Search results for "awake"

Brain mapping as helpful tool in brain glioma surgical treatment—Toward the “perfect surgery”?

2018

Gliomas are the most common primary malignant brain tumours in adults, representing nearly 80%, with poor prognosis in their high-grade forms. Several variables positively affect the prognosis of patients with high-grade glioma: young age, tumour location, radiological features, recurrence, and the opportunity to perform post-operative adjuvant therapy. Low-grade gliomas are slow-growing brain neoplasms of adolescence and young-adulthood, preferentially involving functional areas, particularly the eloquent ones. It has been demonstrated that early surgery and higher extent rate ensure overall longer survival time regardless of tumour grading, but nowadays, functional preservation that is as…

Awake Surgery: Skills of Neurosurgeon Matter but Those of Patient Too. How to Optimize Functional Brain Mapping by Improving Per-Operatory Testing?

2011

International audience; It is now possible to perform resections of slowgrowing tumors in awake patients. Using direct electrical stimulation (DES), real-time functional mapping of the brain can be used to prevent the resection of essential areas near the tumor. For now, simple clinical tests are performed on conscious patients and combined with DES in order to discriminate functional and non-functional areas invaded by the tumors. In this work we try to develop a simple device based on a simple technology to better quantify the performances of the patients during the surgery itself and give a real-time feedback to the neurosurgeon that will help to further guide the surgery by improving th…

Different profiles of mental and physical health and stress hormone response in women victims of intimate partner violence

2014

Abstract Objectives To analyse the individual differences in the impact that intimate male partner violence (IPV) has on a woman's depressive and posttraumatic stress disorder (PTSD) symptomatology, and to determine the association of the different profiles of mental dysfunction with cortisol and dehydroepiandrosterone (DHEA) basal saliva levels as well as physical health symptoms. Methods A cross-sectional study was carried out in which IPV victims (n=73) and control non-abused (n=31) women participated. Information was obtained through structured interviews and saliva samples were collected for hormonal assays under baseline conditions. Results There were three profiles of mental symptoms…

Distinctive body perception mechanisms in high versus low symptom reporters: A neurophysiological model for medically-unexplained symptoms.

2020

Abstract Objective The neurophysiological processes involved in the generation of medically-unexplained symptoms (MUS) remain unclear. This study tested three assumptions of the perception-filter model contributing to MUS: (I.) increased bodily signal strength (II.) decreased filter function, (III.) increased perception. Methods In this cross-sectional, observational study, trait MUS were assessed by a web-based survey (N = 486). The upper and lower decile were identified as extreme groups of high (HSR; n = 29; 26 women; Mage = 26.0 years) and low symptom reporters (LSR; n = 29; 21 women; Mage = 28.4 years). Mean heart rate (HR) and heart rate variability (HRV), and cortisol awakening respo…

Risk Stratification by nrTMS Language Mapping

2017

Resecting language-eloquent brain lesions is a major challenge in neurosurgery since we need to weight the risks of worsening the patients’ functional integrity and achieving a maximum safe resection. Although relevant functional brain structures can be identified intraoperatively by direct cortical mapping during awake surgery, a preoperative identification of functional anatomy is recommended in order to gauge surgical risks, evaluate resectability, plan the surgical approach, and identify potential starting points for intraoperative stimulation mapping.

Emotional intelligence modulates cortisol awakening response and self-reported health in caregivers of people with autism spectrum disorders

2014

Abstract Caring for people with autism spectrum disorders (ASDs) has negative consequences for caregivers’ health. Specifically, caregivers of people with ASDs have been observed to have more somatic symptoms, poorer self-perceived general health, poorer social functioning and altered immune and endocrine systems. Various positive variables including emotional intelligence (EI) have been found to protect health in several populations, but no studies have previously analyzed the effect of EI in caregivers of people with ASDs. The present study aimed to analyze the association of the three components of EI (attention, clarity and repair) with self-reported health and cortisol awakening respon…

A Mindfulness-Based Program Improves Health in Caregivers of People with Autism Spectrum Disorder: a Pilot Study

2014

Mindfulness-based interventions have demonstrated to be effective in reducing stress and health complaints in clinical populations. However, to our knowledge, biological health markers have not been used in studies of the effectiveness of mindfulness programs in caregivers of people with autism spectrum disorders (ASDs). This study aimed to assess the effects of a mindfulness intervention on mood disturbances and health complaints in this population compared with non-caregivers. The design of the study was quasi-experimental, with repeated measures. Self-reported health, cortisol awakening response (CAR), and afternoon cortisol levels before and after a mindfulness session were assessed at …

Heart rate variability in chronic and acute stress : with special reference to nocturnal sleep and acute challenges after awakening

2011

L’esortazione alla vigilanza (Mc 13,33-37). Un tentativo di analisi e di interpretazione

2015

Mowa eschatologiczna Jezusa w redakcji wszystkich trzech ewangelii synoptycznych kończy się wezwaniem do czuwania (zob. Mt 24,42-51; 25,13-15; Mk 13,33-37; Łk 21,34-36). Wezwanie to jest w Ewangelii św. Marka krótkie, a zarazem szczególnie intensywne. Zawiera w sobie zarówno konkluzję mowy eschatologicznej, a zarazem jej wymowne zwieńczenie z wyznaczeniem konkretnych zadań dla uczniów, którzy nie znając czasu wypełnienia się zapowiedzi końca czasów, otrzymują zadanie szczególnej czujności. Krótka, ale wymowna przypowieść o Panu domu który, opuszczając na pewien czas swój dom, wyznaczył każdemu obowiązki, zawiera istotne zadanie odźwiernego czuwającego w oczekiwaniu na powrót Pana. Ewangelis…