<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1665-5044</journal-id>
<journal-title><![CDATA[Revista mexicana de neurociencia]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. neurocienc.]]></abbrev-journal-title>
<issn>1665-5044</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Neurología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-50442021000200051</article-id>
<article-id pub-id-type="doi">10.24875/rmn.200001181</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Cognitive effects of chronic sleep deprivation in internal medicine residents]]></article-title>
<article-title xml:lang="es"><![CDATA[Efectos cognitivos de la privación crónica del sueño en residentes de medicina interna]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guraieb-Chahin]]></surname>
<given-names><![CDATA[Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cadena-Fernández]]></surname>
<given-names><![CDATA[Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Gutiérrez]]></surname>
<given-names><![CDATA[Lidia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés-Ferrer]]></surname>
<given-names><![CDATA[Sergio I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gulias-Herrero]]></surname>
<given-names><![CDATA[Alfonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cantú-Brito]]></surname>
<given-names><![CDATA[Carlos G.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Departments of Neurology and Psychiatry ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,The American British Cowdray Medical Center I.A.P. Department of Internal Medicine ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Department of Internal Medicine ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>22</volume>
<numero>2</numero>
<fpage>51</fpage>
<lpage>55</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-50442021000200051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-50442021000200051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-50442021000200051&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective: Assessing the effect of chronic sleep deprivation on essential neuropsychological tests, including executive functions for performance such as selective attention, inhibitory control, processing velocity, and working memory among internal medicine residents with chronic sleep deprivation in a highly demanding academic program  Methods: We conducted a prospective study measuring neuropsychological performance among internal medicine postgraduate year 1 residents in Mexico City. The study was conducted from 2012 to 2013. We used Stroop test, as well as Wechsler Adult Intelligence Scale (WAIS III) to evaluate executive functions. We performed neuropsychological assessments at the beginning of residency, and again 12 months after the baseline assessment.  Results: Chronic sleep deprivation causes an alteration in selective attention, working memory, processing speed, and inhibition. This results in longer time to perform a task, as well as impaired attention during performance of a task  Conclusions: Our findings suggest that limiting the workload of residents and giving them longer off-duty hours would reflect on better and safer patient care. Nevertheless, it is still controversial that medical errors due to fatigue cause damages to patients.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes y objetivo: Evaluar el efecto de la privación crónica del sueño en pruebas neuropsicológicas esenciales, que incluyen funciones ejecutivas para el desempeño como atención selectiva, control inhibitorio, velocidad de procesamiento y memoria de trabajo entre residentes de medicina interna con privación crónica del sueño en un programa académico altamente exigente.  Métodos: Realizamos un estudio prospectivo que midió el desempeño neuropsicológico en residentes del primer año de posgrado en medicina interna en la Ciudad de México. El estudio se realizó de 2012 a 2013. Utilizamos la prueba de Stroop, así como WAIS III para evaluar las funciones ejecutivas. Realizamos evaluaciones neuropsicológicas al comienzo de la residencia y nuevamente 12 meses después de la evaluación inicial.  Resultados: La privación crónica del sueño provoca una alteración en la atención selectiva, la memoria de trabajo, la velocidad de procesamiento y la inhibición. Esto da como resultado un mayor tiempo para realizar una tarea, así como una atención deteriorada durante la realización de una tarea.  Conclusiones: Nuestros hallazgos sugieren que limitar la carga de trabajo de los residentes y darles más horas fuera de servicio se reflejaría en una mejor y más segura atención al paciente. Sin embargo, todavía es controvertido que los errores médicos debidos a la fatiga causen daños a los pacientes.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Sleep]]></kwd>
<kwd lng="en"><![CDATA[Deprivation]]></kwd>
<kwd lng="en"><![CDATA[Residents]]></kwd>
<kwd lng="en"><![CDATA[Cognitive]]></kwd>
<kwd lng="en"><![CDATA[Effects]]></kwd>
<kwd lng="es"><![CDATA[Sueño]]></kwd>
<kwd lng="es"><![CDATA[Privación]]></kwd>
<kwd lng="es"><![CDATA[Residentes]]></kwd>
<kwd lng="es"><![CDATA[Cognitivo]]></kwd>
<kwd lng="es"><![CDATA[Efectos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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