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  1. Article ; Online: No threat: Emotion regulation neurofeedback for police special forces recruits.

    Bressler, Ruben Andreas / Raible, Sophie / Lührs, Michael / Tier, Ralph / Goebel, Rainer / Linden, David E

    Neuropsychologia

    2023  Volume 190, Page(s) 108699

    Abstract: Police officers of the Special Forces are confronted with highly demanding situations in terms of stress, high tension and threats to their lives. Their tasks are specifically high-risk operations, such as arrests of armed suspects and anti-terror ... ...

    Abstract Police officers of the Special Forces are confronted with highly demanding situations in terms of stress, high tension and threats to their lives. Their tasks are specifically high-risk operations, such as arrests of armed suspects and anti-terror interventions. Improving the emotion regulation skills of police officers might be a vital investment, supporting them to stay calm and focused. A promising approach is training emotion regulation by using real-time (rt-) fMRI neurofeedback. Specifically, downregulating activity in key areas of the fronto-limbic emotion regulation network in the presence of threatening stimuli. Thirteen recruits of the Dutch police special forces underwent six weekly rt-fMRI sessions, receiving neurofeedback from individualized regions of their emotion regulation network. Their task was to reduce the image size of threatening images, wherein the image size represented their brain activity. A reduction in image size represented successful downregulation. Participants were free to use their preferred regulation strategy. A control group of fifteen recruits received no neurofeedback. Both groups completed behavioural tests (image rating on evoked valence and arousal, questionnaire) before and after the neurofeedback training. We hypothesized that the neurofeedback group would improve in downregulation and would score better than the control group on the behavioural tests after the neurofeedback training. Neurofeedback training resulted in a significant decrease in image size (t(12) = 2.82, p = .015) and a trend towards decreased activation in the target regions (t(10) = 1.82, p = .099) from the first to the last session. Notably, subjects achieved downregulation below the pre-stimulus baseline in the last two sessions. No relevant differences between groups were found in the behavioural tasks. Through the training of rt-fMRI neurofeedback, participants learned to downregulate the activity in individualized areas of the emotion regulation network, by using their own preferred strategies. The lack of behavioural between-group differences may be explained by floor effects. Tasks that are close to real-life situations may be needed to uncover behavioural correlates of this emotion regulation training.
    MeSH term(s) Humans ; Emotional Regulation ; Neurofeedback/methods ; Police ; Amygdala/physiology ; Emotions/physiology ; Magnetic Resonance Imaging ; Brain Mapping/methods
    Language English
    Publishing date 2023-10-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 207151-4
    ISSN 1873-3514 ; 0028-3932
    ISSN (online) 1873-3514
    ISSN 0028-3932
    DOI 10.1016/j.neuropsychologia.2023.108699
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  2. Article ; Online: Response to Commentary of Dr. Robert T. Thibault and Dr. Hugo Pedder entitled: "Excess significance and power miscalculations in neurofeedback research".

    Tursic, Anita / Eck, Judith / Lührs, Michael / Linden, David / Goebel, Rainer

    NeuroImage. Clinical

    2022  Volume 35, Page(s) 103088

    Language English
    Publishing date 2022-06-18
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2701571-3
    ISSN 2213-1582 ; 2213-1582
    ISSN (online) 2213-1582
    ISSN 2213-1582
    DOI 10.1016/j.nicl.2022.103088
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  3. Article ; Online: Mechanisms underlying fNIRS-neurofeedback over the prefrontal cortex for participants with binge-eating disorder.

    Rösch, Sarah A / Schmidt, Ricarda / Wimmer, Jytte / Lührs, Michael / Ehlis, Ann-Christine / Hilbert, Anja

    Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology

    2023  Volume 156, Page(s) 57–68

    Abstract: Objective: Despite the increasing popularity of neurofeedback (NF), aiming at voluntary modulation of dysfunctional prefrontal cortex (PFC) signals in the treatment of binge-eating disorder (BED) and/or overweight, mechanisms remain poorly understood.!## ...

    Abstract Objective: Despite the increasing popularity of neurofeedback (NF), aiming at voluntary modulation of dysfunctional prefrontal cortex (PFC) signals in the treatment of binge-eating disorder (BED) and/or overweight, mechanisms remain poorly understood.
    Methods: Based on a randomized-controlled trial offering 12 food-specific real-time functional near-infrared spectroscopy (rtfNIRS)-NF sessions to participants with BED (n = 22), this preregistered study examined (1) online regulation success as predictor for offline regulation success, defined by PFC signals during regulation versus watch, and subjective regulation success, and (2) changes in loss of control (LOC) eating after vs. before and across 12 rtfNIRS-NF-sessions.
    Results: Higher online regulation success expectedly predicted better subjective, but worse offline regulation success. LOC eating decreased after vs. before, but not over rtfNIRS-NF-sessions, and was not associated with subjective or offline regulation success.
    Conclusions: The association between online and subjective regulation success confirmed the presumed mechanism of operant conditioning underlying rtfNIRS-NF-learning. The contrary association between online and offline regulation indicated differential PFC involvement upon subtraction of automatic food-specific responses from regulation signals for offline success. Decreased LOC eating after food-specific rtfNIRS-NF-sessions suggested the potential of NF in BED treatment.
    Significance: Results may guide the optimization of future NF studies in larger samples with BED.
    MeSH term(s) Humans ; Binge-Eating Disorder/therapy ; Neurofeedback/methods ; Prefrontal Cortex/diagnostic imaging
    Language English
    Publishing date 2023-10-06
    Publishing country Netherlands
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1463630-x
    ISSN 1872-8952 ; 0921-884X ; 1388-2457
    ISSN (online) 1872-8952
    ISSN 0921-884X ; 1388-2457
    DOI 10.1016/j.clinph.2023.09.011
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  4. Article ; Online: Extremely fast pRF mapping for real-time applications.

    Bhat, Salil / Lührs, Michael / Goebel, Rainer / Senden, Mario

    NeuroImage

    2021  Volume 245, Page(s) 118671

    Abstract: Population receptive field (pRF) mapping is a popular tool in computational neuroimaging that allows for the investigation of receptive field properties, their topography and interrelations in health and disease. Furthermore, the possibility to invert ... ...

    Abstract Population receptive field (pRF) mapping is a popular tool in computational neuroimaging that allows for the investigation of receptive field properties, their topography and interrelations in health and disease. Furthermore, the possibility to invert population receptive fields provides a decoding model for constructing stimuli from observed cortical activation patterns. This has been suggested to pave the road towards pRF-based brain-computer interface (BCI) communication systems, which would be able to directly decode internally visualized letters from topographically organized brain activity. A major stumbling block for such an application is, however, that the pRF mapping procedure is computationally heavy and time consuming. To address this, we propose a novel and fast pRF mapping procedure that is suitable for real-time applications. The method is built upon hashed-Gaussian encoding of the stimulus, which tremendously reduces computational resources. After the stimulus is encoded, mapping can be performed using either ridge regression for fast offline analyses or gradient descent for real-time applications. We validate our model-agnostic approach in silico, as well as on empirical fMRI data obtained from 3T and 7T MRI scanners. Our approach is capable of estimating receptive fields and their parameters for millions of voxels in mere seconds. This method thus facilitates real-time applications of population receptive field mapping.
    MeSH term(s) Adult ; Brain Mapping/methods ; Brain-Computer Interfaces ; Humans ; Image Processing, Computer-Assisted/methods ; Magnetic Resonance Imaging/methods ; Male ; Models, Neurological ; Movement Disorders ; Neuroimaging ; Normal Distribution ; Photic Stimulation/methods ; Visual Cortex ; Visual Fields
    Language English
    Publishing date 2021-10-26
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1147767-2
    ISSN 1095-9572 ; 1053-8119
    ISSN (online) 1095-9572
    ISSN 1053-8119
    DOI 10.1016/j.neuroimage.2021.118671
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  5. Article ; Online: Corrigendum to "Mechanisms underlying fNIRS-neurofeedback over the prefrontal cortex for participants with binge-eating disorder" [Clin. Neurophysiol. 156 (2023) 57-68].

    Rösch, Sarah A / Schmidt, Ricarda / Wimmer, Jytte / Lührs, Michael / Ehlis, Ann-Christine / Hilbert, Anja

    Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology

    2023  Volume 158, Page(s) 225

    Language English
    Publishing date 2023-12-20
    Publishing country Netherlands
    Document type Published Erratum
    ZDB-ID 1463630-x
    ISSN 1872-8952 ; 0921-884X ; 1388-2457
    ISSN (online) 1872-8952
    ISSN 0921-884X ; 1388-2457
    DOI 10.1016/j.clinph.2023.12.003
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  6. Article ; Online: Changes in utilization of robotic bariatric surgery and effect on patient outcomes from 2015-2020.

    Koeller, Eva / Luhrs, Andrew R / Giorgi, Marcoandrea

    Journal of robotic surgery

    2023  Volume 17, Issue 5, Page(s) 2041–2045

    Abstract: Robotic surgery is an increasingly popular alternative to laparoscopy for performing bariatric operations. To describe changes in utilization and complication rates of this technique over the last six years an analysis of the 2015-2020 Metabolic and ... ...

    Abstract Robotic surgery is an increasingly popular alternative to laparoscopy for performing bariatric operations. To describe changes in utilization and complication rates of this technique over the last six years an analysis of the 2015-2020 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program participant use files (MBSAQIP PUF) was performed. All patients who underwent laparoscopic or robotic bariatric surgery from 2015 to 2020 were included. 1,341,814 robotic and laparoscopic bariatric operations were included. Both the number and proportion performed robotically increased from 2015 (n = 9866, 5.87%) to 2019 (n = 54,356, 13.16%). In 2020, although the number of cases decreased, the proportion performed robotically still increased (17.37%). Yet, there has been no significant change in 30 day risk of death (p = 0.946) or infection (p = 0.721). In fact, the risk of any complication has decreased from 8.21% in 2015 to 6.43% in 2020 (p = 0.001). Robotic cases are being increasingly performed on high-risk patients with 77.06% of patients being American Society of Anesthesiologists (ASA) class 3 or higher in 2015 versus 81.03% (p = 0.001) in 2020. Robotic cases are also more likely to be revision operations than laparoscopic cases (12.16% vs 11.4%, p = 0.001). From 2015 to 2020 robotic bariatric surgery became more prevalent yet both complication rates and length of operation decreased suggesting it is an increasingly safe option. The risk of robotic complications remains higher than laparoscopy, however there are significant differences in the patient populations suggesting there may be specific patients and/or operations in which robotic bariatric surgery is being used.
    MeSH term(s) Humans ; Robotic Surgical Procedures/methods ; Obesity, Morbid/surgery ; Treatment Outcome ; Gastrectomy/methods ; Retrospective Studies ; Bariatric Surgery/adverse effects ; Bariatric Surgery/methods ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Gastric Bypass/methods ; Postoperative Complications/etiology
    Language English
    Publishing date 2023-05-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2268283-1
    ISSN 1863-2491 ; 1863-2483
    ISSN (online) 1863-2491
    ISSN 1863-2483
    DOI 10.1007/s11701-023-01611-0
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  7. Article ; Online: Identification and Characterization of

    Goethe, Elke / Gieseke, Ayla / Laarmann, Kristin / Lührs, Janita / Goethe, Ralph

    Journal of bacteriology

    2021  Volume 203, Issue 9

    Abstract: Zinc uptake in bacteria is essential to maintain cellular homeostasis and survival. ZnuABC is an important zinc importer of numerous bacterial genera, which is expressed to restore zinc homeostasis when the cytosolic concentration decreases beyond a ... ...

    Abstract Zinc uptake in bacteria is essential to maintain cellular homeostasis and survival. ZnuABC is an important zinc importer of numerous bacterial genera, which is expressed to restore zinc homeostasis when the cytosolic concentration decreases beyond a critical threshold. Upon zinc limitation the fast-growing nonpathogenic organism
    Language English
    Publishing date 2021-03-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2968-3
    ISSN 1098-5530 ; 0021-9193
    ISSN (online) 1098-5530
    ISSN 0021-9193
    DOI 10.1128/JB.00049-21
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  8. Article ; Online: Metabolic syndrome as a predictor of perioperative outcomes in primary bariatric surgery, a MBSAQIP survey.

    Sarna, Matthew J / Giorgi, Marcoandrea / Luhrs, Andrew R

    Surgical endoscopy

    2022  Volume 36, Issue 8, Page(s) 6122–6128

    Abstract: Background: Among bariatric surgery patients, body mass index (BMI) does not fully capture the severity of obesity and it may be complicated to stratify patients at higher risk of peri-operative complications. In our study, we surveyed the MBSAQIP ... ...

    Abstract Background: Among bariatric surgery patients, body mass index (BMI) does not fully capture the severity of obesity and it may be complicated to stratify patients at higher risk of peri-operative complications. In our study, we surveyed the MBSAQIP database to determine whether bariatric patients with metabolic syndrome (MetS) are at higher risk for peri-operative complications.
    Methods: MBSAQIP database was used to investigate the correlation between MetS and perioperative outcomes. All patients between 2015 and 2018, ≥ 18 years old, who underwent primary bariatric surgery were included. Patients were excluded if they underwent natural orifice transluminal endoscopic surgery or had surgery performed by gastroenterologist or interventional radiologist. We modified the International Diabetes Federation definition of MetS for our study to select patients with BMI > 30 in addition to two or more of the following comorbidities: hypertension, hyperlipidemia, or diabetes. The primary outcome was perioperative mortality. Secondary outcomes included post-operative surgical site infections (SSI), perioperative MI, stroke, acute renal failure, transfusion requirement, readmission, conversion to open and reoperation.
    Results: Between 2015 and 2018, 760,076 bariatric operations were performed. 670,935 met criteria for analysis. 190,239 patients were identified to have MetS. Patients with MetS were found to have higher odds of death (OR 2.32; 95% CI 1.97-2.72), SSI (OR 1.39; 95% CI 1.31-1.48), perioperative MI (OR 4.70; 95% CI 3.42-6.45), stroke (OR 3.30; 95% CI 2.08-5.24), acute renal failure (OR 3.04; 95% CI 2.48-3.72), and transfusion requirement (OR 1.30; 95% CI 1.33-1.39).
    Conclusion: Patients with metabolic syndrome are at increased odds of peri-operative complications after bariatric surgery.
    MeSH term(s) Acute Kidney Injury/etiology ; Adolescent ; Bariatric Surgery ; Diabetes Mellitus ; Gastrectomy/adverse effects ; Gastric Bypass/adverse effects ; Humans ; Metabolic Syndrome/complications ; Metabolic Syndrome/epidemiology ; Obesity, Morbid/complications ; Obesity, Morbid/surgery ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Retrospective Studies ; Stroke/complications ; Treatment Outcome
    Language English
    Publishing date 2022-02-03
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-021-08954-5
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  9. Article ; Online: Should bariatric surgery be offered to prisoners?

    Luhrs, Andrew R / Giorgi, Marcoandrea

    Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

    2020  Volume 16, Issue 9, Page(s) 1332–1335

    MeSH term(s) Bariatric Surgery ; Humans ; Obesity, Morbid/surgery ; Prisoners
    Language English
    Publishing date 2020-05-26
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2274243-8
    ISSN 1878-7533 ; 1550-7289
    ISSN (online) 1878-7533
    ISSN 1550-7289
    DOI 10.1016/j.soard.2020.05.024
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  10. Article ; Online: New Approaches in Heart Research: Prevention Instead of Cardiomyoplasty?

    Gaebel, Ralf / Lang, Cajetan / Vasudevan, Praveen / Lührs, Larissa / de Carvalho, Katherine Athayde Teixeira / Abdelwahid, Eltyeb / David, Robert

    International journal of molecular sciences

    2023  Volume 24, Issue 10

    Abstract: Cardiovascular diseases are the leading cause of death in industrialized nations. Due to the high number of patients and expensive treatments, according to the Federal Statistical Office (2017) in Germany, cardiovascular diseases account for around 15% ... ...

    Abstract Cardiovascular diseases are the leading cause of death in industrialized nations. Due to the high number of patients and expensive treatments, according to the Federal Statistical Office (2017) in Germany, cardiovascular diseases account for around 15% of total health costs. Advanced coronary artery disease is mainly the result of chronic disorders such as high blood pressure, diabetes, and dyslipidemia. In the modern obesogenic environment, many people are at greater risk of being overweight or obese. The hemodynamic load on the heart is influenced by extreme obesity, which often leads to myocardial infarction (MI), cardiac arrhythmias, and heart failure. In addition, obesity leads to a chronic inflammatory state and negatively affects the wound-healing process. It has been known for many years that lifestyle interventions such as exercise, healthy nutrition, and smoking cessation drastically reduce cardiovascular risk and have a preventive effect against disorders in the healing process. However, little is known about the underlying mechanisms, and there is significantly less high-quality evidence compared to pharmacological intervention studies. Due to the immense potential of prevention in heart research, the cardiologic societies are calling for research work to be intensified, from basic understanding to clinical application. The topicality and high relevance of this research area are also evident from the fact that in March 2018, a one-week conference on this topic with contributions from top international scientists took place as part of the renowned "Keystone Symposia" ("New Insights into the Biology of Exercise"). Consistent with the link between obesity, exercise, and cardiovascular disease, this review attempts to draw lessons from stem-cell transplantation and preventive exercise. The application of state-of-the-art techniques for transcriptome analysis has opened new avenues for tailoring targeted interventions to very individual risk factors.
    MeSH term(s) Humans ; Cardiomyoplasty ; Obesity/therapy ; Overweight ; Life Style ; Myocardial Infarction/etiology ; Myocardial Infarction/prevention & control
    Language English
    Publishing date 2023-05-19
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms24109017
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