Executive functions in school-aged children exposed to airborne manganese: A multilevel analysis.

Neuropsychological alterations have been identified in populations heavily exposed to metals with neurotoxic potential, such as manganese (Mn). This study examined the associations between Mn environmental exposure in school-aged children and executive functions, using structural equation modeling. Children, aged between 7 and 12 years (N = 181), were recruited from four elementary schools located in a region that is under the influence of atmospheric emissions from a ferro-manganese alloy plant in the municipality of Simões Filho, Bahia, Brazil. The following cognitive functions were evaluated: Intelligence, Inhibitory Control, Cognitive Flexibility, Verbal and Design Fluency, Verbal and Visual Working Memory and Attention. We performed structural equation modeling to identify the following executive functions latent variables: working memory, inhibitory control and cognitive flexibility. We further analyzed the relations between executive functions and Mn measured in hair (MnH) and toenails (MnTn) with linear mixed models, after controlling for co-variables. A positive effect at the individual level on working memory, inhibition control and cognitive flexibility was observed with MnTn after controlling for co-variables, but no association was found with MnH levels. However, children attending school most environmentally exposed to Mn emissions, which had the highest rate of Mn dust deposition, had the poorest scores on working memory. These findings suggest both benefits and risk of Mn on children's cognitive development.

Assessment of DDT and mercury levels in fish and sediments in the Iriri River, Brazil: Distribution and ecological risk.

In order to assess the risk of exposure of human populations to dichlorodiphenyltrichloroethane (DDT) and mercury, muscles of five fish species were analysed, along with the surface sediment of 14 Iriri River sampling sites. The fish specimens were sacrificed by the spinal section, prior to sex identification, body weight determination and total length. Considering the fish specimens studied, 11% of them showed concentrations of mercury higher than the maximum established by the World Health Organization for safe human consumption. A positive correlation between fish body weight and mercury concentration was observed, besides a positive correlation between the fish size and Hg concentration. Significant differences (P < 0.05) were found between mean concentrations of DDT and metabolites among species of fish studied. In the Plagioscion squamossissimus species, the highest concentration of total DDT (151.4 ng/g) was found, while in Eugerres Brasilianus species, the lowest. However, the DDT levels in fish muscle of studied species are below the maximum set by FAO-Alimentarius CODEX. In the sediments, total DDT ranged from 11.58 ng/g to 48.4 ng/g, which is associated with the historical DDT use in the Amazon. According to sediment quality guidelines, these levels have a moderate toxic effect in almost all of the studied region.

Neuroendoscopic assessment of choroid plexus coagulation to release ventricular catheter: note on the seldinger technique.

Shunting is fundamental in neurosurgical practice and a large number of patients experience shunt dysfunction throughout life. The Seldinger technique seems to be a valuable tool in the management of dysfunctions and consists of coagulating the choroid plexus before shunt removal. We report the unique case of a neuroendoscopic view of choroid plexus coagulation by the Seldinger technique in a 7-year-old child with shunt dysfunction submitted to endoscopic third ventriculostomy and previous shunt removal. We reinforce the security and efficacy of the Seldinger technique with a direct neuroendoscopic view of the coagulation process.

Neurocognitive aspects of ketamine and esketamine on subjects with treatment-resistant depression: A comparative, randomized and double-blind study.

The objective of this study is to evaluate cognition in patients using either ketamine or esketamine to treat TRD. We also evaluate if both ketamine and esketamine as one group influence cognition in patients with TRD. Fifty-four patients with TRD were infused with either ketamine or esketamine and were assessed at three time points: baseline, 24 h, and 7 days after infusion. We applied neuropsychological tests to evaluate executive functions, processing speed, short term memory, and auditory-verbal episodic memory. There is no cognitive difference between ketamine and esketamine, with the exception of one variable. When considered as one group, ketamine and esketamine do not impair cognition; on the contrary, they improve some neuropsychological functions such as visuospatial short-term memory, executive functions, processing speed, and several measures related to episodic verbal memory. Ketamine and esketamine do not present differing cognitive effects when used in antidepressant doses to treat TRD. Furthermore, they rapidly improve many cognitive aspects of patients with TRD at 24 h after the infusion and maintain these effects for at least 7 days.

Afferent connections of the parvocellular reticular formation: a horseradish peroxidase study in the rat.

The afferent connections of the parvocellular reticular formation were systematically investigated in the rat with the aid of retrograde and anterograde horseradish peroxidase tracer techniques. The results indicate that the parvocellular reticular formation receives its main input from several territories of the cerebral cortex (namely the first motor, primary somatosensory and granular insular areas), districts of the reticular formation (including its contralateral counterpart, the intermediate reticular nucleus, the nucleus of Probst's bundle, the dorsal paragigantocellular nucleus, the alpha part of the gigantocellular reticular nucleus, the dorsal and ventral reticular nuclei of the medulla, and the mesencephalic reticular formation), the supratrigeminal nucleus and the deep cerebellar nuclei. Moderate to substantial input to the parvocellular reticular formation appears to come from the central amygdaloid nucleus, the parvocellular division of the red nucleus, and the orofacial and gustatory sensory cell groups (comprising the mesencephalic, principal and spinal trigeminal nuclei, and the rostral part of the nucleus of the solitary tract), whereas many other structures, including the substantia innominata, the field H2 of Forel, hypothalamic nuclei, the superior colliculus, the substantia nigra pars reticulata, the retrorubral field and the parabrachial complex, seem to represent relatively modest additional input sources. Some of these projections appear to be topographically distributed within the parvocellular reticular formation. From the present results it appears that the parvocellular reticular formation receives afferents from a restricted group of sensory structures. This finding calls into question the traditional characterization of the parvocellular reticular formation as an intermediate link between the sensory nuclei of the cranial nerves and the medial magnocellular reticular districts, identified as the effector components of the reticular apparatus. Some of the possible physiological correlates of the fiber connections of the parvocellular reticular formation in the context of oral motor behaviors, autonomic regulations, respiratory phenomena and sleep-waking mechanisms are briefly discussed.

Afferent connections of the zona incerta: a horseradish peroxidase study in the rat.

Restricted microelectrophoretic injections either of free horseradish peroxidase or of horseradish peroxidase conjugated with wheat germ agglutinin were given to albino rats in order to study the afferent connections of structures of the subthalamic region. The results suggest that the zona incerta receives its main input from several territories of the cerebral cortex, the mesencephalic reticular formation, deep cerebellar nuclei, regions of the sensory trigeminal nuclear complex and the dorsal column nuclei. Substantial input to the zona incerta appears to come from the superior colliculus, the anterior pretectal nucleus and the periaqueductal gray substance, whereas many other structures, among which hypothalamic nuclei, the locus coeruleus, the raphe complex, the parabrachial area and medial districts of the pontomedullary reticular formation, seem to represent relatively modest but consistent additional input sources. The afferentation of neurons in Forel's fields H1 and H2 appears to conform to the general pattern outlined above. As pointed out in the Discussion, the present results provide hodological support for the classic concept according to which the zona incerta can be regarded as a rostral extent of the midbrain reticular core. Some of the possible physiological correlates of the fiber connections of the zona incerta in the context of the sleep-waking cycle, ingestive behaviors, somatic motor mechanisms, visual functions and nociceptive behavior are briefly discussed.

Afferent connections of the mesencephalic reticular formation: a horseradish peroxidase study in the rat.

The afferent connections of the mesencephalic reticular formation were studied experimentally in the rat by the aid of the retrograde horseradish peroxidase tracer technique. The results suggest that the rostral portion of the mesencephalic reticular formation receives its main input from the cerebral cortex, the zona incerta and the fields of Forel, the central gray substance, the nuclei reticularis pontis oralis and caudalis, and the deep cerebellar nuclei. Substantial input to the same territory of the mesencephalic reticular formation appears to come from the superior colliculus, the substantia nigra, the parabrachial area, the spinal trigeminal nucleus, and the nucleus reticularis gigantocellularis, whereas several other brain structures, among which the locus coeruleus and the raphe complex, seem to represent modest but consistent additional input sources. The afferentation of more caudal portions of the mesencephalic reticular formation appears to conform to the general pattern outlined above with only three exceptions; the cerebral cortex, the deep cerebellar nuclei and the spinal trigeminal nucleus seem to be relatively modest sources of projections to these levels. Considering that the mesencephalic reticular formation is a critical structure in the "ascending activating systems" the present results, confirming and extending those of many other investigators, characterize a set of pathways that seem to be an important part of the anatomical substrate of the sleep-walking cycle.

Afferent connections of the nuclei reticularis pontis oralis and caudalis: a horseradish peroxidase study in the rat.

The afferent connections of the nuclei reticularis pontis oralis and caudalis were studied experimentally in the rat by the aid of either free horseradish peroxidase or horseradish peroxidase conjugated with wheat germ agglutinin used as retrograde tracers. The results suggest that the nucleus reticularis pontis oralis receives its main input from the zona incerta and field H1 of Forel, the superior colliculus, the central gray substance, and the mesencephalic and magnocellular pontomedullary districts of the reticular formation. Many other structures seem to represent modest additional sources of projections to the nucleus reticularis pontis oralis; these structures include numerous cortical territories, the nucleus basalis, the central amygdaloid nucleus, hypothalamic districts, the anterior pretectal nucleus, the substantia nigra, the cuneiform, the accessory oculomotor and the deep cerebellar nuclei, trigeminal, parabrachial and vestibular sensory cell groups, the nuclei raphe dorsalis and magnus, the locus coeruleus, the dorsolateral tegmental nucleus, and the spinal cord. While the afferentation of the rostral portion of the nucleus reticularis pontis caudalis appears to conform to the general pattern outlined above, some deviations from that pattern emerge when the innervation of the caudal district of the nucleus reticularis pontis caudalis is considered; the most striking of these differences is the fact that both spinal and cerebellar inputs seem to distribute much more heavily to the referred caudal district than to the remaining magnocellular pontine reticular formation. The present results may contribute to the elucidation of the anatomical substrate of the functionally demonstrated involvement of the nuclei reticularis pontis oralis and caudalis in several domains that include the regulation of the sleep-waking cycle and cortical arousal, somatic motor mechanisms and nociceptive behavior.

Efferent connections of the subthalamic region in the rat. I. The subthalamic nucleus of Luys.

The efferent connections of the subthalamic nucleus of Luys (STN) in the rat were investigated with the aid of the anterograde autoradiographic and the retrograde horseradish peroxidase (HRP) tracer techniques. A small microelectrophoretic injection of tritiated proline and leucine centered in the STN (case RST-4) was found to label fibers directed mainly at 3 ipsilateral structures: the substantia nigra (chiefly the ventral portion of its pars reticulata), the entopeduncular nucleus and the globus pallidus (including the ventral pallidum). In addition to this major labeling pattern, much sparser labeling was seen in striatal, thalamic, hypothalamic, pretectal, tectal and reticular territories. In another series of experiments, microelectrophoretic HRP injections confined to the substantia nigra or the globus pallidus consistently resulted in retrograde labeling of neurons in the ipsilateral STN. On the other hand, HRP injections of the ventromedial portion of the midbrain tegmentum (including the red nucleus), the superior colliculus, the pretectal area or a midbrain region at the lateral border of the central gray substance resulted in retrograde labeling of cells in the zona incerta, but no labeled cells appeared in these cases in the ventrally adjacent STN. These HRP results, together with autoradiographic data obtained in control cases, suggest that the minor projections to territories other than the substantia nigra and the pallidal complex originate in the zona incerta or the cerebral cortex rather than in STN.

Efferent connections of the subthalamic region in the rat. II. The zona incerta.

The efferent connections of the zona incerta (ZI) were studied experimentally in the rat by the aid of the autoradiographic tracer technique. Small microelectrophoretic injections of tritiated proline and leucine practically confined to the ZI were found to label a widespread, predominantly ipsilateral system of descending and ascending fibers distributed to reticular structures of the brain stem (mesencephalic reticular formation, nucleus tegmenti pedunculopontinus pars compacta, parabrachial area, nuclei reticularis pontis oralis, pontis caudalis, gigantocellularis and medullae oblongatae, pars ventralis), precerebellar nuclei (nucleus reticularis tegmenti pontis, pontine nuclei and inferior olivary complex), the middle and deep layers of the superior colliculus, the pretectum (anterior, posterior and medial pretectal nuclei), perioculomotor nuclei (interstitial nucleus of Cajal, nucleus of Darkschewitsch and nuclei of th posterior commissure), the parvocellular portion of the red nucleus, the central gray substance, the nucleus tegmenti dorsalis lateralis, the ventral horn of the cervical spinal cord, non-specific thalamic nuclei (parafascicular, centralis medius, paracentralis, centralis lateralis and ventromedial thalamic nuclei, nucleus reuniens), basal ganglia (entopeduncular nucleus and globus pallidus), hypothalamic structures (posterior hypothalamic nucleus, dorsal and lateral hypothalamic areas), and a subpallidal district of the substantia innominata. Isotope injections centered in Forel's field H1 resulted in the labeling of a similar set of projections. Some of the possible functional correlates of these connections are briefly discussed.

Anatomical evidence of direct projections from the nucleus of the solitary tract to the hypothalamus, amygdala, and other forebrain structures in the rat.

Ascending projections from the caudal (general-visceroceptive) part of the nucleus of the solitary tract (NTS) were studied experimentally in the rat by the aid of the anterograde autoradiographic and the retrograde horseradish peroxidase (HRP) tracer techniques. Microelectrophoretic deposits of tritiated proline and leucine which involved the caudal part of the NTS, the dorsal motor nucleus of the vagus (dmX), and portions of the hypoglossal nucleus, nucleus intercalatus and/or nucleus gracilis were found to label ascending fibers that, besides going to numerous brain stem territories that included prominently the parabrachial area, could also be traced to serveral forebrain structures, namely, the bed nucleus of the stria terminalis (BST), the paraventricular (PA), dorsomedial (HDM) and arcuate (ARC) nuclei of the hypothalamus, the central nucleus of the amygdaloid complex (AC), the medial preoptic area (PM) and the periventricular nucleus of the thalamus (TPV). Smaller isotope injections almost completely confined to the NTS and dmX resulted in lighter labeling of a similar set of parabrachial and forebrain projections, whereas in another case, in which the deposit was almost exclusively limited to the nucleus gracilis, no label was seen in the aforementioned structures. In another series of experiments, aimed at further localizing the neurons of origin of the prosencephalic projections under consideration, small microelectrophoretic HRP injections confined almost totally to BST, PA, HDM, AC, PM or TPV, as well as both small and large injections involving ARC, resulted in labeled neurons situated in the dorsal medullary region, mainly in the medial portion of the NTS at the level of and caudal to the area postrema. Taken together, these observations indicate for the first time the existence of relatively direct conduction lines by which interoceptive information might be conveyed to limbic forebrain structures; some of the possible physiological correlates of these anatomical findings are discussed.

Afferent connections of the subthalamic nucleus: a combined retrograde and anterograde horseradish peroxidase study in the rat.

A comprehensive characterization of the afferent connections of the subthalamic nucleus of Luys (STN) is a necessary step in the unraveling of extrapyramidal mechanisms. In the present study, the STN afferents in the rat were systematically investigated with the aid of retrograde and anterograde horseradish peroxidase tracer techniques. The results indicate that, besides a massive input from the dorsal pallidum, the STN receives substantial projections from several districts of the cerebral cortex (the medial division of the prefrontal cortex, the first motor and primary somatosensory areas, and the granular insular territory), the ventral pallidum, the parafascicular nucleus of the thalamus and the pedunculopontine tegmental nucleus, as well as a modest innervation from the dorsal raphe nucleus. In spite of the fact that many additional structures were found to contain retrogradely labeled neurons after tracer injections in the STN, no other projection to the latter nucleus could be effectively established in our anterograde experimental series.

Somatosensory inputs to the subthalamic nucleus: a combined retrograde and anterograde horseradish peroxidase study in the rat.

Previous physiological studies have shown that neurons in the subthalamic nucleus (STN) respond to peripheral somatosensory stimulation. In an attempt to identify anatomical pathways that could mediate such responses, the possible existence of direct projections from somatosensory central territories to the STN was investigated in the rat with the aid of retrograde and anterograde horseradish peroxidase tracer techniques. Our main findings indicate the existence of a hitherto undescribed and relatively substantial direct projection from the primary somatosensory cortex to the ipsilateral STN. The projection appears to originate chiefly from neurons in layer Vb of the rostral half of this cortical area and to terminate basically in the dorsolateral district of the STN. Moreover, our data are compatible with the existence of very sparse direct projections from the spinal trigeminal and dorsal column nuclei to the contralateral STN, but the evidence on this point is hardly conclusive.

Massive calcification of the myocardium.

A case of dystrophic calcification of the myocardium is reported. The clinical, fluoroscopic, hemodynamic and angiographic findings are described, and correlate well with the lesions discovered at surgery. In this case, the diagnosis was originally suspected because of the calcification noted during fluoroscopy.

Electrocorticographic activity of the prepyriform cortex during the sleep-wakefulness cycle of the freely-behaving rat.

The electrocorticographic (ECoG) behavior of prepyriform cortex (PPC) was studied during the spontaneous sleep-wakefulness cycle (SWC) of freely-behaving rats in which recording electrodes had been chronically implanted in PPC, neocortex (NEO), entorhinal area, olfactory bulb (OB), hippocampus, and dorsal neck muscles. The different phases of the SWC were discerned by taking into account the NEO, OB and neck musculature electrical activities, and criteria were set for the identification of various PPC ECoG patterns. The existence of rather regular associations between the PPC ECoG and the various SWC phases was demonstrated, but it was also seen that these associations defied simplistic generalizations. Thus, whereas the level of ECoG activity (in terms of synchronization vs. desynchronization) was, in the majority of instances, equivalent in PPC and NEO in some SWC phases (alert wakefulness, synchronized sleep and paradoxical sleep), the same was not true in the case of the relaxed wakefulness, drowsiness, intermediary and preparadoxical phases. In the same context, when the time relationships between the alternations of different SWC phases and PPC ECoG patterns were analyzed, it became clear that although only rarely the PPC transition occurred after the correspondent SWC one, the former could either precede, or be simultaneous with the latter, depending on the particular SWC transition being considered. The neural control mechanisms possibly responsible for the coupling of PPC and NEo EcoG activities are briefly discussed.

[The skin allograft reduces the incidence of mammary cancer in Co60-irradiated female mice]. / O aloenxerto de pele diminui a frequência do cancro da mama em ratinhos femeas irradiadas com Co60.

Skin allografts were performed in 51 BALB/c female mice by means of an easy technique devised by the authors. The skin for the allografts was taken from C57BL/6 male mice. All the mice were homozygotic. One month after the graft, the female mice were irradiated with 400 cGy of Co60. A control group of 148 female mice belonging to the same strain and with the same age were irradiated in equal conditions. All the animals were observed daily and all the occurrences registered. Dead animals were identified and their necropsies performed. Results were analysed bearing in mind the incidence of malignancy. It was observed that mammary carcinoma was the most frequent solid tumour and that the statistical difference between mice with skin allografts and those of the control group was significant (p = 0.009). In the two groups studied the difference between dead animals without tumour pathology was also statistically significant (p = 0.0011). With regard to other neoplastic pathologies, the results were not statistically different between the two groups of animals. According to the literature, skin allografts have not been used in oncogenic protection. However, in this work, irradiated mice proved to be protected against oncogenic effects of Co60 radiation, when they had previously received a skin graft. In conclusion, the authors emphasize the protection of skin allograft in BALB/c female mice against the oncogenic effect of Co60 radiation in the mice studied, with special significance for mammary carcinoma.

Modeling of dispersed-drug delivery from planar polymeric systems: optimizing analytical solutions.

Analytical solutions for the case of controlled dispersed-drug release from planar non-erodible polymeric matrices, based on Refined Integral Method, are presented. A new adjusting equation is used for the dissolved drug concentration profile in the depletion zone. The set of equations match the available exact solution. In order to illustrate the usefulness of this model, comparisons with experimental profiles reported in the literature are presented. The obtained results show that the model can be employed in a broad range of applicability.