RESUMO
Background: Transcranial direct current stimulation (tDCS) is a promising treatment for Alzheimer's Disease (AD). However, identifying objective biomarkers that can predict brain stimulation efficacy, remains a challenge. The primary aim of this investigation is to delineate the cerebral regions implicated in AD, taking into account the existing lacuna in comprehension of these regions. In pursuit of this objective, we have employed a supervised machine learning algorithm to prognosticate the neurophysiological outcomes resultant from the confluence of tDCS therapy plus cognitive intervention within both the cohort of responders and non-responders to antecedent tDCS treatment, stratified on the basis of antecedent cognitive outcomes. Methods: The data were obtained through an interventional trial. The study recorded high-resolution electroencephalography (EEG) in 70 AD patients and analyzed spectral power density during a 6 min resting period with eyes open focusing on a fixed point. The cognitive response was assessed using the AD Assessment Scale-Cognitive Subscale. The training process was carried out through a Random Forest classifier, and the dataset was partitioned into K equally-partitioned subsamples. The model was iterated k times using K-1 subsamples as the training bench and the remaining subsample as validation data for testing the model. Results: A clinical discriminating EEG biomarkers (features) was found. The ML model identified four brain regions that best predict the response to tDCS associated with cognitive intervention in AD patients. These regions included the channels: FC1, F8, CP5, Oz, and F7. Conclusion: These findings suggest that resting-state EEG features can provide valuable information on the likelihood of cognitive response to tDCS plus cognitive intervention in AD patients. The identified brain regions may serve as potential biomarkers for predicting treatment response and maybe guide a patient-centered strategy. Clinical Trial Registration: https://classic.clinicaltrials.gov/ct2/show/NCT02772185?term=NCT02772185&draw=2&rank=1, identifier ID: NCT02772185.
RESUMO
O objetivo deste estudo foi avaliar a percepção das notas musicais RÉ, FÁ, e LÁ em adultos jovens. Participaram do estudo 20 homens e 20 mulheres de 18 a 29 anos, saudáveis, não músicos e não usuários de fármacos ou outras substâncias tóxicas. Realizou-se um teste de discriminação de notas musicais com escolha forçada entre duas alternativas, por meio do qual os participantes escolheram um estímulo previamente apresentado. Comparou-se a frequência de acertos na discriminação das notas musicais em relação ao sexo dos participantes. Encontraram-se diferenças estatisticamente significantes na nota musical Fá, sendo que os homens apresentaram maior quantidade de acertos que as mulheres. Esses resultados encontrados sugerem diferença na percepção das notas musicais para mulheres e homens.(AU)
The objective of this study was to evaluate the perception of musical notes D, F, and A in young adults. The study included 20 men and 20 women, aged 18 to 29 years, healthy, non-musicians, and non-users of drugs or other toxic substances. Participants did a two-alternative forced choice discrimination test of musical notes, in which they were asked to select the stimulus that was previously presented. The frequency of correct discrimination of the musical notes was compared between both sexes. Statistically significant differences in the musical note F were found. Men had a higher number of hits than women. These results suggest differences in the perception of musical notes by women and men.(AU)
Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Caracteres Sexuais , Percepção Auditiva , Percepção Sonora , Música , Percepção da Altura SonoraRESUMO
O objetivo deste estudo foi avaliar a percepção das notas musicais RÉ, FÁ, e LÁ em adultos jovens. Participaram do estudo 20 homens e 20 mulheres de 18 a 29 anos, saudáveis, não músicos e não usuários de fármacos ou outras substâncias tóxicas. Realizou-se um teste de discriminação de notas musicais com escolha forçada entre duas alternativas, por meio do qual os participantes escolheram um estímulo previamente apresentado. Comparou-se a frequência de acertos na discriminação das notas musicais em relação ao sexo dos participantes. Encontraram-se diferenças estatisticamente significantes na nota musical Fá, sendo que os homens apresentaram maior quantidade de acertos que as mulheres. Esses resultados encontrados sugerem diferença na percepção das notas musicais para mulheres e homens.
The objective of this study was to evaluate the perception of musical notes D, F, and A in young adults. The study included 20 men and 20 women, aged 18 to 29 years, healthy, non-musicians, and non-users of drugs or other toxic substances. Participants did a two-alternative forced choice discrimination test of musical notes, in which they were asked to select the stimulus that was previously presented. The frequency of correct discrimination of the musical notes was compared between both sexes. Statistically significant differences in the musical note F were found. Men had a higher number of hits than women. These results suggest differences in the perception of musical notes by women and men.