Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 186
Filtrar
1.
Brain Res ; 1841: 149088, 2024 Jun 13.
Artículo en Inglés | MEDLINE | ID: mdl-38879143

RESUMEN

Sleep is a daily experience across humans and other species, yet our understanding of how and why we sleep is presently incomplete. This is particularly prevalent in research examining the neurophysiological measurement of sleepiness in humans, where several electroencephalogram (EEG) phenomena have been linked with prolonged wakefulness. This leaves researchers without a solid basis for the measurement of homeostatic sleep need and complicates our understanding of the nature of sleep. Recent theoretical and technical advances may allow for a greater understanding of the neurobiological basis of homeostatic sleep need: this may result from increases in neuronal excitability and shifts in excitation/inhibition balance in neuronal circuits and can potentially be directly measured via the aperiodic component of the EEG. Here, we review the literature on EEG-derived markers of sleepiness in humans and argue that changes in these electrophysiological markers may actually result from neuronal activity represented by changes in aperiodic markers. We argue for the use of aperiodic markers derived from the EEG in predicting sleepiness and suggest areas for future research based on these.

2.
PLoS One ; 19(5): e0292501, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38768220

RESUMEN

Human performance applications of mindfulness-based training have demonstrated its utility in enhancing cognitive functioning. Previous studies have illustrated how these interventions can improve performance on traditional cognitive tests, however, little investigation has explored the extent to which mindfulness-based training can optimise performance in more dynamic and complex contexts. Further, from a neuroscientific perspective, the underlying mechanisms responsible for performance enhancements remain largely undescribed. With this in mind, the following study aimed to investigate how a short-term mindfulness intervention (one week) augments performance on a dynamic and complex task (target motion analyst task; TMA) in young, healthy adults (n = 40, age range = 18-38). Linear mixed effect modelling revealed that increased adherence to the web-based mindfulness-based training regime (ranging from 0-21 sessions) was associated with improved performance in the second testing session of the TMA task, controlling for baseline performance. Analyses of resting-state electroencephalographic (EEG) metrics demonstrated no change across testing sessions. Investigations of additional individual factors demonstrated that enhancements associated with training adherence remained relatively consistent across varying levels of participants' resting-state EEG metrics, personality measures (i.e., trait mindfulness, neuroticism, conscientiousness), self-reported enjoyment and timing of intervention adherence. Our results thus indicate that mindfulness-based cognitive training leads to performance enhancements in distantly related tasks, irrespective of several individual differences. We also revealed nuances in the magnitude of cognitive enhancements contingent on the timing of adherence, regardless of total volume of training. Overall, our findings suggest that mindfulness-based training could be used in a myriad of settings to elicit transferable performance enhancements.


Asunto(s)
Cognición , Electroencefalografía , Atención Plena , Personalidad , Humanos , Atención Plena/métodos , Adulto , Masculino , Femenino , Personalidad/fisiología , Electroencefalografía/métodos , Adulto Joven , Cognición/fisiología , Adolescente , Entrenamiento Cognitivo
3.
Int J Tuberc Lung Dis ; 28(3): 122-139, 2024 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-38454186

RESUMEN

BACKGROUNDAlthough screening of household contacts (HHCs) of TB patients and provision of TB preventive therapy (TPT) is a key intervention to end the TB epidemic, their implementation globally is dismal. We assessed whether introducing a '7-1-7' timeliness metric was workable for implementing HHC screening among index patients with pulmonary TB diagnosed by private providers in Chennai, India, between November 2022 and March 2023.METHODSThis was an explanatory mixed-methods study (quantitative-cohort and qualitative-descriptive).RESULTSThere were 263 index patients with 556 HHCs. In 90% of index patients, HHCs were line-listed within 7 days of anti-TB treatment initiation. Screening outcomes were ascertained in 48% of HHCs within 1 day of line-listing. Start of anti-TB treatment, TPT or a decision to receive neither was achieved in 57% of HHC within 7 days of screening. Overall, 24% of screened HHCs in the '7-1-7' period started TPT compared with 16% in a historical control (P < 0.01). Barriers to achieving '7-1-7' included HHC reluctance for evaluation or TPT, refusal of private providers to prescribe TPT and reliance on facility-based screening of HHCs instead of home visits by health workers for screening.CONCLUSIONSIntroduction of a timeliness metric is a workable intervention that adds structure to HHC screening and timely management..


Asunto(s)
Trazado de Contacto , Tuberculosis Pulmonar , Humanos , Sector Privado , India/epidemiología , Tuberculosis Pulmonar/diagnóstico , Tuberculosis Pulmonar/epidemiología , Tuberculosis Pulmonar/prevención & control , Tamizaje Masivo/métodos
4.
Eur J Obstet Gynecol Reprod Biol ; 294: 39-42, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38211455

RESUMEN

OBJECTIVE: Obstetric anal sphincter injuries are feared perineal injuries that are associated with increased pelvic floor disorders. The knowledge of influencing factors as the mode of delivery is therefore important. The aim of this study is to compare the rate of obstetric anal sphincter injuries in primiparae after water and bed deliveries. STUDY DESIGN: In this retrospective cohort study 3907 primiparae gave birth in water or on a bed in a Swiss teaching hospital. The diagnosis of obstetric anal sphincter injuries was confirmed by a consultant of obstetrics and gynecology and treated by them. The rates of these injuries after water and bed births were compared. Subgroup analysis was performed to detect possible associative factors, such as birth weight, episiotomy, use of oxytocin in first and second stage of labor. RESULTS: 1844 (47.2 %) of the primiparae had a water delivery and 2063 (52.8 %) a bed delivery. 193 (4.94 %) were diagnosed with obstetric anal sphincter injuries, of which 68 (3.7 %) had a water delivery and 125 (6.1 %) a bed delivery, p < 0.001. Subgroup analysis revealed that, in the first and second stage of labor, the rate of obstetric anal sphincter injuries with oxytocin was significantly lower in water than in bed deliveries; p = 0.025, p < 0.017, respectively. The rate of obstetric anal sphincter injuries in the birth weight or episiotomy subgroups did not reach significance. CONCLUSIONS: In a teaching hospital setting with standardized labor management, primiparae with a water delivery have the lowest risk for obstetric anal sphincter injuries.


Asunto(s)
Laceraciones , Complicaciones del Trabajo de Parto , Embarazo , Femenino , Humanos , Parto Obstétrico/efectos adversos , Estudios Retrospectivos , Oxitocina/uso terapéutico , Canal Anal/lesiones , Peso al Nacer , Suiza/epidemiología , Factores de Riesgo , Episiotomía , Hospitales Públicos , Hospitales de Enseñanza , Complicaciones del Trabajo de Parto/epidemiología , Complicaciones del Trabajo de Parto/prevención & control , Laceraciones/epidemiología , Laceraciones/etiología , Laceraciones/prevención & control
5.
Psychophysiology ; 61(5): e14523, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38238554

RESUMEN

The ability to detect and subsequently correct errors is important in preventing the detrimental consequences of sleep loss. The Error Related Negativity (ERN), and the error positivity (Pe) are established neural correlates of error processing. Previous work has shown sleep loss reduces ERN and Pe, indicating sleep loss impairs error-monitoring processes. However, no previous work has examined behavioral error awareness, in conjunction with EEG measures, under sleep loss conditions, and studies of sleep restriction are lacking. Using combined behavioral and EEG measures, we report two studies investigating the impact of total sleep deprivation (TSD) and sleep restriction (SR) on error awareness. Fourteen healthy participants completed the Error Awareness Task under conditions of TSD and 27 completed the same task under conditions of SR. It was found that TSD did not influence behavioral error awareness or ERN or Pe amplitude, however, SR reduced behavioral error awareness, increased the time taken to detect errors, and reduced Pe amplitude. Findings indicate individuals who are chronically sleep restricted are at risk for reduced recognition of errors. Reduced error awareness may be one factor contributing to the increased accidents and injuries seen in contexts where sleep loss is prevalent.


Asunto(s)
Electroencefalografía , Potenciales Evocados , Humanos , Tiempo de Reacción , Privación de Sueño , Sueño , Desempeño Psicomotor , Concienciación
6.
Neurobiol Learn Mem ; 205: 107842, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-37848075

RESUMEN

Memory is critical for many cognitive functions, from remembering facts, to learning complex environmental rules. While memory encoding occurs during wake, memory consolidation is associated with sleep-related neural activity. Further, research suggests that individual differences in alpha frequency during wake (∼7 - 13 Hz) modulate memory processes, with higher individual alpha frequency (IAF) associated with greater memory performance. However, the relationship between wake-related EEG individual differences, such as IAF, and sleep-related neural correlates of memory consolidation has been largely unexplored, particularly in a complex rule-based memory context. Here, we aimed to investigate whether wake-derived IAF and sleep neurophysiology interact to influence rule learning in a sample of 35 healthy adults (16 males; mean age = 25.4, range: 18 - 40). Participants learned rules of a modified miniature language prior to either 8hrs of sleep or wake, after which they were tested on their knowledge of the rules in a grammaticality judgement task. Results indicate that sleep neurophysiology and wake-derived IAF do not interact but modulate memory for complex linguistic rules separately. Phase-amplitude coupling between slow oscillations and spindles during non-rapid eye-movement (NREM) sleep also promoted memory for rules that were analogous to the canonical English word order. As an exploratory analysis, we found that rapid eye-movement (REM) sleep theta power at posterior regions interacts with IAF to predict rule learning and proportion of time in REM sleep predicts rule learning differentially depending on grammatical rule type. Taken together, the current study provides behavioural and electrophysiological evidence for a complex role of NREM and REM sleep neurophysiology and wake-derived IAF in the consolidation of rule-based information.


Asunto(s)
Consolidación de la Memoria , Masculino , Adulto , Humanos , Consolidación de la Memoria/fisiología , Individualidad , Polisomnografía , Sueño/fisiología , Cognición , Electroencefalografía/métodos
8.
Neuropsychologia ; 180: 108483, 2023 02 10.
Artículo en Inglés | MEDLINE | ID: mdl-36638860

RESUMEN

The endeavour to understand human cognition has largely relied upon investigation of task-related brain activity. However, resting-state brain activity can also offer insights into individual information processing and performance capabilities. Previous research has identified electroencephalographic resting-state characteristics (most prominently: the individual alpha frequency; IAF) that predict cognitive function. However, it has largely overlooked a second component of electrophysiological signals: aperiodic 1/ƒ activity. The current study examined how both oscillatory and aperiodic resting-state EEG measures, alongside traditional cognitive tests, can predict performance in a dynamic and complex, semi-naturalistic cognitive task. Participants' resting-state EEG was recorded prior to engaging in a Target Motion Analysis (TMA) task in a simulated submarine control room environment (CRUSE), which required participants to integrate dynamically changing information over time. We demonstrated that the relationship between IAF and cognitive performance extends from simple cognitive tasks (e.g., digit span) to complex, dynamic measures of information processing. Further, our results showed that individual 1/ƒ parameters (slope and intercept) differentially predicted performance across practice and testing sessions, whereby flatter slopes and higher intercepts were associated with improved performance during learning. In addition to the EEG predictors, we demonstrate a link between cognitive skills most closely related to the TMA task (i.e., spatial imagery) and subsequent performance. Overall, the current study highlights (1) how resting-state metrics - both oscillatory and aperiodic - have the potential to index higher-order cognitive capacity, while (2) emphasising the importance of examining these electrophysiological components within more dynamic settings and over time.


Asunto(s)
Cognición , Electroencefalografía , Humanos , Cognición/fisiología , Electroencefalografía/métodos , Aprendizaje , Fenómenos Electrofisiológicos , Encéfalo/diagnóstico por imagen , Encéfalo/fisiología
9.
Cereb Cortex ; 33(5): 1610-1625, 2023 02 20.
Artículo en Inglés | MEDLINE | ID: mdl-35470400

RESUMEN

Sleep supports memory consolidation as well as next-day learning. The influential "Active Systems" account of offline consolidation suggests that sleep-associated memory processing paves the way for new learning, but empirical evidence in support of this idea is scarce. Using a within-subjects (n = 30), crossover design, we assessed behavioral and electrophysiological indices of episodic encoding after a night of sleep or total sleep deprivation in healthy adults (aged 18-25 years) and investigated whether behavioral performance was predicted by the overnight consolidation of episodic associations from the previous day. Sleep supported memory consolidation and next-day learning as compared to sleep deprivation. However, the magnitude of this sleep-associated consolidation benefit did not significantly predict the ability to form novel memories after sleep. Interestingly, sleep deprivation prompted a qualitative change in the neural signature of encoding: Whereas 12-20 Hz beta desynchronization-an established marker of successful encoding-was observed after sleep, sleep deprivation disrupted beta desynchrony during successful learning. Taken together, these findings suggest that effective learning depends on sleep but not necessarily on sleep-associated consolidation.


Asunto(s)
Consolidación de la Memoria , Privación de Sueño , Adolescente , Adulto , Humanos , Adulto Joven , Aprendizaje/fisiología , Memoria/fisiología , Consolidación de la Memoria/fisiología , Sueño/fisiología , Estudios Cruzados
10.
Plant Dis ; 107(6): 1867-1873, 2023 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-36471461

RESUMEN

Powdery mildew is a common disease of hemp in greenhouses in Tennessee. Fungicide efficacy data can support the use or approval of new fungicides. Therefore, two greenhouse experiments were conducted to assess the efficacy of nine commercial fungicides against powdery mildew. 'BaOx2' or 'Sweetened' hemp cultivars, which are susceptible to powdery mildew, were inoculated with a conidial suspension 1 day before or 1 day after the first fungicide application. Two additional fungicide applications were made at 7-day intervals by thoroughly spraying the plants using a hand-held sprayer. Control plants were sprayed with water only. Weekly disease incidence and severity ratings were done three times. Disease index and the area under the disease progress curve were calculated. All the fungicides significantly reduced powdery mildew symptoms. Compared with the control plants, disease reductions ranged from 76 to 100%. Bonide sulfur, Luna Experience, and MilStop exhibited "excellent" efficacy, reducing disease symptoms by 96 to 100%. Cinnerate, Exile, Regalia, and Sil-Matrix exhibited "very good" efficacy, reducing disease symptoms by 86 to 95%. Defguard and Stargus exhibited "good" efficacy, reducing disease symptoms by 76 to 85%. Koch's postulates were performed with the PM isolate used in this study. The isolate recovered following inoculation was found to be identical to the original isolate used in the experiments. The isolate was identified as Golovinomyces ambrosiae based on ITS, IGS, and ß-tubulin sequencing and phylogenetic analysis with nucleotide sequences from closely related species. These findings provide useful information for the control of hemp powdery mildew and further research.


Asunto(s)
Cannabis , Fungicidas Industriales , Fungicidas Industriales/farmacología , Tennessee , Filogenia , Erysiphe
11.
Sci Rep ; 12(1): 16172, 2022 09 28.
Artículo en Inglés | MEDLINE | ID: mdl-36171478

RESUMEN

Effective teams are essential for optimally functioning societies. However, little is known regarding the neural basis of two or more individuals engaging cooperatively in real-world tasks, such as in operational training environments. In this exploratory study, we recruited forty individuals paired as twenty dyads and recorded dual-EEG at rest and during realistic training scenarios of increasing complexity using virtual simulation systems. We estimated markers of intrinsic brain activity (i.e., individual alpha frequency and aperiodic activity), as well as task-related theta and alpha oscillations. Using nonlinear modelling and a logistic regression machine learning model, we found that resting-state EEG predicts performance and can also reliably differentiate between members within a dyad. Task-related theta and alpha activity during easy training tasks predicted later performance on complex training to a greater extent than prior behaviour. These findings complement laboratory-based research on both oscillatory and aperiodic activity in higher-order cognition and provide evidence that theta and alpha activity play a critical role in complex task performance in team environments.


Asunto(s)
Encéfalo , Electroencefalografía , Cognición , Humanos , Análisis y Desempeño de Tareas
12.
Front Hum Neurosci ; 16: 821191, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35615744

RESUMEN

Relatively little is known regarding the interaction between encoding-related neural activity and sleep-based memory consolidation. One suggestion is that a function of encoding-related theta power may be to "tag" memories for subsequent processing during sleep. This study aimed to extend previous work on the relationships between sleep spindles, slow oscillation-spindle coupling, and task-related theta activity with a combined Deese-Roediger-McDermott (DRM) and nap paradigm. This allowed us to examine the influence of task- and sleep-related oscillatory activity on the recognition of both encoded list words and associative theme words. Thirty-three participants (29 females, mean age = 23.2 years) learned and recognised DRM lists separated by either a 2 h wake or sleep period. Mixed-effects modelling revealed the sleep condition endorsed more associative theme words and fewer list words in comparison to the wake group. Encoding-related theta power was also found to influence sleep spindle density, and this interaction was predictive of memory outcomes. The influence of encoding-related theta was specific to sleep spindle density, and did not appear to influence the strength of slow oscillation-spindle coupling as it relates to memory outcomes. The finding of interactions between wakeful and sleep oscillatory-related activity in promoting memory and learning has important implications for theoretical models of sleep-based memory consolidation.

13.
J Cogn Neurosci ; 34(9): 1630-1649, 2022 08 01.
Artículo en Inglés | MEDLINE | ID: mdl-35640095

RESUMEN

Memory formation involves the synchronous firing of neurons in task-relevant networks, with recent models postulating that a decrease in low-frequency oscillatory activity underlies successful memory encoding and retrieval. However, to date, this relationship has been investigated primarily with face and image stimuli; considerably less is known about the oscillatory correlates of complex rule learning, as in language. Furthermore, recent work has shown that nonoscillatory (1/ƒ) activity is functionally relevant to cognition, yet its interaction with oscillatory activity during complex rule learning remains unknown. Using spectral decomposition and power-law exponent estimation of human EEG data (17 women, 18 men), we show for the first time that 1/ƒ and oscillatory activity jointly influence the learning of word order rules of a miniature artificial language system. Flexible word-order rules were associated with a steeper 1/ƒ slope, whereas fixed word-order rules were associated with a shallower slope. We also show that increased theta and alpha power predicts fixed relative to flexible word-order rule learning and behavioral performance. Together, these results suggest that 1/ƒ activity plays an important role in higher-order cognition, including language processing, and that grammar learning is modulated by different word-order permutations, which manifest in distinct oscillatory profiles.


Asunto(s)
Electroencefalografía , Lenguaje , Cognición/fisiología , Electroencefalografía/métodos , Femenino , Humanos , Aprendizaje , Masculino , Aprendizaje Verbal
14.
Public Health Action ; 11(Suppl 1): 1-5, 2021 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-34778008

RESUMEN

SETTING: Biratnagar Eye Hospital, Biratnagar, Nepal, which offers ear surgery for chronic suppurative otitis media (CSOM). OBJECTIVE: In patients with CSOM awaiting surgery, to determine the 1) sociodemographic characteristics 2) bacterial isolates and their antibiotic resistance patterns and 3) characteristics of those refused surgery, including antibiotic resistance. DESIGN: A cohort study using hospital data, January 2018-January 2020. RESULTS: Of 117 patients with CSOM and awaiting surgery, 64% were in the 18-35 years age group, and 79% were cross-border from India. Of 118 bacterial isolates, 80% had Pseudomonas aeruginosa and 16% had Staphylococcus aureus. All isolates showed multidrug resistance to nine of the 12 antibiotics tested. The lowest antibiotic resistance in P. aeruginosa was for vancomycin (29%) and moxifloxacin (36%), and for S. aureus, this was vancomycin (9%) and amikacin (17%). Fourteen (12%) patients underwent surgery: myringoplasty (n = 7, 50%), cortical mastoidectomy with tympanostomy (n = 4, 29%) and modified radical mastoidectomy (n = 3, 21%). Those infected with P. aeruginosa and with resistance to over six antibiotics were significantly more likely to be refused for surgery. CONCLUSION: Patients awaiting ear surgery were predominantly infected with multidrug-resistant P. aeruginosa and were consequently refused surgery. This study can help inform efforts for improving surgical uptake and introducing cross-border antimicrobial resistance surveillance.


LIEU: Hôpital ophtalmologique de Biratnagar, Népal, qui propose des interventions chirurgicales de l'oreille aux patients atteints d'otite moyenne chronique suppurée (CSOM). OBJECTIF: Déterminer 1) les caractéristiques sociodémographiques, 2) les isolats bactériens et leurs profils de résistance aux antibiotiques et 3) les caractéristiques des patients se voyant refuser la chirurgie (dont résistance aux antibiotiques) chez les patients atteints de CSOM en attente de chirurgie. MÉTHODE: Étude de cohorte réalisée à l'aide de données hospitalières, janvier 2018-janvier 2020. RÉSULTATS: Sur les 117 patients atteints de CSOM en attente de chirurgie, 64% appartenaient à la tranche d'âge des 18­35 ans et 79% étaient des patients transfrontaliers en provenance d'Inde. Sur 118 isolats bactériens, 80% étaient des isolats de Pseudomonas aeruginosa et 16% de Staphylococcus aureus. Tous les isolats ont montré une résistance à neuf des 12 antibiotiques testés. Les plus faibles résistances chez P. aeruginosa étaient celles à la vancomycine (29%) et à la moxifloxacine (36%). Pour S. aureus, il s'agissait de celles à la vancomycine (9%) et à l'amikacine (17%). Quatorze (12%) patients ont subi une intervention chirurgicale : myringoplastie (n = 7, 50%), mastoïdectomie corticale avec tympanotomie (n = 4, 29%) et mastoïdectomie radicale modifiée (n = 3, 21%). Les patients infectés par P. aeruginosa avec une résistance à plus de six antibiotiques étaient significativement plus susceptibles de se voir refuser la chirurgie. CONCLUSION: Les patients en attente de chirurgie de l'oreille étaient principalement infectés par un isolat multirésistant de P. aeruginosa, et se sont donc vu refuser la chirurgie. Cette étude peut permettre d'orienter les efforts visant à améliorer le taux de chirurgies réalisées et à mettre en place une surveillance transfrontalière des résistances antimicrobiennes.

15.
Public Health Action ; 11(Suppl 1): 32-37, 2021 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-34778013

RESUMEN

SETTING: Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu, Nepal. OBJECTIVES: 1) To report the incidence of health-care-associated infections (HAIs), 2) to compare demographic, clinical characteristics and hospital outcomes in those with and without HAIs; and 3) to verify bacterial types in HAI and community-acquired infections (CAIs) among inpatients with invasive devices and/or surgical procedures. DESIGN: This was a cohort study using secondary data (December 2017 to April 2018). RESULTS: Of 1,310 inpatients, 908 (69.3%) had surgical procedures, 125 (9.5%) had invasive devices and 277 (21.1%) both. Sixty-six developed HAIs (incidence = 5/100 patient admissions, 95% CI 3.9-6.3). Individuals with HAIs had a 5.5-fold higher risk of longer hospital stays (⩾7 days) and a 6.9-fold risk of being in intensive care compared to the surgical ward. Unfavourable hospital exit outcomes were higher in those with HAIs (4.5%) than in those without (0.9%, P = 0.02). The most common HAI bacteria (n = 70) were Escherichia coli (44.3%), Enterococcus spp. (22.9%) and Klebsiella spp. (11.4%). Of 98 CAIs with 41 isolates, E. coli (36.6%), Staphylococcus aureus (22.0%) and methicillin-resistant S. aureus (14.6%) were common. CONCLUSION: We found relatively low incidence of HAIs, which reflects good infection prevention and control standards. This study serves as a baseline for future monitoring and action.


LIEU: Hôpital de Dhulikhel, Hôpital Universitaire de Katmandu, Katmandu, Népal. OBJECTIFS: 1) Rapporter l'incidence des infections associées aux soins (HAI), 2) comparer les caractéristiques démographiques et cliniques et les résultats hospitaliers chez les patients atteints et non atteints de HAI ; et 3) vérifier les types bactériens des HAI et des infections communautaires (CAI) parmi les patients hospitalisés avec dispositifs invasifs et/ou ayant subi une intervention chirurgicale. MÉTHODE: Étude de cohorte réalisée en utilisant des données secondaires (décembre 2017 à avril 2018). RÉSULTATS: Sur 1 310 patients hospitalisés, 908 (69,3%) ont subi une intervention chirurgicale, 125 (9,5%) avaient des dispositifs invasifs et 277 (21,1%) avaient à la fois un dispositif invasif et subi une intervention chirurgicale. Au total, 66 ont contracté une HAI (incidence = 5/100 admissions de patients, IC 95% 3,9-6,3). Les patients atteints de HAI avaient un risque 5,5 fois plus élevé de séjour prolongé à l'hôpital (⩾7 jours) et un risque 6,9 fois plus élevé d'être admis en soins intensifs qu'en service de chirurgie. Les résultats défavorables à une sortie d'hôpital étaient plus fréquents chez ceux atteints de HAI (4,5%) que chez ceux non atteints de HAI (0,9%, P = 0,02). Les bactéries les plus fréquemment responsables de HAI (n = 70) étaient Escherichia coli (44,3%), Enterococcus spp. (22,9%) et Klebsiella spp. (11,4%). Sur 98 CAI avec 41 isolats, E. coli (36,6%), Staphylococcus aureus (22,0%) et S. aureus résistant à la méticilline (14,6%) étaient les plus fréquents. CONCLUSION: Nous avons observé une incidence relativement faible de HAI, ce qui reflète de bons standards de contrôle et de prévention des infections. Cette étude sert de référence à de futures actions et stratégies de suivi.

16.
Neuron ; 109(13): 2047-2074, 2021 07 07.
Artículo en Inglés | MEDLINE | ID: mdl-34237278

RESUMEN

Despite increased awareness of the lack of gender equity in academia and a growing number of initiatives to address issues of diversity, change is slow, and inequalities remain. A major source of inequity is gender bias, which has a substantial negative impact on the careers, work-life balance, and mental health of underrepresented groups in science. Here, we argue that gender bias is not a single problem but manifests as a collection of distinct issues that impact researchers' lives. We disentangle these facets and propose concrete solutions that can be adopted by individuals, academic institutions, and society.


Asunto(s)
Equidad de Género , Investigadores , Sexismo , Universidades/organización & administración , Femenino , Humanos , Masculino , Investigación/organización & administración
17.
Hum Mov Sci ; 78: 102829, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34139391

RESUMEN

An emerging body of work has demonstrated that resting-state non-oscillatory, or aperiodic, 1/f neural activity is a functional and behaviorally relevant marker of cognitive function capacity. In the motor domain, previous work has only applied 1/f analyses to investigations of motor coordination and performance measures. The value of aperiodic resting-state neural dynamics as a marker of individual visuomotor performance capacity remains unknown. Accordingly, the aim of this work was to investigate if individual 1/f intercept and slope parameters of aperiodic resting-state neural activity predict reaction time and perceptual sensitivity in an immersive virtual reality marksmanship task. The marksmanship task required speeded selection of target stimuli and avoidance of selecting non-target stimuli. Motor and perceptual demands were incrementally increased across task blocks and participants performed the task across three training sessions spanning one week. When motor demands were high, steeper individual 1/f slope predicted shorter reaction time. This relationship did not change with practice. Increased 1/f intercept and a steeper 1/f slope were associated with higher perceptual sensitivity, measured as d'. However, this association was only observed under the highest levels of perceptual demand and only in the initial exposure to these conditions. Individuals with a lower 1/f intercept and a shallower 1/f slope demonstrated the greatest gains in perceptual sensitivity from task practice. These findings demonstrate that individual differences in motor and perceptual performance can be accounted for with resting-state aperiodic neural dynamics. The 1/f aperiodic parameters are most informative in predicting visuomotor performance under complex and demanding task conditions. In addition to predicting capacity for high visuomotor performance with a novel task, 1/f aperiodic parameters might also be useful in predicting which individuals might derive the most improvements from practice.


Asunto(s)
Individualidad , Aprendizaje , Cognición , Humanos , Desempeño Psicomotor , Tiempo de Reacción
18.
Plant Dis ; 105(10): 3000-3007, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-33736467

RESUMEN

Phytophthora blight is a destructive disease caused by the oomycete Phytophthora capsici, which affects vegetable production throughout the state of Tennessee and worldwide. Fungicides are a primary control method used in managing Phytophthora blight, but in some cases the efficacy of these products has been reduced or lost in the field. In 2018 and 2019, the efficacy of six fungicides was tested in vitro on 184 P. capsici isolates collected in Tennessee using radial growth assays. The fungicides included in the study were mefenoxam, fluopicolide, oxathiapiprolin, dimethomorph, mandipropamid, and cyazofamid. Seven isolates were resistant to mefenoxam, 86 were resistant to fluopicolide, one was resistant to oxathiapiprolin, and 13 were resistant to cyazofamid. None were resistant to dimethomorph or mandipropamid. Of the 86 isolates resistant to fluopicolide, five were also resistant to mefenoxam. Resistance to fluopicolide and cyazofamid was widespread in Tennessee, and it was more localized for mefenoxam and oxathiapiprolin. The results of this study show that fungicide resistance is widespread in P. capsici in Tennessee, and the implications for Phytophthora blight management are discussed.


Asunto(s)
Fungicidas Industriales/farmacología , Phytophthora , Enfermedades de las Plantas/microbiología , Alanina/análogos & derivados , Amidas , Benzamidas , Ácidos Carboxílicos , Hidrocarburos Fluorados , Imidazoles , Morfolinas , Phytophthora/efectos de los fármacos , Pirazoles , Sulfonamidas , Tennessee
19.
Behav Res Methods ; 53(3): 1218-1239, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-33021699

RESUMEN

Artificial grammar learning (AGL) paradigms are used extensively to characterise (neuro)cognitive bases of language learning. However, despite their effectiveness in characterising the capacity to learn complex structured sequences, AGL paradigms lack ecological validity and typically do not account for cross-linguistic differences in sentence comprehension. Here, we describe a new modified miniature language paradigm - Mini Pinyin - that mimics natural language as it is based on an existing language (Mandarin Chinese) and includes both structure and meaning. Mini Pinyin contains a number of cross-linguistic elements, including varying word orders and classifier-noun rules. To evaluate the effectiveness of Mini Pinyin, 76 (mean age = 24.9; 26 female) monolingual native English speakers completed a learning phase followed by a sentence acceptability judgement task. Generalised mixed effects modelling revealed that participants attained a moderate degree of accuracy on the judgement task, with performance scores ranging from 25% to 100% accuracy depending on the word order of the sentence. Further, sentences compatible with the canonical English word order were learned more efficiently than non-canonical word orders. We controlled for inter-individual differences in statistical learning ability, which accounted for ~20% of the variance in performance on the sentence judgement task. We provide stimuli and statistical analysis scripts as open-source resources and discuss how future research can utilise this paradigm to study the neurobiological basis of language learning. Mini Pinyin affords a convenient tool for improving the future of language learning research by building on the parameters of traditional AGL or existing miniature language paradigms.


Asunto(s)
Desarrollo del Lenguaje , Lenguaje , Adulto , Comprensión , Femenino , Humanos , Aprendizaje , Lingüística , Adulto Joven
20.
Neuropsychologia ; 148: 107660, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-33075330

RESUMEN

Alpha-band oscillatory activity is involved in modulating memory and attention. However, few studies have investigated individual differences in oscillatory activity during the encoding of emotional memory, particularly in sleep paradigms where sleep is thought to play an active role in memory consolidation. The current study aimed to address the question of whether individual alpha frequency (IAF) modulates the consolidation of declarative memory across periods of sleep and wake. 22 participants aged 18-41 years (mean age = 25.77) viewed 120 emotionally valenced images (positive, negative, neutral) and completed a baseline memory task before a 2hr afternoon sleep opportunity and an equivalent period of wake. Following the sleep and wake conditions, participants were required to distinguish between 120 learned (target) images and 120 new (distractor) images. This method allowed us to delineate the role of different oscillatory components of sleep and wake states in the emotional modulation of memory. Linear mixed-effects models revealed interactions between IAF, rapid eye movement sleep theta power, and slow-wave sleep slow oscillatory density on memory outcomes. These results highlight the importance of individual factors in the EEG in modulating oscillatory-related memory consolidation and subsequent behavioural outcomes and test predictions proposed by models of sleep-based memory consolidation.


Asunto(s)
Consolidación de la Memoria , Adulto , Emociones , Humanos , Aprendizaje , Memoria , Sueño
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...