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Journal Article 2015; 36(4): 320-329 PubMed PMID: 26454487 Citation  Keywords:  Adult, Biomarkers:blood, Cluster Analysis, Fatigue Syndrome, Chronic:blood, Female, Humans, Male, Middle Aged, Pattern Recognition, Automated, Validation Studies as Topic,.   

BACKGROUND: Chronic fatigue syndrome (CFS) or Myalgic Encephalomyelitis (ME) is characterized by neuro-psychiatric (e.g. depression, irritability, sleep disorders, autonomic symptoms and neurocognitive defects) and physio-somatic (fatigue, a flu-like malaise, hyperalgesia, irritable bowel, muscle pain and tension) symptoms. New ME/CFS case definitions based on consensus criteria among experts are largely inadequate, e.g. those of the US Institute of Medicine .

OBJECTIVES: The aim of the present study was to delineate a new case definition of ME/CFS based on pattern recognition methods and using neuro-immune, inflammatory, oxidative and nitrosative stress (neuro-IO&NS) biomarkers as external validating criteria.

METHODS: We measured the 12-item Fibromyalgia and Chronic Fatigue Syndrome Rating (FF) Scale in 196 subjects with CFS (CDC criteria) and 83 with chronic fatigue. The "Neuro-IO&NS" biomarkers were: IgM / IgA responses against LPS of gut commensal bacteria (leaky gut), IgM responses to O&NS modified neoepitopes, autoimmunity to serotonin, plasma interleukin-1 (IL-1) and serum neopterin.

RESULTS: Cluster analysis showed the presence of two well-separated clusters with highly significant differences in symptoms and biomarkers. The cluster with higher scores on all FF items was externally validated against all IO&NS biomarkers and therefore this diagnostic group was labeled "Neuro-IO&NS Fatigue" or "Neuro-Inflammatory and Oxidative Fatigue" (NIOF). An algorithm was constructed which defined NIOF as chronic fatigue and 4 or more of the following 6 symptoms: muscle tension, memory disturbances, sleep disorders, irritable bowel, headache or a flu-like malaise. There was a significant overlap between NIOF and CFS although NIOF criteria were much more restrictive. Factor analysis showed two factors, the first a fatigue-hyperalgesia (fibromyalgic complaints) and the second a fatigue-depression factor....

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Journal Article 2014; 35(6): 497-502 PubMed PMID: 25433847 Citation  Keywords:  Adult, Emotions, Face, Female, Humans, Male, Patient Preference:psychology, Pattern Recognition, Visual, Photic Stimulation:methods, Prosopagnosia:psychology, Recognition (Psychology), Schizophrenic Psychology,.   

OBJECTIVES: Self-face recognition is one of the most distinctive features in human beings. Disturbances of self-face recognition in people with schizophrenia may reflect the underlying neurobiological and psychological factors of the disorder. Our aim was to establish whether differences in preference for the similarity to the true self-face appearance could be found between patients with schizophrenia and a matched control group.

SUBJECTS AND METHODS: 14 right-handed patients with schizophrenia and 14 control subjects were enrolled. Subjects were photographed, the pictures were converted to black and white, halved vertically, and four faces were used: normal face (NF), mirrored face (MF), face composed from two left halves of the face (LLF) and from two right halves of face (RRF). Four pairs of faces were exposed to subjects and they chose which they felt was closest to their true appearance.

RESULTS: No significant differences for preference were found between the patients and control subjects. Post-hoc analysis of the pooled groups showed a significant difference for preference of NF vs. RRF (20 vs. 8 probands; χ2=5.14, df=1, p<0.05). 18 subjects from the two groups did not change the right-left visual field focus through all four exposures.

CONCLUSIONS: The absence of significant differences for preference for true self-image between schizophrenia patients and control subjects might show that self-face recognition is of little importance from the evolutionary perspective. Additional measurements such as eye-tracking control and random multiple projections of the same pairs of faces would contribute to a more thorough interpretation of the findings in future studies of similar design....

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Controlled Clinical Trial 2009; 30(1): 125-130 PubMed PMID: 19300388 Citation  Keywords:  Adult, Diet, Dietary Supplements, Female, Humans, Male, Pattern Recognition, Visual:drug effects, Photic Stimulation, Phytoestrogens:administration & dosage, Psychological Tests, Rotation, Sex Characteristics, Soy Foods, Space Perception:drug effects, Tas.   

INTRODUCTION: It is well known that men outperform women in tests of spatial cognition, such as mental rotation, and that performance in these tasks is influenced by sexual hormones. Phytoestrogens are plant substances chemically similar to estradiol, capable of binding estrogen receptors. In a previous study, one-week phytoestrogen-rich diet improved performance in mental rotation in women, but it remained unclear whether this was due to direct binding of phytoestrogens to estrogen receptors or by modulating testosterone blood levels.

OBJECTIVES: We investigated whether one week consumption of phytoestrogens will equally affect performance in mental rotation in women and men. We expected improved performance in women, but unchanged skill in men, if the effects were mediated by changes of testosterone level. On the other hand, direct modulation of estrogen receptors should yield comparable improvement in both genders.

METHODS: Thirty-six healthy adult young volunteers (16 females) were divided into the control and soy groups. During 7 consecutive days, in addition to their usual diet, subjects in the soy group consumed a daily dose of 2 g of soybeans per kilogram body weight (about 170 mg/kg of isoflavones). The control group members stayed on their usual diet. The subjects were tested on mental rotation of letters and digits at the baseline and after 7 days of soy consumption.

RESULTS: Consumption of soy had no influence on performance in the mental rotation task. For the intermediate stimulus rotation angle (60 deg), irrespective of soy intake, improvement of response latencies was greater in women than in men.

CONCLUSION: The results indicate that soy phytoestrogens have little impact on mental rotation skill. The findings also suggest that women, in contrast to men, more readily engage memory mechanisms to solve the mental rotation task....

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