An input-output signal selection based on Phillips-Heffron model of a parallel high voltage alternative current/high voltage direct current(HVAC/HVDC) power system is presented to study power system stability. It is w...An input-output signal selection based on Phillips-Heffron model of a parallel high voltage alternative current/high voltage direct current(HVAC/HVDC) power system is presented to study power system stability. It is well known that appropriate coupling of inputs-outputs signals in the multivariable HVDC-HVAC system can improve the performance of designed supplemetary controller. In this work, different analysis techniques are used to measure controllability and observability of electromechanical oscillation mode. Also inputs–outputs interactions are considered and suggestions are drawn to select the best signal pair through the system inputs-outputs. In addition, a supplementary online adaptive controller for nonlinear HVDC to damp low frequency oscillations in a weakly connected system is proposed. The results obtained using MATLAB software show that the best output-input for damping controller design is rotor speed deviation as out put and phase angle of rectifier as in put. Also response of system equipped with adaptive damping controller based on HVDC system has appropriate performance when it is faced with faults and disturbance.展开更多
The integration of large-scale new energy and high-capacity DC transmission leads to a reduction in system inertia.Grid-forming renewable energy sources(GF-RES)has a significant improvement effect on system inertia.Co...The integration of large-scale new energy and high-capacity DC transmission leads to a reduction in system inertia.Grid-forming renewable energy sources(GF-RES)has a significant improvement effect on system inertia.Commutation failure faults may cause a short-term reactive power surplus at the sending end and trigger transient overvoltage,threatening the safe and stable operation of the power grid.However,there is a lack of research on the calculation method of transient overvoltage caused by commutation failure in high-voltage DC transmission systems with grid-forming renewable energy sources integration.Based on the existing equivalent model of highvoltage DC transmission systems at the sending end,this paper proposes to construct a model of the high-voltage DC transmission system at the sending end with grid-forming renewable energy sources.The paper first clarifies the mechanism of overvoltage generation,then considers the reactive power droop control characteristics of GF-RES,and derives the transient voltage calculation model of theDC transmission system with GF-RES integration.It also proposes a calculation method for transient overvoltage at the sending-end converter bus with GF-RES integration.Based on the PSCAD/EMTDC simulation platform,this paper builds an experimental simulation model.By constructing three different experimental scenarios,the accuracy and effectiveness of the proposed transient overvoltage calculation method are verified,with a calculation error within 5%.At the same time,this paper quantitatively analyzes the impact of grid strength,new energy proportion,and rated transmission power on transient overvoltage from three different perspectives.展开更多
The power loss minimization and DC voltage stability of the multi-terminal direct current(MTDC)system with large-scale wind farm(WF)cluster affect the stability and power quality of the interconnected power grid.This ...The power loss minimization and DC voltage stability of the multi-terminal direct current(MTDC)system with large-scale wind farm(WF)cluster affect the stability and power quality of the interconnected power grid.This paper proposes a distributed optimal voltage control(DOVC)strategy,which aims to optimize voltage distribution in MTDC and WF systems,reduce system power losses,and track power dispatch commands.The proposed DOVC strategy employs a bi-level distributed control architecture.At the upper level,the MTDC controller coordinates power flow,DC-side voltage of grid-side voltage source converters(GSVSCs),and WF-side voltage source converters(WFVSCs)for power loss minimization and DC voltage stabilization of the MTDC system.At the lower level,the WF controller coordinates the controlled bus voltage of WFVSC and the active and reactive power of wind turbines(WTs)to maintain WT terminal voltages within feasible range.Then,the WF controller minimizes the power loss of the WF system,while tracking the optimal command from the upper-level control strategy.Considering the computational tasks of multi-objective optimization with large-scale WF cluster,the proposed DOVC strategy is executed in a distributed manner based on the alternating direction method of multipliers(ADMM).An MTDC system with large-scale WF cluster is established in MATLAB to validate the effectiveness of the proposed DOVC strategy.展开更多
Background Pain sensitivity is critical for preventing non-suicidal self-injury(NSSI)behaviours;however,individuals engaging in such behaviours often exhibit decreased pain sensitivity,which may undermine this natural...Background Pain sensitivity is critical for preventing non-suicidal self-injury(NSSI)behaviours;however,individuals engaging in such behaviours often exhibit decreased pain sensitivity,which may undermine this natural safeguard.The dorsolateral prefrontal cortex(DLPFC)is a key region involved in pain regulation,and recent approaches using transcranial direct current stimulation(tDCS)to target the DLPFC have shown potential for modulating pain processing and restoring normal pain perception for individuals engaging in NSSI behaviours.Aims This study aimed to explore the immediate and short-term effects of a single session of tDCS on pain sensitivity in individuals with NSSI,as well as its secondary effects on mood and NSSI-related factors.Methods In this randomised,double-blind,parallel,sham-controlled clinical trial,participants with a history of NSSI were randomly assigned to receive either active or sham tDCS.The intervention consisted of a single 20 min tDCS session targeting the left DLPFC.The primary outcome was pain sensitivity,measured by the pressure pain threshold(PPT)and heat pain score(HPS).Secondary and additional outcomes included NSSI urges,NSSI resistance,self-efficacy in resisting NSSI,mood-related variables and exploratory cognitive-affective processes such as rumination,self-criticism and self-perceived pain sensitivity,assessed at baseline,immediately post-intervention,and at 24 hours,1 week and 2 weeks follow-ups.Results For the primary outcomes,no significant differences between groups were observed for pain sensitivity(PPT,padj=0.812;HPS,padj=0.608).However,an exploratory sensitivity analysis treating each trial as an individual observation revealed a significant effect on HPS(padj=0.036).For the secondary and additional outcomes,although there were initial improvements in joyful feelings and reductions in negative affect at 2 weeks post-intervention,these effects did not remain significant after multiple comparison corrections.Notably,reductions in rumination were statistically significant at both 1-week and 2-week follow-ups(1 week,p_(adj)=0.040;2 weeks,p_(adj)=0.042).There were no significant effects on NSSI urges,NSSI resistance,self-efficacy in resisting NSSI or self-criticism.Conclusions A single session of tDCS over the left DLPFC did not produce significant changes in pain sensitivity in individuals with NSSI.A sensitivity analysis indicated an effect on heat pain sensitivity,possibly reflecting changes in brain activity,warranting confirmation through neuroimaging.These findings suggest that tDCS warrants further investigation for its potential to influence pain-related cognitive-affective processes in individuals with NSSI.展开更多
Herein,the effect of direct current(DC)attached the mold on refining the microstructure and alleviating the central segregation of a tin–bismuth(Sn–10 wt.%Bi)alloy ingot during the solidification process has been in...Herein,the effect of direct current(DC)attached the mold on refining the microstructure and alleviating the central segregation of a tin–bismuth(Sn–10 wt.%Bi)alloy ingot during the solidification process has been investigated.The experiment used a self-made device,which can achieve the effect of refining the solidified structure and alleviate the segregation of the metal casting.Numerical simulations were performed to calculate the Lorentz force,Joule heating and induced melt vortex flow for the magneto-hydrodynamic case.Our results show that the maximum velocity of the global electro-vortex reached 0.017 m s^(–1).The DC-induced electro-vortex was found to be the primary reason of refining the equiaxed grain and alleviating the segregation of theβ-Sn crystal boundary.The grain refining effect observed in these experiments can be solely attributed to the forced melt flow driven by the Lorentz force.DC field attached the mold can lead to grain refinement and alleviate the segregation of the ingot via a global vortex.The technology can be applied not only to opened molds,but also toward improving the quality in closed molds.展开更多
BACKGROUND Schizophrenia is a chronic psychiatric condition with complex symptomatology,including debilitating auditory hallucinations.Transcranial direct current stimulation(tDCS)has been explored as an adjunctive tr...BACKGROUND Schizophrenia is a chronic psychiatric condition with complex symptomatology,including debilitating auditory hallucinations.Transcranial direct current stimulation(tDCS)has been explored as an adjunctive treatment to alleviate such symptoms.AIM To evaluate the therapeutic efficacy of tDCS in schizophrenia.METHODS Adhering to PRISMA guidelines,we systematically searched PubMed,Embase,Web of Science,and the Cochrane Library on September 19,2023,for randomized controlled trials examining the efficacy of tDCS in schizophrenia,with no language or time restrictions.We included studies that compared tDCS with a control condition and reported clinically relevant outcomes.Data extraction and quality assessments were performed by independent evaluators using the Cochrane Collaboration's risk of bias tool.Statistical heterogeneity was evaluated,and a random-effects model was applied due to moderate heterogeneity(I2=41.3%).RESULTS Nine studies comprising 425 participants(tDCS group:219,control group:206)were included.The meta-analysis demonstrated a significant reduction in auditory hallucination scores following tDCS treatment(weighted mean difference:-2.18,95%confidence interval:-4.0 to-0.29,P<0.01).Sensitivity analysis confirmed the robustness of the results,with no significant influence from individual studies.Additionally,publication bias was not detected,supporting the reliability and generalizability of the findings.These results underscore the efficacy of tDCS as a therapeutic intervention for auditory hallucinations in schizophrenia.CONCLUSION tDCS significantly reduces auditory hallucinations in schizophrenia,suggesting its potential as an effective adjunctive treatment for managing this disabling symptom.The findings highlight the practical significance of tDCS in clinical settings,particularly for patients with treatment-resistant auditory hallucinations.展开更多
The sub-forum on standardization of new energy and direct-current diversified applications was held on July 9,which gathered leaders and experts to discuss how to thoroughly implement the national green power direct c...The sub-forum on standardization of new energy and direct-current diversified applications was held on July 9,which gathered leaders and experts to discuss how to thoroughly implement the national green power direct connection policy proposed in the transformation of the energy landscape,pool wisdom to tackle bottlenecks in the industrialization of DC technology,and leverage the role of standardization in coordinating and regulating the diversified applications of DC technology.It was designed to promote the establishment of a collaborative,open,and advanced global standards system for DC technology.展开更多
In order to gain a deeper understanding of the effect of pulsed current on the mechanical properties and size effect of nanocrystalline Ni foils,nanocrystalline Ni foils with different grain thickness-to-grain size ra...In order to gain a deeper understanding of the effect of pulsed current on the mechanical properties and size effect of nanocrystalline Ni foils,nanocrystalline Ni foils with different grain thickness-to-grain size ratios(λ)were prepared using pulsed electrodeposition in this paper and unidirectional tensile experiments were carried out at room temperature with different currents and their applied directions.The experimental results show that the nanocrystalline Ni foil produces an obvious electroplasticity effect after applying the current field,and when 300<λ<1100,the current weakens the size effect of nanocrystalline Ni foils to a certain extent,and the angle between the current direction and the deformation direction also affects the mechanical response of nanocrystalline Ni foils,and when the angle between the current direction and the deformation direction is 0°,electroplasticity effect is the best,and the current has the most significant effect of abating the size effect of the material.The mechanism of unidirectional tensile deformation of nanocrystalline Ni foils under the effect of pulsed current was analyzed using TEM and TKD.It was found that the applied pulse current increased the activity of the nanocrystalline boundaries,promoted the movement of dislocations,and reduced the tendency of dislocation entanglement.The higher the peak current density and the smaller the angle between the direction of the current and the direction of deformation,the smaller the grain boundary orientation difference,the more dispersed the grain orientation,and the lower the density of geometrically necessary dislocations(GND)in the deformed nanocrystalline foil,the more significant the effect on material plasticity improvement.展开更多
The power supply and distribution systems for Antarctic research stations have special characteristics.In light of a worldwide trend toward a gradual increase in the application of renewable energy,an analysis was per...The power supply and distribution systems for Antarctic research stations have special characteristics.In light of a worldwide trend toward a gradual increase in the application of renewable energy,an analysis was performed to assess the feasibility of achieving a direct current power supply and distribution at Antarctic research stations by comparing the characteristics of direct current and alternating current electricity.Research was also performed on the status quo and future trends in direct current power supply and distribution systems in Antarctica research stations in combination with case studies.展开更多
This paper proposes a single-ended fault detection scheme for long transmission lines using support vector machine(SVM)for multi-terminal direct current systems based on modular multilevel converter(MMC-MTDC).The sche...This paper proposes a single-ended fault detection scheme for long transmission lines using support vector machine(SVM)for multi-terminal direct current systems based on modular multilevel converter(MMC-MTDC).The scheme overcomes existing detection difficulties in the protection of long transmission lines resulting from high grounding resistance and attenuation,and also avoids the sophisticated process of threshold value selection.The high-frequency components in the measured voltage extracted by a wavelet transform and the amplitude of the zero-mode set of the positive-sequence voltage are the inputs to a trained SVM.The output of the SVM determines the fault type.A model of a four-terminal DC power grid with overhead transmission lines is built in PSCAD/EMTDC.Simulation results of EMTDC confirm that the proposed scheme achieves 100%accuracy in detecting short-circuit faults with high resistance on long transmission lines.The proposed scheme eliminates mal-operation of DC circuit breakers when faced with power order changes or AC-side faults.Its robustness and time delay are also assessed and shown to have no perceptible effect on the speed and accuracy of the detection scheme,thus ensuring its reliability and stability.展开更多
Transcranial direct current stimulation(tDCS)has been reportedly beneficial for different neurodegenerative disorders.tDCS has been reported as a potential adjunctive or alternative treatment for auditory verbal hallu...Transcranial direct current stimulation(tDCS)has been reportedly beneficial for different neurodegenerative disorders.tDCS has been reported as a potential adjunctive or alternative treatment for auditory verbal hallucination(AVH).This study aims to review the effects of tDCS on AVH in patients with schizophrenia through combining the evidence from randomized clinical trials(RCTs).The databases of PsycINFO(2000–2019),PubMed(2000–2019),EMBASE(2000–2019),CINAHL(2000–2019),Web of Science(2000–2019),and Scopus(2000–2019)were systematically searched.The clinical trials with RCT design were selected for final analysis.A total of nine RCTs were eligible and included in the review.Nine RCTs were included in the final analysis.Among them,six RCTs reported a significant reduction of AVH after repeated sessions of tDCS,whereas three RCTs did not show any advantage of active tDCS over sham tDCS.The current studies showed an overall decrease of approximately 28%of AVH after active tDCS and 10%after sham tDCS.The tDCS protocols targeting the sensorimotor frontal-parietal network showed greater treatment effects compared with the protocols targeting other regions.In this regard,cathodal tDCS over the left temporoparietal area showed inhibitory effects on AVHs.The most effective tDCS protocol on AVHs was twice-daily sessions(2 mA,20-minute duration)over 5 consecutive days(10 sessions)with the anode over the left dorsolateral prefrontal cortex and the cathode over the left temporal area.Some patient-specific and diseasespecific factors such as young age,nonsmoking status,and higher frequencies of AVHs seemed to be the predictors of treatment response.Taken together,the results of tDCS as an alternative treatment option for AVH show controversy among current literatures,since not all studies were positive.However,the studies targeting the same site of the brain showed that the tDCS could be a promising treatment option to reduce AVH.Further RCTs,with larger sample sizes,should be conducted to reach a conclusion on the efficacy of tDCS for AVH and to develop an effective therapeutic protocol for clinical setting.展开更多
Transcranial direct current stimulation(tDCS)is a promising method for altering cortical excitability with clinical implications.It has been increasingly used in neurodevelopmental disorders,especially attention-defic...Transcranial direct current stimulation(tDCS)is a promising method for altering cortical excitability with clinical implications.It has been increasingly used in neurodevelopmental disorders,especially attention-deficit hyperactivity disorder(ADHD),but its efficacy(based on effect size calculations),safety,and stimulation parameters have not been systematically examined.In this systematic review,we aimed to(1)explore the effectiveness of tDCS on the clinical symptoms and neuropsychological deficits of ADHD patients,(2)evaluate the safety of tDCS application,especially in children with ADHD,(3)model the electrical field intensity in the target regions based on the commonly-applied and effective versus less-effective protocols,and(4)discuss and propose advanced tDCS parameters.Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses approach,a literature search identified 14 empirical experiments investigating tDCS effects in ADHD.Partial improving effects of tDCS on cognitive deficits(response inhibition,working memory,attention,and cognitive flexibility)or clinical symptoms(e.g.,impulsivity and inattention)are reported in10 studies.No serious adverse effects are reported in 747 sessions of tDCS.The left and right dorsolateral prefrontal cortex are the regions most often targeted,and anodal tDCS the protocol most often applied.An intensity of 2 mA induced stronger electrical fields than 1 mA in adults with ADHD and was associated with significant behavioral changes.In ADHD children,however,the electrical field induced by 1 mA,which is likely larger than the electrical field induced by 1 mA in adults due to the smaller head size of children,was sufficient to result in significant behavioral change.Overall,tDCS seems to be a promising method for improving ADHD deficits.However,the clinical utility of tDCS in ADHD cannot yet be concluded and requires further systematic investigation in larger sample sizes.Cortical regions involved in ADHD pathophysiology,stimulation parameters(e.g.intensity,duration,polarity,and electrode size),and types of symptom/deficit are potential determinants of tDCS efficacy in ADHD.Developmental aspects of tDCS in childhood ADHD should be considered as well.展开更多
The strategies that minimize the overall solution time of multiple linear systems in 3D finite element method (FEM) modeling of direct current (DC) resistivity were discussed. A global stiff matrix is assembled and st...The strategies that minimize the overall solution time of multiple linear systems in 3D finite element method (FEM) modeling of direct current (DC) resistivity were discussed. A global stiff matrix is assembled and stored in two parts separately. One part is associated with the volume integral and the other is associated with the subsurface boundary integral. The equivalent multiple linear systems with closer right-hand sides than the original systems were constructed. A recycling Krylov subspace technique was employed to solve the multiple linear systems. The solution of the seed system was used as an initial guess for the subsequent systems. The results of two numerical experiments show that the improved algorithm reduces the iterations and CPU time by almost 50%, compared with the classical preconditioned conjugate gradient method.展开更多
Trigeminal neuralgia is a severe,disabling pain and its deafferentation remains a challenge for health providers.Transcranial direct current stimulation is a non-invasive stimulation technique which finds new utility ...Trigeminal neuralgia is a severe,disabling pain and its deafferentation remains a challenge for health providers.Transcranial direct current stimulation is a non-invasive stimulation technique which finds new utility in managing pain.There-fore,the introduction of alternative,non-invasive,safe,and effective methods should be considered in treating patients with trigeminal neuralgia unresponsive to conventional treatment.展开更多
BACKGROUND Supernumerary phantom limb(SPL)sensation is the experience of additional limbs,either single or a pair of limbs.Unique to traumatic spinal cord injuries,we report effect of transcranial direct current stimu...BACKGROUND Supernumerary phantom limb(SPL)sensation is the experience of additional limbs,either single or a pair of limbs.Unique to traumatic spinal cord injuries,we report effect of transcranial direct current stimulation(tDCS)on SPL pain in a patient with cervical cord injury.CASE SUMMARY The subject was a 57-year-old man who was diagnosed with complete spinal cord injury(C6/C5,motor level;C5/C5,sensory level;AIS-A)approximately three months ago.After a period of 2 wk,we administered anodal tDCS over the motor cortex for 15 minutes at an intensity of 1.5 mA.Following that treatment,the patient experienced a decrease of SPL pain intensity and frequency,which lasted for 1 week after the end of treatment.CONCLUSION Targeting the motor cortex through neuromodulation appears to be a promising option for the management of SPL pain.展开更多
BACKGROUND Transcranial direct current stimulation(tDCS)is proven to be safe in treating various neurological conditions in children and adolescents.It is also an effective method in the treatment of OCD in adults.AIM...BACKGROUND Transcranial direct current stimulation(tDCS)is proven to be safe in treating various neurological conditions in children and adolescents.It is also an effective method in the treatment of OCD in adults.AIM To assess the safety and efficacy of tDCS as an add-on therapy in drug-naive adolescents with OCD.METHODS We studied drug-naïve adolescents with OCD,using a Children’s Yale-Brown obsessive-compulsive scale(CY-BOCS)scale to assess their condition.Both active and sham groups were given fluoxetine,and we applied cathode and anode over the supplementary motor area and deltoid for 20 min in 10 sessions.Reassessment occurred at 2,6,and 12 wk using CY-BOCS.RESULTS Eighteen adolescents completed the study(10-active,8-sham group).CY-BOCS scores from baseline to 12 wk reduced significantly in both groups but change at baseline to 2 wk was significant in the active group only.The mean change at 2 wk was more in the active group(11.8±7.77 vs 5.25±2.22,P=0.056).Adverse effects between the groups were comparable.CONCLUSION tDCS is safe and well tolerated for the treatment of OCD in adolescents.However,there is a need for further studies with a larger sample population to confirm the effectiveness of tDCS as early augmentation in OCD in this population.展开更多
Background: Flow FL-100 is a transcranial direct current stimulation (tDCS) device self-administered by a patient at home in combination with a software application delivered wellbeing behaviour therapy training. tDCS...Background: Flow FL-100 is a transcranial direct current stimulation (tDCS) device self-administered by a patient at home in combination with a software application delivered wellbeing behaviour therapy training. tDCS has evidence of effectiveness in treating symptoms of depression. Purpose/Aim: This post marketing study evaluated the effect of Flow on depression for primary care general practice patients with depression symptoms. Methods: Open-label patient cohort design with no control group. Inclusion criteria were aged 18 years or over and reporting depression symptoms. Participants self-administered five 30 minute tDCS sessions per week for the first three weeks, and then 3 sessions per week following this. Three, six and ten week assessment with participant self-report measure: Montgomery- Åsberg Depression Rating Scale (MADRS-S). Results: MADRS-S remission rates were between 29% - 30% at three weeks, 33% - 34% at six-weeks and 50% at 10-weeks treatment. There was a significant improvement in MADRS-S with large effect sizes at all time points. Conclusions: Flow tDCS can be delivered through a primary healthcare general practice service and patients will choose to use. Flow tDCS provides an effective depression treatment in addition and as an alternative to antidepressants and psychotherapy. tDCS has evidence as an effective depression treatment, and the widespread availability of tDCS in primary care general practice should be considered.展开更多
Background: Working memory is an executive function that plays an important role in many aspects of daily life, and its impairment in patients with attention-deficit/hyperactivity disorder (ADHD) affects quality of li...Background: Working memory is an executive function that plays an important role in many aspects of daily life, and its impairment in patients with attention-deficit/hyperactivity disorder (ADHD) affects quality of life. The dorsolateral prefrontal cortex (DLPFC) has been a good target site for transcranial direct current stimulation (tDCS) due to its intense involvement in working memory. In our 2018 study, tDCS improved visual-verbal working memory in healthy subjects. Objective: This study examines the effects of tDCS on ADHD patients, particularly on verbal working memory. Methods: We conducted an experiment involving verbal working memory of two modalities, visual and auditory, and a sustained attention task that could affect working memory in 9 ADHD patients. Active or sham tDCS was applied to the left DLPFC in a single-blind crossover design. Results: tDCS significantly improved the accuracy of visual-verbal working memory. In contrast, tDCS did not affect auditory-verbal working memory and sustained attention. Conclusion: tDCS to the left DLPFC improved visual-verbal working memory in ADHD patients, with important implications for potential ADHD treatments.展开更多
Introduction: In the last thirty years, brain neuromodulation techniques have been used as an alternative to pharmacological treatment of neurological disorders. Parkinson’s disease (PD) is a neurodegenerative disord...Introduction: In the last thirty years, brain neuromodulation techniques have been used as an alternative to pharmacological treatment of neurological disorders. Parkinson’s disease (PD) is a neurodegenerative disorder leading to bradykinesia, rest tremor, postural changes, and non-motor symptoms such as depression, anxiety, sleep disorders, pain, and cognitive decline that compromises executive functions (EFs), responsible for the orderly execution of behaviors and tasks of daily life and intentional and directed actions. To this date, a few studies with transcranial direct current stimulation (tDCS) have shown beneficial effects in PD patients concerning specific motor and non-motor symptoms, targeting the motor cortex and/or prefrontal regions. Objective: The main objective of this study was to evaluate the effects of left prefrontal tDCS across a broad spectrum of motor and non-motor symptoms of PD using established validated scales. Method: Single-blind randomized clinical trial with 18 volunteers with PD, aged between 45 and 80 years (66.1 ± 9.65), who met inclusion and exclusion criteria. Participants were submitted to assessments of motor and non-motor functions employing psychometric scales and tests to evaluate EFs and were randomly divided into two groups: control (sham stimulation) and experimental (active stimulation). All participants were involved in three separate tDCS sessions. The anode was positioned over the left dorsolateral prefrontal cortex and the cathode over the right supraorbital region, with a direct current intensity of 2 mA, lasting 20 minutes. At the end of the three sessions, all participants were reassessed. Results: Significant effects of tDCS on non-motor functions were observed for cognition (verbal fluency of actions, clock copy test, appointment by visual confrontation, and verbal memory with immediate free recall) and subjective assessment of sleep quality (overall restlessness and discomfort in the arms and legs at night, leg and arm cramps at night and distressing dreams). There was also an improvement in the rate of errors and successes for congruent and incongruent stimuli of the Stroop Test. The beneficial effects on motor function were decreased rigidity, improved gait, and greater agility in the finger-tapping test. Conclusion: Three tDCS sessions showed positive results for participants with PD, producing significant improvements in various motor and non-motor functions, including sleep quality, cognition, and EFs. Additionally, the present results indicate that tDCS neuromodulation of the left dorsolateral prefrontal cortex region is feasible, safe, and provides significant objective benefits for PD patients.展开更多
Background: Transcranial direct current stimulation (tDCS) has research evidence that it can reduce symptoms of depression. Flow FL-100 is a transcranial direct current stimulation (tDCS) device self-administered by a...Background: Transcranial direct current stimulation (tDCS) has research evidence that it can reduce symptoms of depression. Flow FL-100 is a transcranial direct current stimulation (tDCS) device self-administered by a patient at home in combination with a software application that delivers wellbeing behaviour therapy training. Purpose/aim: The purpose of this study was to investigate if Flow can be introduced to a Crisis Resolution & Home Treatment (CRT) service and the impact of Flow in treating depression. The study addresses the questions: 1) “what are the depression reliable improvement and remission rates?” and 2) “can Flow significantly reduce depressive symptoms and improve real world functioning (every-day, social and occupational functioning) and health-related quality of life?”. Methods: An open-label patient cohort design with no control group. Pre-intervention and 6-week follow-up intervention assessments using the participant self-report measures: Patient Health Questionnaire (PHQ-9), Work and Social Adjustment Scale (WSAS), and EuroQol five-dimension (EQ-5D-5L). Participants were 49 CRT patients, 19 males and 30 females, with an age range of 20 to 66 years, and average age of 42 years. Results: PHQ-9 reliable improvement and remission rates were 57.1% and 14.3%. PHQ-9 scores significantly improved, from 23.1 (SD 3.44) to 14.8 (SD 6.82) at 6 weeks, with a large effect size. PHQ-9 suicide/self-harm related question significantly improved from 2.51 (SD 0.77) to 1.08 (SD 1.17), with a large effect size. WSAS scores significantly improved, from 33.6 (SD 5.22) to 21.9 (SD 10.82) at 6 weeks, with a large effect size. EQ-5D-5L results showed significant improvements in the health index score, global assessment of health EQ-VAS from 34.2 (22.26) to 51.6 (24.95), and three EQ-5D-5L dimensions (“self-care”, “usual activity”, and “anxiety/depression”). Conclusion: A CRT service effectively integrated Flow tDCS treatment. Flow was beneficial in terms of improving functioning and quality of life and reducing depression symptoms and thoughts of suicide/self-harm. Flow FL100 tDCS and wellbeing behaviour therapy training could be offered through all CRT services to treat depression, reduce thoughts of suicide/self-harm, enable better functioning, and improve quality of life.展开更多
文摘An input-output signal selection based on Phillips-Heffron model of a parallel high voltage alternative current/high voltage direct current(HVAC/HVDC) power system is presented to study power system stability. It is well known that appropriate coupling of inputs-outputs signals in the multivariable HVDC-HVAC system can improve the performance of designed supplemetary controller. In this work, different analysis techniques are used to measure controllability and observability of electromechanical oscillation mode. Also inputs–outputs interactions are considered and suggestions are drawn to select the best signal pair through the system inputs-outputs. In addition, a supplementary online adaptive controller for nonlinear HVDC to damp low frequency oscillations in a weakly connected system is proposed. The results obtained using MATLAB software show that the best output-input for damping controller design is rotor speed deviation as out put and phase angle of rectifier as in put. Also response of system equipped with adaptive damping controller based on HVDC system has appropriate performance when it is faced with faults and disturbance.
基金supported by Key Natural Science Research Projects of Colleges and Universities in Anhui Province(2022AH051831).
文摘The integration of large-scale new energy and high-capacity DC transmission leads to a reduction in system inertia.Grid-forming renewable energy sources(GF-RES)has a significant improvement effect on system inertia.Commutation failure faults may cause a short-term reactive power surplus at the sending end and trigger transient overvoltage,threatening the safe and stable operation of the power grid.However,there is a lack of research on the calculation method of transient overvoltage caused by commutation failure in high-voltage DC transmission systems with grid-forming renewable energy sources integration.Based on the existing equivalent model of highvoltage DC transmission systems at the sending end,this paper proposes to construct a model of the high-voltage DC transmission system at the sending end with grid-forming renewable energy sources.The paper first clarifies the mechanism of overvoltage generation,then considers the reactive power droop control characteristics of GF-RES,and derives the transient voltage calculation model of theDC transmission system with GF-RES integration.It also proposes a calculation method for transient overvoltage at the sending-end converter bus with GF-RES integration.Based on the PSCAD/EMTDC simulation platform,this paper builds an experimental simulation model.By constructing three different experimental scenarios,the accuracy and effectiveness of the proposed transient overvoltage calculation method are verified,with a calculation error within 5%.At the same time,this paper quantitatively analyzes the impact of grid strength,new energy proportion,and rated transmission power on transient overvoltage from three different perspectives.
基金supported by the National Key R&D Program of China(No.2022YFF0608700).
文摘The power loss minimization and DC voltage stability of the multi-terminal direct current(MTDC)system with large-scale wind farm(WF)cluster affect the stability and power quality of the interconnected power grid.This paper proposes a distributed optimal voltage control(DOVC)strategy,which aims to optimize voltage distribution in MTDC and WF systems,reduce system power losses,and track power dispatch commands.The proposed DOVC strategy employs a bi-level distributed control architecture.At the upper level,the MTDC controller coordinates power flow,DC-side voltage of grid-side voltage source converters(GSVSCs),and WF-side voltage source converters(WFVSCs)for power loss minimization and DC voltage stabilization of the MTDC system.At the lower level,the WF controller coordinates the controlled bus voltage of WFVSC and the active and reactive power of wind turbines(WTs)to maintain WT terminal voltages within feasible range.Then,the WF controller minimizes the power loss of the WF system,while tracking the optimal command from the upper-level control strategy.Considering the computational tasks of multi-objective optimization with large-scale WF cluster,the proposed DOVC strategy is executed in a distributed manner based on the alternating direction method of multipliers(ADMM).An MTDC system with large-scale WF cluster is established in MATLAB to validate the effectiveness of the proposed DOVC strategy.
基金supported by National Natural Science Foundation of China(82471564)YT is supported by National Natural Science Foundation of China(32322035,32171078).
文摘Background Pain sensitivity is critical for preventing non-suicidal self-injury(NSSI)behaviours;however,individuals engaging in such behaviours often exhibit decreased pain sensitivity,which may undermine this natural safeguard.The dorsolateral prefrontal cortex(DLPFC)is a key region involved in pain regulation,and recent approaches using transcranial direct current stimulation(tDCS)to target the DLPFC have shown potential for modulating pain processing and restoring normal pain perception for individuals engaging in NSSI behaviours.Aims This study aimed to explore the immediate and short-term effects of a single session of tDCS on pain sensitivity in individuals with NSSI,as well as its secondary effects on mood and NSSI-related factors.Methods In this randomised,double-blind,parallel,sham-controlled clinical trial,participants with a history of NSSI were randomly assigned to receive either active or sham tDCS.The intervention consisted of a single 20 min tDCS session targeting the left DLPFC.The primary outcome was pain sensitivity,measured by the pressure pain threshold(PPT)and heat pain score(HPS).Secondary and additional outcomes included NSSI urges,NSSI resistance,self-efficacy in resisting NSSI,mood-related variables and exploratory cognitive-affective processes such as rumination,self-criticism and self-perceived pain sensitivity,assessed at baseline,immediately post-intervention,and at 24 hours,1 week and 2 weeks follow-ups.Results For the primary outcomes,no significant differences between groups were observed for pain sensitivity(PPT,padj=0.812;HPS,padj=0.608).However,an exploratory sensitivity analysis treating each trial as an individual observation revealed a significant effect on HPS(padj=0.036).For the secondary and additional outcomes,although there were initial improvements in joyful feelings and reductions in negative affect at 2 weeks post-intervention,these effects did not remain significant after multiple comparison corrections.Notably,reductions in rumination were statistically significant at both 1-week and 2-week follow-ups(1 week,p_(adj)=0.040;2 weeks,p_(adj)=0.042).There were no significant effects on NSSI urges,NSSI resistance,self-efficacy in resisting NSSI or self-criticism.Conclusions A single session of tDCS over the left DLPFC did not produce significant changes in pain sensitivity in individuals with NSSI.A sensitivity analysis indicated an effect on heat pain sensitivity,possibly reflecting changes in brain activity,warranting confirmation through neuroimaging.These findings suggest that tDCS warrants further investigation for its potential to influence pain-related cognitive-affective processes in individuals with NSSI.
基金the National Natural Science Foundation of China(51974155)the Outstanding Young Scientific and Technological Talents Project of University of Science and Technology Liaoning(2023YQ07)+4 种基金the University of Science and Technology Liaoning Young Foundation(2018QN06)National Natural Science Foundation of China(51774178)the National Key Research and Development Program(2021YFB3702005)the Central Government Guides Local Science and Technology Development Fund Projects(2023JH6/100100046)the Liaoning Provincial Department of Education Basic Research Projects for Universities(JYTQN2023242).
文摘Herein,the effect of direct current(DC)attached the mold on refining the microstructure and alleviating the central segregation of a tin–bismuth(Sn–10 wt.%Bi)alloy ingot during the solidification process has been investigated.The experiment used a self-made device,which can achieve the effect of refining the solidified structure and alleviate the segregation of the metal casting.Numerical simulations were performed to calculate the Lorentz force,Joule heating and induced melt vortex flow for the magneto-hydrodynamic case.Our results show that the maximum velocity of the global electro-vortex reached 0.017 m s^(–1).The DC-induced electro-vortex was found to be the primary reason of refining the equiaxed grain and alleviating the segregation of theβ-Sn crystal boundary.The grain refining effect observed in these experiments can be solely attributed to the forced melt flow driven by the Lorentz force.DC field attached the mold can lead to grain refinement and alleviate the segregation of the ingot via a global vortex.The technology can be applied not only to opened molds,but also toward improving the quality in closed molds.
文摘BACKGROUND Schizophrenia is a chronic psychiatric condition with complex symptomatology,including debilitating auditory hallucinations.Transcranial direct current stimulation(tDCS)has been explored as an adjunctive treatment to alleviate such symptoms.AIM To evaluate the therapeutic efficacy of tDCS in schizophrenia.METHODS Adhering to PRISMA guidelines,we systematically searched PubMed,Embase,Web of Science,and the Cochrane Library on September 19,2023,for randomized controlled trials examining the efficacy of tDCS in schizophrenia,with no language or time restrictions.We included studies that compared tDCS with a control condition and reported clinically relevant outcomes.Data extraction and quality assessments were performed by independent evaluators using the Cochrane Collaboration's risk of bias tool.Statistical heterogeneity was evaluated,and a random-effects model was applied due to moderate heterogeneity(I2=41.3%).RESULTS Nine studies comprising 425 participants(tDCS group:219,control group:206)were included.The meta-analysis demonstrated a significant reduction in auditory hallucination scores following tDCS treatment(weighted mean difference:-2.18,95%confidence interval:-4.0 to-0.29,P<0.01).Sensitivity analysis confirmed the robustness of the results,with no significant influence from individual studies.Additionally,publication bias was not detected,supporting the reliability and generalizability of the findings.These results underscore the efficacy of tDCS as a therapeutic intervention for auditory hallucinations in schizophrenia.CONCLUSION tDCS significantly reduces auditory hallucinations in schizophrenia,suggesting its potential as an effective adjunctive treatment for managing this disabling symptom.The findings highlight the practical significance of tDCS in clinical settings,particularly for patients with treatment-resistant auditory hallucinations.
文摘The sub-forum on standardization of new energy and direct-current diversified applications was held on July 9,which gathered leaders and experts to discuss how to thoroughly implement the national green power direct connection policy proposed in the transformation of the energy landscape,pool wisdom to tackle bottlenecks in the industrialization of DC technology,and leverage the role of standardization in coordinating and regulating the diversified applications of DC technology.It was designed to promote the establishment of a collaborative,open,and advanced global standards system for DC technology.
基金Project(51975167)supported by the National Natural Science Foundation of China。
文摘In order to gain a deeper understanding of the effect of pulsed current on the mechanical properties and size effect of nanocrystalline Ni foils,nanocrystalline Ni foils with different grain thickness-to-grain size ratios(λ)were prepared using pulsed electrodeposition in this paper and unidirectional tensile experiments were carried out at room temperature with different currents and their applied directions.The experimental results show that the nanocrystalline Ni foil produces an obvious electroplasticity effect after applying the current field,and when 300<λ<1100,the current weakens the size effect of nanocrystalline Ni foils to a certain extent,and the angle between the current direction and the deformation direction also affects the mechanical response of nanocrystalline Ni foils,and when the angle between the current direction and the deformation direction is 0°,electroplasticity effect is the best,and the current has the most significant effect of abating the size effect of the material.The mechanism of unidirectional tensile deformation of nanocrystalline Ni foils under the effect of pulsed current was analyzed using TEM and TKD.It was found that the applied pulse current increased the activity of the nanocrystalline boundaries,promoted the movement of dislocations,and reduced the tendency of dislocation entanglement.The higher the peak current density and the smaller the angle between the direction of the current and the direction of deformation,the smaller the grain boundary orientation difference,the more dispersed the grain orientation,and the lower the density of geometrically necessary dislocations(GND)in the deformed nanocrystalline foil,the more significant the effect on material plasticity improvement.
文摘The power supply and distribution systems for Antarctic research stations have special characteristics.In light of a worldwide trend toward a gradual increase in the application of renewable energy,an analysis was performed to assess the feasibility of achieving a direct current power supply and distribution at Antarctic research stations by comparing the characteristics of direct current and alternating current electricity.Research was also performed on the status quo and future trends in direct current power supply and distribution systems in Antarctica research stations in combination with case studies.
文摘This paper proposes a single-ended fault detection scheme for long transmission lines using support vector machine(SVM)for multi-terminal direct current systems based on modular multilevel converter(MMC-MTDC).The scheme overcomes existing detection difficulties in the protection of long transmission lines resulting from high grounding resistance and attenuation,and also avoids the sophisticated process of threshold value selection.The high-frequency components in the measured voltage extracted by a wavelet transform and the amplitude of the zero-mode set of the positive-sequence voltage are the inputs to a trained SVM.The output of the SVM determines the fault type.A model of a four-terminal DC power grid with overhead transmission lines is built in PSCAD/EMTDC.Simulation results of EMTDC confirm that the proposed scheme achieves 100%accuracy in detecting short-circuit faults with high resistance on long transmission lines.The proposed scheme eliminates mal-operation of DC circuit breakers when faced with power order changes or AC-side faults.Its robustness and time delay are also assessed and shown to have no perceptible effect on the speed and accuracy of the detection scheme,thus ensuring its reliability and stability.
文摘Transcranial direct current stimulation(tDCS)has been reportedly beneficial for different neurodegenerative disorders.tDCS has been reported as a potential adjunctive or alternative treatment for auditory verbal hallucination(AVH).This study aims to review the effects of tDCS on AVH in patients with schizophrenia through combining the evidence from randomized clinical trials(RCTs).The databases of PsycINFO(2000–2019),PubMed(2000–2019),EMBASE(2000–2019),CINAHL(2000–2019),Web of Science(2000–2019),and Scopus(2000–2019)were systematically searched.The clinical trials with RCT design were selected for final analysis.A total of nine RCTs were eligible and included in the review.Nine RCTs were included in the final analysis.Among them,six RCTs reported a significant reduction of AVH after repeated sessions of tDCS,whereas three RCTs did not show any advantage of active tDCS over sham tDCS.The current studies showed an overall decrease of approximately 28%of AVH after active tDCS and 10%after sham tDCS.The tDCS protocols targeting the sensorimotor frontal-parietal network showed greater treatment effects compared with the protocols targeting other regions.In this regard,cathodal tDCS over the left temporoparietal area showed inhibitory effects on AVHs.The most effective tDCS protocol on AVHs was twice-daily sessions(2 mA,20-minute duration)over 5 consecutive days(10 sessions)with the anode over the left dorsolateral prefrontal cortex and the cathode over the left temporal area.Some patient-specific and diseasespecific factors such as young age,nonsmoking status,and higher frequencies of AVHs seemed to be the predictors of treatment response.Taken together,the results of tDCS as an alternative treatment option for AVH show controversy among current literatures,since not all studies were positive.However,the studies targeting the same site of the brain showed that the tDCS could be a promising treatment option to reduce AVH.Further RCTs,with larger sample sizes,should be conducted to reach a conclusion on the efficacy of tDCS for AVH and to develop an effective therapeutic protocol for clinical setting.
基金This review was supported by the Department of Psychology and Neurosciences,Leibniz-Institut fiir Arbeitsforschung Ministry of Science,Research and Technology,Deputy of Scholarship and Students Affairs,Iran(95000171)the German Ministry of Research and Education(German Center for Brain Stimulation grant number 01EE1403C).
文摘Transcranial direct current stimulation(tDCS)is a promising method for altering cortical excitability with clinical implications.It has been increasingly used in neurodevelopmental disorders,especially attention-deficit hyperactivity disorder(ADHD),but its efficacy(based on effect size calculations),safety,and stimulation parameters have not been systematically examined.In this systematic review,we aimed to(1)explore the effectiveness of tDCS on the clinical symptoms and neuropsychological deficits of ADHD patients,(2)evaluate the safety of tDCS application,especially in children with ADHD,(3)model the electrical field intensity in the target regions based on the commonly-applied and effective versus less-effective protocols,and(4)discuss and propose advanced tDCS parameters.Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses approach,a literature search identified 14 empirical experiments investigating tDCS effects in ADHD.Partial improving effects of tDCS on cognitive deficits(response inhibition,working memory,attention,and cognitive flexibility)or clinical symptoms(e.g.,impulsivity and inattention)are reported in10 studies.No serious adverse effects are reported in 747 sessions of tDCS.The left and right dorsolateral prefrontal cortex are the regions most often targeted,and anodal tDCS the protocol most often applied.An intensity of 2 mA induced stronger electrical fields than 1 mA in adults with ADHD and was associated with significant behavioral changes.In ADHD children,however,the electrical field induced by 1 mA,which is likely larger than the electrical field induced by 1 mA in adults due to the smaller head size of children,was sufficient to result in significant behavioral change.Overall,tDCS seems to be a promising method for improving ADHD deficits.However,the clinical utility of tDCS in ADHD cannot yet be concluded and requires further systematic investigation in larger sample sizes.Cortical regions involved in ADHD pathophysiology,stimulation parameters(e.g.intensity,duration,polarity,and electrode size),and types of symptom/deficit are potential determinants of tDCS efficacy in ADHD.Developmental aspects of tDCS in childhood ADHD should be considered as well.
基金Projects(40974077,41164004)supported by the National Natural Science Foundation of ChinaProject(2007AA06Z134)supported by the National High Technology Research and Development Program of China+2 种基金Projects(2011GXNSFA018003,0832263)supported by the Natural Science Foundation of Guangxi Province,ChinaProject supported by Program for Excellent Talents in Guangxi Higher Education Institution,ChinaProject supported by the Foundation of Guilin University of Technology,China
文摘The strategies that minimize the overall solution time of multiple linear systems in 3D finite element method (FEM) modeling of direct current (DC) resistivity were discussed. A global stiff matrix is assembled and stored in two parts separately. One part is associated with the volume integral and the other is associated with the subsurface boundary integral. The equivalent multiple linear systems with closer right-hand sides than the original systems were constructed. A recycling Krylov subspace technique was employed to solve the multiple linear systems. The solution of the seed system was used as an initial guess for the subsequent systems. The results of two numerical experiments show that the improved algorithm reduces the iterations and CPU time by almost 50%, compared with the classical preconditioned conjugate gradient method.
文摘Trigeminal neuralgia is a severe,disabling pain and its deafferentation remains a challenge for health providers.Transcranial direct current stimulation is a non-invasive stimulation technique which finds new utility in managing pain.There-fore,the introduction of alternative,non-invasive,safe,and effective methods should be considered in treating patients with trigeminal neuralgia unresponsive to conventional treatment.
文摘BACKGROUND Supernumerary phantom limb(SPL)sensation is the experience of additional limbs,either single or a pair of limbs.Unique to traumatic spinal cord injuries,we report effect of transcranial direct current stimulation(tDCS)on SPL pain in a patient with cervical cord injury.CASE SUMMARY The subject was a 57-year-old man who was diagnosed with complete spinal cord injury(C6/C5,motor level;C5/C5,sensory level;AIS-A)approximately three months ago.After a period of 2 wk,we administered anodal tDCS over the motor cortex for 15 minutes at an intensity of 1.5 mA.Following that treatment,the patient experienced a decrease of SPL pain intensity and frequency,which lasted for 1 week after the end of treatment.CONCLUSION Targeting the motor cortex through neuromodulation appears to be a promising option for the management of SPL pain.
文摘BACKGROUND Transcranial direct current stimulation(tDCS)is proven to be safe in treating various neurological conditions in children and adolescents.It is also an effective method in the treatment of OCD in adults.AIM To assess the safety and efficacy of tDCS as an add-on therapy in drug-naive adolescents with OCD.METHODS We studied drug-naïve adolescents with OCD,using a Children’s Yale-Brown obsessive-compulsive scale(CY-BOCS)scale to assess their condition.Both active and sham groups were given fluoxetine,and we applied cathode and anode over the supplementary motor area and deltoid for 20 min in 10 sessions.Reassessment occurred at 2,6,and 12 wk using CY-BOCS.RESULTS Eighteen adolescents completed the study(10-active,8-sham group).CY-BOCS scores from baseline to 12 wk reduced significantly in both groups but change at baseline to 2 wk was significant in the active group only.The mean change at 2 wk was more in the active group(11.8±7.77 vs 5.25±2.22,P=0.056).Adverse effects between the groups were comparable.CONCLUSION tDCS is safe and well tolerated for the treatment of OCD in adolescents.However,there is a need for further studies with a larger sample population to confirm the effectiveness of tDCS as early augmentation in OCD in this population.
文摘Background: Flow FL-100 is a transcranial direct current stimulation (tDCS) device self-administered by a patient at home in combination with a software application delivered wellbeing behaviour therapy training. tDCS has evidence of effectiveness in treating symptoms of depression. Purpose/Aim: This post marketing study evaluated the effect of Flow on depression for primary care general practice patients with depression symptoms. Methods: Open-label patient cohort design with no control group. Inclusion criteria were aged 18 years or over and reporting depression symptoms. Participants self-administered five 30 minute tDCS sessions per week for the first three weeks, and then 3 sessions per week following this. Three, six and ten week assessment with participant self-report measure: Montgomery- Åsberg Depression Rating Scale (MADRS-S). Results: MADRS-S remission rates were between 29% - 30% at three weeks, 33% - 34% at six-weeks and 50% at 10-weeks treatment. There was a significant improvement in MADRS-S with large effect sizes at all time points. Conclusions: Flow tDCS can be delivered through a primary healthcare general practice service and patients will choose to use. Flow tDCS provides an effective depression treatment in addition and as an alternative to antidepressants and psychotherapy. tDCS has evidence as an effective depression treatment, and the widespread availability of tDCS in primary care general practice should be considered.
文摘Background: Working memory is an executive function that plays an important role in many aspects of daily life, and its impairment in patients with attention-deficit/hyperactivity disorder (ADHD) affects quality of life. The dorsolateral prefrontal cortex (DLPFC) has been a good target site for transcranial direct current stimulation (tDCS) due to its intense involvement in working memory. In our 2018 study, tDCS improved visual-verbal working memory in healthy subjects. Objective: This study examines the effects of tDCS on ADHD patients, particularly on verbal working memory. Methods: We conducted an experiment involving verbal working memory of two modalities, visual and auditory, and a sustained attention task that could affect working memory in 9 ADHD patients. Active or sham tDCS was applied to the left DLPFC in a single-blind crossover design. Results: tDCS significantly improved the accuracy of visual-verbal working memory. In contrast, tDCS did not affect auditory-verbal working memory and sustained attention. Conclusion: tDCS to the left DLPFC improved visual-verbal working memory in ADHD patients, with important implications for potential ADHD treatments.
文摘Introduction: In the last thirty years, brain neuromodulation techniques have been used as an alternative to pharmacological treatment of neurological disorders. Parkinson’s disease (PD) is a neurodegenerative disorder leading to bradykinesia, rest tremor, postural changes, and non-motor symptoms such as depression, anxiety, sleep disorders, pain, and cognitive decline that compromises executive functions (EFs), responsible for the orderly execution of behaviors and tasks of daily life and intentional and directed actions. To this date, a few studies with transcranial direct current stimulation (tDCS) have shown beneficial effects in PD patients concerning specific motor and non-motor symptoms, targeting the motor cortex and/or prefrontal regions. Objective: The main objective of this study was to evaluate the effects of left prefrontal tDCS across a broad spectrum of motor and non-motor symptoms of PD using established validated scales. Method: Single-blind randomized clinical trial with 18 volunteers with PD, aged between 45 and 80 years (66.1 ± 9.65), who met inclusion and exclusion criteria. Participants were submitted to assessments of motor and non-motor functions employing psychometric scales and tests to evaluate EFs and were randomly divided into two groups: control (sham stimulation) and experimental (active stimulation). All participants were involved in three separate tDCS sessions. The anode was positioned over the left dorsolateral prefrontal cortex and the cathode over the right supraorbital region, with a direct current intensity of 2 mA, lasting 20 minutes. At the end of the three sessions, all participants were reassessed. Results: Significant effects of tDCS on non-motor functions were observed for cognition (verbal fluency of actions, clock copy test, appointment by visual confrontation, and verbal memory with immediate free recall) and subjective assessment of sleep quality (overall restlessness and discomfort in the arms and legs at night, leg and arm cramps at night and distressing dreams). There was also an improvement in the rate of errors and successes for congruent and incongruent stimuli of the Stroop Test. The beneficial effects on motor function were decreased rigidity, improved gait, and greater agility in the finger-tapping test. Conclusion: Three tDCS sessions showed positive results for participants with PD, producing significant improvements in various motor and non-motor functions, including sleep quality, cognition, and EFs. Additionally, the present results indicate that tDCS neuromodulation of the left dorsolateral prefrontal cortex region is feasible, safe, and provides significant objective benefits for PD patients.
文摘Background: Transcranial direct current stimulation (tDCS) has research evidence that it can reduce symptoms of depression. Flow FL-100 is a transcranial direct current stimulation (tDCS) device self-administered by a patient at home in combination with a software application that delivers wellbeing behaviour therapy training. Purpose/aim: The purpose of this study was to investigate if Flow can be introduced to a Crisis Resolution & Home Treatment (CRT) service and the impact of Flow in treating depression. The study addresses the questions: 1) “what are the depression reliable improvement and remission rates?” and 2) “can Flow significantly reduce depressive symptoms and improve real world functioning (every-day, social and occupational functioning) and health-related quality of life?”. Methods: An open-label patient cohort design with no control group. Pre-intervention and 6-week follow-up intervention assessments using the participant self-report measures: Patient Health Questionnaire (PHQ-9), Work and Social Adjustment Scale (WSAS), and EuroQol five-dimension (EQ-5D-5L). Participants were 49 CRT patients, 19 males and 30 females, with an age range of 20 to 66 years, and average age of 42 years. Results: PHQ-9 reliable improvement and remission rates were 57.1% and 14.3%. PHQ-9 scores significantly improved, from 23.1 (SD 3.44) to 14.8 (SD 6.82) at 6 weeks, with a large effect size. PHQ-9 suicide/self-harm related question significantly improved from 2.51 (SD 0.77) to 1.08 (SD 1.17), with a large effect size. WSAS scores significantly improved, from 33.6 (SD 5.22) to 21.9 (SD 10.82) at 6 weeks, with a large effect size. EQ-5D-5L results showed significant improvements in the health index score, global assessment of health EQ-VAS from 34.2 (22.26) to 51.6 (24.95), and three EQ-5D-5L dimensions (“self-care”, “usual activity”, and “anxiety/depression”). Conclusion: A CRT service effectively integrated Flow tDCS treatment. Flow was beneficial in terms of improving functioning and quality of life and reducing depression symptoms and thoughts of suicide/self-harm. Flow FL100 tDCS and wellbeing behaviour therapy training could be offered through all CRT services to treat depression, reduce thoughts of suicide/self-harm, enable better functioning, and improve quality of life.
