Effects of Fentanyl with Levobupivacaine on Cognitive Functions and Cerebral Oxygenation

Abstract Background and Aims A significant deterioration of cognitive function in hemodialysis patients is observed in elderly and non-elderly patients. One of possible explantation is significant changes in the circulatory system caused by regular lower cerebral regional saturation of oxygen (rSO2) during dialysis. We aimed to identify the factors affecting the cerebral rSO2 in HD patients during session. Method 27 patients out of 80 hemodialysed in center patients were recruited for the study (exclusion criteria: significant vision defect, fistula in the dominant hand, previous stroke, other neurological diseases impaired cognitive functions). The mean age of the patients was 51 ±18 y, BMI 25.5±5, dialysis vintage was 2.3 y; 6 with DM and 22 with HT. During the study, each patient completed battery of cognitive function tests (MOCA, Beck's Scale) including computer based assessment validated for elderly (Cognifit), arterial stiffness surrogates (PWV, Aix75 using IEM Mobil-O-Graph) and the saturation (rSO2) of frontal lobes were measured (INVOS 5100c system). Patient regular passive or active (reading, crosswords solving, electronic games) behaviour during sessions was noticed. Results Factors showed correlations with rSO2 are displayed in table. Lack of correlations between rSO2 and HD vintage, diabetes or BMI was observed. Patients mentally active during dialysis showed significant (p<0.05) higher rSO2 (60 vs 53% left, 58 vs 49% right), Cognifit score (368 vs 233) and PWV (6,3 vs 9,3 m/s) when compared to passive patient behavior (sleeping, watching TV). Conclusion Significant differences in cerebral oxygenation in hemodialysis patients correlated with cognitive functions. In HD patients, cerebral rSO2 was affected by multiple factors, including non modifiable factors: arterial stiffness, age and modifiable factors – active mental activity during session and smoking. Furthermore, this is the first report describing lower levels of rSO2 in HD patients with significant central arterial stiffness (Figure).

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Language processing is not a race against time

Behavioral and Brain Sciences ◽

10.1017/s0140525x15000692 ◽

2016 ◽

Vol 39 ◽

Cited By ~ 1

Author(s):

Giosuè Baggio ◽

Carmelo M. Vicario

Keyword(s):

Information Processing ◽

Human Brain ◽

Language Processing ◽

Cognitive Functions ◽

Memory Systems ◽

Language System ◽

Moderating Factors

AbstractWe agree with Christiansen & Chater (C&C) that language processing and acquisition are tightly constrained by the limits of sensory and memory systems. However, the human brain supports a range of cognitive functions that mitigate the effects of information processing bottlenecks. The language system is partly organised around these moderating factors, not just around restrictions on storage and computation.

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211 Investigation for correlation interrelationship between neurovegetative regulation state & psychoemotional status & cognitive functions in CHF pts before cardiosurgical myocardial revascularization

European Journal of Heart Failure Supplements ◽

10.1016/s1567-4215(06)80113-x ◽

2006 ◽

Vol 5 (1) ◽

pp. 40-40

Author(s):

S KOMISSAROVA ◽

M PETROVSKAYA

Keyword(s):

Cognitive Functions ◽

Myocardial Revascularization

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Malfunctional Reorganization in the Developing Limbo-Prefrontal System in Animals: Implications for Human Psychoses?

Zeitschrift für Neuropsychologie ◽

10.1024//1016-264x.12.1.8 ◽

2001 ◽

Vol 12 (1) ◽

pp. 8-14

Author(s):

Gertraud Teuchert-Noodt ◽

Ralf R. Dawirs

Keyword(s):

Prefrontal Cortex ◽

Mental Disorders ◽

Dentate Gyrus ◽

Cognitive Functions ◽

Experimental Approach ◽

Regulatory Mechanisms ◽

Hippocampal Dentate Gyrus ◽

Non Invasive ◽

Invasive Method ◽

Activity Dependent

Abstract: Neuroplasticity research in connection with mental disorders has recently bridged the gap between basic neurobiology and applied neuropsychology. A non-invasive method in the gerbil (Meriones unguiculus) - the restricted versus enriched breading and the systemically applied single methamphetamine dose - offers an experimental approach to investigate psychoses. Acts of intervening affirm an activity dependent malfunctional reorganization in the prefrontal cortex and in the hippocampal dentate gyrus and reveal the dopamine position as being critical for the disruption of interactions between the areas concerned. From the extent of plasticity effects the probability and risk of psycho-cognitive development may be derived. Advance may be expected from insights into regulatory mechanisms of neurogenesis in the hippocampal dentate gyrus which is obviously to meet the necessary requirements to promote psycho-cognitive functions/malfunctions via the limbo-prefrontal circuit.

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Linguistische Fairness und differentielle Validität des Auditiven Wortlisten Lerntests (AWLT) bei Demenz vom Alzheimer-Typ

Diagnostica ◽

10.1026/0012-1924/a000227 ◽

2019 ◽

Vol 65 (4) ◽

pp. 193-204

Author(s):

Johannes Baltasar Hessler ◽

David Brieber ◽

Johanna Egle ◽

Georg Mandler ◽

Thomas Jahn

Keyword(s):

Cognitive Functions ◽

Kognitive Funktionen ◽

Alzheimer Demenz ◽

Test Sets

Zusammenfassung. Der Auditive Wortlisten Lerntest (AWLT) ist Teil des Test-Sets Kognitive Funktionen Demenz (CFD; Cognitive Functions Dementia) im Rahmen des Wiener Testsystems (WTS). Der AWLT wurde entlang neurolinguistischer Kriterien entwickelt, um Interaktionen zwischen dem kognitiven Status der Testpersonen und den linguistischen Eigenschaften der Lernliste zu reduzieren. Anhand einer nach Alter, Bildung und Geschlecht parallelisierten Stichprobe von gesunden Probandinnen und Probanden ( N = 44) und Patientinnen und Patienten mit Alzheimer Demenz ( N = 44) wurde mit ANOVAs für Messwiederholungen überprüft, inwieweit dieses Konstruktionsziel erreicht wurde. Weiter wurde die Fähigkeit der Hauptvariablen des AWLT untersucht, zwischen diesen Gruppen zu unterscheiden. Es traten Interaktionen mit geringer Effektstärke zwischen linguistischen Eigenschaften und der Diagnose auf. Die Hauptvariablen trennten mit großen Effektstärken Patientinnen und Patienten von Gesunden. Der AWLT scheint bei vergleichbarer differenzieller Validität linguistisch fairer als ähnliche Instrumente zu sein.

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