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Biomedical subjects

V Zemon

Publications and source records attributed to V Zemon.

At least 19 recordsLinked to original sources
PubMed2001

Dysfunction of early-stage visual processing in schizophrenia.

OBJECTIVE: Schizophrenia is associated with deficits in higher-order processing of visual information. This study evaluated the integrity of early visual processing in order to evaluate the overall pattern of visual dysfunction in schizophrenia. METHOD: Steady-state visual-evoked potential responses were recorded over the occipital cortex in patients with schizophrenia and in age- and sex-matched comparison volunteers. Visual-evoked potentials were obtained for stimuli composed of isolated squares that were modulated sinusoidally in luminance contrast, number of squares, or chromatic contrast in order to emphasize magnocellular or parvocellular visual pathway activity. RESULTS: Responses of patients to magnocellular-biased stimuli were significantly lower than those of comparison volunteers. These lower response levels were observed in conditions using both low luminance contrast and large squares that biased processing toward the magnocellular pathway. In contrast, responses to stimuli that biased processing toward the parvocellular pathway were not significantly different between schizophrenia patients and comparison volunteers. A significant interaction of group and stimulus type was observed in the condition using low luminance contrast. CONCLUSIONS: These findings suggest a dysfunction of lower-level visual pathways, which was more prominent for magnocellular than parvocellular biased stimuli. The magnocellular pathway helps in orienting toward salient stimuli. A magnocellular pathway deficit could contribute to higher-level visual cognitive deficits in schizophrenia.

Cognition Disorders↗
PubMed2001

Rehabilitation of intimacy and sexual dysfunction in couples with multiple sclerosis.

Sexual dysfunction is a highly prevalent symptom of multiple sclerosis (MS), with little published research on effective treatments. This pilot study tested the efficacy of a counseling intervention in nine couples utilizing a quasi-experimental research design. The intervention consisted of 12 counseling sessions, communication with the MS medical treatment team, education, and tailoring symptomatic treatments so they interfere less with sexual function. Repeated measures analysis of variance indicated significant improvements in affective and problem-solving communication, marital satisfaction, and sexual satisfaction during the treatment vs. the waiting list phase of the study (F=1.7, P<.001). MS patients and their spouses reported similar levels of improvement.

Adult↗
PubMed2001

Growth and development in preterm infants fed long-chain polyunsaturated fatty acids: a prospective, randomized controlled trial.

OBJECTIVES: A randomized, masked, controlled trial was conducted to assess effects of supplementing premature infant formulas with oils containing the long-chain polyunsaturated fatty acids, arachidonic acid (AA; 20:4 n6), and docosahexaenoic acid (DHA; 22:6 n3) on growth, visual acuity, and multiple indices of development. METHODS: Infants (N = 470) with birth weights 750 to 1800 g were assigned within 72 hours of the first enteral feeding to 1 of 3 formula groups with or without long-chain polyunsaturated fatty acids: 1) control (N = 144), 2) AA+DHA from fish/fungal oil (N = 140), and 3) AA+DHA from egg-derived triglyceride (egg-TG)/fish oil (N = 143). Infants were fed human milk and/or Similac Special Care with or without 0.42% AA and 0.26% DHA to term corrected age (CA), then fed human milk or NeoSure with or without 0.42% AA and 0.16% DHA to 12 months' CA. Infants fed exclusively human milk to term CA (EHM-T; N = 43) served as a reference. RESULTS: Visual acuity measured by acuity cards at 2, 4, and 6 months' CA was not different among groups. Visual acuity measured by swept-parameter visual-evoked potentials in a subgroup from 3 sites (45 control, 50 AA+DHA [fish/fungal]; 39 AA+DHA [egg-TG/fish]; and 23 EHM-T) was better in both the AA+DHA (fish/fungal; least square [LS] means [cycle/degree] +/- standard error [SE; octaves] 11.4 +/- 0.1) and AA+DHA (egg-TG/fish; 12.5 +/- 0.1) than control (8.4 +/- 0.1) and closer to that of the EHM-T group (16.0 +/- 0.2) at 6 months' CA. Visual acuity improved from 4 to 6 months' CA in all but the control group. Scores on the Fagan test of novelty preference were greater in AA+DHA (egg-TG/fish; LS means +/- SE, 59.4 +/- 7.7) than AA+DHA (fish/fungal; 57.0 +/- 7.5) and control (57.5 +/- 7.4) at 6 months' CA, but not at 9 months' CA. There were no differences in the Bayley Mental Development Index at 12 months' CA. However, the Bayley motor development index was higher for AA+DHA (fish/fungal; LS means +/- SE, 90.6 +/- 4.4) than control (81.8 +/- 4.3) for infants </=1250 g. When Spanish-speaking infants and twins were excluded from the analyses, the MacArthur Communicative Development Inventory revealed that control infants (LS means +/- SE, 94.1 +/- 2.9) had lower vocabulary comprehension at 14 months' CA than AA+DHA (fish/fungal) infants (100.6 +/- 2.9) or AA+DHA (egg-TG/fish) infants (102.2 +/- 2.8). There were no consistent differences in weight, length, head circumference, or anthropometric gains. CONCLUSION: These results showed a benefit of supplementing formulas for premature infants with AA and DHA from either a fish/fungal or an egg-TG/fish source from the time of first enteral feeding to 12 months' CA.

Apgar Score↗
PubMed1998

Visual evoked potential assessment of the effects of glaucoma on visual subsystems.

The purpose of this study is to test the hypothesis that glaucoma leads to selective deficits in parallel pathways or channels. Sweep VEPs were obtained to isolated-check stimuli that were modulated sinusoidally in either isoluminant chromatic contrast or in positive and negative luminance contrast. Response functions were obtained from 14 control subjects, 15 patients with open-angle glaucoma, and seven glaucoma suspects. For all three groups of subjects we found characteristic differences between the VEP response functions to isoluminant chromatic contrast stimuli and to luminance contrast stimuli. The isoluminant chromatic stimulus conditions appeared to favor activity of the P-pathway, whereas the luminance contrast stimuli at low depths of modulation favored M-pathway activity. VEP responses for patients with OAG were significantly reduced for chromatic contrast and luminance contrast conditions, whereas VEP responses for glaucoma suspects were significantly reduced only for the 15-Hz positive luminance contrast condition. Our results suggest that both M- and P-pathways are affected by glaucoma.

Adult↗
PubMed1997

An electrophysiological technique for assessment of the development of spatial vision.

An objective visual evoked potential (VEP) technique was developed to evaluate spatial processing in humans over a wide range of ages. The constellation of stimulus conditions and analysis methods constitute a novel tool for the assessment of neural development. The key points that delineate this VEP technique are: (1) A brief, 6-s, swept-parameter stimulus with spatial frequency of square-wave grating patterns varied in octave steps, which facilitates correct accommodation and increases the likelihood of collecting uninterrupted, useable data; (2) data collection synchronous with stimulus presentation, which prevents contamination of the relevant frequency component from other frequency components in the response, thereby increasing the signal-to-noise ratio; (3) noise estimation at the response frequency of interest (second harmonic), based on a multivariate statistic (Tcirc2), which yields a realistic measure of signal-to-noise; (4) estimation of grating acuity from linear interpolation of the signal-to-noise measure; (5) monocular testing followed by multivariate statistical comparison of fellow eye data for each spatial frequency condition, which enables the determination of asymmetries within monocular neural pathways; (6) evaluation of maturation of the visual system based on vector-averaged amplitude and phase measures. Preliminary results indicate that reliable response functions are obtained from infants, children, and adults. Acuity estimates increased as a function of age. Phase values decreased consistently with increases in spatial frequency greater than 4 c/deg. Infants produced larger peak amplitude responses than did older observers, consistent with known developmental changes in cortical synaptic density. Phase data for the 2 c/deg condition provided additional evidence for the lack of maturity in the infant visual system as compared with that of older observers.

Adolescent↗
PubMed1995

Contrast-dependent responses in the human visual system: childhood through adulthood.

Visual evoked potentials (VEPs) to temporal modulation of spatial patterns, recorded from humans ranging in age from 4-42 years, demonstrated that contrast-dependent responses exist in early childhood and change dramatically throughout childhood. Bright or dark isolated-check stimuli were used to emphasize contributions from ON or OFF pathways to the VEP. (ON and OFF pathways constitute one major pair of parallel subsystems, which process brightness [positive-contrast] and darkness [negative-contrast] information, respectively.) The developmental effects observed for each pathway were similar in magnitude and time course, suggesting maturation of a common physiological mechanism dependent on spatial contrast. Children's responses were more variable and larger than those of adults, and exhibited a relative phase lag. In addition, we recorded transient VEPs to a conventional contrast-reversing checkerboard pattern. The latency of the major positive wave (P100) was found to decrease, while the latency of the initial positive wave (P60) was found to increase, with increasing age. We propose a vector-summation model, which posits a relative decrease in cortical excitation with increasing age, to explain our major findings.

Adolescent↗
PubMed1994

Temporal tuning and the development of lateral interactions in the human visual system.

PURPOSE: The authors examined the development of lateral interactions between neurons in the human visual system through the use of visual evoked potentials (VEPs) elicited by windmill-dartboard stimuli. Previously, these VEPs have revealed two distinct types of lateral interactions (short-range and long-range) in adults. This study aims to track the development of these interactions in the first 6 months of life. METHOD: Windmill-dartboard stimuli were generated by a computer-controlled visual stimulator and presented on an oscilloscope display. VEPs to these stimuli were obtained from a group of human infants between 14 days and 6 months of age and from a group of adults who served as a basis for comparison. Fourier analysis was used to retrieve amplitude and phase measures of the relevant frequency components of the response. RESULTS: Amplitude measures of the VEP components elicited by the windmill-dartboard stimulus showed that the attenuation of the second harmonic frequency component (reflecting long-range lateral interactions) was essentially adultlike at all temporal frequencies for the majority of infants. In contrast, the amplitude of the fundamental frequency component (thought to reflect short-range lateral interactions) exhibited a low-pass temporal tuning function in infants that differed dramatically from adults. Additional immaturities were observable in the phase of the fundamental component of the infant VEPs. CONCLUSIONS: Evidence for the presence of some degree of lateral interaction was seen in even the youngest infant. Long-range lateral interactions appear to mature rapidly in infancy, whereas short-range lateral interactions show a much longer developmental time-course, and their properties are dependent on temporal frequency.

Contrast Sensitivity↗
PubMed1993

Electrophysiological tests of neural models: evidence for nonlinear binocular interactions in humans.

Evoked cortical potentials were used to test neural models of binocular interactions in humans. The critical feature that distinguished between basic models was whether the two monocular signals combined linearly or nonlinearly. Stimuli were presented separately and simultaneously to two eyes with the relative temporal phase parametrically varied. Fourier analysis was applied to the recorded electroencephalogram to measure the frequency response of the visual cortex to this stimulation. Comparisons of the models' predictions with the experimental results indicate that the greatest contribution to the cortical response originates in a neural pathway that contains nonlinear binocular combination, and a smaller contribution originates in a pathway with linear binocular combination. Current models, based on psychophysical studies of humans and on single-cell neurophysiological investigations of cats, are inadequate to explain these results. A model of binocular interaction is proposed that does account for the present findings and is also supported by neurophysiological studies on monkeys. This model, which contains both nonlinear and linear binocular interactions, has profound implications for perceptual processing.

Cerebral Cortex↗
PubMed1993

[Sweep-VEP: a new method for objective visual assessment in small children].

For visual acuity testing in small children Preferential Looking and registration of Visually Evoked Potentials (VEP) are used clinically. Both methods are dependent on good cooperation, since the presented patterns have to be fixated during several minutes by the children tested. In contrast the sweep-technique, described in 1985 by Norcia, allows VEPs to be measured in only a few seconds. As in conventional VEP-testing filtering and Fourier data analysis are performed. The short examination time guarantees in most cases no problems in maintaining attention and stable fixation, even when newborns or handicapped are tested. In several studies good reliability has been demonstrated. As an illustration results of sweep-VEP-testing of three months old twins are shown.

Diseases in Twins↗
PubMed1992

Development of lateral interactions in the infant visual system.

The development of lateral inhibitory interactions in the infant visual system, as reflected by the visual-evoked potential (VEP), was studied using a radial, asymmetrical windmill-dartboard stimulus. This contrast-reversing stimulus generates VEP responses with a strong fundamental frequency component and an attenuated second harmonic component (relative to that obtained using a symmetrical stimulus). These two harmonic components reflect distinct phenomena, and appear to be the result of short-range (the fundamental) and long-range (attenuated second harmonic) lateral inhibitory interactions elicited by differential luminance-modulation of contiguous spatial regions. We studied the development of the short- and long-range interactions at 100% and 30% contrast in human infants using both VEP amplitude and phase measures. Attenuation of the second harmonic (long-range interactions) was adult-like by 8 weeks of age while the strength of the fundamental (short-range interactions) was adult-like by 20 weeks suggesting a differential development of long-range and short-range interactions. In contrast, corresponding phase data indicated significant immaturities at 20 weeks of age for both the short- and long-range components.

Contrast Sensitivity↗
PubMed1991

Magnetic coil stimulation of human visual cortex: studies of perception.

The effects of magnetic coil (MC) stimulation of human visual cortex on the foveal perception of briefly presented letter trigrams include: (1) letters were nearly always reported correctly at visual stimulus-MC pulse intervals less than 60-80 msec or greater than 120-140 msec. Thus, by 120-140 msec, information related to letter recognition is relayed from calcarine cortex. (2) Presentation of equiluminant chromatic stimuli (specifically green letters against a red background) results in suppression curves which commence at longer latencies than those obtained with achromatic stimuli. (3) At a stimulus-MC pulse interval of 100 msec, shifting the MC laterally or rostrally resulted in suppression of the contralateral or caudal-most letter respectively. This implies a focal, topographical effect on visual cortex. (4) Two trigram stimuli separated in time (e.g. 100 msec) resulted in classical backward masking in which S1 (the target) was suppressed by S2 (the mask), using an S2/S1 luminance-contrast ratio of 4:1. When the MC was subsequently discharged 80-100 msec after S2, and S2 was suppressed, the response to S1 was easily retrieved (unmasked). Presumably, by 160 msec, S1 has been transmitted to the next processing, extrastriate level. (5) The unmasking phenomenon has been used to track information flow from visual cortex to higher cortical centers (e.g. Wernicke's, Broca's, and related areas). (6) Using a prototype repetitive stimulator, a consecutive train of single MC pulses given 70, 143 and 216 msec following a brief alphabetic trigram stimulus elicited a significant reduction in letter perception. This notably contrasts with the absence of suppression when a single MC pulse was given 70 or 143 msec following presentation of the alphabetic trigram. The results with 3 pulses suggest that the first MC pulse (at 70 msec) delays but requires repetition to prevent processing and/or transmission of information from visual cortex.

Electroencephalography↗
PubMed1989

Contrast sensitivity testing: a more complete assessment of vision.

Contrast sensitivity testing is a powerful tool for determining the capability of the visual system to process spatial and temporal information about the everyday objects we see. The current gold standard in the assessment of vision, visual acuity, provides only a limited amount of information, obtained under artificial conditions. Contrast sensitivity testing measures a range of visual performance under real-life conditions. It measures the least amount of contrast needed to detect a visual stimulus and gives us a more complete quantitization of patients' visual capabilities. Many instances in which losses in contrast sensitivity were detected when visual acuity (one point on the contrast sensitivity function) was normal have been reported. These include amblyopia, neuro-ophthalmology, retina, anterior segment disease, and glaucoma. Therefore, contrast sensitivity testing enables the clinician to diagnose selective deficits in visual processing at an earlier stage than is possible with conventional testing methods.

Amblyopia↗
PubMed1988

Asymmetries in ON and OFF visual pathways of humans revealed using contrast-evoked cortical potentials.

Positive- and negative-contrast stimuli yield the perceptions of brightness and darkness, respectively, and are processed separately by ON and OFF neural pathways. The properties of these morphologically and pharmacologically distinct subsystems were measured in humans by recording visual evoked potentials (VEPs). These electrical responses from the visual cortex were elicited by novel positive- and negative-contrast stimuli, designed to emphasize, selectively, contributions from ON and OFF pathways. Results revealed differential processing of the two types of contrast information, suggesting asymmetries in ON and OFF subsystems; OFF subsystems have finer spatial tuning and greater contrast gain than ON subsystems. These VEPs may be useful in diagnosing neurological disorders that involve primarily one subsystem.

Adult↗
PubMed1986

Source geometry and dynamics of the visual evoked potential.

A method is developed for the analysis of the steady-state visual evoked potential (VEP) recorded at an array of electrodes. The VEP is assumed to result from the sum of a number of independent mechanisms. Each mechanism proves to have a fixed intracerebral source (independent of stimulus paradigm) and dynamics which depend on the stimulus. The steps in the analysis are: Fourier analysis of the responses and retention of the first 4 even harmonics; factor analysis in the frequency domain; an invariant representation ('the invariant fingerprint') of the geometric information contained in the factor analysis; and interpretation of the invariant fingerprint in terms of a simple biophysical model. This analysis is applied to responses elicited by a contrast-reversing checkerboard. The dependence of the midline VEP wave form on reversal frequency, check size, and area of stimulation (upper, lower, and full-field) reflects a change in the dynamics of the generators, rather than a change in their geometry.

Evoked Potentials, Visual↗
PubMed1985

The human visual evoked potential: analysis of components due to elementary and complex aspects of form.

The visual evoked potential (VEP) elicited by alternation between isodipole visual textures may be separated into an asymmetric and a symmetric part. The asymmetric part reflects processing of complex attributes of form. The spatial and temporal dependence of this response is used to evaluate models for the generation of this response. The symmetric part appears to reflect processing of local luminance and contrast changes. The relation of these components to the VEP elicited by contrast reversal, contrast modulation, and the windmill-dartboard stimulus is discussed.

Adult↗
PubMed1984

Intermodulation components of the visual evoked potential: responses to lateral and superimposed stimuli.

Nonlinear interactions in the human visual system were studied using visual evoked potentials (VEPs). In one experiment (superimposed condition), all segments of a dartboard pattern were contrast reversed in time by a sum of two sinusoidal signals. In a second experiment (lateral condition), segments in some regions of the dartboard pattern were contrast reversed by a single sinusoid of one frequency, while segments in other (contiguous) regions of the pattern were contrast reversed by a single sinusoid of another frequency. An identical set of ten frequency pairs was used in each experiment. The frequency pairs were chosen such that the difference between frequencies in each pair was 2Hz. Amplitudes and phases of the sum and difference frequency components of the VEP (intermodulation terms) were retrieved by Fourier analysis and served as measures of nonlinear interactions. The use of input pairs with a fixed separation in frequency enabled the estimation of the temporal characteristics of the visual pathways prior to a second linear stage. The use of superimposed and lateral conditions revealed antagonistic contributions to the VEP, possibly reflecting direct-through excitatory and lateral inhibitory pathways, respectively.

Evoked Potentials, Visual↗
PubMed1983

Orientational anisotropy in the human visual system: an evoked potential and psychophysical study.

Orientational anisotropy in the human visual system was investigated using electrophysiological and psychophysical techniques. Grating patterns of various orientations were presented and contrast detection thresholds were measured using a two alternative forced choice procedure. Using the same observers, visual evoked cortical potentials (VECPs) were elicited by identical gratings set at various contrasts ranging from subthreshold to high levels. Plots of contrast sensitivity versus grating orientation were derived using the amplitude of a negative wave of the VECP for low contrast data and the amplitude of a positive wave for moderate to high contrast data. These plots were compared with plots obtained during the psychophysical experiment. The results indicate that the low contrast VECP functions exhibit an orientational anisotropy that is qualitatively and quantitatively similar to that observed in the psychophysical data. The high contrast VECP functions, however, exhibit an orientational effect that is qualitatively similar but greater in magnitude than that found in the low contrast VECP or psychophysical experiments. These findings suggest that the amplitudes of VECPs elicited by low contrast stimuli are highly correlated with psychophysical detection performance, and that an additional physiological mechanism is reflected in the VECPs elicited by moderate to high contrast stimuli.

Cerebral Cortex↗