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I Pal

Publications and source records attributed to I Pal.

14 recordsLinked to original sources
PubMed2003

Task related difference EEG spectrum--a new diagnostic method for neuropsychiatric disorders.

ERDS is a new method that was developed to detect EEG changes during a short mental task (reverse counting). It is recommended for testing cognitive EEG in organic mental disorders. The essence of the task situation is that it needs continuous mental work during a short period of time. The level of task difficulty must be adapted to each patient's actual mental capacity. To preserve continuity of the mental work, the level of difficulty might be changed instantly by the EEG technician in case of a longer break or multiple mistakes by the subject in the task. For analysis, artifact-free EEG sections are manually selected. Differences of pre-task and post-task EEG power spectra (ERDS) and differences of the peak and mean frequencies are calculated. Based on our initial experience on 100 ERDS tests, this method demonstrates cognitive EEG changes related to the task. Each patient's pre-task EEG serves as control data that is compared to post-task changes. Hence, confounding effects on the ERDS test are minimal, i.e., the effect of individual EEG features or those EEG signs of the disease or therapy that are independent of cognitive functions. Therefore, ERDS test results can be considered as markers of cognitive state in diverse pathological conditions. They also enable us to follow changes during the spontaneous course of mental illness or due to therapeutic interventions. Appropriate instruction of patients about the task, attention of the technician in order to preserve the patient's continuous mental work, and to insure patient compliance are very important. Further investigation is necessary for validation of the method and to build a database of tests on healthy population of different age groups and of patients with different psychiatric conditions. Standardization of the test is essential for the introduction of ERDS to the every-day routine of clinical neuropsychiatry.

Cognition↗
PubMed2001

Functional imaging of the retinal microvasculature by scanning laser Doppler flowmetry.

PURPOSE: to image functionally perfused retinal vessels and to assess quantitatively the intercapillary space of the retinal microvasculature. METHOD: The base of functional imaging and the quantitative assessment of the retinal vasculature is the two-dimensional map of the retina encoded by the laser Doppler frequency shift. By Scanning Laser Doppler Flowmetry (HRF. Heidelberg Engineering) the laser Doppler frequency shift of 16.384 retinal sites (256 pixels x 64 lines, spatial resolution 10 mum) of a retinal area of 2.7 x 0.7 mm was gained. The image processing was performed by a recently described algorithm (AFFPIA). Using the data of the laser Doppler frequency shift of every retinal site, a color-coded retinal image was established showing perfused vessels and capillaries. By automatic pattern analysis of this image vessels and capillaries were identified and segmented. Based on this image the distances in [microm] of every retinal site to the next vessel or capillary were calculated ("distance to next capillary"). The functional imaging of the retinal perfusion was demonstrated in (1) normal retina, (2) retinal arterial occlusion, and (3) proliferative retinopathy. Intraobserver reliability of the quantitative assessment of the parameter "distance to next capillary" was estimated by measuring 10 eyes of 10 subjects at 5 different days by one observer. Interobserver reliability of the quantitative assessment was evaluated by analysing 10 perfusion maps by 5 different operators. In 93 eyes of 71 normal subjects (mean age 40.4 mu 15 years) the juxtapapillary retina was quantitatively evaluated. RESULTS: QUALITATIVE EVALUATION: The functional images of the retinal perfusion of eyes with normal retina, with retinal arterial occlusion, and with proliferative retinopathy corresponded well with the fluorescein angiography. Perfused vessels and capillaries became visible in a high local resolution. QUANTITITATIVE ASSESSMENT: The coefficient of reliability of the introobserver and interobserver reproducibility of the parameter 'mean distance to next capillary" was 0.74, and 0.95, respectively. The quantitative assessment of the perfusion showed that the major part of the retinal sites (>700%) had distances to the next capillary lower than 30 microm 46% of the retinal area had distances to the next capillary from 0-20 microm 26% of the retina had distances from 20-30 microm, 12% of the retina had distances from 30-40 microm 7% of the retina had distances from 40-50 microm, 4% of the retina had distances from 50-60 microm, and 4% of the retinal sites showed distances to the next capillary greater than 60 mum. The mean distance to the next capillary or vessel was calculated with 21 +/- 6.5 microm. CONCLUSION: By non-invasive Scanning Laser Doppler Flowmetry in combination with adequate software it is possible to perform a functional imaging of the retinal vasculature and to measure all index for the functional density of retinal capillaries and vessels.

Adult↗
PubMed2000

Interobserver agreement among sleep scorers from different centers in a large dataset.

STUDY OBJECTIVES: To evaluate epoch by epoch agreement in sleep stage assignment between scorers from different laboratories. DESIGN: N/A. METHODS: 62 NPSGs were selected for analysis from 3 sleep centers (38 diagnostic studies for sleep disordered breathing [SDB], 10 studies during CPAP titration, and 14 studies in subjects with no sleep related complaints or sleep pathology). The sleep recording montage consisted of at least 2 EEG leads, left and right EOG and a submental EMG. Scoring was performed manually by 5 experienced sleep technologists. No scorer had knowledge of any other scorers' results. Agreement was tabulated both for sleep stage distribution and on an epoch by epoch basis for the entire data set and the normal and SDB subsets. MEASUREMENTS AND RESULTS: The mean epoch by epoch agreement between scorers for all records was 73% (range 67-82%). Agreements were higher in the normal subset (mean 76%, range 65-85%) than in the SDB subset (mean 71%, range 65-78%). There was significant variability in agreement between records and between pairs of scorers. Overall, 75% of epochs had at least 4 of the 5 scorers in agreement on the sleep stage and 96% of epochs had agreement of at least 3 of the 5 scorers. CONCLUSIONS: The level of agreement in sleep stage assignment varies between scorers, by diagnosis, and by record. The level of agreement between laboratories is lower than what can be maintained between scorers within the same laboratory. This warrants caution when comparing data scored in separate laboratories. The lower agreement in SDB patients supports the generally held view that sleep fragmentation makes application of the R&K rules less reliable.

Adolescent↗
PubMed1998

Automatic full field analysis of perfusion images gained by scanning laser Doppler flowmetry.

BACKGROUND: Scanning laser Doppler flowmetry (SLDF) enables the measurement of the laser Doppler frequency shift in retinal tissue. This process allows the quantification of retinal and optic nerve head perfusion in an area of 2.7 mm x 0.7 mm within 2 seconds and with a spatial resolution of 10 microns x 10 microns. Owing to the local heterogeneity of the retinal microcirculation itself and to heart associated pulsation the capillary retinal blood flow depends on location and time. Because of technical limitations measurements of flow are only valid in retinal points with adequate brightness and focus, and away from big vessels. To include the heart beat associated pulsation and the spatial heterogeneity of retinal blood flow into the evaluation of blood flow an algorithm was developed examining automatically the whole SLDF perfusion image. AIM: To report intraobserver reliability and interobserver reliability of a new method for analysing automatically full field perfusion images. METHOD: The base of blood flow calculation by the automatic full field perfusion image analyser (AFFPIA) was 16,384 intensity time curves of all pixels of the whole perfusion image gained by the SLDF. AFFPIA calculates the Doppler frequency shift and the haemodynamic variables flow, volume, and velocity of each pixel. The resulting perfusion image was processed with respect to (1) underexposed and overexposed pixels, (2) saccades, and (3) the retinal vessel tree. The rim area and the saccades were marked interactively by the operator. The capillaries and vessels of the retinal vessel tree were identified automatically by pattern analysis. Retinal vessels with a diameter greater than 30 microns, underexposed or overexposed areas, and saccades were excluded automatically. Based on the whole perfusion image total mean flow, total mean volume, total mean velocity, standard deviation, cumulative distribution curve of flow, and the capillary pulsation index were calculated automatically. Heart beat associated pulsation of capillary blood flow was estimated by plotting the mean capillary flow of each horizontal line against time. Intraobserver reliability was estimated by measuring 10 eyes of 10 subjects on five different days by one observer. Interobserver reliability of AFFPIA was evaluated by analysing 10 perfusion maps by five different operators. To find a baseline of retinal blood flow, perfusion maps of 67 eyes of normal subjects with a mean age of 40.4 (SD 15) years were evaluated by AFFPIA. RESULTS: The coefficient of reliability of the intraobserver reproducibility of flow was 0.74. The coefficient of reliability of the interobserver reproducibility was 0.95. The juxtapapillary retinal capillary flow was temporally 484 (SD 125), nasally 450 (117); the rim area capillary flow was 443 (110). The mean capillary pulsation index of retinal flow was 0.56 (0.14). CONCLUSION: Retinal blood flow evaluation by the AFFPIA increases significantly the interobserver reliability compared with conventional evaluation of 100 microns x 100 microns areas in SLDF images with the original Heidelberg retina flowmeter software. The intraobserver reliability of AFFPIA was in the same range as conventional evaluation.

Adult↗
PubMed1992

The importance of timing in melatonin administration in a blind man.

An 18-year-old blind man suffered from chronic sleep disturbances associated with daytime fatigue and excessive daytime somnolence. After two unsuccessful treatment regimens with 5 mg and 10 mg melatonin administered at bedtime (2200-2230), a third regimen of 5 mg melatonin administered at 2000 for 3 weeks resulted in a successful resolution of his sleep disturbances. We suggest that the efficacy of melatonin in ameliorating sleep disturbances because of alterations in circadian rhythmicity may be dependent on the time of administration.

Adolescent↗
PubMed1991

Event-related potential components N1, P2 and P3 to rare and frequent stimuli in intellectually impaired neurological patients.

Event-related potentials (ERPs) and attention performance data were collected in an auditory odd-ball paradigm from 24 intellectually impaired neurological patients, and compared with normal controls (n = 19). For the ERP components N1, P2 and P3, reference-independent measures (latency, global field power, current density at Cz, location of extreme potential, centroid location) were determined for the target stimulus and for the preceding and the following two "frequent" stimuli. In 8 of the 45 measures obtained, patients and controls differed significantly. To target stimuli, patients had shorter N1 latency and smaller current density, more posterior P2 location and longer P3 latency; to immediately following "frequent" stimuli, longer P2 latency; and to preceding and both following "frequent" stimuli, smaller P2 current density. Attention performance was significantly worse for the 15 patients who scored on at least one of the eight ERP measures above normal range than for the other 9 patients. Decreased N1 latency to targets is viewed as failure to activate normal attentional capacity; changed P2 location suggests activation of deviant neuronal populations in response to targets; and increased post-target P2 latency suggests abnormal persistence of induced state change.

Adult↗
PubMed1990

Evaluation of pulmonary perfusion in lung regions showing isolated xenon-133 ventilation washout defects.

Xenon-133 washout phase imaging is often used to help determine whether the etiology of a perfusion defect is embolic or due to pulmonary parenchymal pathology, such as chronic obstructive pulmonary disease. This study was designed to evaluate the pulmonary blood flow patterns associated with isolated defects on xenon washout images. Scintigraphic lung studies were reviewed until 100 cases with abnormal ventilation results were obtained. Ventilation abnormalities were compared with the corresponding perfusion scan results at the same anatomic site. Of the 208 individual lung regions with xenon abnormalities, 111 showed isolated washout defects (that is, with normal washin). Ninety-four of these 111 sites showed either normal perfusion or a small, nonsegmental corresponding perfusion defect. Three segmental perfusion defects were noted in association with isolated xenon retention. In each of these cases, however, the patient was felt actually to have pulmonary embolism. Thus, it is recommended that, for interpretation of scintigraphic images in the assessment of pulmonary embolism, lung pathology associated with isolated xenon retention not be considered a potential cause for large or segmental perfusion defects.

Humans↗
PubMed1989

Effects of bicarbonate-containing versus lactate-containing peritoneal dialysis solutions on superoxide production by human neutrophils.

Human neutrophils were isolated from healthy volunteers and exposed to either bicarbonate-containing (pH 7.4) or lactate-containing (pH 5.2) peritoneal dialysis solution in vitro. Superoxide production by neutrophils was measured by a method based on the superoxide dismutase-inhibitable reduction of ferricytochrome c. Bicarbonate-containing peritoneal dialysis solution was found to be superior to the lactate-containing one in facilitating the production of superoxide anion by human neutrophils.

Adult↗
PubMed1987

EEG alpha map series: brain micro-states by space-oriented adaptive segmentation.

The spontaneous EEG, viewed as a series of momentary scalp field maps, shows stable map configurations (of periodically reversed polarity) for varying durations, and discontinuous changes of the configurations. For adaptive segmentation of map series into spatially stationary epochs, the maps at the times of maximal map relief are selected and spatially described by the two locations of maximal and minimal (extreme) potentials; a segment ends if over time an extreme leaves its pre-set spatial window. Over 6 subjects, the resting alpha EEG showed 210 msec mean segment duration; segments longer than 323 msec covered 50% of the total time; the most prominent segment class (1.5% of all classes) covered 20% of total time (prominence varied strongly over classes; not all possible classes occurred). Spectral power and phase of averages of adaptive and pre-determined segments demonstrated the adequacy of the strategy, and the homogeneity of adaptive segment classes by their reduced within-class variance. It is suggested that different segment classes manifest different brain functional states exerting different effects on information processing. The spatially stationary segments might be basic building blocks of brain information processing, possibly operationalizing consciousness time and offering a common phenomenology for spontaneous activity and event-related potentials. The functional significance of segments might be modes or steps of information processing or performance, tested, e.g., as reaction time.

Adult↗
PubMed1986

Averaging of spectral power and phase via vector diagram best fits without reference electrode or reference channel.

A method is proposed to average results of Fourier analysis over epochs without assigning zero amplitude values to any electrode or zero phase values to any channel. The Fourier sine and cosine values of each electrode define its entry location into a vector diagram for the frequency component. The entry constellations thus formed are translated so that the mean of all entries (the virtual average reference which is the location of best fit) is at the centre of each constellation, and then they are rotated around the means into angles of best fit so that the sum of the squared distances between corresponding entries is minimal. The method leads to non-ambiguous mean results, with variance information for all recording points. Approaches for the assessment of the constellations, their transformation into field maps, and the problems with conventional phase measurements vs. real electrodes are discussed. The virtual average reference (spatial high pass filter) is proposed for assessing the time sequence (phase differences) between entry points, thus describing the internal structure of the constellations without bias and without reference to a zero phase point. Comparison of voltage and current density result constellations and consideration of reference-independent descriptors of the scalp field potential maps support the validity of the average reference for the approach.

Electroencephalography↗
PubMedDate not supplied

Event-related potential maps depend on prestimulus brain electric microstate map.

The brain functional microstate immediately before each of about 3000 identical tone stimuli was classified using extracted reference-free descriptors (locations of maximal and minimal potential) of the landscape of the brain's momentary electric field, in 8 volunteers. Six prestimulus microstate map classes occurred more than 30 times in each subject, and were clustered into two map class types (totals of 242 and 283 cases, respectively, on the average per subject). Event-related potential (ERP) map series were averaged for each subject and prestimulus map class. Map descriptors were extracted from the ERP maps at times of maximal Global Field Power during the component time windows N100, P200 and P330. Discriminant functions were estimated; for the maps of N100 and P330, the discriminant scores differed significantly between the maps associated with the two prestimulus map class types (paired t-tests, df = 7, p = .014 and p = .005, respectively). The dominant axis of the poststimulus class type II ERP maps deviated clockwise from that of the type I ERP maps in all components. We conclude that subtle changes in the brain's spontaneous momentary functional microstate (as classified by spatial descriptors of a single map) influence event-related information processing by the brain, following common rules over subjects.

Adult↗