Translation and cross-cultural adaptation of the Arizona Sexual Scale (ASEX) into Portuguese / Tradução e adaptação transcultural da Arizona Sexual Scale (ASEX) para a língua portuguesa

Abstract Introduction Sexual dysfunction is common in individuals with psychiatric disorders and under psychotropic medication such as antidepressants and antipsychotics. Several scales have been developed to assess sexual function in these patients. The Arizona Sexual Scale (ASEX) is a five-item rating scale that quantifies sex drive, arousal, vaginal lubrication/penile erection, ability to reach orgasm, and satisfaction from orgasm. We describe the translation and cross-cultural adaptation of the ASEX into the Portuguese language, with the goal of contributing to the assessment of sexual function in Portuguese-speaking psychiatric patients under treatment with psychotropic drugs. Methods The translation and cross-cultural adaptation process thoroughly followed the steps recommended by the Task Force of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR), namely: preparation, forward translation, reconciliation, back-translation, back-translation review, harmonization, cognitive debriefing, review of cognitive debriefing, finalization, proofreading, and final version. Results The process was successfully completed and no major differences were found between the translation, reconciliation and back-translation phases, with only small adjustments being made. Conclusion The translation of the ASEX was completed successfully, following international reference guidelines. The use of these guidelines is a guarantee of a Portuguese version that is qualitatively and semantically equivalent to the original scale. This availability of this new scale version will enable studies evaluating the sexual function of Portuguese-speaking psychiatric patients. Future studies may assess the validity of the scale for Portuguese-speaking populations.

Resumo Introdução A disfunção sexual é comum em indivíduos com doenças psiquiátricas e sob o uso de medicações como antidepressivos e antipsicóticos. Várias escalas foram desenvolvidas para avaliar a função sexual desses doentes. A Arizona Sexual Scale (ASEX) é uma escala de cinco itens de avaliação que quantifica desejo sexual, excitação, lubrificação vaginal/ereção peniana, capacidade para atingir o orgasmo e satisfação com o orgasmo. Este artigo descreve o processo de tradução e adaptação transcultural da escala ASEX para a língua portuguesa, com o objetivo de contribuir para a avaliação da função sexual dos doentes medicados com fármacos psicotrópicos nos vários países onde se utiliza essa língua. Métodos A tradução e a adaptação transcultural seguiram de forma detalhada os passos recomendados pelo grupo de trabalho da International Society for Pharmacoeconomics and Outcomes Research (ISPOR), nomeadamente: preparação, tradução inicial, reconciliação, retroversão, revisão da retroversão, harmonização, teste cognitivo, revisão do teste cognitivo, finalização, leitura final e versão final. Resultados O processo foi completado com sucesso, e não foram observadas diferenças grandes entre as fases de tradução, reconciliação e retroversão, tendo sido feitos apenas pequenos ajustes. Conclusão A tradução da escala ASEX foi bem-sucedida, seguindo orientações internacionais de referência. A aplicação dessas orientações é a garantia de uma versão em língua portuguesa que é qualitativa e semanticamente equivalente à versão original da escala. A existência desta nova versão da escala permitirá estudos que avaliem a função sexual dos doentes em países nos quais se fale a língua portuguesa. Estudos futuros poderão atestar a validade da escala para essas populações.

Análise da microarquitetura do sono (padrão alternante cíclico) na polissonografia de crianças com enurese noturna monossintomática / Sleep microstructure analysis (Cyclic Alternating Pattern) in children with monosymptomatic nocturnal enuresis

Introdução: A enurese noturna (EN) é considerada como a eliminação de urina no período noturno, de forma involuntária, em indivíduos com cinco ou mais anos de idade em pelo menos duas noites no mês até todas as noites. EN pode ser do tipo monossintomática, quando ocorre na ausência de outros sintomas, ou não monossintomática, na presença de sintomas de vesicais diurnos. Apesar de historicamente conhecida com uma desordem psiquiátrica, a EN monossintomática está incluída na Classificação Internacional dos Transtornos de 2012 como uma parassonia podendo ocorrer em qualquer fase do sono, porém predominantemente no sono não REM. Está comumente associada a hiperatividade vesical, produção excessiva de urina e falha em acordar após o enchimento vesical. Apesar de ocorrer no sono, a avaliação do sono pelos padrões usuais falhou em encontrar justificativa para este processo patológico. A análise da microestrutura do sono é uma ferramenta mais refinada e precisa que pode auxiliar na busca do mecanismo neurofisiológico que justifica este processo. Objetivo: Analisar os padrões de microarquitetura de sono atrvés do Padrão alternante Cíclico (CAP) nas crianças com EN monossintomática para melhor compreensão das bases neurofisiológicas da EN. Metodologia: Trinta e seis crianças sendo, 22 enuréticos e 14 controles com idade variando entre sete e 17 anos de idade, que satisfizeram os critérios de inclusão, foram submetidas a triagem clínica e laboratorial, avaliados quanto aos aspectos do sono, com uso de diários de sono, das escalas de Berlin, Sleep Scale for Children (SDSC) e Escala de Sonolência de Epworth e posteriormente submetidos ao de estudo polissonográfico completo de noite inteira, com a avaliação do CAP. Resultados: As escalas de sonolência e de Berlin não evidenciaram anormalidades, o SDSC evidenciou apneia em 11/22 (50%), hiperidrose em 2/22 (9%) e transtorno da transição vigília-sono, do despertar e do início e manutenção de sono em 1/22...

Introduction: Nocturnal enuresis (NE) is defined as the lack of nocturnal urine control, in individuals with five or more years old for at least two nights in a month, but up to every night. EN can be monosymptomatic (ENM), when it occurs in the absence of other symptoms or non monosymptomatic in the presence of diurnal renal symptoms. Although historically known as a psychiatric disorder, ENM is included in the International Classification of Sleep Disorders 2012 as a parasomnia. It can occur at any sleep stage but predominantly in non-REM sleep. EN is commonly associated to bladder hyperactivity, excessive urine production and/or failure to wake up after bladder filling. Despite the occurrence in sleep, standard sleep evaluation has failed to find abnormalities. The analysis of sleep microstructure is a refined and more accurate tool that can help find the neurophysiological mechanism underlying this process. Purpose: To evaluate sleep microarchitecture through Clyclic Altenating Pattern (CAP) analysis in children with monosymptomatic NE and provide a better understanding of the neurophysiological basis of EN. Methods: After IRB approval, 36 children, 22 with NE and 14 controls aged between seven and 17 years old who met the inclusion criteria were submitted to clinical and laboratory screening, evaluated for aspects of sleep, using sleep logs, Berlin Questionnaire (BQ), Sleep Scale for Children (SDSC) and Epworth Sleepiness Scale (ESS) and submitted to a full polysomnographic study, with evaluation of CAP. Results: ESS and BQ evidenced no abnormalities, the SDSC showed mild sleep apnea in 11/22 (50%), hyperhidrosis in 2/22 (9%) and disorder of the sleep-wake transition, awakening and initiation and maintenance sleep in 1/22 (4.5%) each. Analysis of sleep macrostructure showed higher numbers of awakenings (p < 0.001) and N2 sleep (p = 0.0025) as well as greater amount of sleep N3 (p < 0.0001) when compared to controls. Sleep microstructure showed an...

Brain Activation in Response to Visually Evoked Sexual Arousal in Male-to-Female Transsexuals: 3.0 Tesla Functional Magnetic Resonance Imaging

OBJECTIVE: This study used functional magnetic resonance imaging (fMRI) to contrast the differential brain activation patterns in response to visual stimulation with both male and female erotic nude pictures in male-to-female (MTF) transsexuals who underwent a sex reassignment surgery. MATERIALS AND METHODS: A total of nine healthy MTF transsexuals after a sex reassignment surgery underwent fMRI on a 3.0 Tesla MR Scanner. The brain activation patterns were induced by visual stimulation with both male and female erotic nude pictures. RESULTS: The sex hormone levels of the postoperative MTF transsexuals were in the normal range of healthy heterosexual females. The brain areas, which were activated by viewing male nude pictures when compared with viewing female nude pictures, included predominantly the cerebellum, hippocampus, putamen, anterior cingulate gyrus, head of caudate nucleus, amygdala, midbrain, thalamus, insula, and body of caudate nucleus. On the other hand, brain activation induced by viewing female nude pictures was predominantly observed in the hypothalamus and the septal area. CONCLUSION: Our findings suggest that distinct brain activation patterns associated with visual sexual arousal in postoperative MTF transsexuals reflect their sexual orientation to males.

International affective picture system (IAPS) in Chile: a cross-cultural adaptation and validation study / El sistema internacional de imágenes afectivas (International Affective Picture System-IAPS) en Chile: estudio de adaptación y validación transcultural

The International Affective Picture System (IAPS) (Lang, Ohman, & Vaitl, 1988) is a standardized set of photographs to induce emotions in the context of experimental investigations. The aim of this study was determine the psychometric behavior of the IAPS for the preparation of standards in the Chilean population and the subsequent validation of the instrument for its use in Chile. 208 university students participated (40 percent men) and had an affective experience induced using the presentation of visual stimuli extracted from sets 7 and 14 of the IAPS. In order to evaluate valence, arousal and dominance, the self-assessment manikin (SAM) was used, made up of pictographic scales for each dimension and a scale of continuous variation of emotional reactions. The IAPS showed psychometric behavior comparable to the original, with the same boomerang-shaped distribution of scores being found in the valence/arousal relationship. The IAPS is a reliable tool for inducing emotions in studies related to affectivity.

El Sistema Internacional de Imágenes Afectivas (International Affective Picture System-IAPS) (Lang, Ohman, & Vaitl, 1988) es un conjunto estandarizado de fotografías para la inducción de emociones en el contexto de investigaciones experimentales. El objetivo de este estudio fue conocer el comportamiento psicométrico del IAPS para la confección de normas en la población chilena y la validación consiguiente del instrumento para su uso en Chile. Participaron 208 estudiantes universitarios (40 por ciento hombres) a quienes se les indujo una experiencia afectiva mediante la presentación de estímulos visuales extraídos del set 1 y 14 del IAPS. Para evaluar valencia, arousal y dominancia, se utilizo el maniquí de auto-evaluación o SAM (Self - Assessment Manikin), compuesto por escalas pictográficas para cada dimensión y una escala de variación continua de reacciones emocionales. El IAPS muestran un comportamiento psicométrico comparable al original, encontrándose la dispersión de puntajes de boomerang en la relación Valencia/Arousal. El IAPS es una herramienta confiable para la inducción de emociones en estudios ligados a la afectividad.

The paradox of age: an analysis of responses by aging Brazilians to International Affective Picture System (IAPS) / Paradoxo etário: uma análise feita por idosos brasileiros sobre o International Affective Picture System(IAPS)

OBJECTIVE: To explore the possible differences in subjective analysis of the emotional stimuli from the International Affective Picture System between elderly and young samples. METHOD: 187 elderly subjects ranked the International Affective Picture System images according to the directions from the Manual of Affective Ratings. Their scores were compared to those obtained from International Affective Picture System studies with young people. RESULT: There is an age-related difference in arousal and valence in the International Affective Picture System rating. The correlation between affective valence and arousal is strong, and negative for the elderly. The expected versus the observed frequency of International Affective Picture System images between elderly and young samples show a statistical difference. CONCLUSION: This study shows an inter-age statistical dichotomy in how elderly and young people subjectively evaluate International Affective Picture System images.

OBJETIVO: Explorar as possíveis diferenças nas avaliações subjetivas dos estímulos emocionais do International Affective Picture System entre idosos e jovens. MÉTODO: 187 indivíduos idosos avaliaram as imagens do International Affective Picture System de acordo com o Manual de Aplicação do Teste. Os escores obtidos pelos idosos foram então comparados com os escores obtidos da normatização do International Affective Picture System para jovens. RESULTADOS: Há diferença nos níveis de alerta e valência afetiva entre idosos e jovens. Há uma forte e negativa correlação entre valência afetiva e nível de alerta na amostra estudada. As frequências esperadas versus observadas das imagens do International Affective Picture System entre idosos e jovens mostram diferenças estatísticas. CONCLUSÃO: Este estudo mostra uma diferença interetária na avaliação de imagens do International Affective Picture System.

Imbalance between thyroid hormones and the dopaminergic system might be central to the pathophysiology of restless legs syndrome: a hypothesis

Data collected from medical literature indicate that dopaminergic agonists alleviate Restless Legs Syndrome symptoms while dopaminergic agonists antagonists aggravate them. Dopaminergic agonists is a physiological regulator of thyroid-stimulating hormone. Dopaminergic agonists infusion diminishes the levels of thyroid hormones, which have the ability to provoke restlessness, hyperkinetic states, tremors, and insomnia. Conditions associated with higher levels of thyroid hormones, such as pregnancy or hyperthyroidism, have a higher prevalence of Restless Legs Syndrome symptoms. Low iron levels can cause secondary Restless Legs Syndrome or aggravate symptoms of primary disease as well as diminish enzymatic activities that are involved in dopaminergic agonists production and the degradation of thyroid hormones. Moreover, as a result of low iron levels, dopaminergic agonists diminishes and thyroid hormones increase. Iron therapy improves Restless Legs Syndrome symptoms in iron deprived patients. Medical hypothesis. To discuss the theory that thyroid hormones, when not counterbalanced by dopaminergic agonists, may precipitate the signs and symptoms underpinning Restless Legs Syndrome. The main cause of Restless Legs Syndrome might be an imbalance between the dopaminergic agonists system and thyroid hormones.

Relationship between Brazilian airline pilot errors and time of day

Flight safety is one of the most important and frequently discussed issues in aviation. Recent accident inquiries have raised questions as to how the work of flight crews is organized and the extent to which these conditions may have been contributing factors to accidents. Fatigue is based on physiologic limitations, which are reflected in performance deficits. The purpose of the present study was to provide an analysis of the periods of the day in which pilots working for a commercial airline presented major errors. Errors made by 515 captains and 472 copilots were analyzed using data from flight operation quality assurance systems. To analyze the times of day (shifts) during which incidents occurred, we divided the light-dark cycle (24:00) in four periods: morning, afternoon, night, and early morning. The differences of risk during the day were reported as the ratio of morning to afternoon, morning to night and morning to early morning error rates. For the purposes of this research, level 3 events alone were taken into account, since these were the most serious in which company operational limits were exceeded or when established procedures were not followed. According to airline flight schedules, 35 percent of flights take place in the morning period, 32 percent in the afternoon, 26 percent at night, and 7 percent in the early morning. Data showed that the risk of errors increased by almost 50 percent in the early morning relative to the morning period (ratio of 1:1.46). For the period of the afternoon, the ratio was 1:1.04 and for the night a ratio of 1:1.05 was found. These results showed that the period of the early morning represented a greater risk of attention problems and fatigue.

Influence of gender on psychomotor vigilance task performance by adolescents

During adolescence, the sleep phase delay associated with early school times increases daytime sleepiness and reduces psychomotor performance. Some studies have shown an effect of gender on psychomotor performance in adults and children. Males present faster reaction times (RT) compared with females. The aim of the present study was to evaluate the influence of gender on Palm psychomotor vigilance task (PVT) performance in adolescents. Thirty-four adolescents (19 girls, 13 to 16 years old) attending morning school classes of a public school in Curitiba, PR, Brazil, participated in the study. Sleep patterns were measured using actigraphy and sleepiness data were accessed with the Karolinska Sleepiness Scale (KSS). KSS and PVT measurements were collected at two times in the morning (8:00 and 11:00 h). The data were compared using one-way ANOVA, considering gender as a factor. ANOVA indicated that gender did not affect sleep patterns and subjective somnolence; however, a statistically significant effect of gender was detected for PVT performance. Boys presented faster RT (RT-PVT1: 345.51 ms, F = 6.08, P < 0.05; RT-PVT2: 343.30 ms, F = 6.35, P < 0.05) and fewer lapses (lapses-PVT1: 8.71, F = 4.45, P < 0.05; lapses-PVT2: 7.82, F = 7.06, P < 0.05) compared with girls (RT-PVT1: 402.96; RT-PVT2: 415.70; lapses-PVT1: 16.33; lapses-PVT2: 17.80). These results showed that this effect of gender, already reported in adults and children, is also observed in adolescents. The influence of gender should be taken into account in studies that use Palm PVT to evaluate psychomotor performance in this age range.

Diferencias individuales en dietantes crónicos: Influencia de los sistemas motivacionales en la alimentación / Differences among chronic restrained eaters: the influence of motivational systems

Background: Restrained eaters (RE) are individuals who restrain their food intake on a regular basis as they are frightened to gain weight. However, they tend to overeat under conditions of anxiety. It has been shown that RE possess a behavioral inhibition system that is more active in tonic terms, which would partially explain their affective vulnerability. Even so, the influence of variations in the activation levels of the emotional systems on the eating behavior of a RE is still unknown. Our hypothesis is that variations of such systems will give place to two types of RE: a successful or a non-successful one. Aim: To assess the influence of variations on the activation of motivational systems in food intake of RE. Materials and methods: As part of a factorial experimental design, 105 undergraduate university students were part of an experimental test for inducting food intake. Then they reported their levels of dietary restraint and their emotional behavioral preferences. Results: Differences in the activation of motivational systems were significantly related to differences in food intake (F= 7.210; p= 0.001). Additionally, food intake for those RE with a predominant inhibition system tended to be higher than for those with a more active approach system, though the latter did not reach a significant difference (F=0.718; p=0.399). Conclusions: Although more investigations are required, our data suggest that the success of retaining the diet among the RE would depend on their profile of affective reactivity (affective style). There are putative implications for research on anorexia and obesity.

Comparison of Brazilian and American norms for the International Affective Picture System (IAPS)

OBJETIVO: O presente artigo compara as normas obtidas no Brasil e nos EUA para o "International Affective Picture System" (IAPS), um conjunto de fotografias emocionais amplamente utilizado na investigacão experimental. MÉTODOS: Os sujeitos foram 1.062 universitários brasileiros (364 homens e 698 mulheres) que avaliaram as 707 fotografias do IAPS nas dimensões prazer, alerta e dominância, utilizando o mesmo procedimento do estudo normativo original realizado nos EUA, permitindo uma comparacão direta dos dados através de correlacões lineares de Pearson e testes t de Student. RESULTADOS: Todas as correlacões entre as populacões foram altamente significativas, sendo o maior coeficiente o da dimensão prazer, seguido da dimensão dominância e alerta. Entretanto, os brasileiros atribuíram maiores valores médios à dimensão alerta do que os norte-americanos. CONCLUSAO: Os resultados confirmam que esse conjunto de estímulos pode ser usado no Brasil como um instrumento de medidas afetivas em funcão das altas correlacões encontradas entre as duas populacões, apesar das diferencas encontradas na dimensão alerta, que serão discutidas em detalhe.

Unraveling the function of claustrum

Claustrum is a thin sheet of gray matter located between external and extreme capsules of lentiform nucleus [basal ganglia]. Functions of claustrum are still not clear. Positron emission tomography [PET] studies have been helpful in measuring the cerebral blood flow responses, as reflection of regional neuronal activity to various sensory stimuli. With PET it was seen that claustrum of healthy males displayed one of the highest activity with visual sexual stimuli.Bilateral activation of claustrum was seen to be involved in motivational processed, which direct behavior to a sexual goal

Stress hormones and sleep disturbances - electrophysiological and hormonal aspects.

In noise effect research often the awakening reaction is maintained to be the only important health related reaction. The main argument is that sleep represents a trophotropic phase ("energy storing"). In contrast to this awakening reactions or lying awake belong to the ergotropic phase ("energy consuming"). Frequent or long awakening reactions endanger therefore the necessary recovery in sleep and, in the long-run, health. Findings derived from arousal and stress hormone research make possible a new access to the noise induced nightly health risk. An arousal is a short change in sleeping condition, raising the organism from a lower level of excitation to a higher one. Arousals have the function to prevent life-threatening influences or events through activation of compensation mechanisms. Frequent occurrences of arousal triggered by nocturnal noise leads to a deformation of the circadian rhythm. Additionally, the deep sleep phases in the first part of the night are normally associated with a minimum of cortisol and a maximum of growth hormone concentrations. These circadian rhythms of sleep and neuroendocrine regulation are necessary for the physical as well as for the psychic recovery of the sleeper. Noise exposure during sleep which causes frequent arousal leads to decreased performance capacity, drowsiness and tiredness during the day. Long-term disturbances of the described circadian rhythms have a deteriorating effect on health, even when noise induced awakenings are avoided.

Organizaçäo neural de diferentes tipos de medo e suas implicaçöes na ansiedade / Neural organization of different types of fear: implications for the understanding of anxiety

A natureza das respostas de medo em animais expostos a situaçöes ameaçadoras depende da intensidade e da distância do estímulo aversivo. Esses estímulos podem ser potencialmente perigosos, distais ou proximais ao animal. Esforços têm sido feitos no sentido de identificar os circuitos neurais recrutados na organizaçäo das reaçöes defensivas a estas condiçöes aversivas. Neste artigo, sumarizamos evidências que associam os sistemas cerebrais de defesa ao conceito de medo-stress-ansiedade. Respostas de orientaçäo ao estímulo de perigo, à esquiva e à preparaçäo para o enfrentamento do perigo parecem estar associados à ansiedade. O giro do cíngulo e o córtex pré-frontal de um lado; o núcleo mediano da rafe, septo e o hipocampo de outro fazem parte dos circuitos cerebrais que integram essas respostas emocionais. No outro extremo, estímulos de medo que induzem formas ativas de defesa, mas pouco elaboradas, determinam estados emocionais de natureza diferente e parecem associadas a manifestaçöes elementares de medo. A substância cinzenta periaquedutal dorsal constitui o principal substrato neural para a integraçäo desses estados aversivos no cérebro. Comportamentos defensivos desse tipo säo produzidos pela estimulaçäo elétrica e química desta estrutura. A medida que os estímulos ameaçadores, potenciais e distais däo lugar a estímulos de perigo muito intensos ou säo substituídos por estímulos proximais de medo, ocorre uma comutaçäo (switch) dos circuitos neurais usualmente responsáveis pela produçäo de respostas condicionadas de medo para reaçöes defensivas com baixo nível de regulaçäo e organizaçäo que se assemelham aos ataques de pânico. Portanto, dependendo da natureza do evento estressor ou do estímulo incondicionado, o padräo de respostas defensivas orientadas e organizadas cede lugar a respostas motoras incoordenadas e incompletas. A amígdala e o hipotálamo medial podem funcionar como uma espécie de interface comutando os estímulos para os substratos neurais apropriados para elaboraçäo das respostas defensivas condicionadas ou incondicionadas

Estímulos emocionais: processamento sensorial e respostas motoras / Emotional stimuli: sensory processing and motor responses

A emoçäo pode ser funcionalmente considerada como uma disposiçäo à açäo que prepara o organismo para comportamentos relacionados à aproximaçäo e esquiva. Para preparar uma saída motora apropriada, o organismo tem que ser eficiente na codificaçäo de estímulos relevantes. Neste trabalho, apresentamos evidências a partir de estudos de neuroimagem que revelam que a visualizaçäo de imagens emocionais promove uma maior ativaçäo do córtex visual do que a observaçäo de figuras neutras. Além desta facilitaçäo do processamento sensorial, os estímulos emocionais desencadeiam reaçöes somáticas e vegetativas. Registros da dinâmica postural e da freqüência cardíaca enquanto voluntários assistiam a um bloco de figuras desagradáveis revelou uma reduçäo significativa na oscilaçäo corporal e bradicardia. Uma investigaçäo paralela mostrou que o tempo de reaçäo também lentifica após a visualizaçäo de figuras negativas. Este conjunto de respostas - imobilidade, bradicardia e tempo de reaçäo mais lento - pode refletir o engajamento do sistema defensivo, similar às reaçöes defensivas desencadeadas em ambiente natural por estímulos ameaçadores distantes. Em resumo, o sistema afetivo influencia um nível precoce de codificaçäo sensorial e a saída motora favorecendo, portanto, disposiçöes para as açöes apropriadas

In Vivo Microdialysis Measures of Extracellular Norepinephrine in the Rat Amygdala during Sleep-wakefulness

Norepinephrine (NE)-containing locus ceruleus (LC) has been known to participate in the regulation of the sleep-wake cycle according to the differential firing rate. The aim of this study was to know the change of extracellular NE level in the rat amygdala, which are reciprocally connected with LC, during sleep-wake-fulness. Extracellular NE levels in the rat amygdala were inrestigated during different stages of the sleep-waking cycle using in vivo microdialysis and polygraphic recording. Dialysates were collected every 5 min and correlated with the results of polygraphic recording. The content of NE was measured by high-performance liquid chromatography with electrochemical detection. NE level was the highest in active waking (AW) and, when compared to AW, NE level was progressively lower in quiet waking (QW; 86%), quiet sleep (QS; 72%), and active sleep (AS or REM sleep; 61%). This result suggests that the rat amygdala also participates in the regulation of the sleep-wake cycle according to the differential NE release.

Sentinels in Saltator atricollis (Passeriformes: Emberizidae)

I studied the existence of sentinels in Saltator atricollis in a 'campo-cerrado' (Brazilian savanna) during the breeding seasons of 1994-95 and 1995-96. Groups of this species consisted of two to seven birds (N = 25). Sentinels were present (mean sd) 62 percent 9 percent of the time, and most sentinel bouts lasted from less than one to six minutes (although in some occasions for more than 30 min.). Overlap of two or more sentinels occurred on average only 3.2 percent of the time with birds on guard. Sentinels commonly gave contact calls in the beginning and/or at the end of a sentinel bout. The group size had no effect on time with sentinels. However the encounter rate between raptors and groups significantly influenced the time guarded. The results of this study suggests that the ability of sentinels to detect predators may play a central role as an anti-predator device

Stress management for patient and physician.

Starting with the definition of stress the author vividly describes physical response to stress, stress related illnesses, common symptoms and causes of stress and lastly stress management. His concluding remarks mention about some Reiki principles.

Degree of Arousal Is Most Correlated with Blood Pressure Reactivity During Sleep in Obstructive Sleep Apnea

We investigated blood pressure (BP) reactivity of obstructive sleep apnea (OSA) during rapid eye movement (REM) sleep and non-rapid eye movement (NREM) sleep. The influences on BP reactivity of degree of arousal, the lowest O2 saturation (SaO2), and respiratory disturbance (RD) duration were compared. Ten normotensive or borderline hypertensive patients with OSA were studied with one-night polysomnography including non-invasive beat-to-beat BP monitoring (Finapres(R)). We compared baseline BP, pre-apneic BP, and post-apneic BP during both REM and NREM sleep. Also, relationships between delta BP (post-apneic BP minus pre-apneic BP) and degree of arousal, the lowest SaO2, and RD duration were examined. During both REM and NREM sleep, pre-apneic BP was elevated compared with baseline BP. Post-apneic BP elevation was noted compared with pre-apneic BP. The degree of arousal was more significantly correlated with delta BP than the lowest SaO2. RD duration was hardly correlated with delta BP. Pre-apneic BP elevation seems to result from cumulation of sympathetic activation and sympathetic nervous system resetting. The correlation between delta BP and degree of arousal suggests that sympathetic activation causing post-apneic BP elevation may result mainly from an arousal response regardless of hypoxia.

Raptors and "campo-cerrado" bird mixed flock led by Cypsnagra Hirundinacea (Emberizidae: Thraupinae)

Bird mixed flocks including Cypsnagra hirundinacea and Neothraupis fasciata as species with sentinels were studied in "campo-cerrado" in order to investigate the possible relationship between alertness and the mixed flock leadership. This study was conducted from March to September 1996 and mixed flocks were observed on average for 2:30h. The time with sentinels were recorded for C. hirundinacea and N. fasciata. The sentinels of Cypsnagra hirundinacea performed most of the vigilance (time with sentinel was on average 42 ± 17 percent, 41 ± 17 percent of which by C. hirundinacea, whereas only 1.2 percent by N. fasciata) and gave all the alarm calls recorded (54 percent of the encounters with raptors stimulated alarm calls). A relationship was verified between time with sentinel and the rate of encounters with raptor (ANOVA, F = 3.0, P < 0.05). The results of this study are an evidence for the anti-predatory function of mixed flocks, in campo-cerrado, and the alertness as a major feature of a leader species, since C. hirundinacea always led those flocks

Estudo hodológico e funcional do núcleo incertus e da pars alfa da substância cinzenta central / Hodological and functional study of the nucleus incertus and the pars alfa of the Central Gray

Muito pouco se sabe acerca da hodologia e possível papel funcional do núcleo incertus (NI) e da pars alfa da substância cinzenta central. O NI é uma estrutura da linha média localizada na porçäo caudal da substância cinzenta pontina, composta por neurônios densamente compactados e intensamente corados. O NI parece ser contíguo com a pars alfa, a qual estende-se lateralmente no tegmento periventricular pontino, e que consiste de neurônios fusiformes intensamente corados. Estudos prévios mostram que o NI e a pars alfa contém neurônios que expressam altos níveis de RNA mensageiro para o receptor do hormônio liberador de corticotrofina, e evidências funcionais sugerem que o NI e a pars alfa säo mobilizados durante situaçöes de estresse. Experimentos realizados em nosso laboratório, com animais mantidos num paradigma de ®meal-feeding¼, sugerem que o NI e a pars alfa seriam ainda mais intensamente ativados quando o animal pode antecipar uma estratégia comportamental na tentativa de escapar de uma situaçäo estressante. Assim, no presente estudo, investigamos, através da detecçäo imunohistoquímica da proteína Fos, a ativaçäo do NI e da pars alfa durante uma situaçäo de estresse agudo (nataçäo forçada), comparando-a com uma condiçäo de estresse semelhante, porém na qual o animal é treinado previamente a encontrar uma forma de escape (animais treinados no labirinto aquático de ®Morris¼). Os presentes resultados däo suporte ao fato de que o NI e a pars alfa säo estruturas mobilizadas em situaçöes de estresse, e expande estes achados mostrando uma maior ativaçäo destes núcleos nos animais treinados para escapar de uma circunstância estressante. Paralelamente investigamos as conexöes do NI e da pars alfa, utilizando os métodos de rastreamento anterógrado da leucoaglutinina do Phaseolus vulgaris, e retrógrado da subunidade B da toxina colérica. Nossos resultados mostram que o NI e a pars alfa säo inervados pelos mesmos sítios neurais, e apresentam áreas de projeçäo em comum, divergindo apenas no gradiente de projeçöes para algumas estruturas. Constatamos que NI e pars alfa säo substancialmente aferentados pelo córtex pré-frontal e habenula lateral e inervam de forma importante os núcleos septal medial e da banda diagonal, a área hipotalâmica lateral, a porçäo lateral do núcleo médio-dorsal; e o núcleo ventromedial do tálamo, o núcleo mamilar lateral, os núcleos tegmental dorsal e ventral, o núcleo prepósito do hipoglosso e o complexo olivar...