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1.
Front Robot AI ; 9: 733078, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35360498

RESUMO

Social distancing policies such as limits on public gatherings and contact with others were utilized around the world to slow the spread of COVID-19. Yet, decreased social interactions may also threaten people's well-being. In this project, we sought to understand novelty-relevant experiences surrounding in-home companion robot pets for adults that were living in some degree of social isolation due to the COVID-19 pandemic. After 6-weeks of participants living with the robot companion, we conducted semi-structured interviews (N = 9) and six themes emerged from our iterative analysis (expectations versus reality, ontological comparisons, interactions, third-party influence, identity, and comfort). Findings suggest that novelty is a complex phenomenon consisting of various elements (i.e., imagined novelty, technology novelty, and relational novelty). Each component influences the user's experience. Our findings also suggest that our understanding of novelty as a nonlinear resource may hold important implications for how we view human-robot relationships beyond initial encounters.

2.
J Knee Surg ; 34(14): 1599-1602, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32428943

RESUMO

At the present time, there is a paucity of literature regarding medial meniscal posterior root repair and outcomes. This review seeks to examine the currently available data to further elucidate the clinical risks and benefits and any associated risks of medial meniscal posterior root repair. A systematic literature search was performed up to July 2018 in the databases of Medline via PubMed, EBSCOhost, and EMBASE. The results were reviewed independently by two authors and appropriate articles were reviewed and eligibility determined based on established criteria. The best-evidence synthesis was subsequently used. Thirteen studies (324 patients) were included in this review with a mean patient age of 54 years. There were no control studies with nonoperative treatment of medial meniscal posterior root tears. All studies included a minimum of 10 patients in a case series or case-control manner. Of patients treated with medial meniscal posterior root repair, 62.43% demonstrated complete healing on follow-up magnetic resonance imaging (MRI) or second-look arthroscopy. Among them, 32.60% demonstrated incomplete healing, loosening of the construct, or excessive scar tissues formation. Also, 4.97% demonstrated complete failure or retearing of the construction. At a mean follow-up period of 33 months, patients demonstrated a mean improvement in Lysholm's score of 30.5 (p < 0.00001), International Knee Documentation Committee (IKDC) score of 31.9 (p < 0.00001), and HSS Knee Score of 38.3 (p < .00001). Surgical repair of medial meniscus posterior root tears appears to result in highly satisfying subjective outcomes. Patients included in this review meet criteria for both statistically and clinically significant improvement, based on published guidelines for minimal clinically important difference. Despite this, however, postoperative MRI and second-look arthroscopy demonstrate a relatively high rate of incomplete healing (32.60%) or retearing and failure of the construct (4.97%). More highly powered studies are required to confirm these findings.


Assuntos
Traumatismos do Joelho , Lesões do Menisco Tibial , Artroscopia , Humanos , Imageamento por Ressonância Magnética , Meniscos Tibiais , Pessoa de Meia-Idade , Estudos Retrospectivos , Lesões do Menisco Tibial/diagnóstico por imagem , Lesões do Menisco Tibial/cirurgia
3.
Front Robot AI ; 8: 788242, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35059443

RESUMO

Increasingly, people interact with embodied machine communicators and are challenged to understand their natures and behaviors. The Fundamental Attribution Error (FAE, sometimes referred to as the correspondence bias) is the tendency for individuals to over-emphasize personality-based or dispositional explanations for other people's behavior while under-emphasizing situational explanations. This effect has been thoroughly examined with humans, but do people make the same causal inferences when interpreting the actions of a robot? As compared to people, social robots are less autonomous and agentic because their behavior is wholly determined by humans in the loop, programming, and design choices. Nonetheless, people do assign robots agency, intentionality, personality, and blame. Results of an experiment showed that participants made correspondent inferences when evaluating both human and robot speakers, attributing their behavior to underlying attitudes even when it was clearly coerced. However, they committed a stronger correspondence bias in the case of the robot-an effect driven by the greater dispositional culpability assigned to robots committing unpopular behavior-and they were more confident in their attitudinal judgments of robots than humans. Results demonstrated some differences in the global impressions of humans and robots based on behavior valence and choice. Judges formed more generous impressions of the robot agent when its unpopular behavior was coerced versus chosen; a tendency not displayed when forming impressions of the human agent. Implications of attributing robot behavior to disposition, or conflating robot actors with their actions, are addressed.

4.
Neuropharmacology ; 135: 412-423, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29604295

RESUMO

Cannabis use has been associated with altered sensory gating and neural oscillations. However, it is unclear which constituent in cannabis is responsible for these effects, or whether these are cannabinoid receptor 1 (CB1R) mediated. Therefore, the present study in humans and rats examined whether cannabinoid administration would disrupt sensory gating and evoked oscillations utilizing electroencephalography (EEG) and local field potentials (LFPs), respectively. Human subjects (n = 15) completed four test days during which they received intravenous delta-9-tetrahydrocannabinol (Δ9-THC), cannabidiol (CBD), Δ9-THC + CBD, or placebo. Subjects engaged in a dual-click paradigm, and outcome measures included P50 gating ratio (S2/S1) and evoked power to S1 and S2. In order to examine CB1R specificity, rats (n = 6) were administered the CB1R agonist CP-55940, CP-55940+AM-251 (a CB1R antagonist), or vehicle using the same paradigm. LFPs were recorded from CA3 and entorhinal cortex. Both Δ9-THC (p < 0.007) and Δ9-THC + CBD (p < 0.004) disrupted P50 gating ratio compared to placebo, while CBD alone had no effect. Δ9-THC (p < 0.048) and Δ9-THC + CBD (p < 0.035) decreased S1 evoked theta power, and in the Δ9-THC condition, S1 theta negatively correlated with gating ratios (r = -0.629, p < 0.012 (p < 0.048 adjusted)). In rats, CP-55940 disrupted gating in both brain regions (p < 0.0001), and this was reversed by AM-251. Further, CP-55940 decreased evoked theta (p < 0.0077) and gamma (p < 0.011) power to S1, which was partially blocked by AM-251. These convergent human/animal data suggest that CB1R agonists disrupt sensory gating by altering neural oscillations in the theta-band. Moreover, this suggests that the endocannabinoid system mediates theta oscillations relevant to perception and cognition.


Assuntos
Ondas Encefálicas/efeitos dos fármacos , Encéfalo/efeitos dos fármacos , Moduladores de Receptores de Canabinoides/farmacologia , Receptor CB1 de Canabinoide/agonistas , Filtro Sensorial/efeitos dos fármacos , Adulto , Animais , Encéfalo/fisiologia , Ondas Encefálicas/fisiologia , Cicloexanóis/farmacologia , Método Duplo-Cego , Dronabinol/farmacologia , Feminino , Humanos , Masculino , Piperidinas/farmacologia , Pirazóis/farmacologia , Ratos Sprague-Dawley , Receptor CB1 de Canabinoide/antagonistas & inibidores , Receptor CB1 de Canabinoide/metabolismo , Filtro Sensorial/fisiologia , Pesquisa Translacional Biomédica
5.
Am Fam Physician ; 97(3): 172-179, 2018 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-29431977

RESUMO

Many Americans between 45 and 65 years of age experience hemorrhoids. Hemorrhoidal size, thrombosis, and location (i.e., proximal or distal to the dentate line) determine the extent of pain or discomfort. The history and physical examination must assess for risk factors and clinical signs indicating more concerning disease processes. Internal hemorrhoids are traditionally graded from I to IV based on the extent of prolapse. Other factors such as degree of discomfort, bleeding, comorbidities, and patient preference should help determine the order in which treatments are pursued. Medical management (e.g., stool softeners, topical over-the-counter preparations, topical nitroglycerine), dietary modifications (e.g., increased fiber and water intake), and behavioral therapies (sitz baths) are the mainstays of initial therapy. If these are unsuccessful, office-based treatment of grades I to III internal hemorrhoids with rubber band ligation is the preferred next step because it has a lower failure rate than infrared photocoagulation. Open or closed (conventional) excisional hemorrhoidectomy leads to greater surgical success rates but also incurs more pain and a prolonged recovery than office-based procedures; therefore, hemorrhoidectomy should be reserved for recurrent or higher-grade disease. Closed hemorrhoidectomy with diathermic or ultrasonic cutting devices may decrease bleeding and pain. Stapled hemorrhoidopexy elevates grade III or IV hemorrhoids to their normal anatomic position by removing a band of proximal mucosal tissue; however, this procedure has several potential postoperative complications. Hemorrhoidal artery ligation may be useful in grade II or III hemorrhoids because patients may experience less pain and recover more quickly. Excision of thrombosed external hemorrhoids can greatly reduce pain if performed within the first two to three days of symptoms.


Assuntos
Hemorroidectomia/métodos , Hemorroidectomia/normas , Hemorroidas/diagnóstico , Hemorroidas/terapia , Ligadura/métodos , Ligadura/normas , Guias de Prática Clínica como Assunto , Idoso , Educação Médica Continuada , Feminino , Hemorroidas/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Resultado do Tratamento , Estados Unidos/epidemiologia
6.
BMC Microbiol ; 13: 161, 2013 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-23855952

RESUMO

BACKGROUND: Cadmium is a non-essential metal that is toxic because of its interference with essential metals such as iron, calcium and zinc causing numerous detrimental metabolic and cellular effects. The amount of this metal in the environment has increased dramatically since the advent of the industrial age as a result of mining activities, the use of fertilizers and sewage sludge in farming, and discharges from manufacturing activities. The metal bioremediation utility of phototrophic microbes has been demonstrated through their ability to detoxify Hg(II) into HgS under aerobic conditions. Metal sulfides are generally very insoluble and therefore, biologically unavailable. RESULTS: When Cd(II) was exposed to cells it was bioconverted into CdS by the green alga Chlamydomonas reinhardtii, the red alga Cyanidioschyzon merolae, and the cyanobacterium, Synechoccocus leopoliensis. Supplementation of the two eukaryotic algae with extra sulfate, but not sulfite or cysteine, increased their cadmium tolerances as well as their abilities to produce CdS, indicating an involvement of sulfate assimilation in the detoxification process. However, the combined activities of extracted serine acetyl-transferase (SAT) and O-acetylserine(thiol)lyase (OASTL) used to monitor sulfate assimilation, was not significantly elevated during cell treatments that favored sulfide biosynthesis. It is possible that the prolonged incubation of the experiments occurring over two days could have compensated for the low rates of sulfate assimilation. This was also the case for S. leopoliensis where sulfite and cysteine as well as sulfate supplementation enhanced CdS synthesis. In general, conditions that increased cadmium sulfide production also resulted in elevated cysteine desulfhydrase activities, strongly suggesting that cysteine is the direct source of sulfur for CdS synthesis. CONCLUSIONS: Cadmium(II) tolerance and CdS formation were significantly enhanced by sulfate supplementation, thus indicating that algae and cyanobacteria can produce CdS in a manner similar to that of HgS. Significant increases in sulfate assimilation as measured by SAT-OASTL activity were not detected. However, the enhanced activity of cysteine desulfhydrase indicates that it is instrumental in the provision of H2S for aerobic CdS biosynthesis.


Assuntos
Compostos de Cádmio/metabolismo , Cádmio/metabolismo , Chlamydomonas reinhardtii/metabolismo , Fotossíntese , Rodófitas/metabolismo , Sulfetos/metabolismo , Synechococcus/metabolismo , Aerobiose , Biotransformação , Cisteína/metabolismo
7.
Appl Microbiol Biotechnol ; 97(8): 3613-23, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23344997

RESUMO

Industrial activity over the last two centuries has increased heavy metal contamination worldwide, leading to greater human exposure. Zinc is particularly common in industrial effluents and although an essential nutrient, it is highly toxic at elevated concentrations. Photoautotrophic microbes hold promise for heavy metal bioremediation applications because of their ease of culture and their ability to produce sulfide through metabolic processes that in turn are known to complex with the metal ion, Hg(II). The green alga Chlamydomonas reinhardtii, the red alga Cyanidioschyzon merolae, and the cyanobacterium Synechococcus leopoliensis were all able to synthesize sulfide and form zinc sulfide when exposed to Zn(II). Supplementation of their respective media with sulfite and cysteine had deleterious effects on growth, although ZnS still formed in Cyanidioschyzon cells to the same extent as in unsupplemented cells. The simultaneous addition of sulfate and Zn(II) had similar effects to that of Zn(II) alone in all three species, whereas supplying sulfate prior to exposure to Zn(II) enhanced metal sulfide production. The coupled activities of serine acetyltransferase and O-acetylserine(thiol)lyase (SAT/OASTL) did not increase significantly in response to conditions in which enhanced ZnS formation occurred; sulfate added prior to and simultaneously with Zn(II). However, even low activity could provide sufficient sulfate assimilation over this relatively long-term study. Because the extractable activity of cysteine desulfhydrase was elevated in cells that produced higher amounts of zinc sulfide, cysteine is the probable source of the sulfide in this aerobic process.


Assuntos
Chlamydomonas reinhardtii/metabolismo , Poluentes Ambientais/metabolismo , Rodófitas/metabolismo , Sulfetos/metabolismo , Synechococcus/metabolismo , Zinco/metabolismo , Aerobiose , Biotransformação , Meios de Cultura/química , Cistationina gama-Liase/metabolismo , Cisteína/metabolismo , Fotossíntese
8.
Neuropsychopharmacology ; 37(10): 2184-93, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22713908

RESUMO

Animal and cellular work has shown that central cannabinoid-1 receptors modulate neural oscillations in the gamma range (40 Hz), which may be important for normal perceptual and cognitive processes. In order to assess the effect of cannabinoids on broadband-frequency neural oscillations in humans, the current study examined the effect of chronic cannabis use on auditory steady-state responses (ASSRs) utilizing electroencephalography (EEG). Passive ASSRs were assessed using varying rates of binaural stimulation (auditory click-trains; 10-50 Hz in increments of 5 Hz; 80 dB SPL) in carefully screened cannabis users and controls. Chronic cannabis users (n=22; 12 h abstinence before study; positive 11-nor-9-carboxy-delta-9-tetrahydrocannabinol urine levels) and cannabis naïve controls (n=24) were evaluated. Time X frequency analyses on EEG data were performed using Fourier-based mean trial power (MTP) and phase-locking (inter-trial coherence; ITC). Transient ERPs to stimulus onset (auditory N100 components) were also evaluated. As predicted, a decrease in spectral power (MTP) at 40 Hz was observed in the cannabis group (p<0.018). No effects on phase-locking (ITC) or the N100 were observed. Further, within the cannabis group, lower 40 Hz power correlated with an earlier age of onset of cannabis use (p<0.04). These data suggest that chronic exposure to exogenous cannabinoids can alter the ability to generate neural oscillations, particularly in the gamma range. This is consistent with preclinical animal and cellular data, which may have implications for understanding the short- and long-term psychopharmacological effects of cannabis.


Assuntos
Ondas Encefálicas/efeitos dos fármacos , Canabinoides/efeitos adversos , Potenciais Evocados Auditivos/efeitos dos fármacos , Fumar Maconha/efeitos adversos , Psicotrópicos/efeitos adversos , Estimulação Acústica , Estudos de Casos e Controles , Dronabinol/efeitos adversos , Dronabinol/urina , Eletroencefalografia , Feminino , Análise de Fourier , Humanos , Masculino , Adulto Jovem
9.
Psychopharmacology (Berl) ; 221(1): 133-41, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22134474

RESUMO

RATIONALE: Previous work in humans has shown that chronic cannabis users exhibit disruptions in classical eyeblink conditioning (EBC), a form of associative learning that is known to be dependent on the cerebellum. Based upon previous work in animals, it was hypothesized that these learning deficits were related to cannabinoid receptor (CB1R) downregulation. However, it remains unclear whether there is a recovery of cerebellum-dependent learning after the cessation of cannabis use. METHODS: Therefore, former cannabis users (n=10), current cannabis users (n=10), and cannabis-naïve controls (n=10), all free of DSM-IV Axis-I or -II disorders, were evaluated. A standard delay EBC procedure was utilized in which paired presentations of a conditioned stimulus (CS; e.g., tone) and a co-terminating unconditioned stimulus (US; e.g., ocular airpuff) were administered, thus eliciting a conditioned eyeblink response (CR). The primary dependent measures were percentage of CRs and CR latency across conditioning blocks. RESULTS: Similar to prior studies, current cannabis users exhibited marked impairments in both the acquisition and timing of CRs compared to controls. Although former cannabis users showed intact CR acquisition compared to controls, they exhibited significantly impaired (shorter) CR latencies. In both cannabis groups, UR amplitude did not differ from controls, indicating normal US processing. CONCLUSIONS: These data suggest that a recovery of function has occurred for the learning of the CS-US association, while the accurate timing of the CR shows lasting impairments. Taken together, these results suggest that heavy cannabis use can disrupt timing-related synaptic plasticity within the cerebellum, even after the cessation of cannabis use.


Assuntos
Piscadela/fisiologia , Cerebelo/fisiopatologia , Condicionamento Clássico/fisiologia , Abuso de Maconha/fisiopatologia , Adulto , Piscadela/efeitos dos fármacos , Estudos de Casos e Controles , Cerebelo/efeitos dos fármacos , Condicionamento Clássico/efeitos dos fármacos , Feminino , Humanos , Masculino , Tempo de Reação
10.
Learn Behav ; 39(4): 358-70, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21562779

RESUMO

Delay eye-blink conditioning is an associative learning task that can be utilized to probe the functional integrity of the cerebellum and related neural circuits. Typically, a single interstimulus interval (ISI) is utilized, and the amplitude of the conditioned response (CR) is the primary dependent variable. To study the timing of the CR, an ISI shift can be introduced (e.g., shifting the ISI from 350 to 850 ms). In each phase, a conditioned stimulus (e.g., a 400- or 900-ms tone) coterminates with a 50-ms corneal air puff unconditioned stimulus. The ability of a subject to adjust the CR to the changing ISI constitutes a critical timing shift. The feasibility of this procedure was examined in healthy human participants (N = 58) using a bidirectional ISI shift procedure while cortical event-related brain potentials were measured. CR acquisition was faster and the responses better timed when a short ISI was used. After the ISI shift, additional training was necessary to allow asymptotic responding at the new ISI. Interestingly, auditory event-related potentials to the CR were not associated with conditioning measures at either ISI.


Assuntos
Estimulação Acústica/métodos , Aprendizagem por Associação , Condicionamento Palpebral/fisiologia , Adulto , Aprendizagem por Associação/fisiologia , Córtex Cerebral/fisiologia , Potenciais Evocados Auditivos/fisiologia , Feminino , Humanos , Masculino , Fatores de Tempo
11.
Psychiatry Res ; 192(1): 12-9, 2011 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-21376543

RESUMO

Only recently have investigations of the relationship between media violence exposure (MVE) and aggressive behavior focused on brain functioning. In this study, we examined the relationship between brain activation and history of media violence exposure in adolescents, using functional magnetic resonance imaging (fMRI). Samples of adolescents with no psychiatric diagnosis or with disruptive behavior disorder (DBD) with aggression were compared to investigate whether the association of MVE history and brain activation is moderated by aggressive behavior/personality. Twenty-two adolescents with a history of aggressive behavior and diagnosis of either conduct disorder or oppositional-defiant disorder (DBD sample) and 22 controls completed an emotional Stroop task during fMRI. Primary imaging results indicated that controls with a history of low MVE demonstrated greater activity in the right inferior frontal gyrus and rostral anterior cingulate during the violent word condition. In contrast, in adolescents with DBD, those with high MVE exhibited decreased activation in the right amygdala, compared with those with low MVE. These findings are consistent with research demonstrating the importance of fronto-limbic structures for processing emotional stimuli, and with research suggesting that media violence may affect individuals in different ways depending on the presence of aggressive traits.


Assuntos
Agressão/fisiologia , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/patologia , Encéfalo/patologia , Emoções/fisiologia , Teste de Stroop , Violência/psicologia , Adolescente , Análise de Variância , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/fisiopatologia , Encéfalo/irrigação sanguínea , Mapeamento Encefálico , Estudos de Casos e Controles , Distribuição de Qui-Quadrado , Feminino , Lateralidade Funcional/fisiologia , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética/métodos , Masculino , Oxigênio/sangue
12.
Psychol Rep ; 106(1): 131-3, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20402435

RESUMO

Using a convenience sample, 172 college students' (M age = 20.2 yr., SD = 2.5) motives for communicating with their instructors and their own verbal aggressiveness and argumentativeness were studied using the Argumentativeness Scale, the Verbal Aggressiveness Scale, and the Student Motives to Communicate Scale. Significant negative relationships were obtained between students' self-reports of argumentativeness and the sycophantic motive and between students' self-reports of verbal aggressiveness and the functional motive, but generally, students' motives to communicate with their instructors generally were not associated with their self-reported aggressive communication behaviors.


Assuntos
Agressão/psicologia , Comunicação , Docentes , Relações Interpessoais , Motivação , Estudantes/psicologia , Adolescente , Adulto , Assertividade , Mecanismos de Defesa , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inventário de Personalidade/estatística & dados numéricos , Psicometria , Autoimagem , Estados Unidos , Comportamento Verbal , Adulto Jovem
13.
Learn Behav ; 37(4): 349-56, 2009 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-19815931

RESUMO

Classical eyeblink conditioning (EBC) has been widely used to probe cerebellar function in humans and nonhuman mammals. Although the neural pathways governing behavior in this task are well understood and fairly discrete, it remains unclear in the human literature how conditioned stimuli (CSs) of different modalities (e.g., visual and auditory) influence the exhibition of conditioned responses (CRs). In the present study, therefore, CRs to a visual CS and an auditory CS were examined with the single-cue delay EBC procedure. An initial experiment (N = 61) was conducted to identify visual and auditory stimuli that had equal perceived intensities. Using these perceptually equivalent stimuli, a second group of 25 subjects completed auditory and visual EBC procedures in two testing sessions 5-8 days apart. Whereas the acquisition of CRs was similar between the CS modality conditions, the timing of the CRs differed such that earlier CR onset and peak latencies were associated with the visual CS. In addition, CR timing improved across testing sessions, as indicated by the later CR peak latencies exhibited during the second testing session, as compared with the first.


Assuntos
Estimulação Acústica , Condicionamento Palpebral , Estimulação Luminosa , Percepção Auditiva , Feminino , Humanos , Masculino , Fatores de Tempo , Percepção Visual , Adulto Jovem
14.
Behav Neurosci ; 123(4): 894-904, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19634950

RESUMO

Central cannabinoid receptors mediate neural oscillations and are localized to networks implicated in auditory P50 sensory gating, including the hippocampus and neocortex. The current study examined whether neural oscillations evoked by the paired clicks (S1, S2) are associated with abnormal P50 gating reported in cannabis users. Seventeen heavy cannabis users and 16 cannabis naïve controls participated. Analyses included P50 amplitudes, and time-frequency analyses (event-related spectral perturbations, ERSPs; intertrial coherence, ITC). Consistent with prior studies, cannabis users exhibited reduced P50 gating. The ERSP analysis yielded attenuated high frequency activity in the beta range (13-29 Hz) post-S1 and in the gamma range (30-50 Hz) post-S2 in the cannabis group, compared with the control group. Greater levels of cannabis use were positively associated with high P50 ratios and negatively with post-S2 ERSP gamma power. Findings suggest that heavy cannabis use is associated with aberrant beta and gamma activity in the dual-click procedure, which corroborates recent work demonstrating disruption of beta/gamma by cannabinoid receptor (CB1) agonists in a rat analogue of this task and highlights the translational potential of the dual-click procedure [corrected]


Assuntos
Percepção Auditiva/efeitos dos fármacos , Percepção Auditiva/fisiologia , Encéfalo/efeitos dos fármacos , Encéfalo/fisiopatologia , Abuso de Maconha/fisiopatologia , Estimulação Acústica , Análise de Variância , Eletroencefalografia , Potenciais Evocados Auditivos , Feminino , Humanos , Entrevista Psicológica , Masculino , Inquéritos e Questionários , Fatores de Tempo , Adulto Jovem
15.
Surg Endosc ; 23(12): 2702-7, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19585073

RESUMO

BACKGROUND: We examined the outcome after treatment for gallbladder disease in deployed military service members and the impact of instituting a clinical pathway to expedite return to duty (RTD). METHODS: A retrospective chart review of 97 medically evacuated patients with gallbladder disease was carried out. These patients were evacuated from the field to Landstuhl Regional Medical Center (LRMC), Germany, between March 2003 and November 2004. In October 2003, a clinical pathway was established to facilitate returning these deployed patients back to their combat units. These service members were compared with 90 local patients who underwent the same surgery during the study period. RESULTS: Twenty-nine patients were treated before the implementation of the clinical pathway. Of those, five had complications, five were converted to open, and 52% returned to their deployed units. After the clinical pathway was established, there were no complications (p = 0.023), two were converted to open (p = 0.002), and 84% returned to duty (p = 0.002). The Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) service members had delayed presentations for definitive treatment. When compared with the local patient group, OIF/OEF surgical cases were more often male (78 vs. 32%, p < 0.001), younger (average 31 vs. 35 years, p < 0.001), and associated with longer operative times (89 vs. 52 min, p < 0.001), and had higher conversion rate to open (7.2 vs. 2.2%, p = 0.17) and higher major complication rate (5.1 vs. 0%, p = 0.06). Time to operation and final pathologic diagnosis were significantly different between the two groups. CONCLUSIONS: Gallbladder surgery can be performed in a delayed manner in the deployed service member, although with a significantly higher morbidity as compared with the local population. We suggest that changes in the immediate treatment and transportation of these service members should occur at the theater level. The use of a clinical pathway facilitates the rapid RTD of soldiers diagnosed with gallbladder disease.


Assuntos
Colecistectomia/estatística & dados numéricos , Doenças da Vesícula Biliar/cirurgia , Militares , Doença Aguda , Adulto , Campanha Afegã de 2001- , Colangiografia/estatística & dados numéricos , Colecistectomia Laparoscópica/normas , Colecistite/cirurgia , Doença Crônica , Procedimentos Clínicos , Feminino , Doenças da Vesícula Biliar/reabilitação , Humanos , Guerra do Iraque 2003-2011 , Masculino , Recuperação de Função Fisiológica , Estudos Retrospectivos , Adulto Jovem
16.
Schizophr Res ; 111(1-3): 182-91, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19351577

RESUMO

Theoretical models suggest that symptoms of schizophrenia may be due to a dysfunctional modulatory system associated with the cerebellum. Although it has long been known that the cerebellum plays a critical role in associative learning and motor timing, recent evidence suggests that it also plays a role in nonmotor psychological processes. Indeed, cerebellar anomalies in schizophrenia have been linked to cognitive dysfunction and poor long-term outcome. To test the hypothesis that schizophrenia is associated with cerebellar dysfunction, cerebellar-dependent, delay eye-blink conditioning was examined in 62 individuals with schizophrenia and 62 age-matched non-psychiatric comparison subjects. The conditioned stimulus was a 400 ms tone, which co-terminated with a 50 ms unconditioned stimulus air puff. A subset of participants (25 with schizophrenia and 29 controls) also completed the Wechsler Abbreviated Scale of Intelligence. Participants with schizophrenia exhibited lower rates of eye-blink conditioning, including earlier (less adaptively timed) conditioned response latencies. Cognitive functioning was correlated with the rate of conditioned responsing in the non-psychiatric comparison subjects but not among those with schizophrenia, and the magnitude of these correlations significantly differed between groups. These findings are consistent with models of schizophrenia in which disruptions within the cortico-cerebellar-thalamic-cortical (CCTC) brain circuit are postulated to underlie the cognitive fragmentation that characterizes the disorder.


Assuntos
Doenças Cerebelares/complicações , Transtornos Cognitivos/etiologia , Condicionamento Palpebral/fisiologia , Esquizofrenia/complicações , Psicologia do Esquizofrênico , Estimulação Acústica/efeitos adversos , Adulto , Estudos de Casos e Controles , Eletromiografia/métodos , Extinção Psicológica , Feminino , Humanos , Testes de Inteligência , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Estimulação Física/efeitos adversos , Tempo de Reação/fisiologia
17.
Bipolar Disord ; 11(1): 19-32, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19133963

RESUMO

OBJECTIVES: Accumulating research implicates the cerebellum in non-motor psychological processes and psychiatric diseases, including bipolar disorder (BD). Despite recent evidence that cerebellar lesions have been documented to trigger bipolar-like symptoms, few studies have directly examined the functional integrity of the cerebellum in those afflicted with BD. METHODS: Using a single-cue delay eyeblink conditioning procedure, the functional integrity of the cerebellum was examined in 28 individuals with BD (9 manic, 8 mixed, and 11 euthymic) and 28 age-matched healthy controls. RESULTS: Analysis of the bipolar group as a whole indicated a conditioned response acquisition and timing deficit compared to controls. However, when the bipolar group was categorized according to mood state (mixed, manic, euthymic), individuals tested during mixed episodes were strikingly impaired, performing significantly worse than all other groups on both the acquisition and timing of conditioned responses. CONCLUSIONS: These findings extend prior research implicating cerebellar functional abnormalities in BD and suggest that cerebellar dysfunction may be associated with mood state and course of illness.


Assuntos
Transtorno Bipolar/complicações , Piscadela , Doenças Cerebelares/diagnóstico , Doenças Cerebelares/etiologia , Condicionamento Palpebral/fisiologia , Estimulação Acústica , Adulto , Análise de Variância , Transtorno Bipolar/tratamento farmacológico , Transtorno Bipolar/patologia , Piscadela/efeitos dos fármacos , Condicionamento Palpebral/efeitos dos fármacos , Sinais (Psicologia) , Dibenzazepinas/uso terapêutico , Método Duplo-Cego , Eletromiografia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tempo de Reação/fisiologia
18.
Neurosci Lett ; 439(3): 264-8, 2008 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-18534754

RESUMO

While CB1 knockout mice exhibit striking impairments on a cerebellar-dependent task called delay eyeblink conditioning (dEBC), these animals demonstrate intact forebrain-dependent trace EBC (tEBC). Although heavy human cannabis users also show impaired delay EBC, their performance on tEBC is currently unknown. Therefore, 13 heavy cannabis users and 13 cannabis naive controls completed a tEBC procedure. The cannabis group exhibited similar rates of conditioned responding compared to controls in the acquisition and extinction phase. Consistent with reports of overt attentional abnormalities, the cannabis group exhibited decreased N100 ERP amplitudes to the tone CS that were unrelated to mean levels of conditioning across blocks during the acquisition phase. The lack of a significant effect of heavy cannabis use on tEBC reported here, combined with the previous report of impaired dEBC in such users, mirrors the findings observed in CB1 knockout mice, and suggests that the cannabinoid system differentially mediates forebrain- and cerebellar-dependent learning processes in both humans and animals.


Assuntos
Condicionamento Palpebral/fisiologia , Potenciais Evocados Auditivos/fisiologia , Abuso de Maconha/patologia , Prosencéfalo/fisiopatologia , Estimulação Acústica , Adulto , Análise de Variância , Estudos de Casos e Controles , Eletromiografia/métodos , Feminino , Humanos , Masculino
19.
Psychiatry Res ; 162(3): 185-94, 2008 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-18222655

RESUMO

Although accumulating evidence suggests that cerebellar abnormalities may be linked to the symptoms and course of schizophrenia, few studies have related structural and functional indices of cerebellar integrity. The present study examined the relationship between the volume of specific subregions of the cerebellum and cerebellar function, as measured by eyeblink conditioning (EBC). Nine individuals with schizophrenia and six healthy comparison participants completed structural magnetic resonance imaging of the brain and a delay EBC procedure. Volumetric measurements were taken for the whole brain, whole cerebellum, cerebellar anterior lobules I-V and posterior lobules VI-VII. The schizophrenia group had smaller cerebellar anterior lobes and exhibited impaired EBC relative to the comparison group. In the comparison group, larger anterior volume correlated with earlier conditioned response onset latencies and increased amplitudes of the unconditioned blink response during paired trials (i.e., when the conditioned and unconditioned stimuli co-occurred). The findings that smaller anterior cerebellar volumes and EBC impairments were associated with schizophrenia are consistent with non-human studies showing that anterior cerebellar abnormalities are associated with deficits in delay EBC. The lack of a significant correlation between indices of EBC and cerebellar volume within the schizophrenia group suggests an aberrant relationship between cerebellar structure and function.


Assuntos
Piscadela , Cerebelo/fisiopatologia , Condicionamento Psicológico , Esquizofrenia/fisiopatologia , Adulto , Cerebelo/anatomia & histologia , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade
20.
Neuropsychopharmacology ; 33(6): 1432-40, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-17637608

RESUMO

While the cerebellum contains the highest density of cannabinoid receptor (CB1) in the brain, no studies have assessed the effect of exogenous cannabinoids on cerebellar-dependent learning in humans. The current study, therefore, examined the effect of chronic cannabis use on classical eyeblink conditioning (EBC), a cerebellar-mediated task which has been shown to be disrupted in CB1 knockout mice. Chronic cannabis users (24 h abstinence before study; positive THC urine drug test) free of DSM-IV Axis-I or -II disorders, were evaluated. A delay EBC task was utilized, in which a conditioned stimulus (CS; 400 ms tone) co-terminated with a corneal air puff unconditioned stimulus (US; 50 ms), thus eliciting a conditioned blink response (CR). The cannabis group exhibited markedly fewer, and more poorly timed CRs as compared to drug-naive controls. There were no differences between the groups in either the unconditioned response (UR) or an EEG measure of selective attention to the CS (N100 auditory ERP), indicating that the disruption observed in the cannabis group was specific to CR acquisition. These results suggest that cannabis use is associated with functional deficits in the cerebellar circuitry underlying EBC, a finding which corroborates the recent work in CB1 knockout mice.


Assuntos
Aprendizagem por Associação/efeitos dos fármacos , Canabinoides/administração & dosagem , Cerebelo/fisiologia , Condicionamento Palpebral/efeitos dos fármacos , Abuso de Maconha/fisiopatologia , Adolescente , Adulto , Análise de Variância , Aprendizagem por Associação/fisiologia , Condicionamento Palpebral/fisiologia , Eletroencefalografia/métodos , Potenciais Evocados Visuais/efeitos dos fármacos , Potenciais Evocados Visuais/fisiologia , Feminino , Humanos , Masculino , Abuso de Maconha/psicologia , Estimulação Luminosa , Análise Espectral , Inquéritos e Questionários
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