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Biomedical subjects

W A Roberts

Publications and source records attributed to W A Roberts.

At least 19 recordsLinked to original sources

Judgements of ordinality and summation of number symbols by squirrel monkeys (Saimiri sciureus).

In Experiment 1, 2 squirrel monkeys (Saimiri sciureus) were given choices between all possible pairs of the arabic numbers 0, 1, 3, 5, 7, and 9, with choice of any number yielding that number of pieces of peanut as a reward. Both monkeys learned to choose the larger number in all pairings and learned to choose the largest number within a set of 4 numbers. In Experiments 2-4, the monkeys were tested on problems in which they chose between pairs of stimuli containing 2 numbers versus 2 numbers, 1 number versus 2 numbers, and 3 numbers versus 3 numbers. Both monkeys showed a significant tendency to choose the stimulus that contained the largest sum. Various tests indicated that this effect could not be explained by choice of the stimulus with the largest single number, by avoidance of the stimulus with the smallest single number, or by experimenter cuing.

Animals

Comparison of end-tidal and arterial carbon dioxide in infants using laryngeal mask airway and endotracheal tube.

The laryngeal mask airway (LMA) has become a popular tool for airway management in selected adult and pediatric patients undergoing routine surgical procedures. The relationship between end-tidal and arterial carbon dioxide during controlled ventilation via the LMA in infants under 10 kg has not been reported. After induction of general anesthesia, the LMA was placed in 12 healthy infants and mechanical ventilation initiated. After maintaining steady-state level of end-tidal carbon dioxide (minimum 5 min), an arterial blood sample was obtained and end-tidal carbon dioxide level noted. The laryngeal mask was then removed, the trachea intubated, and mechanical ventilation resumed with initial ventilatory variables. After reaching a steady-state level of end-tidal carbon dioxide, a second arterial sample was obtained and end-tidal carbon dioxide level noted. The mean end-tidal carbon dioxide and arterial partial pressure of carbon dioxide obtained during ventilation were 42.2 +/- 7.9 and 47.1 +/- 11.0 (LMA) and 37.4 +/- 4.6 and 42.6 +/- 6.7 (endotracheal tube), respectively. Analysis of differences between partial pressure of carbon dioxide and end-tidal carbon dioxide using the Bland and Altman method revealed bias+/-precision of 4.9 +/- 3.9 and 5.3 +/- 3.2 with ventilation via the laryngeal mask and endotracheal tube. Our data indicate that, while ventilating infants under 10 kg with LMA, end-tidal carbon dioxide is an accurate indicator of arterial partial pressure of carbon dioxide.

Anesthesia, General

Intraocular transfer and simultaneous processing of stimuli presented in different visual fields of the pigeon.

Differences in neuroanatomy, optics, and function indicate the operation of 2 visual systems in pigeons, a frontal field system and a lateral field system. Communication between these systems was examined with a delayed matching-to-sample task in which sample stimuli could be presented in either the frontal or lateral fields. In Experiment 1, matching acquired with the lateral field transferred to the frontal field but did not transfer from the frontal field to the lateral field. When different samples were presented simultaneously to the frontal and lateral fields in Experiment 2, pigeons preferred to match the sample in the frontal field, but lateral field information interfered to some extent with frontal field matching. The 3rd experiment showed left lateral field dominance when the left and right fields were simultaneously presented with different sample stimuli; left field dominance was not complete, as pigeons sometimes matched the right-field sample.

Animals

Relationship between end-tidal and arterial carbon dioxide with laryngeal mask airways and endotracheal tubes in children.

The laryngeal mask airway (LMA) is a useful tool for securing the airway in adults and children and may be substituted for an endotracheal tube (ETT) in selected patients undergoing general anesthesia. The correlation between end-tidal and arterial carbon dioxide during controlled ventilation via LMA has not been reported in a within-patient design in pediatric patients. After induction of general anesthesia, 22 children had a LMA placed and mechanical ventilation initiated. After reaching steady-state end-tidal carbon dioxide (PETCO2), an arterial blood sample was obtained and the partial pressure of carbon dioxide (PaCO2) was measured. The LMA was then removed, the trachea was intubated, and identical ventilatory variables were resumed. After a stable PETCO2 was reestablished (minimum 5 min), a second PaCO2 was measured and the PETCO2 recorded. The mean PETCO2 and PaCO2 obtained during ventilation via the LMA were 37.7 +/- 3.31 and 41.9 +/- 9.09, respectively. The mean PETCO2 and PaCO2 obtained during ventilation via the ETT were 35.2 +/- 2.86 and 39.2 +/- 5.25, respectively. Analysis of differences between PaCO2 and PETCO2 revealed a bias +/- precision of 4.0 +/- 3.42 and 4.2 +/- 3.66 with ventilation via ETT and LMA, respectively. The root mean square error was 0.85 for the ETT and 0.89 for the LMA. Our results indicate that in infants and children weighing more than 10 kg who are mechanically ventilated via the LMA PETCO2 is as accurate an indicator of PaCO2 as when ventilated via ETT.

Adolescent

A cost comparison of allogeneic and preoperatively or intraoperatively donated autologous blood.

We determined the cost of allogeneic packed red blood cells and autologous whole blood donated either preoperatively or in the operating room during hemodilution. Direct and indirect cost estimates were based on patients requiring simple transfusion and included procurement and preparation of the blood including testing performed, materials and time used, waste, and materials for administration. Data were derived from prospective blood bank time studies, material invoice records, and retrospective review of anesthesia times. Viral infection and transfusion reaction costs were accepted from previously published sources. Direct cost of purchasing and indirect costs of preparation resulted in an overall cost of $107.26 for the first unit of allogeneic packed red blood cells transfused. A second unit was slightly less costly ($100.89), as no type and screen was required and the same delivery set and filter can be used. The total cost of acquisition, processing, and transfusion of 1 U of preoperatively donated autologous blood was $97.83. The total cost of a 2-U transfusion of autologous whole blood donated in the operating room during acute normovolemic hemodilution was $83.10. These data suggest that autologous predonation of whole blood is somewhat less expensive than allogeneic packed red blood cells, and that hemodilution may be a cost effective alternative to autologous predonation in selected patients.

Blood Transfusion, Autologous

Dependence of the GABAA receptor gating kinetics on the alpha-subunit isoform: implications for structure-function relations and synaptic transmission.

1. To examine the dependence of gamma-aminobutyric acid (GABAA) receptor gating on the alpha-subunit isoform, we studied the kinetics of GABA-gated currents (IGABA) of receptors that differed in the alpha-subunit subtype, alpha 1 beta 2 gamma 2S and alpha 3 beta 2 gamma 2S. cDNAs encoding rat brain subunits were co-expressed heterologously in HEK-293 cells and the resultant receptors studied with the whole-cell patch clamp technique and rapidly applied GABA pulses (5-10 s). 2. IGABA of both receptors showed a loosely similar dependence on GABA concentration over a wide range (1-5000 microM). Generally, IGABA manifested activation reaching an early current peak, subsequent slower spontaneous desensitization, and deactivation of open channels at pulse termination. Lowering GABA concentrations reduced peak currents and slowed activation and desensitization kinetics. 3. The presence of alpha 3 altered the peak IGABA concentration-response relationship by shifting the fitted Hill equation to tenfold greater GABA concentrations (GABA concentration at half amplitude: alpha 1, 7 microM; and alpha 3, 75 microM) without affecting Hill coefficients (alpha 1, 1.6; alpha 3, 1.5). These findings indicate a reduction in the apparent activating site affinity and are consistent with previous reports. 4. To investigate differences in gating, we normalized for apparent activating site affinities by analysing the time course of macroscopic gating at equi-activating GABA concentrations. The presence of alpha 3 slowed activation fourfold (time to current peak (means +/- S.E.M.): alpha 1, 1.2 +/- 0.06 s (2 microM); alpha 3, 4.7 +/- 0.5 s (20 microM)), desensitization nearly twofold (reciprocal of time to 80% decay: alpha 1, 2.5 +/- 0.48 s-1 (100 microM); alpha 3, 1.5 +/- 0.15 s-1 (1000 microM)) and deactivation threefold (monoexponential decay time constant: alpha 1, 0.22 +/- 0.026 s (2 microM); alpha 3, 0.68 +/- 0.1 s (20 microM)). 5. To gain an insight into the gating mechanisms underlying macroscopic desensitization, we extended a previous gating model of GABAA receptor single-channel activity to include a desensitization pathway. Such a mechanism reproduced empirical alpha 1 beta 2 gamma 2S activation, desensitization and deactivation kinetics. 6. To identify molecular transitions underlying the gating differences between alpha 1 beta 2 gamma 2S and alpha 3 beta 2 gamma 2S receptors, we explored parameter alterations of the alpha 1 beta 2 gamma 2S gating model that provided an accounting of alpha 3 beta 2 gamma 2S empirical responses. Remarkably, alteration of rates and rate constants involved in ligand binding alone allowed reproduction of alpha 3 beta 2 gamma 2S activation, desensitization and deactivation. 7. These results indicate that substitution of the alpha 3 subunit variant in an alpha 1 beta 2 gamma 2S receptor alters transition rates involved in ligand binding that underlie changes in apparent activating site affinity and macroscopic current gating. Furthermore, they argue strongly that the structural determinants of these functional features reside on the alpha-subunit.

Animals

The use of capnography for recognition of esophageal intubation in the neonatal intensive care unit.

Failure to recognize esophageal intubation can result in severe hypoxia and permanent neurologic injury. Capnography is a standard monitoring modality in the operating room but has not been utilized fully in other environments. We used capnography at the time of endotracheal intubation in the neonatal intensive care unit (NICU) to determine whether capnography could more quickly and accurately identify endotracheal tube position than other clinical indicators of endotracheal tube position. One hundred intubation episodes were studied in 55 neonates. Capnograms were obtained 15 and 120 sec following tube placement. Intubating personnel were blinded to the capnographic data and determined endotracheal tube location (trachea vs. esophagus) by clinical criteria only. The sensitivity and specificity of capnography and clinical examination for identification of tube position were analyzed, and the time required for establishing by clinical confirmation whether the tube was in the trachea or not was compared to that required for capnography. Forty of 100 intubation attempts resulted in esophageal intubation. Capnography correctly identified these errant tube placements in 39 of 40 instances and did so in 1.6 sec (SD +/- 2.4). Capnography failed to identify successful endotracheal intubation on only one occasion. Clinical indicators of tube position required 97.1 sec (SD +/- 92.6) to identify an esophageal intubation and failed to identify successful endotracheal intubation in 5 of 60 cases. We conclude that capnography is a valuable adjunct to clinical examination to demonstrate whether an endotracheal tube is placed correctly in the trachea of neonates in the NICU.

Blood Gas Monitoring, Transcutaneous

Further evidence for hierarchical chunking in rat spatial memory.

In Experiment 1, rats were given a test to determine the order of preference among 3 types of food. Two groups of rats then were trained on a 12-arm radial maze in Experiment 2, with the 3 foods placed in fixed-arm locations for 1 group and in locations that varied randomly across sessions for the other group. The results replicated those of Dallal and Meck (1990) by showing faster learning and more clustering of arm choices by food type in the fixed-locations group than in the random-locations group. Two further experiments were performed to test the chunking hypothesis. Observations of working memory in Experiment 3 and the reorganization of reference memory in Experiment 4 both supported the chunking hypothesis by showing superior spatial memory and arm chunking by food type when chunk integrity was maintained than when it was compromised.

Animals

Memory for pictures of upright and inverted primate faces in humans (Homo sapiens), squirrel monkeys (Saimiri sciureus), and pigeons (Columba livia).

Humans (Homo sapiens) and squirrel monkeys (Saimiri sciureus) were tested for memory of upright and inverted primate faces. Working memory was tested in Experiment 1 with a delayed matching-to-sample procedure, and reference memory was examined in Experiment 2 by requiring subjects to learn to discriminate between successive pairs of upright or inverted pictures. Both human and monkey subjects showed better working memory for upright than for inverted human faces and better reference memory for upright than for inverted human and great ape faces. In Experiment 3, reference memory tests with pigeons (Columba livia) showed no effects of inversion on rate of learning with face pictures. We argue that these findings cannot be explained easily by an individual primate's lifetime experiences with primate faces. We suggest that similar evolved mechanisms for primate face recognition in people and monkeys are responsible for the pattern of data reported.

Animals

Widely distributed GABA-mediated afferent inhibition processes within the ventrobasal thalamus of rat and their possible relevance to pathological pain states and somatotopic plasticity.

We have recently described extensive inhibitory interactions between inputs to the ventroposterolateral (VPL) (Roberts and Wells 1990, 1991) and ventroposteromedial (VPM) (Salt 1989) portions of the ventrobasal nucleus of the thalamus (VB). We wished to determine whether (i) the inhibition observed in the VPL was operating at the thalamic level, (ii) was dependent on GABA receptors, (iii) was demonstrable on neurons of the ventro-posteromedial nucleus of the thalamus (VPM) and (iv) was operant on test responses evoked by natural stimuli. Conditioning stimulation of sciatic nerve afferents caused inhibition of air jet evoked test responses of single VB neurons in urethane-anaesthetized rats. Both VPM and VPL neurons were subject to inhibition by conditioning stimulation of hindlimb afferents, indicating the wide-spread nature of the inhibitory process. This inhibition was reduced by the iontophoretic application of SR95531, a GABAA receptor antagonist. We conclude that there is a widely distributed inhibitory system operating in the somatic thalamus which involves both the medial and lateral portions of the nucleus and is, at least in part, mediated by GABAA receptors. The possible involvement of inhibitory processes and intrinsic membrane properties of thalamic neurones in the somatotopic plasticity of the sensory thalamus following deafferentation and in deafferentation pain is discussed.

Animals

Excitatory amino acid receptors mediate synaptic responses to visual stimuli in superior colliculus neurones of the rat.

Excitatory amino acid receptors are involved in synaptic transmission throughout the central nervous system. As the specific synaptic pharmacology of visually responsive superior colliculus (SC) neurones has not been evaluated, we have attempted to antagonize visual responses of these neurones with selective excitatory amino acid antagonists. The N-methyl-D-aspartate (NMDA) receptor antagonist 3-((+/-)-2-carboxypiperazin-4-yl)propyl-1-phosphonic acid (CPP), and the non-NMDA receptor antagonist 6-cyano-7-nitroquinoxaline-2,3-dione (CNQX) were applied iontophoretically in the vicinity of single visually responsive SC neurones. Visually evoked responses were antagonized by non-NMDA receptor selective currents of CNQX in 13 of 14 cells studied. Of 18 cells studied with NMDA receptor selective currents of CPP, visual responses were antagonized in only two cases. This study demonstrates that excitatory amino acid receptors are involved in synaptic transmission of visual information to the rat superior colliculus, but that NMDA receptors may play a relatively minor role.

6-Cyano-7-nitroquinoxaline-2,3-dione

Peripherally evoked single unit responses in ventroposterolateral nucleus in the absence of the dorsal column nuclei in rat.

The present experiments were designed to determine the effects of removing the dorsal column nuclei on the evoked responses of the ventroposterolateral nucleus (VPL) neurons in the rat. Previously, we have observed inhibitory interactions between forelimb and hindlimb inputs to VPL (Roberts and Wells 1990), and have also observed a synaptic recovery process within VPL following dorsal column nuclei (DCN) lesions (Wells and Tripp 1987). In an attempt to describe any changes in VPL responses that correlate with the synaptic recovery in VPL following lesions to the DCN, we have studied the incidence of the inhibition process in VPL, the latency of activation of single unit VPL responses to peripheral nerve stimulation, the number of evoked unit responses observed per track studied and the somatotopy of responses in VPL. Dorsal column nuclei lesions did not alter the incidence or duration of the inhibitory interaction between forelimb and hindlimb inputs to VPL. Following DCN lesions, there was a significant increase in the latency to activation of VPL neurons by both forelimb and hindlimb inputs. This increase in latency returned to a non-significant difference from control over the same interval of time that is required for the structural recovery in VPL. There was a significant reduction in the number of evoked unit responses observed per track studied in the deafferented group at the twenty day post-lesion time course. This difference was no longer statistically significant in the sixty-four day post-lesion group. Finally, we have observed little change in the overall anatomic distribution of responses to forelimb or hindlimb stimulation in VPL following DCN lesions.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals

Extensive dual innervation and mutual inhibition by forelimb and hindlimb inputs to ventroposterolateral nucleus projection neurons in the rat.

The stimulation of brachial plexus and sciatic nerve resulted in a precisely timed, synchronous volley of inputs to ventroposterolateral (VPL) neurons from either forelimb or hindlimb. Such stimulation activated sensory fibers of all modalities and was therefore modality-nonspecific. Extracellular recordings of modality-nonspecific single-unit evoked responses from VPL showed that 13% of VPL projection neurons responded to both forelimb and hindlimb inputs. We also demonstrated mutually inhibitory interactions between inputs from forelimb and hindlimb in 45% of VPL units. Unlike the somatotopic map produced by others using modality-specific inputs, the modality-nonspecific evoked response map of VPL had a broadly overlapping distribution of evoked responses. This was especially true for the more caudal aspects of VPL. When the delivery of stimuli was appropriately timed, forelimb inputs caused the inhibition of responses to forelimb stimulation; similarly, hindlimb inputs inhibited responses to forelimb stimulation. The inhibition had a variable duration that may reflect a combination of processes, including recurrent inhibitory collateral input from the thalamic reticular nucleus (TRN) or an intrinsic hyperpolarizing inhibitory afterpotential of the VPL neuron. The presence of an extensive converging input on VPL neurons and an inhibitory correlate to this overlapping of inputs may explain the shifting of VPL maps following lesions of peripheral nerve, spinal cord, or dorsal column nuclei (DCN).

Action Potentials

Memory deficit caused by compressed air equivalent to 36 meters of seawater.

Twenty-four students from a diving school undertook a hyperbaric chamber dive to a pressure equal to 36 m of seawater. Tests of cognitive function and manual dexterity, performed in the chamber during the 35-min bottom time and before, or after, the dive included immediate and delayed free recall of words presented as 7 lists of 15 each, recognition of previously presented words, number identification, and a forceps pickup of ball bearings. Delayed free recall and immediate free recall (primacy region) were significantly impaired, whereas manual dexterity and recognition memory were not. These are in keeping with previously reported findings but indicate that significant impairment of memory may occur in experienced divers at operational depths for air diving. Lack of effect on recognition memory suggests that cueing strategies might be useful for debriefing divers.

Adolescent