Misuse of opioid analgesics in elderly patients: a review.

Opioid analgesic (OA) addiction occurs frequently among the elderly, and results in high morbidity and mortality due to geriatric pathologies associated with pharmacokinetic modifications. However, patients with this type of addiction are under-identified and specific screening tools should be more widely used to detect the risk factors for OA addiction. Before initiating an opioid prescription, exhaustive research into associated treatments (to track drug interaction) and opioid prescriptions by other clinicians (a phenomenon known as "doctor shopping") is required.

Blindsight.

For over a century, research has demonstrated that damage to primary visual cortex does not eliminate all capacity for visual processing in the brain. From Riddoch's (1917) early demonstration of intact motion processing for blind field stimuli, to the iconic work of Weiskrantz et al. (1974) showing reliable spatial localization, it is clear that secondary visual pathways that bypass V1 carry information to the visual brain that in turn influences behavior.

Comparison of Simoa and Ella to assess serum neurofilament-light chain in multiple sclerosis.

We compared Simoa and Ella immunoassays to assess serum neurofilament-light chain levels in 203 multiple sclerosis patients from the OFSEP HD study. There was a strong correlation (ρ = 0.86, p < 0.

Odor discrimination in terrestrial and aquatic environments in California sea lions (Zalophus californianus) living in captivity.

Pinnipeds, as any mammal species, use multimodal signals, including olfactory ones, to ensure vital functions. Thus, some pinniped species seem able to use olfaction in both social and foraging contexts and to discriminate between different odors in air including both natural and artificial odors, but studies on that topic remain scarce. Here, we studied the olfactory capabilities of California sea lions living in captivity at La Flèche Zoo (France) in both terrestrial and aquatic environments.

Sympathy for the underdog: people are inclined to adopt the emotional perspective of powerless (versus powerful) others.

Upon learning of the story of Cinderella, most people spontaneously adopt the emotional perspective of this helpless young woman rather than of her older sisters who oppress her. The present research examines whether this pattern reveals a general human tendency to empathise more with the emotions of individuals with low (versus high) power. Six experiments ( = 878) examined how power influences the focus of people's emotional attributions.

Prism adaptation effects in complex regional pain syndrome: A therapo-physiological single case experimental design exploratory report.

Complex Regional Pain Syndrome (CRPS) is an invalidating chronic condition that can occur after an acute peripheral lesion. Prism adaptation therapy is regarded as a promising tool to improve chronic pain in this syndrome but the mechanisms which lead to pain amelioration remain unknown. In this exploratory report we performed a retrospective analysis of longitudinal data collected from a single, atypical patient, who showed hyper-attention toward her affected (left) hand.

Is REM sleep a paradoxical state?: Different neurons are activated in the cingulate cortices and the claustrum during wakefulness and paradoxical sleep hypersomnia.

Michel Jouvet proposed in 1959 that REM sleep is a paradoxical state since it was characterized by the association of a cortical activation similar to wakefulness (W) with muscle atonia. Recently, we showed using cFos as a marker of activity that cortical activation during paradoxical sleep (PS) was limited to a few limbic cortical structures in contrast to W during which all cortices were strongly activated. However, we were not able to demonstrate whether the same neurons are activated during PS and W and to rule out that the activation observed was not linked with stress induced by the flowerpot method of PS deprivation.

Movement drift in optic ataxia reveals deficits in hand state estimation in oculocentric coordinates.

When vision is removed, limb position has been shown to progressively drift during repetitive arm movements. The posterior parietal cortex (PPC) is known to be involved in the processing of multisensory information, the formation of internal hand estimate, and online motor control. Here, we compared hand position drift between healthy controls and 2 patients with PPC damage to gain insight into the mechanisms underlying movement drift and investigate the possible role of the PPC in this process.

Quantitative Assessment of Motor Neglect.

Background and Purpose: We used differential actigraphy as a novel, objective method to quantify motor neglect (a clinical condition whereby patients mimic hemiplegia even in the absence of sensorimotor deficits), whose diagnosis is at present highly subjective, based on the clinical observation of patients’ spontaneous motor behavior. Methods: Patients wear wristwatch-like accelerometers, which record spontaneous motor activity of their upper limbs during 24 hours. Asymmetries of motor behavior are then automatically computed offline.

Drinking frequency matters: links between consumption pattern and implicit/explicit attitudes towards alcohol.

Rationale: Attitudes towards alcohol constitute a central factor to predict future consumption. Previous studies showed that young adults with risky alcohol consumption present positive implicit and explicit attitudes towards alcohol.

Objectives: It appears crucial to disentangle the relationship between specific consumption patterns (e.

Use of Topiramate in the Spectrum of Addictive and Eating Disorders: A Systematic Review Comparing Treatment Schemes, Efficacy, and Safety Features.

Background And Objective: Topiramate has been approved by the US Food and Drug Administration for the treatment of epilepsy since the 1990s, and it has also been used off-label in the treatment of many types of addictive disorders. To date, no systematic review has embraced the entire field of addiction, both substance use and behavioral addictions, including eating disorders, to compare topiramate-based protocols and the related level of evidence in each addictive disorder. Our objective is to fill this gap.

Recommendations of the schizophrenia expert center network for the screening prevention and treatment of sleep disorders based on the results from the real-world schizophrenia FACE-SZ national cohort.

Background: Sleep disorders associated factors are under explored in schizophrenia while the literature suggests high and heterogeneous frequency.

Aims: The objective of the present study was to determine the prevalence and risk factors of sleep disorders in the real-world FACE-SZ national cohort.

Method: Stabilized schizophrenic outpatients were recruited in 10 expert centers for schizophrenia.

Efficacy in deceptive vocal exaggeration of human body size.

How can deceptive communication signals exist in an evolutionarily stable signalling system? To resolve this age-old honest signalling paradox, researchers must first establish whether deception benefits deceivers. However, while vocal exaggeration is widespread in the animal kingdom and assumably adaptive, its effectiveness in biasing listeners has not been established. Here, we show that human listeners can detect deceptive vocal signals produced by vocalisers who volitionally shift their voice frequencies to exaggerate or attenuate their perceived size.

[Quality guidelines for radiopharmacy: Development of a risk-assessment tool].

Objectives: The medical management of patients, which involves securing the drug circuit, is a major public health objective. As part of quality management, a number of risk assessment and risk management tools in care units are validated and available. However, medication management in radiopharmacy departments represents a complex and specific process.

Response-locked component of error monitoring in psychopathy: A systematic review and meta-analysis of error-related negativity/positivity.

Evidence suggests that psychopathic individuals display difficulties to adapt their behavior in accordance with the demands of the environment and show altered performance monitoring. Studies investigating the error-related negativity (ERN) and the error-positivity (Pe) as electrophysiological markers of error monitoring reported contradictory results for this population. To explain these discrepancies, we hypothesized that psychopathy dimensions influence electrophysiological outcomes.

Do nonlinear vocal phenomena signal negative valence or high emotion intensity?

Nonlinear vocal phenomena (NLPs) are commonly reported in animal calls and, increasingly, in human vocalizations. These perceptually harsh and chaotic voice features function to attract attention and convey urgency, but they may also signal aversive states. To test whether NLPs enhance the perception of negative affect or only signal high arousal, we added subharmonics, sidebands or deterministic chaos to 48 synthetic human nonverbal vocalizations of ambiguous valence: gasps of fright/surprise, moans of pain/pleasure, roars of frustration/achievement and screams of fear/delight.

Determinants of therapeutic lag in multiple sclerosis.

Background: A delayed onset of treatment effect, termed therapeutic lag, may influence the assessment of treatment response in some patient subgroups.

Objectives: The objective of this study is to explore the associations of patient and disease characteristics with therapeutic lag on relapses and disability accumulation.

Methods: Data from MSBase, a multinational multiple sclerosis (MS) registry, and OFSEP, the French MS registry, were used.

Cumulative effects of therapies on disability in relapsing multiple sclerosis.

Background: Long-term effectiveness of treatment remains a key question in multiple sclerosis (MS) and the cumulative effects of past treatment have not been investigated so far.

Objective: Explore the relationship between treatment exposure and disability risk in patients with relapsing-remitting multiple sclerosis (RRMS).

Methods: A total of 2285 adult patients from the French nationwide cohort were included.

Evolutionary Origin of Distinct NREM and REM Sleep.

Sleep is mandatory in most animals that have the nervous system and is universally observed in model organisms ranging from the nematodes, zebrafish, to mammals. However, it is unclear whether different sleep states fulfill common functions and are driven by shared mechanisms in these different animal species. Mammals and birds exhibit two obviously distinct states of sleep, i.

Prism Adaptation in M1.

During prism adaptation (PA), active exposure to an optical shift results in sustained modifications of the sensorimotor system, which have been shown to expand to the cognitive level and serve as a rehabilitation technique for spatial cognition disorders. Several models based on evidence from clinical and neuroimaging studies offered a description of the cognitive and the neural correlates of PA. However, recent findings using noninvasive neurostimulation call for a reexamination of the role of the primary motor cortex (M1) in PA.