Significance: The nervous system processes phenomenal amounts of information. This processing must be conducted efficiently. In telecommunications systems, efficiency is increased by transmitting multiple signals through a single communication channel, or multiplexing. Neurons also multiplex. Here, we demonstrate a strategy for multiplexing different features of aperiodic stimuli: Cortical neurons use the rate of asynchronous spiking to encode stimulus intensity while using the timing of synchronous spikes to encode abrupt changes in stimulus intensity. This is possible because high-contrast features (e.g., edges) evoke spikes that transiently synchronize across neurons, whereas low-contrast features evoke sustained asynchronous spiking whose rate is proportional to stimulus intensity. Differentially synchronized spiking evoked in the same neurons by different stimulus features enables the formation of multiplexed representations.

Neurons rely on action potentials, or spikes, to encode information. But spikes can encode different stimulus features in different neurons. We show here through simulations and experiments how neurons encode the integral or derivative of their input based on the distinct tuning properties conferred upon them by subthreshold currents. Slow-activating subthreshold inward (depolarizing) current mediates positive feedback control of subthreshold voltage, sustaining depolarization and allowing the neuron to spike on the basis of its integrated stimulus waveform. Slow-activating subthreshold outward (hyperpolarizing) current mediates negative feedback control of subthreshold voltage, truncating depolarization and forcing the neuron to spike on the basis of its differentiated stimulus waveform. Depending on its direction, slow-activating subthreshold current cooperates or competes with fast-activating inward current during spike initiation. This explanation predicts that sensitivity to the rate of change of stimulus intensity differs qualitatively between integrators and differentiators. This was confirmed experimentally in spinal sensory neurons that naturally behave as specialized integrators or differentiators. Predicted sensitivity to different stimulus features was confirmed by covariance analysis. Integration and differentiation, which are themselves inverse operations, are thus shown to be implemented by the slow feedback mediated by oppositely directed subthreshold currents expressed in different neurons.

Deep brain stimulation is an established therapy for several neurological disorders; however, its effects on neuronal activity vary across brain regions and depend on stimulation settings. Understanding these variable responses can aid in the development of physiologically-informed stimulation paradigms in existing or prospective indications. Provide experimental and computational insights into the brain-region-specific and frequency-dependent effects of extracellular stimulation on neuronal activity. In patients with movement disorders, single-neuron recordings were acquired from the subthalamic nucleus, substantia nigra pars reticulata, ventral intermediate nucleus, or reticular thalamus during microstimulation across various frequencies (1-100 Hz) to assess single-pulse and frequency-response functions. Moreover, a biophysically-realistic computational framework was developed which generated postsynaptic responses under the assumption that electrical stimuli simultaneously activated all convergent presynaptic inputs to stimulation target neurons. The framework took into consideration the relative distributions of excitatory/inhibitory afferent inputs to model site-specific responses, which were in turn embedded within a model of short-term synaptic plasticity to account for stimulation frequency-dependence. We demonstrated microstimulation-evoked excitatory neuronal responses in thalamic structures (which have predominantly excitatory inputs) and inhibitory responses in basal ganglia structures (predominantly inhibitory inputs); however, higher stimulation frequencies led to a loss of site-specificity and convergence towards neuronal suppression. The model confirmed that site-specific responses could be simulated by accounting for local neuroanatomical/microcircuit properties, while suppression of neuronal activity during high-frequency stimulation was mediated by short-term synaptic depression. Brain-region-specific and frequency-dependant neuronal responses could be simulated by considering neuroanatomical (local microcircuitry) and neurophysiological (short-term plasticity) properties.

Background: The development of wearable health monitoring systems is garnering tremendous interest in research, technology and commercial applications. Their ability of providing unique capabilities in continuous, real-time, and non-invasive tracking of the physiological markers of users can provide insights into the performance and health of individuals. Electrocardiogram (ECG) signals are of particular interest, as cardiovascular disease is the leading cause of death globally. Monitoring heart health and its conditions such as ventricular disturbances and arrhythmias can be achieved through evaluating various features of ECG such as R-peaks, QRS complex, T-wave, and P-wave. Despite recent advances in biosensors for wearable applications, most of the currently available solutions rely solely on a single system attached to the body, limiting the ability to obtain reliable and multi-location biosignals. However, in engineering systems, sensor fusion, which is the optimal integration and processing of data from multiple sensors, has been a common theme and should be considered for wearables. In recent years, due to an increase in the availability and variety of different types of sensors, the possibility of achieving sensor fusion in wearable systems has become more attainable. Sensor fusion in multi-sensing systems results in significant enhancements of information inferences compared to those from systems with a sole sensor. One step towards the development of sensor fusion for wearable health monitoring systems is the accessibility to multiple reliable electrophysiological signals, which can be recorded continuously. Results: In this paper, we develop a textile-based multichannel ECG band that has the ability to measure ECG from multiple locations on the waist. As a proof of concept, we demonstrate that ECG signals can be reliably obtained from different locations on the waist where the shape of the QRS complex is nearly comparable with recordings from the chest using traditional gel electrodes. In addition, we develop a probabilistic approach—based on prediction and update strategies—to detect R-peaks from noisy textile data in different statuses, including sitting, standing, and jogging. In this approach, an optimal search method is utilized to detect R-peaks based on the history of the intervals between previously detected R-peaks. We show that the performance of our probabilistic approach in R-peak detection is significantly better than that based on Pan–Tompkins and optimal-threshold methods. Conclusion: A textile-based multichannel ECG band was developed to track the heart rate changes from multiple locations on the waist. We demonstrated that (i) the ECG signal can be detected from different locations on the waist, and (ii) the accuracy of the detected R-peaks from textile sensors was improved by using our proposed probabilistic approach. Despite the limitations of the textile sensors that might compromise the quality of ECG signals, we anticipate that the textile-based multichannel ECG band can be considered as an effective wearable system to facilitate the development of sensor fusion methodology for pervasive and non-invasive health monitoring through continuous tracking of heart rate variability (HRV) from the waist. In addition, from the commercialization point of view, we anticipate that the developed band has the potential to be integrated into garments such as underwear, bras or pants so that individuals can use it on a daily basis.

Background: Cardiovascular diseases remain the leading cause of mortality worldwide, accounting for 18 million deaths annually. Detection and prediction of cardiovascular conditions are essential for timely intervention and improved patient outcomes. Wearable devices offer a promising, noninvasive solution for continuous monitoring of cardiovascular signals, vital signs, and physical activity. However, the large data volumes generated by these devices and the rapid fluctuations in cardiovascular signals necessitate advanced artificial intelligence (AI) techniques for real-time analysis and effective clinical decision-making. Objective: The objective of this scoping review was to identify the main challenges of AI-driven platforms for real-time cardiovascular condition monitoring with wearable devices and explore potential solutions. In addition, this review aimed to examine how AI algorithms are developed for robust monitoring and how deployment pipelines are optimized to enable real-time cardiovascular condition monitoring. Methods: A comprehensive search was conducted in the following electronic databases: MEDLINE(R) ALL (Ovid), Embase (Ovid), Cochrane Central Register of Controlled Trials (Ovid), Web of Science Core Collection (Clarivate), IEEE Xplore, and ACM Digital Library, yielding 2385 unique records. Inclusion criteria focused on studies that used wearable devices for participant data collection and applied AI algorithms for real-time analysis to detect or predict cardiovascular events and diseases. After title and abstract screening, 153 papers remained, and following a full-text review, 19 studies met the inclusion criteria. Results: The findings indicate that despite the promise of AI and wearable devices, research on real-time cardiovascular monitoring remains limited and lacks comprehensive validation. Most studies relied on publicly available wearable datasets rather than real-world validation with recruited participants in community settings. Studies that deployed AI algorithms in real time frequently failed to report operational characteristics and challenges. Electrocardiography-based wearable sensors were the most frequently used devices, primarily in hospital settings. A variety of AI techniques, ranging from traditional machine learning to lightweight deep learning algorithms, were deployed either on wearable devices or via cloud-based processing. Conclusions: Robust, interdisciplinary research is needed to harness the full potential of AI-driven, real-time cardiovascular health management using wearable devices. This includes the development and validation of scalable solutions for continuous community-based deployment. Furthermore, real-world challenges such as participant compliance, hardware and connectivity constraints, and AI model optimization for real-time continuous monitoring must be carefully addressed.