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Biomedical subjects

G Mulder

Publications and source records attributed to G Mulder.

At least 19 recordsLinked to original sources
PubMed1995

Evaluation of importance of central effects of atenolol and metoprolol measured by heart rate variability during mental performance tasks, physical exercise, and daily life in stable postinfarct patients.

BACKGROUND: Physical exercise and mental work cause alterations in cardiac autonomic control. beta-Blockers protect the heart against stress, and this effect may be in part centrally mediated. In this context, the lipophilicity of the drug would be clinically relevant. METHODS AND RESULTS: Thirty postinfarct patients were randomized to receive 100 mg atenolol or 200 mg metoprolol CR in a double-blind, crossover manner, each for a 6-week period. Heart rate (HR) variability was used to study autonomic effects during mental and physical stress and to study circadian variations. Mean 24-hour HR decreased from 77 +/- 7 to 60 +/- 6 beats per minute after atenolol and to 62 +/- 6 beats per minute after metoprolol (P = .046). At baseline, mental performance tasks did not affect HR, but decreased HR variability (SDNN index from 51 +/- 26 to 30 +/- 13 milliseconds [ms], P < .001; high-frequency power from 130 +/- 143 to 110 +/- 125 ms2, P = .046; and low-frequency power from 538 +/- 447 to 290 +/- 275 ms2, P < .001). Both beta-blockers decreased HR during mental performance tasks (P < .001) and increased SDNN index and high-frequency power. Before treatment, bicycle exercise decreased HR variability; root-mean-square of successive difference decreased from 21 +/- 8 to 15 +/- 10 ms (P = .004). beta-Blockade could not prevent this decrease. No differences between atenolol and metoprolol were observed for absolute high- and low-frequency power or after adjustment for HR. Vagal blockade with methylatropine during chronic beta-blocker treatment nearly abolished all components of spectral power. HR was found to be the parameter most strongly affected by beta-blockade but not by an influence on vagal tone. No differences were found between atenolol and metoprolol. CONCLUSIONS: In stable postinfarct patients, chronic treatment with metoprolol and atenolol attenuates the reduction in HR variability induced by mental performance tasks, but the effects during exercise are limited. beta-Blockers do not appear to increase vagal tone in this stable patient group. The point of action in these patients is mainly a reduction in HR, probably due to a reduction in stress-induced sympathetic activation. Clinically significant differences between atenolol and metoprolol were absent, indicating that the degree of lipophilicity does not distinguish among the beta-blockers what their salutary effects are on HR variability during the specific challenges used.

Activities of Daily Living↗
PubMed1995

The role of neuroimaging in the discovery of processing stages. A review.

In this contribution we show how neuroimaging methods can augment behavioural methods to discover processing stages. Event Related Brain Potentials (ERPs), Brain Electrical Source Analysis (BESA) and regional changes in cerebral blood flow (rCBF) do not necessarily require behavioural responses. With the aid of rCBF we are able to discover several cortical and subcortical brain systems (processors) active in selective attention and memory search tasks. BESA describes cortical activity with high temporal resolution in terms of a limited number of neural generators within these brain systems. The combination of behavioural methods and neuroimaging provides a picture of the functional architecture of the brain. The review is organized around three processors: the Visual, Cognitive and Manual Motor Processors.

Arousal↗
PubMed1995

The availability versus the use of partial information: multiple levels of selective processing between perception and action.

Temporal overlap of cognitive processes occurs when partial information about a stimulus activates associated responses before the stimulus has been fully identified. Recent evidence obtained with psychophysiological measures suggests that such overlap sometimes does, and sometimes does not occur. In this contribution, we argue that in order to understand why, we have to distinguish between selection of partial information for perception and selection of partial information for control over activation of responses. We discuss several mechanisms and factors that may modulate the temporal overlap of mental processes because they selectively influence the perceptual availability or the use of partial information.

Arousal↗
PubMed1995

The effectiveness of dry bed training for nocturnal enuresis in adults: a 3, 5, 6 years follow-up.

Nine enuretic adults who had been successfully treated by a minimal contact Dry Bed Training (DBT) were followed-up after 3, 5, and 6 years. During the follow-up period there has been substantial relapse: 5 out of 9 remaining continent throughout the whole period but 4 relapsing. However after 6 yr eight of them were continent: be it after pharmacological therapy (n = 1), after a booster training (n = 1). As most of the Ss were primary enuretics it is concluded that minimal intervention DBT is a significant contribution to the cure of nocturnal enuresis in adults.

Adult↗
PubMed1995

Aging, caffeine, and information processing: an event-related potential analysis.

Structural and energetic processes in information processing were studied in young and elderly subjects. A visually focussed selective search task was used, in which subjects had to select relevant information, followed by controlled memory search processes to locate a target item. Caffeine was used to manipulate the energetic state of the subjects. During task performance event-related potentials (ERPs) and reaction time (RT) were recorded. Subjects were 15 young and 15 elderly healthy, non-smoking, moderate caffeine consumers (250-600 mg/day). Before the experimental sessions they abstained from caffeine for > or = 12 h. In the experiment subjects received 250 mg caffeine or placebo dissolved in decaffeinated coffee. RT data seem to indicate that aging effects are at least partly due to a shift in the speed-accuracy trade-off. ERP results provide evidence for decreased levels of energy resources in the elderly. The identification of relevant information and stimulus evaluation processes were delayed in the elderly, suggesting an additional effect of aging on structural processes. Caffeine improved performance and increased the amplitude of the N1, N2b, and P3b, in both young and old subjects. These results suggest that caffeine makes more energy resources available for task performance. The effects of aging on P3b latency were counteracted by caffeine. Other caffeine effects did not differ significantly between young and elderly subjects.

Adolescent↗
PubMed1995

Language, memory, and aging: an electrophysiological exploration of the N400 during reading of memory-demanding sentences.

Twenty-four young and 24 middle-aged academics carried out a language recognition task in which sentences were presented that made either a high or a low demand on working memory (WM). The sentences ended either normally (i.e., congruent) or with an incongruous word. Middle-aged subjects had smaller WM scores, a marginally slowed down recognition performance, and a smaller and delayed N400 component. The event-related potential (ERP) difference between congruent and incongruent endings was smaller in the high-load condition for younger subjects and totally disappeared for the middle-aged subjects. ERPs for all subjects showed a WM-related positivity in the middle of the sentence and a WM-related negativity at the sentence ending. These shifts could be associated with either storage and retrieval processes or with clause wrap-up processes. Most ERP-effects were dependent on WM capacity. Age differences in sentence processing are not simply explained by age itself but depend to a large extent on individual memory capacity.

Adult↗
PubMed1994

Effects of lorazepam on cardiac vagal tone during rest and mental stress: assessment by means of spectral analysis.

Dose-dependent effects of intravenously administered lorazepam on haemodynamic fluctuations were studied by means of spectral analysis, in order to elucidate sympathetic and parasympathetic components in cardiovascular control during situations of rest and mental stress after benzodiazepine administration. In a double-blind randomized cross-over study, nine male volunteers participated in two sessions: a placebo and lorazepam session. During these sessions, the subjects repeatedly performed a 10-min version of the Stroop Color Word Test (CWT), with 10 min of rest between the CWTs. Lorazepam was administered before each rest period in increasing doses of 0.0, 0.06, 0.13, 0.25 and 0.5 mg (total cumulative dose: 0.94 mg). During the placebo session the subjects received five placebo injections. For five of the nine subjects the lorazepam session was their first session. Heat rate (HR), blood pressure (BP) and respiration were recorded continuously. Power spectra were calculated per 2.5-min periods for HR, systolic (SBP) and diastolic BP (DBP). Spectral density was assessed for three frequency bands: low (LFB: 0.02-0.06 Hz), mid (MFB: 0.07-0.14 Hz) and high (HFB: 0.15-0.40 Hz). During the consecutive periods of rest, lorazepam induced a dose-dependent decrease in HR, and a dose-dependent increase in LFB, MFB and HFB power of HR, but lorazepam had no effect on BP. The effects were significant after 0.44 mg lorazepam for HR and HFB power, and after 0.94 mg lorazepam for the HR fluctuations in the LFB and MFB. Lorazepam did not influence the cardiovascular responses to the CWT.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1994

Visual spatial attention to stimuli presented on the vertical and horizontal meridian: an ERP study.

In the first experiment, 48 subjects carried out a visual spatial attention task. Stimuli were presented at the vertical meridian, either above or below a fixation dot, and the subjects were instructed to attend to one of these stimulus positions and ignore the other position. In three different conditions, the distances between stimulus positions and fixation were 0.5 degrees, 0.9 degrees, and 1.3 degrees. Subjects searched for the presence of prememorized target letters at the attended location: memory load was one or four items in different conditions. The P1/N1 enhancement typically found on the horizontal dimension was not observed on the vertical dimension. Instead, a positive shift of the attended compared with the unattended stimuli was found, which was most prominent at anterior electrodes. This positivity showed effects of the distance manipulation. The N2b-P3a effects of attention and the effect of memory load (search negativity) normally present in this kind of selective search task were also found. Reaction times were faster when attention was directed above fixation than when it was directed below fixation. The event-related potential data suggested that this difference could be attributed to a more efficient neglecting of irrelevant stimuli presented below fixation. In Experiment 2, we examined whether the absence of the P1/N1 enhancement as the result of spatial attention in Experiment 1 could be attributed to (a) the presentation of stimuli along the vertical meridian instead of along the horizontal meridian, (b) the use of midline electrodes instead of lateralized electrodes, and (c) the relatively small spatial separation between the relevant and irrelevant stimuli. Twelve subjects searched for the presence of a single target letter at an attended position in three different conditions. In two of the conditions the letters were presented to the left or right of fixation. The distance between fixation and the stimulus positions was 1.3 degrees in one of these conditions and 3 degrees in the other condition. In the third condition, the stimuli were presented at 3 degrees above or below fixation. In all three conditions effects similar to those in Experiment 1 were observed. In addition, in all three conditions an enhancement of the P1 and N1 components was found at two lateral occipitotemporal electrodes.

Adolescent↗
PubMed1994

Influence of caffeine on selective attention in well-rested and fatigued subjects.

Effects of caffeine were studied in a visual focused selective search task in well-rested and fatigued subjects. A dose of 200 + 50 mg caffeine or placebo, dissolved in decaffeinated coffee, was administered in a double-blind and deceptive fashion. The task was to detect a target letter on one diagonal of a visual display designated as relevant and ignore stimuli presented on the irrelevant diagonal. Behavioral measures were supplemented by event-related potential (ERP) measures. Subjects reacted faster in the caffeine condition. Caffeine enhanced the N1 and the N2b components. Selection of relevant information apparently was more adequate in this condition. Search negativity was not affected by caffeine. Caffeine effects on the P3 elicited by target letters were more pronounced in the fatigued than in the well-rested subjects, indicating that the effects of caffeine are dependent on the state of the subject. The results suggest that caffeine has specific rather than general effects on information processing.

Adolescent↗
PubMed1993

Topography and source analysis of brain activity associated with selective spatial attention and memory search.

We investigated the topographical aspects of the ERP reflections of visual spatial attention and memory search. Spatial attention was found to enhance the amplitudes of the P1 and N1 deflections. The brain activity in the P1-N1 latency range could be modeled with a single moving equivalent dipole, or alternatively with two stationary dipoles in a spatio-temporal dipole model. The dipoles were located in mesial and lateral posterior brain regions. Similar dipole solutions were obtained for ERPs to attended and unattended stimuli. Increasing the memory search requirements of the task resulted in an increase of late negativity, which was topographically distinguishable from the P3 component.

Attention↗
PubMed1993

Fibrin cuff lysis in chronic venous ulcers treated with a hydrocolloid dressing.

BACKGROUND: Pericapillary fibrin cuffs (PFC) are a recognized part of the pathology of venous stasis ulcers. A hydrocolloid dressing capable of lysing wound surface fibrin was tested in venous ulcers for its capacity to lyse pericapillary fibrin below the wound surface. METHODS: Tissue biopsies from the rims of 19 venous ulcers were evaluated for thickness of shallow and deep dermal PFCs before and after treatment with DuoDERM covered by Unna's boot and a compression bandage (DD+UB; n = 9) versus the same treatment without the hydrocolloid dressing (UB; n = 10). Frozen sections of all biopsies were stained with an immunofluorescent antibody to fibrin for rating of PFC thickness. Separate sections were stained with hematoxylin and eosin to assess capillary frequency, histopathology, and inflammation. All ratings and pathology assessments were performed blinded to treatment conditions. RESULTS: Both deep and shallow PFCs were reduced in 89% of ulcers treated with DD+UB versus 40% of ulcers treated with UB (alpha < 0.04). No other significant differences in inflammation, histopathology, or capillary frequency were observed. CONCLUSIONS: Treatment with DD+UB reduced PCFs in twice the number of ulcers than UB alone in 1 week. This is the first scientific documentation that a topical wound dressing could reduce the pathophysiology associated with venous ulcers, beyond the known beneficial effect of graduated compression. Not all hydrocolloid dressing are fibrinolytic, so this effect may not generalize to other dressings.

Bandages↗
PubMed1992

A psychophysiological study of the use of partial information in stimulus-response translation.

Ss performed a hybrid go/no-go reaction task in which colored letters were assigned in various ways to 4 finger responses, 2 on each hand. In addition to reaction time, psychophysiological measures were used to assess the duration of stimulus identification and the onset of central and peripheral motor activity. The results suggest that response selection can begin on the basis of 1 stimulus dimension (e.g., color), while the other dimension (e.g., letter form) has not yet been identified. Other results are discussed with regard to "selection for action" (Allport, 1987) and the importance of stimulus-response translation strategies in the use of partial information.

Adult↗
PubMed1992

An electrophysiological study of semantic processing in young and middle-aged academics.

This study explored age differences in the N400 component, described by Kutas and Hillyard as an index of semantic expectancy. A group of young students and a group of middle-aged academics read a number of congruent and incongruent sentences followed by a recognition task. Age differences were found in both accuracy and speed in the recognition task. The N400 elicited in the reading task was both delayed in latency and reduced in amplitude in the older group. These aging effects could not be attributed to early stimulus input processes because the N1 did not differ between the age groups. A re-averaging of the event-related potentials during reading as a function of subsequent recognition showed a small memory-related positivity for the younger group and a large memory-related positivity for the older group, suggesting a difference in the encoding strategies of the two groups. To check the generalizability of the results of this particular age group, a further task (a memory scanning task) was carried out. The results, a delayed P3b and an increased reaction time, matched those found in the literature.

Adult↗
PubMed1991

Psychophysiological evidence for continuous information transmission between visual search and response processes.

This study was designed to test whether information transmission between the perceptual and motor levels occurs continuously or in discrete steps. Ss performed visual search across nontargets that shared visual features with one of two possible targets, each assigned to a different response. In addition to reaction time, psychophysiological measures were used to assess the duration of target search and the onset of central and peripheral motor activity. Nontargets sharing features with a target selectively activated the response associated with that target, even when it was not present in the display. This suggests that information transmission to the motor level can consist of fine-grained visual information and that visual search and response selection occur in parallel.

Adult↗
PubMed1991

On the usefulness of finger blood-pressure measurements for studies on mental workload.

Two experiments were conducted to explore the usefulness of the Penaz method for non-invasive, continuous finger blood pressure measurements during mental stress testing. In the first study, blood pressure was measured with the Penaz method, in the second it was measured intra-arterially. Two different subject groups were used. In both experiments the same mental task, a memory search and counting task, was used. Experimental effects, consisting of rest-task differences in heart rate and blood pressure, its (spectral) variability and the coherence between fluctuations in the two signals (e.g. baroreflex sensitivity) are compared for the two measuring methods. Experimental effects on mean pressure values, spectral variability measures and baroreflex sensitivity are similar for the two types of measurement. Effects on mean pressure are smaller in the finger pressure indices. It is concluded that the Penaz instrument can provide us with a useful method for studying cardiovascular reactivity in mental stress research.

Adolescent↗