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Factors affecting the mother's choice of infant feeding method in Poland: a cross-sectional preliminary study in Poland.

Ir J Med Sci 2021 Sep 18. Epub 2021 Sep 18.

Department of Pediatrics, Division of Neonatology, Wroclaw Medical University, Wroclaw, Poland.

Background: The World Health Organization identifies exclusive breastfeeding as the gold standard for child nutrition. Breastfeeding provides many benefits to both the baby and the mother. First days after birth are crucial for breastfeeding and determining its further path. Read More

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September 2021

Cypermethrin and ivermectin resistance in field populations of Rhipicephalus sanguineus sensu lato (Latrielle, 1806) collected from dogs in south India.

Vet Res Commun 2021 Sep 18. Epub 2021 Sep 18.

Department of Veterinary Parasitology, NTR College of Veterinary Science, Sri Venkateswara Veterinary University, Gannavaram, 521102, Andhra Pradesh, India.

The abuse of acaricides for control of Rhipicephalus sanguineus sensu lato ticks led to a strong selection pressure for acaricide resistance. Data on acaricide resistance in R. sanguineus s. Read More

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September 2021

Depression, hope and social support among older people with cancer: a comparison of Muslim Palestinian and Jewish Israeli cancer patients.

Support Care Cancer 2021 Sep 17. Epub 2021 Sep 17.

Sharett Oncology Institute, Hadassah University Hospital, Jerusalem, Israel.

Objectives: Studies of depression in older Muslim Palestinians diagnosed with cancer are scarce. To gain insight into the psychological response and coping ability of this very large, globally distributed population, we collected data from older Muslim Palestinian people diagnosed with cancer concerning depression hope and perceived social support. Both hope and social support were selected because they can be manipulated through intervention and education, as shown in the geriatric literature. Read More

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September 2021

Survival prediction modelling in extreme prematurity: are days important?

J Perinatol 2021 Sep 17. Epub 2021 Sep 17.

Department of Newborn Care, Royal Hospital for Women, Sydney, NSW, Australia.

Objective: To demonstrate that days are important in extreme prematurity when creating survival prediction models based on gestation.

Study Design: Prospectively collected data were analysed for all admitted infants born 23 + 0 to 27 + 6 weeks gestation in the Australian and New Zealand Neonatal Network from 2009 to 2016. The effect of days on observed survival rates was assessed using a non-parametric test for trend. Read More

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September 2021

Biopsy bacterial signature can predict patient tissue malignancy.

Sci Rep 2021 Sep 17;11(1):18535. Epub 2021 Sep 17.

Cancer [email protected], University College Cork, Cork, Ireland.

Considerable recent research has indicated the presence of bacteria in a variety of human tumours and matched normal tissue. Rather than focusing on further identification of bacteria within tumour samples, we reversed the hypothesis to query if establishing the bacterial profile of a tissue biopsy could reveal its histology / malignancy status. The aim of the present study was therefore to differentiate between malignant and non-malignant fresh breast biopsy specimens, collected specifically for this purpose, based on bacterial sequence data alone. Read More

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September 2021

Associations of clinical, psychological, and socioeconomic characteristics with nicotine dependence in smokers.

Sci Rep 2021 Sep 17;11(1):18544. Epub 2021 Sep 17.

Respiratory Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Cigarette smoking is a risk factor of mortality and morbidity from various cancerous, respiratory, and myocardial diseases. Nicotine dependence is assessed based on the degree of physical dependence. We aimed to determine the clinical, socioeconomic and psychological factors associated with the smoking status and degree of nicotine dependence of smokers. Read More

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September 2021

The study of Dominican amber-bearing sediments from Siete Cañadas and La Cumbre with a discussion on their origin.

Sci Rep 2021 Sep 17;11(1):18556. Epub 2021 Sep 17.

Residencial Rosmil, Los restauradores Calle 3 casa #7, Altos Distrito Nacional, Dominican Republic.

The paper presents comprehensive mineralogical and geochemical characteristics of Dominican amber-bearing sediments from Siete Cañadas, Hato Mayor Province of the Eastern Mining District (EMD) in the Cordillera Oriental. The characteristics of rocks collected from the borehole in Siete Cañadas area (EMD) were compared with petrography of coaly shales from La Cumbre in the Northern Mining District (NMD). The mineralogy of the rocks was determined using transmitted and reflected light microscopy, scanning electron microscopy, Powder X-ray diffraction and Fourier Transform Raman Spectroscopy. Read More

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September 2021

Group Composition and Social Structure of Red-Shanked Doucs (Pygathrix nemaeus) at Son Tra Nature Reserve, Vietnam.

Folia Primatol (Basel) 2021 Sep 15:1-12. Epub 2021 Sep 15.

Department of Anthropology, University of Oregon, Eugene, Oregon, USA.

Multilevel societies, consisting of multiple one-male multi-female units, are relatively rare among primates, but are more widespread in the odd-nosed colobines than other taxa. Multilevel societies are found particularly in snub-nosed monkeys (Rhinopithecus)and have been debated in studies of proboscis monkeys (Proboscis). While it has been suggested that douc langurs (Pygathrix) may also form multilevel societies, the limited data available make the details of their social organization unclear. Read More

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September 2021

Association Between Service Agreements and Frequency of Primary Care Visits in a Chinese Community Health Service Center.

J Am Board Fam Med 2021 Sep-Oct;34(5):1045-1054

From the Yuetan Community Health Service Center of Fu Xing Hospital, Capital Medical University, Beijing, China (JD); Department of Family and Community Health, Penn State College of Medicine (WT); Yuetan Community Health Service Center of Fu Xing Hospital, Capital Medical University, Beijing, China (XD); Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, WI (KK).

Background: To increase the utilization of Community Health Service (CHS) centers for primary care, the Central Government of China has promoted the use of contracts-known as "service agreements" (SAs)-between patients and primary care physicians. This study sought to identify factors that predict who signed SAs and the association between SAs and frequency of primary care visits in a CHS center in Beijing.

Methods: Four years of electronic health record (EHR) data (2015 to 2018) were analyzed. Read More

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December 2020

Predicting pain and function outcomes in people consulting with shoulder pain: the PANDA-S clinical cohort and qualitative study protocol.

BMJ Open 2021 Sep 17;11(9):e052758. Epub 2021 Sep 17.

School of Medicine, Keele University, Keele, UK.

Introduction: People presenting with shoulder pain considered to be of musculoskeletal origin is common in primary care but diagnosing the cause of the pain is contentious, leading to uncertainty in management. To inform optimal primary care for patients with shoulder pain, the study aims to (1) to investigate the short-term and long-term outcomes (overall prognosis) of shoulder pain, (2) estimate costs of care, (3) develop a prognostic model for predicting individuals' level and risk of pain and disability at 6 months and (4) investigate experiences and opinions of patients and healthcare professionals regarding diagnosis, prognosis and management of shoulder pain.

Methods And Analysis: The Prognostic And Diagnostic Assessment of the Shoulder (PANDA-S) study is a longitudinal clinical cohort with linked qualitative study. Read More

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September 2021

Delirium and neuropsychological outcomes in critically Ill patients with COVID-19: a cohort study.

BMJ Open 2021 Sep 17;11(9):e050045. Epub 2021 Sep 17.

Anesthesiology, Michigan Medicine, Ann Arbor, Michigan, USA

Objective: To characterise the clinical course of delirium for patients with COVID-19 in the intensive care unit, including postdischarge neuropsychological outcomes.

Design: Retrospective chart review and prospective survey study.

Setting: Intensive care units, large academic tertiary-care centre (USA). Read More

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September 2021

Moderate to severe OSA screening based on support vector machine of the Chinese population faciocervical measurements dataset: a cross-sectional study.

BMJ Open 2021 Sep 17;11(9):e048482. Epub 2021 Sep 17.

Department of Respiratory and Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

Objectives: Obstructive sleep apnoea (OSA) has received much attention as a risk factor for perioperative complications and 68.5% of OSA patients remain undiagnosed before surgery. Faciocervical characteristics may screen OSA for Asians due to smaller upper airways compared with Caucasians. Read More

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September 2021

Can compliment and complaint data inform the care of individuals with chronic subdural haematoma (cSDH)?

BMJ Open Qual 2021 Sep;10(3)

Academic Neurosurgery, University of Cambridge, Cambridge, UK.

Objectives: To explore the frequency and nature of complaints and compliments reported to Patient Advice and Liaison (PALS) in individuals undergoing surgery for a chronic subdural haematoma (cSDH).

Design: A retrospective study of PALS user interactions.

Subjects: Individuals undergoing treatment for cSDH between 2014 and 2019. Read More

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September 2021

Generating insights in uncharted territories: real-time learning from data in critically ill patients-an implementer report.

BMJ Health Care Inform 2021 Sep;28(1)

Department of Adult Intensive Care, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

In the current situation, clinical patient data are often siloed in multiple hospital information systems. Especially in the intensive care unit (ICU), large volumes of clinical data are routinely collected through continuous patient monitoring. Although these data often contain useful information for clinical decision making, they are not frequently used to improve quality of care. Read More

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September 2021

Individualized HbA1c target selection and achievement in the Multinational Observational Study Assessing Insulin Use (MOSA1c) type 2 diabetes study.

J Diabetes Complications 2021 Jul 30:108011. Epub 2021 Jul 30.

Eli Lilly and Company, Indianapolis, IN 46285, USA. Electronic address:

Aim: To identify which individual-, physician-, and the healthcare system-related factors can predict individualized hemoglobin A1c (HbA1c) targets and the likelihood of reaching those targets after initial insulin therapy over a two-year follow-up period.

Methods: Real-world data, including baseline characteristics of people with type 2 diabetes mellitus (T2DM), psychosocial data, and diabetes medication use, collected from the Multinational Observational Study Assessing Insulin Use (MOSA1c) study in 18 countries were analyzed.

Results: Overall, 225 of 1194 people with T2DM (18. Read More

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Procedures With Longer Intraoperative Times Undervalue Surgeon Work in Total Joint Arthroplasty: A Large, Nationwide Database Study.

J Arthroplasty 2021 Aug 30. Epub 2021 Aug 30.

Cleveland Clinic, Department of Orthopedic Surgery, Cleveland, OH.

Background: Work relative value units (wRVUs) measure a surgeon's time and intensity required to perform the pre-service, intra-service, and post-service work of a surgical procedure and are commonly used to compare a physician's work between different procedures. Previous literature across multiple specialties report that longer, often revision, operations are undervalued when compared to primary procedures. Our study aims to analyze the differences in intra-operative time, and its corresponding wRVU/h between the Medicare benchmarks and real-world time-stamped data for total joint arthroplasty procedures. Read More

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Hemodynamic Effects of Ketamine Versus Etomidate for Prehospital Rapid Sequence Intubation.

Air Med J 2021 Sep-Oct;40(5):312-316. Epub 2021 Jul 2.

Department of Surgery, New Hanover Regional Medical Center, Wilmington, NC.

Objective: Rapid sequence intubation (RSI) is often required in managing critically ill patients in the prehospital setting. Although etomidate is a commonly used induction agent for RSI, ketamine has gained new interest in prehospital management with reported neutral hemodynamic effects. Limited data exist to support ketamine as an alternative to etomidate, particularly in the prehospital setting. Read More

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Efficacy of Huaiqihuang granules as adjuvant therapy for bronchial asthma in children: a real-world study.

Zhongguo Dang Dai Er Ke Za Zhi 2021 Sept 15;23(9):877-881

Children's Hospital of Capital Institute of Pediatrics, Beijing 100020, China(LiuC-H, Email:

Objectives: To study the efficacy of Huaiqihuang granules as adjuvant therapy for bronchial asthma in children.

Methods: A multicenter, prospective, and registered real-world study was performed for the children, aged 2-5 years, who had a confirmed diagnosis of bronchial asthma in the outpatient service of 21 hospitals in China. Among these children, the children treated with medications for long-term asthma control (inhaled corticosteroid and/or leukotriene receptor antagonist) without Huaiqihuang granules were enrolled as the control treatment group, and those treated with medications for long-term asthma control combined with Huaiqihuang granules were enrolled as the combined treatment group. Read More

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September 2021

Early versus late awake prone positioning in non-intubated patients with COVID-19.

Crit Care 2021 Sep 17;25(1):340. Epub 2021 Sep 17.

Division of Respiratory Care, Department of Cardiopulmonary Sciences, Rush University Medical Center, 600 S Paulina St, Suite 765, Chicago, IL, USA.

Background: Awake prone positioning (APP) is widely used in the management of patients with coronavirus disease (COVID-19). The primary objective of this study was to compare the outcome of COVID-19 patients who received early versus late APP.

Methods: Post hoc analysis of data collected for a randomized controlled trial (ClinicalTrials. Read More

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September 2021

Third party drug checking: accessing harm reduction services on the behalf of others.

Harm Reduct J 2021 Sep 17;18(1):99. Epub 2021 Sep 17.

Department of Chemistry, University of Victoria, Victoria, V8W 3V6, Canada.

Background: Drug checking uses chemical analytical technologies to analyze drugs from the unregulated market to reduce substance use-related risks. We aim to examine the frequency of third party use of a community drug checking service to explore the potential for harm reduction to extend beyond the individual into the community, increase service accessibility, and to contribute to upstream interventions in the supply.

Methods: Over 31 months, data were collected from a point-of-care drug checking service operated in Victoria, Canada. Read More

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September 2021

An automated data cleaning method for Electronic Health Records by incorporating clinical knowledge.

BMC Med Inform Decis Mak 2021 Sep 17;21(1):267. Epub 2021 Sep 17.

Department of Electrical Engineering (ESAT), Stadius Centre for Dynamical Systems, Signal Processing and Data Analytics, KU Leuven, Kasteelpark Arenberg 10 - Box 2446, 3001, Leuven, Belgium.

Background: The use of Electronic Health Records (EHR) data in clinical research is incredibly increasing, but the abundancy of data resources raises the challenge of data cleaning. It can save time if the data cleaning can be done automatically. In addition, the automated data cleaning tools for data in other domains often process all variables uniformly, meaning that they cannot serve well for clinical data, as there is variable-specific information that needs to be considered. Read More

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September 2021

Malaria prevalence and associated risk factors in Dembiya district, North-western Ethiopia.

Malar J 2021 Sep 17;20(1):372. Epub 2021 Sep 17.

Department of Zoological Sciences, College of Natural and Computational Sciences, Addis Ababa University, PO. Box, 1176, Addis Ababa, Ethiopia.

Background: Ethiopia embarked on combating malaria with an aim to eliminate malaria from low transmission districts by 2030. A continuous monitoring of malaria prevalence in areas under elimination settings is important to evaluate the status of malaria transmission and the effectiveness of the currently existing malaria intervention strategies. The aim of this study was to assess the prevalence of malaria and associated risk factors in selected areas of Dembiya district. Read More

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September 2021

Implementing welfare technology in palliative homecare for patients with cancer: a qualitative study of health-care professionals' experiences.

BMC Palliat Care 2021 Sep 17;20(1):146. Epub 2021 Sep 17.

Lovisenberg Diaconal University College, Lovisenberggata 15B, 0456, Oslo, Norway.

Background: Introducing welfare technology in home-based palliative care has been suggested to be beneficial for improving access to health care at home and enhancing patients' feelings of security and safety. However, little is known about the experiences of municipal health-care professionals using welfare technology in palliative home care. The aim of this study was to explore municipal health-care professionals' experiences regarding the significant challenges, facilitators, and assessments associated with implementing a technological solution named "remote home care" in palliative home care for patients with cancer. Read More

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September 2021

Exploring women's experiences of participation in shared decision-making during childbirth: a qualitative study at a reference hospital in Spain.

BMC Pregnancy Childbirth 2021 Sep 17;21(1):631. Epub 2021 Sep 17.

Preventive Medicine and Epidemiology Department, Hospital Clínic, Barcelona, Spain.

Background: Women's engagement in healthcare decision-making during childbirth has been increasingly emphasised as a priority in maternity care, since it increases satisfaction with the childbirth experience and provides health benefits for women and newborns. The birth plan was developed as a tool to facilitate communication between health professionals and women in Spain, but their value in routine practice has been questioned. Besides, little is known about women's experiences of participation in decision-making in the Spanish context. Read More

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September 2021

Different microbial and resistance patterns in primary total knee arthroplasty infections - a report on 283 patients from Lithuania and Sweden.

BMC Musculoskelet Disord 2021 Sep 17;22(1):800. Epub 2021 Sep 17.

Faculty of Medicine, Department of Clinical Sciences Lund, Orthopedics, Lund University, Lund, Sweden.

Background: The microbiology and the susceptibility patterns of infected total knee arthroplasties (TKAs) vary depending on demographic, local antimicrobial stewardship, and surgical factors. We wanted to compare the recent microbial profile and antimicrobial resistance pattern in revisions due to infections after primary TKAs in Sweden and Lithuania. Our hypothesis was that there is a difference in bacteriology and resistance pattern based on patient related, societal and local hospital factors as almost similar praxis have been applied for TKA surgery, short term systemic prophylaxis and routine use of local gentamicin containing bone cement. Read More

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September 2021

The prevalence of denture stomatitis in cigarette and hookah smokers and opium addicts: findings from Rafsanjan Cohort Study.

BMC Oral Health 2021 Sep 17;21(1):455. Epub 2021 Sep 17.

Student Research Committee, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

Background: The aim of this study was to investigate the association of denture stomatitis prevalence with cigarette, hookah and opium consumption and also dose-response relationship between the cigarette smoking duration and odds of denture stomatitis in population of Rafsanjan cohort center.

Methods: This cross-sectional study based on data of Rafsanjan Cohort Study (RCS) with 10,000 participants. After applying inclusion and exclusion criteria, 1619 participants were included in the analysis. Read More

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September 2021

Epidemiology of Hand Fractures and Dislocations in England and Wales Professional Cricketers.

Int J Sports Med 2021 Sep 17. Epub 2021 Sep 17.

England and Wales Cricket Board, London, United Kingdom of Great Britain and Northern Ireland.

This study describes hand fracture and dislocation injuries in terms of anatomical distribution, incidence and impact on playing time in registered professional adult male players of all 18 First Class England and Wales County Cricket clubs over a five-year period from 2010-2014. Prospectively collected injury surveillance data for 1 and 2 Team matches (Twenty20, One day and four-day) and training were analysed. There were 109 hand fractures and 53 dislocations. Read More

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September 2021

Pulmonary Open, Robotic and Thoracoscopic Lobectomy (PORTaL) Study: An Analysis of 5,721 Cases.

Ann Surg 2021 Sep 16. Epub 2021 Sep 16.

Division of Thoracic Surgery, and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston MA Division of Thoracic Surgery, Duke University, Durham, NC Division of Thoracic Surgery, Swedish Cancer Institute, Seattle, WA Division of Thoracic Surgery, Temple University Health System, Philadelphia, PA Division of Thoracic Surgery, NYU Langone, New York, NY General Thoracic Surgery, Baptist Health Medical Group, South Miami, FL Division of Thoracic Surgery, Albany Medical Center, Albany, NY Rod Taylor Thoracic Care Center, Orlando Health UF Health Cancer Center, Orlando FL Division of Thoracic Surgery, Baylor Scott & White The Heart Hospital - Plano, Plano, TX Department of Cardiothoracic Surgery, Northwell Health, New York, NY Department of Surgery, Washington University School of Medicine in St. Louis, St. Louis, MO Division of Thoracic Surgery, NYU Winthrop, Mineola, NY Division of Thoracic Surgery, University of Michigan Medical Center, Ann Arbor, MI Division of Thoracic Surgery, Penn State Cancer Institute, Hershey, PA Department of Thoracic and Cardiovascular Surgery, The University of Texas M.D. Anderson Cancer Main Line Health Care Thoracic Surgery, Main Line Health, Wynewood, PA Department of Cardiothoracic Surgery, Division of Thoracic Surgery, UPMC, Pittsburgh, PA Division of Thoracic Surgery, Massachusetts General Hospital, Boston, MA Division of Thoracic Surgery, Aurora Health Care, Grafton, MI Division of General Thoracic Surgery, Mayo Clinic, Rochester, MN.

Objective: The aim of this study was to analyze outcomes of open lobectomy (OL), video-assisted thoracoscopic lobectomy (VATS) and robotic-assisted lobectomy (RL).

Summary Background Data: Robotic-assisted lobectomy has seen increasing adoption for treatment of early-stage lung cancer. Comparative data regarding these approaches is largely from single-institution case series or administrative datasets. Read More

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September 2021

"The Story I will Never Forget": Critical Incident Narratives in Surgical Residency.

Ann Surg 2021 Sep 16. Epub 2021 Sep 16.

Michigan State University College of Human Medicine Michigan Medicine, Department of Surgery Beaumont Health, Department of Surgery Yale University, Department of Surgery.

Objective: We sought to better understand what defines a critical incident experience for the surgical trainee.

Summary Background Data: Critical incidents are formative moments stamped indelibly on one's memory that shape professional identity. The critical incident technique - using participants' narratives to identify patterns and learn from their perceptions - has been explored in some healthcare settings, but there has been no inquiry within surgery. Read More

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September 2021

Stimulus evoked causality estimation in Stereo-EEG.

J Neural Eng 2021 Sep 17. Epub 2021 Sep 17.

Bertarelli Foundation Chair in Translational NeuroEngineering, Center for Neuroprosthetics and School of Engineering, Ecole Polytechnique Federale de Lausanne, Chemin des Mines, 9, Geneva, GE, 1202, SWITZERLAND.

. Stereo-electroencephalography (SEEG) has recently gained importance in analyzing brain functions. Its high temporal resolution and spatial specificity make it a powerful tool to investigate the strength, direction, and spectral content of brain networks interactions, especially when these connections are stimulus-evoked. Read More

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September 2021