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Summary: Mechanisms underlying loss of consciousness following propofol administration remain incompletely understood. The objective of this study was to compare frontal lobe electroencephalography activity and brainstem reflexes during intravenous induction of general anaesthesia, in patients receiving a typical bolus dose (fast infusion) of propofol compared with a slower infusion rate. We sought to determine whether brainstem suppression ('bottom‐up') predominates over loss of cortical function ('top‐down'). Sixteen ASA physical status‐1 patients were randomly assigned to either a fast or slow propofol infusion group. Loss of consciousness and brainstem reflexes were assessed every 30 s by a neurologist blinded to treatment allocation. We performed a multitaper spectral analysis of all electroencephalography data obtained from each participant. Brainstem reflexes were present in all eight patients in the slow infusion group, while being absent in all patients in the fast infusion group, at the moment of loss of consciousness (p = 0.010). An increase in alpha band power was observed before loss of consciousness only in participants allocated to the slow infusion group. Alpha band power emerged several minutes after the loss of consciousness in participants allocated to the fast infusion group. Our results show a predominance of 'bottom‐up' mechanisms during fast infusion rates and 'top‐down' mechanisms during slow infusion rates. The underlying mechanisms by which propofol induces loss of consciousness are potentially influenced by the speed of infusion. [ABSTRACT FROM AUTHOR]

Increasingly, scientific publications refer to some of the environmental factors affecting the recruitment in fish species. However, presently, there is little information available concerning the influence of the environment on the recruitment of Scomber scombrus, the North-east Atlantic mackerel (NEAM). In this contribution, North Atlantic Oscillation (NAO), upwelling and turbulent mixing (or `turbulence') series were compared with recruitment estimates, at age-0. The results show that the southern prespawning migration pattern of the Atlantic mackerel is directed towards areas with low turbulent mixing at spawning time, providing a `stable environment' for egg and larval survival. In the southern areas, where the spawning starts, the turbulence conditions of prespawning and spawning periods have the largest influence on the success of recruitment; this is related, possibly, to the more `stable' weather in the subsequent months and for the remainder of the year. In contrast, in the northern areas, the role of turbulence over the entire year becomes increasingly more relevant; this is related, possibly, to the high levels of turbulence during autumn and winter, which may become limiting to the survival of juveniles. About 50% of the variability in the Atlantic mackerel recruitment may be explained by means of environmental variables, such as turbulence. Other variables, such as upwelling and NAO, are only slightly, or not, statistically significant. [ABSTRACT FROM AUTHOR]

Mechanisms underlying loss of consciousness following propofol administration remain incompletely understood. The objective of this study was to compare frontal lobe electroencephalography activity and brainstem reflexes during intravenous induction of general anaesthesia, in patients receiving a typical bolus dose (fast infusion) of propofol compared with a slower infusion rate. We sought to determine whether brainstem suppression ('bottom-up') predominates over loss of cortical function ('top-down'). Sixteen ASA physical status-1 patients were randomly assigned to either a fast or slow propofol infusion group. Loss of consciousness and brainstem reflexes were assessed every 30 s by a neurologist blinded to treatment allocation. We performed a multitaper spectral analysis of all electroencephalography data obtained from each participant. Brainstem reflexes were present in all eight patients in the slow infusion group, while being absent in all patients in the fast infusion group, at the moment of loss of consciousness (p = 0.010). An increase in alpha band power was observed before loss of consciousness only in participants allocated to the slow infusion group. Alpha band power emerged several minutes after the loss of consciousness in participants allocated to the fast infusion group. Our results show a predominance of 'bottom-up' mechanisms during fast infusion rates and 'top-down' mechanisms during slow infusion rates. The underlying mechanisms by which propofol induces loss of consciousness are potentially influenced by the speed of infusion. [ABSTRACT FROM AUTHOR]