| 1. |
- Hsieh, Julien W., et al.
(författare)
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Can MRI predict olfactory loss and improvement in posttraumatic olfactory dysfunction?
- 2024
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Ingår i: Rhinology. - 0300-0729 .- 1996-8604. ; 62:2, s. 172-182
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Although most patients with post-traumatic olfactory dysfunction (PTOD) undergo MRI, there is no consensus about its diagnostic or prognostic value.The aims were: 1) to classify the extent of post-traumatic neurodegeneration; 2) todetermine its relationship with chemosensory dysfunction (smell, taste, trigeminal); and 3) to establish whether MRI can predict olfactory improvement. METHODOLOGY: We conducted a retrospective cohort study based on a series of 56 patients with PTOD. All patients underwent validated psychophysical tests of their smell, taste, and trigeminal functions, otorhinolaryngologic evaluation, and MRI. An experiencedradiologist blinded to patient data evaluated 40 chemosensory-relevant brain regions according to a four-point scale (0=no lesion to 3=large lesion). Follow up data after 4 years (on average) were available in 46 patients. RESULTS:The cluster analysis showed 4 brain lesion patterns that differed in lesion localization and severity. They are associatedwith diagnostic categories: anosmia, hyposmia and normosmia. Two clusters were highly specific for anosmia (100% specificity)and could accurately predict this condition (100% positive predictive value). No clusters were associated with trigeminal or tastedysfunction. Regarding improvement, 72.7% of patients in the cluster with mild lesions experienced subjective and measurable olfactory improvement whereas this was only the case in 21.7-37.5% of patients with larger lesions. The odds of subjective smellimprovement were 5.9 times higher in patients within the milder cluster compared to larger ones. CONCLUSIONS: The analysis of brain lesions in PTOD allows corroboration of smell test results and prediction of subjective and measurable improvement.
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| 2. |
- Lundström, Johan N., 1973-
(författare)
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Human Pheromones : Psychological and Neurological Modulation of a Putative Human Pheromone
- 2005
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The notion that humans have specialized chemicals used for communication between conspecifics, so-called pheromones, has attracted much attention and discussion. This thesis demonstrates in four separate studies that a human endogenous steroidal compound that is abundant in male sweat, androstadienone, affects women in several ways that differ to that of common odors. Specifically, androstadienone was found in Study I to have unique psychophysical characteristics in that the sensitivity distribution of the odor is bimodal with a smaller subpopulation consisting of highly sensitive individuals. Trigeminal mediation of this bimodality was experimentally excluded. Moreover, Study II demonstrated that women’s cortical activation of androstadienone exposure was found to differ to that of common odorants in that androstadienone was processed faster than two perceptually similar control odors. It was further demonstrated that a non-detectable amount of androstadienone can reliably modulate both mood and physiology in women (Study III & IV); in particular mood referring to attention processes. Study IV showed that androstadienone-induced mood changes in heterosexual women were only evident when the experiment was administered by an experimenter of different sex. The combined results from these studies suggest that androstadienone serves as a human modulator pheromone that guides our behavior by inducing subtle changes in higher cognitive processes in relation to the ecological context at hand. A new definition of human pheromones is proposed and discussed in relation to the obtained results.
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| 3. |
- Peter, Moa G., et al.
(författare)
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Lifelong olfactory deprivation-dependent cortical reorganization restricted to orbitofrontal cortex
- 2023
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Ingår i: Human Brain Mapping. - 1065-9471 .- 1097-0193. ; 44:18, s. 6459-6470
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Tidskriftsartikel (refereegranskat)abstract
- Prolonged sensory deprivation has repeatedly been linked to cortical reorganization. We recently demonstrated that individuals with congenital anosmia (CA, complete olfactory deprivation since birth) have seemingly normal morphology in piriform (olfactory) cortex despite profound morphological deviations in the orbitofrontal cortex (OFC), a finding contradictory to both the known effects of blindness on visual cortex and to the sparse literature on brain morphology in anosmia. To establish whether these unexpected findings reflect the true brain morphology in CA, we first performed a direct replication of our previous study to determine if lack of results was due to a deviant control group, a confound in cross sectional studies. Individuals with CA (n = 30) were compared to age and sex matched controls (n = 30) using voxel- and surface-based morphometry. The replication results were near identical to the original study: bilateral clusters of group differences in the OFC, including CA atrophy around the olfactory sulci and volume increases in the medial orbital gyri. Importantly, no group differences in piriform cortex were detected. Subsequently, to assess any subtle patterns of group differences not detectable by our mass-univariate analysis, we explored the data from a multivariate perspective. Combining the newly collected data with data from the replicated study (CA = 49, control = 49), we performed support vector machine classification based on gray matter volume. In line with the mass-univariate analyses, the multivariate analysis could accurately differentiate between the groups in bilateral OFC, whereas the classification accuracy in piriform cortex was at chance level. Our results suggest that despite lifelong olfactory deprivation, piriform (olfactory) cortex is morphologically unaltered and the morphological deviations in CA are confined to the OFC.
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| 4. |
- Thunell, Evelina, et al.
(författare)
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Nasal inhalation does not improve memory of visual repetitions
- 2024
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Ingår i: Psychophysiology. - 0048-5772 .- 1469-8986.
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Tidskriftsartikel (refereegranskat)abstract
- Several studies suggest that breathing entrains neural oscillations and thereby improves visual detection and memory performance during nasal inhalation. However, the evidence for this association is mixed, with some studies finding no, minor, or opposite effects. Here, we tested whether nasal breathing phase influences memory of repeated images presented in a rapid serial visual presentation (RSVP) task. The RSVP task is ideal for studying the effects of respiratory-entrained oscillations on visual memory because it engages critical aspects of sensory encoding that depend on oscillatory activity, such as fast processing of natural images, repetition detection, memory encoding, and retrieval. It also enables the presentation of a large number of stimuli during each phase of the breathing cycle. In two separate experiments (n = 72 and n = 142, respectively) where participants were explicitly asked to breathe through their nose, we found that nasal breathing phase at target presentation did not significantly affect memory performance. An exploratory analysis in the first experiment suggested a potential benefit for targets appearing approximately 1 s after inhalation. However, this finding was not replicated in the pre-registered second experiment with a larger sample. Thus, in two large sample experiments, we found no measurable impact of breathing phase on memory performance in the RSVP task. These results suggest that the natural breathing cycle does not have a significant impact on memory for repeated images and raise doubts about the idea that visual memory is broadly affected by the breathing phase.
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| 5. |
- Winter, Anja L., et al.
(författare)
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Impairment of quality of life due to COVID-19-induced long-term olfactory dysfunction
- 2023
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Ingår i: Frontiers in Psychology. - 1664-1078. ; 14
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Olfactory dysfunction is one of many long-lasting symptoms associated with COVID-19, estimated to affect approximately 60% of individuals and often lasting several months after infection. The associated daily life problems can cause a decreased quality of life.Methods: Here, we assessed the association between perceived quality of life and both qualitative and quantitative olfactory function (distorted and weakened sense of smell, respectively) in 58 individuals who had undergone confirmed SARS-CoV-2 infection and who complained about olfactory dysfunction.Results: Participants with large quantitative olfactory dysfunction experienced a greater reduction in their quality of life. Moreover, our participants had a high prevalence of qualitative olfactory dysfunction (81%) with a significant correlation between qualitative olfactory dysfunction and daily life impairment. Strong drivers of low quality of life assessments were lack of enjoyment of food as well as worries related to coping with long-term dysfunctions.Discussion: These results stress the clinical importance of assessing qualitative olfactory dysfunction and the need to develop relevant interventions. Given the poor self-rated quality of life observed, healthcare systems should consider developing support structures, dietary advice, and guidelines adapted to individuals experiencing qualitative olfactory dysfunction.
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