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M Stega

Publications and source records attributed to M Stega.

4 recordsLinked to original sources

Emitted P300 and slow wave event-related potentials in guessing and detection tasks.

A comparison was made of evoked and emitted P300 and Slow Wave activity elicited in guessing and signal detection tasks. The stimulus conditions were the same in both tasks. Only the instructions to the subjects were different. Latency corrected averaging was used to compensate for trial-to-trial fluctuation of P300 latency. Principal components-varimax analysis (PCVA) was utilized to deal with overlap among P300, Slow Wave and CNV return-to-baseline. Clear measures (from both conventional and latency corrected averages) of emitted P300 components for correct rejection trials were obtained under the following conditions: (a) stimulus intensity near threshold (detection accuracy approximately equal to 78%, d' approximately equal to 1.9); (b) no simultaneous cueing signal; (c) stimulus presence and absence were equiprobable; (d) estimated contributions of overlap from other event-related potential components were removed from the P300 measurements. A significant difference was found between the Slow Wave topographic profiles elicited in the guessing and detection tasks. For the guessing task Slow Wave was relatively large and positive at vertex whereas in the detection task it was near zero amplitude at vertex. No significant differences due to task were found for the P300s when a PCVA derived estimate of the contribution of Slow Wave overlap was removed from the P300 measures.

Adult↗

Post-traumatic hepatic dysfunction as a major etiology in post-traumatic jaundice.

Thirty-eight patients who had sustained acute trauma, profound hemorrhagic shock, and massive transfusion were studied prospectively to determine the predominant etiologic factors in the development of post-traumatic jaundice. An analysis of clinical and biochemical factors occurring in association with each bilirubin peak in the postoperative course found the jaundice related to transfusion and surgery in 11 instances, to sepsis and septicemia in 15 instances, and to hepatic dysfunction in 23 instances. Results indicated that admission estimates of SGOT and LDH levels, the height of the bilirubin peak and the postoperative day on which it occurs, and the white cell count and GGT at the time of the peak may be of use in the differential diagnosis. Four case reports were used to emphasize the fluctuating pattern of jaundice and the different etiologic factors that may predominate. Light and electron microscopy from three patients illustrated the structural alterations that accompany the biochemical impairment of liver function and enable a more precise appreciation of this syndrome. Hepatic dysfunction appears to be implicated in a high proportion of patients who develop post-traumatic jaundice, which frequently occurs as part of a spectrum of multiple organ failure.

Adolescent↗