Unstable Prefrontal Response to Emotional Conflict and Activation of Lower Limbic Structures and Brainstem in Remitted Panic Disorder

Background: The neural mechanisms of panic disorder (PD) are only incompletely understood. Higher sensitivity of patients to unspecific fear cues and similarities to conditioned fear suggest involvement of lower limbic and brainstem structures. We investigated if emotion perception is altered in remitted PD as a trait feature. Methodology/Principal Findings: We used blood oxygenation level-dependent (BOLD) functional magnetic resonance imaging (fMRI) to study neural and behavioural responses of 18 remitted PD patients and 18 healthy subjects to the emotional conflict paradigm that is based on the presentation of emotionally congruent and incongruent face/word pairs. We observed that patients showed stronger behavioural interference and lower adaptation to interference conflict. Overall performance in patients was slower but not less accurate. In the context of preceding congruence, stronger dorsal anterior cingulate cortex (dACC) activation during conflict detection was found in patients. In the context of preceding incongruence, controls expanded dACC activity and succeeded in reducing behavioural interference. In contrast, patients demonstrated a dropout of dACC and dorsomedial prefrontal cortex (dmPFC) recruitment but activation of the lower limbic areas (including right amygdala) and brainstem. Conclusions/Significance: This study provides evidence that stimulus order in the presentation of emotional stimuli has a markedly larger influence on the brain’s response in remitted PD than in controls, leading to abnormal responses of th

Diminished nap effects on memory consolidation are seen under oral contraceptive use

Item does not contain fulltextMany young females take exogenous hormones as oral contraceptive (OC), a condition rarely controlled for in studies on sleep and memory consolidation even though sex hormones influence consolidation. This study investigated the effects of OCs on sleep-related consolidation of a motor and declarative task, utilizing a daytime nap protocol. Fifteen healthy, young females taking OCs came to the sleep lab for three different conditions: nap with previous learning, wake with previous learning and nap without learning. They underwent each condition twice, once during the "pill-active" weeks and once during the "pill-free" week, resulting in 6 visits. In all conditions, participants showed a significant off-line consolidation effect, independent of pill week or nap/wake condition. There were no significant differences in sleep stage duration, spindle activity or spectral EEG frequency bands between naps with or without the learning condition. The present data showed a significant off-line enhancement in memory irrespective of potential beneficial effects of a nap. In comparison to previous studies, this may suggest that the use of OCs may enhance off-line memory consolidation in motor and verbal tasks per se. These results stress the importance to control for the use of OCs in studies focusing on memory performance

Acoustic Oddball during NREM Sleep: A Combined EEG/fMRI Study

Background: A condition vital for the consolidation and maintenance of sleep is generally reduced responsiveness to external stimuli. Despite this, the sleeper maintains a level of stimulus processing that allows to respond to potentially dangerous environmental signals. The mechanisms that subserve these contradictory functions are only incompletely understood. Methodology/Principal Findings: Using combined EEG/fMRI we investigated the neural substrate of sleep protection by applying an acoustic oddball paradigm during light NREM sleep. Further, we studied the role of evoked K-complexes (KCs), an electroencephalographic hallmark of NREM sleep with a still unknown role for sleep protection. Our main results were: (1) Other than in wakefulness, rare tones did not induce a blood oxygenation level dependent (BOLD) signal increase in the auditory pathway but a strong negative BOLD response in motor areas and the amygdala. (2) Stratification of rare tones by the presence of evoked KCs detected activation of the auditory cortex, hippocampus, superior and middle frontal gyri and posterior cingulate only for rare tones followed by a KC. (3) The typical high frontocentral EEG deflections of KCs were not paralleled by a BOLD equivalent. Conclusions/Significance: We observed that rare tones lead to transient disengagement of motor and amygdala responses during light NREM sleep. We interpret this as a sleep protective mechanism to delimit motor responses and to reduce the sensitivity of the amygdala towards further incoming stimuli. Evoked KCs are suggested to originate from a brain state wit

Growing up with narcolepsy: Consequences for adolescents and young adults

Background Narcolepsy, a disorder of excessive daytime sleepiness, often has its major onset in adolescence. The aim of the present study was to focus on the scope and psychosocial impact of narcolepsy symptoms in adolescence. Materials and methods Semistructured interviews with 9 adolescents and young adults with narcolepsy provided detailed descriptions of the topic as perceived by the participants. Results Narcolepsy symptoms in adolescence varied and often worsened at puberty onset. Sleep may be experienced as unrefreshing. The widespread and often severe psychosocial effects partially arose from a delay in diagnosis. Severe educational failure was a common consequence. Symptoms affected work and life goals. Increased social withdrawal and lower self esteem were often evident. Sleepiness was a problem both for public transportation and driving, substantially affecting independent mobility. Conclusion Increased awareness of the disease and the provision of psychoeducational support, in conjunction with early diagnosis and medical treatment, are strongly warranted to prevent the most common educational and psychosocial problems, including risk of depression

iSign - eLearning-System für die Mikrowellentechnik

iSign - internet based simulation of guided wave propagation - ist eine Lernumgebung für Online-Laborversuche. Die Client-Serverarchitektur nutzt server-seitig das Tool F3D, das elektromagnetische Felder in 3D-Strukturen berechnet. Ein Apache-Webserver (unter Linux) bedient den Theorie-/Aufgaben-Teil und die Lernsystemadministration. Ein HPUX Simulationsserver steuert und kontrolliert den mehrstufigen Simulationsvorgang. Eine MySQL-Datenbank erlaubt dynmaische Webseiten-Generierung und Simulations-, Projekt- und Userdatenhaltung. Java-Applets, JavaServer Pages und JavaBeans erzeugen die interaktive Client-Oberfläche zur Eingabe, Ergebnisdarstellung und für Online-Virtual Reality. Die einheitlich gestaltete Benutzeroberfläche verbirgt die Systemkomplexität