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Conscious access is suggested to involve "ignition," an all-or-none activation across cortical areas. To elucidate this phenomenon, we carry out computer simulations of a detection task using a mesoscale connectome-based model for the multiregional macaque cortex. The model uncovers a dynamic bifurcation mechanism that gives rise to ignition in a network of associative regions. A hierarchical N-methyl-D-aspartate (NMDA)/α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptor gradient plays a critical role: fast AMPA receptors drive feedforward signal propagation, while slow NMDA receptors in feedback pathways shape and sustain the ignited network. Intriguingly, the model suggests higher NMDA-to-AMPA receptor ratios in sensory areas compared to association areas, a prediction supported by in vitro autoradiography data. Furthermore, the model accounts for diverse behavioral and physiological phenomena linked to consciousness. This work sheds light on how receptor gradients along the cortical hierarchy enable distributed cognitive functions and provides a biologically constrained computational framework for investigating the neurophysiological basis of conscious access.
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http://dx.doi.org/10.1016/j.celrep.2025.115372 | DOI Listing |
JAMA Netw Open
September 2025
Department of Urology, Center for Health Outcomes Research and Dissemination, University of Washington, Seattle.
Importance: Black individuals have a twofold higher rate of prostate cancer death in the US compared with the average population with prostate cancer. Few guidelines support race-conscious screening practices among at-risk Black individuals.
Objective: To examine structural factors that facilitate or impede access to prostate cancer screening among Black individuals in the US.
Cureus
August 2025
Division of Infectious Diseases, Hyogo Prefectural Kobe Children's Hospital, Hyogo, JPN.
Tuberculous meningitis (TBM) is predominantly observed in developing countries but remains relatively rare in developed countries. Therefore, if a clinician does not suspect TBM, its diagnosis may be delayed. Furthermore, drug-induced hepatotoxicity is common and can become severe during TBM treatment.
View Article and Find Full Text PDFJ Imaging Inform Med
September 2025
Heart Center, Department of Geriatrics, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
The growing heterogeneity of cardiac patient data from hospitals and wearables necessitates predictive models that are tailored, comprehensible, and safeguard privacy. This study introduces PerFed-Cardio, a lightweight and interpretable semi-federated learning (Semi-FL) system for real-time cardiovascular risk stratification utilizing multimodal data, including cardiac imaging, physiological signals, and electronic health records (EHR). In contrast to conventional federated learning, where all clients engage uniformly, our methodology employs a personalized Semi-FL approach that enables high-capacity nodes (e.
View Article and Find Full Text PDFCureus
August 2025
Medical Mycology Research Center, Chiba University, Chiba, JPN.
species are known to cause disseminated infections in immunocompromised hosts, typically in patients with hematological malignancies undergoing chemotherapy and those with a history of antifungal use. This case report described a non-neutropenic 85-year-old male patient with fungemia following polymicrobial bacteremia. He presented with fever and disturbed consciousness and was admitted for sepsis (day 1).
View Article and Find Full Text PDFCureus
August 2025
Department of Respiratory Medicine, Kamagaya General Hospital, Chiba, JPN.
Cerebral air embolism (CAE) is a rare and potentially fatal event. While most cases result from iatrogenic causes, such as central venous catheterization, pulmonary sources, especially infected cysts, are scarcely reported. We describe a case of a previously healthy 61‑year‑old man who lost consciousness immediately after a flight.
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