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1.
Psiquiatr. biol. (Internet) ; 30(3): [100428], sep.-dic. 2023. tab
Article in Spanish | IBECS | ID: ibc-228303

ABSTRACT

Introducción: la interrupción en la continuidad del sueño se puede evaluar mediante el índice de fragmentación del sueño (IFS), esta medida ha resultado de utilidad en la evaluación de las personas con distintos trastornos del sueño. En el trastorno del espectro autista (TEA) se presentan problemas con la estructura del sueño, pero el IFS no se ha evaluado en este tipo de población. El objetivo de este estudio fue evaluar las características del IFS en un grupo de niños con TEA y en un grupo de niños con desarrollo típico. Métodos: se realizaron registros de polisomnografía en 19 niños con TEA de edad promedio 10,1 (±2,5) años y en 19 niños con desarrollo típico de edad promedio 10,8 (±2,5) años. En ambos grupos mediante la prueba U de Mann Whitney se compararon el IFS, el tiempo total de sueño, los porcentajes de las fases de sueño, la cantidad de vigilia después del inicio del sueño, la latencia para iniciar a dormir y la latencia al sueño MOR. Resultados: de las variables del sueño evaluadas, en el grupo con TEA el porcentaje de sueño MOR fue significativamente menor, mientras que la latencia al sueño MOR fue significativamente mayor. Conclusiones: la fragmentación del sueño no es una característica propia del TEA. La variación significativa en el sueño MOR aporta evidencia a favor de la hipótesis de la deficiencia del sueño MOR en el TEA.(AU)


Introduction: Disruption in sleep continuity can be assessed by the sleep fragmentation index (SFI), a measure that has proven useful in the evaluation of individuals with various sleep disorders. Problems with sleep structure are present in autism spectrum disorder (ASD), but the SFI has not been evaluated in this type of population. The aim of this study was to evaluate the characteristics of the SFI in a group of children with ASD and in a group of typically developing (TD) children. Methods: Polysomnography recordings were performed in 19 children with ASD of mean age 10.1 (± 2.5) years and in 19 children with TD of mean age 10.8 (± 2.5) years. In both groups, the Mann Whitney U test was used to compare the SFI , total sleep time, percentages of sleep stages, wake after sleep onset, sleep onset latency and REM sleep latency. Results: Of the sleep variables evaluated, in the ASD group the percentage of REM sleep was significantly lower, while REM sleep latency was significantly higher. Conclusions: Sleep fragmentation is not a characteristic feature of ASD. Significant variation in REM sleep provides evidence in favor of the hypothesis of REM sleep deficiency in ASD.(AU)


Subject(s)
Humans , Male , Child , Sleep Deprivation , Child , Autism Spectrum Disorder , Sleep Wake Disorders , Polysomnography , Statistics, Nonparametric
2.
Acta investigación psicol. (en línea) ; 13(2): 115-125, May.-Aug. 2023. tab
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1519905

ABSTRACT

Resumen La variabilidad de la frecuencia cardiaca (VFC) se utiliza como una señal fisiológica para evaluar la reactividad psicofisiológica al estrés. El análisis en el dominio de la frecuencia de esta señal se ha usado para describir el papel del sistema nervioso autónomo en los procesos de adaptación al estrés. Sin embargo, el uso de medidas de tendencia central para reportar los resultados de distintas poblaciones desestima las diferencias individuales en la reacción frente al estrés. El objetivo de esta investigación fue caracterizar la reactividad cardiaca ante la evocación de eventos estresantes en población universitaria. Participaron 94 estudiantes de nuevo ingreso a la carrera de psicología, de dos universidades de México. Los resultados indican un decremento consistente en la banda de alta frecuencia ante la evocación de eventos estresantes, en comparación con la banda de baja frecuencia. La caracterización de la respuesta autonómica al estrés presenta dos subgrupos acoplados (co-activación y co-inhibición); y uno desacoplado. Nuestros hallazgos, ratifican la viabilidad de la banda de frecuencia alta de la VFC como un indicador estable de reactividad al estrés, y resaltan la importancia de las diferencias específicas de la actividad autonómica en la caracterización de la respuesta fisiológica al estrés.


Abstract Heart rate variability (HRV) is used as a reliable physiological signal to assess psychophysiological reactivity to stress. Frequency-domain mathematical analysis of the HRV signal provides metrics that are associated with the performance of the autonomic nervous system. However, the use of measures of central tendency to report global results in different populations underestimates individual differences in the way people react to stress and the clinical importance of this response. The objective of this research was to characterize cardiac reactivity to the evocation of stressful events in a university population. The participants were 94 new psychology students from two universities in Mexico. A psychophysiological stress assessment was performed to estimate cardiac reactivity; the evaluation consisted of the following conditions: 1) Baseline; 2) Evocation of stress; and 3) Recovery. The participants were sitting with their eyes closed and without moving during every single one of the conditions. Four subgroups were created depending on the type of cardiac reactivity to stress. The results indicate a significant consistent decrease in the high-frequency band when evoking stressful events, compared to the low-frequency band. Similar responses were observed between the low-frequency band and the high-frequency band in 60.6% of the cases, suggesting that the antagonistic autonomic balance between the two divisions of the ANS was scarce. According to the autonomic space model and the type of stress reactivity of each student, there were two subgroups characterized by co-activation and co-inhibition modes; and one subgroup characterized by uncoupled response mode. Our findings confirm the viability of the high-frequency band of HRV as a stable indicator of stress reactivity. Likewise, evidence is generated in favor of using evocative stress stimuli to assess physiological reactivity like more personal stressors. Lastly, the importance of specific differences in autonomic activity to characterize the physiological response to stress and its possible clinical utility to propose interventions and select techniques that most effectively benefit vulnerable populations are highlighted.

3.
Anim Cogn ; 26(3): 1065-1072, 2023 Jun.
Article in English | MEDLINE | ID: mdl-36809584

ABSTRACT

The Novel Object Recognition task (NOR) is widely used to study vertebrates' memory. It has been proposed as an adequate model for studying memory in different taxonomic groups, allowing similar and comparable results. Although in cephalopods, several research reports could indicate that they recognize objects in their environment, it has not been tested as an experimental paradigm that allows studying different memory phases. This study shows that two-month-old and older Octopus maya subjects can differentiate between a new object and a known one, but one-month-old subjects cannot. Furthermore, we observed that octopuses use vision and tactile exploration of new objects to achieve object recognition, while familiar objects only need to be explored visually. To our knowledge, this is the first time showing an invertebrate performing the NOR task similarly to how it is performed in vertebrates. These results establish a guide to studying object recognition memory in octopuses and the ontological development of that memory.


Subject(s)
Octopodiformes , Recognition, Psychology , Animals , Exploratory Behavior , Visual Perception , Pattern Recognition, Visual
4.
Physiol Behav ; 259: 114054, 2023 02 01.
Article in English | MEDLINE | ID: mdl-36502893

ABSTRACT

Nocturnal epilepsy is a neurological disease that has a significant effect on sleep. Various treatments have been implemented to help mitigate these effects and improve patients' quality of life. The use of experimental animal models for epilepsy has facilitated efficacy assessment and the development of different medications to treat the symptoms of this disease. The objective of this study was to evaluate the effect of valproate on sleep patterns altered by epilepsy. Chronically implanted Wistar rats were used to study sleep patterns over three consecutive days under different experimental conditions. The animals were separated into two groups. The first day was considered the control recording; on the second day, one group received pentylenetetrazol (PTZ) alone, and the other group received valproate prior to induction of convulsive seizures with PTZ administration. The results show that in addition to its antiepileptic effect, valproate has hypnotic properties. It is considered to facilitate the action of GABAergic mechanisms to mitigate the effect of convulsive seizures and increase the occurrence of sleep.


Subject(s)
Epilepsy , Valproic Acid , Rats , Animals , Valproic Acid/pharmacology , Valproic Acid/therapeutic use , Quality of Life , Rats, Wistar , Epilepsy/chemically induced , Epilepsy/complications , Epilepsy/drug therapy , Anticonvulsants/pharmacology , Anticonvulsants/therapeutic use , Seizures/chemically induced , Seizures/drug therapy , Pentylenetetrazole/toxicity , Sleep , Disease Models, Animal
5.
Appl Psychophysiol Biofeedback ; 47(3): 193-198, 2022 09.
Article in English | MEDLINE | ID: mdl-35503195

ABSTRACT

The psychophysiological coherence model proposes that a heart rhythm pattern, known as heart rhythm coherence (HRC), is associated with dominant parasympathetic activity and the entrainment of respiratory function, blood pressure, and heart rhythms. Although the HRC pattern has primarily been assessed during wakefulness, changes in cardiac and autonomic activity that occur during sleep stages can also be associated with the HRC pattern. The objective of this study was to examine whether any differences in the HRC pattern could be detected among various sleep stages. Eighteen healthy young individuals participated in this study. Two consecutive polysomnographic (PSG) recordings were obtained from each participant, several segments of cardiac activity were obtained from the second PSG. The HRC pattern was quantitatively evaluated by calculating the HRC ratio (HRCR). The highest peaks in the coherence band (Coher-Peak), 0.1-Hz index, respiratory sinus arrhythmia (RSA), and heart rate (HR) were evaluated. A Friedman test showed significant differences among sleep stages in the Coher-Peak, 0.1-Hz index, RSA, and HR; the Coher-Peak and RSA values were lower in rapid eye movement (REM) sleep, while the 0.1-Hz and HR values were higher in REM sleep. Post hoc analyses identified significant differences between the N2 and REM sleep stages. Among the various sleep stages, HR and RSA measurements behaved independently of the HRC pattern, and the HRC pattern did not appear to be associated with the 0.1 Hz frequency. Further studies are required to identify the characteristics of the HRC pattern during sleep.


Subject(s)
Sleep Stages , Sleep , Autonomic Nervous System , Heart Rate/physiology , Humans , Pilot Projects , Polysomnography , Sleep/physiology , Sleep Stages/physiology
6.
Sleep Biol Rhythms ; 20(2): 165-171, 2022 Apr.
Article in English | MEDLINE | ID: mdl-38469253

ABSTRACT

Sleep disturbances frequently occur in people with whiplash-associated disorder (WAD) and have been evaluated using questionnaires or actigraphy. It is not clear whether sleep architecture, as assessed by polysomnography (PSG), is altered in individuals with WAD. Additionally, in people with WAD, muscle dysfunction is observed during tasks performed during wakefulness. Thus, this study aimed to analyze the sleep architecture of patients with chronic WAD as well as to evaluate trapezius muscle activity during sleep. Nine women with chronic WAD and nine healthy age-matched women participated in the study. Two PSG recordings were conducted for each participant. Surface electromyography signal samples of the right and left trapezius, and mentonian muscles were obtained from N2, N3, and REM sleep stages for analysis. Significant differences were found in the percentages of total sleep time in the N1 and N2 stages between the two groups. While the muscle tone of the three muscles analyzed decreased progressively across the sleep stages in the healthy group, in the chronic WAD group, this decrement was observed only in the mentonian muscle, and the trapezius muscle continued to exhibit the same muscle tone throughout the sleep stages without atonia during REM sleep. The absence of trapezius muscle atonia during REM sleep in the WAD patients may be related to dysfunction of the mechanisms that regulate motor activity.

7.
Sleep Sci ; 14(3): 201-206, 2021.
Article in English | MEDLINE | ID: mdl-35186197

ABSTRACT

Sleep spindles are an element of the sleep microstructure observed on the EEG during the NREM sleep phase. Sleep spindles are associated to sleep stability functions as well as memory consolidation and optimization of different cognitive processes. On the other hand, Asperger's syndrome (AS) is a generalized developmental disorder in which cognitive and sleep disturbances have been described. In this study we analyzed different characteristics of sleep spindles in a group of children with AS and compared them with sleep spindles of a group of children with typical development paired by age; both groups ranged from 6 to 12 years of age and were all male. We observed a statistically significant decrease in sleep spindles intrinsic frequency in different brain regions in the AS group in relation to the typical development group. This finding could be due to immaturity in brain regions related to the integration of sleep spindles; and this immaturity could be related with cognitive aspects in these patients.

8.
Epilepsy Behav ; 92: 290-296, 2019 03.
Article in English | MEDLINE | ID: mdl-30731295

ABSTRACT

For a long time, numerous sleep alterations induced by nocturnal epilepsy have been described. Such alterations include sleep fragmentation, decrement of sleep efficiency, increment of the wake time after sleep onset (WASO), increment of light sleep, and decrement of sleep depth. On the other hand, gabapentin (GBP), an antiepileptic drug analog of γ-aminobutyric acid (GABA) used as adjunctive and eventually, as a monotherapeutic treatment, induces a significant improvement in patients with both focal and secondarily generalized partial seizures. In experimental epilepsy models, this drug protects against pentylenetetrazol (PTZ)-induced convulsions. In consideration of such GBP properties, the aim of this work was to investigate its efficacy to protect against sleep disturbances provoked by convulsive seizures induced by the administration of PTZ. Nine-hour (9-hour) polygraphic studies were carried out in chronically implanted male adult Wistar rats separated into 4 different groups of 6 individuals. Control recordings in each group were done after saline administration. One group received a SC Subcutaneous (SC) injection of 50 mg/kg of PTZ alone while the other three groups were injected with either 15, 30, or 60 mg/kg IP Intraperitoneal (IP) of GBP 30 min prior to PTZ (50 mg/kg SC) administration. Animals displayed the whole range of electrophysiological and behavioral manifestations of the disease during the epileptic episodes induced by PTZ administration, and the states of vigilance were significantly altered. Insomnia occurred immediately after PTZ injection preceding the appearance of the first epileptic symptoms. Thus, both slow wave sleep (SWS) and rapid eye movement sleep (REM sleep) were completely inhibited during a relatively long period of time. The disturbing effects of epilepsy on sleep decreased when animals were under GBP treatment. Improvement of sleep was dependent on the administered dose of this antiepileptic drug.


Subject(s)
Anticonvulsants/therapeutic use , Epilepsy/drug therapy , Epilepsy/physiopathology , Gabapentin/therapeutic use , Sleep Wake Disorders/drug therapy , Sleep Wake Disorders/physiopathology , Animals , Anticonvulsants/pharmacology , Dose-Response Relationship, Drug , Electrooculography/methods , Gabapentin/pharmacology , Male , Polysomnography/methods , Rats , Rats, Wistar , Sleep/drug effects , Sleep/physiology , Wakefulness/drug effects , Wakefulness/physiology
9.
J Sleep Res ; 28(1): e12716, 2019 02.
Article in English | MEDLINE | ID: mdl-29869410

ABSTRACT

Although motor activity is actively inhibited during rapid eye movement (REM) sleep, specific activations of the facial mimetic musculature have been observed during this stage, which may be associated with greater emotional dream mentation. Nevertheless, no specific biomarker of emotional valence or arousal related to dream content has been identified to date. In order to explore the electromyographic (EMG) activity (voltage, number, density and duration) of the corrugator and zygomaticus major muscles during REM sleep and its association with emotional dream mentation, this study performed a series of experimental awakenings after observing EMG facial activations during REM sleep. The study was performed with 12 healthy female participants using an 8-hr nighttime sleep recording. Emotional tone was evaluated by five blinded judges and final valence and intensity scores were obtained. Emotions were mentioned in 80.4% of dream reports. The voltage, number, density and duration of facial muscle contractions were greater for the corrugator muscle than for the zygomaticus muscle, whereas high positive emotions predicted the number (R2 0.601, p = 0.0001) and voltage (R2 0.332, p = 0.005) of the zygomaticus. Our findings suggest that zygomaticus events were predictive of the experience of positive affect during REM sleep in healthy women.


Subject(s)
Dreams/physiology , Electromyography/methods , Emotions/physiology , Facial Expression , Sleep, REM/physiology , Adult , Female , Healthy Volunteers , Humans , Young Adult
10.
Salud ment ; 41(3): 109-116, May.-Jun. 2018. graf
Article in English | LILACS | ID: biblio-979112

ABSTRACT

Abstract: Introduction: Autistic spectrum disorder (ASD) is characterized by difficulties in communication and social interaction. The theory of mind (TM) links social deficiencies in ASD with a difficulty in representing the mental states of other people. The Mu rhythm (8-13Hz) has been studied as an expression of the possible neuronal basis of TM. In ASD, the physiological reactivity of the Mu rhythm to motor events is affected. During sleep, there are also phenomena related to sensorimotor processing. Objective: To characterize the Mu rhythm in the sleep of children with level 1 ASD, ages six to 10, and compare it with control children paired by age and sex. Method: Polysomnographic records for two consecutive nights. The record of the second night was analyzed visually (the first was considered habituation) to identify and select Mu rhythm segments throughout the night. The extracted segments were analyzed using the fast Fourier transform and subsequently with t tests on the data of C3 and C4. Results: A significant difference was found in the power spectrums of C3 and C4t (1, 144) = 3.038, p = .003 and t (1, 144) = -2.301, p = .023, respectively. Discussion and conclusion: The results of this study are consistent with the morphological and topographic characteristics found in studies conducted during wakefulness. The results suggest that the Mu rhythm is caused intrinsically, without external sensory stimulation, and that there is a difference in this generation in the population with ASD.


Resumen: Introducción: El trastorno del espectro autista (TEA) se caracteriza por dificultades en la comunicación e interacción social. La teoría de la mente (TM) vincula las deficiencias sociales en el TEA con una dificultad para representar los estados mentales de otros. El ritmo Mu (8-13Hz) se ha estudiado como expresión del posible fundamento neuronal de la TM. En el TEA, la reactividad fisiológica del ritmo Mu a eventos motores se ve afectada. Durante el sueño también hay fenómenos relacionados con el procesamiento sensomotor. Objetivo: Caracterizar el ritmo Mu en el sueño de niños con TEA nivel 1, en edades de seis a 10 años, y compararlo con niños control pareados por edad y sexo Método: Registros polisomnográficos durante dos noches consecutivas. Se analizó visualmente el registro de la segunda noche (la primera se consideró de habituación) para identificar y seleccionar segmentos de ritmo Mu a lo largo de ella. Los segmentos extraídos fueron analizados por medio de la transformada rápida de Fourier y posteriormente con pruebas t sobre los datos de C3 y C4 Resultados: Se encontró una diferencia significativa en los espectros de potencia de C3 and C4t (1, 144) = 3.038, p = .003 y t (1, 144) = -2.301, p = .023, respectivamente. Discusión y conclusión: Los resultados de este estudio son consistentes con características morfológicas y topográficas encontradas en estudios hechos durante la vigilia. Los resultados sugieren que el ritmo Mu se estaría generando de manera intrínseca, sin estimulación sensorial externa, y que existe una diferencia en esta generación en población con TEA.

11.
Salud ment ; 41(1): 17-23, Jan.-Feb. 2018. tab, graf
Article in English | LILACS | ID: biblio-962426

ABSTRACT

Abstract: Introduction: Wake-sleep transition is a continuous, gradual process of change. Most studies evaluating electroencephalogram spectral power during this transition have used variance analysis (ANOVA). However, using this type of analysis does not allow one to detect specific changes in the statistical properties of a time series. Objective: To determine whether change point analysis (CPA) makes it possible to identify and characterize electroencephalographic, electromyographic, and cardiac changes during the wake-sleep transition through a cross-sectional study. Method: The study included 18 healthy volunteers (12 women and six men), from which polysomnography data were obtained during a two-minute transition. Heart rate, respiratory sinus arrhythmia, electroencephalogram spectral power, as well as electromyographic median and mean frequency and electromyographic root mean square were calculated in five-second segments. These segments were analyzed using repeated measures ANOVA, and CPA focused individually and for the group as a whole. Results: Repeated measures ANOVA and CPA by group found decreased levels of alpha and beta power and beta/delta index during wakefulness, and increased theta and delta power levels during sleep. CPA by individual found that only alpha power changed in all participants and failed to identify a specific moment when all the variables studied changed simultaneously. Discussion and conclusion: We consider that CPA provides additional information to statistical analyses such as ANOVA for the specific location of physiological changes during sleep-wake transition.


Resumen: Introducción: La transición vigilia-sueño es un proceso de cambio continuo y gradual. Los estudios que han evaluado el poder espectral del electroencefalograma (EEG) durante esta transición han usado principalmente el análisis de varianza (ANOVA). Sin embargo, con este tipo de análisis no se pueden ubicar con precisión los cambios en las propiedades estadísticas de series de tiempo. Objetivo: Evaluar si el análisis de punto de cambio (APC) permite identificar y caracterizar cambios electroencefalográficos, electromiográficos y cardiacos durante la transición vigilia-sueño mediante un estudio transversal descriptivo. Método: Participaron 18 voluntarios sanos (12 mujeres y seis hombres) a los cuales se les realizó una polisomnografía para determinar un periodo de transición de dos minutos. En segmentos de cinco segundos se calcularon la frecuencia cardiaca, arritmia del sinus respiratorio, frecuencia mediana y media cuadrática del electromiograma y poder espectral del EEG. Estos segmentos se analizaron con ANOVA de medidas repetidas y con el APC que se aplicó de forma grupal e individual. Resultados: Con el ANOVA de medidas repetidas y el APC grupal se encontraron disminución de la potencia alfa, beta e índice beta/delta durante la vigilia e incrementos de theta y delta durante el sueño. Con el APC individual no se identificó un momento específico en el que todas las variables estudiadas cambiaran simultáneamente; además, se encontró que sólo la potencia alfa cambió en todos los participantes. Discusión y conclusión: El APC aportó información adicional al ANOVA ya que permitió conocer la ubicación específica de los cambios en las variables fisiológicas estudiadas durante la transición vigilia-sueño.

12.
J Med Primatol ; 47(1): 67-74, 2018 02.
Article in English | MEDLINE | ID: mdl-29072318

ABSTRACT

BACKGROUND: The physiological mechanisms that allow for sleeping in a vertical position, which is primordial for arboreal primates, have not been studied yet. METHODS: A non-invasive polysomnographic study of 6 spider monkeys (Ateles geoffroyi) was conducted. The relative beta power of the motor cortex and its linear relation with muscle tone in the facial mentalis muscle and the abductor caudae medialis muscle of the tail during wakefulness and sleep stages were calculated. RESULTS: A strong negative linear relationship (r = -.8, P = .03) was found between the relative power of the beta2 band in the left motor cortex and abductor caudae medialis muscle tone during delta sleep. CONCLUSIONS: The left motor cortex, through beta2 band activity, interacts with abductor caudae medialis muscle tonicity during delta sleep. This interaction takes part in the mechanisms that regulate the sleep postures.


Subject(s)
Atelinae/physiology , Muscle Tonus , Muscle, Skeletal/physiology , Sleep , Animals , Electroencephalography/veterinary , Male
13.
Am J Primatol ; 77(2): 200-10, 2015 Feb.
Article in English | MEDLINE | ID: mdl-25231936

ABSTRACT

The normal sleep patterns of the spider monkey (Ateles geoffroyi) have not been described yet. The objective of this study was to characterize the electrophysiological patterns, sleeping postures, and sleep-wake cycle in semi-restricted spider monkeys. Continuous 24-hr polysomnographic (PSG) recordings, involving simultaneous recording of non-invasive electroencephalographic (EEG), electro-oculographic (EOG), and electromyographic (EMG) activities, were carried out in captive monkeys living in outdoor rainforest enclosures. Electrode placement was done according to the human international 10-20 system. Specific behaviors displayed by monkeys during the sleep-wake cycles were correlated with the PSG recordings. The nycthemeral distribution of the sleep-wake cycle was also calculated. The results show that electrophysiological N-REM sleep patterns in spider monkeys are similar to those observed in other primates, including human beings. Furthermore, a vertical semi-fetal posture was observed during N-REM and REM sleep phases. The amount of nocturnal sleep was significantly higher than that of the diurnal period, showing that the spider monkey is a diurnal primate. An outstanding finding was the absence of muscular atonia during the spider monkey's REM sleep, which suggests that arboreal primates have developed a neuromuscular mechanism specialized for sleeping in a vertical posture.


Subject(s)
Atelinae/physiology , Muscle Tonus , Sleep/physiology , Animals , Circadian Rhythm , Polysomnography , Posture/physiology , Sleep, REM/physiology , Trees
14.
Rev. chil. neurocir ; 40(1): 22-29, jul. 2014. ilus, tab
Article in Spanish | LILACS | ID: biblio-831378

ABSTRACT

Objetivo: Identificar y describir las diferencias neuropsicológicas antes y después de resecar el tumor en 2 pacientes de 8 años de edad con una neoplasia en la fosa posterior. Metodología: Se realizó evaluación neuropsicológica pre y posquirúrgica a 2 pacientes de 8 años de edad del Instituto Nacional de Pediatría, uno femenino con quiste aracnoideo en cisterna paravermiana y otro masculino con meduloblastoma en vermis y se compararon los datos obtenidos antes de extirpación de tumor y después de ella. Para la obtención del IQ se aplicó el WISC-IV y para las otras funciones, la Evaluación Neuropsicológica Infantil (ENI), para niños de 5 a 16 años, obteniéndose sus valores en percentiles que se igualaron con la clasificación cualitativa. Resultados: Los 2 pacientes presentaron deficiencias en el IQ, en Funciones Cognitivas, en las Habilidades de Rendimiento Académico, así como en sus Funciones Ejecutivas. A pesar de que no se aplicó quimioterapia ni radioterapia, tanto antes de la cirugía, como después de la extirpación del tumor, empeorando dichas funciones después de la extirpación. Conclusiones: Los tumores en Fosa Posterior originan diversas alteraciones neuropsicológicas similares a las observadas con lesiones en la corteza cerebral, dichas alteraciones se hacen más severas después de la extirpación del tumor; esta evolución puede presentar un dilema a la luz de la Bioética: ¿Se prolonga la vida a expensas de mayor deterioro neurocognitivo al quitar el tumor, o no se opera para evitar mayor deterioro en la calidad de vida y se reduce el tiempo de vida?.


Aim: Identify and describe the neuropsychological differences before and after surgery in 2 patients 8 years of age with a tumor in the posterior fossa. Methodology: Neuropsychological assessment was performed before and after surgery to 2 patients (8 years of age), one female with arachnoid cyst in paravermian cyst and another male with medulloblastoma in vermis and we compared the data obtained before removal of tumor and after. We use the following Neuropsychological Tests: WISC-IV was applied to assess IQ and Child Neuropsychological Assessment (ENI) was to evaluate cognitive functions. Results: The 2 patients had deficits in IQ, cognitive functions, the academic performance skills and his executive skills, even without chemotherapy or radiotherapy, both before surgery and after removal of the tumor. These functions worsened after surgery. Conclusions: Posterior fossa tumors originate many various neuropsychological similar to those observed in cerebral cortex, these changes are most evident after removal of the tumor, this evolution can present a dilemma in light of Bioethics: Is justified to prolong the life at expense of neurocognitive impairment, after removing a big tumor, or not to operate preventing further deterioration in the quality of life and reducing the lifetime?.


Subject(s)
Humans , Male , Female , Child , Cerebellar Vermis , Cognition , Executive Function , Cranial Fossa, Posterior/pathology , Medulloblastoma/surgery , Neuropsychological Tests , Infratentorial Neoplasms/surgery , Infratentorial Neoplasms/complications , Infratentorial Neoplasms/psychology , Arachnoid Cysts/surgery , Bioethics , Cisterna Magna
15.
Physiol Behav ; 129: 167-72, 2014 Apr 22.
Article in English | MEDLINE | ID: mdl-24582668

ABSTRACT

UNLABELLED: As mammals, birds exhibit two sleep phases, slow wave sleep (SWS) and REM (Rapid Eye Movement) sleep characterized by presenting different electrophysiological patterns of brain activity. During SWS a high amplitude slow wave pattern in brain activity is observed. This activity is substituted by a low amplitude fast frequency pattern during REM sleep. Common quail (Coturnix coturnix) is an animal model that has provided information related to different physiological mechanisms present in man. There are reports related to its electrophysiological brain activity, however the sleep characteristics that have been described are not. The objectives of this study is describing the sleep characteristics throughout the nychthemeral cycle of the common quail and consider this bird species as an avian model to analyze the regulatory mechanisms of sleep. Experiments were carried out in implanted exemplars of C. coturnix. Under general anesthesia induced by ether inhalation, stainless steel electrodes were placed to register brain activity from the anterior and posterior areas during 24 continuous hours throughout the sleep-wake cycle. Ocular and motor activities were visually monitored. Quail showed four electrophysiologically and behaviorally different states of vigilance: wakefulness (53.28%), drowsiness (14.27%), slow wave sleep (30.47%) and REM sleep (1.98%). The animals presented 202 REM sleep episodes throughout the nychthemeral cycle. Sleep distribution was polyphasic; however sleep amount was significantly greater during the period corresponding to the night. The number of nocturnal REM sleep episodes was significantly greater than that of diurnal one. CONCLUSION: The quail C. coturnix shows a polyphasic distribution of sleep; however the amount of this state of vigilance is significantly greater during the nocturnal period.


Subject(s)
Brain/physiology , Coturnix/physiology , Sleep/physiology , Animals , Electrodes, Implanted , Female , Male , Photoperiod , Posture , Sleep Stages/physiology , Sleep, REM/physiology , Time Factors , Wakefulness/physiology
16.
Neurochem Res ; 35(10): 1538-45, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20535555

ABSTRACT

The sensorimotor cortex and the cerebellum are interconnected by the corticopontocerebellar (CPC) pathway and by neuronal groups such as the serotonergic system. Our aims were to determine the levels of cerebellar serotonin (5-HT) and lipid peroxidation (LP) after cortical iron injection and to analyze the motor function produced by the injury. Rats were divided into the following three groups: control, injured and recovering. Motor function was evaluated using the beam-walking test as an assessment of overall locomotor function and the footprint test as an assessment of gait. We also determined the levels of 5-HT and LP two and twenty days post-lesion. We found an increase in cerebellar 5-HT and a concomitant increase in LP in the pons and cerebellum of injured rats, which correlated with their motor deficits. Recovering rats showed normal 5-HT and LP levels. The increase of 5-HT in injured rats could be a result of serotonergic axonal injury after cortical iron injection. The LP and motor deficits could be due to impairments in neuronal connectivity affecting the corticospinal and CPC tracts and dysmetric stride could be indicative of an ataxic gait that involves the cerebellum.


Subject(s)
Cerebellum/metabolism , Gait , Lipid Peroxidation , Motor Activity , Nerve Degeneration/metabolism , Pons/metabolism , Serotonin/metabolism , Animals , Ferrous Compounds , Male , Nerve Degeneration/chemically induced , Nerve Degeneration/physiopathology , Nerve Degeneration/psychology , Rats , Rats, Wistar
17.
Salud Publica Mex ; 52 Suppl 2: S120-8, 2010.
Article in Spanish | MEDLINE | ID: mdl-21243182

ABSTRACT

OBJECTIVE: To determine the relationship between the degree of addiction (DA) and pattern of tobacco consumption (PTC) with anxiety and depression in smokers who want to quit smoking. MATERIAL AND METHODS: At admission to a smoking cessation program 495 smokers were surveyed to determine anxiety (IDARE Test), depression (Beck Inventory Test), DA (Fagerström Test) and PTC (pack-years). RESULTS: DA ≥ 6 points was associated with high anxiety levels RM=1.94, (IC95%1.02-3.72), p<0.04]; and with symptoms of severe depression; [RM=2.24, (IC95%1.00-4.99), p<0.04)]. The PCT equal or greater than 21 pack-year, was associated with moderate anxiety; [RM=3.19 (IC95%1.94-5.25), p<.00]; high anxiety; [RM=3.36 (IC95% 1.66-6-80), p<.00]; with moderate depressive symptoms; [RM=3.14, (IC95% 1.75-5-62), p<.00] and severe depressive symptoms; [RM=9.85, (IC95% 3.30-29.37), p<.00)]. CONCLUSION: A significant association exists in smokers having high GA and PCT, with moderate and high anxiety and depressive symptoms that should be considered during interventions to quit.


Subject(s)
Anxiety/etiology , Depression/etiology , Smoking Cessation/psychology , Smoking/adverse effects , Smoking/therapy , Female , Humans , Male , Mexico , Middle Aged , Severity of Illness Index
18.
Salud pública Méx ; 52(supl.2): S120-S128, 2010. tab
Article in Spanish | LILACS | ID: lil-571804

ABSTRACT

Objetivo. Determinar la asociación entre el grado de adicción (GA) y patrón de consumo de tabaco (PCT) con la ansiedad y depresión en fumadores que quieren dejar de fumar (FQDF). Material y métodos. En 495 sujetos que acudieron a un programa para dejar de fumar se determinó la ansiedad (inventario IDARE) y depresión (cuestionario BECK), el GA (cuestionario de Fagerström) y PCT (paquetes-año). Resultados. El GA>= a 6 puntos se asoció con niveles de ansiedad altos [RM=1.94, (IC95 por ciento1.02-3.72), p<0.04] y con síntomas de depresión graves [RM=2.24, (IC95 por ciento1.00-4.99), p<0.04)]. El PCT>= a 21 paquetes año, se asoció con ansiedad rasgo media; [RM=3.19 (IC95 por ciento1.94-5.25), p<.00]; ansiedad rasgo alta; [RM=3.36 (IC95 por ciento 1.66-6-80), p<.00]; con depresión moderada; [RM=3.14, (IC95 por ciento 1.75-5-62) p<.00] y depresión grave; [RM=9.85, (IC95 por ciento 3.30-29.37), p<.00)]. Conclusión. Existe una asociación significativa en fumadores con alto GA y PCT, con la presencia de ansiedad y síntomas de depresión moderada a grave que deben considerarse en FQDF.


Objective. To determine the relationship between the degree of addiction (DA) and pattern of tobacco consumption (PTC) with anxiety and depression in smokers who want to quit smoking. Material and Methods. At admission to a smoking cessation program 495 smokers were surveyed to determine anxiety (IDARE Test), depression (Beck Inventory Test), DA (Fagerström Test) and PTC (pack-years). Results. DA>= 6 points was associated with high anxiety levels RM=1.94, (IC95 percent1.02-3.72), p<0.04]; and with symptoms of severe depression; [RM=2.24, (IC95 percent1.00-4.99), p<0.04)]. The PCT equal or greater than 21 pack-year, was associated with moderate anxiety; [RM=3.19 (IC95 percent1.94-5.25), p<.00]; high anxiety; [RM=3.36 (IC95 percent 1.66-6-80), p<.00]; with moderate depressive symptoms; [RM=3.14, (IC95 percent 1.75-5-62), p<.00] and severe depressive symptoms; [RM=9.85, (IC95 percent 3.30-29.37), p<.00)]. Conclusion. A significant association exists in smokers having high GA and PCT, with moderate and high anxiety and depressive symptoms that should be considered during interventions to quit.


Subject(s)
Female , Humans , Male , Middle Aged , Anxiety/etiology , Depression/etiology , Smoking Cessation/psychology , Smoking/adverse effects , Smoking/therapy , Mexico , Severity of Illness Index
19.
Epilepsy Behav ; 15(3): 287-90, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19379835

ABSTRACT

The most common side effects following administration of antiepileptic drugs involve alterations in sleep architecture and varying degrees of daytime sleepiness. Oxcarbazepine is a drug that is approved as monotherapy for the treatment of partial seizures and generalized tonic-clonic seizures. However, there is no information about its effects on sleep pattern organization; therefore, the objective of this work was to analyze such effects. Animals (Wistar rats) exhibited three different behavioral and electrophysiological states of vigilance: wakefulness, slow wave sleep (SWS), and rapid eye movement (REM) sleep. Oral treatment with oxcarbazepine (100 mg/kg) produced an increment in total sleep time throughout the recording period. This increment involved both SWS and REM sleep. Mean duration of the REM sleep phase was not affected. In contrast, the frequency of this sleep phase increased significantly across the 10-hour period. REM sleep latency shortened significantly. Results obtained in this work indicate that oxcarbazepine's acute effects point to hypnotic properties.


Subject(s)
Anticonvulsants/therapeutic use , Carbamazepine/analogs & derivatives , Sleep/drug effects , Administration, Oral , Animals , Behavior, Animal/drug effects , Brain/physiology , Carbamazepine/pharmacology , Electroencephalography , Electromyography/methods , Male , Neck Muscles/physiology , Oxcarbazepine , Rats , Rats, Wistar , Sleep, REM/drug effects , Time Factors , Wakefulness/drug effects
20.
Eur J Pain ; 13(2): 146-53, 2009 Feb.
Article in English | MEDLINE | ID: mdl-18501649

ABSTRACT

BACKGROUND: It has been demonstrated that the interrelation between pain and sleep produces changes in sleep patterns and pain perception. Although some evidences suggest that sleep and pain may interact in a complex way, polysomnographic studies in animals with acute nociception are limited in number. AIMS: This study was carried out in order to evaluate the effect of intra-articular knee injection of uric acid on sleep-wake patterns. METHODS: Surgical electrode implantation was performed in seven anesthetized Wistar rats to carry out 10 h polysomnographic recordings. Acute nociception was induced by the intra-articular administration of 30% uric acid crystals into the knee joint of the right hind limb. Two recordings before and after intra-articular drug administration were obtained. Sleep-wake parameters were classified as (i) wakefulness (W), (ii) slow wave sleep (SWS), and (iii) rapid eye movement (REM) sleep. Frequency and duration from each parameter were evaluated under the two above-mentioned conditions. RESULTS: Intra-articular administration of uric acid induced: (i) an increased duration of wakefulness (p=0.014), (ii) a decrement in the duration (p=0.001) and number of events (p=0.027) in REM sleep, and (iii) a decrement in the total sleep time (p=0.001). SWS did not present statistical differences between groups. CONCLUSIONS: These data suggest that a nociceptive stimulus, induced by the intra-articular administration of uric acid, alters the sleep-wake equilibrium with REM sleep being particularly altered. However, further research concerning pain-sleep interaction is needed.


Subject(s)
Arthritis, Gouty/psychology , Pain/psychology , Sleep/physiology , Animals , Arousal/drug effects , Arthritis, Gouty/chemically induced , Arthritis, Gouty/complications , Behavior, Animal/drug effects , Behavior, Animal/physiology , Electrodes, Implanted , Electroencephalography , Hindlimb/physiology , Injections, Intra-Articular , Male , Pain/complications , Pain Measurement , Polysomnography , Rats , Rats, Wistar , Sleep Stages/physiology , Sleep, REM/drug effects , Uric Acid , Wakefulness/drug effects
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