ABSTRACT
New memories are labile and consolidate over time. Contemporary findings demonstrate that, like sleep, awake quiescence supports consolidation: people remember more new memories if they experience a brief period of post-encoding quiet rest than sensory processing. Furthermore, it was recently demonstrated that the quality of new memories can also be enhanced significantly by awake quiescence. This phenomenon offers great applied potential, for example, in education and eyewitness testimony settings. However, the translation of rest-related gains from the laboratory to everyday life remains poorly characterised and findings are mixed. Here, we report follow-on evidence demonstrating that rest-related gains in visual detail memory may be more challenging to achieve in naturalistic than laboratory-based settings. In contrast to established laboratory findings, using an online version of an established consolidation paradigm, we observed no memory benefit of post-encoding quiescence, relative to an engaging perceptual task, in the retention of detailed visual memories as measured through a lure discrimination task. This null finding could not be explained by intentional rehearsal in those who rested or between-group differences in participants' demographics or mental state, including fatigue and mood. Crucially, post-experimental reports indicated that those in the rest group experienced challenges in initiating and maintaining a state of quiescence, which may account for our null finding. Based on these findings, we propose three areas of focus for future work should rest-related gains in memory be translated from the lab to field: (1) to establish the specific environmental and individual conditions that are conducive and detrimental to awake consolidation, (2) to understand the barriers to initiating and maintaining a state of quiescence in naturalistic settings, and (3) to examine how knowledge of quiescence and its cognitive benefits can encourage the initiation and maintenance of states that are conductive to awake consolidation.
Subject(s)
Memory Consolidation , Memory , Humans , Rest/psychology , Mental Recall , Sleep , CognitionABSTRACT
Sedentary behaviors are increasing at the cost of millions of dollars spent in health care and productivity losses due to physical inactivity-related deaths worldwide. Understanding the mechanistic predictors of sedentary behaviors will improve future intervention development and precision medicine approaches. It has been posited that humans have an innate attraction towards effort minimization and that inhibitory control is required to overcome this prepotent disposition. Consequently, we hypothesized that individual differences in the functional connectivity of brain regions implicated in inhibitory control and physical effort decision making at the beginning of an exercise intervention in older adults would predict the change in time spent sedentary over the course of that intervention. In 143 healthy, low-active older adults participating in a 6-month aerobic exercise intervention (with three conditions: walking, dance, stretching), we aimed to use baseline neuroimaging (resting state functional connectivity of two a priori defined seed regions), and baseline accelerometer measures of time spent sedentary to predict future pre-post changes in objectively measured time spent sedentary in daily life over the 6-month intervention. Our results demonstrated that functional connectivity between (1) the anterior cingulate cortex and the supplementary motor area and (2) the right anterior insula and the left temporoparietal/temporooccipital junction, predicted changes in time spent sedentary in the walking group. Functional connectivity of these brain regions did not predict changes in time spent sedentary in the dance nor stretch and tone conditions, but baseline time spent sedentary was predictive in these conditions. Our results add important knowledge toward understanding mechanistic associations underlying complex out-of-session sedentary behaviors within a walking intervention setting in older adults.
Subject(s)
Brain/physiology , Motivation/physiology , Sedentary Behavior , Aged , Brain Mapping/methods , Connectome/methods , Exercise/psychology , Exercise Therapy/methods , Female , Forecasting/methods , Humans , Magnetic Resonance Imaging/methods , Male , Middle Aged , Rest/physiology , Rest/psychology , Time FactorsABSTRACT
OBJECTIVE: Although about 1-2% of MRI examinations must be aborted due to anxiety, there is little research on how MRI-related anxiety affects BOLD signals in resting states. METHODS: We re-analyzed cardiac beat-to beat interval (RRI) and BOLD signals of 23 healthy fMRI participants in four resting states by calculation of phase-coupling in the 0.07-0.13 Hz band and determination of positive time delays (pTDs; RRI leading neural BOLD oscillations) and negative time delays (nTDs; RRI lagging behind vascular BOLD oscillations). State anxiety of each subject was assigned to either a low anxiety (LA) or a high anxiety (HA, with most participants exhibiting moderate anxiety symptoms) category based on the inside scanner assessed anxiety score. RESULTS: Although anxiety strongly differed between HA and LA categories, no significant difference was found for nTDs. In contrast, pTDs indicating neural BOLD oscillations exhibited a significant cumulation in the high anxiety category. CONCLUSIONS: Findings may suggest that vascular BOLD oscillations related to slow cerebral blood circulation are of about similar intensity during low/no and elevated anxiety. In contrast, neural BOLD oscillations, which might be associated with a central rhythm generating mechanism (pacemaker-like activity), appear to be significantly intensified during elevated anxiety. SIGNIFICANCE: The study provides evidence that fMRI-related anxiety can activate a central rhythm generating mechanism very likely located in the brain stem, associated with slow neural BOLD oscillation.
Subject(s)
Anxiety/physiopathology , Brain Waves/physiology , Brain/physiology , Cerebrovascular Circulation/physiology , Heart Rate/physiology , Magnetic Resonance Imaging/methods , Adult , Anxiety/diagnostic imaging , Anxiety/psychology , Brain/diagnostic imaging , Female , Humans , Magnetic Resonance Imaging/psychology , Male , Photic Stimulation/methods , Psychomotor Performance/physiology , Rest/physiology , Rest/psychology , Young AdultABSTRACT
BACKGROUND: In relaxed adults, staying in quiet wakefulness at eyes closed is related to the so-called resting state electroencephalographic (rsEEG) rhythms, showing the highest amplitude in posterior areas at alpha frequencies (8-13âHz). OBJECTIVE: Here we tested the hypothesis that age may affect rsEEG alpha (8-12âHz) rhythms recorded in normal elderly (Nold) seniors and patients with mild cognitive impairment due to Alzheimer's disease (ADMCI). METHODS: Clinical and rsEEG datasets in 63 ADMCI and 60 Nold individuals (matched for demography, education, and gender) were taken from an international archive. The rsEEG rhythms were investigated at individual delta, theta, and alpha frequency bands, as well as fixed beta (14-30âHz) and gamma (30-40âHz) bands. Each group was stratified into three subgroups based on age ranges (i.e., tertiles). RESULTS: As compared to the younger Nold subgroups, the older one showed greater reductions in the rsEEG alpha rhythms with major topographical effects in posterior regions. On the contrary, in relation to the younger ADMCI subgroups, the older one displayed a lesser reduction in those rhythms. Notably, the ADMCI subgroups pointed to similar cerebrospinal fluid AD diagnostic biomarkers, gray and white matter brain lesions revealed by neuroimaging, and clinical and neuropsychological scores. CONCLUSION: The present results suggest that age may represent a deranging factor for dominant rsEEG alpha rhythms in Nold seniors, while rsEEG alpha rhythms in ADMCI patients may be more affected by the disease variants related to earlier versus later onset of the AD.
Subject(s)
Aging/physiology , Alpha Rhythm/physiology , Alzheimer Disease/diagnostic imaging , Amnesia/diagnostic imaging , Cognition/physiology , Cognitive Dysfunction/diagnostic imaging , Aged , Aged, 80 and over , Aging/psychology , Alzheimer Disease/physiopathology , Alzheimer Disease/psychology , Amnesia/physiopathology , Amnesia/psychology , Cognitive Dysfunction/physiopathology , Cognitive Dysfunction/psychology , Electroencephalography/methods , Female , Humans , Magnetic Resonance Imaging/methods , Male , Middle Aged , Rest/physiology , Rest/psychologyABSTRACT
Resting-state fMRI (rsfMRI) reveals brain dynamics in a task-unconstrained environment as subjects let their minds wander freely. Consequently, resting subjects navigate a rich space of cognitive and perceptual states (i.e., ongoing experience). How this ongoing experience shapes rsfMRI summary metrics (e.g., functional connectivity) is unknown, yet likely to contribute uniquely to within- and between-subject differences. Here we argue that understanding the role of ongoing experience in rsfMRI requires access to standardized, temporally resolved, scientifically validated first-person descriptions of those experiences. We suggest best practices for obtaining those descriptions via introspective methods appropriately adapted for use in fMRI research. We conclude with a set of guidelines for fusing these two data types to answer pressing questions about the etiology of rsfMRI.
Subject(s)
Brain/diagnostic imaging , Brain/physiology , Magnetic Resonance Imaging/standards , Practice Guidelines as Topic/standards , Rest/physiology , Thinking/physiology , Humans , Magnetic Resonance Imaging/methods , Magnetic Resonance Imaging/psychology , Rest/psychologyABSTRACT
OBJECTIVE: To determine possible associations of hemispheric-regional alpha/theta ratio (α/θ) with neuropsychological test performance in Parkinson's Disease (PD) non-demented patients. METHODS: 36 PD were matched to 36 Healthy Controls (HC). The α/θ in eight hemispheric regions was computed from the relative power spectral density of the resting-state quantitative electroencephalogram (qEEG). Correlations between α/θ and performance in several neuropsychological tests were conducted, significant findings were included in a moderation analysis. RESULTS: The α/θ in all regions was lower in PD than in HC, with larger effect sizes in the posterior regions. Right parietal, and right and left occipital α/θ had significant positive correlations with performance in Judgement of Line Orientation Test (JLOT) in PD. Adjusted moderation analysis indicated that right, but not left, occipital α/θ influenced the JLOT performance related to PD. CONCLUSIONS: Reduction of the occipital α/θ, in particular on the right side, was associated with visuospatial performance impairment in PD. SIGNIFICANCE: Visuospatial impairment in PD, which is highly correlated with the subsequent development of dementia, is reflected in α/θ in the right posterior regions. The right occipital α/θ may represent a useful qEEG marker for evaluating the presence of early signs of cognitive decline in PD and the subsequent risk of dementia.
Subject(s)
Alpha Rhythm/physiology , Neuropsychological Tests , Parkinson Disease/physiopathology , Parkinson Disease/psychology , Rest/physiology , Theta Rhythm/physiology , Aged , Cognitive Dysfunction/diagnosis , Cognitive Dysfunction/physiopathology , Cognitive Dysfunction/psychology , Cross-Sectional Studies , Electroencephalography/methods , Female , Humans , Male , Middle Aged , Occipital Lobe/physiopathology , Parkinson Disease/diagnosis , Rest/psychologyABSTRACT
BACKGROUND: Fatigue mitigation strategies among night shift workers can include deliberate use of restful work breaks, taking naps, and consuming caffeine. However, nurses have frequently reported missing break opportunities, and the rationale for missed breaks remains unclear. The purpose of this study was to describe and interpret the lived experience of hospital night shift nurses taking breaks and the meaning of this phenomenon as it relates to the workplace. METHODS: Registered nurses (n = 16) from a U.S. community hospital were interviewed about how they took rest breaks during their shift. Data were analyzed with methods consistent to interpretive phenomenology. FINDINGS: Identified themes about the breaks included (a) breaks are a time to eat, (b) breaks are inconsistently supported by unit-level structures and processes, and (c) breaks are a luxury, not a right. CONCLUSIONS/APPLICATIONS TO PRACTICE: Nurses in this study reported an absence of consistent and restorative breaks. Organizations should analyze gaps within systems and processes to optimize a consistent, restorative nature of the break experience among nurses working night shift.
Subject(s)
Nurses/psychology , Rest/psychology , Shift Work Schedule/adverse effects , Adult , Attitude of Health Personnel , Female , Humans , Male , Middle Aged , Nurses/statistics & numerical data , Qualitative Research , Shift Work Schedule/psychology , Shift Work Schedule/statistics & numerical data , Work Schedule Tolerance/psychology , Workplace/psychology , Workplace/standardsABSTRACT
OBJECTIVES: To measure work-related burnout in all groups of health service staff during the COVID-19 pandemic and to identify factors associated with work-related burnout. DESIGN: Cross-sectional staff survey. SETTING: All staff grades and types across primary and secondary care in a single National Health Service organisation. PARTICIPANTS: 257 staff members completed the survey, 251 had a work-related burnout score and 239 records were used in the regression analysis. PRIMARY AND SECONDARY OUTCOME MEASURES: (1) Work-related burnout as measured by the Copenhagen Burnout Inventory; (2) factors associated with work-related burnout identified through a multiple linear regression model; and (3) factors associated with work-related burnout identified through thematic analysis of free text responses. RESULTS: After adjusting for other covariates (including age, sex, job, being able to take breaks and COVID-19 knowledge), we observed meaningful changes in work-related burnout associated with having different COVID-19 roles (p=0.03), differences in the ability to rest and recover during breaks (p<0.01) and having personal protective equipment concerns (p=0.04). Thematic analysis of the free text comments also linked burnout to changes in workload and responsibility and to a lack of control through redeployment and working patterns. Reduction in non-COVID-19 services has resulted in some members of staff feeling underutilised, with feelings of inequality in workload. CONCLUSIONS: Our analyses support anecdotal reports of staff struggling with the additional pressures brought on by COVID-19. All three of the factors we found to be associated with work-related burnout are modifiable and hence their effects can be mitigated. When we next find ourselves in extraordinary times the ordinary considerations of rest and protection and monitoring of the impact of new roles will be more important than ever.
Subject(s)
Burnout, Professional/epidemiology , COVID-19 , Health Personnel/psychology , Professional Role/psychology , Workload/psychology , Adolescent , Adult , COVID-19/epidemiology , Cross-Sectional Studies , Female , Health Workforce/organization & administration , Humans , Male , Middle Aged , Personal Protective Equipment/supply & distribution , Psychiatric Status Rating Scales , Rest/psychology , SARS-CoV-2 , State Medicine , United Kingdom/epidemiology , Young AdultABSTRACT
Cognitive states, such as rest and task engagement, share an 'intrinsic' functional network organization that is subject to minimal variation over time and yields stable signatures within an individual. Importantly, there are also transient state-specific functional connectivity (FC) patterns that vary across neural states. Here, we examine functional brain organization differences that underlie distinct states in a cross-sectional developmental sample. We compare FC fMRI data acquired during naturalistic viewing (i.e., movie-watching) and resting-state paradigms in a large cohort of 157 children and young adults aged 6-20. Naturalistic paradigms are commonly implemented in pediatric research because they maintain the child's attention and contribute to reduced head motion. It remains unknown, however, to what extent the brain-wide functional network organization is comparable during movie-watching and rest across development. Here, we identify a widespread FC pattern that predicts whether individuals are watching a movie or resting. Specifically, we develop a model for prediction of multilevel neural effects (termed PrimeNet), which can with high reliability distinguish between movie-watching and rest irrespective of age and that generalizes across movies. In turn, we characterize FC patterns in the most predictive functional networks for movie-watching versus rest and show that these patterns can indeed vary as a function of development. Collectively, these effects highlight a 'core' FC pattern that is robustly associated with naturalistic viewing, which also exhibits change across age. These results, focused here on naturalistic viewing, provide a roadmap for quantifying state-specific functional neural organization across development, which may reveal key variation in neurodevelopmental trajectories associated with behavioral phenotypes.
Subject(s)
Brain/growth & development , Magnetic Resonance Imaging/methods , Nerve Net/growth & development , Photic Stimulation/methods , Rest/physiology , Visual Perception/physiology , Adolescent , Brain/diagnostic imaging , Child , Databases, Factual/trends , Female , Forecasting , Humans , Magnetic Resonance Imaging/trends , Male , Motion Pictures/trends , Nerve Net/diagnostic imaging , Rest/psychology , Young AdultABSTRACT
Magnetic seizure therapy (MST) is emerging as a safe and well-tolerated experimental intervention for major depressive disorder (MDD), with very minimal cognitive side-effects. However, the underlying mechanism of action of MST remains uncertain. Here, we used resting-state electroencephalography (RS-EEG) to characterise the physiological effects of MST for treatment resistant MDD. We recorded RS-EEG in 21 patients before and after an open label trial of MST applied over the prefrontal cortex using a bilateral twin coil. RS-EEG was analysed for changes in functional connectivity, network topology, and spectral power. We also ran further baseline comparisons between the MDD patients and a cohort of healthy controls (n = 22). Network-based connectivity analysis revealed a functional subnetwork of significantly increased theta connectivity spanning frontal and parieto-occipital channels following MST. The change in theta connectivity was further found to predict clinical response to treatment. An additional widespread subnetwork of reduced beta connectivity was also elucidated. Graph-based topological analyses showed an increase in functional network segregation and reduction in integration in the theta band, with a decline in segregation in the beta band. Finally, delta and theta power were significantly elevated following treatment, while gamma power declined. No baseline differences between MDD patients and healthy subjects were observed. These results highlight widespread changes in resting-state brain dynamics following a course of MST in MDD patients, with changes in theta connectivity providing a potential physiological marker of treatment response. Future prospective studies are required to confirm these initial findings.
Subject(s)
Brain/physiopathology , Depressive Disorder, Major/physiopathology , Depressive Disorder, Major/therapy , Electroconvulsive Therapy/methods , Electroencephalography/methods , Nerve Net/physiopathology , Adult , Beta Rhythm/physiology , Cohort Studies , Depressive Disorder, Major/psychology , Female , Humans , Magnetic Field Therapy/methods , Male , Middle Aged , Rest/physiology , Rest/psychology , Seizures/physiopathology , Seizures/psychology , Theta Rhythm/physiologyABSTRACT
Several studies show altered heart rate variability (HRV) in autism spectrum disorder (ASD), but findings are neither universal nor specific to ASD. We apply a set of linear and nonlinear HRV measures-including phase rectified signal averaging-to segments of resting ECG data collected from school-age children with ASD, age-matched typically developing controls, and children with other psychiatric conditions characterized by altered HRV (conduct disorder, depression). We use machine learning to identify time, frequency, and geometric signal-analytical domains that are specific to ASD (receiver operating curve area = 0.89). This is the first study to differentiate children with ASD from other disorders characterized by altered HRV. Despite a small cohort and lack of external validation, results warrant larger prospective studies.
Subject(s)
Autism Spectrum Disorder/diagnosis , Autism Spectrum Disorder/physiopathology , Heart Rate/physiology , Machine Learning , Schools , Students , Autism Spectrum Disorder/psychology , Biomarkers , Child , Electrocardiography/methods , Female , Humans , Male , Problem Solving/physiology , Prospective Studies , Rest/physiology , Rest/psychology , Students/psychologyABSTRACT
Depression is often associated with dysfunction in the hypothalamic-pituitary-adrenal (HPA) axis and autonomic nervous system (ANS). Individuals with autism spectrum disorder (ASD) may experience physiological dysregulation and psychological comorbidities; however, the extent to which the interactions between these systems predict internalizing symptoms in ASD has not been investigated. The study examined interactions with the HPA axis and ANS in 10-13-year-old children with ASD (n = 41) and typical development (TD; n = 46). The interrelated systems uniquely contributed to depressive symptoms in ASD above and beyond any system in isolation. A reciprocal, parasympathetic-dominant ANS was related to fewer affective symptoms in ASD. Findings highlight the importance of examining arousal across multiple systems to more precisely identify profiles associated with maladaptive psychiatric outcomes in ASD.
Subject(s)
Autism Spectrum Disorder/physiopathology , Autism Spectrum Disorder/psychology , Depression/physiopathology , Depression/psychology , Rest/physiology , Rest/psychology , Adolescent , Arousal/physiology , Autonomic Nervous System/physiopathology , Child , Comorbidity , Depression/diagnosis , Female , Humans , Hypothalamo-Hypophyseal System/physiopathology , Male , Pituitary-Adrenal System/physiopathologyABSTRACT
Extensive research has established a relationship between individual differences in brain activity in a resting state and individual differences in behavior. Conversely, when individuals are engaged in various tasks, certain task-evoked reorganization occurs in brain functional connectivity, which can consequently influence individuals' performance as well. Here, we show that resting state and task-dependent state brain patterns interact as a function of contexts engendering stress. Findings revealed that when the resting state connectome was examined during performance, the relationship between connectome strength and performance only remained for participants under stress (who also performed worse than all other groups on the math task), suggesting that stress preserved brain patterns indicative of underperformance whereas non-stressed individuals spontaneously transitioned out of these patterns. Results imply that stress may impede the reorganization of a functional network in task-evoked brain states. This hypothesis was subsequently verified using graph theory measurements on a functional network, independent of behavior. For participants under stress, the functional network showed less topological alterations compared to non-stressed individuals during the transition from resting state to task-evoked state. Implications are discussed for network dynamics as a function of context.
Subject(s)
Brain/physiology , Connectome/methods , Nerve Net/physiology , Problem Solving/physiology , Social Environment , Stress, Psychological/psychology , Electroencephalography/methods , Female , Humans , Male , Mathematical Concepts , Psychomotor Performance/physiology , Rest/physiology , Rest/psychology , Stress, Psychological/physiopathologyABSTRACT
In normal old (Nold) and Alzheimer's disease (AD) persons, a high cognitive reserve (CR) makes them more resistant and resilient to brain neuropathology and neurodegeneration. Here, we tested whether these effects may affect neurophysiological oscillatory mechanisms generating dominant resting state electroencephalographic (rsEEG) alpha rhythms in Nold and patients with mild cognitive impairment (MCI) due to AD (ADMCI). Data in 60 Nold and 70 ADMCI participants, stratified in higher (Edu+) and lower (Edu-) educational attainment subgroups, were available in an Italian-Turkish archive. The subgroups were matched for age, gender, and education. RsEEG cortical sources were estimated by eLORETA freeware. As compared to the Nold-Edu- subgroup, the Nold-Edu+ subgroup showed greater alpha source activations topographically widespread. On the contrary, in relation to the ADMCI-Edu- subgroup, the ADMCI-Edu+ subgroup displayed lower alpha source activations topographically widespread. Furthermore, the 2 ADMCI subgroups had matched cerebrospinal AD diagnostic biomarkers, brain gray-white matter measures, and neuropsychological scores. The current findings suggest that a high CR may be related to changes in rsEEG alpha rhythms in Nold and ADMCI persons. These changes may underlie neuroprotective effects in Nold seniors and subtend functional compensatory mechanisms unrelated to brain structure alterations in ADMCI patients.
Subject(s)
Alpha Rhythm/physiology , Alzheimer Disease/physiopathology , Amnesia/physiopathology , Cerebral Cortex/physiopathology , Cognitive Dysfunction/physiopathology , Educational Status , Aged , Alzheimer Disease/psychology , Amnesia/psychology , Cognitive Dysfunction/psychology , Electroencephalography/methods , Female , Humans , Male , Neuropsychological Tests , Rest/physiology , Rest/psychologyABSTRACT
Schizophrenia is considered a connectivity disorder. Further, the functional connectivity (FC) of the default-mode network (DMN) has gained the interest of researchers. However, few studies have been conducted on the abnormal connectivity of DMN in early-onset schizophrenia (EOS). In this study, the key brain regions of the DMN were used as seed regions to analyze the FC of the whole brain in EOS. When the seed was located in the medial prefrontal cortex (mPFC), patients with EOS exhibited decreased FC between mPFC and other brain regions compared with healthy controls (voxel P value < 0.001, cluster P value < 0.05, Gaussian random field corrected). When the seed was located in the posterior cingulate cortex (PCC), the FC between PCC and other brain regions was enhanced and weakened (voxel P value < 0.001, cluster P value < 0.05, Gaussian random field corrected), and PCC connectivity with the right parahippocampal gyrus was associated with Positive and Negative Syndrome Scale scores for the general score (r = -0.315, P = 0.02). The results showed that the FC within the DMN and that between DMN and visual networks were abnormal, suggesting that the DMN might be involved in the pathogenesis of EOS.
Subject(s)
Brain/physiopathology , Default Mode Network , Gyrus Cinguli/anatomy & histology , Gyrus Cinguli/physiology , Magnetic Resonance Imaging/methods , Neural Pathways/physiopathology , Rest/psychology , Schizophrenia/physiopathology , Adolescent , Adult , Age Factors , Brain Mapping , Case-Control Studies , Female , Humans , Male , Pharmaceutical Preparations , Prefrontal Cortex/physiopathology , Schizophrenia/diagnosis , Young AdultABSTRACT
BACKGROUND: The COVID-19 pandemic is a public health challenge that puts health systems in a highly vulnerable situation. Nurses in critical care units (CCUs) and hospital emergency services (HESs) have provided care to patients with COVID-19 under pressure and uncertainty. OBJECTIVE: To identify needs related to safety, organisation, decision-making, communication and psycho-socio-emotional needs perceived by critical care and emergency nurses in the region of Madrid, Spain, during the acute phase of the epidemic crisis. METHODS: This is a cross-sectional study (the first phase of a mixed methods study) with critical care and emergency nurses from 26 public hospitals in Madrid using an online questionnaire. RESULTS: The response rate was 557, with 37.5% reporting working with the fear of becoming infected and its consequences, 28.2% reported elevated workloads, high patient-nurse ratios and shifts that did not allow them to disconnect or rest, while taking on more responsibilities when managing patients with COVID-19 (23.9%). They also reported deficiencies in communication with middle management (21.2%), inability to provide psycho-social care to patients and families and being emotionally exhausted (53.5%), with difficulty in venting emotions (44.9%). CONCLUSIONS: Critical care and emegency nurses may be categorised as a vulnerable population. It is thus necessary to delve deeper into further aspects of their experiences of the pandemic.
Subject(s)
Attitude of Health Personnel , Burnout, Professional/psychology , COVID-19/nursing , Critical Care Nursing , Emergency Nursing , Nurses , Workload , Adult , Communication , Critical Care , Cross-Sectional Studies , Delivery of Health Care , Emergency Service, Hospital , Family , Female , Hospital Administrators , Hospitals, Public , Humans , Intensive Care Units , Male , Middle Aged , Needs Assessment , Nurse Administrators , Nurses/psychology , Personnel Management , Rest/psychology , SARS-CoV-2 , Spain , Young AdultABSTRACT
Objectives were to evaluate the association between behavior and hoof lesions (HL) in lactating dairy cows. Jersey cows without any visible HL on all 4 legs were enrolled at 20 ± 3 d in milk (DIM), examined for body condition score (BCS), and had an automatic activity monitor (AfiTag II, AfiMilk, Afikim, Israel) attached to their right hind leg. At 120 ± 3 DIM, activity monitors were removed and cows were re-examined for HL and BCS. Cows were classified according to HL status as either healthy or with HL at d 120. Because sole hemorrhage (SH) accounted for over 80% of HL on d 120, SH was reclassified according to the number of feet affected. Daily activity data (daily lying duration, lying bouts, lying bout duration, and number of steps) of 344 cows collected between d 20 and d 120 were analyzed using restricted maximum likelihood linear mixed models with an autoregressive covariance structure. Separate models were built to include specific activities, HL status at d 120, DIM, interaction between lesion status at d 120 and DIM, parity, season of calving, and BCS change from d 20 to d 120 as fixed effects. Cow was included in all models as random effect. Incidence of HL at d 120 was 58.4% (n = 201 out of 344). Compared with healthy cows, cows with HL at d 120 had reduced daily lying duration (-0.53 h; 95% CI: -0.78 to -0.28 h) in the early postpartum period. We found no evidence for a difference in number of lying bouts (0.41; 95% CI: -0.76 to 1.59;), lying bout duration (-3.04 min; 95% CI: -6.6 to 0.49), and number of steps (62.14; 95% CI: -89.62 to 213.91) between cows that remained healthy and those that developed HL. Compared with healthy cows, cows that developed SH in 1 or more feet had reduced daily lying duration in the early postpartum period. Irrespective of lesion status at d 120, daily lying duration and lying bout duration increased from d 20 to d 120, whereas lying bout number and number of steps decreased from d 20 to d 120. We concluded that cows that developed HL had a reduced daily lying duration in the early postpartum period. Therefore, reduced daily lying duration should be considered a risk factor for HL development in lactating dairy cows.
Subject(s)
Cattle Diseases/psychology , Foot Diseases/veterinary , Hoof and Claw/pathology , Animals , Behavior, Animal , Cattle , Cattle Diseases/pathology , Female , Foot Diseases/psychology , Israel , Lactation , Milk , Postpartum Period , Pregnancy , Rest/psychology , SeasonsABSTRACT
Traumatic events have been proposed to be associated with hypo-activity of the hypothalamic-pituitary-adrenal (HPA) axis, but data in animal models exposed to severe stressors are controversial and have important methodological concerns. Individual differences in resting or stress levels of corticosterone might explain some of the inconsistencies. We then studied this issue in male rats exposed to 2 h immobilization on boards (IMO), a severe stressor. Thirty-six rats were blood sampled under resting conditions four times a day on three non-consecutive days. Then, they were assigned to control (n = 14) or IMO (n = 22) to study the HPA response to IMO, the stressor-induced alterations in the circadian pattern of corticosterone (CPCORT), and the behavioral and HPA responsiveness to an open-field. Individual differences in pre-IMO resting corticosterone were inconsistent, but averaging data markedly improved consistency. The CPCORT was markedly altered on day 1 post-IMO (higher trough and lower peak levels), less altered on day 3 and apparently normal on day 7. Importantly, when rats were classified in low and high resting corticosterone groups (LCORT and HCORT, respectively), on the basis of the area under the curve (AUC) of the averaged pre-IMO data, AUC differences between LCORT and HCORT groups were maintained in controls but disappeared in IMO rats during the post-IMO week. Open-field hypo-activity and corticosterone sensitization were similar in LCORT and HCORT groups nine days after IMO. A single IMO exposure causes long-lasting HPA alterations, some of them dependent on pre-stress resting corticosterone levels, with no evidence for post-IMO resting corticosterone hypo-activity.
Subject(s)
Corticosterone/metabolism , Restraint, Physical/psychology , Stress Disorders, Post-Traumatic/metabolism , Stress, Psychological/metabolism , Adrenocorticotropic Hormone/blood , Animals , Circadian Rhythm/physiology , Conditioning, Classical/physiology , Corticosterone/blood , Hypothalamo-Hypophyseal System/metabolism , Individuality , Male , Pituitary-Adrenal System/metabolism , Rats , Rats, Sprague-Dawley , Rest/physiology , Rest/psychology , Restraint, Physical/physiology , Stress Disorders, Post-Traumatic/blood , Stress Disorders, Post-Traumatic/etiology , Stress Disorders, Post-Traumatic/psychology , Stress, Psychological/bloodABSTRACT
Millions of women worldwide use oral contraceptives (OCs), often starting during puberty/adolescence. It is, however, unknown how OC use during this critical period of development affects the brain. The objective of the current study was to examine resting state functional connectivity (FC) in the default mode network (DMN), central executive network (CEN), salience network (SN), reward network (RN), and subcortical limbic network of the brain using independent component analysis (ICA) between pubertal- and adult-onset OC users (n = 27) and naturally cycling women (n = 48). It was hypothesized that OC use would result in network-specific increases and decreases in FC and that pubertal-onset OC use would result in differences to the aforementioned networks compared to adult-onset OC use. Pubertal-onset OC use is related to heightened FC in the SN compared to adult-onset OC users. In general, OC use also increases connectivity in the SN, CEN, RN, and subcortical limbic network compared to NC women. No significant differences in connectivity were observed in the DMN between OC users and NC women. These findings provide a mechanistic insight for the altered executive functioning and emotion/reward processing previously seen in OC users, which may then increase their vulnerability to mental health conditions.
Subject(s)
Brain/drug effects , Contraceptives, Oral/therapeutic use , Puberty/drug effects , Adolescent , Adult , Brain/diagnostic imaging , Brain/physiology , Brain Mapping/methods , Case-Control Studies , Contraceptives, Oral/adverse effects , Executive Function/drug effects , Female , Humans , Magnetic Resonance Imaging/methods , Male , Nerve Net/drug effects , Nerve Net/physiology , Puberty/physiology , Puberty/psychology , Rest/psychology , Young AdultABSTRACT
Music has been shown to enhance affective responses to continuous exercise, but the most effective application of music during interval exercise is poorly understood. This study examined two contrasting applications of music designed to assuage the decline in pleasure often experienced during high-intensity interval training (HIIT). In a repeated measures crossover design, 18 recreationally active participants (10 men and 8 women; M age = 25.1 ± 5.1 years; M BMI = 23.08 ± 2.01 kg/m 2; M VO2max = 38.82 ± 10.73 ml/kg/min) completed three HIIT sessions (10 x 60 s efforts at 100% Wmax, separated by 75 s recovery) on a cycle ergometer. Participants completed two experimental conditions: respite music (applied only during the recovery periods), continuous music (applied throughout the entire HIIT session); and a no-music control condition. Results indicated that music did not influence affective valence during the work bouts or recovery periods of the HIIT sessions (ps >.05), but that listening to music continuously elicited greater post-task enjoyment (p =.032, d = 0.66) and remembered pleasure (p =.044, d = 0.5). This study is the first to investigate the application of music during a practical HIIT protocol and to compare the effects of respite versus continuous music during interval exercise.