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Recent Submissions
Changes in saccadic eye movement (sem) and quantitative eeg parameter in bipolar patients
(Journal of Affective Disorders, 2013) Velasques, Bruna; Bittencourt, Juliana; Diniz, Claudia; Teixeira, Silmar; Basile, Luis F.; Salles, José Inácio; Novis, Fernanda; Silveira, Luciana Angélica; Silva, Rafael de Assis da; Teixeira, Amanda de Lima; Nardi, Antônio Egídio; Akiskal, Hagop S.; Cagy, Mauricio; Piedade, Roberto; Cheniaux, Elie; Kapczinki, Flávio; Ribeiro, Pedro
Objective: There is increasing evidence that neurocognitive dysfunction is associated with the different states in Bipolar Disorder. Gamma coherence is strongly related to cognitive processes and cortico-cortical communication. This paper aims at shedding light on the relationship between cortical gamma coherence within bipolar patients and a control group during a prosaccadic attention task. We hypothesized that gamma coherence oscillations act as a main neural mechanism underlying information processing which changes in bipolar patients.
Method: Thirty-two (12 healthy controls and 20 bipolar patients) subjects were enrolled in this study. The subjects performed a prosaccadic attention task while their brain activity pattern was recorded using quantitative electroencephalography (20 channels).
Results: We observed that the maniac group presented lower saccade latency when compared to depression and control groups. The main finding was a greater gamma coherence for control group in the right hemisphere of both frontal and motor cortices caused by the execution of a prosaccadic attention task.
Limitations: The findings need to be confirmed in larger samples and in bipolar patients before start the pharmacological treatment.
Conclusions: Our findings suggest a disrupted connection of the brain's entire functioning of maniac patients and represent a deregulation in cortical inhibitory mechanism. Thus, our results reinforce our hypothesis that greater gamma coherence in the right and left frontal cortices for the maniac group produces a "noise" during information processing and highlights that gamma coherence might be a biomarker for cognitive dysfunction during the manic state.
Hemispheric differences over frontal thetaband power discriminate between stimulus- versus memorydriven saccadic eye movement
(Neuroscience Letters, 2011) Velasques, Bruna; Machado, Sergio; Paes, Flávia; Bittencourt, Juliana; Domingues, Clayton Amaral; Basile, Luis F.; Salles, José Inácio; Cagy, Mauricio; Piedade, Roberto; Carrión, Oscar Arias; Sack, Alexander T.; Cheniaux, Elie; Nardi, Antônio Egídio; Ribeiro, Pedro
Objective: Although several electrophysiological studies have demonstrated the role of theta band during the execution of different visuospatial attention tasks, this study is the first to directly investigate the role of theta power during the planning, execution and cognitive control of saccadic eye movements (SEMs). The current study aims at addressing this issue by investigating absolute theta power over the frontal cortex during the execution of random and fixed SEMs. Twelve healthy volunteers, performed two tasks involving different conditions in the planning, execution and cognitive control of SEMs while their brain activity pattern was recorded using quantitative electroencephalography. We found an interaction between SEM condition and electrode (F3, F4, Fz), and a main effect of time point and electrode. Our key finding revealed that the stimulus presentation induces different patterns over frontal theta power increase between the left and right hemisphere. We conclude that right and left frontal regions are an important factor to discriminate between memory- versus stimulus-driven SEMs, and speculate on their different contributions to visuospatial attention.
Parental awareness and perception for correct use of child restraint systems and airbags in brazil
(Traffic Injury Prevention, 2017) Souza, Bruno Gonçalves Schröder e; Melo, Tiago Evangelista de; Lisboa, Tales Pereira; Miranda, Marcos Bastos; Souza, Thiago Gonçalves Schroder e; Oliveira, Valdeci Manoel de
Objective: The objective of this study was to obtain information about the current knowledge and habits of parents who transport children in cars in Brazil.
Methods: A cross-sectional survey was conducted using specifically designed self-report questionnaires to parents of children attending a private pediatric office in a town in southwest Brazil. Data were collected regarding children's age, gender, height, and weight and possession of an automobile child restraint system (CRS), its type, frequency and adequacy of use, and reasons for not possessing or not using the devices. Parents were asked whether their cars were equipped with airbags and about the use of the restraints in seats with airbags.
Results: We interviewed parents of 293 children transported in cars who met the criteria for use of a CRS. Children were younger than 1 year in 15.3% of the cases, between 1 and 4 years in 38.6%, and older than 4 in 46.1%. Cars were equipped with CRS in 78.5% of the cases, but in only 58% of the cases was the device proper for child's age and adequately installed in the seat. Among owners of the devices, 84.3% reported that they always used it. Reasons for infrequency were forgetting the device at home or in another car (6.4%), the child disliking the device (3.2%), or the false impression that the child was grown enough not to use it (3.2%)l 87.1% did not justify why they did not always use the CRS. Considering type of CRS, correct installation of the seat, and frequency of use, only 44.4% of children under 1 year, 69.9% of those 1 to 4 years, and 52.6% over age 4 were protected. Only 28.6% of the parents knew that children should never be positioned in a seat with active airbags.
Conclusion: Considering appropriateness for age, correctness of installation (in the back seat in the correct orientation), and frequency of use, only 50.85% (149/293) of the children were reported as always protected with a CRS. Children between 1 and 4 years were more likely to always use a CRS in this Brazilian survey. We were also able to identify an important gap in the knowledge about airbags among parents. Further efforts are needed to correct those distortions.
Proprioceptive deficit after total elbow arthroplasty: an observational study
(Journal of Shoulder and Elbow Surgery, 2017) Siqueira, Gláucio S. L.; Amaral, Marcus Vinicius G.; Schiefer, Márcio; Schlee, Gunther; Wenk, Thomas F. Schultz; Almeida, Mauricio N. de; Nicoliche, Eduardo B.; Cossich, Victor Rodrigues Amaral; Motta, Geraldo; Morrissey, Dylan; Salles, José Inácio
Objective: During total elbow arthroplasty (TEA), most of the joint capsule is removed, including many mechanoreceptors important for proprioception, which potentially limits the patient's postoperative functional recovery. We quantified proprioceptive loss by measuring the threshold to detection of passive motion (TTDPM) in patients after unilateral TEA compared with the contralateral side.
Methods: A continuous passive motion device moving the elbow at 0.5°/s was used to evaluate TTDPM in 8 patients (mean ± standard deviation age, 69.1 ± 9.93 years) at least 1 year after unilateral semiconstricted linked TEA for a range of diagnoses. Elbow function after TEA was assessed using the Mayo Elbow Performance Scale.
Results: Postsurgical Mayo scores revealed 4 excellent results, 2 good, and 2 poor. The TTDPM in the elbows undergoing arthroplasty was still significantly higher compared with the contralateral elbow at 4.2° (15.6 ± 6.9 seconds vs. 7.2 ± 2.6 seconds; D = 3.23, P = .01) equivalent to 8.4 seconds.
Conclusions: Patients who have had severe joint disease requiring semiconstrained TEA have long-term proprioception deficits. A more conservative technique that maximally preserves insertions and soft tissues, might minimize upper limb proprioceptive deficit.
Influence of different treadmill inclinations on v̇o2max and ventilatory thresholds during maximal ramp protocols
(The Journal of Strength & Conditioning Research, 2021) Silva, Sidney C.; Monteiro, Walace D.; Cunha, Felipe A.; Farinatti, Paulo
Objective: Ramp protocols for cardiopulmonary exercise testing (CPET) lack precise recommendations, including optimal treadmill inclination. This study investigated the impact of treadmill grades applied in ramp CPETs on maximal oxygen uptake (V̇o2max), ventilatory thresholds (VT1/VT2), and V̇o2 vs. workload relationship. Twenty-one healthy men (age 33 ± 8 years; height 176.6 ± 5.8 cm; body mass 80.4 ± 8.7 kg; and V̇o2max 44.9 ± 5.7 ml•kg-1•min-1) and 12 women (age 29 ± 7 years; height 163.3 ± 6.7 cm; body mass 56.6 ± 6.3 kg; and V̇o2max 39.4 ± 4.9 ml•kg-1•min-1) underwent ramp CPETs with similar speed increments and different treadmill grades: CPET0%, CPET2%, CPET3.5%, and CPET5.5%. The V̇o2max was similar across protocols (42.8-43.2 ml•kg-1•min-1, p = 0.76), albeit duration of CPETs shortened when treadmill inclination increased (CPET0% 12.7 minutes; CPET2% 9.1 minutes; CPET3.5% 8.0 minutes; and CPET5.5% 6.6 minutes; p < 0.01). The %V̇o2max corresponding to VT1 was slightly lower in CPET0% (63.6%) and higher in CPET5.5% (75.8%) vs. CPET2% (67.8%) and CPET3.5% (69.5%; p < 0.05), whereas VT2 was not affected by treadmill inclination (95.1-95.8% V̇o2max; p > 0.05). V̇o2max and ventilatory thresholds were similar in CPETs performed with different treadmill inclinations and similar initial/final speeds. However, linear regressions between workload and V̇o2 were closer to the identity line in CPETs performed with smaller (CPET0% and CPET2%) than with greater (CPET3.5% and CPET5.5%) inclinations. These data suggest that in healthy young adults, ramp CPETs performed with inclinations of 0-2% degree should be preferred over protocols with greater inclinations.