Adolescent suicide attempters hospitalized on a pediatric unit.
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Biomedical subjects
Publications and source records attributed to L Stark.
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Discrimination of peripheral targets is possible with progressive lenses if visual strategy is changed. However, there is a penalty in response time. This penalty is reduced after adaptation. This adaptation involves making earlier and more rapid head movements on the one hand, and recalibrating the saccadic and vestibulo-ocular systems on the other hand. These changes enable subjects to gaze directly through a zone of the lenses where discrimination is possible. This adaptation also consists of learning to use information from blurred images. In this way visual processing can begin earlier.
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A new model based on the theory of dynamical systems is proposed for the intrinsic random or systems is proposed for the intrinsic random or pseudo-random mechanism underlying certain types of muscular tremor. The active length-tension curve of the individual sarcomere, in conjunction with the passive length-tension relation is a map from length to tension with an observed time delay between length change and resulting tension change. The passive length tension relation is assumed to instantaneously relate this tension change back to a change in length. The stability properties of this iterated interval map are investigated by means of computer simulation and computation of the Lyapunov exponent and the bifurcation tree. The resulting analysis is related to experimental tremor data in the literature in terms of period doubling, bifurcation points, and "chaotic" behavior. The model appears to have its most fruitful application in understanding the insect type and isometric mammalian types of tremor.
Accommodation dynamics have not been used in clinical diagnosis as have eye movement and pupillary dynamics; the difficulty of clinical observation is matched by limitations in measurement methods. An instrument suitable for clinical use is described that allows measurement of step response latencies and especially time constants. With computer analysis, phase plane trajectories, and noise spectra can be quickly obtained also. The utility of these dynamical parameters for clinical diagnosis is illustrated by a study of changes of time constants with age in prepresbyopia.
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The human pupillary control system has been the subject of interest to biologists and engineers as an example of a sensorimotor reflex which can be embedded in a control system paradigm. We present a nonlinear feedback model whose compact structure allows us to hypothesize possible physiological mechanisms which generate the proper behavior of the pupil system. The important pupil responses, including pupil size effect, asymmetry, and response the high-frequency stimuli, are defined. This model was simulated on a digital computer and comparisons to the paradigm experimental responses were performed, demonstrating a fit to each of the observed conditions. Improvements on previous models are discussed.
In fast (time-optimal) movements about many joint systems, the triphasic EMG pattern has been observed. Although the first agonist burst obviously initiates the movement, the roles of the second and third bursts, appearing in the antagonist and agonist respectively, have been less clear. In this study, the timing of experimentally measured EMG signals led to construction of a three-pulse control signal that produced an accurate simulation of experimentally measured time-optimal head rotations using a sixth-order nonlinear model in conjunction with an optimization algorithm. By ablating pulses from the model control signal and observing the resulting dynamics, the roles of the three pulses can be assessed. As a result, the pulses can be designated PA, the action pulse (for the first agonist burst), PB, the braking pulse (for the antagonist burst), and PC, the clamping pulse (for the second agonist burst). Comparison of dynamic parameters from the simulated movements revealed strategies used to generate control signals for movements of various speeds.
Vibration of agonist or antagonist muscle tendon produced changes in the triphasic electromyographic pattern of neck muscles; EMG signals were rectified, averaged, and also integrated by planimetry. The triphasic EMG envelopes obtained during fast horizontal head rotation showed unmodified early agonist pulse, the action pulse (PA), under all conditions; increased antagonist pulse, the braking pulse (PB), only with antagonist muscle vibration; and increase of late agonist pulse, the clamping pulse (PC), only with agonist muscle vibration. Vibration experiments can be considered as a model for studying interactions between central and peripheral effects on control of normal movements.
Eye movements during reading and nonreading tasks were measured in four patients having either Friedreich's ataxia, congenital dyslexia, acquired dyslexia with quadrantanopia, or acquired dyslexia with hemianopia. Abnormalities included saccadic intrusions, abnormally large dynamic overshoots, increased fixation duration and number of fixations, and/or reduced reading rate. The results clearly demonstrate the importance of objective eye movement recording for the precise specification of the abnormal reading pattern in patients with neurological dysfunctions.
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Paradoxic pupillary constriction to an "off-step" of light was studied in a 35-year-old woman with congenital stationary night blindness. ERG was of the Schubert-Bornschein type (scotopic B-wave absent); fundi were normal for a high myope. Paradoxic constrictions were larger in response to full field and peripheral off-steps from low photopic levels than from higher photopic levels. The patient's "on response" was smaller in magnitude and slower in both latency and dynamics than the on-response of normal subjects. Pupillary hippus was larger in magnitude and more peaked in the patient than in normal subjects. Steady-state (tonic) pupil size increased paradoxically with increased light level over the range 1-2 log fL.
This paper reports the preliminary findings of a study on the information carrying potential of voluntary eye movements. An ocular communication device, originally developed at the Denver Research Institute, was used to determine how fast information can be transmitted by voluntary eye movements. The tentative findings are that: a maximum information throughput of roughly 10 bits/s is possible and the DRI device merits further development. The primary relevance of this study is to the development of communication aids for the severely handicapped.
Ensemble averaging after pre-editing of surface EMG potentials has enabled construction of underlying controller signals from stereotyped head movements. Carefully controlled, intended time-optimal movements by trained, actively participating human subjects have been found to yield repeatable, multi-pulse controller signals. Also, adaptive changes in these horizontal head movements in response to added viscous loads showed further causal relationships between movement dynamics and EMG signals from left and right splenius muscles. These experimental results are a base from which modeling studies can be performed to explicate the neurological control strategies used in the performance of this class of movements.