Objective. To estimate the incidence of juvenile dermatomyositis (juvenile DM) in the United States between 1995 and 1998. Methods. Physician referrals to the National Institute of Arthritis and Musculoskeletal and Skin Diseases Juvenile Dermatomyositis Research Registry and the National Pediatric Rheumatology Disease Registry from Indiana University were utilized for a 2-source capture-recapture estimation of Juvenile DM annual incidence. Results. For children 2-17 years of age, the estimated annual incidence rates from 1995 to 1998 in the US ranged from 2.5 to 4.1 juvenile DM cases per million children, and the 4-year average annual rate was 3.2 per million children (95% confidence interval 2.9 -3.4). Estimated annual incidence rates by race were 3.4 for white non-Hispanics, 3.3 for African American non-Hispanics, and 2.7 for Hispanics. During the 4-year period of the study, completeness of ascertainment for the combined registries ranged from 56% to 86% and girls were affected more than boys (ratio 2.3:1). Conclusion. This study provides evidence for sex, and possibly racial differences in the risk of juvenile DM in the US.
Brian connectivity describes the networks of functional and anatomical connections across the brain. The functional network communications across the brain networks dependent on neuronal oscillations. Detection of the synchronous activation of neurons can be used to determine the wellbeing or integrity of the functional connectivity in the human brain networks. Well-connected highly synchronous functional activity can be measured by Electroencephalography (EEG) or Magnetoencephalography (MEG) and then analyzed with several types of mathematical algorithms. Coherence is one mathematical method that can be used to determine if two or more sensors, or brain regions, have similar neuronal oscillatory activity with each other. Since the 1960's, coherence has generally been assessed on the similarity of the frequency content across EEG sensors. Recently coherence, after it has been imaged in the brain, has been used to assess how coherent or connected specific locations in the brain are networked together in several different neurological disorders. Statistical analysis can then be performed on the coherence results to verify evidence of normal or abnormal network activity in a patient. In this review we highlight how functional brain connectivity is assessed in Source space using coherence technique measured by MEG.
Clarification of the cortical mechanisms underlying auditory sensory gating may advance our understanding of brain dysfunctions associated with schizophrenia. To this end, data from 9 epilepsy patients who participated in an auditory paired-click paradigm during pre-surgical evaluation and had grids of electrodes covering temporal and frontal lobe were analyzed. A distributed source localization approach was applied to intracranial P50 response and Gating Difference Wave obtained by subtracting the response to second stimuli from the response to first stimuli.Source reconstruction of the P50 showed that the main generators of the response were localized at the temporal lobes. The analysis also suggested that the maximum neuronal activity contributing to the amplitude reduction at the P50 time range (phenomenon of auditory sensory gating) is localized at the frontal lobe.Present findings suggest that while the temporal lobe is the main generator of the P50 component, the frontal lobe seems to be a substantial contributor to the process of sensory gating as observed from scalp recordings.
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