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who attempted to bribe a Minnesota juror with a bag of $120,000 in cash in exchange for an acquittal in one of the country's largest COVID-19-related fraud cases
stand outside the federal courthouse in Minneapolis on Sept
5.Alex Kormann | Star Tribune via APGo Deeper.CloseCreate an account or log in to save stories
We have added it to a list of your favorite stories
The Minnesota State Patrol says Ladan Ali had a blood alcohol concentration of .284
when she rear-ended another driver at low speed on Highway 55 in Mendota Heights on Feb
the driver said Ali hit him a second time before fleeing
A trooper found Ali stopped in the center lane of traffic on Minnesota Highway 62 near Minneapolis-St
Ali “almost fell over” and once inside the squad car “began screaming and hitting the vehicle divider and had removed her handcuffs two different times.”
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the officer advised Ali to contact an attorney
The trooper said that Ali “then sat in her chair and yelled at him
at one point dialing on the phone provided and then smacking the phone against the phone base.” She also allegedly hit the machine that the trooper was setting up for a second breath test
Ali, 32, pleaded guilty to jury bribery for delivering a Hallmark gift bag with $120,000 to the home of a juror in the first Feeding Our Future trial in June
A federal judge scheduled a March 5 hearing to determine whether Ali's pretrial release should be revoked
She's due in Hennepin County court the following week on the drunken driving charge
Ali is among five people charged in the jury bribery case and the second to plead guilty
When she was charged in that case she was listed as being from Seattle
she’s listed as living in the Twin Cities suburb of Fridley
New court documents unsealed Tuesday show that Ladan Mohamed Ali received at least $1.6 million from other entities involved in the massive fraud scheme
according to a document unsealed Tuesday by a federal judge
Ladan Mohamed Ali
created a food vendor called Afro Produce in St
according to corporate filings with the Minnesota Secretary of State
one of the country’s largest pandemic-related frauds
testified Tuesday in Bock and Salim’s trial that she reviewed the bank records of Afro Produce and “could not quantify whether there was any food purchased at all or if these were just fabricated invoices.”
FBI agent Kevin Kane said conspirators used Afro Produce to cover their tracks by submitting “fake invoices” documenting the purchase of food that was never delivered by the St
which listed its business address as 2554 Como Av
Similar invoices have been the subject of testimony in the trial of Bock and Said
with FBI agents showing Afro Produce invoices that claimed to document the purchase of hundreds of thousands of dollars of food by companies accused of defrauding the meals program
Kane noted that Ali received a series of “large checks” from Afro Produce in 2021 and 2022
The warrant includes photocopies of three checks totaling $40,000 made out to Ali from Afro Produce
said Tuesday that he hadn’t seen the search warrant and declined to comment
Ali listed Gar Gaar as her employer when she opened a bank account in 2021
Ali’s next court hearing is Thursday to discuss if she violated conditions of her release after a DWI arrest in February. According to charges filed in Hennepin County District Court, a State Patrol trooper stopped Ali after she rear-ended another car and fled the scene. Her breath test revealed a blood alcohol content of 0.28%.
Jeffrey Meitrodt is an investigative reporter for the Star Tribune who specializes in stories involving the collision of business and government regulation.
Twin Cities Suburbs
Conservative board members had questioned the content of the books and curricula
prompting criticism from the teachers union
Doğukan Günaydin was arrested March 27 by plainclothes officers from the U.S
Immigration and Customs Enforcement in Minneapolis
James Duane Ortley made his first appearance on four counts of second-degree murder and remains jailed on $2 million bail
Three men were charged in a separate slaying that took place four blocks away several hours later
The woman who pleaded guilty to delivering a bag of cash to a juror in last year’s Feeding Our Future trial is now accused of crashing into another car while drunk
was arrested Friday evening after she allegedly drove away from the scene of the crash on Highway 55 near Acacia Boulevard in Mendota Heights
the other driver involved in the crash reported that Ali bumped into his car twice and refused to get out of her car
The driver said Ali “had heavily slurred speech and was honking her horn” before driving away in her Volkswagen Tiguan
A Minnesota State Patrol lieutenant caught up with the Volkswagen
which was stopped in the center lane of Highway 62 at Highway 77
The lieutenant “immediately smelled the strong odor of an alcoholic beverage” coming from inside the vehicle and noted Ali had slurred speech
glassy eyes and struggled to find her driver’s license
Ali “almost fell over” getting out of the car
and a preliminary breath test recorded her blood alcohol content at 0.284
Ali is charged with two counts of third-degree DWI
failing to give information in a collision and obstructing a peace officer
As previously reported, Ali pleaded guilty to one count of bribery of a juror in September after she brought a bag containing $120,000 in cash to the home of a juror during the June trial
Ali was on pretrial release while she awaited sentencing in the bribery case
but a probation officer on Wednesday filed a petition arguing that her arrest violated the terms of release
Any person with disabilities who needs help accessing the content of the FCC Public File may contact KSTP via our online form or call 651-646-5555
White & Case White Collar partner Ladan Stewart
counsel Marietou Diouf and law clerk Arianna Skipper examine the state of crypto regulation and enforcement under the Trump administration
which they note are "broad outlines of a truly seismic change."
The authors point to recent crypto-friendly political appointments
the creation of a "President's Working Group on Digital Asset Markets" and the formation of a new SEC crypto task force led by SEC Commissioner Hester Peirce as signaling the administration's intent to work with the industry on developing a more friendly regime
and the other steps taken in just its first few weeks
make clear that crypto now plays a central role in the new administration's regulatory priorities—a development that may fundamentally change its place in our financial markets," they said
"This new collaborative approach will not only result in a welcome end to crypto's antagonistic relationship with US regulators
but will also provide opportunities to craft a more practical and constructive regulatory framework for this new
innovative and largely untapped asset class while still maintaining the important investor protections that are central to our capital markets."
Read the full article here.
Prior results do not guarantee a similar outcome
Where will the world’s most famous spy go next
Does this question even matter anymore to so-called “modern audiences”
To answer the second question first, Bond’s future does indeed matter greatly to millions of fans. The Bond films have been viewed by at least 20% of the world’s population
his embodiment of Western masculinity (a good thing in my view) — has achieved household status over the decades
For Amazon to steward the Bond franchise in good faith, and not just as a soulless money grab à la Disney’s “Star Wars” and Indiana Jones franchises, one thing needs to be clear: James Bond is not just “content,” as former creative controller Barbara Broccoli herself noted
Bond is a memory passed down from generation to generation
he is an introduction to masculinity — the good
showing men how to be the best versions of themselves while also exposing the pitfalls of debauchery
Bond should not become just another thumbnail for Amazon’s catalog of movies and television shows
He is not just merchandise or a quick marketing tool
and Amazon risks alienating a fervent Bond fan base
Treat Bond like mere “content,” and the risks will be financial too — lower box office numbers
fewer clicks and a steady erosion of Bond’s impact on the culture
Just look at what happened to “Star Wars.” Was it better perceived by fans pre-Disney ownership or today
with seemingly endless spin-offs that devalue the 1970s-era brand
whose final installment — 2023’s “Indiana Jones and the Dial of Destiny” — entered and exited mainstream discourse with barely a whimper
For Amazon MGM Studios to succeed as Bond’s steward
the company should cater to those who will actually line up on the next film’s opening weekend and watch YouTube reviews of the latest Bond girl
The target audience is the fan who may even open an original novel by Ian Fleming
exploring the character’s humble origins in print
What Bond’s actual fans are not: People who want to fundamentally change the character
like and trust the man on the screen — or on the page
If Amazon decides instead to appeal to those who’ve suggested making the character female
they won’t be targeting fans but a much smaller group that wants to co-opt an iconic character
one they deem offensive to modern sensibilities
During recent discussions between Broccoli’s Eon Productions and Amazon, one Amazon employee reportedly offered
“I don’t think James Bond is a hero.” Her view may represent a vocal minority
but it is a minority nonetheless — and one that can’t be effectively monetized
Amazon founder Jeff Bezos has asked his followers on X who they want to be the next Bond
with Henry Cavill a popular choice early on
The path forward for Amazon — and Bond himself — should be common sense: Don’t fix what isn’t broken. Stick to the formula that made the 007 franchise history’s longest running in the first place. It worked for Fleming and the Broccolis. To quote Barbara Broccoli’s father, Cubby, “Whenever you get stuck, go back to Fleming.”
Otherwise, James Bond will fade into the past. And Amazon will become Bond’s greatest villain.
Luka Ladan, who works in PR, is a die-hard James Bond fan.
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leaves the Minneapolis federal courthouse with defense attorney Eric Newmark on Sept
2024 after pleading guilty to jury bribery.Alex Kormann | Star Tribune via APGo Deeper.CloseCreate an account or log in to save stories
Ali pleaded guilty in federal court in September to delivering a Hallmark gift bag containing $120,000 to the home of a juror and promised more cash in exchange for an acquittal
The juror called 911 and was excused from the trial
That proceeding, and another that’s underway in Minneapolis of Feeding Our Future founder Aimee Bock and former restaurant owner Salim Said
are the first trials to stem from a sprawling federal investigation into an alleged $250 million scheme to defraud taxpayer-funded child nutrition programs during the COVID-19 pandemic
Five months after Ali entered her guilty plea, Hennepin County prosecutors charged her with DWI for allegedly driving with a blood alcohol concentration of .284, more than three-and-a-half times the legal limit.
MPR News helps you turn down the noise and build shared understanding. Turn up your support for this public resource and keep trusted journalism accessible to all.
Magistrate Judge Douglas Micko ordered Ali to stay away from bars and liquor stores, undergo alcohol treatment, and submit to periodic breath tests as conditions of her release.
Ali, 32, has not been charged in the wider fraud case. But in a search warrant for her cell phone that was unsealed on March 4, FBI special agent Kevin Kane writes that Ali was a signatory on a bank account for Afro Produce, a St. Paul company named in the investigation.
The company, which listed an address on Como Avenue, “is a purported food vendor that received millions of dollars from entities involved in the fraudulent scheme to obtain federal child nutrition program funds,” Kane writes.
On the same day that a judge unsealed the warrant, FBI forensic accountant Pauline Roase testified at Bock and Said’s trial that invoices and payments recovered from Afro Produce “didn’t even come close” to matching.
“I just could not quantify whether there was any food purchased at all, or if these were just fabricated invoices,” Roase said.
According to the search warrant, Ali also received multiple checks from Afro Produce in 2021 and 2022 for $10,000 and $20,000 each. The memo lines indicated that the payments were for her “salary” and “consulting.”
Ali’s personal bank records allegedly show that she received checks from Gar Gaar Family Services, which was also known as Youth Leadership Academy. The Minnesota Department of Education barred the nonprofit from participating in the child nutrition programs in December 2021 after finding it “seriously deficient.”
The following month, the FBI raided Feeding Our Future’s offices, Bock and Said’s homes, and two dozen other locations.
In an email to MPR News, defense attorney Eric Newmark declined to comment on the allegations in the search warrant.
a Seattle woman who attempted to bribe a Minnesota juror with a bag of $120,000 in cash in exchange for an acquittal in one of the country's largest COVID-19-related fraud cases
Courthouse on Thursday in Minneapolis.Alex Kormann | Star Tribune via APGo Deeper.CloseCreate an account or log in to save stories
She is one of five charged in the attempted bribery attempt
The cash delivery came toward the end of a trial in which jurors heard testimony from seven people connected to the nonprofit Feeding Our Future
who were charged with stealing $47 million from taxpayer-funded child nutrition programs
ensuring she understood the consequences of the plea deal — including the possibility of a maximum 15-year prison sentence — Ali asserted she understood
Ali agreed that she was recruited by Abdimajid Nur to assist in the bribery attempt in exchange for a $150,000 payment
flying in from Seattle to assist with the plot
Ali admitted she was concerned the plan would fail and had her own scheme to steal some or all of the bribe money
She admitted to falsely telling Nur that she met up with juror 52 at a bar and that the juror wanted $500,000 for returning a not guilty verdict
Ali never spoke with the juror and the juror never agreed to accept a bribe
Ali gave a gift bag with $120,000 to Juror 52’s relative
but pocketed the remaining $80,000 planned to be part of the bribery attempt
The targeted juror immediately alerted law enforcement of the attempt and was excused from the trial
U.S. Attorney for Minnesota Andrew Luger previously compared the plot to a mobster movie and said the alleged conspirators focused on the juror because they believed her to be the youngest and the only juror of color
He said the alleged conspirators began researching family members and conducting surveillance to learn her habits
followed her and determined that she would succumb,” he said
The four others charged with the bribery attempt are: Abdulkarim Shafii Farah
The latter three were also defendants in the Feeding Our Future trial
Said Farah was acquitted in the earlier trial and Nur has pleaded guilty to the bribery attempt
Thompson said he wouldn’t be surprised if the rest pleaded guilty
“This is the most bizarre thing I’ve experienced in court by far,” he said
The plea deal calculates about a five to six year sentence for Ali
but the sentence will ultimately be decided by the judge
“From the very beginning I wanted to take responsibility for my actions,” Ali said
Doty granted Ali the right to remain released pending her sentencing
Ladan Ali admitted to stealing $80,000 in cash meant to go to the juror
She could face nearly five to six years in prison
three weeks after she followed a juror from the downtown Minneapolis courthouse to her home and left the bag of cash
with promises of more money if the juror voted to acquit the defendants
Ali had initially pleaded not guilty and was released from custody on supervised release
But she changed her plea and admitted to new details
that she had pocketed $80,000 given to her by defendants to bribe the juror
Ali faces a possible sentence of nearly five to six years in prison
in part because she agreed to accept responsibility in the plea agreement
She also agreed to forfeit any cash from the scheme and pay a fine of up to $200,000
I wanted to take responsibility for my actions,” Ali said when asked by Assistant U.S
Attorney Joe Thompson why she was pleading guilty in front of U.S
She’s one of five people charged in the bribery attempt
which made international news on the final day of closing arguments in the seven-week trial
The juror immediately reported the incident to police and was excused from jury duty
and the judge promptly sequestered the jury during deliberations for their safety
Department of Agriculture programs that reimbursed schools
nonprofits and child-care centers for feeding low-income children after school and during the summer
The seven defendants were the first to be tried of the 70 people charged in the sprawling FBI investigation
Prosecutors said more than $250 million in federal reimbursements was stolen and spent on luxury homes, cars and other lavish expenses
in what was one of the largest pandemic-era fraud cases in the United States
Said Farah and another defendant on trial were acquitted
but Said Farah has been in custody since he was charged in the attempted bribe along with the three other men
and the Farah brothers promised her $150,000 for her role in the attempted bribery of the youngest member of the jury and its only person of color
The jurors’ names were not publicly disclosed during or since the seven-week trial; instead
and Ali followed the woman from the courthouse as she drove home
Ali confirmed to Thompson that she became concerned the plan to bribe the 23-year-old juror wouldn’t work and that she wouldn’t be paid
she lied to Nur that she had met her at a bar and that the juror had demanded $500,000
Nur gave Ali $200,000 in cash to give the juror
Thompson said Thursday that Ali wanted to steal the money
but her plan was foiled when Abdulkarim Farah insisted on driving her to the juror’s house
He removed the license plates on Ali’s rental car and recorded her delivering the cash
Ali pocketed $80,000 and gave the juror’s relative a gift bag with the remaining $120,000
She used the juror’s first name even though it wasn’t publicly known
who prosecutors said has returned to live in Minnesota from Seattle
spoke loudly and clearly in court Thursday as she answered questions from Thompson and Doty
After Thompson told her she could face nearly five to six years in prison
declined to speak to reporters when they left the courtroom
Prosecutors didn’t object to her remaining free until her sentencing hearing
Ali was convicted in Scott County District Court of check forgery after she altered a $1,500 check from her company
she spent three days in jail and was placed on supervised probation for two years
including that the organization hadn’t demonstrated it was financially viable as required by federal rules
Gar Gaar leaders took their case to the state Court of Appeals, arguing they were unfairly scrutinized, but the decision was upheld.
In the meal fraud case, none of the 18 people who have pleaded guilty has been sentenced, but each could face prison terms running from about two years to nearly five years.
Other defendants are scheduled to stand trial this fall or next year. Feeding Our Future executive director Aimee Bock, and defendants tied to Safari Restaurant in Minneapolis, the largest participant in the meal programs involved in the investigation, are scheduled for trial in February.
Kelly Smith is a news editor, supervising a team of reporters covering Minnesota social services, transportation issues and higher education. She previously worked as a news reporter for 16 years.
Ladan Hashemi receives funding from the New Zealand Ministry of Social Development and the UK Prevention Research Partnership grant (MR-VO49879/1)
University of Auckland provides funding as a member of The Conversation AU
University of Auckland, Waipapa Taumata Rau provides funding as a member of The Conversation NZ
View all partners
Children with traumatic experiences in their early lives have a higher risk of obesity. But as our new research shows
this risk can be reduced through positive experiences
Multiple adverse experiences were also prevalent
with one in three children (32%) experiencing at least three traumatic events
Childhood trauma includes a range of experiences such as physical and emotional abuse
peer bullying and exposure to domestic violence
separation or divorce and ethnic discrimination
We found children from financially disadvantaged households and Māori and Pasifika had the highest prevalence of nearly all types of adverse experiences
as well as higher overall numbers of adversities
The consequences of these experiences were far-reaching
Children who experienced at least one adverse event were twice as likely to be obese by age eight
The risk increased with the number of traumatic experiences
Children with four or more adverse experiences were nearly three times more likely to be obese
certain traumatic experiences (including physical abuse and parental domestic violence) related more strongly to obesity than others
This highlights the strong connection between early-life adversity and physical health outcomes
This includes consuming excessive high-calorie “comfort” foods such as fast food and sugary drinks
excessive screen time and physical inactivity
children who experienced adverse events were more likely to adopt these unhealthy behaviours
were associated with a higher risk of obesity
Despite these challenges, our research also explored a promising area: the protective and mitigating effects of positive experiences
mothers interacting well with their children
children engaged in enriching experiences and activities such as visiting libraries or museums and participating in sports and community events
children living in households with routines and rules
children attending effective early childhood education
Children with more positive experiences were significantly less likely to be obese by age eight
those with five or six positive experiences were 60% less likely to be overweight or obese compared to children with zero or one positive experience
Even two positive experiences reduced the likelihood by 25%
Positive experiences can help mitigate the negative effects of childhood trauma
But a minimum of four positive experiences was required to significantly counteract the impact of adverse events
While nearly half (48%) of the study participants had at least four positive experiences
a concerning proportion (more than one in ten children) reported zero or only one positive experience
Traditional weight-loss programmes focused solely on changing behaviours are not enough to tackle childhood obesity
we must also address the social environments
life experiences and emotional scars of early trauma shaping children’s lives
Fostering positive experiences is a vital part of this holistic approach
These experiences not only help protect children from the harmful effects of adversity but also promote their overall physical and mental wellbeing
This isn’t just about preventing obesity – it’s about giving children the foundation to thrive and reach their full potential
schools and families all have a role to play
healthy relationship initiatives and mental health services should be prioritised to support vulnerable families
Trauma-informed care is crucial
particularly for children from disadvantaged households who face higher levels of adversity and fewer positive experiences
Trauma-informed approaches are especially crucial for addressing the effects of domestic violence and other adverse childhood experiences
Comprehensive strategies should prioritise both safety and emotional healing by equipping families with tools to create safe
nurturing environments and providing access to mental health services and community support initiatives
participate in social networks and engage children in enriching activities
Schools and early-childhood education providers also play a key role in fostering supportive environments that help children build resilience and recover from trauma
Policymakers should invest in resources that promote positive experiences across communities
addressing inequalities that leave some children more vulnerable than others
we can counterbalance the impacts of trauma and help children lead healthier
When positive experiences outweigh negative ones
children have a far greater chance of thriving – physically
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Ladan Ali pleaded guilty in the bribe case after she left a bag of $120,000 in cash at a juror’s home
she was given new conditions of her release before her sentencing
Ladan Ali, who dropped off a bag of $120,000 in cash to a juror in the federal Feeding Our Future trial last year in a shocking attempted bribe
will stay out of prison until her sentencing after violating the conditions of her release
of Fridley was given a lengthy list of additional conditions for her release — including remote electronic alcohol monitoring and completing an alcohol assessment or treatment program — at a hearing before U.S
Ali pleaded guilty last September to bribery and is awaiting sentencing in that case
She could face a possible sentence of nearly five to six years in prison
According to charges filed in Hennepin County District Court last month
14 after she had rear-ended another car on Hwy
she failed a field sobriety test and a breath test showed a blood alcohol content of 0.28%
Micko indicated that Ali had already started a treatment program and there would be no additional hearings on the matter
Attorney Kimberly Svendsen agreed with the conditions
Jeff Day is a Hennepin County courts reporter. He previously worked as a sports reporter and editor.
A woman accused of dropping a bag of cash at the home of a juror in the Feeding Our Future case has entered a guilty plea
Ladan Ali pleaded guilty in federal court on Thursday to bribery of a juror
She also faced counts of conspiracy to bribe a juror and corruptly influencing a juror
She initially entered a “not guilty” plea on June 27
Prosecutors say Ali surveilled Juror 52 in the Feeding Our Future trial, before showing up at her home with a bag containing $120,000 in cash.
Four others were charged with conspiracy to bribe a juror
bribery of a juror and corruptly influencing a juror in connection with the bribery scheme:
Abdiaziz Farah was additionally charged with obstruction of justice. Nur pleaded guilty in July.
You can find more of KSTP’s reporting on the Feeding Our Future case here.
Ladan Rafii is an expert on international humanitarian law and political affairs
who has worked for the United Nations (UN)
the Organization for Security and Cooperation in Europe
and humanitarian non-governmental organizations
Translations may contain inaccuracies—please refer to the original content
Like many people around the world, I was stunned by what I saw on the night of Thursday, June 27, when President Joe Biden went up against Donald Trump
as others have referred to it as a debacle
national embarrassment (and that's without using any of the expletives)
It's also difficult to consider it "presidential" after what we witnessed between the two candidates
What stuns me more than anything else is how others let this happen
Advisers are there to advise—and close advisers are expected to know you better than anyone else
because they spend time with you and see you more than others
they are the ones you let into your professional world—and often personal life—more than outsiders
there's an element of trust and understanding that fosters a sense of collaboration and cooperation at the highest possible levels
If you surround yourself with the wrong ones
If you surround yourself with some of the best
you're likely to get the best from them too
When it comes to Biden, the only close adviser I once knew is his former White House chief of staff and trusted confidant, Ron Klain
I attended Georgetown University with him many years ago
so we were in a small classroom sitting in close proximity to one another
he was impressive because of his appearance: An Adonis who was physically perfect in every way
I would often wonder how God made someone so handsome
I was impressed (if not amazed) by his level of intellect
he revealed this to us—without any arrogance
but with a measure of confidence that made us all take note of him
Every time our professor asked a question and none of us knew the answer (or even had a clue what he was getting at)
Ron's hand would be the only one that went up
because the rest of us had no idea how he did it
Which is why I'm having such difficulty believing and processing what happened just a few nights ago
I learned from a New York Times report that Ron left the White House last year to become chief legal officer of Airbnb
I thought maybe he no longer wanted to be associated with what he perceived to be a sinking ship
Anyone as clever as him would certainly know when he's on board one
and take the right measures to make sure he jumps off it when the first signs appear and the ship begins to teeter
and help prepare Biden for his debate with Trump
circles for being one of the best debate trainers in town
He's very sharp and astute with a depth of political knowledge and experience very few can match
That same article claimed he "was critical to Mr
Biden's debate preparations during the 2020 campaign."
Here's some of what Ron said that was quoted there: "I think what we have to see is something different than we saw in 2016 and 2020
where the debate commission lost control of the debates
"We need to have debates where the candidates get equal time ..
where the American people can compare the two people who are the leading candidates for president."
Maybe more than you would have ever wanted or known
These days I often ask myself: What happened to the Ron Klain I once knew
How could he have let such a calamity happen on live television in front of a global audience of tens of millions
With all that's at stake both at home and around the world
We want to know the answers—the world wants to know them—and we need them now
Do you have a unique experience or personal story to share? See our Reader Submissions Guide and then email the My Turn team at myturn@newsweek.com
EDT: An incorrect reference to Ron Klain's Georgetown school was removed
Newsweek is committed to challenging conventional wisdom and finding connections in the search for common ground
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A significant correlation was observed between IPGEslope and speech perception in both quiet and noise for between-subject data especially when the relative importance of frequency bands was considered. A strong and significant correlation was also observed between IPGEslope and age when stimulation was performed with cathodic-leading pulses but not for the anodic-leading pulse condition.
Based on the outcome of this study it can be concluded that IPGEslope has potential as a relevant clinical measure indicative of cochlear health and its relationship to speech intelligibility. The polarity of the stimulating pulse could influence the diagnostic potential of IPGEslope.
Volume 17 - 2023 | https://doi.org/10.3389/fnint.2023.1125712
This article is part of the Research TopicNeural Interfaces for Sensory InputView all 8 articles
Background: One factor which influences the speech intelligibility of cochlear implant (CI) users is the number and the extent of the functionality of spiral ganglion neurons (SGNs)
referred to as “cochlear health.” To explain the interindividual variability in speech perception of CI users
a clinically applicable estimate of cochlear health could be insightful
The change in the slope of the electrically evoked compound action potentials (eCAP)
amplitude growth function (AGF) as a response to increased interphase gap (IPG) (IPGEslope) has been introduced as a potential measure of cochlear health
Although this measure has been widely used in research
its relationship to other parameters requires further investigation
Methods: This study investigated the relationship between IPGEslope
demographics and speech intelligibility by (1) considering the relative importance of each frequency band to speech perception
and (2) investigating the effect of the stimulus polarity of the stimulating pulse
The eCAPs were measured in three different conditions: (1) Forward masking with anodic-leading (FMA) pulse
(2) Forward masking with cathodic-leading (FMC) pulse
This allowed the investigation of the effect of polarity on the diagnosis of cochlear health
For an accurate investigation of the correlation between IPGEslope and speech intelligibility
a weighting function was applied to the measured IPGEslopes on each electrode in the array to consider the relative importance of each frequency band for speech perception
A weighted Pearson correlation analysis was also applied to compensate for the effect of missing data by giving higher weights to the ears with more successful IPGEslope measurements
Results: A significant correlation was observed between IPGEslope and speech perception in both quiet and noise for between-subject data especially when the relative importance of frequency bands was considered
A strong and significant correlation was also observed between IPGEslope and age when stimulation was performed with cathodic-leading pulses but not for the anodic-leading pulse condition
Conclusion: Based on the outcome of this study it can be concluded that IPGEslope has potential as a relevant clinical measure indicative of cochlear health and its relationship to speech intelligibility
The polarity of the stimulating pulse could influence the diagnostic potential of IPGEslope
Cochlear implants (CIs) are the treatment of choice to restore hearing in patients with severe to profound hearing loss (HL)
The success of the treatment depends on individual factors such as the cognitive abilities of the patient or the reaction of the immune system to the implant
as well as on implant type and the depth of insertion of the electrode array
One influential factor is the condition of the cochlea –Specifically the survival and the physiological status of the spiral ganglion neurons (SGN)
Although the importance of this factor is clear
Spiral ganglion neurons are the target neurons for electrical stimulation with cochlear implants. Large variations have been documented in the number and condition of surviving SGNs in CI recipients, and this could contribute to the similarly large variability in auditory performance observed (Seyyedi et al., 2014)
The parameters describing the status of the auditory nerve include the number of SGNs (neural count)
and myelination of their peripheral processes (PP)
we will use “cochlear health” as a generally inclusive term to encompass all of these parameters
In a within-subject comparison of left and right ears
eliminating any between-subject confounding factors
the number of SGNs was consistently higher in the ear which produced the better word recognition scores
Despite the positive correlation observed between cochlear health and auditory performance in CI users
several of the limitations of previous studies were also present here
histological data were again pooled across the cochlea
although only for the sub-group of participants with short electrode arrays
and latency in implanted normal-hearing (NH) and pharmaceutically deafened guinea pigs to investigate the consequences of secondary degeneration of SGNs after severe hair cell loss through chemical ablation
A significant correlation between spiral ganglion cell packing density and the IPGE on some of the AGF characteristics
Illustration of the methods employed to calculate IPGEslope (A) and IPGEoffset (B)
The eCAP AGFs obtained by IPG 2.1 and 30 μs are plotted in black and gray
the green lines mark the AGFs steepest slopes
the green horizontal lines indicate the offset between the AGFs with short and long IPGs for several N1-P2 amplitudes
The contradictory conclusions of the two above-mentioned studies emphasized on the necessity of further research to clarify the suitability of each measure for estimation of cochlear health
Speech information in different frequency bands, transmitted from different sections of the cochlea to the brain, is not of equal importance (ANSI, 1997)
two ears with the same ASM of the IPGE on eCAP characteristics may differ in speech perception if the distribution of surviving SGNs differs between each cochlea
Regardless of the type of cochlear health measure
when it comes to relating the measure to speech recognition performance
any such measure may benefit from an adjustment using a band importance function that reflects the human auditory system mechanisms of speech perception
which focused on the average differences of the responses to anodic-leading and cathodic-leading stimuli
both polarities are investigated separately in the current study to examine the sensitivity of each polarity separately for use as an electrophysiological biomarker for SGN degeneration
the goals of this study were to investigate the relationship between IPGEslope
and speech intelligibility in CI users by (1) by investigating the effect of the polarity of the stimulating pulse
and (2) considering the band importance weighting function when investigating the correlation between the speech perception measures and IPGEslope within the study
and 13 suffered from progressive hearing impairment which was detected prelingually
Subjects 7 and 13 had restricted speech development and were diagnosed with mild auditory dyslalia
Electrode 12 of the right ear of subject 12 and electrodes 4 and 5 of the left ear of subject 7 were deactivated clinically
and 10 was interrupted due to the subject’s complaint of an unpleasant sensation
The left ear of subject seven was the only ear implanted with a relatively short electrode array (Flex24 EAS)
Recruitment of subjects for this study was approved by the Ethics Committee of the Goethe University Hospital in Frankfurt (ERB number 44/19)
and all subjects gave written informed consent
Subjects received an expense allowance for participation in the study
Demographic data and summary statistics are provided for age
duration of hearing loss until CI-implantation
The measurements were performed separately for the two ears
removing the audio processor from the contralateral side
using the clinically adjusted audio processor configurations (i.e.
threshold and most-comfortable loudness levels and compression)
The microphone directional sensitivity was set to “omnidirectional” and noise reduction and automatic functions were disabled to create a uniform testing condition between the users
For each measurement two of the lists were randomly selected
The words were presented to the listeners at 65 dB SPL in quiet
The listeners were instructed to repeat the words
The percent of words repeated correctly was recorded
Test results of the two presented lists were averaged
the across site mean (ASM) of the weighted IPGEslope was calculated
These ear-specific weighted IPGE ASMs were then used to investigate the correlation between these measures of cochlear health and the two speech perception measures
Figure 2. One-third octave band importance function for monosyllables of speech in presence of noise (Supplementary Table 2
ANSI S3.5 1997) in blue and adapted to MED-EL default filter bank setting in red
Electrode impedances were measured via impedance field telemetry (IFT) using the clinical software (MAESTRO 7.0
Austria) with the MAX Programming Interface (MED-EL Medical Electronics
This results in measurements of the implant’s supply voltage
and the impedance values of the 12 implanted electrode contacts
the measurement results were exported (using the scientific export) from the clinical software into XML files
and the supply voltage and the electrode impedance values were extracted for determining the compliance limits
The extracted values were also used in the statistical analysis of the results
United States) research software was used to perform loudness-based measurements with pulse-forms and sequences identical to those used in the following experimental measurements
The MATLAB program communicated with the implant using the Research Interface Box 2 (RIB2) Dynamic Link Library (dll)
64 bit (Department of Ion Physics and Applied Physics
the MAX Programming Interface and a suitable coil
Threshold (THR) and maximum acceptable level (MAL) stimulation charges were measured using manual control for all active electrodes using cathodic-leading biphasic stimuli with IPG of 2.1 μs
in sequences of at least 400 ms duration to allow sufficient loudness integration
The phase duration was the same as that selected for the following eCAP measurements
The amplitude could be increased up to the compliance level which was calculated after impedance measurement
A custom-made MATLAB-based tool was used for eCAP measurements considering the THR and MAL values from the loudness fitting tool
The communication with the implant was the same as the software for the loudness-based measurement
FM artifact reduction allows investigation of the auditory nerve response to pulses with a specific initial polarity
all eCAPs were measured both with anodic-leading (FMA) and with cathodic-leading (FMC) pulses
in order to investigate the polarity-specific behavior of neural responses
An AP artifact reduction method was implemented by averaging the FMA and FMC probe responses
It should be noted that FMA and FMC probes were not measured consecutively
which is different to how AP is implemented in clinical software
The combination of polarities and IPGs resulted in six different conditions: FMA 2.1
ECAP recordings were performed in monopolar configuration at a rate of approximately 60 Hz using the standard stimulation ground of the implant
Recording electrodes were by default set to the next more apical active electrode relative to the stimulating electrode (n−1
except for electrode 1 (the most apical electrode) which had electrode 2 as the default recording electrode
the location of each recording electrode could be altered by the investigator to yield a clear eCAP based on visual inspection following an initial test pulse
The recording electrode was neighboring the stimulating electrode in nearly all cases
ECAP recordings were obtained with high temporal resolution (stimulator internal sampling rate 1.2 MHz)
The measurement delay was set to 120 μs for stimuli with IPG = 2.1 μs and to 149 μs for stimuli with IPG = 30 μs to compensate for the different durations of the respective biphasic stimuli
Both masker and probe signals were measured with the same recording electrode pair
The masker level was 10% higher than that of the probe
for which the masker was set to MAL and the probe was set to 95% of MAL
This procedure led to a smaller increase for the last stimulus step in the AGF and to potentially less effective masking
The default phase duration was set to 30 μs and the default masker-probe interval to 350 μs
but both parameters could be adjusted by the investigator when necessary
For subjects 7 and 10 the phase duration was increased to 40 and 50 μs
to record eCAPs with sufficient reliability
Subject 14 had different phase durations in right (30 μs) and left (50 μs) ears
AGFs were recorded on all active electrodes
with 10 amplitude steps between and including threshold and MAL
This resulted in a total of 576 eCAPs for each ear
in the case of 12 clinically active electrodes
To further reduce the influence of the measurement noise
the recorded eCAPs were filtered with a fifth-order Butterworth lowpass filter having a cut-off frequency of 5 KHz
which effectively doubled the filter order to ten
biasing the determination of eCAP characteristics
a weighted linear least-square analysis was applied to the eCAP
Each eCAP trace was divided into three equally long parts and samples within the first
second and third part were multiplied with weights of 0.1
to emphasize the tail of the response in the estimation of the trend where the presence of the artifact is more pronounced
This allowed more accurate estimation of the trend
This estimated trend was then subtracted from the eCAP
in order to eliminate the artifact caused by internal circuitry
the response to the lowest subthreshold current level was subtracted from the detrended eCAP
the N1 peak was defined arbitrarily as the amplitude of the signal at 0.03 ms after stimulus onset
the above-mentioned time interval was expanded toward the onset of the signal to compensate for the delay in the recording and to allow the detection of any peaks that occurred earlier than expected
the N1-P2 peak amplitude difference as a function of stimulating current level
each polarity and each artifact reduction approach (FM/AP)
An automatic AGF selection was performed in order to only estimate AGFs with adequate reliability
The criteria for AGF selection were based on the maximum eCAP amplitude (the N1-P2 peak-amplitude for highest current level must be larger than 120 μV)
impedance of the stimulating electrode (must be lower than 10 kΩ)
monotonicity of the AGF and the comparison between the maximal AGF slope and the slope of a line fitted to the first three points of the AGFs (the response to the subthreshold and threshold currents) as an estimation of the artifact
the slope difference should be larger than 0.5 (μV/ μA) unless the slope of the line fitted to the eCAP amplitude measured with subthreshold and threshold currents was smaller than 0.3 (μV/ μA)
Single and multiple linear regressions were employed to investigate the relationship between the IPGEslope and speech test outcomes
The coefficient of determination (R2) was calculated based on the Pearson correlation coefficients in each case
These were reported together with the corresponding level of significance
In the case of multiple linear regression adjusted R2 was reported to compensate for the effect of over-fitting caused by the moderate sample size of this study
Where n and k were the sample size and number of independent variables
a weighted Pearson correlation analysis was also implemented to account for missing data due to rejected AGFs
the cases that the criteria for an automatic selection of AGF by the algorithm were not satisfied
The correlation coefficient was calculated according to
Where xi and yi were samples of the independent and dependent variables of length n
and x̄ and ȳ were the corresponding mean values
In cases where each sample was an ear (in case of analysis of monaural data)
was the number of electrodes with accepted AGF for both IPG 2.1 μs and IPG 30 μs divided by the total number of electrodes (12)
For the analysis of the ear-differences data
was the average of the weights for each ear of the subject
in case of subject 4 and for FMA condition
an acceptable AGF was obtained for both employed IPGs on 10 and 2 electrodes on the right and left ears
resulting in weights of 0.8333 and 0.1667 for these ears
a weight of 0.5 (average of 0.8333 and 0.1667) was therefore applied
In the context of weighted Pearson correlation
to calculate the corresponding level of significance
the test value for the Student’s t-distribution was defined as
nw was the effective sample size and was defined as the exponent of the entropy of the weights
with weights being normalized to their summed value
The corresponding level of significance (p-value) to the adapted t-value in Eq
(3) was calculated using MATLAB’s default numerical methods as for the standard p-value
To identify outliers for the variables age
duration of hearing loss until implantation (DHL)
hearing aid experience (HAE) and CI experience (CIE)
The coefficients of determination for the ranges 0.0–0.3
and 0.6–1.0 were categorized as weak
Table 1 contains subject demographic data. Subjects 9 and 16 were the youngest and oldest participants of this study. Six subjects had residual hearing. The extent of residual hearing was comparable among this subgroup. Subject 7L was the only case of implantation with a short electrode array (Table 1)
This subject had the longest duration of HL
and the CI experience was below the mean value of the group data
No residual hearing was observed for this subject at the time of experiment
Subject 2 was the only subject who showed no ear-difference in any of the investigated demographic data (duration of HL
This subject was implanted with the same electrode array type and wore the same type of speech processor on both sides
the variation in electrode array type was low among the ears tested
Most of the ears were implanted with a 28 mm long electrode array
There was a small difference in electrode length in a few subjects
hearing aid experience and CI experience were the same because there was no ear-difference in the onset of HL and hearing aid use in any subject
the time of implantation was the only cause of variation in all these three demographic data for the ear-differences
(A) Depicts the speech reception thresholds (SRT
dB SNR) measured for the German matrix sentence test for the right ear (red bars)
left ear (blue bars) and the absolute value of the ear-differences (right-left
black bars) sorted according to the SRT for the best ear in descending (improvement in speech intelligibility) order
(B) Displays the outcome of the Freiburg monosyllable test (% correct)
The subjects order and the display are the same as (A)
weak but significant correlations were found between monaural SRTs and demographic data of type age (R2 = 0.20*) and CI experience (R2 = 0.21*)
Figure 4. The correlation between the two speech intelligibility measures i.e., speech reception threshold (SRT) and Freiburg monosyllable test scores (FMT scores) for the monaural data (left panel) and the ear-differences (right panel). Each subject is represented by a number according to Tables 1, 2
blue and black indicate data from right ear
Black solid lines indicate significant correlations
Dashed gray regression line indicate non-significant correlations
***p-value ≤ 0.001
Figure 5 shows the measured IPGEslope for all the subjects
Each subfigure shows the calculated IPGEslope for individual electrodes (Electrode 1: the most apical
Electrode 12: the most basal) and their corresponding ASM for one ear
The right and left ears are indicated with red and blue
squares and triangles mark the three conditions FMA
Black crosses indicate clinically deactivated electrodes
The calculated IPG effect on slope (IPGEslope) for each of the 12 electrodes (1: most apical and 12: most basal) and their corresponding across site mean (ASM) values
The data from right (B) and left (A) ears are coded in red and blue
and triangles mark forward masking with anodic-leading pulse (FMA)
forward masking with cathodic-leading pulse (FMC) and alternating polarity (AP) conditions
Crosses indicate the clinically deactivated electrodes
Arrows indicate IPGEslope with magnitudes larger than 40 (μV/ nC)
For two out of the three conditions for each electrode
the data points are slightly shifted to the left and right to improve visibility
An exemplary case of a successful measurement is subject 16
For subject 16L an acceptable monotonic AGF was obtained for all electrodes and both polarities of the stimulating pulse
Subject 5 is an example for incomplete measurements
successful eCAP measurements were obtained for only four electrodes
The calculated IPGEslope values for these electrodes were relatively low across the electrodes
A clear variation in IPGEslope along the cochlea was observed in subject 2L with electrode 2 and 9 (examples of higher IPGEslope values) in contrast to electrode 4 and 11 exemplary cases that result in lower IPGEslope values
For some of the subjects such as subject 9 a large difference was observed between the right and left ears in terms of the number of electrodes for which IPGEslope was available
For subject 9L (who had a congenital component to their HL)
successful measurements were obtained for all the three conditions for most of the electrodes
For the three conditions further differences were observed between the ears
the difference in IPGEslope between conditions was minor
a difference between polarities was apparent in the estimated IPGEslope
measurements were successful for most of the electrodes
in contrast to FMC which resulted in successful measurements on only 2 electrodes
A noticeable difference was also observed between FMA and AP for the estimated IPGEslope
Subject 7L and subject 9R were excluded from all analyses due to the extent of the missing data for these ears
Both subjects had a congenital component to their HL
data of subject 7 and 9 was excluded for both ears since calculation of ear-differences was not possible
A comparison of IPGEslope measured in this study with the ones measured in a guinea pig model (Figure 7 of Ramekers et al., 2014) showed a smaller magnitude of this cochlear health measure for human subjects. For the 6-week deafened animals in the study of Ramekers et al. (2014) which are comparable to the human subjects of this study in terms of the degree of HL
the measured IPGEslope was 6 to 8 (depending on the phase duration) times larger than those measured in this study for AP condition
Figure 6 shows a scatter plot of the SRT as a function of IPGEslope ASM for the three conditions (FMA
The upper panel shows the standard Pearson correlation results
In this condition all ears contributed equally to the obtained coefficient of determination
regardless of the extent of missing electrode data
The middle panel shows the weighted Pearson correlation
The size of the number labels representing individual ears was scaled according to the corresponding weight for that ear e.g.
the subject 16L has the largest label because
eCAPs were measured successfully for all 12 electrodes
subject 10L with successful eCAP measurement on only three electrodes has one of the smallest labels
The difference in the print size of each number in panels (B,C) is proportional to the number of electrodes with successful eCAP AGF measurement for that ear
the weighting function was applied to the measured IPGEslope on individual electrodes before calculation of ASM of each ear in order to take into account the relative contribution of each electrode’s assigned frequency band to speech intelligibility
a weighted Pearson correlation was calculated
No correlation was observed between IPGEslope and SRT when the effect of missing data was not compensated for and when the relative importance of frequency bands was not taken into account (upper panel)
a weighted Pearson analysis resulted in a weak but significant correlation (middle panel)
for both polarities (FMA and FMC) the highest correlation was observed when the effect of missing data was compensated and the relative importance of frequency bands for speech intelligibility was considered (FMA: Rw2 = 0.25*
this observation resulted in a trend but showed no significant correlation (lower panel)
For the subset of the ears with more successful measurements
the magnitude of the coefficient of determination was comparable between the three conditions (FMA: R2 = 0.55*
The standard Pearson correlation between speech reception thresholds (SRT) and weighted IPGEslope ASM for monaural data
Only the ears with successful eCAP AGF measurement on at least eight electrodes in all the three conditions (A: FMA
Right and left ears are plotted in red and blue
No significant correlation was observed between ear-differences of SRT and ear-differences of IPGEslope either for the standard (FMA: R2 = 0.06
AP: R2 = 0.04) or the weighted (FMA: Rw2 = 0.06
AP: Rw2 = 0.04) Pearson correlation analyses
Applying the weighting to IPGEslope to account for the relative importance of each frequency band for speech intelligibility did not result in a significant correlation with SRT (FMA: Rw2 = 0.06
AP: Rw2 = 0.13) when ear-differences were analyzed (data not shown)
Figure 8 depicts the FMT scores as a function of the IPGEslope for monaural data and has the same structure as Figure 6
A weak but significant correlation was observed between monaural FMT scores and monaural IPGEslope ASM for FMC
as well as for the standard Pearson correlation analysis and in the absence of applying the weighting to account for the relative importance of each band for speech intelligibility
The magnitude of the coefficient of determination was improved when the weighted Pearson correlation analysis was employed
the speech-related weighting was also applied
although the correlation was not significant in case of AP (FMA: Rw2 = 0.28*
No significant correlation was obtained between IPGEslope ASM and FMT scores either for standard or Pearson correlation or after applying the speech-related weighting when ear-differences were analyzed (FMA: Rw2 = 0.18
Figure 9 depicts age as a function of IPGEslope for the three artifact reduction methods with monaural data
The correlation analysis showed a clear effect of the polarity of the stimulating pulse: a significant correlation was observed only when a cathodic-leading pulse was used for stimulation
The strength of the correlation (R2 = 0.38
R = −0.62) for the AP condition was intermediate between those obtained with FMA and FMC
No correlations were observed between hearing aid experience
duration of HL or CI experience and the IPGEslope (data not shown)
Figure 9. The correlation between IPGEslope ASM and age for monaural data. Each column represents one artifact reduction approach (A: FMA, B: FMC, C: AP). Each number represents one ear which is in accordance with Table 1
The right and left ears are plotted in red and blue
The difference in the print size of each number is proportional to the number of electrodes with successful measurement for that ear
Figure 10 shows the correlation between IPGEslope and age only for the subset of ears with relatively successful eCAP measurement on at least 8 out of the 12 electrodes
This strict inclusion criterion (applied post hoc) strengthened the correlations between the two parameters for all the three artifact reduction approaches
a strong and highly significant correlation (R2 = 0.84
R = −0.91) was observed which was considerably higher than the correlations observed in FMA and AP (R2 = 0.60
Figure 10. Standard Pearson correlation analysis between age and IPGEslope ASM for monaural data. Each column represents one of the three conditions investigated (A: FMA, B: FMC, C: AP). Only the ears with successful eCAP measurement on at least eight electrodes in all the three conditions are included. Right and left ears are plotted in red and blue, respectively. Each number represents one ear which is in accordance with Table 1
A multiple linear regression model was used to investigate the relation of cochlear health measures to demographic data and to electrode impedances
The model was also used to investigate whether considering demographic data and classical impedances in addition to cochlear health
explains the variation in speech intelligibility to a greater extent
The obtained results for the multiple linear analysis were compared to the standard Pearson correlation in a two-dimensional domain as the reference point
The choice of standard instead of weighted Pearson correlation here was to avoid implementation of weighted multiple regression analysis which requires complex calculations
four- and five-dimensional models were used
adjusted coefficients of determination (Radj2) were reported to compensate for overfitting
resulting from an increase in dimensionality
The analysis showed that only age was a significant predictor of IPGEslope for FMC and AP conditions
Addition of other investigated demographic factors or electrode impedances did not result in an improvement of model prediction
Table 2 describes the variations in SRT as a function of the cochlear health measure alone (first row) and together with CI experience
more than 50% of the variation in SRT was explained in the case of FMC
Considering both CI experience and IPGEslope significantly improved the model prediction in comparison with considering only IPGEslope as the independant variable [df(1,19)
the highest explained variation was almost 30%
Results from the multiple linear regression models to predict the variation in speech reception thresholds (SRTs)
To compare IPGEslope with IPGEoffset, the same analysis introduced by Brochier et al. (2021) was applied to the human data of this study. Two step-sizes for the sampling of N1-P2 amplitudes were used, 0.1 μV as introduced by Brochier et al. (2021) and a step-size of 0.02 μV. Figure 11 shows the results and has the same structure as Figure 6
It depicts SRTs as a function of IPGEoffset for standard (upper panel) and weighted (middle panel) Pearson correlation and as a function of weighted IPGEoffset for weighted Pearson correlation (lower panel) to consider both the effect of missing data and relative importance of each frequency band for speech intelligibility
No significant correlation was observed in any case regardless of the employed step-size
Figure 11. The correlation between speech reception threshold (SRT) and IPGEoffset ASM for monaural data. The figure has the same structure as Figure 6
demographic data and the impact of the application of a weighting function related to the speech band importance function on a measure of cochlear health were all investigated
No correlation was observed for ear-differences in any condition
the difference of the means of AGF slopes for single IPGs was reported (most probably to overcome the ambiguities raised by missing data)
The two approaches would have been identical in the absence of missing data
for some of the electrodes no AGF was obtained at least for one of the IPGs resulting in a difference when changing the order of averaging and subtraction
transferring the approach of analysis of ear-differences to a random selection of bilateral CI users might not always yield a useful result
Many studies have investigated the proper unit for analysis of psychophysical and physiological measurements in CI users. McKay (2012) investigated the psychometric probe threshold measured using a forward masking paradigm
The author argued that the ratio or logarithmic units are the best for estimation of probe thresholds because only in these domains are the effects of electrode-neuron distances canceled out
and only the effective change that neurons experience remains
increasing the stimulation current from 100 to 200 μA might result in an increase of 0.5–1 μA in one case and from 1 to 2 μA in other case
In both cases the effective current received by neurons was doubled as a response to doubling the stimulation current
but there is a difference in the raw increment
The author argued that the ratio and logarithmic domain can reflect this effect but not the linear domain
Brochier et al. (2021) used the same argumentation for the calculation of IPGEoffset and applied the IPGEoffset in the logarithmic domain as a cochlear health measure robust against non-neural factors such as variation in electrode-neuron interfaces or variation in the stimulating current level
It should be noted that as IPGEoffset is a differential measure
a logarithmic transformation not only compensates for different field gradient strengths
effect current at the recruited population
Degeneration affects the degree of the temporal integration of neurons
a reliable estimation of cochlear health requires a measure which should be sensitive to changes in temporal integration
This argumentation was confirmed with the outcome of this study which showed a significant correlation between IPGEslope in the linear domain and speech test outcome but no significant correlation for IPGEoffset in the logarithmic domain
The observation that the IPGE in the linear domain showed only a significant effect could therefore be explained by differences in how the neural population could integrate over time
and that this information is removed by an analysis in the logarithmic domain
The findings of this study are in line with the study of Takanen et al. (2022) who modeled three cochlear health measures
and (3) IPGEoffset in the logarithmic domain
They investigated the effect of electrode-neuron interfaces and cochlear health (defined as the number of surviving SGN)
They reported that only IPGEslope in linear domain was sensitive to cochlear health
although it was also affected by variation in electrode-neuron distance
Relative IPGEslope and IPGEoffset in logarithmic domain were not sensitive to either factor
The relatively small sample size in such studies is always a statistical obstacle when attempting to generalize and compare results
the current investigation differs from the previous studies in various factors
such as the focus on cathodic-leading stimuli (in contrast to anodic minus cathodic
investigation of individual subjects (in contrast to averaging across all or groups of subjects)
and investigating the IPGE between 30 and 2.1 μs for different polarities (in contrast to comparisons between polarity effect on eCAP threshold
as well as a different subject selection may be used to argue for the more conclusive results in this study
Setting the shorter IPG to 2.1 μs was suited to have samples of the second phase interrupting the vulnerable period
longer IPGs may not be suited for the choice as the shorter IPG
The etiology of HL was progressive in 10 of 13 subjects (77%) in this study
suggesting ongoing degenerative processes as well as the presence of remaining hair cells and PPs
Further research is required for more detailed investigation of the principles underlying preferential polarity sensitivity in CI users
Although a significant correlation was observed between cochlear health and speech measures
variations in speech perception among CI users are still large
In order to explain the interindividual variability in speech perception of CI users
more than one factor needs to be taken into account
a multiple linear regression model was employed and the variation in speech intelligibility was partly explained
IPGEslope was used as the main independent variable
Integration of CI experience in the model in addition to IPGEslope resulted in the greatest performance of the model
This is most probably because IPGEslope was correlated to age and inclusion of age therefore did not provide complementary information to the model
the observed correlation was most likely due to CI experience
It is important to consider the effect of overfitting with high dimensional models
particularly in cases of a smaller sample size as in the one employed here
Adjusted R2 values were reported to compensate for the effect of overfitting
caution should be taken in interpreting the outcome of these models in particular with respect to the data size of 24 ears
it is suggested to repeat this analysis with a larger dataset and (if possible) with less missing data
it was not possible to include only the ears with relatively complete eCAP measurements
based on the higher correlation observed in case of considering only ears with successful measurements on at least 8 electrodes
it can be concluded that employing such a model with a dataset with less missing data might result in an increase in the predictive performance of the model
which might have an increased contribution from overfitting
For future studies additional factors such as deficits in the fitting of CI processors or issues related to rehabilitation measures may be of interest
In this study to assess the performance of IPGEslope in the estimation of cochlear health (neural status) the correlation with speech intelligibility was selected
The study design controlled for many of the covarying factors affecting speech intelligibility
The variability in electrode array type was kept as low as possible
to completely factor out the interindividual variability in reconstruction of cochlear tonotopy
the information about the length of electrode array should be assessed together with the respective insertion angle and cochlear size
this information should be considered in future
In an attempt to control for the cognitive ability of the subjects
ear-differences in cochlear health measures and speech intelligibility were employed
analysis of the ear-differences revealed limitations to this approach
These limitations include the difficulty in recruiting a large enough number of subjects with between-ear SRT differences higher than 1 dB SNR
and the difficulty of obtaining complete eCAP measurements for both ears in some subjects
the analysis of monaural data was preferred in the present study
this approach came at the expense of losing control over the cognitive ability (which is a highly individual variable and demonstrated in many studies to be related to performance)
it might be useful for future studies to assess the cognitive ability of the subjects via additional testing in order to describe some of the remaining unexplained variation in speech intelligibility of the CI users
Considering the variation in the spread of excitation might help to better explain the outcome of this study
the relationship between electrode impedances and cochlear health should be investigated to assess the impact of electrode impedances on cochlear health measures
charge integration efficacy might be a faster measure of cochlear health as it can be measured psychophysically in a co-operative subject
its subjective nature might restrict its possible application e.g.
Further studies are required to compare IPGEslope and charge integration efficacy in terms of their accuracy as well as their vulnerability to missing data
For any application of band importance function
it is desirable to consider as many of these factors as possible to obtain a function which is tailored to that particular application
It is hypothesized that a tailored band importance function together with complete electrophysiological measurement results in a more accurate prediction of speech intelligibility
The clinical map of some of the subjects might be different than the default map
Various factors determine the suitable fitting map for individual users in terms of the filter bank setting
The presence of low frequency hearing usually results in a change in the filter bank setting because in such a case the listeners are able to hear the low frequencies acoustically and the CI codes a restricted frequency bandwidth
Another influential factor might be the usage of the anatomy-based fitting which aims at preserving the natural frequency-place map
the amount of the change depends on the insertion depth and the position of the electrodes in the cochlea
Electrode deactivation also affect the filter bank setting and consequently the band importance function
open or short circuitry are exemplary common reasons for electrode deactivation which results in the frequency redistribution among the remaining electrodes and depends on the number of deactivated electrodes
The extent of the variation from the default map is individual and ranges from a slight change to a moderate one
Employment of band importance functions adapted to individual maps of the CI users is worthwhile to be tested in future
This study investigated the applicability of cochlear health measures for prediction of speech perception capabilities in CI users
We focused particularly on investigating the effect of the polarity of the stimulating pulse and the utility of the band importance function
significant correlations were observed between IPGEslope and speech perception outcomes
with equal correlation strength for anodic-leading and cathodic-leading pulses
We found that reliable relationships between the investigated parameters of cochlear health could only be established when the relative importance of each frequency band for speech intelligibility was taken into account
A significant negative correlation was observed between IPGEslope and age
cathodic-leading pulses resulted in a significant and strong correlation
while anodic-leading pulse showed no significant correlation
supporting the hypothesis that cathodic-leading pulses are better suited for detection of degenerated SGN PPs
The higher sensitivity of younger CI users to cathodic-leading may be due to a larger number of excitable PPs in regions closer to the electrode contact where a cathodic stimulus leads to depolarization more effectively
Missing data was particularly detrimental to the analysis
The highest correlations were observed when the effect of missing data was compensated either by implementation of a weighted correlation or when only ears with relatively complete measurements were included into the analysis
For an accurate estimation of cochlear health (neural status)
measurements of high quality eCAPs were essential
Stimulation with a cathodic-leading phase might help to improve the estimation of cochlear health
The results of this study together with further information about current spread
which is assumed to be an individual factor and degrades the spectral resolution of the coded speech
have the potential to explain the observed variation in performance achieved by CI users
partly due to variation in the degeneration level of the auditory periphery
The raw data supporting the conclusions of this article will be made available by the authors
The studies involving human participants were reviewed and approved by the Ethics Committee of the Goethe University Hospital in Frankfurt (ERB number 44/19)
The patients/participants provided their written informed consent to participate in this study
LZ wrote the manuscript and analyzed the data
BM analyzed the data and created the figures
HB and UB designed the study and revised and finalized the manuscript
JT reviewed the study design and the manuscript
CG designed the study and revised the manuscript
All authors contributed to the article and approved the submitted version
Support for this work was provided in part by MED-EL GmbH
We thank Marko Takanen for his helpful consultation on speech information
Philipp Spitzer for his substantial support with eCAP signal processing
Darshan Shah for creating the custom-made MATLAB research tool
two students Vera Komeyer and Sophie Hamkens for data measurement
and Konrad Schwarz for their constructive feedback and the review of an early version of the manuscript
and Patrick Connolly for providing English language editing for the manuscript
We would like to express gratitude to the participants of the study for the generous dedication of their time
A portion of this work was presented at the 2021 Conference on Implantable Auditory Prostheses
The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations
Any product that may be evaluated in this article
or claim that may be made by its manufacturer
is not guaranteed or endorsed by the publisher
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fnint.2023.1125712/full#supplementary-material
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the woman that prosecutors allege was part of a plot to bribe a juror in the “Feeding our Future” trial faced a judge on Thursday afternoon in St
Thirty-one-year-old Ladan Mohamed Ali entered “not guilty” pleas to the charges filed against her
bribery of a juror and corruptly influencing a juror
said his client had “no comment” on the charges as they left court
On Wednesday, U.S. Attorney Andrew Luger announced charges against five people who they allege were part of the bribery plot
“These defendants engaged in a chilling attack on our justice system,” Luger said during Wednesday’s news conference
Luger mentioned considering using possible anonymous juries in cases down the road to try and protect jurors from outside influence
where the identities of the jurors are withheld from prosecutors
“It comes with some price though,” said retired Hennepin County District Court Judge Kevin Burke about using anonymous juries and the message it sends to the juror
“It creates an atmosphere in which you say with these defendants are dangerous
and we need to protect you; how do you presume somebody innocent if that’s the message?” Burke said
But the retired judge said it’s an option prosecutors could use in certain situations
“It’s just one that you’d use quite rarely,” Burke added
Prosecutors alleged the “Feeding our Future” cases are part of the country’s largest COVID-19 related fraud cases
Earlier this month
Numerous studies have highlighted cognitive benefits in lifelong bilinguals during aging, manifesting as superior performance on cognitive tasks compared to monolingual counterparts. Yet, the cognitive impacts of acquiring a new language in older adulthood remain unexplored. In this study, we assessed both behavioral and fMRI responses during a Stroop task in older adults, pre- and post language-learning intervention.
A group of 41 participants (age:60–80) from a predominantly monolingual environment underwent a four-month online language course, selecting a new language of their preference. This intervention mandated engagement for 90 minutes a day, five days a week. Daily tracking was employed to monitor progress and retention. All participants completed a color-word Stroop task inside the scanner before and after the language instruction period.
Future research is needed to determine the optimal parameters for language learning as an effective cognitive intervention for aging populations. We propose that with sufficient engagement, language learning can enhance specific domains of cognition such as the executive functions. These results extend the understanding of cognitive reserve and its augmentation through targeted interventions, setting a foundation for future investigations.
Volume 16 - 2024 | https://doi.org/10.3389/fnagi.2024.1398015
This article is part of the Research TopicLifestyle and Healthy Aging to Prevent Cognitive Decline and DementiaView all 28 articles
Introduction: Numerous studies have highlighted cognitive benefits in lifelong bilinguals during aging
manifesting as superior performance on cognitive tasks compared to monolingual counterparts
the cognitive impacts of acquiring a new language in older adulthood remain unexplored
we assessed both behavioral and fMRI responses during a Stroop task in older adults
pre- and post language-learning intervention
Methods: A group of 41 participants (age:60–80) from a predominantly monolingual environment underwent a four-month online language course
selecting a new language of their preference
This intervention mandated engagement for 90 minutes a day
Daily tracking was employed to monitor progress and retention
All participants completed a color-word Stroop task inside the scanner before and after the language instruction period
Results: We found that performance on the Stroop task
as evidenced by accuracy and reaction time
improved following the language learning intervention
we observed significant differences in activity between congruent and incongruent trials in key regions in the prefrontal and parietal cortex
These results are consistent with previous reports using the Stroop paradigm
We also found that the amount of time participants spent with the language learning program was related to differential activity in these brain areas
we found that people who spent more time with the language learning program showed a greater increase in differential activity between congruent and incongruent trials after the intervention relative to before
Discussion: Future research is needed to determine the optimal parameters for language learning as an effective cognitive intervention for aging populations
We propose that with sufficient engagement
language learning can enhance specific domains of cognition such as the executive functions
These results extend the understanding of cognitive reserve and its augmentation through targeted interventions
setting a foundation for future investigations
This engagement is hypothesized to not only activate and strengthen these cognitive areas but also potentially induce neuroplastic changes within the brain
the Stroop task provides an objective measure to assess a specific cognitive domain at baseline and after the intervention
Any significant change in performance on the Stroop task from pre to post intervention can be attributed to cognitive changes potentially induced by the language learning process
we used a pre-post intervention design with functional magnetic resonance imaging (fMRI) to explore the neural effects of language learning in older adults
The study was initiated by conducting baseline fMRI scans for all participants to establish a neurological benchmark
the participants underwent an online language learning program
Participants were monitored daily for their performance and retention
a second set of fMRI scans was conducted to identify any neural changes attributable to the intervention
This pre-post design allows for the assessment of neural adaptations in response to new language acquisition in older adults
The fMRI data were analyzed using standard neuroimaging techniques to observe changes in brain activity
with a particular focus on regions associated with language processing and cognitive control
This study was approved by the UNL Institutional Review Board (IRB)
Office of Research & Economic Development
The University of Nebraska at Kearney IRB acknowledged and honored the site agreement to cede IRB review to the University of Nebraska-Lincoln IRB regarding this study
under the SMART IRB Master Common Reciprocal Institutional Review Board Authorization Agreement
Per this agreement the UNL IRB serves as the reviewing IRB and the UNK IRB as the relying IRB
Our participant cohort consisted of 41 healthy
aged between 60 and 80 years (M = 66.63
min = 60; max = 77)
all residing in a predominantly monolingual environment in Nebraska
All participants had at least 14 years of education (M = 17.5
mirroring the demographics of the rural Nebraskan population
All ethnic minorities were excluded based on proficiency in two or more languages
Inclusion criteria consisted of being monolingual English-speaking adults
aged 60–80 years of any gender
with an electronic device and access to the internet
with normal or corrected vision and hearing
no diagnosed depression or neurological disorders
we only included right-handed individuals to control for left-hemisphere dominance
All participants were fully vaccinated for COVID-19 given that data were collected shortly after COVID-19 restrictions were lifted to avoid putting older adults at additional risk of exposure to COVID-19
Participants who were claustrophobic or did not have the ability to report to the Center for Brain
or did not pass the MRI compatibility screener were excluded
All participants had computer skills to enroll in the intervention program and access to the internet and a device
All participants were screened using Montreal Cognitive Assessment (MoCA) and participants who did not score above the cut-off of 26 were excluded
The Language Experience & Proficiency Questionnaire (LEAP-Q) (Marian et al., 2007; Kaushanskaya et al., 2020) was used to screen for second language knowledge
LEAP-Q is a self-report toolbox to collect data on language knowledge
use and exposure for all languages spoken by an individual
and scores above 7 are taken as a measure of bilingual proficiency; a score of 0 indicates monolingualism
Only participants with a score of 0 or 1 (minimal knowledge and at vocabulary level) were included
Participants engaged in an online language learning program, Rosetta Stone, in which they selected a language of their choice to learn. Rosetta Stone is a comprehensive computer-assisted language learning software developed by Rosetta Stone Ltd. This software employs an immersive method, inspired by the naturalistic way individuals learn their first language (Work, 2014; Zheng, 2024)
The approach is characterized by the absence of translations or explicit grammar instructions
and textual cues in the target language to convey meaning and foster language comprehension and production
This methodology aligns with the communicative approach to language teaching
which emphasizes the importance of interaction and using the language for real-life communication purposes
This method mirrors the way a baby learns their mother tongue
emphasizing immersion and natural acquisition
the writing system is initially excluded from the learning process
we did not exclude languages with different writing systems
We used the educational version of Rosetta Stone which provided us with the possibility of monitoring the adherence to the program with detailed information about the number of minutes engaged in the program
a detailed statistics about the activities in which the participant engaged
the number of times each activity was repeated and scores on tests at the end of each lesson and each level
The intervention spanned a duration of 4 months
Participants were instructed to engage in language learning 5 days per week
The online platform provided flexibility for participants to learn at their own pace and in a familiar environment
potentially enhancing adherence to the program
To ensure a consistent and effective learning experience
we offered optional monthly zoom meetings to participants
These meetings provided them with an opportunity to meet other participants
Adherence to the intervention protocol was closely monitored
we had access to log-in and time and type of language learning activities
Participants could proceed with the lesson only if they passed the test with 80% accuracy or above
This data was then used to assess the fidelity of the intervention and its potential impact on the cognitive abilities of the participants
The color-word Stroop task (Stroop, 1935; Scarpina and Tagini, 2017) is a well-established neuropsychological test designed to evaluate cognitive control and executive function (Kane and Engle, 2003; Bari and Robbins, 2013)
participants are presented with words denoting colors that are printed in congruent or incongruent colors (e.g.
the word “red” printed in blue)
They were required to identify the color of the “ink,” not the word itself
which requires the inhibition of an automatic reading response
the congruent trials included the names of colors that appeared in the same color that they read
The incongruent trials included the names of colors that appeared in a different color that they read
The participants were instructed to always pick the color of the word on the monitor (i.e.
and ignore what the word “read.” The neutral condition consisted of the words “when,” “so” and “for” which were presented in different colors on the monitor
Participants were instructed to respond with a right index finger key press for when the color of the word was yellow
a right middle finger key press when the color of the word was red
and a right ring finger key press when the color of the word was green
The task was displayed to participants via a screen visible through a mirror mounted on the head coil
The Stroop task paradigm was previously used in a number of studies (MacLeod, 1991; Kane and Engle, 2003)
Our custom version of the Stroop task consisted of 108 trials
divided into three conditions with each condition consisting of 36 trials
Stimuli were presented with E-prime version 2.0 software (Psychology Software Tools
Trials were presented in a pseudorandom order to control for sequence effects: (1) Neutral Condition: Departing from the traditional non-word letter strings
our task incorporated common English words such as “When,” “So,” and “Like.” These words
This adaptation aimed to control the impact of familiarity and semantic content on the participants’ response times and accuracy
color words such as “Yellow,” “Red,” and “Green” were displayed in their respective colors
The semantic and visual congruence would expedite response times
leveraging the alignment between the word meaning and its visual presentation
(3) Incongruent Trials: These trials featured color words in contrasting colors
Each color word was repeated 12 times in each of the three incongruent colors
resulting in a total of 36 trials for each condition
Participants also practiced a short version of the same task outside of the MRI environment
The only differences from the MRI Stroop task was that participants were seated at a desk and used a keyboard to respond
MRI data were collected using a 3 T Siemens Skyra scanner with a 32-channel head coil at the Center for Brain
Biology and Behavior at the University of Nebraska-Lincoln
A T1-weighted high resolution anatomical scan (TR = 2.2 s
FOV = 256 mm/100% phase
slice thickness = 1 mm) was collected for precise alignment of functional data
We also collected multiband echo-planar data (TR = 1 s
FOV = 210 mm/100% phase
slice thickness = 2.5 mm
multiband acceleration factor = 3) during in-scanner task performance (one run of 490 s prior to language learning and one run of 490 s following the language learning intervention)
The mean beta weight for each condition was extracted for each participant
and time point for subsequent statistical analysis
We calculated mean accuracy and reaction time data for congruent and incongruent trials for each participant. We ran an ANOVA with time (pre and post-language learning) and condition (congruent and incongruent) as repeated measures in JASP (ver. 0.16.2) (Love et al., 2019)
The Holm-Bonferroni method was used for post hoc tests
we monitored the amount of time that the participants used the online program
The mean cumulative time dedicated to the intervention by our participants was 4,885 min (min = 1,218; max = 14,522)
with a standard deviation of 2,470 min
while the average time spent per day was 66.5 min
accompanied by a standard deviation of 25.1 min
Each language program is divided into three levels
with participants required to take a proficiency test before advancing to the next level
This indicates that all participants achieved a high proficiency level in the language lessons
Performance on the Stroop task increases from pre to post language learning
(A) The difference between accuracy on congruent and incongruent trials decreases following language learning
(B) The difference between reaction time on congruent and incongruent trials decreases following language learning
Asterisks indicate interaction p-value <0.05
Increased activation for incongruent relative to congruent trials in the Stroop task
The main effect for condition (incongruent vs
All significant results were characterized by greater activation for the incongruent relative to congruent condition
We did not observe any significant clusters for the main effect of time (pre vs
and we did not find any significant clusters for the condition (incongruent and congruent) by time (pre and post-language learning) interaction
The results on participants’ performance in this study indicated that all participants achieved a high proficiency level (an average of % 96 on all proficiency tests)
the time spent on the language learning program
varied among participants (min = 1,218; max = 14,522; M = 4,885; SD = 2,470 min)
Although within the design of this study it is not possible to tease apart exposure and use
we used the cumulative time tracked by the language learning software
as a variable that reflects exposure and use combined
Changes in Stroop activation are related to the amount of time spent on the language learning program
(A) Changes in Stroop task activation were extracted from four clusters identified in the main effect for condition
These clusters were selected based on their involvement in the Stroop task in previous studies as well as from the main effect of condition in the current study
Correlation between the change in Stroop activity and the time participants spent with the language learning program in the (B) Left lateral prefrontal cortex
we reversed the subtraction operations so that more positive scores could be interpreted as increases in performance from pre to post intervention for both accuracy and reaction time
the formula for accuracy was [(pre congruent – pre incongruent) – (post congruent – post incongruent)]
there was greater between-participant variability in reaction times
so to account for this variability we calculated the change score as a proportion of the difference between incongruent and congruent trials pre-intervention
the formula for reaction time was [(pre incongruent – pre congruent) – (post incongruent – post congruent)/(pre incongruent – pre congruent)]
we correlated the behavioral change scores with the amount of time spent on the language learning program
As our hypothesis was that this relationship would be positive
We did not observe a significant relationship between time spent on the language learning program and improvements in either accuracy or reaction time on the Stroop task
While we did not observe a significant linear relationship between time spent on the language learning program and improvements in Stroop performance
those who spent more time with the language learning program and those who spent less time
Participants were placed in these groups if they spent more or less than the mean amount of time with the language learning program (4,885 min or ~ 81.5 h)
Then we evaluated whether or not these groups were characterized by different levels of improvement on Stroop task performance (as described above)
We found that the group who spent more time with the language learning program showed greater increases in Stroop accuracy from pre to post-intervention
We did not observe any differences in reaction time performance between the groups who spent more or less time with the language learning program
These data suggest that time spent with the language learning program was related to greater accuracy gains from pre to post-intervention on the Stroop
While the effect on reaction time was not significant
it was in the opposite direction as the accuracy effect which may be suggestive of a speed/accuracy trade off
We hypothesized that learning a new language could serve as a beneficial intervention to boost cognitive performance for older adults
By leveraging the cognitive complexity inherent in acquiring a new language
we hypothesized that L2 learning would lead to specific cognitive domains such as executive functions
We observed a significant condition (congruent vs
incongruent) by time (pre and post-language learning) interactions on measures of accuracy and reaction time for the Stroop task
These interactions were characterized by an increase in accuracy and a decrease in reaction time on incongruent trials post intervention
Changes in performance on incongruent trials
showed no significant change from pre to post-language learning
This suggests the changes observed on incongruent trials are not general practice effects; but related to the intervention
Behavioral results showed the Stroop effects and an improved performance post intervention as compared to pre intervention
pre-post intervention comparisons reflected that the performance in Stroop task was more accurate post intervention as compared to pre intervention and the accuracy of the incongruent trials
were improved and closer to the easier congruent trials which are less demanding in terms of conflict management
Response times showed a similar effect to accuracy suggesting language learning influenced processing speed as well
these data support the idea that Stroop performance improves following language learning
While we did not observe any significant effect of time (pre vs
or for the interaction (condition by time)
we did observe a relationship between changes in the brain activity during Stroop task and the amount of time participants spent on language learning
we found a positive relationship between changes in brain activity and time spent on the language learning program in the right lateral prefrontal cortex
the left prefrontal cortex and the left parietal cortex
as well as the right lateral prefrontal cortex
This suggests that the time spent on learning a new language can modulate activation related to the Stroop task in regions included in the frontoparietal network (FPN)
This superordinate network can describe how the executive function system with a common infrastructure can cater to the requirements of a network-specific and domain-specific demands of a particular task
these brain areas have been reported as important brain areas that contribute to the cognitive advantage in lifelong bilinguals as compared to monolingual peers
The current results suggest that learning a new language in older adults for 4 months may improve Stroop performance
These results may also suggest that learning a new language in older adults can contribute to improving cognitive reserve and may contribute to postponing or slowing cognitive decline
These results are in contrast to the current study where we did observe an effect of language learning on reaction time on the Stroop task
It is unclear whether potential differences in the dose
Altogether, in line with the previous reports (Bubbico et al., 2019; Meltzer et al., 2023)
we provide evidence that even short-term language learning interventions can significantly reorganize and enhance neural network functions in older adults
contributing to better cognitive performance in specific executive function tasks such as the Stroop task
to note that while Stroop performance improved from pre to post-intervention and brain activity was modulated by the amount of time people spent with the language learning program
the dose dependent effects of time spent on the language learning program and improvements in Stroop performance were tenuous
Future studies should determine the optimal intensity
duration and intensity of language learning programs as an effective cognitive intervention in older adults
this intervention may potentially counteract the cognitive decline associated with aging through the enhancement of brain plasticity and functional connectivity
The latter hypothesis remains to be tested
We bring evidence that language learning at older ages may boost cognitive control performance
as measured by improvements in the Stroop task
This enhancement is associated with functional neuroplasticity in cognitive control areas of the brain
indicating that acquiring a new language may actively influence function in these crucial regions
these changes are observable improvements in tasks that require attentional control
reflecting the transfer of cognitive gains from language learning to other cognitive domains
These results align with the theory of cognitive reserve
suggesting that intellectually stimulating activities like language learning can bolster the brain’s resilience to age-related decline
we also acknowledge that the extent of these benefits depends on the dose of language engagement
highlighting the importance of the amount and intensity of learning in realizing cognitive advantages
These results present a promising avenue for non-pharmaceutical intervention for aging related cognitive decline
low cost and potentially enjoyable approach to maintaining and enhancing cognitive health in the aging population
As populations globally are experiencing increased longevity
understanding how to maintain cognitive health in later life is of paramount importance
Our study has a few limitations. First, our study’s design involved 41 participants, and is likely too small to allow for broad generalizations. In addition, Dichotomization of data may increase the risk of obtaining a false positive result (Altman and Royston, 2006)
our study employed a pre-post intervention design without incorporating a control group or control condition
limiting our ability to isolate the intervention effect from other potential influencing factors such as practice effects
a lack of control groups limits drawing a strong conclusion for the causality of the intervention effects
or controlling for confounding factors such as interaction with the researchers or the logistics of the language program such as logging in and out
as well as limiting the generalizability of our findings
The challenges associated with conducting randomized trials on second language acquisition as a cognitive intervention in older adults
Future research approaches with bigger samples and designs that include control conditions are required
this study potentially exhibits self-selection sample bias
as the personality types of the participants and demographic homogeneity could have influenced the composition of our sample
The participants were homogeneously white Caucasian
which is reflective of the population characteristics of Nebraska
Future multi-site studies should include all races and different ethnicities
our sample consisted of older adults with moderate to high education levels (M = 17.5
Higher education level may have impacted the learning process or the cognitive demand required for learning a new language
Future studies should explore the effect of education level on the cognitive effect of language learning
the ethnic minorities were excluded due to their proficiency in two or more languages
Future research should look at the cognitive effects of a third language in bilinguals of different ethnicities
our priority was to allow participants to select the language of their choice
This approach does not account for the effect of language distance
Future studies should explore the language distance effect
comprehensive research on cognitive effects of language learning is required to support our evidence for cognitive benefits of learning a new language in older adults
Further research can provide invaluable insights into cognitive aging
offering strategies not only for individual cognitive health but also for societal well-being
The original contributions presented in the study are included in the article/supplementary materials
further inquiries can be directed to the corresponding author
The studies involving humans were approved by Rachel Wenzl - University of Nebraska-Lincoln
The studies were conducted in accordance with the local legislation and institutional requirements
The participants provided their written informed consent to participate in this study
The author(s) declare that financial support was received for the research
This study was funded by the University of Nebraska Collaboration Initiative Grant
Thank you to Rosetta Stone’s higher education division for providing complimentary access to their language learning curriculum and platform for the research participants
Joanne Murray who all contributed to data acquisition
Omid Gholami for constructing the Stroop task in Gorilla
and to undergraduate student Noelle Abels for assistance in gathering and organizing references
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest
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Received: 08 March 2024; Accepted: 12 July 2024; Published: 07 August 2024
Copyright © 2024 Schultz, Gansemer, Allgood, Gentz, Secilmis, Deldar, Savage and Ghazi Saidi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY)
*Correspondence: Ladan Ghazi Saidi, Z2hhemlzYWlkaWwyQHVuay5lZHU=
Isah Ladan Bosso on Sunday heaved a sigh of relief and gave thanks to God that his side were able to keep their spot in the Nigerian Professional Football League (NPFL) with a 2-1 win over one of his former clubs
Sports247 gathered that Sunday’s matchday 35 home win kept The Harmony Boys ninth on the NPFL log with 49 points
while El-Kanemi are just one rung ahead of Heartland of Owerri
who are the fist team in the top-flight league’s relegation zone
Read Also: El-Kanemi Warriors’ Assistant Coach Mohammed Mohammed Tags Next Match Versus Remo Stars ‘Must Win’
While El-Kanemi will continue being anxious with their last three matches of the campaign
Sunshine Stars of Akure and Lobi Stars of Makurdi in the war against relegation
Bosso is happy that Bayelsa United are already assured of being in the NPFL come next season
Flying Eagles’ former handler and current president of Nigerian Football Coaches Association (NFCA) admitted that Sunday’s victory was not easy to get against their very resilient visitors
Bosso disclosed: “We expected that there was going to be a good fight from them
That’s why the players that came from the bench were able to give us the result
we still have to appreciate the resilience of the opponents
Though they did not play in the second half what they they did in the first half
the changes we made helped us get an impact.”
The lanky tactician also took a closer look at the run of play
in which either side scored through penalty kicks
and acknowledged how his substitutions ultimately earned Bayelsa United the crucial winning goal pretty late in the encounter at Samson Yebowei Siasia Stadium in Bayelsa State’s capital
“Two of the goals were interesting … penalty against us
the goal that we scored to win the match could not be cancelled
It was clinically executed through a lot of pressure from my boys
and we finally got the winning goal.”
He concluded by pointing out that the hosts’ goal came in the knick of time and too late for El-Ka to have any hope of staging a comeback for a draw
leaving Bayelsa United picking up maximum points and gaining an assurance of being there next season in the NPFL
there was no way they could balance the game again
The only thing to do was maintain the line of defence
we appreciate God with how we were able to seal up our position in the premier league for next season,” Bosso rejoiced
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Congratulations are in order for electrical and computer engineering professor, Dr. Ladan Tahvildari
Tahvildari was recently elected to the Board of Governors of the IEEE Computer Society (IEEE CS) for a three year term beginning 1 January 2025
The IEEE Computer Society is engaging computer engineers
and industry professionals from all areas of computing
IEEE CS sets the standard for the education and engagement that fuels continued global technological advancement
Tahvildari leads the Software Technologies Applied Research (STAR) Group at the University of Waterloo
Her research is in the areas of decision-making approaches for self-adaptive software systems including adaptive security
analyzing architectures to manage cloud applications
and scalable similarity search over big data
Tahvildari is a member of the Association for Computing Machinery (ACM)
ACM Special Interest Group on Software Engineering
and the Institute of Electrical and Electronics (IEEE)
She has been an elected Member-at-Large (2016-2018) for the IEEE Technical Council of Software Engineering (TCSE)
Tahvildari is the current IEEE TCSE chair (since 2020)
She is currently a Member-at-Large of the IEEE Technical Activities Committee (TAC)
She served for more than 10 years as Chair of the IEEE Women in Engineering (WIE) Affinity Group
Professor Tahvildari is a fellow of the Canadian Academy of Engineering
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Head coach of Bayelsa United Ladan Bosso believes his team deserved more than a point in their NPFL Match Day 23 clash with with champions Rangers International on Sunday.Both teams fought out a 0-0 draw at the Samson Siasia Stadium Yenagoa with chances opening up for either sides at the tail end of the game but none could convert.Bosso believes that the result could have been different if his side did better than they did in the first half
especially by converting the scoring chances they had
even when the match was going on in the first half
I believed my team would get better in the second half and they did just that
The performance in the second half was better than the first so that is the output of coaching.“The issue now is the players taking their chances as early as possible
If they have taken those chances in the first half and get one or two goals in the first half which I saw those chances were available
it could have been a different story in the end,” added the former Nigeria Under 20 coach.Bayelsa United with the draw stretched their mini-unbeaten run to three matches and are currently placed 12th on the league log
five points above the dreaded relegation zone.Up next for the Prosperity Boys is a trip to Kwara United in Ilorin on Match Day 24
Katsina United 1 Heartland 0 Shooting Stars 1 Bendel Insurance 0 Elkanemi Warriors 1 Nasarawa United 0 Remo Stars 2 Kano Pillars 1 Niger Tornadoes 1 Plateau United 1 Ikorodu City 2 Kwara United 1 Abia Warriors 3 Sunshine Stars 0Akwa United 2 Enyimba 1 Rivers United 1 Lobi Stars 0
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By Harminder Phull. This article was originally published on Waterloo News
housed within the Faculty of Environment at the University of Waterloo is a leader in sustainability research
education and innovation to benefit the environment
The centre plays a pivotal role in developing guidance and mobilizing solutions that address climate-related extreme weather risk across Canada and enable a more resilient country
all levels of government and businesses to reduce negative impacts from extreme weather events
“Heat-related illness and death are preventable,” states Caroline Metz
“By putting protective measures in place before a heat wave occurs
tenants and homeowners can reduce undue suffering and health risks from heat – including negative social impacts
The Intact Centre’s heat protection infographics offer a ‘how to' guide
that can help residents and communities stay safe.”
The Heat Waves Design Challenge brought together experts from climate science and design to serve on the judging panel and identified novel ways of communicating the impacts of extreme heat and actions to protect people and communities
The initiative profiled meaningful communication strategies for those seeking more information and awareness
offering practical solutionsand emphasizing adaptation action rather than solely profiling the threat from heat waves
Sponsored by the Environmental Design Studio and Shade the U.K.
the contest received entries from around the world
“It is encouraging to see innovative work on extreme heat from around the world recognized in an international design competition
Communication is key to changing behaviours,” says Joanna Eyquem
“It is not enough to identify what to do; the key challenge is to engage people in taking action to protect themselves as part of their everyday lives.”
Receiving commendation in this prestigious international challenge is a significant accolade for the Intact Centre
It reaffirms the centre’s role in advancing climate resilience and emphasizes that effective communication on complex issues like extreme heat is not only possible
With a future characterized by irreversible climate warming
the Intact Centre remains committed to helping Canadians understand heat risk and implement protective measures that can safeguard health and well-being now
This article was originally published on the Electrical and Computer Engineering news site
Congratulations are in order for electrical and computer engineering professor, Dr. Ladan Tahvildari
Tahvildari was recently elected to the Board of Governors of the IEEE Computer Society (IEEE CS) for a three year term beginning 1 January 2025
The Open Access movement seeks to promote free and open online access to academic information
libraries are key partners in the open access movement
This year the Library will be hosting a series of workshops throughout the week, highlighting some of the key supports the Library provides related to open access. Learn more and register for events on the Library website
the new emergency notification system (ENS) provided by Regroup will be tested on a campus-wide basis for the first time
The test will include the following communications channels:
Downloaded Regroup Mobile to your device and follow the login and recommended settings steps
Ensured your cell phone number is up to date either in the app if you are staff
Downloaded and installed the Desktop Alert tool onto your computer
If you have any questions about the upcoming test, or about how to make sure Regroup’s app and desktop alert are installed properly on your devices, email ens@uwaterloo.ca
30 years ago: The Shawshank Redemption
The Student Health Pharmacy (located in the lower level of the Student Life Centre) is offering flu shots with no appointments needed daily from 9:30 a.m. to 3:30 p.m. Call 519-746-4500 or extension 33784 for more info. COVID shots will be available on appointment basis only. You can register online at studenthealthpharmacy.ca
Warriors Game Day Tickets. Purchase your single game tickets or season packages today to cheer on your Warriors this season. Tickets on sale now for Basketball, Football, Hockey and Volleyball. Check out the schedules and purchase today
NEW - Critical Tech Talk 10: Ecomedia and the Cost of Technological Progress with Dr
Chemistry Seminar: Synthetic strategies leveraging fluoride-enabled reactivity featuring Christine Le
Noon Hour Concert: Mendelssohn’s Own
Cycles, Cramps, and Cravings… Oh My! Nutrition for Menstrual Wellness
Systematic Reviews for the Environmental Sciences, Wednesday, October 9, 1:00 p.m. to 3:00 p.m., online. Register now
Indigenous Speakers Series presents Jordan Jamieson
2024 Cybersecurity and Privacy Institute Annual Conference
Further Education Fair, Thursday
Warriors Women’s Hockey vs. Toronto, Thursday, October 10, 7:00 p.m., CIF Arena. Home Opener, Banner Raising, Parent Day, Employee Day (Limited free tickets available sponsored by Hilton. Email WarriorsTickets@uwaterloo.ca for coupon code). Buy your tickets today!
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Warriors Women’s Basketball vs. Memorial, Thursday, October 17, 6:00 p.m., Carl Totzke Court, PAC. Don McCrae Naismith Classic. Buy your tickets today!
Warriors Men’s Basketball vs. Brock, Thursday, October 17, 11:00 a.m., Carl Totzke Court, PAC. Don McCrae Naismith Classic, School Day Game. Buy your tickets today!
Faculty of Health hosts Canadian citizenship ceremony
NEW - Warriors Women’s Basketball vs. UFV, Friday, October 18, 6:00 p.m., Carl Totzke Court, PAC. Don McCrae Naismith Classic. Buy your tickets today!
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Stay up to date on service interruptions, campus construction, and other operational changes on the Plant Operations website
Optometry Laser Clinic underground water main work
fire sprinkler system in Optometry will be out of order during the work but the fire alarm system will be operational
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The President of the Nigeria Football Coaches Association (NFCA)
has expressed strong support for the newly appointed Super Eagles Head Coach
Bosso emphasized that Chelle’s success would be a triumph for the entire nation
Read Also: Done Deal: American Women Soccer League Side Signs Rivers Angels Striker, Chiamaka Okwuchukwu
Commending the leadership of the Nigeria Football Federation (NFF) President
Bosso highlighted the strategic nature of Chelle’s appointment
He noted that Gusau’s passion for the advancement of Nigeria’s national teams is evident in his dedication to establishing solid structures for long-term success
“The appointment of Eric Chelle is a testament to Alhaji Gusau’s vision and commitment to improving Nigerian football,” Bosso stated
The NFCA has pledged its full backing to the new head coach
assuring him of the necessary support to achieve his goals
expectations are high for a promising and successful tenure under Chelle’s leadership
Metrics details
There is an arms race between beta-lactam antibiotics development and co-evolving beta-lactamases
which provide resistance by breaking down beta-lactam rings
We have observed that certain beta-lactamases tend to aggregate
which persists throughout their evolution under the selective pressure of antibiotics on their active sites
we find that existing beta-lactamase active site inhibitors can act as molecular chaperones
promoting the proper folding of these resistance factors
synthetic peptides designed to exploit the structural weaknesses of beta-lactamases by causing them to misfold into intracellular inclusion bodies
This approach restores sensitivity to a wide range of beta-lactam antibiotics in resistant clinical isolates
including those with Extended Spectrum variants that pose significant challenges in medical practice
Our findings suggest that targeted aggregation of resistance factors could offer a strategy for identifying molecules that aid in addressing the global antibiotic resistance crisis
since this molecule is an inhibitor that binds in the active site
but when administered at low doses it increases the overall activity of the enzyme by increasing the folding efficiency
A Aggregation propensity prediction of TEM-1 using TANGO (left) and structural views of the TEM protein with the APR predicted by TANGO highlighted (right)
Structure image (not including signal peptide and thus APR1) generated with Yasara of pdb ID 1bt5
B Distribution of the number of APRs per 100 residues in the various SCOP categories of protein folds: all-alpha helical (a)
or separate helical and sheet segments (d)
The dashed red line indicates the position of the TEM protein
C Structured illumination Microscopy (SIM) super-resolution image of E
coli BL21 overexpressing a GFP fusion of TEM-1
showing a single representative micrograph of one out of three independent repeats performed
D Heat denaturation of TEM-1 monitored by intrinsic fluorescence plotted as the BaryCentric Mean (BCM) of the fluorescence emission spectrum in the presence (red) and absence (blue) of tazobactam
The melting temperature (Tm) is derived from these data
and the error bars represent the standard deviation
E Temperature-dependent evolution of the Right-Angle Light Scattering (RALS) intensity measured simultaneously with the data in D to monitor protein aggregation
The aggregation onset temperature Tagg is derived from these data
but showing a dose-titration of the beta-lactamase inhibitor tazobactam
G Scatterplot of RALS intensity at 60 °C versus the tazobactam concentration (from F)
Source data are provided as a Source Data file
These results lead us to conclude that in the recent evolution of the TEM enzyme
it has retained its intrinsic aggregation propensity and the pharmacological chaperone effect of tazobactam thereon
A Schematic representation of the structure of the peptides
B Ribbon representation of the superposition of the crystal structures of TEM (green
The catalytic site of the beta-lactamase activity is indicated and the location of APR3 is shown in red
C TANGO aggregation score and alignment of APR3 in TEM and SHV
D Fractional Inhibitory Concentration Index determination of the indicated peptides versus the penicillin control on E
Each of the five dots per condition indicates an independent experiment consisting of 96 data points
FICI values below 0.5 indicate synergy (shaded in green)
Values between 0.5 and 1.0 indicate additivity (shaded in yellow) and values greater than 1 indicate indifference (shaded in red) between the combined substances
G FICI values for the TEM3.2 peptide on a range of E
A Measurements of the hydrodynamic radius by Dynamic Light Scattering of 50 μM TEM3.2 in buffer alone
or in the presence of LPS or polyphosphate (PolyP)
The data show a single representative replicate
B Amyloid-like aggregation kinetics of 50 μM TEM3.2 measured by Thioflavin-T (Th-T) fluorescence in the same conditions as A
Three replicates are shown for each condition
C Transmission Electron Micrograph of 50 μM TEM 3.2 incubated for 24 h in the same buffer as A with polyP
negatively stained with 2% (w/v) uranyl acetate
D Amyloid-like aggregation kinetics of 50 μM TEM 3.2 in the PolyP condition in A
E Aggregation kinetics using pFTAA fluorescence emission of recombinantly purified TEM-1
based on an APR sequence of beta-galactosidase
but now using a previously published off-target Pept-In
The plots are the results of a single experiment
A Brightfield and structured illumination microscopy (SIM) images of E
coli strain UZ_TEM104 treated with TEM3.2 at 12 μM for 120 min and stained with pFTAA
coli strain UZ_TEM104 treated with 12 μM FITC-TEM 3.2 in PBS for 120 min and stained with the red-shifted oligothiophene HS169 to visualize aggregation
coli K12 MG1655 overexpressing GFP from a pBAD vectorn and treated with vehicle or peptide TEM3.2
E Western blot and quantification for the TEM beta-lactamase in the inclusion body (IB) fraction of E
treated with 12 μM of the indicated peptide in PBS or control for 120 min
The quantification is the result of the densitometric quantification of four independent experiments and shows the mean and the standard deviation
Statistical testing was done using one-way ANOVA with Dunnett’s pairwise comparison to control (ns non-significant
F Western blot and quantification for the SHV beta-lactamase in the IB fraction of E
treated with 12 μM of the indicated peptide in PBS for 120 min or control
Fluorescence-activated cell-sorting (FACS) (A) of E
coli strain UZ_TEM104 mixed 50–50% with the same strain after heat-inactivation
The cells were stained with pFTAA to monitor aggregation and propidium iodide (PI) to monitor cell permeabilization associated with cell death
The plot shows a single representative run of three independent repeats
coli strain treated for 4 h with 400 μg/mL penicillin
but treated with 50 μg/mL TEM 3.2 in PBS for 4 h
but treated with 400 μg/mL penicillin and 50 μg/mL TEM3.2 in PBS for 4 h
Note: the horizontal and vertical lines correspond to the gatings used to obtain the quantifications shown in the corners of each image
A Lysis of human erythrocytes (hemolysis) was assessed in the presence of the indicated concentrations of TEM3.2 for 2 h at 37 °C
and normalized to the value obtained with 1% of the detergent triton
The plot is the result of 3 replicates and shows the mean and the standard deviation
B Cell viability using the CellTiter Blue assay of HeLa cells treated for 24 h with the indicated concentrations TEM 3.2 at 37 °C
The plot is the result of three replicates and shows the mean and the standard deviation
C Fluorescence micrography of HeLa cells co-cultured with E
coli TEM104 and treated with FITC-TEM3.2 (green channel)
DAPI (4’,6-diamidino-2-phenylindole) is blue
D Experimental workflow of the in vivo model used in this study
E–G Bacterial load of indicated organs of female C57BL/6JAX mice with a urinary tract infection with E
treated with 30 mg/kg penicillin (oral) as well 10 mg/kg tazobactam (oral) or 10 mg/kg TEM3.2 via the indicated treatment route
The data shown is from a single experiment with 12 animals for each group
The result for each animal is shown as a dot
where the box extends from the 25th to 75th percentiles
the line in the middle of the box is plotted at the median and the whiskers go from the minimum to maximum values
The statistically significant differences were determined using ANOVA
followed by Dunnett’s multiple comparison test
One control sample for bladder was removed as an outlier (ns non-significant
The exact P-value in the tazobactam versus control comparison for bladder was 0.0077
for all other comparisons the P-value is only known to be <0.0001)
These data provide proof of concept that the TEM 3.2 is capable of restoring sensitivity to the beta-lactam antibiotic ampicillin in vivo of this strain of beta-lactamase carrying E
which could lead to therapeutic applications
A Ribbon representation of the crystal structure of the NDM-1 beta-lactamase enzyme (pdb id 3pg4). The active-site residues are indicated in green, the targeted APR is shown in red. B FICI plot as described in Fig. 2
for the strains indicated treated with penicillin and peptide NDM1-1
the peptides show a striking selectivity between the three analyzed beta-lactamases
as synergy is only observed between each specific pair of peptides and the enzyme it is targeting
The downside of this is that different peptides need to be developed for each beta-lactamase enzyme
but the advantage is that identifying inhibitors for newly emerging enzymes is much faster than identifying novel small molecules
Although the peptides presented in this work have not been optimized in any way to have drug-like properties
they already show efficacy in vivo by restoring sensitivity to beta-lactam antibiotic treatment in a murine bladder infection model
This suggests the development of these molecules into drugs may be possible and that they could become part of the molecular arsenal to combat the global antibiotic resistance crisis
A DynaPro DLS plate reader instrument (Wyatt
USA) equipped with an 830 nm laser source was used to determine the hydrodynamic radius (RH) of the peptide particles
Two hundred microliters of each sample (at 100 or 10 μM
unless stated otherwise) were placed into a flat-bottom 96-well microclear plate (Greiner
The autocorrelation of scattered light intensity at a 32° angle was recorded for 5 s and averaged over 20 recordings to obtain a single data point
The Wyatt Dynamics v7.1 software was used to calculate the hydrodynamic radius by assuming linear particles
The amyloid-specific dye Thioflavin-T (Th-T
CAS number 2390-54-7) was used to study the aggregation state of peptides
Two hundred microliters of each peptide sample (at 100 μM
unless stated otherwise) was placed into a flat-bottom 96-well microclear plate (Greiner
and the dye was added to a final concentration of 25 μM
Germany) was used to measure fluorescence by exciting the samples at 440-10 nm
and fluorescence emission was observed at 480-10 nm (or a complete spectrum ranging from 470 to 600 nm)
Aggregation kinetics were obtained by placing 200 μL of the peptide solution with a final concentration of 25 μM thioflavin-T (Th-T) into a flat-bottom 96-well microclear plate
Fluorescence emission was monitored at 480-10 nm after excitation at 440-10 nm
Every 5 min Th-T fluorescence was measured
The Cell Titer Blue assay was performed to evaluate the cell viability according to the instructions of the manufacturer (Promega
The peptide treatments were done in DMEM medium without serum
cells were seeded to approximately 20,000 mammalian cells per well in a 96-well flat-bottom plate (BD Biosciences 353075) and incubated at 37 °C with 5% CO2 and 90% humidity
20 μL of the CellTiter Blue reagent was added to each well and the plate was incubated for 1 h at 37 °C
The fluorescence was measured at 590 nm by exciting at 560 nm with a ClarioStar plate reader (BMG Labtech
Hemolytic activity was evaluated by measuring the amount of released hemoglobin
Fresh blood was pooled from healthy volunteers (collected from Rode Kruis Vlaanderen
erythrocytes were collected by centrifugation 3000 × g for 10 min
The cells were washed with phosphate-buffered saline (PBS) several times and diluted to a concentration of 8% in PBS
100 microliters of 8% red blood cells solution were mixed with 100 μL of serial dilutions of peptides in PBS buffer in 96-well plates (BD Biosciences
The reaction mixtures were incubated for at least 1 h at 37 °C after which plates were centrifuged for 10 min at 3000 × g
The release of hemoglobin was determined by measuring the absorbance of the supernatant at 495 nm
Erythrocytes lysed in 1% Triton were used as control for 100% hemolysis
The antibodies and antibiotic product codes used are as follows: monoclonal anti-TEM (Abcam
polyclonal rabbit anti-SHV (custom-made by Eurogentec
chicken polyclonal anti-beta Galactosidase (Abcam
Goat Anti-Mouse IgG HRP secondary antibodies (ab97040); Rabbit Anti-Mouse IgG HRP (ab6728); Goat Anti-Chicken HRP (ab97135)
The antibiotics used for this study: Penicillin G sodium (Benzylpenicillin sodium
and kanamycin CAS number 56-75-7 (Duchefa Biochemie)
Determination of MIC values was performed using the broth microdilution method according to the EUCAST guideline
which was performed in 96-well polystyrene flat-bottom microtiter plates (BD Biosciences)
a single colony was inoculated into 5 mL Difco™ Mueller–Hinton Broth (BD Biosciences Ref 275730) and grown to the end-exponential growth phase in a shaking incubator at 37 °C
Cultures were subsequently diluted to a MacFarland (0.5 optical density) to reach 106 CFU/mL in fresh MHB medium
50 µl of different concentrations of peptides ranging from 128 to 2 µg/mL were serially diluted to the sterile 96-well plate in MHB
50 µL of the diluted bacteria in MHB were next pipetted into 96-well plates to reach the final volume of 100 µL
The bacteria grown with the maximum concentration of carrier and medium were considered positive and negative controls
The plates were statically incubated overnight at 37 °C to allow bacterial growth
OD was measured at 590 nm using a multipurpose ultraviolet–visible plate reader
and the absorbance of the bacterial growth was measured using an absorbance reader
Bacterial growth was also visually inspected which agreed well with the OD reading
The beta-lactamase assay procedure is based on the hydrolysis of the substrate Nitrocefin
which produces a colored product (detectable at OD = 490 nm) that is directly proportional to the quantity of beta-lactamase activity
This experiment was carried out in 96-well black polystyrene flat-bottom microtiter plates (BD Biosciences)
50 μl of different concentrations of peptides or tazobactam in PBS were added to each well
followed by 50 μl of beta-lactamase protein at a final concentration of 12 ng
The control heat was heated for 1 h at 95 degrees Celsius
Each well received 5 μl of Nitrocefin at a stock concentration of 0.5 mg/mL Nitrocefin
The hydrolyzed Nitrocefin was identified by absorption at 490 nm
which is proportional to the amount of beta-lactamase activity
a total volume of 100 μL of Mueller–Hinton broth was distributed into each well of the 96-well plates
The first compound (peptide) of the combination was serially diluted vertically (128
0 μg/mL) while the other drug (Beta-lactam or Kanamycin) was diluted horizontally in a 96-well plate (from 3200 to 3 μg/ mL)
The total volume of each microtiter well was inoculated with 100 μL of MHB containing 1 × 106 CFU/mL bacteria
The plates were incubated at 37 °C for 24 h under aerobic conditions without shaking
Calculation of the FICI is used to analyze the results of the checkerboard assay by estimating the degree of synergistic effect
FICI is calculated as the sum of the individual fractional inhibitory concentrations (FICs) for each drug (where MIC A and MIC B denote the MIC of each drug alone
and MIC AA+B and MIC BA+B denote the concentrations of A and B in the drug combination)
FICI = (MIC AA+B/MIC A) + (MIC BA+B/MIC B)
the combination of antibiotics is considered as a synergistic effect
Bacterial cells in cleaned suspensions were stained with both propidium iodide (PI) and FITC-labeled peptides to evaluate the killing rate and peptide uptake in a two-dimensional analysis
coli cells (106 CFU/mL) were washed with PBS and treated with peptides at sub-MIC (0.25 x MIC) and sub-MIC of Penicillin for several hours at 37 °C
Treated bacteria were washed with PBS buffer two times
One microliter of PI (Invitrogen) was added to the bacteria and incubated for 5 min
The bacteria were counted by FACS to reach 40000 events
To correlate the activity of the peptides with cell death
the fluorescence intensity was measured in two channels using the GalliosTM Flow Cytometer (Beckman Coulter
FITC: excitation 490 nm and emission 525 nm
Heated bacteria at 90 °C for 10 min were used as PI-positive control
The bacterial cultures were washed with PBS
and the number of bacteria was adjusted to 108–109 cells/mL
Bacteria were then treated with peptides (at sub-MIC or MIC concentration based on the aim of the study) or buffer for 2 h at 37 °C
cells were treated with LCO dyes (pFTAA; AmytackerTM680 or AmytackerTM545: final concentration of 0.5 µM; Ebba Biotech
and excitation spectra for each dye were measured based on the standard Ebbabiotec advice (ebbabiotech.com)
Overnight cultures of bacteria were centrifuged for 30 min at 4000 × g and cells were washed with physiological water (NaCl 0.9%)
Bacterial cells were treated by peptide at the appropriate concentration for at least 2 h at 37 C
The bacterial pellets were washed with 10 mL buffer A (50 mM HEPES
1.0 mM EDTA) and centrifuged at 4 °C for 30 min at 4000 × g
The supernatant was discarded and 20 mL of buffer B (buffer A plus 1 tablet of the protease and phosphatase Inhibitor Cocktail (ab201119
a High-Pressure Homogenizer (Glen Creston Ltd) with the pressure set to 20,000–25,000 psi was used on ice
the suspensions were sonicated (Branson Digital sonifier 50/60 Hz) on ice with alternating 2 min cycle (15 pulses at 50% power with 30 s pauses on ice
until completing 2 min total sonication time)
The lysed cells were centrifuged at 4 °C for 30 min at 11,000 × g
The precipitated fraction was afterward resuspended with 10 mL buffer D (buffer A plus 0.8% (V/V) Triton X-100
and the suspension was sonicated to ensure the pellet was completely dissolved
Centrifugation was performed at 4 °C for 30 min at 11,000 × g
the pellet was suspended in 500 μl of buffer F (50 mM HEPES
Plasmids were obtained from Genscript (USA) vector construction services
TEM (870 bp) and SHV (894 bp) were each sub-cloned into a PUC57 vector cloning site NdeI/ XhoI
with an N-terminal HIS-tag followed by the TEV cleavage site
coli BL21 (DE3) by inducing with 1 mM IPTG overnight at 20 °C
Cells were harvested by centrifugation (15 min at 5000 rpm (2800 x g) at 4 °C)
200 mM Tris pH 8.5 plus protease inhibitors (mini ETDA free (Sigma-Aldrich)
one tablet per 25 mL of buffer) and lysed using a high-pressure homogenizer (EmulsiFlex C5
The cell debris was removed by centrifugation (30 min
and the soluble lysate was loaded on a size-exclusion chromatography (SEC) column 26/600 75 pg column (column vol 320 mL
The protein was equilibrated with buffer 50 mM Tris pH 8.5
A multiple cloning site containing EcoRI and SpeI restriction sites was introduced C-terminally of the linker sequence through site-directed mutagenesis (using the New England Biolabs Q5® Site-Directed Mutagenesis Kit)
SHV and TEM sequences with EcoRI and SpeI restriction sites at their N- and C-terminus
were produced through PCR amplification from the expression constructs used for purification (discussed above)
both the vector and PCR inserts were digested with SpeI-HF® and EcoRI-HF® (New England Biolabs) and ligated according to the manufacturer’s instructions
For protein expression and solubility analysis
bacterial strains were grown overnight in Lysogeny Broth (LB DifcoTM) supplemented with Ampicillin for GFP expression and both Ampicillin and chloramphenicol for co-expression of the GFP constructs with pKJE7
The overnight cultures were diluted 1:100 in fresh LB supplemented with the appropriate antibiotics and grown to an OD of about 0.6
after which expression was induced with 0.2 % arabinose
Expression was allowed to proceed for 3 h after which cells were lysed in B-PER™ reagent (ThermoFisher
USA) supplemented with 0.1 mg/mL lysozyme (Sigma-Aldrich)
Complete™ Protease Inhibitor Cocktail (Sigma-Aldrich) and Pierce™ universal nuclease for cell lysis (ThermoFisher)
after which soluble and insoluble fractions were separated through centrifugation at 17,100 x g for 30 min at 4 °C
and the insoluble fraction dissolved in an equal volume of 8 M urea
GFP in soluble and insoluble fractions was then quantified through SDS-PAGE followed by Western blotting
Blots were developed using chemiluminescence after incubation with an anti-GFP antibody (Antibody 2555 S
Cell Signaling Technologies) or anti-DnaK antibody (D8076
USBio USA) and an HRP-conjugated secondary antibody
Blots were quantified using Bio-Rad’s Image LabTM Software
Soluble GFP fractions were determined by calculating the ratio of soluble over total (soluble + insoluble) protein
Female C57BL/6Jax mice of 6 to 8 weeks with uniform weight (between 20 and 23 g) were used in this study (Harlan
four mice per cage on softwood granules as bedding
The room was kept between 21 °C and 25 °C with 12/12 h light–dark cycles
The animals had free access to water and pelleted rodent food
To avoid stress-induced confounding factors
the mice were transferred to the lab one week before experimental manipulation
female C57BL/6Jax mice female mice were deprived of water for at least 1 h
they were anesthetized by IP administration of the mixture of ketamine (Nimatek)/xylazine (XYL-M 2% BE-V170581)
The bladder of the mouse was massaged with fingers and pushed down gently to expel the remaining urine
Mice were slowly inoculated urethrally with 50 µL of a bacterial suspension slowly over 5 s to avoid vesicoureteral reflux (108 CFU/ mouse) using a sterile catheter (pediatric intravenous-access cannula (GS391350))
The catheter was removed directly after inoculation
the animals were visually monitored for full recovery
all mice received Ampicillin (30 mg/kg_PO-orally) and at the same time 3 groups of animals received the peptides via different administration routes (10 mg/kg_IV—intravenous; IP—intraperitoneal or SC—sub-cutaneous) and the positive control groups received tazobactam (10 mg/kg
The negative control groups received vehicle or saline (IV administration)
all mice received a second injection with the same concentration of each treatment as explained above
ureter) were washed with PBS and were homogenized (Thermo Savant FastPrep FP120 Homogenizer/24 s)
The homogenized tissues were serially diluted and cultured on blood agar plates
The plates were incubated overnight at 37 °C
and the number of bacteria was measured by CFU value
Human HeLa cells were grown to create a confluent monolayer on a small-cell-view cellular plate with a glass bottom (Greiner Bio-One GmbH/35 mm Ref: 627860) for imaging purposes
cells were inoculated for 24 h with 200 μL of a mixture of overnight culture of TEM1 E
Cells were stained for 30 min with CellMask Deep Red plasma membrane dye (ThermoFisher catalog # C10046) and 1 L of NucBlue reagent (Invitrogen)
and 2 mL paraformaldehyde 4% was added to the dish for fixation
The dish was kept at room temperature for 6 h
the co-cultured cells were rinsed at least three times with 1 mL PBS
Bacteria were fixed by adding 2.5% paraformaldehyde and 0.04 % glutaraldehyde (final concentrations) to the culture media
followed by incubation at room temperature for 15 min and 30 min on ice
Bacteria were then washed in PBS and resuspended in GTE buffer (50 mM glucose
cells were transferred to a glass slide and covered with a coverslip
Imaging was performed using a Zeiss Elyra S.1 system in the VIB BioImaging Core at KU Leuven
Statistical analysis was performed with Prism or R
and ANOVA to determine the statistical significance of differences between samples unless otherwise indicated
Significance levels: * for P < 0.05; ** for P < 0.01; *** for P < 0.001; **** for P < 0.0001
Non-significant differences are not separately labeled
All mouse experiments were conducted according to the national (Belgian Law 14/08/1986 and 22/12/2003
Belgian Royal Decree 06/04/2010) and European (EU Directives 2010/63/EU
All protocols were approved by the KU Leuven Institutional ethics committee on animal experimentation
All relevant animal characteristics and housing conditions are specified in the materials and methods
All blood samples were obtained from healthy volunteers from the biobank of the Red Cross Flanders in accordance with all relevant national legislation
Blood samples were completely anonymized prior to transfer to our facilities
Ethical approval was obtained from the medical ethical committee of the University Hospitals Leuven (study number S60497)
Only the PCR systems with ANSI/ATCC standard ASN-0002 were aligned in the final comparison
Further information on research design is available in the Nature Portfolio Reporting Summary linked to this article
The code of all analysis scripts and in silico datasets used are available from the corresponding authors upon reasonable request
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The Switch Laboratory was supported by grants from the European Research Council under the European Union’s Horizon 2020 Framework Program ERC Grant agreement 647458 (MANGO) to J.S.
the Flanders Institute for Biotechnology (VIB)
the Funds for Scientific Research Flanders (FWO
and postdoctoral fellowships 1231021N to Ladan K
and 12S3722N to B.H.) and the Flemish Agency for Work and Innovation (VLAIO
We thank the following core facilities for training
and access to their instrument parks: the VIB BioImaging Core at KU Leuven (SIM microscopy)
the KU Leuven Flow and Mass Cytometry Facility
and the Electron Microscopy core of VIB-KU Leuven
Leuven) for kindly providing clinical isolates
These authors contributed equally: Ladan Khodaparast
Department of Cellular and Molecular Medicine
Laboratory of Clinical Bacteriology and Mycology
Department of Microbiology & Immunology
contributed to the interpretation of the results
All authors provided critical feedback and helped shape the research
are named as inventors in a patent (WO 2022/184821
‘Beta-lactamase inhibitors’) filed by their host institute VIB describing the peptides mentioned in this manuscript (Status: international PCT phase
The remaining authors declare no competing interests
reviewers for their contribution to the peer review of this work
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations
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The Bayelsa State government has issued a stern warning to Bayelsa United
threatening to ban the club if they are relegated at the end of the season
the government has given Bayelsa United’s technical adviser
and his coaching staff a two-game ultimatum to secure their jobs
At a recent meeting with the coaching team and club management in Yenagoa
Commissioner for Sports Development Daniel Igali stated that the ultimatum was necessary due to the team’s ongoing struggle to secure wins
Igali emphasized that the government cannot continue to “fold its hands” while the team’s performance declines
especially given the significant financial support provided by the state
The two-game ultimatum will begin with Bayelsa United’s upcoming fixtures against Rivers United in Port Harcourt and Katsina United
Igali made it clear that if Bosso’s team fails to secure victories in both matches
the entire technical crew could lose their positions
Bayelsa United sits in 18th place with just 10 points from 10 games
who took charge of the team at the start of the season
with his future hinging on the outcomes of these next two games
Bayelsa United will travel to face Rivers United in a South-South derby at the Adokiye Amiesimaka Stadium in Port Harcourt
followed by a home match against Katsina United at the Samson Siasia Stadium in Yenagoa