MS is involved in the modulation of formalin nociception. These findings suggest that AMPA receptors are a key modulator of septal physiological function.

Changes in the Brain Activity and Visual Performance of Patients with Strabismus and Amblyopia after a Compete Cycle of Light Therapy

This research assesses the brain activity and visual performance at baseline and after light therapy (LTH), of seventeen patients with strabismus and amblyopia (SA), and eleven healthy controls (HCs) from Querétaro, México. Quantitative electroencephalogram analysis (qEEG) was used to record the brain activity, and clinical metrics such as the visual acuity, angle of deviation, phoria state, stereopsis, and visual fields determined the visual performance. Results showed a constant higher alpha-wave frequency for HCs. Low voltages remained negative for HCs and positive for SA patients across stimulation. After LTH, high voltage increased in SA patients, and decreased in HCs. A second spectral peak, (theta-wave), was exclusively recorded in SA patients, at baseline and after LTH. Positive Spearman correlations for alpha-wave frequency, low and high voltages were only seen in SA patients. Synchronized brain activity was recorded in all SA patients stimulated with filters transmitting light in the blue but not in the red spectrum. Enhancement in the visual performance of SA patients was found, whereas deterioration of the phoria state and a decrease in the amount of stereopsis was seen in HCs. To conclude, only a suffering brain and a visual pathway which needs to be enabled can benefit from LTH.

Electroencephalographic dynamics of etomidate‐induced loss of consciousness

Background Highly structured electroencephalography (EEG) oscillations can occur in adults during etomidate-induced general anesthesia, but the link between these two phenomena is poorly understood. Therefore, in the present study, we investigated the electroencephalogram dynamics of etomidate-induced loss of consciousness (LOC) in order to understand the neurological mechanism of etomidate-induced LOC. Methods This study is a prospective observational study. Etomidate-induced anesthesia was performed on eligible patients undergoing elective surgery. We analyzed EEG data from 20 patients who received etomidate for the induction of general anesthesia. We used power spectra and coherence methods to process and analyze the EEG data. Our study was based on 4-channel EEG recordings. Results Compared with the baseline (awake period), etomidate induced an increase in power in delta, theta, alpha and beta waves during LOC. Compared with the awake period, the delta-wave (1–4 Hz), alpha-wave(8–13 Hz), and theta-wave(4–8 Hz) coherence increased significantly during LOC, while the slow-wave (< 1 Hz) coherence decreased. However, the delta wave (1.0–4.0 Hz) during etomidate-induced LOC was more coherent than during the awake period (1.86–3.17 Hz, two-group test for coherence, p < 0.001). Conclusions The neural circuit mechanism of etomidate-induced LOC is closely related to the induction of oscillation in delta, theta, alpha and beta waves and the enhancement of delta-wave coherence. Trial registration ChiCTR1800017110