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von der Linde M, Herbster C, Dobel C, Festag S, Thielsch MT. Creating safe environments: optimal acoustic alarming of laypeople in fire prevention. ERGONOMICS 2023; 66:2193-2211. [PMID: 36927322 DOI: 10.1080/00140139.2023.2191915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Accepted: 03/10/2023] [Indexed: 06/18/2023]
Abstract
Hazards like fires occur regularly and can cost people's lives. Optimal auditory alarm signals enable laypeople to recognise dangers and to protect themselves. Existing fire alarm sound research focuses on alarm sounds and voice alerts presented singularly. We explored a combination of both and aimed to identify alarm signals that work optimally in everyday life. Thus, we conducted two online experiments: In Study 1 (N = 379), we tested eight alarm sounds regarding their typicality, their familiarity, their arousal, their valence, and their dominance. Siren-like alarm sounds were the most effective. In Study 2 (N = 206), we combined the four most effective alarm sounds with a voice alert. The voice alert reinforced ambiguity reduction, action motivation, and action intention. Hence, we suggest using alarm sounds with siren-like patterns. They should be combined with a voice alert to foster a quick and specific (target task-oriented) reaction.Practitioner summary: Warning laypeople is of great importance in time-critical hazards. In two remote testing studies (NTotal = 585), auditory alarm sounds with siren-like patterns resulted in the most distinct and emotional perception. Combining the alarm sound with a voice alert adds meaning to the alarm and fosters action intention.Abbreviations: DIN: Deutsches Institut für Normung [German Institute for Standardization]; ISO: International Organization for Standardization; Mixed MANOVA: mixed measures multivariate analysis of variance; rmMANOVA: repeated measures multivariate analysis of variance.
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Affiliation(s)
| | | | - Christian Dobel
- Department of Otorhinolaryngology, Jena University Hospital, Jena, Germany
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2
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Smith GA, Kistamgari S, Splaingard M. Age-Dependent Responsiveness to Smoke Alarm Signals Among Children. Pediatrics 2022; 149:186861. [PMID: 35466358 DOI: 10.1542/peds.2022-056460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/23/2022] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVES Although it has been established that smoke alarms have more difficulty awakening children from sleep than adults, no attempt has been previously made to characterize how smoke alarm responsiveness changes with age during childhood. The objective of this study is to evaluate the age-dependent responsiveness to various smoke alarm signals among children 5 to 12 years old. METHODS The effect of age on children's response to 4 types of smoke alarms (human voice, hybrid voice-tone, low-frequency tone, and high-frequency tone) was evaluated using combined data from 3 previous studies. RESULTS There were 540 subjects (median age 9 years; 51.7% male). The proportion of children who awakened demonstrated a statistically significant (P < .001) increase of 3.1% to 7.6% for each additional year of age between 5 and 12 years old for the 4 alarm types. Similarly, child age showed a statistically significant (P < .001) effect on the proportion who escaped for each of the 4 alarm types. The proportion of subjects who awakened or escaped did not differ significantly by sex for any of the alarm types. Median time-to-awaken and median time-to-escape decreased with increase in child age for all alarm types. CONCLUSIONS This study demonstrates the substantial influence of child age on the effectiveness of audible smoke alarms during childhood. Among 12-year-olds, only 56.3% escaped within 1 minute (and 67.6% within 2 minutes) to a high-frequency tone. However, a hybrid voice-low-frequency tone alarm is >96% effective at awakening and prompting escape within 1 minute among children 9 years and older.
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Affiliation(s)
- Gary A Smith
- Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio.,Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio.,Child Injury Prevention Alliance, Columbus, Ohio
| | - Sandhya Kistamgari
- Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio
| | - Mark Splaingard
- Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio.,Sleep Disorders Center, Nationwide Children's Hospital, Columbus, Ohio
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3
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Changes in Psychoacoustic Recognition and Brain Activity by Types of Fire Alarm. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18020541. [PMID: 33440710 PMCID: PMC7827080 DOI: 10.3390/ijerph18020541] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Revised: 01/03/2021] [Accepted: 01/06/2021] [Indexed: 12/30/2022]
Abstract
In public, the role of a fire alarm is to induce a person to a certain recognition of potential danger, resulting in that person taking appropriate evacuation action. Unfortunately, the sound of the fire alarm is not internationally standardized yet, except for recommending the use of a signal with a regular temporal pattern (or T-3 pattern). To identify the effective alarm sound, the present study investigated a relationship between acoustic characteristics of the fire alarm and its subjective psychoacoustic recognition and objective electroencephalography (EEG) responses for 50 young and older listeners. As the stimuli, six different types of alarms were applied: bell, slow whoop, T-3 520 Hz, T-3 3100 Hz, and two simulated T-3 sounds (i.e., 520 and 3100 Hz) to which older adults with age-related hearing loss seemed to hear. While listening to the sounds, the EEG was recorded by each individual. The psychoacoustic recognition was also evaluated by using a questionnaire consisting of three subcategories, i.e., arousal, urgency, and immersion. The subjective responses resulted in a statistically significant difference between the types of sound. In particular, the fire alarms had acoustic features of high frequency or gradually increased frequencies such as T-3 3100 Hz, bell, and slow whoop, representing effective sounds to induce high arousal and urgency, although they also showed a limitation in being widely transmitted and vulnerable to background noise environment. Interestingly, there was a meaningful interaction effect between the sounds and age groups for the urgency and immersion, indicating that the bell was quite highly recognized in older adults. In general, EEG data showed that alpha power was decreased and gamma power was increased in all sounds, which means a relationship with negative emotions such as high arousal and urgency. Based on the current findings, we suggest using fire alarm sounds with acoustic features of high frequencies in indoor and/or public places.
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Attali V, Lavault S, Guerder A, Al-Youssef S, Dudoignon B, Taytard J, Arnulf I, Faure M, Straus C, Similowski T. Awakening efficacy of a vibrotactile device in patients on home nocturnal ventilatory assistance and healthy subjects as family caregiver proxies. Chron Respir Dis 2020; 17:1479973120983331. [PMID: 33371725 PMCID: PMC7783873 DOI: 10.1177/1479973120983331] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The objective of this study was to test the capacity of vibrotactile stimulation
transmitted to the wrist bones by a vibrating wristband to awaken healthy
individuals and patients requiring home mechanical ventilation during sleep.
Healthy subjects (n = 20) and patients with central hypoventilation (CH)
(Congenital Central Hypoventilation syndrome n = 7; non-genetic form of CH n =
1) or chronic obstructive pulmonary disease (COPD) (n = 9), underwent a
full-night polysomnography while wearing the wristband. Vibrotactile alarms were
triggered five times during the night at random intervals.
Electroencephalographic (EEG), clinical (trunk lift) and cognitive (record the
time on a sheet of paper) arousals were recorded. Cognitive arousals were
observed for 94% of the alarms in the healthy group and for 66% and 63% of
subjects in the CH and COPD groups, respectively (p < 0.01). The percentage
of participants experiencing cognitive arousals for all alarms, was 72% for
healthy subjects, 37.5% for CH patients and 33% for COPD patients (ns) (94%, 50%
and 44% for clinical arousals (p < 0.01) and 100%, 63% and 44% for EEG
arousals (p < 0.01)). Device acceptance was good in the majority of cases,
with the exception of one CH patient and eight healthy participants. In summary
this study shows that a vibrotactile stimulus is effective to induce awakenings
in healthy subjects, but is less effective in patients, supporting the notion
that a vibrotactile stimulus could be an effective backup to a home mechanical
ventilator audio alarm for healthy family caregivers.
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Affiliation(s)
- Valerie Attali
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Paris, France.,26930AP-HP. Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3S, Service des Pathologies du Sommeil, Paris, France.,26930AP-HP. Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3 S, Centre de référence Constitutif « maladies rares » pour le Syndrome d'Ondine (adultes), Paris, France
| | - Sophie Lavault
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Paris, France.,26930AP-HP. Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3 S, Centre de référence Constitutif « maladies rares » pour le Syndrome d'Ondine (adultes), Paris, France.,26930AP-HP. Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3S, Service de Pneumologie, Médecine Intensive et Réanimation, Paris, France
| | - Antoine Guerder
- 26930AP-HP. Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3S, Service de Pneumologie, Médecine Intensive et Réanimation, Paris, France
| | - Saba Al-Youssef
- 26930AP-HP. Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3S, Service des Pathologies du Sommeil, Paris, France.,26930AP-HP. Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3 S, Centre de référence Constitutif « maladies rares » pour le Syndrome d'Ondine (adultes), Paris, France
| | - Benjamin Dudoignon
- 26930AP-HP. Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3S, Service des Pathologies du Sommeil, Paris, France
| | - Jessica Taytard
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Paris, France.,26930AP-HP. Sorbonne Université, Hôpital Trousseau, Service de Pneumologie Pédiatrique, Paris, France
| | - Isabelle Arnulf
- 26930AP-HP. Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3S, Service des Pathologies du Sommeil, Paris, France
| | - Morgane Faure
- 26930AP-HP. Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3S, Service de Pneumologie, Médecine Intensive et Réanimation, Paris, France
| | - Christian Straus
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Paris, France.,26930AP-HP. Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3 S, Centre de référence Constitutif « maladies rares » pour le Syndrome d'Ondine (adultes), Paris, France.,26930AP-HP. Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3S, Service des Explorations Fonctionnelles de la Respiration, de l'Exercice et de la Dyspnée, Paris, France
| | - Thomas Similowski
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Paris, France.,26930AP-HP. Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3 S, Centre de référence Constitutif « maladies rares » pour le Syndrome d'Ondine (adultes), Paris, France.,26930AP-HP. Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3S, Service de Pneumologie, Médecine Intensive et Réanimation, Paris, France
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Do Sleeping Children Respond Better to a Smoke Alarm That Uses Their Mother's Voice? Acad Pediatr 2020; 20:319-326. [PMID: 31276840 DOI: 10.1016/j.acap.2019.06.016] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2018] [Revised: 06/22/2019] [Accepted: 06/28/2019] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Being asleep at the time of a residential fire increases fire-related fatality risk. This study tested whether children awaken from slow wave sleep and perform an escape procedure better to a voice smoke alarm that uses their mother's voice compared with a female stranger's voice or a low-frequency tone alarm. METHODS Using a randomized, nonblinded, repeated measures design, 176 children 5 to 12 years old were exposed during stage 4 slow wave sleep to 4 smoke alarm signals: 1) the voice of the child's mother, 2) the voice of a female stranger, 3) low-frequency 500 Hz square wave tone, and 4) conventional residential high-frequency tone. The alarms were assessed regarding their ability to awaken the children and prompt their performance of an escape procedure. RESULTS Among the 176 subjects, 78.4%, 83.0%, 88.1%, and 49.4% awakened and 78.4%, 81.3%, 85.8%, and 48.3% successfully performed the escape procedure within 5 minutes of alarm onset in response to the mother's voice, stranger's voice, low-frequency tone, and high-frequency tone alarms, respectively; while the median time-to-escape was 23.0, 24.0, 41.5, and >300 seconds for these 4 alarms, respectively. CONCLUSIONS The 2 voice alarms and low-frequency tone alarm significantly outperformed the high-frequency tone alarm, with the low-frequency tone alarm and female stranger's voice alarm performing best. Compared with the voice of a female stranger, personalizing the alarm message with the voice of the child's mother did not increase alarm effectiveness. These findings provide important information for development of an effective and practical smoke alarm for children.
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Abbasi M, Monazzam MR, Akbarzadeh A, Zakerian SA, Ebrahimi MH. Impact of wind turbine sound on general health, sleep disturbance and annoyance of workers: a pilot- study in Manjil wind farm, Iran. JOURNAL OF ENVIRONMENTAL HEALTH SCIENCE & ENGINEERING 2015; 13:71. [PMID: 26464802 PMCID: PMC4603767 DOI: 10.1186/s40201-015-0225-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/19/2015] [Accepted: 10/04/2015] [Indexed: 06/05/2023]
Abstract
BACKGROUND The wind turbine's sound seems to have a proportional effect on health of people living near to wind farms. This study aimed to investigate the effect of noise emitted from wind turbines on general health, sleep and annoyance among workers of manjil wind farm, Iran. MATERIALS AND METHODS A total number of 53 workers took part in this study. Based on the type of job, they were categorized into three groups of maintenance, security and office staff. The persons' exposure at each job-related group was measured by eight-hour equivalent sound level (LAeq, 8 h). A Noise annoyance scale, Epworth sleepiness scale and 28-item general health questionnaire was used for gathering data from workers. The data were analyzed through Multivariate Analysis of variance (MANOVA) test, Pillai's Trace test, Paired comparisons analysis and Multivariate regression test were used in the R software. RESULTS AND DISCUSSION The results showed that, response variables (annoyance, sleep disturbance and health) were significantly different between job groups. The results also indicated that sleep disturbance as well as noise exposure had a significant effect on general health. Noise annoyance and distance from wind turbines could significantly explain about 44.5 and 34.2 % of the variance in sleep disturbance and worker's general health, respectively. General health was significantly different in different age groups while age had no significant impact on sleep disturbance. The results were reverse for distance because it had no significant impact on health, but sleep disturbance was significantly affected. CONCLUSIONS We came to this conclusion that wind turbines noise can directly impact on annoyance, sleep and health. This type of energy generation can have potential health risks for wind farm workers. However, further research is needed to confirm the results of this study.
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Affiliation(s)
- Milad Abbasi
- />Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Reza Monazzam
- />Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Arash Akbarzadeh
- />Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Seyyed Abolfazl Zakerian
- />Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Hossein Ebrahimi
- />Department of Occupational Health Engineering, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran
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7
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He J, Sun HQ, Li SX, Zhang WH, Shi J, Ai SZ, Li Y, Li XJ, Tang XD, Lu L. Effect of conditioned stimulus exposure during slow wave sleep on fear memory extinction in humans. Sleep 2015; 38:423-31. [PMID: 25348121 DOI: 10.5665/sleep.4502] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2014] [Accepted: 10/10/2014] [Indexed: 02/05/2023] Open
Abstract
STUDY OBJECTIVES Repeated exposure to a neutral conditioned stimulus (CS) in the absence of a noxious unconditioned stimulus (US) elicits fear memory extinction. The aim of the current study was to investigate the effects of mild tone exposure (CS) during slow wave sleep (SWS) on fear memory extinction in humans. DESIGN The healthy volunteers underwent an auditory fear conditioning paradigm on the experimental night, during which tones served as the CS, and a mild shock served as the US. They were then randomly assigned to four groups. Three groups were exposed to the CS for 3 or 10 min or an irrelevant tone (control stimulus, CtrS) for 10 min during SWS. The fourth group served as controls and was not subjected to any interventions. All of the subjects completed a memory test 4 h after SWS-rich stage to evaluate the effect on fear extinction. Moreover, we conducted similar experiments using an independent group of subjects during the daytime to test whether the memory extinction effect was specific to the sleep condition. PARTICIPANTS Ninety-six healthy volunteers (44 males) aged 18-28 y. MEASUREMENTS AND RESULTS Participants exhibited undisturbed sleep during 2 consecutive nights, as assessed by sleep variables (all P > 0.05) from polysomnographic recordings and power spectral analysis. Participants who were re-exposed to the 10 min CS either during SWS and wakefulness exhibited attenuated fear responses (wake-10 min CS, P < 0.05; SWS-10 min CS, P < 0.01). CONCLUSIONS Conditioned stimulus re-exposure during SWS promoted fear memory extinction without altering sleep profiles.
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Affiliation(s)
- Jia He
- Peking University Sixth Hospital/Institute of Mental Health and Key Laboratory of Mental Health, Peking University, Beijing, China.,National Institute on Drug Dependence, Peking University, Beijing, China
| | - Hong-Qiang Sun
- Peking University Sixth Hospital/Institute of Mental Health and Key Laboratory of Mental Health, Peking University, Beijing, China
| | - Su-Xia Li
- National Institute on Drug Dependence, Peking University, Beijing, China
| | - Wei-Hua Zhang
- Peking University Sixth Hospital/Institute of Mental Health and Key Laboratory of Mental Health, Peking University, Beijing, China
| | - Jie Shi
- National Institute on Drug Dependence, Peking University, Beijing, China
| | - Si-Zhi Ai
- National Institute on Drug Dependence, Peking University, Beijing, China
| | - Yun Li
- Sleep Medicine Center, Translational Neuroscience Center, West China Hospital, Sichuan University, Chengdu, China
| | - Xiao-Jun Li
- Peking University Sixth Hospital/Institute of Mental Health and Key Laboratory of Mental Health, Peking University, Beijing, China
| | - Xiang-Dong Tang
- Sleep Medicine Center, Translational Neuroscience Center, West China Hospital, Sichuan University, Chengdu, China
| | - Lin Lu
- Peking University Sixth Hospital/Institute of Mental Health and Key Laboratory of Mental Health, Peking University, Beijing, China.,National Institute on Drug Dependence, Peking University, Beijing, China.,Peking-Tsinghua Center for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Peking University, Beijing, China
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8
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Kouider S, Andrillon T, Barbosa LS, Goupil L, Bekinschtein TA. Inducing task-relevant responses to speech in the sleeping brain. Curr Biol 2014; 24:2208-2214. [PMID: 25220055 PMCID: PMC4175175 DOI: 10.1016/j.cub.2014.08.016] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2013] [Revised: 07/07/2014] [Accepted: 08/08/2014] [Indexed: 10/25/2022]
Abstract
Falling asleep leads to a loss of sensory awareness and to the inability to interact with the environment [1]. While this was traditionally thought as a consequence of the brain shutting down to external inputs, it is now acknowledged that incoming stimuli can still be processed, at least to some extent, during sleep [2]. For instance, sleeping participants can create novel sensory associations between tones and odors [3] or reactivate existing semantic associations, as evidenced by event-related potentials [4-7]. Yet, the extent to which the brain continues to process external stimuli remains largely unknown. In particular, it remains unclear whether sensory information can be processed in a flexible and task-dependent manner by the sleeping brain, all the way up to the preparation of relevant actions. Here, using semantic categorization and lexical decision tasks, we studied task-relevant responses triggered by spoken stimuli in the sleeping brain. Awake participants classified words as either animals or objects (experiment 1) or as either words or pseudowords (experiment 2) by pressing a button with their right or left hand, while transitioning toward sleep. The lateralized readiness potential (LRP), an electrophysiological index of response preparation, revealed that task-specific preparatory responses are preserved during sleep. These findings demonstrate that despite the absence of awareness and behavioral responsiveness, sleepers can still extract task-relevant information from external stimuli and covertly prepare for appropriate motor responses.
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Affiliation(s)
- Sid Kouider
- Laboratoire de Sciences Cognitives et Psycholinguistique, CNRS/EHESS/DEC-ENS, 29 Rue d'Ulm, 75005 Paris, France.
| | - Thomas Andrillon
- Laboratoire de Sciences Cognitives et Psycholinguistique, CNRS/EHESS/DEC-ENS, 29 Rue d'Ulm, 75005 Paris, France; Ecole Doctorale Cerveau-Cognition-Comportement, Université Pierre et Marie Curie, 9 Quai Saint Bernard, 75005 Paris, France
| | - Leonardo S Barbosa
- Laboratoire de Sciences Cognitives et Psycholinguistique, CNRS/EHESS/DEC-ENS, 29 Rue d'Ulm, 75005 Paris, France; Ecole Doctorale Cerveau-Cognition-Comportement, Université Pierre et Marie Curie, 9 Quai Saint Bernard, 75005 Paris, France
| | - Louise Goupil
- Laboratoire de Sciences Cognitives et Psycholinguistique, CNRS/EHESS/DEC-ENS, 29 Rue d'Ulm, 75005 Paris, France; Ecole Doctorale Cerveau-Cognition-Comportement, Université Pierre et Marie Curie, 9 Quai Saint Bernard, 75005 Paris, France
| | - Tristan A Bekinschtein
- Cognition and Brain Sciences Unit, Medical Research Council, 15 Chaucer Road, Cambridge CB2 7EF, UK; Department of Psychology, University of Cambridge, Downing Street, Cambridge CB2 3EB, UK
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9
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Abstract
STUDY OBJECTIVES Respiratory cycle-related electroencephalographic (EEG) changes (RCREC), especially in delta and sigma frequencies, are thought to reflect subtle, breath-to-breath inspiratory microarousals that are exacerbated in association with increased work of breathing in obstructive sleep apnea (OSA). We wondered whether snoring sounds could create these microarousals, and investigated whether earplugs, anticipated to alter snoring perception, might affect RCREC. DESIGN Randomized controlled trial. SETTING An accredited, academic sleep laboratory. PATIENTS Adults (n = 400) referred for suspected OSA. INTERVENTIONS Subjects were randomly assigned to use earplugs or not during a night of diagnostic polysomnography. RESULTS Two hundred three of the participants were randomized to use earplugs. Earplug use was associated with lower RCREC in delta EEG frequencies (0.5-4.5 Hz), although not in other frequencies, after controlling for potential confounds (P = 0.048). This effect of earplug use was larger among men in comparison with women (interaction term P = 0.046), and possibly among nonobese subjects in comparison with obese subjects (P = 0.081). However, the effect of earplug use on delta RCREC did not differ significantly based on apnea severity or snoring prominence as rated by sleep technologists (P > 0.10 for each). CONCLUSIONS This randomized controlled trial is the first study to show that perception of snoring sounds, as modulated by earplugs, can influence the cortical EEG during sleep. However, the small magnitude of effect, lack of effect on RCREC in EEG frequencies other than delta, and absence of effect modulation by apnea severity or snoring prominence suggest that perception of snoring is not the main explanation for RCREC.
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Affiliation(s)
- Naricha Chirakalwasan
- Sleep Disorders Center and Department of Neurology, University of Michigan, Ann Arbor, MI, USA
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10
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Zhang H, Chen L, Zhou X. Adaptation to visual or auditory time intervals modulates the perception of visual apparent motion. Front Integr Neurosci 2012; 6:100. [PMID: 23133408 PMCID: PMC3488759 DOI: 10.3389/fnint.2012.00100] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2012] [Accepted: 10/16/2012] [Indexed: 11/25/2022] Open
Abstract
It is debated whether sub-second timing is subserved by a centralized mechanism or by the intrinsic properties of task-related neural activity in specific modalities (Ivry and Schlerf, 2008). By using a temporal adaptation task, we investigated whether adapting to different time intervals conveyed through stimuli in different modalities (i.e., frames of a visual Ternus display, visual blinking discs, or auditory beeps) would affect the subsequent implicit perception of visual timing, i.e., inter-stimulus interval (ISI) between two frames in a Ternus display. The Ternus display can induce two percepts of apparent motion (AM), depending on the ISI between the two frames: "element motion" for short ISIs, in which the endmost disc is seen as moving back and forth while the middle disc at the overlapping or central position remains stationary; "group motion" for longer ISIs, in which both discs appear to move in a manner of lateral displacement as a whole. In Experiment 1, participants adapted to either the typical "element motion" (ISI = 50 ms) or the typical "group motion" (ISI = 200 ms). In Experiments 2 and 3, participants adapted to a time interval of 50 or 200 ms through observing a series of two paired blinking discs at the center of the screen (Experiment 2) or hearing a sequence of two paired beeps (with pitch 1000 Hz). In Experiment 4, participants adapted to sequences of paired beeps with either low pitches (500 Hz) or high pitches (5000 Hz). After adaptation in each trial, participants were presented with a Ternus probe in which the ISI between the two frames was equal to the transitional threshold of the two types of motions, as determined by a pretest. Results showed that adapting to the short time interval in all the situations led to more reports of "group motion" in the subsequent Ternus probes; adapting to the long time interval, however, caused no aftereffect for visual adaptation but significantly more reports of group motion for auditory adaptation. These findings, suggesting amodal representation for sub-second timing across modalities, are interpreted in the framework of temporal pacemaker model.
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Affiliation(s)
- Huihui Zhang
- Department of Psychology, Center for Brain and Cognitive Sciences, Peking UniversityBeijing, China
| | - Lihan Chen
- Department of Psychology, Center for Brain and Cognitive Sciences, Peking UniversityBeijing, China
- Key Laboratory of Machine Perception (Ministry of Education), Peking UniversityBeijing, China
| | - Xiaolin Zhou
- Department of Psychology, Center for Brain and Cognitive Sciences, Peking UniversityBeijing, China
- Key Laboratory of Machine Perception (Ministry of Education), Peking UniversityBeijing, China
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Arzi A, Shedlesky L, Ben-Shaul M, Nasser K, Oksenberg A, Hairston IS, Sobel N. Humans can learn new information during sleep. Nat Neurosci 2012; 15:1460-5. [PMID: 22922782 DOI: 10.1038/nn.3193] [Citation(s) in RCA: 126] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2012] [Accepted: 07/27/2012] [Indexed: 02/06/2023]
Abstract
During sleep, humans can strengthen previously acquired memories, but whether they can acquire entirely new information remains unknown. The nonverbal nature of the olfactory sniff response, in which pleasant odors drive stronger sniffs and unpleasant odors drive weaker sniffs, allowed us to test learning in humans during sleep. Using partial-reinforcement trace conditioning, we paired pleasant and unpleasant odors with different tones during sleep and then measured the sniff response to tones alone during the same nights' sleep and during ensuing wake. We found that sleeping subjects learned novel associations between tones and odors such that they then sniffed in response to tones alone. Moreover, these newly learned tone-induced sniffs differed according to the odor pleasantness that was previously associated with the tone during sleep. This acquired behavior persisted throughout the night and into ensuing wake, without later awareness of the learning process. Thus, humans learned new information during sleep.
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Affiliation(s)
- Anat Arzi
- Department of Neurobiology, Weizmann Institute of Science, Rehovot, Israel.
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Is snoring intensity responsible for the sleep partner’s poor quality of sleep? Sleep Breath 2011; 16:903-7. [DOI: 10.1007/s11325-011-0554-5] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2011] [Revised: 06/22/2011] [Accepted: 06/24/2011] [Indexed: 11/25/2022]
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