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Neuroticism does not affect cognitive functioning in later life.

In a cross-sectional study, Jorm and colleagues (1993. Personality and Individual Differences, 15, 721-723) found that neuroticism was related to poorer cognitive performance in the elderly. The present study was initiated to expand their findings using both cross-sectional and longitudinal data from the Maastricht Aging Study. In contrast to the findings of Jorm and coworkers, neuroticism was not associated with either current cognitive performance or cognitive decline over a period of 3 years.

Aged↗

A large-sample study of sex differences in functional cerebral lateralization.

For practitioners, the importance of sex differences in lateralization lies in their potential prediction of susceptibility to and recovery from hemispheric damage. However, previous literature reviews suggest that sex accounts for only 0.1-1% of the variance in asymmetry scores. Here a large-sample, single-laboratory approach uses tasks requiring the recognition of bargraphs, dichotic words, facial emotions, locations, and visual words, and visual line bisection, each sensitive to lateralization of a separate mental module. The results agree with previous reviews, with sex accounting for a maximum of 0.9% and an average of 0.09% of the variance, suggesting that sex has little predictive clinical utility. However, the strength of relationship between sex and laterality depends on the nature of the lateralized task, presumably because of differences between tasks in underlying lateralized modules.

Adolescent↗

Internal anal sphincter function following lateral internal sphincterotomy for anal fissure: a long-term manometric study.

BACKGROUND: Anal fissure is a common and painful disorder. Its relation to hypertonic anal sphincter is controversial. The most common surgical treatment of chronic anal fissure is lateral internal sphincterotomy. OBJECTIVE: The aim of this study was to evaluate long-term manometric results of sphincter healing following lateral internal sphincterotomy. PATIENTS AND METHODS: Between 2000 and 2003, 50 patients with anal fissure were included in this study and underwent sphincterotomy; 12 healthy patients served as controls. All patients with anal fissure underwent manometric evaluation using a 6-channel perfusion catheter. All patients were examined 1 month before surgery and 1, 3, 6, and 12 months following surgery. The control group had 3 manometric evaluations 6 months apart. RESULTS: The mean basal resting pressure before surgery was 138 +/- 28 mm Hg. One month after surgery, the pressure dropped to 86 +/- 15 mm Hg (P < 0.0001) and gradually rose to a plateau at 12 months (110 +/- 18 mm Hg, P < 0.0001). At 12 months, the manometric pressure was significantly lower than the baseline (P < 0.0001). However, manometric measurements in the fissure group were still significantly higher than in the control group (110 +/- 18 versus 73 +/- 4.8 mm Hg, P < 0.0001). All patients were free of symptoms at the 12-month follow-up. CONCLUSION: Lateral internal sphincterotomy caused a significant decline in the resting anal pressure. During the first year following surgery, the tone of the internal anal sphincter gradually increased, indicating recovery, but still remained significantly lower than before surgery. However, postoperative resting pressures were higher than those in the control, and no patient suffered any permanent problems with incontinence, so this decrease may not be clinically significant.

Adult↗

Symmetrical lateralization of function in the auditory system of the cat: effects of unilateral ablation of cortex.

We have presented behavioral evidence suggesting that one function of auditory cortex is to attend to stimuli at the contralateral ear. Further, behavioral and anatomic evidence shows that the neural mechanisms for this function probably depend on a pathway that crosses at the level of the medulla, bypasses the superior olive, and ascends to the contralateral inferior colliculus. At higher centers there are several auditory pathways from thalamus to cortex, as well as descending pathways from cortex, and some of these pathways may play a role in selective listening with one ear.

Acoustic Stimulation↗

Radiographic evidence of impaired pulmonary function in laterally recumbent anaesthetised horses.

Studies in conscious and anaesthetised ponies demonstrated that starvation, anaesthesia and changes in body position influence the radiographic appearance of the lungs in the lateral and dorsoventral views. Radiographic appearances could not be closely correlated with blood gas values, but they suggested that the volume of the lowermost lung of the laterally recumbent animal is greatly reduced.

Anesthesia↗

Emergence of unreported stimuli into imagery as a function of laterality of presentation: a replication and extension of research by Henley & Dixon (1974).

In Expt. 1, the research by Henley & Dixon (1974) was replicated. Two experimental groups (n=8 each) received subliminal words to the right ear and 8 min of music to the left ear or vice versa. Each group had its own control (n=8 each) with only music to one ear. Categorization and ranking of imagery reported, as well as performance on a checklist containing critical, associated, and non-related words, showed that emergence was greater with words to the right ear than with no words. There was no difference between experimental and control groups with words to the left ear. In Expt. 2, the music was eliminated, and subjects received subliminal words to the right ear (n=8) or no words. A significant difference between groups was found when the reported imagery was ranked as to emergence, and on the checklist, but not when the reports were categorized by judges.

Auditory Perception↗

Spectrum of the syndrome of the isolated fourth ventricle in posthemorrhagic hydrocephalus of the premature infant.

Ten patients who were premature born and had intracranial/intraventricular hemorrhage and developed hydrocephalus in early life were treated with ventriculoperitoneal shunts because of progression of the hydrocephalus. The hydrocephalus remained well controlled but in a follow-up period of 2 months to 7 years after shunt placement the patients developed an isolated fourth ventricle that required treatment. The presenting symptoms varied: increasing head size, fontanelle fullness, irritability difficulty with swallowing, vomiting, hypoactivity, headaches and lethargy. One patient presented with full cardiorespiratory arrest and expired. The remainder on neuroimaging studies revealed an extremely large fourth ventricle creating a mass effect and very small (slit-like) lateral ventricles, indicating a functioning lateral ventricle-peritoneal shunt. These patients were treated with the placement of a fourth ventricle shunt catheter and connection to the existing shunt, with resolution of symptoms. Premature infants with hydrocephalus need to be followed and assessed for findings of the syndrome of the isolated fourth ventricle in an attempt to prevent sudden neurological deterioration.

Cerebral Hemorrhage↗

[Results and indications of lateral ileostomy functionally terminated in colorectal surgery].

UNLABELLED: Loop ileostomy (LI) ensures fecal diversion to protect an anastomosis or anatomic colorectal or ano-perineal damage. The aim of this retrospective study was to evaluate loop ileostomy morbidity in emergency and planned colorectal surgery. PATIENTS AND METHODS: From 1991 to 1996, 145 loop ileostomies were performed in 139 patients, 77 men and 62 women with a mean age of 48.7 years (15-82). The etiology was a rectal tumor (cancer or large villous tumor n = 47), inflammatory bowel disease (n = 47, ulcerative colitis = 37 and Crohn's disease = 10) Familial Adenomatous Polyposis (n = 13) and other diseases (n = 32). 80% LI (n = 116) protected ileo-anal anastomoses (n = 46) colo-anal anastomoses (n = 45, 26 with colonic pouch), ileo-rectal anastomoses (n = 11) and other anastomoses (n = 15). 20% LI (n = 29) dysfunctional ano-perineal lesions (n = 8), anastomosis leak (n = 4) or distal bowel without intestinal resection (n = 17). RESULTS: 7 deaths were not stoma-related. 91% LI were closed after a mean diversion time of 3.6 months. LI closure was performed by a parastomal (n = 128) or laparotomy procedure (n = 4). Morbidity during LI diversion was observed in 24 patients (16.5%) 12 of whom (8.3%) were operated for small bowel obstruction (n = 6; 4.2%) stoma revision (n = 5; 3.5%) and prolapse (n = 1; 0.7%). 2 patients had peristomal skin excoriations, and 5 patients required readmission for dehydration due to high LI output. Morbidity after LI closure was observed in 12 patients (8.6%) 5 of whom were operated for anastomotic leak (n = 4) or small bowel obstruction (n = 1). Low morbidity and defunctioning efficiency confirm the indications for LI. LI is our first-line stoma in planned or emergency colorectal surgery.

Adenomatous Polyposis Coli↗