Stroop Color-Word Research Articles

Elevated Plasma Free Fatty Acid Susceptible to Early Cognitive Impairment in Type 2 Diabetes Mellitus.

Elevated free fatty acid (FFA) induces lipotoxicity, attributed to diabetes and cognitive decline. Sterol regulatory element-binding protein-1c (SREBP-1c) regulates lipid metabolism. We investigated the roles of FFA in mild cognitive impairment (MCI) of type 2 diabetes mellitus (T2DM) patients and determine its association with rs11868035 polymorphism. We recruited 191 Chinese T2DM patients into two groups through Montreal Cognitive Assessment. Demographic and clinical data were collected, multiple domain cognitive functions were tested, plasma FFA levels were measured through ELISA, and SREBP-1c rs11868035 genotype was detected using the Seqnome method. In comparison with the healthy-cognition group (n = 128), the MCI group (n = 63) displayed lower glucose control (p = 0.012) and higher plasma FFA level (p = 0.021), which were independent risk factors of MCI in T2DM patients in multivariate regression analysis (OR = 1.270, p = 0.003; OR = 1.005, p = 0.036). Additionally, the plasma FFA levels of MCI patients were positively correlated with Stroop color word test-C time scores (r = 0.303, p = 0.021) and negatively related to apolipoprotein A1 levels (r = -0.311, p = 0.017), which are associated positively with verbal fluency test scores (r = 0.281, p = 0.033). Both scores reflected attention ability and executive function. Moreover, the G allele carriers of rs11868035 showed higher digit span test scores than non-carriers in T2DM patients (p = 0.019) but without correlation with plasma FFA levels. In T2DM, elevated plasma level of FFA, when combined with lower apolipoprotein A1 level portends abnormal cholesterol transport, were susceptible to early cognitive impairment, especially for attention and execution deficits. The G allele of SREBP-1c rs11868035 may be a protective factor for memory.

Correlations Between Working Memory Impairment and Neurometabolites of the Prefrontal Cortex in Drug-Naive Obsessive-Compulsive Disorder.

PurposeThis study aimed to investigate the mechanism of working memory (WM) impairment in drug-naive obsessive-compulsive disorder (OCD) by using neuropsychological tests and proton magnetic resonance spectroscopy (1H-MRS).Patients and MethodsA total of 55 patients with drug-naive OCD and 55 healthy controls (HCs) were recruited for this study. The working memory (WM) was evaluated using the digit span test (DST), visual space memory test (VSMT), and the 2-back task and stroop color word test (SCWT). The bilateral metabolite levels of the prefrontal cortex (PFC) were evaluated by 1H-MRS, then determined the ratios of N-acetyl aspartate (NAA), choline-containing compounds (Cho), and myo-inositol (MI) to creatine (Cr). The independent sample t-test was used to analyse the differences in WM performance and neurometabolite ratios. Multivariate linear regression analysis was performed to screen the influential factors of WM, with an introduction level of 0.05 and a rejection level of 0.10.Results1) Patients with OCD performed significantly worse on DST (score), VSMT (score), 2-back task (accuracy rate), SCWT (execution time) when compared with HCs. 2) NAA/Cr and Cho/Cr in the left PFC (lPFC) and MI/Cr ratios in the bilateral PFC of OCD patients were significantly lower when compared to HCs. 3) For OCD patients, the NAA/Cr ratio in the lPFC was negatively correlated with the score of DST (forwards), the Cho/Cr ratio in the lPFC was positively correlated with the accuracy rate of 2-back task, and the MI/Cr ratio in the right PFC (rPFC) was positively correlated with the score of DST (forwards) and the accuracy rate of VSMT. We also found that the compulsive symptoms showed a positive correlation with MI/Cr ratio of the rPFC.ConclusionDrug-naive OCD patients have demonstrated WM impairments, including phonological loop, visual-spatial sketchpad and central executive system, and the WM impairments might be associated with hypometabolism in the PFC, especially the lPFC.

Efficient methods for acute stress detection using heart rate variability data from Ambient Assisted Living sensors

BackgroundUsing Ambient Assisted Living sensors to detect acute stress could help people mitigate the harmful effects of everyday stressful situations. This would help both the healthy and those affected more by sudden stressors, e.g., people with diabetes or heart conditions. The study aimed to develop a method for providing reliable stress detection based on heart rate variability features extracted from portable devices.MethodsFeatures extracted from portable electrocardiogram sensor recordings were used for training various classification algorithms for stress detection purposes. Data were recorded in a clinical trial with 7 participants and two stressors, the Trier Social Stress Test and the Stroop colour word test, both validated by standardised questionnaires. Different heart rate variability feature sets (all, time-domain and non-linear only, frequency-domain only) were tested to investigate how classification performance is affected, in addition to various time window length setups and participant-wise training sessions. The accuracy and F1 score of the trained models were compared and analysed.ResultsThe best results were achieved with models using time-domain and non-linear heart rate variability features with 5-min-long overlapping time windows, yielding 96.31% accuracy and 96.26% F1 score. Shorter overlapping windows had slightly lower performance, with 91.62–94.55% accuracy and 91.77–94.55% F1 score ranges. Non-overlapping window configurations were less effective, with both accuracy and F1 score below 88%. For participant-wise learning, average F1 scores of 99.47%, 98.93% and 96.1% were achieved for feature sets using all, time-domain and non-linear, and frequency-domain features, respectively.ConclusionThe tested stress detector models based on heart rate variability data recorded by a single electrocardiogram sensor performed just as well as those published in the literature working with multiple sensors, or even better. This suggests that once portable devices such as smartwatches provide reliable hear rate variability recordings, efficient stress detection can be achieved without the need for additional physiological measurements.

Recognition of Stress Activation by Unobtrusive Multi Sensing Setup

It is recognized that stress conditions play an important role in the definition of individual wellness and represent a major risk factor for most non-communicable diseases. Most studies focus on the evaluation of response to maximal stress conditions while a few of them reports results about the detection/monitoring of response to mild stimulations. In this study, we investigate the capability of some physiological signs and indicators (including Heart Rate, Heart Rate Variability, Respiratory Rate, Galvanic Skin Response) to recognize stress in response to moderate cognitive activation in daily life settings. To achieve this goal, we built up an unobtrusive platform to collect signals from healthy volunteers (10 subjects) undergoing cognitive activation via Stroop Color Word Test. We integrated our dataset with data from the Stress Recognition in the Automobile Drivers dataset. Following data harmonization, signal recordings in both datasets were split into five-minute blocks and a set of 12 features was extracted from each block. A feature selection was implemented by two complementary approaches: Sequential Forward Feature Selection (SFFS) and Auto-Encoder (AE) neural networks. Finally, we explored the use of Self-Organizing Map (SOM) to provide a flexible representation of an individual status. From the initial feature set we have determined, by SFFS analysis, that 2 of them (median Respiratory Rate and number peaks in Galvanic Skin Response signals) can discriminate activation statuses from resting ones. In addition, AE experiments also support that two features can suffice for recognition. Finally, we showed that SOM can provide a comprehensive but compact description of activation statuses allowing a fine prototypical representation of individual status.

Low BDNF levels in serum are associated with cognitive impairments in medication-naïve patients with current depressive episode in BD II and MDD

ObjectiveThis study aimed to investigate the role of Brain-derived neurotrophic factor (BDNF) in clinical and cognitive outcomes in medication-naïve patients with Bipolar type II disorder (BD II) and Major depressive disorder (MDD). Methods45 outpatients with BD II, 40 outpatients with MDD and 40 healthy controls (HCs) were recruited, and sociodemographic and clinical data were collected. Their BDNF serum levels were measured and analyzed with the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). ResultsBDNF levels were significantly lower in BD II patients than in MDD patients and HCs (p = 0.001). BD II and MDD patients had similar cognitive performance deficits shown on Attention (p = 0.001), Delayed memory (p = 0.001), and RBANS total score (p = 0.001). BDNF levels were positively associated with Visuospatial / constructional and Stroop color-word in BD II group, and with language in MDD group. The area under the curve (AUC) of the ROC analysis in BD II vs. MDD was 0.664, therefore, BDNF levels could not distinguish BD II from MDD. ConclusionOur study showed the decreased serum BDNF in MDD and BD II patients, suggesting BDNF may be involved in the pathophysiology of MDD and BD II. BDNF and cognitive deficits are both of low efficiency in distinguishing BD II from MDD. Decrease of BDNF may potentially indicate cognitive dysfunction in BD II and MDD patients with a current depressive episode.

Neuroimaging Functional Magnetic Resonance Imaging Task-Based Dorsolateral Prefrontal Cortex Activation Following 12 Weeks of Cosmos caudatus Supplementation Among Older Adults With Mild Cognitive Impairment.

Cosmos caudatus (CC) is traditional Asian vegetable, commonly consumed among the Southeast Asian population. It has been reported to be high in flavonoids and might potentially improve brain activity among older adults with mild cognitive impairment (MCI). The effect of CC in brain activation improvement using neuroimaging is yet to be discovered. To investigate the effects of CC supplement on brain activity using functional magnetic resonance imaging (fMRI) among older adults with MCI. Prospective, randomized, double-blind, placebo-controlled trial. Twenty older adults with mild cognitive impairment (60-75 years old), 14 of them (70%) were female subjects. A 3.0-T, T1-weighted anatomical images, T2*-weighted imaging data, A single shot, gradient echo-echo planar imaging (EPI) sequence. All subjects were asked to consume two 500 mg capsules of either CC supplement or placebo (maltodextrin) daily for 12 weeks. Cognitive function was measured using validated neuropsychological tests (i.e. Mini-mental State Examination and Digit Span) and task-based fMRI (N-back and Stroop Color Word Test) at baseline and 12th week. Brodmann's area 9, 46 and anterior cingulate cortex were selected as the regions of interest to define dorsolateral prefrontal cortex (DLPFC) in fMRI analysis. Normality test was performed with the Shapiro-Wilk test. Two-way repeated ANOVA determined the intervention effects of the CC supplementation on brain activity after adjustments for covariates. Significance level at P < 0.05 for independent-t test and Chi square test; adjusted P < 0.0042 for two-way repeated ANOVA after Bonferroni correction. Findings showed significant improvements in digit span (partial η2 =0.559), increment in right DLPFC activation while performing 1-back task (partial η2 =0.586) and left DLPFC activation while performing Stroop Color Word Test (SCWT) (congruent) task (partial η2 =0.432) at 12th week of CC supplementation. CC supplementation might have the ability to improve DLPFC activation, potentially leading to improved working memory among older adults with MCI after 12 weeks of administration. 1 TECHNICAL EFFICACY: Stage 4.

Comparison of the Effectiveness of Cognitive-Behavioral and Psychotherapeutic Therapy on Executive Functions of Children Aged 7 To 12 Years

Background: A review of research in the field of children shows that with the expansion and deepening of studies on children. We aimed to compare the effectiveness of cognitive-behavioral and psychotherapeutic therapy on executive functions in children aged 7 to 12 years. Materials & Methods: The research method is quasi-experimental (quasi-experimental) studies with pre-test, post-test and follow-up with the control group. The sample group was available among 24 children who were registered at the Ava Mehr Pasargad Counseling Center to diagnose the symptoms of externalized disorder and met the necessary criteria to participate in the study, 24 people were randomly selected. They were divided into two experimental (n=8) groups and one control group (n=8). Cognitive-behavioral (11 sessions, two sessions every week, two hours) and psychotherapeutic therapy (12session, two sessions every week, two hours) were performed for the experimental groups, but the control group did not receive any special intervention. The executive functions (Stroop word color test, and working memory reinforcement test) completed by participants. Data were analyzed using Spss software version 22.0. Results: The cognitive-behavioral group therapy technique was successful on the memory test and the mean and standard deviation in the post-test were more effective than the (15.09±52.12) pre-test. For the memory test, the psychotherapeutic group had the lowest mean and standard deviation of (16.42 ±35.75). So it can be concluded that psychotherapeutic therapywas more effectiveness than cognitive-behavioral therapy intervention on improving children's executive functions (P<0.05). Conclusion: In this study, cognitive-behavioral therapy and psychotherapeutic therapy were useful in improving externalized disorders and executive functions of children with externalized disorders in 7 to 12-year-old children in Pasargad.

Mental fatigue accompanied with whole body cold exposure before exercise impairs endurance exercise performance

Purpose Endurance exercise performance is impaired by cold exposure before exercise via an enhanced sympathetic activation. Mental fatigue induced by psychological task before exercise deteriorates endurance exercise performance, but the impact of a simultaneous load of mental fatigue and cold exposure on endurance exercise performance is remained unknown. The purpose of this study is to test the hypothesis that mental fatigue during cold exposure before exercise further impairs endurance exercise performance. Methods Nine male young subjects performed the Stroop color word test (500 stimuli/set×2, 55 min in total) as mental stress (MS) trial, while watched a documentary DVD as control (CON) trial during whole body cold exposure using a water-perfused suit (10˚C for 10 min then 15˚C for 50 min). After that participants performed a cycling test at 80% VO2max to the exhaustion after warm-up for 4 min. Subjective fatigue index (SFI) were measured before and immediately after mental stress and exercise. Plasma adrenaline ([Ad]p), noradrenaline ([Norad]p), and cortisol ([Corti]p) concentrations were measured before and immediately after mental load and exercise. Time to exhaustion (TE) was evaluated as endurance cycling performance. This study received an ethics approval from our institution. Results Percent changes from baseline of SFI were higher in the MS trial than in the CON trial at post Intervention and post exercise (p < 0.001). Significant effects of interaction (time × trial) were found on [Ad]p (p = 0.026), while not on [Norad]p nor on [Corti]p. TE was shortened but not significantly for the MS trial (767 ± 63 s) compared with the CON trial (813 ± 51 s), and an effect size of the difference was d = 0.271. The difference (Δ) between the trials (MS - CON) of TE was negatively correlated with Δ[Ad]p (r = - 0.605, p = 0.085) or Δ[Norad]p (r = - 0.661, p = 0.074), but not with Δ[Corti]p (r=0.251, p=0.514) determined immediately after exercise. Conclusions These findings support our hypothesis, thus mental fatigue accompanied with whole body cold exposure before exercise would further impair endurance exercise performance compared with cold exposure alone via the enhanced sympathoadrenal medullary system rather than hypothalamic pituitary adrenal system.

Association of Olfactory Impairment and Postoperative Cognitive Dysfunction in Elderly Patients.

ObjectiveTo investigate the impact of anesthesia on the change of olfactory function and cognitive function in elderly patients who undergo abdominal surgery.MethodsA total of 30 elderly patients who underwent abdominal surgery were recruited as the research subjects. The Connecticut Chemosensory Clinical Research Center (CCCRC) olfactory test was used to test the olfactory function and the Mini-mental State Examination (MMSE), Hopkins Verbal Learning Test – Revised (HVLT-R), Trail Making Test (TMT), Stroop Color Word Test (SCWT), Digit-Symbol Coding Test (DSCT), and Verbal Fluency Test (VFT) were used to assess their cognitive function before general anesthesia, and on the 3rd and 7th day post-anesthesia. The serum level of IL-1β, IL-6, and TNF-α were measured before anesthesia and at 0, 12, and 24 h post-anesthesia. In total, 30 healthy volunteers who did not undergo anesthesia were used as the control group. The test results of all subjects were recorded and their correlations were analyzed.ResultsOn the 3rd and 7th day post-anesthesia, the olfactory recognition threshold of patients in the surgical group was lower than that of control group with significant difference (P < 0.05). On the 3rd and 7th postoperative day, the patient’s short-term memory and delayed memory, attention and processing speed were decreased (P < 0.05). On the 7th day post-anesthesia, delayed memory and processing ability were still decreased (P < 0.05). In the surgical group, Spearman correlation analysis showed that the difference of olfactory recognition score on the 3rd and 7th day post-anesthesia was positively correlated with short-term memory and delayed memory of cognitive function. Compared with pre-anesthesia, the serum levels of IL-1β, IL-6, and TNF-α in the surgical group were significantly increased at each time point after anesthesia.ConclusionAbdominal surgery with general anesthesia in elderly patients may increase the level of serum inflammatory factors, induce olfactory impairment, particularly the decline of olfactory identification threshold and cause cognitive dysfunction with declined short-term memory, delayed memory and attention. There was a positive correlation between olfactory impairment and cognitive dysfunction after general anesthesia. Therefore, olfactory impairment could be an early indicator to guide early intervention for postoperative cognitive dysfunction.

Painting by lesions: White matter hyperintensities disrupt functional networks and global cognition

White matter hyperintensities (WMH) are a prominent feature of cerebral small vessel disease and are associated with cognitive impairment. These deficits in cognition may be caused by the disruption of large-scale functional networks due to the presence of WMHs. However, knowledge regarding the relevance of these lesions on functional networks remains inconclusive. These inconsistencies may derive from issues with interpreting functional imaging data from clinical populations. Lesion network mapping is a technique that allows the overlaying of lesions from a patient population to the functional connectivity of a human connectome derived from healthy adults. This allows researchers to identify functional networks that would be disrupted in a healthy population should the WMHs seen in cerebral small vessel disease be present. We hypothesized that the extent to which these functional networks are disrupted by WMHs is associated with cognitive performance in older adults with cerebral small vessel disease.This cross-sectional study combined baseline data from four studies to create a total sample of 164 older adults (aged ≥55) from metropolitan Vancouver with cerebral small vessel disease. Using lesion network mapping, we assessed the percentage overlap between voxels functionally connected with both the WMHs (lesion network) and five common functional networks: (1) visual; (2) dorsal attention; (3) ventral attention; (4) sensorimotor; and (5) frontoparietal. Cognition was assessed using: (1) Montreal Cognitive Assessment (MoCA); (2) Stroop Colour Word Test (3–2); (3) Trail Making Tests (Part B-A); and (4) Digit Symbol Substitution Test. A One-Way ANOVA and Tukey post-hoc tests were performed to identify the functional networks with greatest percentage overlap with the lesion network. Partial correlations controlling for age were used to analyse whether the extent of the overlap between the lesion and functional networks was associated with poorer cognition.The visual, ventral attention, and frontoparietal networks had significantly greater overlap with the lesion network. After controlling for multiple comparisons, level of lesion network overlap with both the sensorimotor network (p<.001) and ventral attention network (p <. 001) was significantly correlated with MoCA score. Thus, the greater the disruption to the sensorimotor and ventral attention networks, the poorer the global cognition.Our results reveal that the visual, ventral attention, and frontoparietal networks are most vulnerable to disruptions stemming from WMHs. Additionally, we identified that disruption to the sensorimotor and ventral attention networks, as a result of WMHs, may underlie deficits in global cognition in older adults with cerebral small vessel disease.

Breakfast and Exercise Improve Academic and Cognitive Performance in Adolescents.

This study examined the combined effects of breakfast and exercise on short-term academic and cognitive performance in adolescents. Eighty-two adolescents (64 female), aged 14–19 years, were randomized to four groups over a 4-hour morning: (i) a group who fasted and were sedentary (F-S); (ii) a group who ate breakfast but were sedentary (B-S); (iii) a group who fasted but completed a 30-min exercise bout (F-E); and (iv) a group who ate breakfast and completed a 30-min exercise bout (B-E). Individuals completed academic and cognitive tests over the morning. Adolescents in B-E significantly improved their mathematics score (B-E: 15.2% improvement on correct answers, vs. F-S: 6.7% improvement on correct answers; p = 0.014) and computation time for correct answers (B-E: 16.7% improvement, vs. F-S: 7.4% improvement; p = 0.004) over the morning compared with the F-S group. The B-E group had faster reaction times for congruent, incongruent and control trials of the Stroop Color-Word Task compared with F-S mid-morning (all p < 0.05). Morning breakfast and exercise combine to improve short-term mathematical task performance and speed in adolescents.

Correlation between DTI effect and white matter structural integrity, working memory in leukoaraiosis patients

Our objective was to study the correlation between Diffusion tensor MR imaging (DTI) effect and white matter structural integrity, working memory in leukoaraiosis patients. 100 leukoaraiosis patients referring to the First Affiliated Hospital of Beijing Medical University from December 2018 to December 2019, were selected as study subjects and divided into four groups according to disease severity: lesion-free group, mild lesion group, moderate lesion group, and severe lesion group. All patients underwent magnetic resonance diffusion tensor imaging to collect DWI images and analyze Fractional anisotropy (FA), mean diffusivity (MD), ReHo values of white matter area under different grading. The patients’ working memory was tested via auditory verb learning test and Stroop color word test, so that correlation between white matter structural integrity and working memory can be analyzed. Results: There are statistically significant differences in FA values of the right posterior thalamic radiation, the right sagittal layer and the right superior longitudinal fasciculus, MD values of the right sagittal layer, the right cingulum bundle, the left cingulum bundle, the right inferior fasciculus fronto-occipitalis and the left inferior fasciculus frontooccipitalis, as well as instant recall, delayed recall, delayed recognition, card A (dot), card B (character), card C (color word) and SIE value (P&lt;0.01). Correlation is shown between white matter structural integrity and working memory, gender, age, grading, disease course, recurrence interval, white matter area, and testing methods. There was a correlation between DTI effect and white matter structural integrity, working memory in leukoaraiosis patients, and leukoaraiosis patients have memory impairment.

Impact of Procedural Sedation on the Clinical Outcome of Microelectrode Recording Guided Deep Brain Stimulation in Patients with Parkinson's Disease.

Background: Subthalamic nucleus (STN) deep brain stimulation (DBS) has become a routine treatment of advanced Parkinson’s disease (PD). DBS surgery is commonly performed under local anesthesia (LA) to obtain reliable microelectrode recordings. However, procedural sedation and/or analgesia (PSA) is often desirable to improve patient comfort. The impact of PSA in addition to LA on outcome is largely unknown. Therefore, we performed an observational study to assess the effect of PSA compared to LA alone during STN DBS surgery on outcome in PD patients. Methods: Seventy PD patients (22 under LA, 48 under LA + PSA) scheduled for STN DBS implantation were included. Dexmedetomidine, clonidine or remifentanil were used for PSA. The primary outcome was the change in Movement Disorders Society Unified Parkinson’s Disease Rating Score III (MDS-UPDRS III) and levodopa equivalent daily dosage (LEDD) between baseline, one month before surgery, and twelve months postoperatively. Secondary outcome measures were motor function during activities of daily living (MDS-UPDRS II), cognitive alterations and surgical adverse events. Postoperative assessment was conducted in “on” stimulation and “on” medication conditions. Results: At twelve months follow-up, UPDRS III and UPDRS II scores in “on” medication conditions were similar between the LA and PSA groups. The two groups showed a similar LEDD reduction and an equivalent decline in executive function measured by the Stroop Color-Word Test, Trail Making Test-B, and verbal fluency. The incidence of perioperative and postoperative adverse events was similar between groups. Conclusion: This study demonstrates that PSA during STN DBS implantation surgery in PD patients was not associated with differences in motor and non-motor outcome after twelve months compared with LA only.

Symptom improvement is associated with serum cytokine level change during RTMS tretament in patients with treatment resistant depression

IntroductionIntroduciton: Repetetive transcranial magnetic stimulation (rTMS) is an effective and safety noninvasive technique for treatment of major depression disorder (MDD). There is a body of increasing evidences on the potential molecular mechanisms underlying its effectivity even in case of treatment resistant depression (TRD), however, the exact mechanism is still not clarified. Among multiple biological systems, inflammation can be a target of rTMS in MDD (Tian et al. 2020; Tateishi et al. 2020).ObjectivesHere we analysed serum cytokine levels in TRD before and after rTMS interventions.MethodsWe used bilateral stimulation (15Hz for left DLPC and 1Hz on the right side) in 18 patients with TRD (5 men and 13 women; mean age=47.7±12.1 year) for 2x5 days. Blood samples were collected before the first (V1) and after the last inetrevntion (V2). Phenotypic changes were measured by Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Snaith–Hamilton Pleasure Scale (SHAPS), Insomnia Severity Index (ISI) and Stroop Color-Word Test (SCWT) modified by Golden. Inflammatory cytokines were assessed by ELISA assays.ResultsChange of BDI and BAI scores between V1 and V2 is associated with difference of TNFalpha levels (p=0.043; adj.R2=0.42 p=0.011; adj R2=0.43). Decrease on SHAPS score has been depended on IL-6 level (p=0.027) and the interaction of TNFalpha and IL-10 (p=0.005; adj R2=0.63). Sleep disturbance and neurocognitive function was not associated with cytokine levels.ConclusionsOur results confirmed the association between depressive, anxious and anhedonia symptom improvement and inflammatory mechansims during rTMS treatment. The study was supported by the OTKA 151513 grant.

FOREARM VASCULAR RESPONSES TO MENTAL STRESS AND DEVICE GUIDED BREATHING ASSOCIATE WITH PLASMA CONCENTRATIONS OF NORMETADRENALINES IN SUBJECTS WITH ESSENTIAL HYPERTENSION

Objective: Forearm vasodilator responses to mental stress (MS) are impaired in hypertensive compared to normotensive individuals by a mechanism that may relate to peripheral alpha-adrenergic activity antagonising that of neuronal nitric oxide. We investigated whether the response to MS may be dependent on the level of basal sympathetic activity as measured by plasma concentrations of normetadrenaline (NM) and how responses to slowing respiratory rate by device guided breathing (DGB, which reduces sympathetic activity) vary according to NM concentrations. Design and method: Subjects with essential hypertension were stratified according to concentrations of plasma NM into those with low NM (&lt; or = 500pmol/L) and high NM (&gt; or = to 750pmol/L). Forearm blood flow (FBF) was measured by venous occlusion plethysmography after 15 minutes of rest, during MS elicited by the Stroop word-colour test and during supervised DGB with breathing rate &lt; 10 breaths/minute. Results: Subjects with high NM (n = 30, 15 men) had greater body mass index than those with low NM (n = 30, 17 men): (mean ± SD) 31 ± 7 vs 27 ± 4 kg/m2 (P &lt; 0.05), but the two groups were similar with respect to age and brachial blood pressure (BP). During MS and DGB, changes in BP were similar in subjects in both low NM and high NM groups. MS increased FBF in both groups but the response in high NM was impaired as compared to subjects with low NM (34 ± 3 vs. 49 ± 3 %, P &lt; 0.05). DGB increased forearm vascular resistance to a lesser extent in subjects with high compared to low NM (1.21 ± 7.95 vs 5.50 ± 6.32 mmHg.100 mL/mL, P &lt; 0.05). Conclusions: These results are consistent with greater sympathetic vascular tone in patients with higher NM that antagonises forearm vascular responses to MS. Circulating concentrations of NM may identify subjects with impaired neuronal nitric oxide signalling.

Automaticity of lexical access in deaf and hearing bilinguals: Cross-linguistic evidence from the color Stroop task across five languages

The well-known Stroop interference effect has been instrumental in revealing the highly automated nature of lexical processing as well as providing new insights to the underlying lexical organization of first and second languages within proficient bilinguals. The present cross-linguistic study had two goals: 1) to examine Stroop interference for dynamic signs and printed words in deaf ASL-English bilinguals who report no reliance on speech or audiological aids; 2) to compare Stroop interference effects in several groups of bilinguals whose two languages range from very distinct to very similar in their shared orthographic patterns: ASL-English bilinguals (very distinct), Chinese-English bilinguals (low similarity), Korean-English bilinguals (moderate similarity), and Spanish-English bilinguals (high similarity). Reaction time and accuracy were measured for the Stroop color naming and word reading tasks, for congruent and incongruent color font conditions. Results confirmed strong Stroop interference for both dynamic ASL stimuli and English printed words in deaf bilinguals, with stronger Stroop interference effects in ASL for deaf bilinguals who scored higher in a direct assessment of ASL proficiency. Comparison of the four groups of bilinguals revealed that the same-script bilinguals (Spanish-English bilinguals) exhibited significantly greater Stroop interference effects for color naming than the other three bilingual groups. The results support three conclusions. First, Stroop interference effects are found for both signed and spoken languages. Second, contrary to some claims in the literature about deaf signers who do not use speech being poor readers, deaf bilinguals' lexical processing of both signs and written words is highly automated. Third, cross-language similarity is a critical factor shaping bilinguals' experience of Stroop interference in their two languages. This study represents the first comparison of both deaf and hearing bilinguals on the Stroop task, offering a critical test of theories about bilingual lexical access and cognitive control.

Response Inhibition, Cognitive Flexibility and Working Memory in Obsessive-Compulsive Disorder, Generalized Anxiety Disorder and Social Anxiety Disorder.

This study analyzed response inhibition, cognitive flexibility and working memory in three groups of patients diagnosed with obsessive-compulsive disorder, social anxiety disorder and generalized anxiety disorder, considering some variables that may influence results (nonverbal reasoning, comorbidity, use of pharmacotherapy). Neuropsychological measures were completed using a computerized Wisconsin card sorting test, Stroop color word test, go/no-go task, digits and Corsi. Significant differences were obtained among groups in cognitive flexibility and working memory variables. The obsessive-compulsive disorder (OCD) group showed the worst results. The social anxiety disorder group obtained greater effect sizes in visuospatial memory. However, significant differences between groups in visuospatial memory were no longer present when nonverbal reasoning was controlled. Comorbidity influenced interference in the OCD and generalized anxiety disorder (GAD) groups. In addition, the executive functions were differently influenced by the level of obsessions and anxiety, and the use of pharmacotherapy. Study limitations include a non-random selection of participants, modest sample size and design type (cross-sectional). The OCD group showed the worst results in flexibility cognitive and verbal working memory. Comorbidity, use of pharmacotherapy and level anxiety and obsessions were variables influencing the performance of executive functions.

Assessment of postoperative cognitive dysfunction and its impact on the quality of life among elderly patients. Running title- POCD and quality of life among elderly

Background: The ever-increasing fraction of older adults who requires operative care, needs not just longer life, but an active and good quality of life. The postoperative cognitive dysfunction (POCD) is well known complication of surgery and anaesthesia in elderly patient. Enhance recovery protocol helps in minimizing the stress response and in effect the onset of POCD. In current study, we made an attempt to reduce the prevalence of postoperative cognitive dysfunction in elderly patients by implementing enhanced recovery protocol, and evaluated the association with quality of life. Methods: The current study was observational, prospective study conducted on patients aged above 70 of years. Cognitive function was assessed with Trail making test (TMT), Stroop color word test (SCWT) and Visual verbal learning test (VVLT), at preoperatively (T0) and postoperatively at 24 hours (T24), 96 hours (T96) and 3 months (T3). Quality of life was assessed in patients using WHO quality of life BREF Questionnaire, which was done at T0 and T3. Results: Total forty-five patients were enrolled in the study, out of which 25 (55.5%) patients developed postoperative cognitive dysfunction (POCD) at T24 and T 96, while at T3, 14 (31.1%) had POCD. Major surgery was significantly associated with onset of POCD. Patients who developed POCD had significantly low quality of life, especially psychological component. Conclusions; The incidence of POCD was 31.1% at 3 months after using Enhanced recovery protocol, so it should be made mandatory especially for elderly patients as POCD leads to worsening in the quality of life.

Assessment of Postoperative Cognitive Dysfunction and its Impact on the Quality of Life among Elderly Patients.

Background: The ever-increasing fraction of older adults who requires operative care, needs not just longer life, but an active and good quality of life. The postoperative cognitive dysfunction (POCD) is well known complication of surgery and anaesthesia in elderly patient. Enhance recovery protocol helps in minimizing the stress response and in effect the onset of POCD. In current study, we made an attempt to reduce the prevalence of postoperative cognitive dysfunction in elderly patients by implementing enhanced recovery protocol and evaluated the association with quality of life. Methods: The current study was observational, prospective study conducted on patients aged above 70 of years. Cognitive function was assessed with Trail making test (TMT), Stroop colour word test (SCWT) and Visual verbal learning test (VVLT), at preoperatively (T0) and postoperatively at 24 hours (T24), 96 hours (T96) and 3 months (T3). Quality of life was assessed in patients using WHO quality of life BREF Questionnaire, which was done at T0 and T3. Results: Total fourty-five patients were enrolled in the study, out of which 25 (55.5%) patients developed postoperative cognitive dysfunction (POCD) at T24 and T 96, while at T3, 14 (31.1%) had POCD. Major surgery was significantly associated with onset of POCD. Patients who developed POCD had significantly low quality of life, especially psychological component. Conclusions: The incidence of POCD was 31.1% at 3 months after using Enhanced recovery protocol, so it should be made mandatory especially for elderly patients as POCD leads to worsening in the quality of life.

Patterning of individual variability in neurocognitive health among South African women exposed to childhood maltreatment

There are individual differences in health outcomes following exposure to childhood maltreatment, yet constant individual variance is often assumed in analyses. Among 286 Black, South African women, the association between childhood maltreatment and neurocognitive health, defined here as neurocognitive performance (NP), was first estimated assuming constant variance. Then, without assuming constant variance, we applied Goldstein’s method (Encyclopedia of statistics in behavioral science, Wiley, 2005) to model “complex level-1 variation” in NP as a function of childhood maltreatment. Mean performance in some tests of information processing speed (Digit-symbol, Stroop Word, and Stroop Color) lowered with increasing severity of childhood maltreatment, without evidence of significant individual variation. Conversely, we found significant individual variation by severity of childhood maltreatment in tests of information processing speed (Trail Making Test) and executive function (Color Trails 2 and Stroop Color-Word), in the absence of mean differences. Exploratory results suggest that the presence of individual-level heterogeneity in neurocognitive performance among women exposed to childhood maltreatment warrants further exploration. The methods presented here may be used in a person-centered framework to better understand vulnerability to the toxic neurocognitive effects of childhood maltreatment at the individual level, ultimately informing personalized prevention and treatment.