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Biomedical subjects

D E Irwin

Publications and source records attributed to D E Irwin.

At least 19 recordsLinked to original sources

Impact of patient characteristics on the risk of influenza/ILI-related complications.

BACKGROUND: We sought to quantify the impact of patient characteristics on complications and health care costs associated with influenza and influenza-like illness (ILI) in a nonelderly population. METHODS: Patients with medical reimbursement claims for influenza in the 1996-1997 season were identified from the automated database of a large private New England Insurer (NEI). Influenza care during the 21- day follow-up period was characterized according to age, gender, vaccine status, co-morbidities, prior influenza/ILI episodes, treatments, and recent health care costs and related diagnoses. RESULTS: There were 6,241 patients. Approximately 20% had preexisting chronic lung disease. Overall, 23% had health care services for possible complications, among which respiratory diagnoses were the most common (13%). Two percent of the influenza/ILI episodes involved hospitalization, with a median stay of five days. Factors most strongly predictive of hospitalizations and complications were preexisting malignancy (hospitalizations OR = 3.7 and complications OR = 2.4), chronic heart disease (OR = 3.2 and OR = 1.8), diabetes (OR = 2.2 and OR = 1.7) and recent illnesses that would have counted as complications had they occurred during an influenza/ILI episode (hospitalizations OR = 3.2 and complications OR = 1.5). The same factors affected influenza-related costs and total costs of care as dramatically as they affected complication rates. CONCLUSIONS: Influenza/ILI-related costs are driven by the characteristics that predict complications of influenza. Patients with chronic illness and those with recent acute respiratory events are the most likely to experience complications and hospitalizations.

Adolescent↗

Speciation in a ring.

The evolutionary divergence of a single species into two has never been directly observed in nature, primarily because speciation can take a long time to occur. A ring species, in which a chain of intergrading populations encircles a barrier and the terminal forms coexist without interbreeding, provides a situation in which variation in space can be used to infer variation in time. Here we reconstruct the pathway to speciation between two reproductively isolated forms of greenish warbler (Phylloscopus trochiloides). These two taxa do not interbreed in central Siberia but are connected by a long chain of intergrading populations encircling the Tibetan Plateau to the south. Molecular data and climatic history imply that the reproductively isolated taxa came into contact following expansions northward around the western and eastern sides of the plateau. Parallel selection pressures for increased song complexity during the northward expansions have been accompanied by divergence in song structure. Playback experiments show that the two Siberian forms do not recognize each other's songs. Our results show how gradual divergence in a trait involved in mate choice leads to the formation of new species.

Animals↗

Visual search has memory.

By monitoring subjects' eye movements during a visual search task, we examined the possibility that the mechanism responsible for guiding attention during visual search has no memory for which locations have already been examined. Subjects did reexamine some items during their search, but the pattern of revisitations did notfit the predictions of the memory less search model. In addition, a large proportion of the refixations were directed at the target, suggesting that the revisitations were due to subjects' remembering which items had not been adequately identified. We also examined the patterns of fixations and compared them with the predictions of a memoryless search model Subjects' fixation patterns showed an increasing hazard function, whereas the memoryless model predicts a flat function. Lastly, we found no evidence suggesting that fixations were guided by amnesic covert scans that scouted the environment for new items during fixations. Results do not support the claims of the memorvless search model, and instead suggest that visual search does have memory.

Adult↗

Influence of single and multiple onset distractors on visual search for singleton targets.

In three experiments, we examined attentional and oculomotor capture by single and multiple abrupt onsets in a singleton search paradigm. Subjects were instructed to move their eyes as quickly as possible to a color singleton target and to identify a small letter located inside of it. In Experiment 1, task-irrelevant sudden onsets appeared simultaneously on half the trials with the presentation of the color singleton target. Response times (RTs) were longer when onsets appeared in the display regardless of the number of onsets. Eye-scan strategies were also disrupted by the appearance of the onset distractors, although the proportion of trials on which the eyes were directed to the onsets was the same regardless of the number of onsets. In Experiment 2, we manipulated the time of presentation of two task-irrelevant onsets in order to further examine whether multiple onsets would be attended and fixated prior to attending a color singleton target. Again, subjects made a saccade to a task-irrelevant onset on a substantial proportion of trials prior to fixating the target. However, saccades to the second onset were rare. Experiment 3 served as a replication of Experiment 1 but without the requirement for subjects to move their eyes to detect and identify the singleton target. The RT results were consistent with those in Experiment 1; dual onsets had no larger an effect on response speed than single onset distractors. These data are discussed in terms of the interaction between top-down and bottom-up control of attention and the eyes.

Adult↗

The role of attentional breadth in perceptual change detection.

Previous research has shown that changes to scenes are often surprisingly hard to detect. The research reported here investigated the relationship between individual differences in attention and change detection. We did this by assessing participants' breadth of attention in a functional field of view task (FFOV) and relating this measure to the speed with which individuals detected changes in scenes. We also examined how the salience, meaningfulness, and eccentricity of the scene changes affected perceptual change performance. In order to broaden the range of individual differences in attentional breadth, both young and old adults participated in the study. A strong negative relationship was obtained between attentional breadth and the latency with which perceptual changes were detected; observers with broader attentional windows detected changes faster. Salience and eccentricity had large effects on change detection, but meaning aided the performance of young adults only and only when changes also had low salience.

Adolescent↗

Ring species as bridges between microevolution and speciation.

A demonstration of how small changes can lead to species-level differences is provided by ring species, in which two reproductively isolated forms are connected by a chain of intermediate populations. We review proposed cases of ring species and the insights they provide into speciation. Ring species have been viewed both as illustrations of the history of divergence of two species from their common ancestor and as demonstrations that speciation can occur in spite of gene flow between the diverging forms. Theoretical models predict that speciation with gene flow can occur when there is divergent ecological selection, and geographical differentiation increases the likelihood of speciation. Thus ring species are ideal systems for research into the role of both ecological and geographical differentiation in speciation, but few examples have been studied in detail. The Greenish warbler is a ring species in which two northward expansions around the Tibetan plateau have been accompanied by parallel evolution in morphology, ecology, and song length and complexity. However, songs have diverged in structure, resulting in a lack of recognition where the reproductively isolated forms come into contact in Siberia. Our analysis suggests that these differences could have arisen even with gene flow, and that parallel rather than divergent ecological changes have led to divergence in sexually selected traits and subsequent speciation.

Animals↗

Attentional and oculomotor capture by onset, luminance and color singletons.

In three experiments we investigated whether attentional and oculomotor capture occur only when object-defining abrupt onsets are used as distractors in a visual search task, or whether other salient stimuli also capture attention and the eyes even when they do not constitute new objects. The results showed that abrupt onsets (new objects) are especially effective in capturing attention and the eyes, but that luminance increments that do not accompany the appearance of new objects capture attention as well. Color singletons do not capture attention unless subjects have experienced the color singleton as a search target in a previous experimental session. Both abrupt onsets and luminance increments elicit reflexive, involuntary saccades whereas transient color changes do not. Implications for theories of attentional capture are discussed.

Adolescent↗

The role of physical and conceptual properties in preserving object continuity.

Six experiments investigated the nature of the object-file representation supporting object continuity. Participants viewed preview displays consisting of 2 stimuli (either line drawings or words) presented within square frames, followed by a target display consisting of a single stimulus (either a word or a picture) presented within 1 of the frames. The relationship between the target and preview stimuli was manipulated. The first 2 experiments found that participants responded more quickly when the target was identical to the preview stimulus in the same frame (object-specific priming). In Experiments 3, 4, 5, and 6, the physical form of the target stimulus (a word or picture in 1 frame) was changed completely from that of either preview stimulus (pictures or words in both frames). Despite this physical change, object-specific priming was observed. It is suggested that object files encode postcategorical information, rather than precise physical information.

Adult↗

Age differences in the control of looking behavior: do you know where your eyes have been?

Previous research has shown that during visual search young and old adults' eye movements are equivalently influenced by the appearance of task-irrelevant abrupt onsets. The finding of age-equivalent oculomotor capture is quite surprising in light of the abundant research suggesting that older adults exhibit poorer inhibitory control than young adults on a variety of different tasks. In the present study, we examined the hypothesis that oculomotor capture is age invariant when subjects' awareness of the appearance of task-irrelevant onsets is low, but that older adults will have more difficulty than young adults in inhibiting reflexive eye movements to task-irrelevant onsets when awareness of these objects is high. Our results were consistent with the level-of-awareness hypothesis. Young and old adults showed equivalent patterns of oculomotor capture with equiluminant onsets, but older adults misdirected their eyes to bright onsets more often than young adults did.

Adolescent↗

Song variation in an avian ring species.

Divergence of mating signals can occur rapidly and be of prime importance in causing reproductive isolation and speciation. A ring species, in which two reproductively isolated taxa are connected by a chain of intergrading populations, provides a rare opportunity to use spatial variation to reconstruct the history of divergence. I use geographic variation in the song of a likely ring species, the greenish warbler (Phylloscopus trochiloides) to reconstruct the microevolutionary steps that occurred during divergence of a trait that is often important in speciation in birds. Populations of a western Siberian (P. t. viridanus) and an eastern Siberian (P. t. plumbeitarsus) form of the greenish warbler meet, but do not interbreed in central Siberia; these forms are connected by a chain of interbreeding populations extending in a ring to the south around the treeless Tibetan Plateau. I show that: (1) song structure differs greatly between the two Siberian forms, which share the same habitat; (2) song structure changes gradually around the ring; (3) singing behavior is relatively simple in the Himalayas, but becomes increasingly complex to the north, both to the west and east of the Tibetan Plateau; and (4) song varies along independent axes of complexity in the western and eastern south-north clines. By comparing geographic variation in singing behavior and ecological variables, I distinguish among possible causes of song divergence, including selection based on the acoustic environment, stochastic effects of sexual selection, and selection for species recognition. I suggest that parallel south-to-north ecological gradients have caused a greater intensity of sexual selection on song in northern populations and that the stochastic effects of sexual selection have led to divergence in song structure.

Animals↗

The role of the saccade target object in the perception of a visually stable world.

Although the proximal stimulus shifts position on our retinae with each saccade, we perceive our world as stable and continuous. Most theories of visual stability implicitly assume a mechanism that spatially adjusts perceived locations associated with the retinal array by using, as a parameter, extra-retinal eye position information, a signal that encodes the size and direction of the saccade. The results from the experiment reported in this article challenge this idea. During a participant's saccade to a target object, one of the following was displaced: the entire scene, the target object, or the background behind the target object. Participants detected the displacement of the target object twice as frequently as the displacement of the entire background. The direction of displacement relative to the saccade also affected detectability. We use a new theory, the saccade target theory (McConkie & Currie, 1996), to interpret these results. This theory proposes that retinal (as opposed to extra-retinal) factors, primarily those concerning the saccade target object, are critical for the detection of intrasaccadic stimulus shifts.

Fixation, Ocular↗

Don't look! Don't touch! Inhibitory control of eye and hand movements.

Inhibitory control of eye and hand movements was compared in the stop-signal task. Subjects moved their eyes to the right or left or pressed keys on the right or left in response to visual stimuli. The stimuli were either central (angle brackets pointing left or right) or peripheral (plus signs turning into Xs left or right of fixation), and the task was either pro (respond on the same side as the stimulus) or anti (respond on the opposite side). Occasionally, a stop signal was presented, which instructed subjects to inhibit their responses to the go stimulus. Stop-signal reaction times (SSRTs) were faster overall for eye movements than for hand movements, and they were affected differently by stimulus conditions (central vs. peripheral) and task (pro vs. anti), suggesting that the eyes and hands are inhibited by different processes operating under similar principles (i.e., a race between stop and go processes).

Eye Movements↗

Mental rotation is suppressed during saccadic eye movements.

We examined whether mental rotation is suppressed during saccadic eye movements. Subjects judged whether a character was normal or mirror-reversed while making no, short, or long saccades. Reaction time was longer under saccade than under no-saccade conditions and was longer when a long saccade rather than a short saccade was made, but only when the characters varied in orientation. These results indicate that mental rotation is suppressed during saccadic eye movements. The implications for theories of cognitive suppression during saccades are discussed.

Adult↗

Influence of attentional capture on oculomotor control.

Previous research has shown that when searching for a color singleton, top-down control cannot prevent attentional capture by an abrupt visual onset. The present research addressed whether a task-irrelevant abrupt onset would affect eye movement behavior when searching for a color singleton. Results show that in many instances the eye moved in the direction of the task-irrelevant abrupt onset. There was evidence that top-down control could neither entirely prevent attentional capture by visual onsets nor prevent the eye from starting to move in the direction of the onset. Results suggest parallel programming of 2 saccades: 1 voluntary goal-directed eye movement toward the color singleton target and 1 stimulus-driven eye movement reflexively elicited by the abrupt onset. A neurophysiologically plausible model that can account for the current findings is discussed.

Adolescent↗

Attentional capture and aging: implications for visual search performance and oculomotor control.

Two studies examined potential age-related differences in attentional capture. Subjects were instructed to move their eyes as quickly as possible to a color singleton target and to identify a small letter located inside it. On half the trials, a new stimulus (i.e., a sudden onset) appeared simultaneously with the presentation of the color singleton target. The onset was always a task-irrelevant distractor. Response times were lengthened, for both young and old adults, whenever an onset distractor appeared, despite the fact that subjects reported being unaware of the appearance of the abrupt onset. Eye scan strategies were also disrupted by the appearance of the onset distractors. On about 40% of the trials on which an onset appeared, subjects made an eye movement to the task-irrelevant onset before moving their eyes to the target. Fixations close to the onset were brief, suggesting parallel programming of a reflexive eye movement to the onset and goal-directed eye movement to the target. Results are discussed in terms of age-related sparing of the attentional and oculomotor processes that underlie attentional capture.

Adult↗

Self-reported sexual activity and condom use among symptomatic clients attending STD clinics.

BACKGROUND AND OBJECTIVES: A cross-sectional survey of sexually transmitted disease (STD) patients assessed sexual activity and condom use during the time between STD symptom onset and clinic attendance. STUDY DESIGN: Patients were asked to report sexual activity and condom use while STD symptoms were present. Medical records were abstracted for diagnoses. RESULTS: The study population (n = 3025) was predominately African American (75.3%) and male (63.5%), with a mean age of 28.1 years. Sexual activity while experiencing STD symptoms was reported by 39.7% of 2,508 symptomatic patients, 17.2% of whom reported always using a condom. Logistic regression models identified the significant independent determinants of sexual intercourse while symptomatic were duration of symptoms before clinic visit [0-7 days versus 8 or more days, OR = 5.9]; race [African American versus other races (primarily Hispanics), OR = 2.1]; and gender [men versus women, OR = 1.5]. Older age [> or = 30 years versus 18-29 years, OR = 1.5] and higher education attainment [> or = high school versus > high school, OR = 1.5] were the significant factors associated with reporting always using a condom. CONCLUSION: These data suggest patient groups with behaviors likely to enhance STD transmission could be targeted for educational messages.

Adult↗

On the relations among different measures of visible and informational persistence.

We report research designed to accomplish two goals. We first consider the question, raised by Coltheart (1980) and others, of whether three measures of visible and informational persistence--performance in temporally integrating two successively presented stimuli, subjective rating of the degree to which two successively presented stimuli appear to constitute a single or a dual temporal event, and partial-report performance--all measure the same underlying mental entity. We answer this question using a superset of dissociation logic called state-trace analysis (Bamber, 1979), and within the context of a systematic empirical foundation consisting of seven closely related experiments. Our second goal is to extend and apply a theory to data acquired from our seven experiments and also to data reported by other investigators. This theory, which has been confirmed in a variety of paradigms (see Busey & Loftus, 1994) assumes that (1) the initial stages of the visual system act as a low-pass linear filter which operates on a stimulus temporal waveform to produce a sensory response; (2) instantaneous rate of acquiring information from the stimulus is jointly proportional to sensory-response magnitude and proportion of as-yet-to-be-acquired stimulus information; (3) partial-report performance is determined by total amount of acquired information; (4) the probability that two events are perceived as contemporaneous is determined by the temporal correlation of their respective information-acquisition rate functions (which is similar to a suggestion by Dixon & Di Lollo, 1994); and (5) temporal integration is successful to the degree that the two temporal events are perceived as contemporaneous. This theory was highly successful in accounting for our and other investigators' temporal-integration and completeness-rating data, and was moderately successful in accounting for partial-report data. We discuss the degree to which our three persistence measures can be united within the context of our theory; we comment on the distinction between objective and subjective measures of visible persistence; and we address the decades-old question: "What is persistence good for?"

Humans↗

Lexical processing during saccadic eye movements.

Three experiments examined whether processes devoted to word recognition and word identification are suppressed during saccades, as most eye movement and reading researchers implicitly assume. In the first two experiments, subjects made short or long saccades while performing lexical decisions; lexical decision latency and accuracy were unaffected by saccade distance, and post-saccadic processing time was reduced when a long as opposed to a short saccade was made. Experiment 3 showed that word identification is more accurate when a long as opposed to a short saccade separates the presentation of a word and the presentation of a mask. These results demonstrate that lexical processing is not suppressed during saccades, so saccade durations should be taken into account in eye movement studies of reading. The implications of the results for current theories of cognitive suppression during saccades are discussed.

Humans↗