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Dopaminergic neurotransmission may be involved in learning, reinforcement of behaviour, attention, and sensorimotor integration. Binding of the radioligand 11C-labelled raclopride to dopamine D2 receptors is sensitive to levels of endogenous dopamine, which can be released by pharmacological challenge. Here we use 11C-labelled raclopride and positron emission tomography scans to provide evidence that endogenous dopamine is released in the human striatum during a goal-directed motor task, namely a video game. Binding of raclopride to dopamine receptors in the striatum was significantly reduced during the video game compared with baseline levels of binding, consistent with increased release and binding of dopamine to its receptors. The reduction in binding of raclopride in the striatum positively correlated with the performance level during the task and was greatest in the ventral striatum. These results show, to our knowledge for the first time, behavioural conditions under which dopamine is released in humans, and illustrate the ability of positron emission tomography to detect neurotransmitter fluxes in vivo during manipulations of behaviour.
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266 NATURE
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21 MAY 1998
26. Tanksley, S. D., Zamir, D. & Rick, C. M. Evidence for extensive overlap of sporophytic and
gametophytic gene expression in Lycopersicon esculentum. Science 213, 453455 (1981).
Acknowledgements. We thank B. Charlesworth for input, counsel and support, and J. Greenberg,
T. Morton and J. Mach for assistance with the manuscript. This work was supported by a grant from the
NIH (to D.C. and B. Charlesworth).
Correspondence and requests for materials should be addressed to D.S.G. (e-mail: dguttman@midway.
uchicago.edu).
Evidence for striatal dopamine
release during a video game
M. J. Koepp, R. N. Gunn, A. D. Lawrence, V. J. Cunningham,
A. Dagher, T. Jones, D. J. Brooks, C. J. Bench & P. M. Grasby
MRC Cyclotron Unit, Hammersmith Hospital, DuCane Road, London W12 0NN,
UK, and Division of Neuroscience and Psychological Medicine, Imperial College
School of Medicine, St Dunstan’s Road, London W6 8RP, UK
.........................................................................................................................
Dopaminergic neurotransmission may be involved in learning,
reinforcement of behaviour, attention, and sensorimotor
integration
1,2
. Binding of the radioligand
11
C-labelled raclopride
to dopamine D
2
receptors is sensitive to levels of endogenous
dopamine, which can be released by pharmacological challenge
3–8
.
Here we use
11
C-labelled raclopride and positron emission tomo-
graphy scans to provide evidence that endogenous dopamine is
released in the human striatum during a goal-directed motor task,
namely a video game. Binding of raclopride to dopamine recep-
tors in the striatum was significantly reduced during the video
game compared with baseline levels of binding, consistent with
increased release and binding of dopamine to its receptors. The
reduction in binding of raclopride in the striatum positively
correlated with the performance level during the task and was
greatest in the ventral striatum. These results show, to our
knowledge for the first time, behavioural conditions under
which dopamine is released in humans, and illustrate the ability
of positron emission tomography to detect neurotransmitter
fluxes in vivo during manipulations of behaviour.
We used
11
C-labelled raclopride (RAC) to detect changes in levels
of extracellular dopamine induced by a behavioural task. During the
first 50 minutes of a [
11
C]RACPET scan, eight male volunteers
played a video game, which involved learning to navigate a tank for a
monetary incentive. This task is comparable to tasks in animal
studies in which dopamine is released during the anticipatory or
appetitive phase of motivated behaviour, where dopamine is
involved in learning which environmental stimuli or actions predict
rewarding or aversive outcomes
2,911
. During a second [
11
C]RAC
PET scan, subjects looked at an empty screen. The scanning order
was randomized for each subject. Differences in [
11
C]RAC-binding
potential between scans were used to infer changes in levels of
extracellular dopamine
12,13
. Binding of [
11
C]RAC to dopamine D
2
receptors was measured in the ventral and dorsal striata, which are
areas involved in goal-directed motor behaviour
2,1416
.
Striatal [
11
C]RAC-binding potential was reduced (analysis of
variance (ANOVA) F ¼ 7:72, P , 0:01) during the video
game, particularly in the ventral striatum (Table 1). Our results
are compatible with a task-related increase in levels of extra-
cellular dopamine reducing the number of D
2
-receptor sites avail-
able for binding to [
11
C]RAC. The magnitude of change of
[
11
C]RAC-binding potential (ventral striatum mean, 13%; range,
+8 to 42%) was considerably greater than the reported ‘within
subject test/retest variation in striatal [
11
C]RAC-binding potential
(mean, 46%)
17,18
, and was similar to that observed following
intravenous injection of amphetamine
8
(striatum mean, 16%;
range, 3to24%) or methylphenidate
6
(striatum mean, 23%;
range, +3 to 46%). Microdialysis studies of non-human primates
Table 1 [
11
C]RAC-binding potential, relative tracer delivery and size of the region of interest in striatal regions
LD
B
LD
T
DLD
(%)
RD
B
RD
T
DRD
(%)
LV
B
LV
T
D LV
(%)
RV
B
RV
T
DRV
(%)
...................................................................................................................................................................................................................................................................................................................................................................
BP 2.47 2.23 8.9 2.38 2.22 6.1 2.22 1.93 11.8 2.27 1.92 13.9
(s.d.) (0.36) (0.42) (16.4) (0.34) (0.41) (16.1) (0.28) (0.33) (18.8) (0.31) (0.35) (20.5)
...................................................................................................................................................................................................................................................................................................................................................................
R
I
0.98 0.88 8.5 0.94 0.87 6.5 0.98 0.89 8.5 1.03 0.91 10.5
(s.d.) (0.13) (0.08) (13.8) (0.12) (0.07) (12.1) (0.12) (0.13) (14.4) (0.11) (0.12) (14.7)
...................................................................................................................................................................................................................................................................................................................................................................
ROI size 8,151 8,300 1.9 7,600 8,188 7.9 4,747 4,280 8.7 4,692 4,215 9.3
(s.d.) (711) (846) (8.2) (567) (574) (7.2) (628) (612) (16.2) (680) (691) (15.7)
...................................................................................................................................................................................................................................................................................................................................................................
BP, [
11
C]RAC-binding potential; R
I
, relative tracer delivery; ROI, region of interest (mm
3
); s.d., standard deviation; L, left; R, right; D, dorsal; V, ventral; B, baseline conditions; T, task conditions.
Changes in BP, R
I
and ROI size between conditions (D) are given as a percentage change from the baseline, calculated as: ðT 2 BÞ=B 3 100. R
I
was significantly decreased during the video
game (F ¼ 11:3, P ¼ 0:001), but reductions in R
I
were not correlated with reductions in BP (r
2
¼ 0:05, P ¼ 0:24). There was no difference in striatal ROI size across conditions (P ¼ 0:64) and no
correlation between changes of BP and ROI size (r
2
¼ 0:02, P ¼ 0:45), indicating that head movement probably did not contribute significantly to our results.
Figure 1 Mean timeactivity curves for [
11
C]RAC uptake, normalized for
radioactivity injected, for the four striatal ROIs and the reference region
(cerebellum). Data are given from time of radioligand injection to the end of
scanning period (up to 90 min). R, right; L, left.
Nature © Macmillan Publishers Ltd 1998
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NATURE
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21 MAY 1998 267
indicate that a 1% decrease in striatal [
11
C]RAC binding reflects at
least an 8% increase in extracellular endogenous dopamine levels
8
.
Thus, the 13% reduction in [
11
C]RAC-binding potential in the
ventral striatum reported here suggests at least a twofold increase in
levels of extracellular dopamine. Computer simulations have shown
that this magnitude of change should be detectable with [
11
C]RAC
PET
13
.
After 50 min, the game ended, but the timeactivity curves
(TACs) for [
11
C]RAC binding remained below the baseline curves
without convergence (Fig. 1). A similar effect has been reported
following pharmacological challenges
4,19
, and may simply reflect the
kinetic properties of [
11
C]RAC and the diffusion and re-uptake
kinetics of dopamine. Sustained alterations in dopamine concen-
trations after a period of behavioural manipulation have been
described in the rat
20
, providing a biological explanation for the
continued separation of the TACs for [
11
C]RAC binding after the
video game ended.
There was a significant correlation between performance level
achieved and reduced [
11
C]RAC-binding potential in all striatal
regions (Fig. 2); the significance of this correlation was confirmed by
an independent analysis using statistical parametric mapping
(SPM)
21
. SPM revealed that this significant correlation mainly
encompassed the ventral striatum, predominantly the left side
(Fig. 3). These results further validate the putative link between
the behavioural manipulation and dopamine release, and comple-
ment electrophysiological studies of behaviour in awake animals, in
which dopaminergic neurotransmission was associated with sen-
sorimotor functions related to rewarding, aversive and stressful
stimuli
1,22,23
. In monkeys, most dopaminergic neurons in the ventral
tegmental area and pars compacta are activated by unexpected
primary appetitive rewards and reward-predicting cues
1,9,15
.
Here, regional differences in [
11
C]RAC displacement within the
striatum might correlate with the role of dopamine in the dorsal and
ventral striata
2
. The dorsal striatum receives inputs from motor,
sensory, premotor, and dorsal prefrontal cortices
14,16
, whereas the
ventral striatum receives afferent inputs from orbitofrontal cortex,
amygdala, hippocampus, and anterior cingulate
14,16
. On the basis of
these anatomical connections, we interpret changes in ventral
striatal [
11
C]RAC binding to be related to affective components of
the task, whereas dorsal striatal dopamine release may be related to
sensorimotor coordination and response selection
2
. This new
method of detecting neurotransmitter release during behavioural
manipulation extends the success of brain-perfusion mapping in
humans to the study of a true cognitive neurochemistry of
behaviour’.
M
. . . .. . . . . . . .. .. . . . . .. .. . . .. .. . . . . . . .. . . . . . . .. .. . . .. .. . . . . . . .. . . . . . . .. .. . . .. .. .. . . .. .. . . .. . . .. . . . . .. . . . . . . .. .. . . . . . . .. . . . .
Methods
PET-scan acquisition. Eight healthy, male, right-handed volunteers (range
3646 years of age) took part in the study (approved by the local Ethics
Committee). Informed consent was obtained for all subjects. Each received two
[
11
]RAC–PET scans (total injected dose of 1620 mCi), one during the
behavioural task (video game) and one under baseline conditions (blank
screen). Subjects played the video game from 10 min before to 50 min after
[
11
C]RAC injection. PET scans were acquired on separate days using a 953B-
Siemens/CTI PET camera in three-dimensional mode. Head movement during
scanning was minimized by the use of a moulded head rest and external head
markings.
Behavioural task. The video game involved moving a ‘tank’ through a
‘battlefield’ on a screen using a mouse with the right hand. Subjects had to
collect ‘flags’ with the tank while destroying ‘enemy tanks’. Enemy tanks could
destroy the three ‘lives’ of the subjects’ tank. If subjects collected all flags, they
progressed to the next game level, which required more flags to be collected. A
reward of £7 was given per game level achieved.
Region-of-interest (ROI) analysis. TACs of [
11
C]RAC binding were derived
for ventral and dorsal striata and cerebellum. From these TACs, binding
potential (BP), and the relative rate of ligand delivery (R
I
) in the striatum
L ventral
-50
-40
-30
-20
-10
0
10
20
Change in binding potential (%)
L dorsal
R ventral
Level of performance
R dorsal
-50
-40
-30
-20
-10
0
10
20
-50
-40
-30
-20
-10
0
10
20
-50
-40
-30
-20
-10
0
10
20
01234567
01234567
0123456701234567
Figure 2 Percentage change in [
11
C]RAC-binding potential between task and
baseline conditions, plotted against performance level. A significant inverse
correlation is seen in all striatal regions (Spearman rank correlation coefficients
for left and right ventral and left dorsal striatum: r ¼ 2 0:86, P ¼ 0:017; right dorsal
striatum: r ¼ 2 0:83, P ¼ 0:020).
Figure 3 Regions of the brain in which there was a statistically significant
correlation between reduced [
11
C]RAC-BP and task performance; such a
correlation was more pronounced in the ventral striatum. Upper row, the
transverse and coronal glass brain views show those voxels with a significant
inverse correlation of [
11
C]RAC-BP with the highest performance level reached
(threshold for display, P , 0:05). Lower row, three-dimensional SPM projections
superimposed on representative transaxial and coronal magnetic resonance
image brain slices (threshold for display, P , 0:05).
Nature © Macmillan Publishers Ltd 1998
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268 NATURE
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compared to the cerebellum were estimated using a simplified reference region
model
24,25
. The model derives BP from the ratio of the volumes of distribution
of the ligand in the striatum relative to the cerebellum. BP is a composite
function of parameters, as follows:
BP ¼
f
2
B
max
K
D
Tracer
1 þ
^
i
F
i
K
D
i
where B
max
is the total concentration of specific binding sites, K
D
Tracer
the
equilibrium dissociation constant of the ligand, f
2
is the ‘free fraction of
unbound ligand in the tissue, and F
i
and K
D
i
are the concentrations and
equilibrium dissociation constants, respectively, of i competing endogenous
ligands. Changes in BP are attributed to changes in F
i
for endogenous
dopamine. Striatal ROIs were outlined on an add-image of summated time
frames, using an edge-fitting algorithm set at a fixed threshold (40%) of the
image maximum. The ventral (comprising the ventral half of the putamen) and
dorsal (comprising the dorsal half of the putamen and the body of the caudate
nucleus) striata were operationally defined. The cerebellum was defined by
cluster analysis
26
. BP and R
I
values were calculated for the striatal ROIs using the
TACs for [
11
C]RAC binding up to 50 min after injection
25
. Differences in
[
11
C]RAC-BP at baseline and during the task were tested with repeated-
measure ANOVA, with three ‘within-subject’ factors (task versus baseline,
left versus right hemisphere and dorsal versus ventral striatum). Spearman rank
correlation coefficients were calculated for the relationship between changes in
[
11
C]RAC-BP and the highest performance level during the game for each ROI.
SPM analysis. Parametric images of [
11
C]RAC-BP
24
were analysed using
SPM96 (ref. 21). The [
11
C]RAC-R
I
images were used to define the stereotactic
transformation parameters for the [
11
C]RAC-BP images. Contrasts of the
condition effects at each voxel of the [
11
C]RAC-BP images were assessed
using the t-value, with the highest performance level entered as a covariate of
interest, giving a statistical image for each contrast.
Received 23 September 1997; accepted 20 March 1998.
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Acknowledgements. M.J.K. was supported by a grant from the Theodore and Vada Stanley Foundation
ResearchProgram; R.N.G., V.J.C., D.J.B. and P.M.G. were supported by the Medical Research Council; and
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Theroleofdendritesinauditory
coincidence detection
Hagai Agmon-Snir*, Catherine E. Carr
& John Rinzel*
* Mathematical Research Branch, NIDDK, National Institutes of Health,
Bethesda, Maryland 20892, USA
Department of Zoology, University of Maryland, College Park,
Maryland 20742, USA
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Coincidence-detector neurons in the auditory brainstem of mam-
mals and birds use interaural time differences to localize
sounds
1,2
. Each neuron receives many narrow-band inputs from
both ears and compares the time of arrival of the inputs with an
accuracy of 10100 ms (refs 36). Neurons that receive low-
frequency auditory inputs (up to about 2 kHz) have bipolar
dendrites, and each dendrite receives inputs from only one
ear
7,8
. Using a simple model that mimics the essence of the
known electrophysiology and geometry of these cells, we show
here that dendrites improve the coincidence-detection properties
of the cells. The biophysical mechanism for this improvement is
based on the nonlinear summation of excitatory inputs in each of
the dendrites and the use of each dendrite as a current sink for
inputs to the other dendrite. This is a rare case in which the
contribution of dendrites to the known computation of a neuron
may be understood. Our results show that, in these neurons, the
cell morphology and the spatial distribution of the inputs enrich
the computational power of these neurons beyond that expected
from point neurons (model neurons lacking dendrites).
Over the past 40 years it has become widely accepted that
dendrites play a major role in neuronal computation
9
. Despite
intensive efforts to decipher this role
1016
, however, the contribution
of the dendrites to the function of the single neuron remains elusive.
Nevertheless, the existence of different dendritic geometries and
their plausible effect on computation have been used as evidence for
dendritic computation
11,12,17
. As analysis of dendritic computation is
most powerful when the role of the neuron is understood, we used
brainstem auditory coincidence detectors to demonstrate the com-
putational advantages of having synaptic inputs on the dendrites
rather than on the cell body.
Coincidence detectors of the auditory brainstem are binaural
neurons that respond maximally when they receive simultaneous
inputs from the two ears. This condition is met when delay line
inputs from each ear exactly compensate for a delay introduced by
an interaural time difference (ITD, the time difference between the
Present address: New York University, Center for Neural Science and Courant Institute of Mathematical
Sciences, New York 10003, USA.
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... Koepp et al. (1998) found that engaging in goal-directed motor tasks, such as playing video games, leads to the production of endogenous dopamine. Dopamine subsequently attaches to receptors in the human striatum [29]. This is consistent with the results of Attar et al. and Nunna et al. [30,13]. ...
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In this, the tenth annual update for the F1000Research Tics collection, we summarize research reports from 2023 on Gilles de la Tourette syndrome and other tic disorders. The authors welcome article suggestions and thoughtful feedback from readers.
... Simultaneously, VR exercise increases dopamine release in the striatum (Lin et al., 2020). The enhanced dopamine transmission contributes to improved attention, facilitates sensorimotor integration, and reinforces behavior (Koepp et al., 1998). Through the central integration theory, VR exercise restores knee joint muscle strength by stimulating proprioceptors through sensorimotor integration, thereby improving joint function and stability (Riemann and Lephart, 2002). ...
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Background This systematic review and meta-analysis aims to investigate the effects of virtual reality (VR) exercise compared to traditional rehabilitation on pain, function, and muscle strength in patients with knee osteoarthritis (KOA). Additionally, the study explores the mechanisms by which VR exercise contributes to the rehabilitation of KOA patients. Methods We systematically searched PubMed, the Cochrane Library, Embase, Web of Science, Scopus, and PEDro according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Our search spanned from the library construction to 24 May 2024, focusing on randomized controlled trials Primary outcomes included pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and muscle strength. Meta-analysis was conducted using RevMan (version 5.4) and Stata (version 14.0). The bias risk of included studies was assessed using the Cochrane RoB 2.0 tool, while the quality of evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach. Results This meta-analysis and systematic review included nine studies involving 456 KOA patients. The results indicated that VR exercise significantly improved pain scores (SMD, −1.53; 95% CI: −2.50 to −0.55; p = 0.002), WOMAC total score (MD, −14.79; 95% CI: −28.26 to −1.33; p = 0.03), WOMAC pain score (MD, −0.93; 95% CI: −1.52 to −0.34; p = 0.002), knee extensor strength (SMD, 0.51; 95% CI: 0.14 to 0.87; p = 0.006), and knee flexor strength (SMD, 0.65; 95% CI: 0.28 to 1.01; p = 0.0005), but not significantly for WOMAC stiffness (MD, −0.01; 95% CI: −1.21 to 1.19; p = 0.99) and physical function (MD, −0.35; 95% CI: −0.79 to −0.09; p = 0.12). Conclusion VR exercise significantly alleviates pain, enhances muscle strength and WOMAC total score in KOA patients, but improvements in joint stiffness and physical function are not significant. However, the current number of studies is limited, necessitating further research to expand on the present findings. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024540061 , identifier CRD42024540061
... With samples that were addicted to heroin and cocaine, previous studies discovered abnormal FC in the ECN and the PFC [49]. Electronic gaming is known to promote striatal dopamine release, similar to drug addiction [50]. According to Drgonova and Walther (2016), it is hypothesised that dopamine could stimulate the reward system of the striatum in the brain, leading to a loss of impulse control and a failure of prefrontal lobe executive inhibitory control [51]. ...
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Internet usage has seen a stark global rise over the last few decades, particularly among adolescents and young people, who have also been diagnosed increasingly with internet addiction (IA). IA impacts several neural networks that influence an adolescent’s behaviour and development. This article issued a literature review on the resting-state and task-based functional magnetic resonance imaging (fMRI) studies to inspect the consequences of IA on the functional connectivity (FC) in the adolescent brain and its subsequent effects on their behaviour and development. A systematic search was conducted from two databases, PubMed and PsycINFO, to select eligible articles according to the inclusion and exclusion criteria. Eligibility criteria was especially stringent regarding the adolescent age range (10–19) and formal diagnosis of IA. Bias and quality of individual studies were evaluated. The fMRI results from 12 articles demonstrated that the effects of IA were seen throughout multiple neural networks: a mix of increases/decreases in FC in the default mode network; an overall decrease in FC in the executive control network; and no clear increase or decrease in FC within the salience network and reward pathway. The FC changes led to addictive behaviour and tendencies in adolescents. The subsequent behavioural changes are associated with the mechanisms relating to the areas of cognitive control, reward valuation, motor coordination, and the developing adolescent brain. Our results presented the FC alterations in numerous brain regions of adolescents with IA leading to the behavioural and developmental changes. Research on this topic had a low frequency with adolescent samples and were primarily produced in Asian countries. Future research studies of comparing results from Western adolescent samples provide more insight on therapeutic intervention.
... They refer to the continuous and goaloriented interaction with the game including internal and external reinforcements (e.g. collecting credits, feeling of competence) accompanied by activating the dopaminergic reward system [3,17,18]. While general game demands require a broad mix of general cognitive functions [1] (attention, working memory, inhibition), the presence of spatial navigation in e.g. ...
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Recent research shows that videogame training enhances neuronal plasticity and cognitive improvements in healthy individuals. As patients with schizophrenia exhibit reduced neuronal plasticity linked to cognitive deficits and symptoms, we investigated whether videogame-related cognitive improvements and plasticity changes extend to this population. In a training study, patients with schizophrenia and healthy controls were randomly assigned to 3D or 2D platformer videogame training or E-book reading (active control) for 8 weeks, 30 min daily. After training, both videogame conditions showed significant increases in sustained attention compared to the control condition, correlated with increased functional connectivity in a hippocampal-prefrontal network. Notably, patients trained with videogames mostly improved in negative symptoms, general psychopathology, and perceived mental health recovery. Videogames, incorporating initiative, goal setting and gratification, offer a training approach closer to real life than current psychiatric treatments. Our results provide initial evidence that they may represent a possible adjunct therapeutic intervention for complex mental disorders.
... As Internet technology advances, social media is gradually becoming an essential component of people's daily lives, education, and professional endeavors. Research conducted by Koepp et al. has demonstrated the occurrence of dopamine release during video games [1]. It is reasonable to infer that receiving a "like" on Facebook, receiving a new text message, or advancing to a higher level in a video game also stimulate these brain regions. ...
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This research paper elucidates the intercultural communication practices employed by Jersey Islander, a Douyin influencer, on her channel. By studying the content, audience interaction and engagement strategies of the Jersey Islander's videos and combining them with previous studies, it analyzes in different aspects how the Jersey Islander disseminates different cultural contents and whether the Jersey Islander facilitates the dissemination and communication of different cultures through the posted video contents. In this study, four subjects were interviewed using semi-structured interviews. It aims to identify and analyze barriers to cross-cultural communication, provide valuable insights into effective cross-cultural communication employed by Jitterbug users, and explore the complexity of cross-cultural communication in the context of globalization.The findings provide useful insights into the complexities of cross-cultural communication in the digital age. The Jersey Islander's Douyin channel is a platform for cultural expression that facilitates cross-cultural communication and provides insight into the important role that Douyin content creators play in bridging cultural barriers and creating a more inclusive global community.
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Objective Exercise induces a hypoalgesic response and improves affect. However, some individuals are unable to exercise for various reasons. Motor imagery, involving kinesthetic and visual imagery without physical movement, activates brain regions associated with these benefits and could be an alternative for those unable to exercise. Virtual reality also enhances motor imagery performance because of its illusion and embodiment. Therefore, we examined the effects of motor imagery combined with virtual reality on pain sensitivity and affect in healthy individuals. Design Randomized crossover study. Setting Laboratory. Subjects Thirty-six participants (women: 18) were included. Methods Each participant completed three 10-min experimental sessions, comprising actual exercise, motor imagery only, and motor imagery combined with virtual reality. Hypoalgesic responses and affective improvement were assessed using the pressure-pain threshold and the Positive and Negative Affect Schedule, respectively. Results All interventions significantly increased the pressure-pain threshold at the thigh (P < .001). Motor imagery combined with virtual reality increased the pressure-pain threshold more than motor imagery alone, but the threshold was similar to that of actual exercise (both P ≥ .05). All interventions significantly decreased the negative affect of the Positive and Negative Affect Schedule (all P < .05). Conclusions Motor imagery combined with virtual reality exerted hypoalgesic and affective-improvement effects similar to those of actual exercise. Clinical trials registration The study was enrolled in the UMIN Clinical Trials Registry (registration number: UMIN000046095). The website for registration information is https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052614
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Recent data from positron emission tomography (PET) imaging studies suggest the possibility of studying synaptic transmission in vivo in humans. The approach will require a synthesis of two established techniques: brain activation studies (conventionally performed by measuring regional cerebral blood flow or metabolism) and neurotransmitter receptor imaging (using radiolabelled ligands that bind to specific neuroreceptors). By comparing neuroreceptor binding in subjects at rest and while performing an activation task, it may be possible to determine whether a particular neurotransmitter is involved in performance of the task. The underlying principle is that endogenous neurotransmitter competes with the injected radioligand for the same receptors, thereby inhibiting ligand binding. This effect will be even more pronounced during activation, as the synaptic concentration of transmitter rises. Thus, activation of a specific neurotransmitter will be detected as a decrease in specific binding of the radioligand In this paper we review neurophysiological and biochemical literature to estimate the endogenous neurotransmitter concentration changes that will be expected to occur during an activation task, using the dopamine system as an example. We calculate that the average synaptic dopamine concentration is ≈100 nM and that it approximately doubles during activation. This, along with consideration of the concentration of radioligand and affinities of the ligand and dopamine for dopamine receptors, suggests that physiological activation of a specific neurotransmitter system is likely to be detectable with PET.
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Considerable evidence suggests that cognitive state affects local levels of neurotransmitter in the brain. We introduce a compartment model of neuroreceptor ligand kinetics to describe the effect of change in cognitive state on positron emission tomography (PET) signal dynamics. The model is used to establish optimal experimental conditions, timing of activation, and ligand characteristics, for detecting cognitive activation. The model, which follows free and bound endogenous neurotransmitter, describes the PET curve predicted for a single injection of radioligand in the presence or absence of activation. Activation was conceptualized as the performance of a task that raises the level of neurotransmitter that competes for receptor sites with the radioligand. Simulating the dopamine system, for example, required making assumptions regarding the kinetic rate constants for binding/dissociation of endogenous dopamine to/from the receptor and dopamine concentrations in the synapse. Simulations suggest that activation of dopamine should be detectable with PET and the D2 receptor ligand [11C]raclopride, although this ligand might not be optimal. Aspects of experimental design can be modified to optimize the likelihood of detecting neurotransmitter changes. The ideal radioligand for these studies should bind irreversibly to its receptor. Furthermore, the task should commence at injection time and last for at least 7 minutes. Optimal task duration depends on the dynamics of free radioligand in the tissue and can be determined via model simulations for any well-characterized receptor ligand. Flow effects were shown to be distinguishable from those of neurotransmitter activation. General principles regarding desirable ligand characteristics and activation timing held for both the D2 receptor and the dopamine transporter site.
Chapter
This chapter investigates the application of cluster analysis to the characterization of dynamic positron emission tomography (PET) images. Cluster analysis is one of several data-led techniques that are of potential value in the analysis of PET data. This technique can be used to partition the large number of pixel time–activity curves, obtained from a dynamic scan into a smaller number of clusters. Effectively each cluster represents a characteristic “shape” of a time–activity curve. The likelihood of any pixel vector belonging to a given cluster can be computed. This then enables a corresponding partition or segmentation of the dynamic image set into images of the spatial distribution of each of the clusters. Because the cluster means are derived from many pixels, they exhibit a much improved signal-to-noise ratio. This partitioning requires no knowledge of the plasma input function. However, because the cluster means are in the same space as the original data, further model analysis and characterization of the cluster means relative to an input function are possible.
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• Positron emission tomography and selective radioligands were used to determine D, and D2 dopamine receptor occupancy induced by neuroleptics in the basal ganglia of drug-treated schizophrenic patients. In 22 patients treated with conventional dosages of classical neuroleptics, the D2 occupancy was 70% to 89%. Patients with acute extrapyramidal syndromes had a higher D2 occupancy than those without side effects. This finding indicates that neurolepticinduced extrapyramidal syndromes are related to the degree of central D2 occupancy induced in the basal ganglia. In five patients treated with clozapine, the prototype atypical antipsychotic drug, a lower D2 occupancy of 38% to 63% was found. This finding demonstrates that clozapine is also "atypical" with respect to the central D2 occupancy in patients. During treatment with clozapine, there is a low frequency of extrapyramidal syndromes, which accordingly may reflect the comparatively low D2 occupancy induced by clinical doses of clozapine. Classical neuroleptics, like haloperidol or sulpiride, did not cause any evident D, occupancy, but the thioxanthene flupentixol induced a 36% to 44% occupancy. In four patients treated with clozapine, the D1 occupancy was 38% to 52%. The D, occupancy induced by clozapine and flupentixol may contribute to the antipsychotic effect of these drugs.
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This paper discusses the shock evolution in the coronal atmosphere. It shows that the nonuniformity of the plasma and the magnetic field in the coronal background is determinative for the structure and evolution of shocks. A slow shock-fast magnetosonic wave system formed near the sun evolves into a hybrid shock with an intermediate shock as its necessary component while propagating outward. The hybrid shock remains as it propagates along an electric current sheet but keeps evoluting into a pure fast shock as it propagates along a unipolar open magnetic field.
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Animals will work for a reward consisting of electrical stimulation at certain specific sites within the brain. James Olds termed these ‘pleasure centers’, but both the ‘pleasure’ and the ‘center’ aspects of the hypothesis were subsequently criticised, even by Olds himself. However, as Roy Wise describes here, recent work suggests that, with some minor modifications, the concept still provides a useful experimental paradigm.
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Considerable evidence suggests that cognitive state affects local levels of neurotransmitter in the brain. We introduce a compartment model of neuroreceptor ligand kinetics to describe the effect of change in cognitive state on positron emission tomography (PET) signal dynamics. The model is used to establish optimal experimental conditions, timing of activation, and ligand characteristics, for detecting cognitive activation. The model, which follows free and bound endogenous neurotransmitter, describes the PET curve predicted for a single injection of radioligand in the presence or absence of activation. Activation was conceptualized as the performance of a task that raises the level of neurotransmitter that competes for receptor sites with the radioligand. Simulating the dopamine system, for example, required making assumptions regarding the kinetic rate constants for binding/dissociation of endogenous dopamine to/from the receptor and dopamine concentrations in the synapse. Simulations suggest that activation of dopamine should be detectable with PET and the D2 receptor ligand [11C]raclopride, although this ligand might not be optimal. Aspects of experimental design can be modified to optimize the likelihood of detecting neurotransmitter changes. The ideal radioligand for these studies should bind irreversibly to its receptor. Furthermore, the task should commence at injection time and last for at least 7 minutes. Optimal task duration depends on the dynamics of free radioligand in the tissue and can be determined via model simulations for any well‐characterized receptor ligand. Flow effects were shown to be distinguishable from those of neurotransmitter activation. General principles regarding desirable ligand characteristics and activation timing held for both the D2 receptor and the dopamine transporter site. © 1995 Wiley‐Liss, Inc.
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Article
Recent data from positron emission tomography (PET) imaging studies suggest the possibility of studying synaptic transmission in vivo in humans. The approach will require a synthesis of two established techniques: brain activation studies (conventionally performed by measuring regional cerebral blood flow or metabolism) and neurotransmitter receptor imaging (using radiolabelled ligands that bind to specific neuroreceptors). By comparing neuroreceptor binding in subjects at rest and while performing an activation task, it may be possible to determine whether a particular neurotransmitter is involved in performance of the task. The underlying principle is that endogenous neurotransmitter competes with the injected radioligand for the same receptors, thereby inhibiting ligand binding. This effect will be even more pronounced during activation, as the synaptic concentration of transmitter rises. Thus, activation of a specific neurotransmitter will be detected as a decrease in specific binding of the radioligand. In this paper we review neurophysiological and biochemical literature to estimate the endogenous neurotransmitter concentration changes that will be expected to occur during an activation task, using the dopamine system as an example. We calculate that the average synaptic dopamine concentration is ≈ 100 nM and that it approximately doubles during activation. This, along with consideration of the concentration of radioligand and affinities of the ligand and dopamine for dopamine receptors, suggests that physiological activation of a specific neurotransmitter system is likely to be detectable with PET. © 1995 Wiley‐Liss, Inc.