[Influence of chronic obstructive pulmonary disease on hospital outcomes of percutaneous coronary interventions in patients with acute coronary syndrome]

AIM

To evaluate the impact of chronic obstructive pulmonary disease (COPD) on hospital outcomes of percutaneous coronary interventions (PCI) in patients with acute coronary syndrome (ACS).

MATERIALS AND METHODS

A cohort prospective study of the COPD effect on mortality and coronary microvascular obstruction (CMVO, no-reflow) development after PCI in ACS was carried out. 626 patients admitted in 2019-2020 were included, 418 (67%) - men, 208 (33%) - women. Median age - 63 [56; 70] years. Myocardial infarction with ST elevation identified in 308 patients (49%), CMVO - in 59 (9%) patients (criteria: blood flow <3 grade according to TIMI flow grade; perfusion <2 points according to Myocardial blush grade; ST segment resolution <70%). 13 (2.1%) patients died. Based on the questionnaire "Chronic Airways Diseases, A Guide for Primary Care Physicians, 2005", 2 groups of patients were identified: 197 (31%) with COPD (≥17 points) and 429 (69%) without COPD (<17 points). Groups were compared on unbalanced data (÷2 Pearson, Fisher exact test). The propensity score was calculated, and a two-way logistic regression analysis was performed. The data were balanced by the Kernel "weighting" method, logistic regression analysis was carried out using "weighting" coefficients. Results as odds ratio (OR) and 95% confidence interval.

RESULTS

The conducted research allowed us to obtain the following results, depending on the type of analysis: 1) analysis of unbalanced data in patients with COPD: OR death 3.60 (1.16-11.12); p=0.03; OR CMVO 0.65 (0.35-1.22); p=0,18; 2) two-way analysis with propensity score: OR death 3.86 (1.09-13.74); p=0.04; OR CMVO 0.61 (0.31-1.19); p=0.15; 3) regression analysis with "weight" coefficients: OR death 12.49 (2.27-68.84); p=0.004; OR CMVO 0.63 (0.30-1.33); p=0.22.

CONCLUSION

The presence of COPD in patients with ACS undergoing PCI increases mortality and does not affect the incidence of CMVO.

Excitation of high-intensity terahertz surface modes of plasma slab under action of p-polarized two-frequency laser radiation

The excitation of the terahertz (THz) high-intensity surface modes when the two-frequency p-polarized laser radiation interacts with a plasma slab is studied. It was found that the significant amplification of the laser field in the plasma slab occurs when p-polarized laser radiation is incident at the angle of total reflection. It is shown that, under the action of laser radiation ponderomotive forces, the resonant excitation of the THz mode of the plasma slab occurs if the frequency difference of the laser fields coincides with the eigenfrequency of the surface mode. It is established that the giant increase in the energy flux density of the THz mode occurs when p-polarized laser radiation is incident at the angle of total reflection on the near-critical plasma slab with rare electron collisions if the conditions of resonant excitation are satisfied. It is shown that in this case the energy flux density of THz mode can significantly exceed the laser intensity.

Interhemispheric Asymmetry and Personality Traits of Brain-Computer Interface Users in Hand Movement Imagination

Personality traits of users can affect the success in controlling brain-computer interfaces (BCIs), and the activity of right and left brain structures may differ depending on personality traits. Earlier, it was not known, how the success of BCI control with different personality traits is associated with interhemispheric asymmetry. In this work, the dependence of the success of imagination of movements, estimated by the success of recognition of EEG signals during imagination of hand movements compared to rest state, on the user's personal characteristics was studied. It is shown that in single control of BCI by naive subjects, recognition success in imagining right-hand (RH) movements was higher in expressive sensitive extroverts, and in imagining left-hand movements (LH) it was higher in practical, reserved, skeptical, and not very sociable persons. It is suggested that this phenomenon may be based on interhemispheric differences in dopamine level and in the way of encoding movement information.

[Post-stroke rehabilitation training with a brain-computer interface: a clinical and neuropsychological study]

AIM

To evaluate the clinical efficacy of BCI-supported mental practice and to reveal specific cognitive impairment which determine mental practice ineffectiveness and inability to perform MI.

MATERIAL AND METHODS

Fifty-five hemiplegic patients after first-time stroke (median age 54. 0 [44.0; 61.0], time from onset 6.0 [3.0; 13.0] month) were randomized into two groups - BCI and sham-controlled. Severity of arm paresis was measured by Fugl-Meyer Assessment of Motor Recovery after Stroke (FMA) and Action Research Arm Test (ARAT). Twelve patients from the BCI group were examined using neuropsychological testing. After assessment, patients were trained to imagine kinesthetically a movement under control of BCI with the feedback presented via an exoskeleton. Patients underwent 12 training sessions lasting up to 30 min. In the end of the study, the scores on movement scales, electroencephalographic results obtained during training sessions were analyzed and compared to the results of neuropsychological testing.

RESULTS

Evaluation of the UL clinical assessments indicated that both groups improved on ARAT and FMA (sections A-D, H, I) but only the BCI group showed an improvement in the ARAT's grasp score (p=0.012), pinch score (p=0.012), gross movement score (p=0,002). The significant correlation was revealed between particular neuropsychological tests (Taylor Figure test, choice reaction test, Head test) and online accuracy rate.

CONCLUSION

These results suggest that adding BCI control to exoskeleton-assisted physical therapy can improve post-stroke rehabilitation outcomes. Neuropsychological testing can be used for screening before mental practice admission and promote personalized rehabilitation.

[Biomechanical Analysis of Posture and Movement Coordination in Standing Human During Trunk Bending in the Sagittal Plane]

In most motor acts to achieve a behavioral goal requires coordination of posture and movement. In this paper, such coordination is studied by the example of human trunk bending in. the sagittal plane. Such movements are difficult to study because both components of this motor act (main - bending per se, and "accessory" - posture aimed on equilibrium. maintenance) involve massive movements of body segments, which complicates separation of these components. Their separation is based on the modem ideas about the special features of the posture component as compared with the main component. It is shown that the main and posture components correspond to the move- ments along eigenvectors of the dynamic equation. These movements are unique because they demonstrate at the same time "kinematic" as well as "dynamic" synergies. They were called there- fore "natural synergies". The coordination of natural synergies is investigated in human during standing on the wide and narrow supports. It is shown that the experimentally observed coordination is close to optimal, providing minimum movement of the center of pressure. This ensures the center of pressure Position keeping inside the support area that is necessary for equilibrium maintenance.

[Sources of electrophysiological and foci of hemodynamic brain activity most relevant for controlling a hybrid brain–Computer interface based on classification of EEG patterns and near-infrared spectrography signals during motor imagery]

The method is described for joint use of electroencephalography and near-infrared spectrography for location of sources of electrophysiological and focuses of hemodynamic brain activity during motor execution and imagination. The sources of electrophysiological and focuses of hemodynamic activity the most relevant for controlling the hybrid brain-computer interface based on motor imagery are revealed and discussed.

[Arm Motor Function Recovery during Rehabilitation with the Use of Hand Exoskeleton Controlled by Brain-Computer Interface: a Patient with Severe Brain Damage]

We studied the dynamics of motor function recovery in a patient with severe brain damage in the course of neurorehabilitation using hand exoskeleton controlled by brain-computer interface. For estimating the motor function of paretic arm, we used the biomechanical analysis of movements registered during the course of rehabilitation. After 15 weekly sessions of hand exoskeleton control, the following results were obtained: a) the velocity profile of goal-directed movements of paretic hand became bell-shaped, b) the patient began to extend and abduct the hand which was flexed and adducted in the beginning of rehabilitation, and c) the patient began to supinate the forearm which was pronated in the beginning of rehabilitation. The first result is an evidence of the general improvement of the quality of motor control, while the second and third results prove that the spasticity of paretic arm has decreased.

[The Changes in the Hemodynamic Activity of the Brain during Moroe Imagery Training with the Use of Brain-Computer Interface]

With the use of functional MRI (fMRI), we studied the changes in brain hemodynamic activity of healthy subjects during motor imagery training with the use brain-computer interface (BCI), which is based on the recognition of EEG patterns of imagined movements. ANOVA dispersion analysis showed there are 14 areas of the brain where statistically sgnificant changes were registered. Detailed analysis of the activity in these areas before and after training (Student's and Mann-Whitney tests) reduced the amount of areas with significantly changed activity to five; these are Brodmann areas 44 and 45, insula, middle frontal gyrus, and anterior cingulate gyrus. We suggest that these changes are caused by the formation of memory traces of those brain activity patterns which are most accurately recognized by BCI classifiers as correspondent with limb movements. We also observed a tendency of increase in the activity of motor imagery after training. The hemodynamic activity in all these 14 areas during real movements was either approximatly the same or significantly higher than during motor imagery; activity during imagined leg movements was higher that that during imagined arm movements, except for the areas of representation of arms.

[Brain-Computer Interface: the First Clinical Experience in Russia]

Motor imagery is suggested to stimulate the same plastic mechanisms in the brain as a real movement. The brain-computer interface (BCI) controls motor imagery by converting EEG during this process into the commands for an external device. This article presents the results of two-stage study of the clinical use of non-invasive BCI in the rehabilitation of patients with severe hemiparesis caused by focal brain damage. It was found that the ability to control BCI did not depend on the duration of a disease, brain lesion localization and the degree of neurological deficit. The first step of the study involved 36 patients; it showed that the efficacy of rehabilitation was higher in the group with the use of BCI (the score on the Action Research Arm Test (ARAT) improved from 1 [0; 2] to 5 [0; 16] points, p = 0.012; no significant improvement was observed in control group). The second step of the study involved 19 patients; the complex BCI-exoskeleton (i.e. with the kinesthetic feedback) was used for motor imagery trainings. The improvement of the motor function of hands was proved by ARAT (the score improved from 2 [0; 37] to 4 [1; 45:5] points, p = 0.005) and Fugl-Meyer scale (from 72 [63; 110 ] to 79 [68; 115] points, p = 0.005).

Prospects of subcritical molten salt reactor for minor actinides incineration in closed fuel cycle

A subcritical molten salt reactor is proposed for minor actinides (separated from spent fuel VVER-1000 light water reactor) incineration and for 233U conversion from 232Th. Here the subcritical molten salt reactor with fuel composition of heavy nuclide fluorides in molten LiF–NaF–KF salt and with external neutron source, based on 1 GeV proton accelerator and molten salt cooled tungsten target is considered. The paper presents the results of parametrical analysis of equilibrium nuclide composition of molten salt reactor with minor actinides feed in dependence of core dimensions, average neutron flux and external neutron source intensity. Reactor design is defined; requirements to external neutron source are posed; heavy nuclides equilibrium and fuel cycle main parameters are calculated.

[Septal Activation and Control of Limbic Structures]

Coherent activation of limbic system structures as the main function of theta-rhythm is widely discussed in the literature. However until now does not exist the common view on its generation in these brain structures. The model of septal theta-rhythmic activation and control of limbic structures is suggested basing on the literature and own experimental data.

[Localization of brain electrical activity sources and hemodynamic activity foci during motor imagery]

Studied are sources of brain activity contributing to EEG patterns which correspond to motor imagery. The accuracy of their classification determines the efficiency of brain-computer interface (BCI) allowing for controlling external technical devices directly by brain signals without involving muscle activity. Sources of brain activity are identified by Independent Component Analysis. Those independent components for which the BCI classification accuracy are at maximum are treated as relevant for motor imagery task. Two of the most relevant sources demonstrate strictly exposed event related desynchronization and synchronization of mu--rhythm during imagery of contra--and ipsilateral hands. These sources are localized by solving inverse EEG problem taking into account individual geometry of brain and its covers provided by anatomical MRI images. The sources are shown to be localized in BA 3A relating to proprioceptive sensitivity of the contralateral hand. Their positions are closed to foci of BOLD activity obtained by fMRI.

[Motor imagery and its practical application]

The mechanisms underlying the process of motor imagery are similar to the motor control mechanisms. It can be used for motor learning in patients with movement disorders. Motor imagery may be the only one method for recovery of motor function in patients with severe paresis. It was the prerequisite of increased scientist interest in motor imagery during last decade. Brain-computer interface technology can support the motor imagery trainings.

[Principles of neurorehabilitation based on brain-computer interface and biologically plausible control of the exoskeleton]

The paper examines neurophysiological basis for development and performance of brain-computer interface (BCI) that permits cerebral activity alone to control computers or other external technical devices. BCI based on the discrimination of EEG patterns related to an imagery of extremity movements is considered. The problem of BCI application to restoring of motor functions in patients with motor disabilities is discussed.

BRAIN-COMPUTER-INTERFACE – SUPPORTED MOTOR IMAGERY TRAININTG FOR PATIENTS WITH HEMIPARESIS

The aim of study was to assess the feasibility of motor imagery supported brain-computer interface in patients with hemiparesis. 13 patients with central paresis of the hand and 15 healthy volunteers were learning to control EEG-based interface with feedback. No differences on interface control quality were found between patients and healthy subjects. The trainings were accompanied by the desynchronization of sensorimotor rhythm. In patients with cortical damage the source of EEG-activity was dislocated.

Effects of hematopoietic autologous stem cell transplantation to the chronically injured human spinal cord evaluated by motor and somatosensory evoked potentials methods

International standards for stem cell treatment of neurological disorders have not yet been established. In particular, specific quantitative methods have not yet been adopted to assess the effectiveness of stem cell treatment. The aim of this study is to evaluate the functional changes detectable by conventional neurophysiologic methods in an injured spinal cord during stem cell therapy. Twenty adult patients with chronic spinal cord injury at C4-C8 level were examined by somatosensory evoked potentials (SEPs) and motor evoked potentials (MEPs) methods, the first time prior to the treatment and then regularly during its course (1-4 years). The treatment consisted of repeated intrathecal transplantations of autologous hematopoietic stem cells. After at least 1 year of treatment, four effects were detected: 1) restoration of the initially absent short-latency SEP (three patients); 2. N20P23 interpeak amplitude increase in SEP elicited by median nerve stimulation (four patients); 3) P38 latency reduction in SEP elicited by tibial nerve stimulation (two patients); 4) appearance of MEP (three patients). The nonidentical effects of stem cell transplantation in different patients presumably reflect the variety of the regeneration processes in different pathways of the spinal cord, depending on the extent and nature of lesion of the spinal cord pathways in different patients. The local effects of stem cell treatment at the cervical level were evaluated by median SEP and wrist muscle MEP demonstrate the ability of stem cells to spread within the spinal cord at least from lumbar to the cervical level, home there, and participate in the neurorestoration processes.

[Bayesian classifier for brain-computer interface based on mental representation of movements]

This paper proposes Bayesian approach to classification of EEG patterns on the basis of imaginary movements of extremities based on analysis ofcovariance matrices of native EEG recordings. An efficacy of a Brain-Computer Interface (BCI) based on the proposed classifier is evaluated. Bayesian classifier is shown to be competitive with the MCSP (Multiclass Common Spatial Patterns) classifier known from the literature as one of the efficient variant for BCI implementation. The influence of eye movement and blinking artifacts on the BCI performance is investigated. It is shown that the presence of such artifacts does not affect the classification accuracy.

Closed-loop and open-loop control of posture and movement during human trunk bending

Closed-loop (CL) and open-loop (OL) types of motor control during human forward upper trunk bending are investigated. A two-joint (hip and ankle) biomechanical model of the human body is used. The analysis is performed in terms of the movements along eigenvectors of the motion equation ("eigenmovements" or "natural synergies"). Two analyzed natural synergies are called "H-synergy" (Hip) and "A-synergy" (Ankle) according to the dominant joint in each of these synergies. Parameters of CL control were estimated using a sudden support platform displacement applied during the movement execution. The CL gain in the H-synergy increased and in the A-synergy decreased during the movement as compared with the quiet standing. The analysis of the time course of OL control signal suggests that the H-synergy (responsible for the prime movement, i.e. bending per se) is controlled according to the EP theory whereas for the associated A-synergy (responsible for posture adjustment, i.e. equilibrium maintenance) muscle forces and gravity forces are balanced for any its final amplitude and therefore the EP theory is not applicable to its control.

[Kinematic characteristics of the voluntary cyclic trunk movements in patients at the early stage of Parkinson's disease]

Patients with the initial stage of Parkinson disease (PD) and matched controls performed repetitive bendings and turnings in standing position. Tasks included trunk movements in each of the anatomical planes: sagittal, frontal and axial. Electromagnetic system Flock of Birds was used for movement registration. Sensors were fixed at different segments of subject's body. Joint angles in the ankle, hip and torso as well as coordinates of the center of pressure served as output parameters. The amplitudes of joint angles were found to be lower in PD patients. Performance of the axial rotation revealed most pronounced differences. Thus, the amplitudes of joint angles of trunk movements in different anatomical planes reliably discriminate between PD patients and healthy subjects.

[Dynamics of benthic communities in the central trench of the Barents Sea]

Based on the data collected in five marine expeditions of the Murmansk Marine Biological Institute from 2002 through 2007, the spatial and temporary variability of benthic communities in the Central Depression of the Barents Sea (licensed plot of the Shtokmanovskoe condensed gas deposit) has been analyzed. The range of quantitative characteristics and the variability of species composition of deep-water zoobenthos have been determined. The influence of an insignificant change in the collecting method on the obtained results has been examined.

[Influence of CA1 hippocampal field on theta-activity in rats under urethane anesthesia]

The influence of CA1 hippocampal field on the theta-activity production depending on the efficiency of CA1 synaptic inputs was studied in urethanized rats. The long-term posttetanic potentiation (LTP) of Shaffer collaterals resulted in an increase in the theta-power in hippocampal EEG without change in its frequency. A high correlation was shown between the increase in the theta-power and the amplitude of the local potentials induced by LTP. The mechanisms and the functional role of the observed relations between the LTP and theta activity are discussed.

[The electrode for selective nociceptive stimulation: use experience and prospect for application in nociception studies in a human]

Electrode for selective nociception specific stimulation was described by H. Kaube et al. in 2000. The aim of this work was to test this electrode in assessment of nociceptive reactions of the segmental and suprasegmental levels. The method of nociception specific blink reflex based on the use of this electrode was applied in a modified variant for examination of patients with a tension type headache. A decrease in the nociceptive reflex threshold was revealed in patients with episodic headaches (as compared to healthy volunteers). Both the reflex and pain thresholds were decreased in patients with a chronic headache. These results indicate the sensitization of nociceptive structures in patients with a headache. Cerebral evoked potentials elicited by skin stimulation of face and extremities with Kaube electrode were studied in healthy volunteers. The dominance of the late components (100-300 ms) considered to be of nociceptive origin was revealed in the pattern of evoked potentials. Thus, the electrode assures a high degree of selectivity of the pain-specific stimulation. Its adaptation for assessment of various nociceptive reactions can perfect the neurophysiological methods of nociception studies.

[A method for assessing analgesia--nociceptive evoked potentials: the first clinical cases]

The paper describes a new method for assessing analgesia, which is based on the use of a Caube-type electrode. It provides evidence that, unlike stimulation with the standard electrode for somatosensory evoked potentials, Caube-type electrode stimulation may cause late (long-latent) potentials in healthy volunteers, showing the fundamental capacity of selective nociceptor excitation. By using two cases with the pronounced pain syndrome, the authors show changes in nociceptive evokes potentials during epidural analgesia.

[Application of boundary element method for more accurate localization of EEG dipole sources]

The proposed modification of boundary element method (BEM) makes it possible to solve direct EEG problem taking into account individual head geometry. This modification decreases computational cost thus enabling practical usage of BEM for localization of EEG dipole sources. The method developed was applied for error estimation of dipole localization using spherical approximation with the aid of BESA software. It was shown that the localization error of BESA for real head geometry could reach 2 cm.

A model of reward choice based on the theory of reinforcement learning

A model explaining behavioral "impulsivity" and "self-control" is proposed on the basis of the theory of reinforcement learning. The discount coefficient gamma, which in this theory accounts for the subjective reduction in the value of a delayed reinforcement, is identified with the overall level of dopaminergic neuron activity which, according to published data, also determines the behavioral variant. Computer modeling showed that high values of gamma are characteristic of predominantly "self-controlled" subjects, while smaller values of gamma are characteristic of "impulsive" subjects.

[The model of the reward choice basing on the theory of reinforcement learning]

We developed the model of alimentary instrumental conditioned bar-pressing reflex for cats making a choice between either immediate small reinforcement ("impulsive behavior") or delayed more valuable reinforcement ("self-control behavior"). Our model is based on the reinforcement learning theory. We emulated dopamine contribution by discount coefficient of this theory (a subjective decrease in the value of a delayed reinforcement). The results of computer simulation showed that "cats" with large discount coefficient demonstrated "self-control behavior"; small discount coefficient was associated with "impulsive behavior". This data are in agreement with the experimental data indicating that the impulsive behavior is due to a decreased amount of dopamine in striatum.

Joint application of independent component analysis and non-stationary fluctuation analysis for studying the mechanisms of the early phase of long-term potentiation in the rat hippocampus

Interest in studies of synaptic plasticity have led to the development of specific methods for analyzing evoked postsynaptic currents: quantum analysis, component analysis, non-stationary fluctuation analysis, etc. However, the use and interpretation of these methods are not always consistent, which leads to the acquisition of contradictory results from similar experiments. In the present study, simulations were used to analyze the influences of the heterogeneity of the shapes of postsynaptic currents on the results obtained by non-stationary fluctuation analysis. Assessment of postsynaptic channel conductivity was found to depend on the number of synapses involved in generating the response. It is hypothesized that the increase in the assessment of AMPA channel conductivity reported in the literature in conditions of long-term potentiation may be related to changes in the synaptic composition of postsynaptic currents. The hypothesis was tested using a new method for independent component analysis. Studies using the simulation showed that the joint application of this method and non-stationary fluctuation analysis avoids errors of this type. The procedures developed here were applied to data obtained from physiological experiments; the results of this exercise provided general support for the hypothesis.

Adjustment of the human arm viscoelastic properties to the direction of reaching

The viscoelastic properties of the human arm were measured by means of short force perturbations during fast reaching movements in two orthogonal directions. A linear spring model with time delay described the neuromuscular system of the human arm. The obtained viscoelastic parameters ensured movement stability in spite of the time delay of 50 ms. The stiffness and viscosity ellipses appeared to be predominantly orthogonal to the movement direction, which reduced the effect of force perturbation in the direction orthogonal to the reaching movement. Thus, it can be argued that the viscoelastic properties of the neuromuscular system of the human arm are adjusted to the direction of movement according to a "path preserving" strategy, which minimizes the deviation of the movement path from a straight line, when exposed to an unexpected external force.

[Dynamics of rat hepatocyte histone glycoxidation after general x-ray irradiation]

Dynamics of structural parameters of hepatocyte histone glucoxidative modification 3, 9 and 24 h after general X-ray irradiation of rats at dose 5 Gy was studied. Dynamics of these parameters (content of carbonyl groups, bityrosyl cross-linkings, pentosidines, advanced glycation end products) was compared with alterations in DNA structure (according to agarose gel electrophoresis) and lipid peroxidation extent (by malondialdehyde content). Oxidative stress induced by hepatocyte irradiation results in structural damage of DNA and histones accompanied by an increase of histone bityrosyl cross-linking and carbonyl content. The content of advanced glycation end products in histones corresponds to the extent to DNA damage and malondialdehyde content. The described postradiation modifications of histones may be important for regulation of chromatin function.

Feedback equilibrium control during human standing

Equilibrium maintenance during standing in humans was investigated with a 3-joint (ankle, knee and hip) sagittal model of body movement. The experimental paradigm consisted of sudden perturbations of humans in quiet stance by backward displacements of the support platform. Data analysis was performed using eigenvectors of motion equation. The results supported three conclusions. First, independent feedback control of movements along eigenvectors (eigenmovements) can adequately describe human postural responses to stance perturbations. This conclusion is consistent with previous observations (Alexandrov et al., 2001b) that these same eigenmovements are also independently controlled in a feed-forward manner during voluntary upper-trunk bending. Second, independent feedback control of each eigenmovement is sufficient to provide its stability. Third, the feedback loop in each eigenmovement can be modeled as a linear visco-elastic spring with delay. Visco-elastic parameters and time-delay values result from the combined contribution of passive visco-elastic mechanisms and sensory systems of different modalities.

[Joint application of the independent component analysis and the nonstationary fluctuation analysis for the investigation of early stages of long-term potentiation in the rat hippocampus]

An invariable interest in mechanisms of synaptic plasticity gave birth to several specific methods of evoked postsynaptic responses analysis: quantal analysis, component analysis, nonstationary fluctuation analysis (NSFA) etc. The major part of these methods are not standardized yet however, that can lead to obtaining different (and even contradictory) results in similar experiments performed by different scientific groups. This paper issues the experiments for revealing pre- or postsynaptic location of the synaptic plasticity mechanisms during the early phases of the long-term potentiation (LTP). On a model we analyse how an estimation of the single-channel current made by the NSFA is influenced by changes in the evoked postsynaptic currents shape variability. A hypothesis is made that the apparent increase in the AMPA-receptor single-channel current, reported in some works for early LTP stages, could be concerned with the increase in the postsynaptic response shape variability rather then with real increase in AMPA-receptor channels conductivity. The shape of the postsynaptic responses can become more variable after LTP-associated unsilencing of the previously silent synapses. A new method of independent component analysis (ICA) is introduced to check this hypothesis first on model and than on physiological data. The results of the experiments in general agree with the hypothesis suggested.

[Role of filtration in localization of the evoked potential dipoles in the human brain: experiment and simulation]

3D dipole tracing with 1 ms step of visual evoked potentials recorded from 40 electrodes was performed under exposition of crosses in 5 healthy human subjects. The data on dipole displacement were compared with prediction of the simulation study on distortion of dipole localization by the signal filtration in the low-frequency band. These predictions were experimentally confirmed: the effect depends on the degree of filtration (0.1 or 0.5 Hz) and on the latency of EP waves. Localization and strength of P1 dipoles were not changed under filtration, while for later components--N2 and especially P3--they changed significantly. For the improvement of these distortions time constant of the amplification tract must be some times longer than the time of the dipole activity.

[Efficacy of cytoprotective agent Mexicor in urgent cardiology]

AIM

To study efficacy of cytoprotector mexicor in patients with unstable angina (UA), acute myocardial infarction (MI), hypertensive crises (HC) in combined therapy with conventional drugs.

MATERIAL AND METHODS

An open randomized study included 338 patients with acute forms of ischemic heart disease (IHD) and arterial hypertension running with crises. Combined therapy of 20 patients with UA, 90 patients with MI and 43 patients with HC (study groups) was supplemented with mexicor in a dose 6-9 mg/kg/day. The control matched patients (20, 86 and 79 patients, respectively) received conventional treatment alone. The effects of the treatments were assessed by ultrasound investigation of the heart in M-, B- and Doppler modes, by ECG and arterial pressure 24-h monitoring, by activity of lipid peroxidation (LPO).

RESULTS

Adjuvant therapy of urgent cardiological conditions with mexicor diminished oxidant stress, left ventricular dysfunction. In MI patients mexicor promoted reduction of the akinesia zones, recovery of disturbed segmentary contractility. In UA patients mexicor contributed to more pronounced decrease in the frequency, duration and severity of myocardial ischemia, enhanced stabilization of angina. In HC patients mexicor promoted earlier normalization of a 24-h AP profile and variability of cardiac rhythm, recurrence rate of HC decreased 2-fold.

CONCLUSION

The addition of mexicor to conventional therapy of UA, MI, HC improves clinical course of these diseases, reduces oxidant stress, accelerates recovery of cardiac contractility and left ventricular diastolic function, normalization of central hemodynamics.

[Hysteresis of synaptic effectiveness--one of the possible mechanisms for associative learning?]

The conditions on the occurrence of hysteresis of the amount of phosphorylated receptors were determined depending on the rhythmic frequency of presynaptic neuronal activity using the full and simplified models of synaptic plasticity for pyramidal hippocampal neurones. It is assumed that this phenomenon lies at the basis of the conservation of long-term potentiation.

Biomechanical analysis of movement strategies in human forward trunk bending. II. Experimental study

The large mass of the human upper trunk, its elevated position during erect stance, and the small area limited by the size of the feet, stress the importance of equilibrium control during trunk movements. The objective of the present study was to perform a biomechanical analysis of fast forward trunk movements in order to understand the coordination between movement and posture. The analysis is based on a comparison between experimentally observed bending and hypothetical "optimal bending" performed on an infinitely narrow support, as presented in a companion paper. The experimental data were obtained from 16 subjects who performed fast forward bending while standing on a wide platform or on a narrow beam. The analysis is performed by decomposition of the movement into three dynamically independent components, each representing a movement along one of the three eigenvectors of the motion equation. The eigenmovements are termed "hip", "ankle", and "knee" eigenmovements, according to the dominant joint. The experimentally observed movement is characterized mainly by the hip and ankle eigenmovements, whereas the knee eigenmovement is negligible. Similarly to the "optimal bending" the ankle eigenmovement starts earlier and lasts longer than the hip eigenmovement. An early forward acceleration of the center of gravity in the ankle eigenmovement is caused by anticipatory changes in the ankle joint torque. This clarifies the role of the early tibialis anterior burst and/or soleus inhibition usually observed in electromyographic recordings during forward bending. The results suggest that the hip and the ankle eigenmovements can be treated as independently controlled motion units aimed at functionally different behavioral goals: the bending per se and postural adjustment. It is proposed that the central nervous system has to control these motion units sequentially in order to perform the movement and maintain equilibrium. It is also suggested that the hip and ankle eigenmovements can be regarded as a biomechanical background for the hip and ankle strategies introduced by Horak and Nashner (1986) on the basis of electromyographic recordings and kinematic patterns in response to postural perturbations.

Biomechanical analysis of movement strategies in human forward trunk bending. I. Modeling

Two behavioral goals are achieved simultaneously during forward trunk bending in humans: the bending movement per se and equilibrium maintenance. The objective of the present study was to understand how the two goals are achieved by using a biomechanical model of this task. Since keeping the center of pressure inside the support area is a crucial condition for equilibrium maintenance during the movement, we decided to model an extreme case, called "optimal bending", in which the movement is performed without any center of pressure displacement at all, as if standing on an extremely narrow support. The "optimal bending" is used as a reference in the analysis of experimental data in a companion paper. The study is based on a three-joint (ankle, knee, and hip) model of the human body and is performed in terms of "eigenmovements", i.e., the movements along eigenvectors of the motion equation. They are termed "ankle", "hip", and "knee" eigenmovements according to the dominant joint that provides the largest contribution to the corresponding eigenmovement. The advantage of the eigenmovement approach is the presentation of the coupled system of dynamic equations in the form of three independent motion equations. Each of these equations is equivalent to the motion equation for an inverted pendulum. Optimal bending is constructed as a superposition of two (hip and ankle) eigenmovements. The hip eigenmovement contributes the most to the movement kinematics, whereas the contributions of both eigenmovements into the movement dynamics are comparable. The ankle eigenmovement moves the center of gravity forward and compensates for the backward center of gravity shift that is provoked by trunk bending as a result of dynamic interactions between body segments. An important characteristic of the optimal bending is the timing of the onset of each eigenmovement: the ankle eigenmovement onset precedes that of the hip eigenmovement. Without an earlier onset of the ankle eigenmovement, forward bending on the extremely narrow support results in falling backward. This modeling approach suggests that during trunk bending, two motion units--the hip and ankle eigenmovements--are responsible for the movement and for equilibrium maintenance, respectively.

Assessment of the accuracy of a human arm model with seven degrees of freedom

We are proposing a human arm model that consists of three rigid segments with seven degrees of freedom. The shoulder joint was modeled as a ball-and-socket joint and the elbow and wrist joints were modelled as skew-oblique joints. Optimal parameters for this model were calculated on the base of in vivo recordings with a spatial tracking system. The criterion of optimality was defined as the minimum of the mean-square deviation between the experimentally obtained sensor positions and orientations and their positions and orientations calculated by solving the direct kinematics problem. The minimal value of the direct kinematics error was found to be 0.5-0.6cm for sensor positions and 5-7 degrees for sensor orientations. We are proposing that these values serve as the assessment for the accuracy of the arm model.

The envelope glycoprotein of simian immunodeficiency virus contains an enterotoxin domain

By the use of a mouse model, the enteropathic effects of the simian immunodeficiency virus (SIV) surface unit (SU) envelope glycoprotein were explored. Purified SU (0.01-0.45 nmol) was administered intraperitoneally to 6- to 8-day-old mouse pups and induced a dose-dependent diarrheal response. Surgical introduction of SU into adult mouse intestinal loops revealed fluid accumulation without histological alterations and SU-treated unstripped intestinal mucosa induced chloride (Cl(-)) secretory currents in Ussing chambers. Similarly to rotavirus NSP4, the first described viral enterotoxin, SU induced a transient increase in intracellular calcium levels and increased inositol 1,4,5-triphosphate (IP(3)) levels in HT-29 cells. These data indicate the calcium response is mediated by IP(3). The presence of diarrhea and fluid accumulation within intestinal loops in the absence of histological alterations and induction of Cl(-) secretory currents demonstrate that SIV contains an enterotoxic domain localized within SU and is the second viral enterotoxin described.

[Mathematical description of modifying synapses of hippocampal pyramidal neurons]

The system of differential equations describing the plasticity of the hippocampal pyramidal neuron CA3, developed before, was analyzed. The system was divided into two groups according to magnitudes of the biochemical reaction constants. The first group with large values of the constants was transformed into quasi stationary algebraic equations. This allowed one to transform the system of 32 differential equations to a system containing only 4 differential equations, which can be used for modeling of learning processes in various parts of the brain.

Kinematics of human arm reconstructed from spatial tracking system recordings

The kinematics of the human arm in terms of angles of rotations in the joints is reconstructed from the spatial tracking system (Fastrack() Polhemus) recordings. The human arm is modeled by three rigid bodies (the upper arm, the forearm and the hand) with seven degrees of freedom (three in the shoulder, two in the elbow and two in the wrist). Joint geometry parameters (orientations of the axes relative to the arm segments, the angles and the distances between the axes) have been calculated on the basis of passive rotations in the joints. The calculated parameters have been used to solve the direct kinematics problem for the reaching movements in different directions. The difference between calculated and recorded positions and accelerations of the hand has been used to assess the accuracy of the proposed method of kinematics reconstruction. The error analysis showed that spatial tracking system recordings and human arm kinematics reconstruction could reliably be used to accurately analyze multijoint movement in humans.