Neelam Vaney

Effect of caffeine on central auditory pathways: An evoked potential study

Caffeine is consumed in various forms like tea, coffee, chocolates and colas. The present study evaluated the effect of caffeine on auditory brainstem response (ABR), mid latency response (MLR) and slow vertex response (SVR) in 40 male volunteers. The recordings were done using a computerized evoked potential recorder by 10-20 electrode placement system. The subjects consumed 3mg/kg body weight of caffeine after 12h abstinence from caffeine in any form. The data obtained revealed that latencies of waves IV and V along with I-V interpeak interval of ABR decreased significantly. This was accompanied with significant increase in amplitude of wave V. MLR latencies and latency of P1 wave of SVR was significantly decreased following caffeine ingestion. The results indicated that caffeine improves transmission in the peripheral and central brain auditory pathways.

Pulmonary function and oxidative stress in workers exposed to styrene in plastic factory Occupational hazards in Styrene-exposed plastic factory workers

Styrene is a volatile organic compound used in factories for synthesis of plastic products. The pneumotoxicity of styrene in experimental animals is known. The aim of the present study was to study the effect of styrene on lung function and oxidative stress in occupationally exposed workers in plastic factory. Thirty-four male workers, between 18 and 40 years of age, exposed to styrene for atleast 8 hours a day for more than a year were studied, while 30 age- and sex-matched healthy subjects not exposed to styrene served as controls. Assessment of lung functions showed a statistically significant reduction (p < 0.05) in most of the lung volumes, capacities (FVC, FEV1, VC, ERV, IRV, and IC) and flow rates (PEFR, MEF75%, and MVV) in the study group (workers) as compared to controls. Malondialdehyde (MDA) was observed to be significantly high (p < 0.05) while ferric-reducing ability of plasma (FRAP) was significantly low (p < 0.05) in styrene-exposed subjects. Reduced glutathione (GSH) level was significantly depleted in exposed subjects as compared to control group. The mean value of serum cytochrome c in styrene-exposed subjects was found to be 1.1 ng/ml (0.89–1.89) while in control its levels were under detection limit (0.05 ng/ml). It shows that styrene inhalation by workers leads to increased level of oxidative stress, which is supposed to be the cause of lung damage.

Effect of caffeine on information processing: evidence from stroop task.

Background: Caffeine is a pyschostimulant present in various beverages and known to alter alertness and performance by acting on the central nervous system. Its effects on central nervous system have been studied using EEG, evoked potentials, fMRI, and neuropsychological tests. The Stroop task is a widely used tool in psychophysiology to understand the attention processes and is based on the principle that processing of two different kinds of information (like the word or colour) is parallel and at different speeds with a common response channel. Aim: To study the effect of caffeine on classical color word Stroop task. Materials and Methods: This study was conducted on 30 male undergraduate students by performing a test before and 40 minutes after consuming 3 mg/Kg caffeine and evaluating the effect of caffeine on Stroop interference and facilitation. Results: The results revealed that practice has no effect on the performance in a Stroop task. However, there was reduction in Stroop interference and increase in facilitation after consumption of caffeine as was evident by changes in the reaction times in response to neutral, incongruent, and congruent stimuli. Conclusion: We hypothesize that caffeine led to faster processing of relevant information.

Psychomotor performance of medical students: effect of 24 hours of sleep deprivation

Context: Sleep deprivation is known to have detrimental effects on attentional resources and cognitive functions. Aim: The aim of this study is to assess the changes in performance, due to 24 h of sleep deprivation, in medical students Materials and Methods: The performance was assessed using simple paper–pencil tasks, such as digit symbol substitution test, digit vigilance test, and letter cancellation tasks. Results: The results revealed an increase in the number of errors in letter cancellation tasks and digit vigilance test, with a significant decrease in the number of correct responses on the letter cancellation task. The time taken to complete the tests increased with lack of sleep, with the digit symbol substitution test being affected the most. Discussion: This study infers that sleep deprivation for 24 h affected the judgment ability more than the response speed. Conclusion: Sleep deprivation might lead to compromised performance of medical students in examinations.

Is metformin-induced vitamin B12 deficiency responsible for cognitive decline in type 2 diabetes?

Introduction: Diabetes mellitus has its deleterious effects on various aspects of cognition such as memory function, executive function, and information-processing speed. The present study aims to assess cognition in diabetes patients and also tries to find its association with Vitamin B12 deficiency induced by metformin. Materials and Methods: Thirty diabetics taking metformin and thirty nondiabetic controls were enrolled. Event-related potentials (ERPs) and serum Vitamin B12 levels were evaluated in them. Results: Vitamin B12 levels were found to be deficient, and latencies of waves P200 and P300 were prolonged in the diabetics as compared to the controls. The dose and duration of metformin had no association with the ERPs. Conclusions: Although the Vitamin B12 levels were deficient in diabetics on metformin, this is not the reason behind the cognitive impairment found in them.

Attention and information processing in end stage renal disease and effect of hemodialysis: a bedside study

Abstract The neurobehavioral syndrome of uremia in chronic kidney disease affects the functioning of the central nervous system. Cognitive impairment is one of the most important manifestations of this dysfunction. The process of hemodialysis is known to bring about conflicting changes in the cognitive status of patients. In the present study an assessment of cognitive status of patients with end stage renal disease was done in comparison to controls before and after a session of hemodialysis using simple bedside paper-pencil tests. Thirty patients of end stage renal disease on maintenance dialysis for at least one month with MMSE score >24 were assessed one hour before and one hour after hemodialysis using Digit Symbol Substitution Test, One Letter and Three Letter Cancellations tasks. Their results were compared to age and sex matched healthy controls. The patients with end stage renal disease had significantly lower performance in cognitive tests in comparison to controls. The performance improved 1 hour after hemodialysis in comparison to pre-dialysis values. However, the values after dialysis were significantly lower than in controls, thereby indicating that though the cognitive functions improved after hemodialysis, they did not reach the control levels. There was also a significant change in the biochemical parameters after dialysis. We conclude that patients with end stage renal disease suffered from cognitive impairment which improved on hemodialysis due to removal of metabolic waste products.

Event-related potentials study in children with borderline intellectual functioning.

Background: Low general cognitive ability is a common cause for learning and academic difficulties. The present study was undertaken to objectively investigate the cognitive functioning of children having borderline intelligence using electrophysiological measures. Materials and Methods: The study was conducted on children having borderline intelligence (IQ: 70-85). The cognitive functioning of children was assessed using event-related potentials. Results: Significant prolongation of the latency of P200, N200, and P300 with no significant difference in the amplitudes was seen in the children having borderline intelligence as compared to controls. Conclusions: Brain systems that are important for stimulus discrimination and using cognitive representation to guide cognition and behavior are impaired in children with borderline intelligence.

Evaluation of the Auditory Pathway in Traffic Policemen

Background: Traffic policemen working at heavy traffic junctions are continuously exposed to high level of noise and its health consequences. Objective: To assess the hearing pathway in traffic policemen by means of brainstem evoked response audiometry (BERA), mid-latency response (MLR), and slow vertex response (SVR). Methods: In this observational comparative study, BERA, MLR, and SVR were tested in 35 male traffic policemen with field posting of more than 3 years. 35 age-matched men working in our college served as controls. Results: Increase in the latencies of waves I and III of BERA, and IPL I-III were observed. Compared to controls, the MLR and SVR waves showed no significant changes in studied policemen. Conclusion: We found that chronic exposure of traffic policemen to noise resulted in delayed conduction in peripheral part of the auditory pathway, ie, auditory nerve up to the level of superior olivary nucleus; no impairment was observed at the level of sub-cortical, cortical, or the association areas.

Delayed auditory conduction in diabetes: is metformin-induced vitamin B12 deficiency responsible?

The present study aims to evaluate the functional integrity of the auditory pathway in patients with diabetes taking metformin. A further aim is to assess its association with vitamin B12 deficiency induced by metformin. Thirty diabetics taking metformin and 30 age-matched non-diabetic controls were enrolled. Stimulus-related potentials and vitamin B12 levels were evaluated in all the subjects. The diabetics showed deficient vitamin B12 levels and delayed wave III latency and III-V interpeak latency in the right ear and delayed Na and Pa wave latencies in the left ear compared with the controls. The dose and duration of metformin showed no association with the stimulusrelated potentials. Therefore, although vitamin B12 levels were deficient and auditory conduction impairment was present in the diabetics on metformin, this impairment cannot be attributed to the vitamin B12 deficiency.