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The discrete behavioral events captured on the smartphone touchscreen may help unravel real-world neural processing. We find that neural signals (EEG) surrounding a touchscreen event show a distinctly contralateral motor preparation followed by visual processing, and the consolidation of information. We leveraged these events in conjunction with kinematic recordings of the thumb and an artificial neural network to separate highly similar movements according to whether they resulted in a smartphone touch (goal-directed) or not (non-goal-directed). Despite their kinematic similarity, the signatures of neural control of movement and the post-movement processing were substantially dampened for the non-goal-directed movements, and these movements uniquely evoked error-related signals. We speculate that these apparently unnecessary movements are common in the real world and although inconsequential the brain provides limited motor preparation and tracks the action outcome. The neural signals surrounding discrete smartphone events can enable the study of neural processes that are difficult to capture in conventional laboratory-based tasks.

According to popular belief when engaged on the smartphone surrounding information is ignored. However, emerging ideas based on laboratory-designed tasks suggest that the processing of task-irrelevant (distractor) information is enhanced when cognitive load is high as anticipated during intense periods of smartphone usage. Here we address the neural processing of task-irrelevant auditory tones while interacting with the smartphone touchscreen. We analyzed neural activity (EEG) while people (N = 24) were seated in public spaces and used their smartphones for ∼1.5 h. During this period, the number of touchscreen interactions spontaneously varied from one moment to another. The central and frontal theta-band (4–8 Hz) oscillations, an index of cognitive load, increased proportionally to the number of interactions. Moreover, an index of excitation:inhibition balance derived from the aperiodic signal components increased with the interactions. The auditory tones resulted in prominent evoked potentials with peaks at ∼50 ms, ∼100 ms, and ∼200 ms, reflecting the different cortical information processing stages. Of these, the ∼100 ms component was specifically related to the number of interactions such that the higher the number of interactions, the larger the neural signal amplitudes. Contrary to the popular notions but in keeping with emerging ideas on cognitive load, auditory information processing is enhanced with increased smartphone usage. In daily life, neural processing of the surroundings is partly shaped by the immediate cognitive demands imposed by the smartphone.

Summary: A range of abnormal electrical activity patterns termed epileptiform discharges can occur in the brains of persons with epilepsy. These epileptiform discharges can be monitored and recorded with implanted devices that deliver therapeutic neurostimulation. These continuous recordings provide an opportunity to study the behavioral correlates of epileptiform discharges as the patients go about their daily lives. Here, we captured the smartphone touchscreen interactions in eight patients in conjunction with electrographic recordings (accumulating 35,714 h) and by using an artificial neural network model addressed if the behavior reflected the epileptiform discharges. The personalized model outputs based on smartphone behavioral inputs corresponded well with the observed electrographic data (R: 0.2–0.6, median 0.4). The realistic reconstructions of epileptiform activity based on smartphone use demonstrate how day-to-day digital behavior may be converted to personalized markers of disease activity in epilepsy

Summary: Striatal dopamine and smartphone behavior have both been linked with behavioral variability. Here, we leverage day-to-day logs of natural, unconstrained smartphone behavior and establish a correlation between a measure of smartphone social activity previously linked with behavioral variability and a measure of striatal dopamine synthesis capacity using [18F]-DOPA PET in (N = 22) healthy adult humans. Specifically, we find that a higher proportion of social app interactions correlates with lower dopamine synthesis capacity in the bilateral putamen. Permutation tests and penalized regressions provide evidence that this link between dopamine synthesis capacity and social versus non-social smartphone interactions is specific. These observations provide a key empirical grounding for current speculations about dopamine's role in digital social behavior.

Summary: Cognitive output and physical activity levels fluctuate surrounding sleep. The ubiquitous digitization of behavior via smartphones is a promising avenue for addressing how these fluctuations occur in daily living. Here, we logged smartphone touchscreen interactions to proxy cognitive fluctuations and contrasted these to physical activity patterns logged on wrist-worn actigraphy. We found that both cognitive and physical activities were dominated by diurnal (∼24 h) and infra-radian (∼7 days) rhythms. The proxy measures of cognitive performance—tapping speed, unlocking speed, and app locating speed—contained lower-powered diurnal rhythm than physical activity. The difference between cognitive and physical activity was vivid during bedtime as people continued to interact with their smartphones at physical rest. The cognitive performance measures in this period were worse than those in the hour before or after bedtime. We suggest that the rhythms underlying cognitive activity in the real world are distinct from those underlying physical activity, and this discord may be a hallmark of modern human behavior.

Dietary interventions have not been effective in the treatment of multiple sclerosis (MS). Here, we show that periodic 3-day cycles of a fasting mimicking diet (FMD) are effective in ameliorating demyelination and symptoms in a murine experimental autoimmune encephalomyelitis (EAE) model. The FMD reduced clinical severity in all mice and completely reversed symptoms in 20% of animals. These improvements were associated with increased corticosterone levels and regulatory T (Treg) cell numbers and reduced levels of pro-inflammatory cytokines, TH1 and TH17 cells, and antigen-presenting cells (APCs). Moreover, the FMD promoted oligodendrocyte precursor cell regeneration and remyelination in axons in both EAE and cuprizone MS models, supporting its effects on both suppression of autoimmunity and remyelination. We also report preliminary data suggesting that an FMD or a chronic ketogenic diet are safe, feasible, and potentially effective in the treatment of relapsing-remitting multiple sclerosis (RRMS) patients (NCT01538355).