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Biomedical subjects

M Atienza

Publications and source records attributed to M Atienza.

At least 19 recordsLinked to original sources

Precise timing accounts for posttraining sleep-dependent enhancements of the auditory mismatch negativity.

Memory consolidation is a long-lasting dynamic process by which new acquired information is transformed at different analysis levels, from molecules to cognition, without additional practice. Results from a previous study on event-related potentials (ERPs) suggest that part of the neural events promoting changes in the electrophysiological correlates of enhanced automatization in a sound discrimination task occur during sleep. These data were reanalyzed in the present study at the single-trial level, and results indicated that the first night of sleep succeeding training is absolutely required to improve the timing consistency of cortical neural assemblies involved in automatic sound-change detection, as revealed by a significant reduction in the latency-jitter of the MMN response across trials. This change in the regularity of the brain response to previously trained sounds facilitated involuntary switch of attention towards the same sounds when they were task irrelevant, as reflected by the P3a emergence after posttraining sleep. Both responses were, however, prevented in subjects deprived of sleep the night following training in the sound discrimination task. We hypothesize that the reduction in the MMN latency-jitter, which, in turn, triggered an automatic shift of attention, might result from a change in synaptic efficacy and/or neural excitability, rather than from changes in firing synchronization and/or size of representation.

Acoustic Stimulation↗

Sensory and motor attentional modulation during the manual gap effect in humans: a high-density ERP study.

The present study investigated reaction time (RT) and event-related potential (ERP) differences between gap and step conditions using visual stimulation and manual responses. RTs during the gap condition were facilitated with respect to those of the step condition. The ERPs, which were obtained from electrodes placed at 58 scalp sites, showed differences when the gap and step conditions were compared for the following components: an early positive component centred at the vertex, an enhanced P1 component, a frontal negativity, a negative lateralized motor potential, and an increased P3. All these results suggest that the facilitation induced by the gap is mediated by a modulation of the neural circuits involved in sensory, motor, and cognitive functions.

Adolescent↗

Complex sound processing during human REM sleep by recovering information from long-term memory as revealed by the mismatch negativity (MMN).

Perceptual learning is thought to be the result of neural changes that take place over a period of several hours or days, allowing information to be transferred to long-term memory. Evidence suggests that contents of long-term memory may improve attentive and pre-attentive sensory processing. Therefore, it is plausible to hypothesize that learning-induced neural changes that develop during wakefulness could improve automatic information processing during human REM sleep. The MMN, an objective measure of the automatic change detection in auditory cortex, was used to evaluate long-term learning effects on pre-attentive processing during wakefulness and REM sleep. When subjects learned to discriminate two complex auditory patterns in wakefulness, an increase in the MMN was obtained in both wake and REM states. The automatic detection of the infrequent complex auditory pattern may therefore be improved in both brain states by reactivating information from long-term memory. These findings suggest that long-term learning-related neural changes are accessible during REM sleep as well.

Acoustic Stimulation↗

The initial orienting response during human REM sleep as revealed by the N1 component of auditory event-related potentials.

The large N1 wave of the auditory event-related potentials (ERPs) typically occurring to the first stimulus after a long silent interval seems to be associated with the involuntary initial-orienting response. Since the mechanisms involved in the generation of this brain response are assumed to be activated automatically, the present study aims at determining whether this electrophysiological response can also be elicited during human REM sleep, the sleep stage considered most sensitive to external stimuli. To achieve this goal, the auditory N1 wave was analyzed in wakefulness and REM sleep for frequency deviant tones delivered in several positions (1, 2, 4 and 6) within homogenous stimulus trains separated by different intervals of silence (3, 6 and 9 s), the intra-train stimulus interval being 600 ms. A significant increment in the amplitude of the N1 component for the first deviant tone, as compared with deviants delivered in remaining positions, was observed in both brain states, independently of the inter-train interval length. This result cannot be explained by a release-from-refractoriness effect, since only one deviant was presented in each train and the inter-deviant interval hardly changed from one train to another. The increase in N1 to the first stimulus of the train, probably due to the contribution of the neuronal elements responsible for the supratemporal and non-specific components, may be explained by changes in the silent interval, rather than by variations in the stimulus frequency. The enhanced N1 could be reflecting a general increase in sensory sensitivity associated with the arousal factor of the orienting response. These findings suggest that the brain maintains the potential ability to trigger the brain events responsible for the OR elicitation, even during REM sleep.

Acoustic Stimulation↗

Auditory information processing during human sleep as revealed by event-related brain potentials.

The main goal of this review is to elucidate up to what extent pre-attentive auditory information processing is affected during human sleep. Evidence from event-related brain potential (ERP) studies indicates that auditory information processing is selectively affected, even at early phases, across the different stages of sleep-wakefulness continuum. According to these studies, 3 main conclusions are drawn: (1) the sleeping brain is able to automatically detect stimulus occurrence and trigger an orienting response towards that stimulus if its degree of novelty is large; (2) auditory stimuli are represented in the auditory system and maintained for a period of time in sensory memory, making the automatic-change detection during sleep possible; and (3) there are specific brain mechanisms (sleep-specific ERP components associated with the presence of vertex waves and K-complexes) by which information processing can be improved during non-rapid eye movement sleep. However, the remarkably affected amplitude and latency of the waking-ERPs during the different stages of sleep suggests deficits in the building and maintenance of a neural representation of the stimulus as well as in the process by which neural events lead to an orienting response toward such a stimulus. The deactivation of areas in the dorsolateral pre-frontal cortex during sleep contributing to the generation of these ERP components is hypothesized to be one of the main causes for the attenuated amplitude of these ERPs during human sleep.

Attention↗

Spectral features of EEG alpha activity in human REM sleep: two variants with different functional roles?

Evidence suggests that an important contribution of spectral power in the alpha range is characteristic of human REM sleep. This contribution is, in part, due to the appearance of well-defined bursts of alpha activity not associated with arousals during both tonic and phasic REM fragments. The present study aims at determining if the REM-alpha bursts constitute a different alpha variant from the REM background alpha activity. Since previous findings showed a selective suppression of background alpha activity over occipital regions during phasic REM fragments and, on the other hand, the density of alpha bursts seem to be independent of the presence or absence of rapid eye movements, one expects to find the same spectral power contribution of alpha bursts in tonic and phasic REM fragments. The results indicated that REM-alpha bursts showed a similar power contribution and topographic distribution (maximum energy over occipital regions) both in tonic and phasic REM fragments. This suggests that two variants of alpha activity with different functional roles are present during the human REM sleep: i) background alpha activity, modulated over occipital regions by the presence of rapid eye movements, which may be an electrophysiological correlate of the visual dream contents; and ii) REM-alpha bursts, independent of the presence of rapid eye movements, which could be facilitating the connection between the dreaming brain and the external world, working as a micro-arousal in this brain state.

Adult↗

Alpha burst activity during human REM sleep: descriptive study and functional hypotheses.

OBJECTIVES: Spectral power contribution in the range of alpha activity is a well-known electrophysiological feature of human REM sleep, which could be caused by the spontaneous bursts of alpha activity not associated with arousals that usually appear during this brain state. The present study was undertaken to determine the density of alpha bursts during tonic and phasic (oculomotor) REM periods for each REM cycle. In addition, this phasic brain event was also described from a spectral and topographical point of view. METHODS: Ten healthy right-handed subjects (5 females) aged 19-25 years (mean 22.9 years, SD 2.6) participated in the present study. Each selected subject filled in a daily sleep log for 2 weeks before the experimental night to provide information on all 3 salient aspects of sleep pattern, sleep experience and sleep effects. RESULTS: The results revealed that transient REM-alpha bursts, which lasted about 3 s and were accompanied by no increase in the EMG amplitude, appeared in all subjects who participated in this study, showing a higher density in the third and fourth REM cycle during phasic in comparison with tonic periods. The bandpass filtered signals showed the highest spectral contribution for the slower alpha components (8-9 Hz), the occipital scalp regions being the main generator source of this brain activity. CONCLUSIONS: The authors hypothesize that REM-alpha bursts may work as micro-arousals (or incomplete arousals) facilitating the brain connection with the external world in this cerebral state, whereas REM-alpha arousals - usually longer and accompanied by changes in the EMG amplitude - generate a shift of brain state associated with sleep fragmentation (complete arousal).

Adult↗

Decay time of the auditory sensory memory trace during wakefulness and REM sleep.

In a repetitive auditory stimulus sequence, deviant infrequent tones typically elicit a component of auditory event-related potentials termed mismatch negativity (MMN). The elicitation of MMN is assumed to reflect the existence of a memory trace of the standard stimulus that has a decay time of about 10 s and is strengthened by repetition of the standards. The main aim of the present study was to test the decay time of the sensory memory trace during rapid-eye movement (REM) sleep vs. wakefulness, as indexed by the MMN. Subjects were presented 10 tone trains, separated by 3, 6, or 9 s of silence, during waking and REM sleep. Each train consisted of 9 standards of 1000 Hz and 1 deviant of 2000 Hz that occurred at position 1, 2, 4, or 6. The waking deviants elicited a frontocentral negativity with a scalp topography equivalent to the MMN component. During REM sleep, the negative component showed the same scalp distribution only for the 3-s intertrain interval (ITI). In this brain state, the MMN amplitude was smaller and decreased with prolongation of the ITI. These results suggest a weaker sensory memory trace formation and a premature decay time of such a memory trace during REM sleep as compared with wakefulness.

Acoustic Stimulation↗

Alpha EEG coherence in different brain states: an electrophysiological index of the arousal level in human subjects.

The functional relationships between the brain areas supposedly involved in the generation of the alpha activity were quantified by means of INTRA- and INTER-hemispheric coherences during different arousal states (relaxed wakefulness, drowsiness at sleep onset, and rapid eye movement sleep) where such an activity can be clearly detectable in the human EEG. A significant decrease in the fronto-occipital as well as in the inter-frontal coherence values in the alpha range was observed with the falling of the vigilance level, which suggests that the brain mechanisms underlying these coherences are state dependent. Making fronto-frontal coherence values in the alpha frequency band useful indexes to discern between brain functional states characterized by a different arousal level.

Adult↗

Alpha power modulation during periods with rapid oculomotor activity in human REM sleep.

Alpha activity attenuation (blocking) over occipital regions is an electrophysiological index of cortical activation associated with visual attention and waking mental imagery. The present work focused on exploring whether the human REM background alpha activity was modulated, attending to tonic- (without rapid oculomotor activity) and phasic-REM periods (with a prominent burst of REMs). The obtained results revealed that the background alpha activity showed a decreased spectral power over occipital brain regions during phasic-REM in comparison with tonic-REM periods. This result suggests an active visual processing caused by the complex mental imagery generated during periods of oculomotor activity in human REM sleep.

Adult↗

Brain spatial microstates of human spontaneous alpha activity in relaxed wakefulness, drowsiness period, and REM sleep.

Spontaneous alpha activity clearly present in relaxed wakefulness with closed eyes, drowsiness period at sleep onset, and REM sleep was studied with spatial segmentation methods in order to determine if the brain activation state would be modulating the alpha spatial microstates composition and duration. These methods of spatial segmentation show some advantages: i) they extract topographic descriptors independent of the chosen reference (reference-free methods), and ii) they achieve spatial data reduction that are more data-driven than dipole source analysis. The results obtained with this study revealed that alpha activity presented a different spatio-temporal pattern of brain electric fields in each arousal state used in this study. These differences were reflected in a) the mean duration of alpha microstates (longer in relaxed wakefulness than in drowsy period and REM sleep), b) the number of brain microstates contained in one second (drowsiness showed more different microstates than did relaxed wakefulness and REM state), and c) the number of different classes (more abundant in drowsiness than in the rest of brain states). If we assume that longer segments of stable brain activity imply a lesser amount of different information to process (as reflected by a higher stability of the brain generator), whereas shorter segments imply a higher number of brain microstates caused by more different steps of information processing, it is possible that the alpha activity appearing in the sleep onset period could be indexing the hypnagogic imagery self-generated by the sleeping brain, and a phasic event in the case of REM sleep. Probably, REM-alpha bursts are associated with a brain microstate change (such as sleep spindles), as demonstrated by its phasic intrusion in a desynchronized background of brain activity. On the other hand, alpha rhythm could be the "baseline" of brain activity when the sensory inputs are minimum and the state is relaxed wakefulness.

Adult↗

Spectral structure and brain mapping of human alpha activities in different arousal states.

In a study with 10 young, healthy subjects, alpha activities were studied in three different arousal states: eyes closed in relaxed wakefulness (EC), drowsiness (DR), and REM sleep. The alpha band was divided into three subdivisions (slow, middle, and fast) which were analyzed separately for each state. The results showed a different spectral composition of alpha band according to the physiological state of the subject. Slow alpha seemed to be independent of the arousal state, whereas middle alpha showed a difference between REM and the other states. The fast-alpha subdivision appears mainly as a waking EEG component because of the increased power displayed only in wakefulness and lower and highly stable values for DR and REM. Scalp distribution of alpha activity was slightly different in each state: from occipital to central regions in EC, this topography was extended to fronto-polar areas in DR, with a contribution from occipital to frontal regions in REM sleep. These results provide evidence for an alpha power modulation and a different scalp distribution according to the cerebral arousal state.

Adult↗

The gap effect during visual and auditory stimulation using manual responses.

Six experiments were conducted in naive human participants to examine any facilitation produced in manual reaction time (RT) by the interposition of a temporal gap between a warning signal and an imperative signal. Peripheral visual stimuli and monoaural auditory stimuli were used as targets. Participants showed a facilitation of RTs to the targets for both auditory and visual stimuli in the five experiments in which RTs were the dependent variable. In addition, the gap effect increased over successive blocks of trials, suggesting learning. RTs were facilitated only when the gap had predictive value and was salient. Using a variable temporal gap or visual warning stimulus did not change the facilitation in RTs. A further experiment demonstrated that the gap can be perceived by the participants. The dissociation between a learned and a non-learned component in the gap effect suggests that the temporal gap induces two independent processes: warning and disengagement of attention.

Acoustic Stimulation↗

The mismatch negativity component reveals the sensory memory during REM sleep in humans.

Auditory evoked potentials (AEPs) were recorded during presentation of stimuli of 1000 Hz (standard) and 2000 Hz (deviant) in trains of 10 tone bursts (one deviant per train) in the wake and rapid eye movement (REM) sleep states. The constant inter-stimulus interval (ISI) was 600 ms and the trains were separated by 3 s of silence. The deviant tone occurring at the train start elicited a mismatch negativity component (MMN) in both arousal states, displaying a peak latency between 100 and 150 ms post-stimulation at fronto-central areas. These results suggest the existence of an auditory memory trace (sensory memory) surviving for at least 3 s during REM sleep.

Acoustic Stimulation↗

CT scanning of the patellofemoral joint. The quadriceps relaxed or contracted?

A study of the patellofemoral joint in patients with patellofemoral pain has been carried out in 14 patients (18 knees) to compare CT scans with the knee extended fully and the quadriceps muscle contracted or relaxed. The purpose was to decide whether both examinations are necessary in young adults with suspected patellar malalignment. The patients were selected randomly. Thirteen knees were also examined in 20 degrees of flexion. The lateral patellar angle and the lateral patellar shift were measured. Linear regression analysis showed a proportional relationship between measurement with the quadriceps contracted and relaxed. Therefore, only one examination is needed and is easier to carry out in the relaxed state. Radiation to the patient and costs are reduced.

Adolescent↗

Leuprolide suppression of androgen secretion by hilus cell hyperplasia within the wall of an ovarian cyst.

Androgenic manifestations coexisting with hilus cell hyperplasia adjacent to a tumour or an ovarian cyst are extremely rare. We report the case of a post-menopausal woman with hirsutism associated with hilus cell hyperplasia within the wall of an ovarian cyst. The pattern of steroid secretion revealed increased testosterone release. Suppression of testosterone to 'normal range' was seen in response to leuprolide administration. This new approach demonstrates gonadotrophin dependence of hilus cell hyperplasia within an ovarian cyst.

Androstenedione↗

Cortical potentials during gap and non-gap paradigms using manual responses in humans.

An experiment was conducted on naive human subjects to measure the time benefits on finger reaction times produced by the offset of a central fixation point 200 ms before the appearance of a target stimulus in the periphery. Subjects produced a shift advancement of manual reaction times. Simultaneously, the event-related potentials were recorded. The gap paradigm induced offset visual evoked potentials and a frontal negativity, it also induced a higher P300 than the non-gap condition. The results suggest that the gap promotes the speeding of the response by a cortical priming.

Adult↗

Economic study of neutropenia induced by myelotoxic chemotherapy.

This article describes the economic and social impact of neutropenia induced by myelotoxic chemotherapy in patients with cancer during the period 1 January-31 December 1991. Neutropenia is a life-threatening complication of chemotherapy in patients with cancer. The episodes of fever and infections originating from neutropenia require hospitalization of the patient until the granulocyte levels are restored. The calculation of the economic cost was based on the following parameters: length of stay in hospital, analytical tests performed on the patient, type and cost of drug therapy administered, blood transfusions performed, health assistance received, cost of isolation and absence from work. The overall economic cost of neutropenia in patients with cancer reached 329,775 pesetas ($2,893). Cost of the health-care staff was the largest budget item in relation to the total health resources estimated.

Adolescent↗