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S Sutton

Publications and source records attributed to S Sutton.

At least 91 records · Page 5Linked to original sources

The late positive complex. Advances and new problems.

In summary, what we have tried to do in this paper is to present our view of the ways in which the ERP field has become more complex in recent years. It is not an overstatement to say that, in a certain sense, we know less now than we thought we knew five to ten years ago. New advances have brought with them new problems. But they also point, though not yet with complete clarity, to directions for new solutions. Possibly, as we make further progress toward the definition of various generators for different components, our problems may be simplified. But even this prediction cannot be made with certainty. It should be noted that we have tended in this chapter to emphasize the problems. There has also been a positive side to the recent developments. Because we are more aware of the overlap problem, we now work with methods that attempt to deal with it. We now know, for example, that P3b and SW can relate quite differently to behavioral variables. Decision time, which we had thought occurred at P3 latency, can now be assumed on the basis of recent findings to occur earlier, at the N2 component. The separation of the formerly unitary CNV into several components makes it more possible to develop unique functional roles for each of the components. A similar development has occurred with the separation of the poststimulus negativities into several components. Our constructs for various components are still on the fuzzy side, but the field has better tools at its disposal for making them more precise. Finally, the multiplicity of components, which appears overwhelming initially, provides us with more degrees of freedom in attempting to relate electrophysiological activity to behavior. A number of investigators have commented that the complexity of factors that enter into behavior could not be reflected in the relatively few ERP components we were dealing with. Now that more components are coming to be distinguished, the likelihood increases that we may be able to obtain ERP correlates of more of the dimensions involved in behavior.

Arousal↗

The modality shift effect in schizophrenia: fact or artifact?

We investigated whether the disproportionate slowing of schizophrenic patients on cross-modal relative to ipsimodal sequences in a reaction time task ("modality shift effect") could be attributed to a psychometric artifact, as implied by Chapman and Chapman. Fifteen schizophrenic patients (Research Diagnostic Criteria) and 50 normal controls with no current or past history of psychiatric disorder were tested. Subjects made an identical finger-lift response to brief duration light and sound stimuli of different intensities presented in quasi-random order. The major finding was that psychometric artifact could not account for the disproportionate slowing of the reaction time of schizophrenic patients since the reliabilities and variances of the cross-modal and ipsimodal conditions did not differ in normal controls. Furthermore, the modality shift effect was highly significant for reaction times to both sound and light and for all intensities. Findings were the same when the schizophrenic patients were compared to a matched subgroup of slow-responding normal controls.

Cues↗

Value of chest computed tomography in genitourinary malignancies.

Fifty-one patients with genitourinary malignancies with normal chest x-ray films all had chest computerized tomography in an attempt to detect metastatic disease. One patient with a hypernephroma and another with a bladder carcinoma had metastatic nodules detected. One patient with a testicular tumor had a histologically confirmed benign nodule. Chest computerized tomography should be performed on patients with tumors that have a high likelihood of metastasizing to the lung.

Female↗

Prenatal diagnosis and outcome of pregnancy in 2036 women investigated by amniocentesis.

The report presents the indications for prenatal diagnosis, the results from amniocentesis and details of outcome of pregnancy in 2036 women. Aneuploidy was found in 26 fetuses (1.3%) including 16 with trisomy 21 and 9 sex chromosome abnormalities. There were 38 balanced chromosomal rearrangements (1.9%): 23 of these (1.1%) were pericentric inversions of a number 9 chromosome. Only two of the chromosomal abnormalities were found in other than those mothers referred for maternal age of 35 or over. Concern is expressed at the low referral rate for older mothers in the population served (only 25% of those over 40 years). Failure of amniotic cell culture occurred in 2.8% of cultures. Maternal cell contamination was detected in 23 cultures (1.1%) with four errors in reported fetal sex. Total error estimate was 0.5%. There were 20 in vitro artefacts (1.0%) with no reporting errors. Neural tube defects were identified in 28 fetuses and there were three false-positive and one false-negative results. Data on outcome of pregnancy was available from 1805 pregnancies (96.5%): 1295 were normal (71.7%) and 510 (28.3%) showed some abnormality. Pregnancy was terminated for fetal abnormality in 53 cases (2.9%) and fetal loss occurred in 65 (3.7%). Methods, quality control, safety and service considerations are discussed. It is suggested that amniocentesis should be restricted to centres where the greatest expertise is available. The service should be improved to meet the needs of a greater number of patients. The series is compared with other studies of over 1500 cases.

Abortion, Therapeutic↗

Lateralized auditory processing in depression: dichotic click detection.

The intensity needed to detect dichotic click stimuli was measured in 14 bipolar depressed patients, 19 unipolar depressed patients, and 15 normal controls. The results replicated, in unmedicated bipolar depressed patients, an earlier finding of reversed lateral asymmetry in medicated affective psychotic patients. Two new findings concern the relation of lateral asymmetry patterns to diagnostic subtypes of the Research Diagnostic Criteria and symptom ratings on the Schedule for Affective Disorders and Schizophrenia. First, patients with bipolar disorders (history of mania or hypomania) were more likely than patients with unipolar disorders to display reversed lateral asymmetry. Second, greater severity of depressive or endogenous symptoms was associated with less lateral asymmetry.

Adult↗

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↗

A comparison of psychiatric patients and normal controls on the integration of auditory stimuli.

Temporal processing of sensory auditory information was investigated in 27 psychiatric patients and 29 normal controls by measuring forced choice thresholds for the right ear to bursts of noise stimuli of three different durations-4, 32, and 128 msec. Psychiatric patients were found to be 5 dB less sensitive than normal controls. A subsequent analysis compared the normal controls with three subgroups of psychiatric patients differentiated according to symptom profile. Those psychiatric patients whose main symptoms were affective showed a shallower threshold duration integration function than did normal controls. Patients whose major symptoms were delusions of persecution and depersonalization showed a slightly steeper slope than normal controls, whereas patients whose major symptom were hallucinations and lack of insight showed the steepest slope.

Adolescent↗

Auditory sensitivity in psychiatric patients and non-patients: monotic click detection.

The sensitivity in detecting a click was measured separately for the right and left ear of psychiatric patients and non-patient controls using a three-interval forced-choice staircase procedure. Patients with affective disorders showed reduced right ear sensitivity, while schizophrenic patients did not show reduced sensitivity. Lower sensitivity correlated with higher structured-interview ratings of speech retardation.

Adolescent↗

Reaction time facilitation in affective psychotic patients.

The extent to which the second member of a pair of monotic clicks facilitates simple reaction time was examined for 35 psychiatric patients and 43 non-patient controls across 2 studies. Affective psychotic patients showed greater reaction time facilitation than did either schizophrenic patients or non-patient controls. Computer simulations of a 'statistical facilitation' model for these data are also presented.

Adolescent↗

Dichotic perception: evidence for right hemisphere dysfunction in affective psychosis.

The association between lateralized hemispheric dysfunction and psychiatric diagnosis was investigated with a measure of summation of dichotic clicks and with a dichotic competing message task. Ear asymmetries of affective psychotic patients were similar to those of right temporal lesioned controls and differed from those of schizophrenic patients and normal controls. In contrast, schizophrenic patients did not display abnormal auditory perceptual asymmetries.

Adult↗

The effect of specific antiserum on the resistance of Neisseria gonorrhoeae to intracellular killing by phagocytes of human blood.

The high natural resistance of gonococci showing a characteristic 'double highlight' (DH) colonial morphology (Penn, Veale & Smith, 1977b) to intracellular killing by human phagocytes was markedly reduced by addition of rabbit antiserum to the phagocytosis medium or by preincubation of organisms with antiserum. Antisera raised to three different DH gonococcal strains showed a complex pattern of specificity in phagocytosis tests with the homologous organisms and three other DH strains. The effect of antiserum could be neutralized by adsorption with intact organisms or with extracts, prepared ultrasonically, of the homologous strain. Antiserum also promoted the intracellular killing of a strain which had a 'single highlight' colonial morphology (Penn et al., 1977b) and a low natural resistance to phagocytic killing, but adsorption with this strain neutralized the antiserum less consistently than the DH strain. The neutralization of antiserum-mediated promotion of intracellular killing by extracts of organisms naturally resistant to such killing may provide an assay for the aggressins responsible for this resistance.

Adsorption↗