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Biomedical subjects

M B Sterman

Publications and source records attributed to M B Sterman.

At least 19 recordsLinked to original sources

Effects of systemic atropine sulfate administration on the frequency content of the cat sensorimotor EEG during sleep and waking.

Sensorimotor electroencephalogram (EEG) frequencies in cats were evaluated with power spectral analysis before and after 3 doses of atropine sulfate. All doses of atropine tested caused enhanced EEG slow waves (0-7 Hz) and spindles (8-15 Hz) during waking immobility, and postdrug frequency profiles during slow-wave sleep and waking immobility were identical. With 0.75 mg/kg atropine, movement (head movement, locomotion) resulted in EEG desynchronization and reduced power in all frequencies less than 24 Hz. After 1.5 or 3.0 mg/kg atropine, power in low frequencies remained elevated during movement, but power in spindle frequencies was significantly reduced compared with other states. During active REM sleep after 1.5 mg/kg atropine, power in spindle frequencies was significantly lower than that during quiet REM sleep. These results indicate that the sensorimotor cortical EEG in cats is under the control of multiple systems. At least 1 of these systems is active during movement, and its actions are resistant to muscarinic receptor blockade.

Animals

Sleep research.

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Animals

Future perspectives for applied psychophysiology and biofeedback.

Current circumstances in both the health science and health care delivery systems in our country have created serious problems for health professionals, particularly for those of us in the relatively young field of biofeedback. At the same time, recent and emerging developments in the neurosciences and in technologies for biological measurement offer exciting new opportunities for the applied psychophysiology upon which our field is based. Examples of these developments include the elucidation of potential neurophysiological mechanisms that may mediate the psychophysiology of immune system responses, and technical achievements leading to on-line, noninvasive magnetic resonance imaging of brain neurochemistry. The issue of perspective is raised in relation to our response to both the challenge and the opportunities of our times.

Biofeedback, Psychology

Polysomnographic sleep and waking states are similar in subsequent siblings of SIDS and control infants during the first six months of life.

Twenty-five subsequent siblings of infants who died of Sudden Infant Death Syndrome (SIDS) underwent 12-h overnight polygraphic recordings during the first week of life and at 1, 2, 3, 4, and 6 months of age. The polygraphic tracings from these infants were compared with those from 25 infants without a family history of SIDS. One dozen sleep and waking parameters were examined including state transition probabilities, the ratio between quiet sleep (QS) and active sleep (AS), the incidence and duration of sustained states and the stability of an infant's sleep and waking during the first half year of life. Variability within and between infants was marked with a reduction of variability in measures of QS at 3 months and of AS at 4 months of age. The similarities between subsequent siblings of SIDS and control infants far outweighted the differences. However, subsequent siblings exhibited a tendency, once asleep, to remain asleep longer than controls. This finding was observed in a comparison of 20 infants in each group. When five infants were added to each group, infants in both groups tended to awaken equally from QS, but once in AS the subsequent siblings tended to proceed into QS instead of awaken as the controls did.

Arousal

Sleep and waking states in infancy: normative studies.

Twelve-hour polygraphic recordings were obtained in 20 normal healthy term infants at 1 week of age, at monthly intervals up to 4 months, and at 6 months of age. Each minute of these recordings was coded into active sleep (AS), quiet sleep (QS), wakefulness (AW), or indeterminate (IN) based on polygraphic and behavioral variables. For each state, a dozen variables were computed with the help of a laboratory computer. Together these variables describe trends in the development of sleep and wakefulness in the laboratory: an increase in QS and a concomitant decrease in AS, an increase in sustained episodes of these states, and continuous sleep onset in AS throughout this time span. Considerable variability appears to characterize immature sleep patterns, but a reduction in variability was noted between 3 and 4 months of age. The number of sustained sleep-state episodes and the percentage of AS and IN proved to be stable characteristics of individual infants. The large variability among and within infants sheds doubt on the usefulness of polygraphic monitoring of sleep states for early detection of abnormalities.

Child Development

Sleep disruption with basal forebrain lesions decreases latency to amygdala kindling in cats.

Sleep deprivation enhances seizure susceptibility in experimental and human epilepsies. Because sleep abnormalities are also common in these populations, a possible explanation for this close association is that sleep deprivation activates seizures by enhancing existing sleep disturbances. The present experiment examined this hypothesis by comparing sleep-waking state percentages and the number of after-discharge-eliciting stimulations required to induce generalized tonic-clonic convulsions with the amygdala kindling model of epilepsy in 3 groups of cats (n = 5 each). One group consisted of experimental subjects who received bilateral lesions of the basal forebrain, a preoptic area long implicated in the generation of normal sleep state characteristics. A second group sustained unilateral lesions of the basal forebrain area. Since only bilateral destruction of this region produces sleep-waking cycle abnormalities, this group provided a lesion control. Finally, a third group had no lesion and provided a control which allowed normative assessment of sleep state patterns and seizure susceptibility in otherwise unmanipulated cats. The results were: cats without lesions showed a parallel development of seizure and sleep disorders, the latter indexed by progressive SWS and REM sleep deficits; cats with unilateral lesions showed identical trends in the development of sleep and seizure anomalies; and cats with bilateral lesions of basal forebrain displayed similar but more severe sleep disturbances than those evidenced by control subjects and also required fewer after-discharge stimulations to establish kindled convulsions.(ABSTRACT TRUNCATED AT 250 WORDS)

Amygdala

Hemisphere-specific deficits on cognitive/perceptual tasks following REM sleep deprivation.

Current research and theory support the position that there are diurnal changes in the relative functional dominance of the hemispheres in the "normal" population. In one example of this position, Bakan (1978) has stated that REM sleep allows for right hemisphere dominance with a relative absence of left hemisphere interference. The present study involved pre- and postREM deprivation visual presentation of cognitive/perceptual performance tasks that had previously been demonstrated to have lateralizing value. Ten right-handed adult males each spent three nights in a sleep laboratory completing these tasks and a variety of questionnaires. After REM deprivation, performance decreased on right hemisphere tasks presented to the right hemisphere first. However, left-hemisphere-first presentation of one of the right hemisphere tasks (facial recognition) actually resulted in performance improvement after REM deprivation. This improvement was attributed to a suppression or diminution of capacity of the primary processing style of the left hemisphere. Results are further discussed in terms of Bakan's theory, the different processing "styles" of the two hemispheres, possible functions of REM and relationships of the biological cycles to possible shifts in cerebral laterality.

Adolescent

Changes in circadian sleep and waking patterns after somatosensory deafferentation in the cat.

The present study describes changes in circadian state pattern organization associated with somatosensory deafferentation in the adult cat. Nine animals, implanted for chronic monitoring of standard sleep state variables, were divided into 3 groups for study. Six cats received dorsal column transections at either a high (C1-C3, N = 3) or low (C5-T1, N = 3) cervical level. The remaining three served as intact controls. State evaluations of continuous 24 h polygraphic recordings disclosed a significant facilitation of alert waking and a suppression of slow wave sleep in animals with high cervical lesions; REM sleep was not affected. State pattern percentages for animals with low cervical lesions were comparable to those of intact controls; however, lesioned animals of both experimental groups showed changes in the frequency of occurrence and duration of individual sleep/wake episodes. These findings were interpreted in terms of the enhancement of intrinsic rhythmic discharge patterns over ventrobasal thalamocortical pathways.

Afferent Pathways

Baseline studies and anticonvulsant drug effects on the sleep EEG power spectral profile.

This study explored a new approach to the application of electroencephalogram (EEG) power spectral analysis in the search for an objective, quantitative evaluation of anticonvulsant drug effects on the primate central nervous system. Standardized EEG samples were drawn from the slow wave sleep state. Four rhesus monkeys were adapted to restraining chairs and to prolonged recording in an isolation cubicle. Surgically placed, permanent electrodes provided for the monitoring of sleep-waking states and of bipolar frontal, central and occipital EEG traces. Baseline spectral density data were drawn from standard successive and spaced recording nights, and from post-intramuscular saline injection recording nights. These were compared with identical data drawn 1.5-2.5 h after a single, acute intramuscular administration of 5 compounds, including: diazepam, carbamazepine, valproic acid, phenobarbital and pentobarbital, the latter providing a non-anticonvulsant control. All dose values were low relative to clinical norms, as confirmed by serum samples drawn after EEG samples. Baseline measures showed stability across all non-drug test conditions, particularly those derived from somatosensory cortex. Identical post-drug power spectral changes indicated a unique and significant attenuation of 4-7 c/sec activity bilaterally in somatosensory cortex for all test compounds except pentobarbital, when compared to saline values. Since pentobarbital has only weak anticonvulsant actions, these data suggest a common effect of anticonvulsant drugs on central cortical EEG substrates. Other neurophysiological findings are reviewed which suggest that this effect may stem from an altered cortical response to intrinsic somatosensory thalamo-cortical afferent discharge in sleep, resulting from reduced neuronal excitability.

Animals

Developmental comparison of sleep EEG power spectral patterns in infants at low and high risk for sudden death.

Power spectral density measured from central cortical EEG recordings during sleep was compared in two groups of 20 infants each at intervals between 1 week and 6 months of age. One group consisted of siblings of infants who had previously died of the sudden infant death syndrome, as determined by history and autopsy report (sibling group). The second group was made up of age, sex, and socioeconomically matched infants with no familial history of sudden infant death (control group).

Age Factors

Recent developments in the diagnosis and therapy of epilepsy.

Recent advances in the diagnosis of epilepsy include the development of a clinically useful classification of epileptic seizures and the recognition of specific epileptic disorders. These advances have been aided by the advent of x-ray computed tomography, long-term electroencephalographic telemetry, and video monitoring. Techniques for functional imaging of the human brain promise even greater diagnostic capabilities. New antiepileptic drugs have improved medical management, and technical and theoretical advances in pharmacokinetics have permitted physicians to design balanced dosing for individual patients. Although currently underused, surgical treatment of partial complex epilepsy can be safe and effective when used appropriately. Operant conditioning of electroencephalography may become another practical alternative therapy. Contributions of basic research to understanding the complications of status epilepticus have influenced treatment protocols and greatly improved the prognosis of this potentially lethal condition.

Anticonvulsants

Respiratory behavior in near-miss sudden infant death syndrome.

Seventeen infants with unexplained prolonged apnea that has been designated near-miss sudden infant death syndrome were monitored for sleep and cardiorespiratory variables during a 12-hour, all-night recording session. Infants were matched for gestational age, sex, and age at recording with control infants. Respiratory variables studied included respiratory rate, respiratory variability, apnea duration, apnea density, and periodic breathing. No statistically significant differences were found in sleep state or respiratory variables between near-miss and control infants. Eight infants (47%) had no recurrence of prolonged apnea, whereas three (17.6%) had recurrent apneic episodes for six weeks to eight months following the original episode. No clinical or polygraphic finding predicted which infant would exhibit recurrent apnea. None of the infants was monitored at home. All infants were developing normally when examined at 1 to 2 years of age.

Apnea

Temporal distribution of sleep states, somatic activity, and autonomic activity during the first half year of life.

Twelve-hour, all-night polygraphic recordings were obtained from 25 normal infants at 1 week and 1, 2, 3, 4, and 6 months of age. The objectives of the study were to provide a description of the emerging temporal distribution of quiet sleep (QS), active sleep (AS), and motility, and to describe the maturation of a circadian influence upon heart rates. With increasing age, increased percentages of AS began to cluster toward the end of the night and increased percentages of QS toward the beginning. A circadian influence upon heart rates was observed in AS and indeterminate sleep prior to its existence in QS. At 2 and 3 months of age motility in AS and QS increased linearly during the night.

Age Factors

Periodicity of sleep states is altered in infants at risk for the sudden infant death syndrome.

The normal succession of sleep and waking states through a night is disturbed in infants at risk for the sudden infant death syndrome. Compared with normal infants, siblings of the sudden infant death syndrome victims have longer intervals between active sleep epochs at particular times during the night in the newborn period and a decreased tendency to enter short waking periods at 2 and 3 months of age. The latter finding is interpreted as an increased tendency to remain asleep, or a relative failure to arouse from sleep in infants at risk.

Age Factors