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Harnessing brain-body communication to understand cancer [Special Section: Symposium Outlook]

Solid tumors that arise in the body interact with neurons, which influences cancer progression and treatment response. Here, we discuss key questions in the field, including defining the nature of interactions between tumors and neural circuits and defining how neural signals shape the tumor microenvironment. This information will allow us to optimally target neural signaling to improve outcomes for cancer patients.




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Temperature matters: the potential impact of thermoregulatory mechanisms in brain-body physiology [Special Section: Symposium Outlook]

Thermoregulation, responsible for maintaining a stable core temperature during wide fluctuations in external and internal thermal environments, is an iconic homeostatic process. However, we suggest that despite its fundamental physiological significance, the potential for required cool housing temperatures and thermoregulatory mechanisms to influence the interpretation of experimental data is not sufficiently appreciated. Moreover, although it is generally assumed that the major thermoregulatory pathways are well understood, here we discuss new research that suggests otherwise and reveals the emergence of a new wave of exciting ideas for this "old" field of research.




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Bridging brain and body in cancer [Special Section: Symposium Outlook]

Recent work has highlighted the central role the brain–body axis plays in not only maintaining organismal homeostasis but also coordinating the body's response to immune and inflammatory insults. Here, we discuss how science is poised to address the many ways that our brain is directly involved with disease. In particular, we feel that combining cutting-edge tools in neuroscience with translationally relevant models of cancer will be critical to understanding how the brain and tumors communicate and modulate each other's behavior.




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The area postrema: a critical mediator of brain-body interactions [Special Section: Symposium Outlook]

The dorsal vagal complex contains three structures: the area postrema, the nucleus tractus solitarii, and the dorsal motor nucleus of the vagus. These structures are tightly linked, both anatomically and functionally, and have important yet distinct roles in not only conveying peripheral bodily signals to the rest of the brain but in the generation of behavioral and physiological responses. Reports on the new discoveries in these structures were highlights of the symposium. In this outlook, we focus on the roles of the area postrema in mediating brain–body interactions and its potential utility as a therapeutic target, especially in cancer cachexia.




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Cancer neuroscience at the brain-body interface [Special Section: Symposium Outlook]

Our approaches toward understanding cancer have evolved beyond cell-intrinsic and local microenvironmental changes within the tumor to encompass how the cancer interfaces with the entire host organism. The nervous system is uniquely situated at the interface between the brain and body, constantly receiving and sending signals back and forth to maintain homeostasis and respond to salient stimuli. It is becoming clear that various cancers disrupt this dialog between the brain and body via both neuronal and humoral routes, leading to aberrant brain activity and accelerated disease. In this outlook, I discuss this view of cancer as a homeostatic challenge, emphasize cutting-edge work, and provide outstanding questions that need to be answered to move the field forward.




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Probabilistic Presurgical Language fMRI Atlas of Patients with Brain Tumors [CLINICAL PRACTICE]

BACKGROUND AND PURPOSE:

Patients with brain tumors have high intersubject variation in putative language regions, which may limit the utility of straightforward application of healthy subject brain atlases in clinical scenarios. The purpose of this study was to develop a probabilistic functional brain atlas that consolidates language functional activations of sentence completion and Silent Word Generation language paradigms using a large sample of patients with brain tumors.

MATERIALS AND METHODS:

The atlas was developed using retrospectively collected fMRI data from patients with brain tumors who underwent their first standard-of-care presurgical language fMRI scan at our institution between July 18, 2015, and May 13, 2022. Three hundred seventeen patients (861 fMRI scans) were used to develop the language functional atlas. An independent presurgical language fMRI data set of 39 patients with brain tumors from a previous study was used to evaluate our atlas. Family-wise error–corrected binary functional activation maps from sentence completion, letter fluency, and category fluency presurgical fMRI were used to create probability overlap maps and pooled probabilistic overlap maps in Montreal Neurological Institute standard space. The Wilcoxon signed-rank test was used to determine a significant difference in the maximum Dice coefficient for our atlas compared with a meta-analysis-based template with respect to expert-delineated primary language area activations.

RESULTS:

Probabilities of activating the left anterior primary language area and left posterior primary language area in the temporal lobe were 87.9% and 91.5%, respectively, for sentence completion, 88.5% and 74.2%, respectively, for letter fluency, and 83.6% and 67.6%, respectively, for category fluency. Maximum Dice coefficients for templates derived from our language atlas were significantly higher than the meta-analysis-based template in the left anterior primary language area (0.351 and 0.326, respectively, P < .05) and the left posterior primary language area in the temporal lobe (0.274 and 0.244, respectively, P < .005).

CONCLUSIONS:

Brain tumor patient- and paradigm-specific probabilistic language atlases were developed. These atlases had superior spatial agreement with fMRI activations in individual patients compared with the meta-analysis-based template.




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Neuroimaging Correlates with Clinical Severity in Wilson Disease: A Multiparametric Quantitative Brain MRI [RESEARCH]

BACKGROUND AND PURPOSE:

Previous studies have reported metal accumulation and microstructure changes in deep gray nuclei (DGN) in Wilson disease (WD). However, there are limited studies that investigate whether there is metal accumulation and microstructure changes in DGN of patients with WD with normal-appearing routine MRI. This study aimed to evaluate multiparametric changes in DGN of WD and whether the findings correlate with clinical severity in patients with WD.

MATERIALS AND METHODS:

The study enrolled 28 patients with WD (19 with neurologic symptoms) and 25 controls. Fractional anisotropy (FA), mean diffusivity (MD), and magnetic susceptibility in globus pallidus, pontine tegmentum, dentate nucleus, red nucleus, head of caudate nucleus, putamen, substantia nigra, and thalamus were extracted. Correlations between imaging data and the Unified Wilson’s Disease Rating Scale (UWDRS) neurologic subitems were explored.

RESULTS:

FA, MD, and susceptibility values were higher in multiple DGN of patients with WD than controls (P < .05). Patients with WD without abnormal signals in DGN on routine MRI also had higher FA, MD, and susceptibility values than controls (P < .017). We found that UWDRS neurologic subscores correlated with FA and susceptibility values of DGN (P < .05). In addition, we also found that FA and susceptibility values in specific structures correlated with specific neurologic symptoms of WD (ie, tremor, parkinsonism, dysarthria, dystonia, and ataxia) (P < .05).

CONCLUSIONS:

Patients with WD have increased FA, MD, and susceptibility values even before the lesion is morphologically apparent on routine MRI. The increased FA and susceptibility values correlate with clinical severity of WD.




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Artificial Intelligence Efficacy as a Function of Trainee Interpreter Proficiency: Lessons from a Randomized Controlled Trial [RESEARCH]

BACKGROUND AND PURPOSE:

Recently, artificial intelligence tools have been deployed with increasing speed in educational and clinical settings. However, the use of artificial intelligence by trainees across different levels of experience has not been well-studied. This study investigates the impact of artificial intelligence assistance on the diagnostic accuracy for intracranial hemorrhage and large-vessel occlusion by medical students and resident trainees.

MATERIALS AND METHODS:

This prospective study was conducted between March 2023 and October 2023. Medical students and resident trainees were asked to identify intracranial hemorrhage and large-vessel occlusion in 100 noncontrast head CTs and 100 head CTAs, respectively. One group received diagnostic aid simulating artificial intelligence for intracranial hemorrhage only (n = 26); the other, for large-vessel occlusion only (n = 28). Primary outcomes included accuracy, sensitivity, and specificity for intracranial hemorrhage/large-vessel occlusion detection without and with aid. Study interpretation time was a secondary outcome. Individual responses were pooled and analyzed with the t test; differences in continuous variables were assessed with ANOVA.

RESULTS:

Forty-eight participants completed the study, generating 10,779 intracranial hemorrhage or large-vessel occlusion interpretations. With diagnostic aid, medical student accuracy improved 11.0 points (P < .001) and resident trainee accuracy showed no significant change. Intracranial hemorrhage interpretation time increased with diagnostic aid for both groups (P < .001), while large-vessel occlusion interpretation time decreased for medical students (P < .001). Despite worse performance in the detection of the smallest-versus-largest hemorrhages at baseline, medical students were not more likely to accept a true-positive artificial intelligence result for these more difficult tasks. Both groups were considerably less accurate when disagreeing with the artificial intelligence or when supplied with an incorrect artificial intelligence result.

CONCLUSIONS:

This study demonstrated greater improvement in diagnostic accuracy with artificial intelligence for medical students compared with resident trainees. However, medical students were less likely than resident trainees to overrule incorrect artificial intelligence interpretations and were less accurate, even with diagnostic aid, than the artificial intelligence was by itself.




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The importance of escalating molecular diagnostics in patients with low-grade pediatric brain cancer [PRECISION MEDICINE IN PRACTICE]

Pilocytic astrocytomas are the most common pediatric brain tumors, typically presenting as low-grade neoplasms. We report two cases of pilocytic astrocytoma with atypical tumor progression. Case 1 involves a 12-yr-old boy with an unresectable suprasellar tumor, negative for BRAF rearrangement but harboring a BRAF p.V600E mutation. He experienced tumor size reduction and stable disease following dabrafenib treatment. Case 2 describes a 6-yr-old boy with a thalamic tumor that underwent multiple resections, with no actionable driver detected using targeted next-generation sequencing. Whole-genome and RNA-seq analysis identified an internal tandem duplication in FGFR1 and RAS pathway activation. Future management options include FGFR1 inhibitors. These cases demonstrate the importance of escalating molecular diagnostics for pediatric brain cancer, advocating for early reflexing to integrative whole-genome sequencing and transcriptomic profiling when targeted panels are uninformative. Identifying molecular drivers can significantly impact treatment decisions and improve patient outcomes.




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CGRP therapy in primary care for migraine: prevention and acute medication




rai

Tigerair chaos as Bali flights cancelled

HUNDREDS of travellers’ holiday plans are in disarray after all Tigerair flights in and out of Bali were cancelled again today and early tomorrow.




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New direct rail service to link Edinburgh and Wales for the first time

A rail service linking Scotland, Wales and England with one train journey is to start running for the first time. 




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RPG Cast – Episode 565: “Whiskers on Raindrops”

Kelley mounts her fox onto a fox to go for a walk with her foxes. Robert breaks his keyboard. Anna Marie drinks the Kool-Aid. Chris is singing about Death Tales, awooo-oo. And Josh vapes with his Xbox. Regardless, they all agree that you should not play Operation Darkness.

The post RPG Cast – Episode 565: “Whiskers on Raindrops” appeared first on RPGamer.



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  • Fire Emblem: Shadow Dragon & the Blade of Light
  • God Wars: Future Past
  • World of Warcraft: Shadowlands
  • Yakuza: Like a Dragon

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RPG Cast – Episode 617: “Yoko Taro Made This While Queuing for His Raid”

Chris has a normal amount of coffee on his shirt. Kelley conks her cat on the head with a controller. And Josh thinks Maglam Lord is a contraceptive device.

The post RPG Cast – Episode 617: “Yoko Taro Made This While Queuing for His Raid” appeared first on RPGamer.




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RPG Cast – Episode 633: “Your Cat Sharts on the Rainbow Bridge”

Kelley is better at Elden Ring than Chris. Anna Marie shows off her deck. And Chris hates sand. Time to go play with the HD-2D you have at home.

The post RPG Cast – Episode 633: “Your Cat Sharts on the Rainbow Bridge” appeared first on RPGamer.




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RPG Cast – Episode 681: “Ganon Is Afraid of Homemade Apple Pie”

Chris suffers from "The Curse of the Steam Deck." Kelley can't pickpocket, so she mugs people at night. And Ryan likes practical grave robbers. Curl up in your clothmap quilt and enjoy our cozy '60s demon world.

The post RPG Cast – Episode 681: “Ganon Is Afraid of Homemade Apple Pie” appeared first on RPGamer.




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Tigerair passengers stranded

Tigerair has been forced to suddenly halt services to Bali after Jakarta unexpectedly cancelled a flight agreement.




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Tigerair ban strands Aussies

More than 170 Australian travellers remained stranded in Bali last night following the Indonesian ban on Tiger­air.




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Here’s a new launch trailer for Attenborough-em-up RTS Empire Of The Ants, out this week

Much the same as anyone with a soul, I find ants deeply fascinating and, much the same as anyone who occasionally drops small pieces of sandwich on the floor, I will continue to uphold my respect for them as long as they come nowhere near my feet. Yes. I admit it: I am a bug hypocrite, loudly extolling their virtue and beauty at a distance then getting irritated if they decide to come sit on me.

Fortunately, real time strategy Empire Of The Ants understands that the best place for insects to be is inside a screen, where they can be appreciated but cannot under any circumstances touch you. It’s out this week, as it happens, and here’s a new launch trailer to celebrate. Follow your pheromone trail to the video below.

Read more




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The Raid homage Acts Of Blood is Sifu’s jankier, snackier cousin

Calling a game ‘no frills’ or ‘no nonsense’ is always a back-handed compliment, because it sounds like you're saying it's a bit straightforward and simple. And yes, that’s exactly what I’m saying here. Acts Of Blood feels like a spiffy PS2 action brawler; a slightly tighter old Yakuza game, or a stripped-back Sifu. It’s snacky and a bit janky, but it’s also great coffee break fodder, assuming you want to spend your break breaking a selection of heavy objects over the crumbly skulls of ne’er-do-wells. I mean, they might have done some things well, I don’t know them. But they aren’t doing any well to my character in the game, so violence it is.

Read more




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Some guy complained this fishing game only caters to queer players, so the dev added a "straight" title - it costs $9999

When multiplayer fishing game Webfishing came out last month, it offered a relaxing hangout zone for cats and dogs. Everything revolves around catching, selling, and collecting the fish that gather in the rivers of a small island. It also lets you customise your character with clothing. Mostly simple hats and shorts, but some options let players celebrate their sexuality, such as a rainbow-adorned t-shirts, or titles that hang above your character which simply say "Trans" or "Bi". All this led one player to complain there was no "Straight" title. So, the developer added one. It costs 10 grand.

Read more




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BBC Morning Live expert gives 'double tax' warning on new Labour pensions raid



Finance guru Laura Pomfret explained how changes to inheritance tax in the budget may hit people in a way they hadn't realised




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AIs are more likely to mislead people if trained on human feedback 

If artificial intelligence chatbots are fine-tuned to improve their responses using human feedback, they can become more likely to give deceptive answers that seem right but aren’t




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Drone versus drone combat is bringing a new kind of warfare to Ukraine

Machines are fighting machines on the Ukrainian battlefield, as a technological arms race has given birth to a new way to wage war




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Will semiconductor production be derailed by Hurricane Helene?

Hurricane Helene hit a quartz mine in North Carolina that is key to global semiconductor production, which could impact the entire tech industry. Here is everything we know so far




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Audio AIs are trained on data full of bias and offensive language

Seven major datasets used to train audio-generating AI models are three times more likely to use the words "man" or "men" than "woman" or "women", raising fears of bias




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What Should Biden Do? Get a Peace Deal in Ukraine

The end to this bloody stalemate must come with negotiation, and Putin should not wait until Trump is in the White House, says Guardian columnist Simon Jenkins




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2 grizzlies follow hikers down trail for 20 minutes in Banff National Park

Two large grizzly bears followed 13 hikers down a trail in Banff National Park for 20 minutes — with one even making a few quick runs at the group.



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Women on the Prairies are chasing extreme storms. Here's why

Online group Girls Who Chase has created a global community of women who head into severe weather to record images, report damage and help scientists understand the impact of storms to be better prepared



  • News/Canada/Edmonton

rai

Spain&rsquo;s Nadal Trains for 1st Time inside Davis Cup Venue

… Trains for 1st Time inside Davis Cup Venue VALENCIA, Spain – World No … the Spanish national team’s Davis Cup quarterfinals against Germany. Nadal, who ….






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Commonwealth Games 2022: Geraint Thomas wins bronze but early crash costs him gold

  • Geraint Thomas wins bronze after crash proves costly in men's time trial
  • It is official - England is the world's heptathlon talent factory
  • Eilish McColgan follows mother's footsteps with thrilling gold medal run at Commonwealth Games
  • Anna Henderson wins silver in women's time trial
  • ]]>




    rai

    'All Ukrainian children see is war, but they're grateful to have sport'




    rai

    Pilot cybersecurity training program for women to recruit third cohort

    A pilot program aimed at training women and non-binary persons for careers in cybersecurity will soon start recruiting its third group of students. The program, offered to students in computer science and related courses in seven Canadian post-secondary institutions, should start looking for candidates next month for the fall academic year, said Vivian Lee, team […]

    The post Pilot cybersecurity training program for women to recruit third cohort first appeared on ITBusiness.ca.




    rai

    Shadow of the Tomb Raider gets Denuvo removal boost

    Depending on PC config you may see up to a 30fps uplift with anti-tamper tech ditched.




    rai

    Does eating meat really raise your risk of type 2 diabetes?

    Red and processed meat, and even poultry, seem to raise the risk of developing type 2 diabetes, according to a study of nearly 2 million adults, but not everyone is convinced




    rai

    Your brain may be mutating in a way that was thought to be very rare

    DNA from mitochondria, the energy powerhouses inside cells, sometimes gets added to our genome – and the number of these mutations in the brain could be linked to ageing




    rai

    The surprising mental health and brain benefits of weight-loss drugs

    Drugs like Ozempic and Wegovy have unexpected effects on the brain, opening up potential new ways to treat depression, anxiety, addiction and Alzheimer’s




    rai

    Does the structure of your brain affect your risk of depression?

    A network of neurons in the brain seems to be larger in people with depression, which could change how we think about the condition's causes




    rai

    Microglia: How the brain’s immune cells may be causing dementia

    They fight invaders, clear debris and tend neural connections, but sometimes microglia go rogue. Preventing this malfunction may offer new treatments for brain conditions including Alzheimer's




    rai

    Evidence grows for dramatic brain remodelling during pregnancy

    A woman's brain was scanned throughout her pregnancy, adding to the growing body of evidence that dramatic remodelling takes place in preparation for motherhood




    rai

    Most effective migraine drugs revealed by review of trial data

    A meta-analysis of 137 clinical trials finds triptan drugs are among the most effective for treating migraines, while newer ditan and gepant drugs were rated less highly




    rai

    The brain has its own microbiome. Here's what it means for your health

    Neuroscientists have been surprised to discover that the human brain is teeming with microbes, and we are beginning to suspect they could play a role in neurodegenerative disorders like Alzheimer's




    rai

    Boosting brainwaves in sleep improves rats’ memory

    Rats perform better on memory tests when certain brainwave-producing neurons are stimulated while they sleep. If we can boost these brainwaves in people, it could help treat memory impairments in those with dementia




    rai

    Neuroscientist finds her brain shrinks while taking birth control

    A researcher who underwent dozens of brain scans discovered that the volume of her cerebral cortex was 1 per cent lower when she took hormonal contraceptives




    rai

    Bird flu was found in a US pig – does that raise the risk for humans?

    A bird flu virus that has been circulating in dairy cattle for months has now been found in a pig in the US for the first time, raising the risk of the virus evolving to become more dangerous to people




    rai

    Trump's first Cabinet picks decidedly not isolationists: Ukraine, Israel breathe a sigh of relief

    Despite his own isolationist musings, the first picks of President-elect Donald Trump's incoming administration hail from a decidedly more traditionalist wing of the Republican Party.



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    rai

    EU groups raise concerns after Brazil audit findings

    Several trade associations have called on European policymakers to reconsider the EU-Mercosur trade deal following findings from an audit in Brazil. The EU-Mercosur deal is an agreement between the European Union and Argentina, Brazil, Paraguay and Uruguay. A recently published audit report by DG Sante revealed Brazil’s issues in meeting European food... Continue Reading