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Biomedical subjects

O Benoit

Publications and source records attributed to O Benoit.

At least 55 records · Page 3Linked to original sources

Sleep and body temperature in "morning" and "evening" people.

Three groups of young, normal sleepers were selected as morning types (MTs), evening types (ETs), and neither types (NTs) as determined by the Horne and Ostberg questionnaire. Sleep and rectal temperatures were recorded under three conditions: baseline nights (Cond. 1), sleep on the recovery day after 1 night of sleep deprivation (Cond. 2), and sleep on the recovery night after 1 night and 1 day of sleep deprivation (Cond. 3). During Conds. 1 and 3, when sleep schedules were self-determined, sleep structure and body temperature were similar in MTs, and ETs, and NTs. During Cond. 2, however, MTs had poorer sleep, i.e., a smaller percentage of REM sleep and more awakenings, than ETs. This difference can be related to the evolution of temperature during Cond. 2; i.e., a temperature increase in the MT and NT and a decrease in the ET.

Adult↗

[Silicone inclusions in the spleen in a patient under chronic hemodialysis].

A 67-year-old woman with chronic renal failure, in periodic hemodialysis, presented an hemolytic anemia in relation to splenic sequestration. Light Microscopic examination of the spleen revealed multiple granulomatous reaction. Numerous macrophages contained inclusions which were non-birefringent and non-staining with routine stains. Electron microscopy, scanning electron microscopy and energy dispersive X-Ray analysis were performed and revealed silicone. Its origin was silicone tubing of the hemodialysis equipment. Pathogenic effects of silicone are discussed.

Aged↗

Nocturnal sleep organization in infants "at risk" for sudden infant death syndrome.

Nocturnal sleep organization was compared in normal infants and those "at risk" for sudden infant death syndrome (SIDS) (siblings and near-miss infants). Before 12 weeks of age, sleep modifications were observed in "at risk" infants. During their sleep they had a smaller percentage of intervening wakefulness with a higher amount of active sleep. Quiet and active sleep episodes had longer durations resulting in a longer sleep cycle. After 12 weeks, sleep organization tended to normalize. This fact is discussed as a possible factor for a SIDS event: a higher arousal threshold could play a critical role if homeostasy is disturbed during sleep, mainly at an age when the homeostatic control is not fully established.

Age Factors↗

[Epidemiologic data on arterial hypertension in pregnancy].

A retrospective study of 241 case histories of essential hypertension in pregnancy treated in the Salengro Maternity Hospital of Lille from 1976 to 1981 was carried out. Looking at 450 readings of blood pressure in pregnancy it has been possible to work out a profile for these patients. These patients have as singular factors: They are often fat or very fat. They often have raised cholesterol levels in the blood. They often have a family history of hypertension or of diabetes. Many use oestro-progestogen birth control pills and had trouble in glucose regulation far more than women who had normal blood pressures in pregnancy.

Adult↗

Lateral geniculate nucleus unitary discharge in sleep and waking: state- and rate-specific aspects.

The relationship between behavioral state, discharge pattern, and discharge rate was investigated in 26 lateral geniculate nucleus (LGN) units recorded in cats in the dark during waking (W), synchronized sleep (S), and desynchronized sleep (D). A distinctive state-dependent discharge pattern was the presence of stereotyped bursts of 2-7 spikes that occurred in 63% of the units. These bursts were most frequent in S, much less frequent in D, and rarely occurred in W. Lack of association with discharge rate changes between states showed the bursting to be a true state-dependent phenomenon. A burst consisted of 2-7 spikes, with each successive interspike interval being longer than the preceding one; in the 200 ms prior to burst occurrence, discharge probability decreased markedly. This structure of burst organization suggested a model of generation wherein each burst was caused by a unitary event of varying intensity, perhaps a rebound following a hyperpolarization. Spectral and autocorrelational analyses showed bursts occurred rhythmically in three cells at a frequency of 3-4 Hz and in two cells at a frequency of 10-12 Hz, indicating a possible linkage with slow-wave generators. While the number of bursts in the various behavioral states was a state-dependent phenomena, other aspects of discharge pattern were shown to be rate dependent. To evaluate discharge pattern apart from the occurrence of bursts, a "primary event spike train" was formed; this consisted of individual spikes and the first spike of each burst. This analysis showed that, within S, the probability of burst occurrence was highest when the primary spike rate was low. Quantitative analyses showed that first-order pattern measures (the form of the interspike interval histogram, IH) were dependent on the mean interspike interval (ISI, the inverse of mean rate). This association explained 83-89% of the variance in a power series approximation of IH form. Joint interval histograms (JIH) were used to evaluate the signature of bursts and of the form of the primary spike train. As with interval histograms, the main features of the form of the primary spike JIH were dependent on the primary spike rate. Thus, we concluded that first- and second-order discharge patterns of primary events were rate dependent and not state dependent. Our data are compatible with a model where in the absence of retinal input, the frequency of LGN primary spikes over behavioral state changes is largely determined by brain stem reticular formation input.(ABSTRACT TRUNCATED AT 400 WORDS)

Action Potentials↗

The time course of slow wave sleep and REM sleep in habitual long and short sleepers: effect of prior wakefulness.

Three groups of young good sleepers were selected according to their habitual sleep length as short (SS), regular (RS), or long (LS) sleepers. Their sleep was recorded in three situations: reference nights, a recovery sleep night after 36 h of sleep deprivation, and a sleep night after a morning sleep recovery from sleep deprivation (12 h waking time). Total and cycle-by-cycle amounts of slow wave sleep (SWS) and REM sleep were studied both as a function of experimental conditions and of the group of subjects. In all three conditions, LS had less SWS than other sleepers while the differences in SWS amounts between groups were mainly due to different amounts in the second and third cycles, differences between conditions essentially due to variations of SWS within sleep cycle 1 (SWS1). SWS1 appeared to reflect some physiological process whose level increases during waking and declines during sleep. REM sleep proved to be proportional to sleep length.

Adult↗

[Current aspects of acute renal failure].

The retrospective review of 115 case-histories of patients with acute renal failure (ARF) seen over the last two years showed that etiologies were distributed as follows: acute tubular necrosis in 65% of cases, urinary tract obstruction in 16%, acute glomerulonephritis in 3,5%, acute interstitial nephritis (AIN) in 8% and acute microvascular nephropathy in 3,5%. The diagnostic value of renal biopsy in ARF is discussed. In spite of recent advances in the treatment of ARF, the mortality rate remains as high as 48%. This is mainly due to current etiologic circumstances, to the age of the patients and to the complications of ARF, with infectious complications being the most serious. Urea nitrogen accumulation is not a poor prognosis factor. Furosemide in high doses does not alter the prognosis but reduces the total number of dialysis indications (81% in 1970, 60% in 1980), the number of dialysis sessions per patient (1 only in 62% of patients), and the duration of the ARF episode (mean duration: 10,7 days).

Acute Kidney Injury↗

Nocturnal sleep organization during the first months of life.

42 healthy infants (18 boys and 24 girls) aged 4-30 weeks had polygraphic whole night recordings. Four sleep stages were identified, using standard sleep scoring parameters: intervening wakefulness (W), quiet sleep (QS), active sleep (AS) and transitional sleep (TS). Our results show, first, an important decrease of the intervening wakefulness between 4-5 weeks and 6-7 weeks, then a modification of the distribution of this intervening wakefulness after 21-22 weeks. QS increases significantly from 4-5 weeks to 27-30 weeks with a linear distribution throughout the night. The QS modifications seem related to the appearance of sleep spindles between 6 and 11 weeks. Intervening wakefulness and quiet sleep changes appear simultaneously with the emergence of the circadian rhythm. Active sleep and transitional sleep remain stable from 4-5 weeks to 30 weeks. Furthermore, no change in the internal organization is observed for active sleep during this period.

Age Factors↗

Relationship between sleep stage IV deficit and reversible HGH deficiency in psychosocial dwarfism.

Polygraphic sleep recordings were done in four children with psychosocial dwarfism. The first recordings, performed within the first days after hospitalization, exhibited a gross deficit of stage IV sleep and a decrease of the durations of slow wave sleep episodes (SWS = stage III and IV). The second recordings were performed after several wk (3-15) in the new environment, during the growth recovery period. A clear improvement of sleep quality was observed, namely an increase of stage IV amounts. In two of the four patients, hGH release was studied by means of the ornithine test. A low response was found in the first (2) days of hospitalization whereas normal response was observed during the recovery period suggesting a partial and reversible hGH deficiency. A simultaneous recovery of both stage IV sleep and the growth rate was observed in the four patients. These data suggest that sleep disturbances are strongly linked to growth failure in psychosocial dwarfism.

Child, Preschool↗

[Postpartum renal cortical necrosis].

The authors report two cases of post-partum cortical renal necrosis. The diagnosis was made on clinical and biological criteria (severe, prolonged oliguria, the signs of intra-vascular coagulation defects, a rise in L.D.H. and anaemia with micro-angiopathy. It is confirmed by selective renal arteriography and renal punch-biopsy. There is a threefold method of treatment: --of the kidney condition by repeated haemodialysis and diuretics; --antihypertensive treatment; --treatment aimed at the aetiological pathology (heparin, anti-platelet aggregation and fresh plasma). Functional recovery of the kidney was obtained in both cases (after an interval of 1 year and an interval of 1 1/2 year). The authors review the diagnostic, physiopathological, morphological and therapeutic elements in the condition of cortical renal necrosis.

Adult↗