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TASK-1 is a highly modulated pH-sensitive 'leak' K(+) channel expressed in brainstem respiratory neurons.

Central respiratory chemoreceptors adjust respiratory drive in a homeostatic response to alterations in brain pH and/or P(CO(2)). Multiple brainstem sites are proposed as neural substrates for central chemoreception, but molecular substrates that underlie chemosensitivity in respiratory neurons have not been identified. In rat brainstem neurons expressing transcripts for TASK-1, a two-pore domain K(+) channel, we characterized K(+) currents with kinetic and voltage-dependent properties identical to cloned rat TASK-1 currents. Native currents were sensitive to acid and alkaline shifts in the same physiological pH range as TASK-1 (pK approximately 7.4), and native and cloned pH-sensitive currents were modulated similarly by neurotransmitters and inhalational anesthetics. This pH-sensitive TASK-1 channel is an attractive candidate to mediate chemoreception because it is functionally expressed in respiratory-related neurons, including airway motoneurons and putative chemoreceptor neurons of locus coeruleus (LC). Inhibition of TASK-1 channels by extracellular acidosis can depolarize and increase excitability in those cells, thereby contributing to chemoreceptor function in LC neurons and directly enhancing respiratory motoneuronal output.

Anesthetics, Inhalation↗

Experimental investigation of stress-inducing properties of system response times.

System response times are regarded as a major stressor in human-computer interaction. In two earlier studies short (2s) and long (8s) response times were found to have differential effects on psychological, subjective, and performance variables, but results did not favour either response time. Therefore, in another laboratory study with 48 subjects in four independent groups working at a stimulated computer workplace, system response times of 2, 4, 6 and 8s were introduced in the same error detection task as used before, during 3 training and 5 working trials of 20 min each, and the same physiological, subjective and performance measures were obtained. There were no global effects on physiological variables, possibly due to low work load as a result of missing time pressure, but subjective and performance variables clearly favoured the longer system response times. When task periods and response time-periods were analysed separately, a shift of electrodermal activity could be observed from task- to response time-periods during the course of trials in the 8s condition. This did not appear in any other condition, which points to psychophysiological excitement that develops when system response times are too long, thus providing support for the concept of optimal system response times.

Adolescent↗

Changes in the balance between motor cortical excitation and inhibition in focal, task specific dystonia.

Transcranial magnetic stimulation has been used in a double pulse paradigm to investigate the excitability of intrinsic motor cortical circuits in 15 patients with focal task specific dystonia of the right hand and a group of eight age matched controls. The left hemisphere was examined in five patients; in the remainder, both hemispheres were tested. There was no significant difference in stimulation threshold between patients and controls nor between the left and right hemispheres in the patients. There was a significant decrease in early corticocortical suppression when comparing stimulation of the left hemisphere in the patients and controls at interstimulus intervals of 1-15 ms (P < 0.01). There was no difference in the amount of suppression in the right and left hemispheres of the patients. It is concluded that in focal task specific dystonia there is shift in the balance between excitation and inhibition in local circuits of the motor cortex which leads to a net decrease in the amount of short latency suppression. These changes reflect disturbed basal ganglia input to the motor cortex. Reduced excitability of cortical inhibitory circuits may be one factor which contributes to the excessive and inappropriate muscle contraction which occurs during fine motor tasks in patients with focal dystonia.

Adult↗

Electroencephalographic activity associated with shifts of visuospatial attention.

The neural processes underlying shifts of visuospatial attention were studied in normal adults by non-invasive recording of brain electrical activity. Event-related evoked potentials (ERPs) were recorded during target detection tasks with targets preceded by central or peripheral directional cues in the visual field, which are hypothesized to provoke voluntary and reflexive shifts of spatial attention. Reaction time to targets varied as a function of cue type and cue-target interval, indicating that the tasks induced shifts of spatial attention across the visual field. Event-related evoked potential recordings showed that central cues elicited negative potential shifts starting 240 ms after cue onset over posterior scalp sites contralateral to the cued visual field, which spread to anterior scalp sites over time. After 500 ms post cue, negative potentials were more negative in right temporal parietal sites regardless of cue direction. Peripheral cues enhanced the N1 component (140-200 ms post cue) over the contralateral hemisphere. Following N1 enhancement, a sustained negative potential shift appeared after 460 ms post cue at posterior scalp sites contralateral to cued field and spread over the temporal and central regions. These results suggest that the neural processes underlying spatial selection are initiated in the posterior region and that other cortical activities are recruited in a serial fashion. Symmetrical early activation of each contralateral hemisphere suggest independent involvement of the hemispheres in the early stages of shifting attention toward the contralateral visual field. A predominant contribution of the right hemisphere to sustained spatial attention was demonstrated in the late stage of cue processing at the right temporal and parietal regions. Different ERP patterns generated by central and peripheral cues support the hypothesis that distinct neural systems are involved in voluntary and reflexive mechanisms of attention shift.

Adult↗

Lingual vibrotactile threshold shift differences between stutterers and normal speakers during magnitude-estimation scaling.

The purpose of this study was to investigate differences in tactile sensory system function between stutterers and normal speakers. This task was accomplished by studying possible tactile threshold shifts occurring during magnitude-estimation scaling of vibratory stimuli presented to the dorsal surface of the tongue. Ten normal speaking men (M age = 19.7 yr.) and 10 stutterers (M age = 25.9 yr.) participated. Analysis suggested that stutterers and normal speakers differ in terms of the responsiveness of the sensory mechanism for the lingual tactile threshold to vibratory stimulus intensities applied at suprathreshold levels. The stutterers and normal speakers performed similarly on all aspects of the magnitude-estimation scaling tasks, but the amount of threshold shift occurring during the scaling procedures was significantly greater for the stutterers at each suprathreshold intensity level employed.

Adolescent↗

Deficits in the endogenous redirection of covert visual attention in chronic schizophrenia.

In patients with schizophrenia, abnormal performance on the antisaccade task suggests that for overt attentional shifts, there is difficulty with the endogenous modes have opposite goals. We examined whether patients with schizophrenia also have difficulty with the endogenous control of exogenous orienting when endogenous and exogenous control of exogenous orienting for covert shifts of attention. Fifteen medicated patients with chronic schizophrenia and 15 matched controls performed two versions of the covert orienting of attention task (COVAT). On one COVAT, targets appeared at the cued location (TAC) on all trials. On the second COVAT, targets appeared at the contralateral location to the cue (TCC) on all trials. Reaction time (RT) for TAC and TCC trials was equal in the control group. However, for the schizophrenia group, RT for TCC trials was significantly slower than RT for TAC trials. This indicates that patients with schizophrenia were unable to inhibit the orienting of attention to peripheral cues even when they knew that targets would never appear at the same location as the cue. These results suggest that patients with chronic schizophrenia have difficulty utilizing the endogenous strategies to inhibit exogenous covert attentional shifts.

Adult↗

Neuropsychological functioning in first-episode psychosis--evidence of specific deficits.

Neuropsychological impairment is ubiquitous in schizophrenia even at the first presentation of psychotic symptoms. We sought to elucidate the nature of the neuropsychological profile at the onset of the illness by examining the neuropsychological functioning of 40 patients experiencing their first episode of psychosis and 22 matched controls. All participants completed a battery of neuropsychological tasks designed to assess attention, verbal learning/memory, non-verbal memory, spatial ability, psychomotor speed, and executive function. First-episode patients showed significant impairment on tasks of executive function, including those requiring the ability to form and initiate a strategy, to inhibit prepotent responses, and to shift cognitive set, and also on tasks of verbal fluency. Memory impairments were seen on verbal learning and delayed non-verbal memory only. Impairment on tasks of psychomotor speed suggests that there may be a significant amount of cognitive slowing even at the first onset of psychosis. We suggest that our patients may be experiencing difficulty in specific aspects of executive functions, including the ability to form and execute a strategy, and these difficulties may be mediating the deficits observed on tasks of verbal learning.

Adolescent↗

Attention and selection in the growing child: views derived from developmental psychophysiology.

Our understanding of developmental changes in attentional selection in the growing child has been advanced substantially by the results of (a relatively small number of) studies undertaken from a psychophysiological perspective. The basic outcome of these studies is that, in attentional filtering as well as selective set (the two basic paradigms in attention research), the processes necessary for attentional selection are in essence available even to the young child; however, the speed and efficiency of these processes tends to increase as the child grows into an adolescent. Under optimal conditions, filtering is performed at early stages of information processing, but less optimal stimulus characteristics and task requirements may induce a shift in the locus of selection to later processing stages for young children whereas older individuals are better able to preserve their early locus of selection. When early selection is constrained, young children are substantially more sensitive to the adverse effects of response competition. In selective set, sub-optimal conditions lead not so much to a shift in locus of selection processes, but to a shift in the age at which asymptote efficiency is attained. We have proposed hierarchical regression analysis as a useful technique to examine whether age-related differences in attention effects, as observed in specific ERP components and in RT, are reflections of an age effect on a single source of attentional selection or of separate sources that each contribute uniquely to the developmental trends seen in (attention effects on) RT. Re-analyses of existing data demonstrated that (again depending on task specifics) many but not all of the different component processes involved in attentional selection contributed unique variance to the age-related changes in attention effects.

Adolescent↗

Immediate and delayed after-effects of long lasting mentally demanding work.

This study investigates the hypothesis that long lasting mental work demands are reflected in after-effects on attention demanding post-test probe tasks. Sixteen subjects were engaged in 2 simulated workdays consisting of mentally demanding tasks. On the difficult day the afternoon consisted of highly demanding information processing tasks; on the easy day the demands during the afternoon were low. The mornings of both days were equally demanding. At the start (pre-test) and the end (post-test) of both days, after 5 min (immediate post-test) as well as after approximately 2 h of recuperation (delayed post-test), a probe task was carried out. A memory-search task (varied mapping) is used as probe task. After-effects were expected in terms of a shift in the ratio between performance and effort on the post-test probe tasks compared with the pre-test probe task. Performance measures were reaction time and errors; effort was indicated by heart rate variability in the 0.07-0. 14 Hz band, referred to as 0.1 Hz component. Dayload manipulation appeared to be effective because of the load-related differences between the urinary excretion rates of adrenaline during both afternoons. Compared with the pre-test, only the number of errors was significantly increased in the post-test, carried out immediately at the end of the difficult afternoon. However, compared with the easy day, in the delayed post-test probe task after the difficult day, subjects tended to shorten reaction times, made significantly more errors, and invested significantly less effort. Moreover, at that time they felt more fatigued and deactivated as indicated by the results of the 'Scale of Experienced Load' (SEB) (fatigue) and 'Groninger Adjective Checklist' (GACL) (mood) questionnaires. The observed shift towards low-effort, more 'risky' task strategies in the post-tests fits well with Hockey's (1993) fatigue after-effects degradation pattern expected after periods of high workload. The repeated measurement of the relation of performance, effort and feelings reveals the dynamics of the pattern of fatigue after-effects over the (recovery) time.

Adult↗

Frontal lobe function in progressive supranuclear palsy.

Performance on tasks evaluating "executive and attentional" processes presumably subserved by prefrontal cortex were compared in patients with progressive supranuclear palsy and with age- and education-matched control subjects. The results indicated that patients with progressive supranuclear palsy were particularly impaired when a task required sequential movements, conceptual shifting, monitoring the frequency with which stimuli are presented, or rapid retrieval of verbal knowledge. These deficits could not simply be accounted for by slowed information processing or by a deficit in representational knowledge. Conceivably, "weak activation" of frontal lobe representational knowledge characterized by an observed attentional deficit results in the neuropsychological impairments noted in patients with progressive supranuclear palsy. The oral administration of physostigmine, under double-blind placebo-controlled conditions, did not facilitate executive or attentional performance as evaluated by our tasks.

Affect↗

Sequential analyses of therapist-client interaction during change events: a task-focused approach.

In this article, we describe a task-focused approach that uses sequential analyses as deductive techniques for studying therapist-client interactions in the context of clinical microtheories of change events. The methodology is demonstrated in a study of a class of change events in client-centered therapy referred to as the resolution of problematic reactions. Logit-loglinear analysis and binomial z scores were used to test the effects of therapist behavior, assessed by therapist vocal quality and by the therapist task-relevant system, on client process assessed by client vocal quality and by the Experiencing Scale. The results indicated (a) that therapist productive voice facilitated a shift from poor to productive client voice and a shift from low to intermediate experiencing and (b) that therapist task-specific interventions directed toward resolution facilitated shifts to high experiencing. This task-focused approach to sequential analyses has the potential to yield clinically and theoretically relevant findings.

Adaptation, Psychological↗

Critical period for cross-modal plasticity in blind humans: a functional MRI study.

The primary visual cortex (V1) in congenitally blind humans has been shown to be involved in tactile discrimination tasks, indicating that there is a shift in function of this area of cortex, but the age dependency of the reorganization is not fully known. To investigate the reorganized network, we measured the change of regional cerebral blood flow using 3.0 Tesla functional MRI during passive tactile tasks performed by 15 blind and 8 sighted subjects. There was increased activity in the postcentral gyrus to posterior parietal cortex and decreased activity in the secondary somatosensory area in blind compared with sighted subjects during a tactile discrimination task. This suggests that there is a greater demand for shape discrimination processing in blind subjects. Blind subjects, irrespective of the age at onset of blindness, exhibited higher activity in the visual association cortex than did sighted subjects. V1 was activated in blind subjects who lost their sight before 16 years of age, whereas it was suppressed in blind subjects who lost their sight after 16 years of age during a tactile discrimination task. This suggests that the first 16 years of life represent a critical period for a functional shift of V1 from processing visual stimuli to processing tactile stimuli. Because of the age-dependency, V1 is unlikely to be the "entry node" of the cortex for the redirection of tactile signals into visual cortices after blinding. Instead, the visual association cortex may mediate the circuitry by which V1 is activated during tactile stimulation.

Adult↗

Temporal coordination of the human head and eye during a natural sequential tapping task.

The 'natural' temporal coordination of head and eye was examined as four subjects tapped a sequence of targets arranged in 3D on a worktable in front of them. The head started to move before the eye 48% of the time. Both the head and eye started to move 'simultaneously' (within 8 ms of each other) 37% of the time. The eye started to move before the eye only 15% of the time. Gaze-shifts required to perform the tapping task were relatively large, 68% of them were between 27 degrees and 57 degrees. Gaze-shifts were symmetrical. There were almost as many lefts as rights. Very little inter- or intra-subject variability was observed. These results were not expected on the basis of prior studies of head/eye coordination performed under less natural conditions. They also were not expected given the results of two rather similar, relatively natural, prior experiments. We conclude that more observations under natural conditions will have to be made before we understand why, when and how human beings coordinate head and eyes as they perform everyday tasks in the work-a-day world.

Eye Movements↗

A clockwork nursing unit. Analyzing how nurses spend their time is the first step toward improving productivity.

Until recently, productivity analysis has been a relatively underdeveloped tool in nursing. As healthcare costs continue their upward spiral, however, managers have been pressured to measure and evaluate nursing productivity. The right combination of efficiency and effectiveness is the key to optimal productivity. Nursing can be efficient but highly ineffective and thus of little value to the patient; conversely, nursing can be effective and valuable, but grossly inefficient. To determine a nursing unit's level of productivity, managers can keep a daily record of the number of nursing hours per patient day. When the record indicates too many ineffective or inefficient days, an analysis of how nurses use their time can help solve the problem. The first step is such an analysis is to have management engineering or the nursing staff itself collect data on time spent per task. Once these data are collected, they can be analyzed by shift (for the entire hospital), by individual unit, by task category, etc. With this information in view, managers can ask key questions to help pinpoint areas where efficiency might be improved.

Arizona↗

Executive control of cognitive processes in task switching.

In 4 experiments, participants alternated between different tasks or performed the same task repeatedly. The tasks for 2 of the experiments required responding to geometric objects in terms of alternative classification rules, and the tasks for the other 2 experiments required solving arithmetic problems in terms of alternative numerical operations. Performance was measured as a function of whether the tasks were familiar or unfamiliar, the rules were simple or complex, and visual cues were present or absent about which tasks should be performed. Task alternation yielded switching-time costs that increased with rule complexity but decreased with task cuing. These factor effects were additive, supporting a model of executive control that has goal-shifting and rule-activation stages for task switching. It appears that rule activation takes more time for switching from familiar to unfamiliar tasks than for switching in the opposite direction.

Cognition↗

Flexibility, inhibition, and planning: frontal dysfunctioning in schizophrenia.

Neuropsychological tests known to reveal abnormalities in patients with frontal lobe damage were used to explore cognitive function in 20 chronic schizophrenic patients. Eleven control subjects, matched on age and NLV-IQ (NLV is the Dutch version of the NART) were also tested. No impairments of planning ability were found on either the Action Program test or the Zoomap test, both subtests from the BADS (Behavioural Assessment of the Dysexecutive Syndrome). No abnormalities were apparent on tests of reactive flexibility, measured by task-switching and by the Rule Shift Cards test, also a subtest of the BADS. Patients with schizophrenia, however, had significantly greater difficulty in inhibiting irrelevant information and in generating words in a verbal fluency task, a measure of spontaneous flexibility.

Adult↗

Ergonomic aspects of sport and recreation.

Human factors engineering or ergonomics originated in military technology from the team-work of engineers and specialists in the human sciences. The central focus is on the human operator upon whom the task and environment impose specific loadings. Intransigence of task demands in sport tends to shift emphasis to training and selection. Heredity seems to play the more important role in the evolution of the champion athlete. An integrated interdisciplinary approach is advocated in assessing task demands and individual capacity to meet them. Improving equipment and facility design promotes safety and performance efficiency. Environmental stresses may be simulated in laboratory conditions to provide opportunity for prior adaptation. Stresses associated with urbanized civilization present novel risks to social health. Quality of life can be enhanced from an ergonomics input into the design of sports facilities and exercise programmes and their subsequent monitoring.

Aerobiosis↗