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Human cone-pigment spectral sensitivities and the reflectances of natural surfaces.

The evolution of visual pigment spectral sensitivities is probably influenced by the reflectance spectra of surfaces in the animal's environment. These reflectances, we conjecture, fall into three main classes: i. Most inorganic and many organic surfaces, including tree bark, dead leaves and animal melanin pigmentation, whose reflectance increases gradually as a function of wavelength. ii. Living leaves, which contain chlorophyll, have a sharp reflectance peak at about 555 nm. iii. Flowers, fruit and other signaling colours that have co-evolved with animal vision typically do not reflect strongly at the same wavelength as leaves, and present a colour contrast against a leafy background. These three spectral functions we call 'grey-red', 'leaf-green' and 'leaf-contrast' respectively. This simple categorisation allows us to interpret the spectral tuning of human cone pigments in a way that might not seem possible given the wide variety of colours present in nature. In particular L-(red) cones will capture the highest possible proportion of photons reflected by leaves, and M-(green) cones will capture about 10% fewer photons both from leaves and from 'grey-red' surfaces. These observations have some clear implications for our understanding of the evolution of trichomacy and the trade-off between chromatic and luminance vision in Old-World Primates.

Humans

Skin reflectance pulse oximetry: in vivo measurements from the forearm and calf.

This study describes the results from a series of human experiments demonstrating the ability to measure arterial hemoglobin oxygen saturation (SaO2) from the forearm and calf using a reflectance pulse oximeter sensor. A special optical reflectance sensor that includes a heating element was interfaced to a temperature controller and a commercial Data-scope ACCUSAT pulse oximeter that was adapted for this study to perform as a reflectance pulse oximeter. The reflectance pulse oximeter sensor was evaluated in a group of 10 healthy adult volunteers during steady-state hypoxia. Hypoxia was induced by gradually lowering the inspired fraction of oxygen in the breathing gas mixture from 100 to 12%. Simultaneous SaO2 measurements obtained from the forearm and calf with two identical reflectance pulse oximeters were compared with SaO2 values measured by a finger sensor that was interfaced to a standard Datascope ACCUSAT transmittance pulse oximeter. The equations for the best-fitted linear regression lines between the percent reflectance, SpO2(r), and transmittance, SpO2(t), values in the range between 73 and 100% were SpO2(r) = -7.06 + 1.09 SpO2(t) for the forearm (n = 91, r = 0.95) and SpO2(r) = 7.78 + 0.93 SpO2(t) for the calf (n = 93, r = 0.88). The regression analysis of the forearm data revealed a mean +/- SD error of 2.47 +/- 1.66% (SaO2 = 90-100%), 2.35 +/- 2.45% (SaO2 = 80-89%), and 2.42 +/- 1.20% (SaO2 = 70-79%). The corresponding regression analysis of the calf data revealed a mean +/- SD error of 3.36 +/- 3.06% (SaO2 = 90-100%), 3.45 +/- 4.12% (SaO2 = 80-89%), and 2.97 +/- 2.75% (SaO2 = 70-79%).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult

Experimental and clinical evaluation of a noninvasive reflectance pulse oximeter sensor.

The objective of this study was to evaluate a new reflectance pulse oximeter sensor. The prototype sensor consists of 8 light-emitting diode (LED) chips (4 at 665 nm and 4 at 820 nm) and a photodiode chip mounted on a single substrate. The 4 LED chips for each wavelength are spaced at 90-degree intervals around the substrate and at an equal radial distance from the photodiode chip. An optical barrier between the photodiode and LED chips prevents a direct coupling effect between them. Near-infrared LEDs (940 nm) in the sensor warm the tissue. The microthermocouple mounted on the sensor surface measures the temperature of the skin-sensor interface and maintains it at a present level by servoregulating the current in the 940-nm LEDs. An animal study and a clinical study were performed. In the animal study, 5 mongrel dogs (weight, 10-20 kg) were anesthetized, mechanically ventilated, and cannulated. In each animal, arterial oxygen saturation (SaO2) was measured continuously by a standard transmission oximeter probe placed on the dog's earlobe and a reflectance oximeter sensor placed on the dog's tongue. In the first phase of the experiment, signals from the reflectance sensor were recorded while the dog was immersed in ice water until its body temperature decreased to 30 degrees C. In the second phase, the animal's body temperature was normal, and the oxygen content of the ventilator was varied to alter the SaO2. In the clinical study, 18 critically ill patients were monitored perioperatively with the prototype reflectance sensor. The first phase of the study investigated the relationship between local skin temperature and the accuracy of oximeter readings with the reflectance sensor. Each measurement was taken at a high saturation level as a function of local skin temperature. The second phase of the study compared measurements of oxygen saturation by a reflectance oximeter (SpO2[r]) with those made by a co-oximeter (SaO2[IL]) and a standard transmission oximeter (SpO2[t]). Linear regression analysis was used to determine the degree of correlation between (1) the pulse amplitude and skin temperature; (2) SpO2(r) and SaO2(IL); and (3) SpO2(t) and SaO2(IL). Student's t test was used to determine the significance of each correlation. The mean and standard deviation of the differences were also computed. In the animal study, pulse amplitude levels increased concomitantly with skin temperature (at 665 nm, r = 0.9424; at 820 nm, r = 0.9834; p < 0.001) and SpO2(r) correlated well with SaO2(IL) (r = 0.982; SEE = 2.54%; p < 0.001).(ABSTRACT TRUNCATED AT 400 WORDS)

Adult

Reflection and transmission pulse oximetry during compromised peripheral perfusion.

The performance of a reflection pulse oximeter and a transmission pulse oximeter was assessed during open-heart surgery when cardiac output, peripheral temperature, pulse pressure, and systolic pressure were low and vascular resistance was high. Before and after extracorporeal circulation (ECC) there was no difference in ability of the sensors to obtain readings and no difference in the accuracy of those readings. During partial ECC, especially after coronary artery bypass grafting, the reflection sensor gave readings earlier and at a lower pulse pressure. In addition, the transmission sensor failed to give any readings for 2 patients on partial ECC, for whom the reflection sensor did give readings. The accuracy of heart rate (HR) data was comparable for both sensors before ECC; however, during partial ECC, the reflection sensor tended to give values closer to the electrocardiographic HR. The accuracy of saturation data given by the reflection oximeter was comparable to that of the transmission oximeter. It is concluded that the accuracy of the saturation and HR data provided by the two methods of pulse oximetry are comparable, but that the reflection sensor is more likely to obtain readings under conditions of poorer peripheral circulation.

Adult

Reflectance spectrophotometry in the human ocular fundus.

Spectrometric investigations were carried out in normal human maculae and optic discs and in those with pathological findings (50 eyes in total). Reflection spectra were measured by illumination of various points of the fundus, using a highly sensitive photon-counting technique. It is necessary to distinguish diffusely reflected light from regularly reflected light, as we found marked differences in the spectra of diffusely reflected light between normal eyes and those with pathological findings. In optic atrophy cases, the intensity of light reflected from the optic disc (510-600 nm) was remarkably higher than normal. In findings of proliferative diabetic retinopathy, the reflected light intensity showed a steeper slope, beginning at 580 nm, in comparison with normal findings.

Diabetic Retinopathy

Reflected reentry in depolarized foci with variable conduction impairment in 1 day old infarcted canine cardiac tissue.

A recent study in 1 day old infarcted canine cardiac tissue demonstrated that variations in entrance and exit characteristics of depolarized spontaneous foci could profoundly affect their expression, resulting in behaviors such as modulated parasystole and entrainment, second and third degree exit block "autoentrainment" and annihilation (abrupt termination) of spontaneous activity. Foci with exit and entrance delay should also allow the occurrence of reflected reentry. To test this, the left circumflex coronary artery was ligated and, after 1 day, simultaneous microelectrode impalements were made in infarcted and uninfarcted portions of isolated ventricular preparations. Preparations were stimulated from the uninfarcted portions. Reflected reentry was demonstrated in 5 of 11 preparations. It occurred when exit conduction delay resulted in reexcitation of the focus or, alternatively, when entrance conduction delay resulted in reexcitation of extrafocal tissue. Reflection occurred in which the action potentials were reexcited during phase 2 or 3, resulting in prolongation of action potential duration (type I), and in which reexcitation occurred after full or nearly full repolarization, resulting in a closely coupled extrasystole (type II). Electrotonic modulation and reflection could coexist, the type of behavior depending on the phase relation between focal and extra-focal action potentials. An example is illustrated in which type I reflection occurred only when preceding driven activity induced overdrive suppression of exit conduction from the focus. The results suggest that, in infarcted tissue, entrance and exit conduction delays to depolarized foci may form the basis for the occurrence of reflected reentry.

Action Potentials

Dynamic optical property changes: implications for reflectance feedback control of photocoagulation.

During laser treatment, coagulation affects the optical properties of the tissue. In particular, the formation of a white lesion significantly increases the scattering coefficient. This change in the optical properties in turn affects the laser light distribution in the tissue. The white lesion formed during photocoagulation of the retina has a dynamic effect upon reflection and fluence rate. This problem has been simulated on a model medium consisting of a thin absorbing layer covered with a 1 cm thick layer of albumin. The albumin layer is subdivided into coagulated (white) and uncoagulated (clear) layers. The optical properties of each layer have been determined and these values have been used to model light distribution in the medium. One-dimensional adding-doubling and three-dimensional Monte Carlo methods have provided light distributions in the medium for varying thicknesses of the coagulated albumin. Computed fluence reaching the absorbing layer decreased in the presence of a 275 microns or thicker coagulated layer. The coagulated layer attenuates light because it is highly scattering; however, this scattering also leads to a sub-surface peak in fluence rate at a level higher than the incident fluence. The latter effect outweighed the former for coagulated layer thicknesses less than 275 microns. Computed reflectance of argon laser light from a semi-infinite coagulated region initially increased linearly as a function of thickness. As the coagulation thickness increased beyond 4-5 optical depths, the reflectance approached a constant value, R infinity, at 9 optical depths (2 mm). Experimentally measured total reflectance is shown to be an inadequate indicator of the thickness of a lesion (finite coagulated volume); however, central reflectance from a lesion measured with a CCD camera confirmed the computed trends. These results provide a theoretical foundation for control of lesion thickness using reflectance images.

Argon

Hazards of laser beam reflections in eyes containing gas.

Three patients suffered photic or thermal laser injuries at unintended sites because of reflection from gas-fluid interfaces in eyes containing gas. Fresnel's equations predict the amount of light transmitted or reflected at optical interfaces. Application of Fresnel's equations demonstrate that significant laser reflection occurs at gas-fluid or fluid-gas interfaces, especially at high angles of incidence. Photocoagulation across gas-fluid or fluid-gas interfaces should be avoided to reduce the risk of unintended damage from reflected light. If photocoagulation must be performed across an interface, the surgeon should minimize the angle of incidence of the treatment laser beam, use a divergent beam, and consider the location and intensity of the reflected beam. Because of the higher phototoxicity of blue light, photocoagulation with blue-green lasers across gas-fluid or fluid-gas interfaces is undesirable. Proper polarization of the treatment laser beam may significantly reduce laser reflectance.

Aged

Comparison of reflection and transmission pulse oximetry after open-heart surgery.

OBJECTIVE: To determine if there was a difference between reflection and transmission pulse oximeters in their ability to regain data display after hypothermia in patients recovering from open-heart surgery. DESIGN: Prospective, randomized, controlled study. PATIENTS: Nineteen adult patients scheduled for open-heart surgery were studied immediately after surgery in the ICU. INTERVENTIONS: Transmission and reflection sensors were used in random order in two simultaneously monitoring identical oximeters and probes. The time difference at the start of display between the oximeters was measured and the skin temperatures in the region of the probes, cardiac index, systolic BP, pulse pressure, and systemic vascular resistance index were recorded. RESULTS: The mean skin temperatures at the probe sites differed significantly (p = .001) at the moment of data acquisition. The mean forehead, ear lobe, and fingertip temperatures (simultaneously measured) were 33.9 degrees C, 31.8 degrees C, and 28.8 degrees C, respectively. The hemodynamic variables were comparable at the moment when the oximeters resumed display. The reflection probe was the first to resume function in 12 patients and the transmission probe was the first to resume function in four patients (p less than .02). The bias of the reflection probe was 1.4% (SD 2.2) and that of the transmission probe was -0.4% (SD 2.7). All the patients were normoxic throughout the study. CONCLUSION: The forehead reflection probe regained signal detection earlier than the transmission probe on the ear lobe in patients with compromised peripheral blood flow and cool periphery. This finding may be due to higher skin temperature at the reflection probe site, since the systemic hemodynamic conditions were equal at the time of the data acquisition of both sensors.

Adult

Resentful and reflective coping with arbitrary authority and blood pressure: Detroit.

Two hypotheses about coping with an arbitrary authority, an angry boss, were tested: (1) styles of handling anger vary with social status, and (2) these styles are in turn related to blood pressure levels. Two styles of coping were tested: model R-R, Resentful vs. Reflective, and model I/O/R, Anger-In, Anger-Out, and Reflective. Handling an angry boss by Reflection is reported by more women than men, by those in middle-class areas rather than lower class, and does not vary by race. Working class report more use of Anger-Out than middle class who in turn report more use of Reflection. In general, the Anger-In response did not vary by race, sex, or area of residence (12-18%). For model R-R, Reflection of boss's anger was related to lower blood pressure when compared to Resentful responses, within sex, race, and residence groups. For model I/O/R, working-class, high stress persons who expressed Anger-Out showed the highest mean levels. Reflection is an appraisal response related to vascular and neural deceleration in stress experiments. This mode can be learned, and may aid in handling daily emotional-loaded stimuli to control blood pressure, along with learning a relaxation response.

Adaptation, Psychological

Anxiety, accuracy and reflection: the limits of professional development.

Reflection is a key concept in the development and maintenance of nursing expertise in theory and practice, yet commentators have rarely examined difficulties associated with it. This paper describes the role of reflection in nursing and relates it to information-processing accounts of human memory. The issues raised by the role of memory in mediating reflection are discussed, in the context of an examination of the importance of accuracy in reflection-on-practice. It is argued that anxiety is of particular importance in mediating accurate reflection. Whilst it is concluded that reflection is inherently flawed, a range of tactics to enhance it are explored, with particular emphasis on anxiety reduction and reduction of the burden of the memory task.

Anxiety

Reflected reentry, delayed conduction, and electrotonic inhibition in segmentally depressed atrial tissues.

Reflection is a subclass of reentrant cardiac arrhythmias in which reexcitation of the heart occurs as a result of to and fro electrotonically mediated transmission of impulses across a narrow zone of impaired conductivity. Although relatively well characterized in ventricular tissues, the reflection mechanism has not been studied in atrial tissues. In this study we examine the possibility of reflected reentry in segmentally depressed atrial tissues and evaluate conduction characteristics in these preparations. Narrow strips of atrial pectinate muscle or crista terminalis (canine and calf) were placed in a three-chambered bath and the central segment was superfused with an isotonic sucrose solution or an "ischemic" Tyrode's solution. Proximal to distal conduction across the 1.0- to 1.2-mm wide ischemic gap showed step delays as long as 210 ms. Reflected reentry was readily demonstrable when prominent step delays occurred during anterograde conduction of the impulse across the gap. Progressive acceleration of the stimulation rate resulted in progressively greater impairment of anterograde conduction until complete block occurred. The incidence and patterns of reflected reentry were therefore a sensitive function of the stimulation rate. Other features exhibited by these preparations include a slow recovery of excitability following the action potential, postrepolarization refractoriness, and electrotonic inhibition and summation. Our data suggest that the characteristics of conduction and reflection in segmentally depressed atrial tissues are qualitatively similar to those in ventricular tissues. The presence of electrotonic inhibition in atrial may also help to explain the functionally inexcitable zone seen in the vortex of the leading circle model of atrial flutter.

Action Potentials

Skin reflectance in the newborn infant.

Skin reflectance in red, green, and blue light was measured at the sternum of 99 Caucasian infants ranging in gestational age from 26 to 44 weeks. Skin reflectance was consistently higher in female infants, but this difference was not statistically significant. Highly significant (P less than 0.001) increases in reflectance at all wave lengths were found when sternal reflectance during the first 48 hr of life was related to gestational age. The dispersion of data points about the regression line does not permit this method to be relied upon as the sole means of determining gestational age of infants. Serial studies indicate that reflectance increases in premature infants not given phototherapy, whereas premature infants receiving phototherapy show a fall in reflectance for the duration of therapy. This suggests that phototherapy may cause tanning of the skin.

Gestational Age

Erythrocyte aggregate rheology by transmitted and reflected light.

Both the transmission of light through a confined layer of blood and the reflection from the surface of that layer have been utilized for studying the rheology of erythrocyte aggregates. The two methods do not necessarily provide the same information. The light reflected from the blood layer relates to the rheological behavior of erythrocytes near the blood surface, whereas the light transmitted relates more to the properties of blood in bulk. This investigation makes direct comparison between the transmitted and reflected light methods with regard to the kinetics of aggregation in thin and thick layers of blood as well as following shear flow excitation steps of different sizes. Also, the transmission and reflection for static blood layers of varying thicknesses were determined. The kinetics of aggregation from transmitted and reflected light measurements are compared both graphically and by equations containing multiple characteristic aggregation times. The number of characteristic times required for accurate description increases with the time over which the aggregation process is monitored. The first 40 seconds of the aggregation process are precisely described by two characteristic times. For normal blood the characteristic times from reflection measurements are shorter than those from transmission measurements.

Erythrocyte Aggregation

[The unbalanced polarity of response flexibility and cognitive preference between reflective and impulsive children].

Two experiments investigated the unbalanced polarity of response flexibility and cognitive preference between reflective and impulsive children. In experiment I, Cairns and Cammock's Matching Familiar Figures Test was readministered to 186 reflective and impulsive children in the first and fourth grades under one of three instructions: standard, accuracy-emphasized, or speed-emphasized instructions. Reflective children controlled their responses flexibly even if the task demand was opposite to their accustomed manners. But impulsive children could not accommodate their responses to the unaccustomed, accuracy-emphasized demand. In experiment II, 96 reflective and impulsive children in the first and fourth grades were asked about their expert, preferred task demand. Most reflective children answered that they were successful in the accuracy-demanded condition and preferred it. A half of impulsive children selected the speed-demanded condition; the others replied the same as the reflective.

Adaptation, Psychological

Noninvasive measurement of arterial oxyhemoglobin saturation with a heated and a non-heated skin reflectance pulse oximeter sensor.

The feasibility of measuring arterial oxyhemoglobin saturation (SaO2) noninvasively using a skin reflectance pulse oximeter sensor attached to the scalp, neck, and thigh regions of anesthetized swine was investigated. The optical reflectance sensor used consisted of a pair of red and infrared light-emitting diodes and a concentric array of six identical photodiodes. Two prototype sensor assemblies were evaluated: one assembly housed only the optical sensor, whereas the other also included a miniature heater. Measurements made from the scalp and neck regions were obtained with the non-heated skin reflectance sensor, and measurements from the thigh were made with the heated prototype. Each sensor was interfaced to a commercial transmittance pulse oximeter adapted to perform as a reflectance pulse oximeter. SaO2 values obtained by the reflectance pulse oximeters (SpO2(r) were compared simultaneously with SaO2 values obtained from arterial blood samples and analyzed in vitro with a CO-oximeter. The equations for the best-fitted linear regression lines describing the relationships between SpO2(r) and SaO2 values in the range between 30 and 100% were: SpO2(r) = 10.7 + 0.90 (SaO2), n = 321, r = 0.97; SpO2(r) = 16.72 + 0.82 (SaO2), n = 217, r = 0.95; and SpO2(r) = 20.21 + 0.77 (SaO2), n = 37, r = 0.97 for the neck, thigh, and scalp measurements, respectively. The regression analysis revealed significant correlation and a relatively small standard error of estimate (SEE = 4.05% for the neck, 4.79% for the thigh, and 3.50% for the scalp measurements). This study demonstrated the feasibility of measuring SaO2 noninvasively over a wide range of values utilizing the principle of reflectance pulse oximetry.

Animals

Arterial compliance and wave reflection.

Left ventricular "afterload" is the wall stress developed during systole by the ejecting ventricle. For any given ventricular conformation, this is given by the time course of pressure change in the left ventricle during ejection, and is approximated by the pressure measured in the ascending aorta. For a given flow ejection from the left ventricle, pressure generated in the ascending aorta is determined by the ascending aortic impedance. Impedance in turn is dependent on three properties of the systemic circulation--resistance, compliance and wave reflection. In conventional studies of left ventricular load and hypertension, attention is usually focussed entirely on peripheral resistance. Recent studies have shown a poor relationship between left ventricular mass and peripheral resistance, but a better relationship with compliance and indices of wave reflection. Hence compliance (or its inverse, aortic stiffness) and wave reflection must be considered in evaluating hypertension (especially "systolic hypertension") and the effects of drugs on ventricular load. Under ideal circumstances, as seen in youth, aortic compliance is high and wave reflection late, with the consequence that aortic systolic pressure is low and pressure is boosted throughout early diastole. With progressive aortic degeneration as seen with aging and in hypertension, systolic pressure in increased both directly by decreased compliance, and indirectly by early return of wave reflection. The effect of early wave reflection is not apparent from recordings of brachial systolic or diastolic pressure, but can be inferred from indirectly recorded carotid pressure, or from contour of the peripheral pressure wave.(ABSTRACT TRUNCATED AT 250 WORDS)

Arteries

Reflection confocal laser scanning microscopy of eyespots in flagellated green algae.

The reflection properties of different types of eyespots in three unicellular, flagellated green algae (Tetraselmis chui, Chlamydomonas eugametos, Hafniomonas reticulata) were investigated using confocal laser scanning microscopy in the epireflection mode. The eyespots differed with respect to the number of eyespot lipid globule layers and surface appearance (concave/convex). A strong reflection signal was observed in all eyespots, and a detailed quantitative analysis by optical xy (horizontal) and xz (vertical) sectioning was performed. By applying both sectioning capabilities, multi- and single/double-layered eyespots as well as concave and convex eyespot surfaces could be distinguished using living, immobilized cells. Focusing of the reflected light was only observed in eyespots with concave surfaces. In xz series of multi-layered eyespots at reduced laser intensities (0.01%), the intensity profiles of the reflection revealed a series of alternating maxima and minima with increasing reflection intensities toward the cell surface. At very low laser intensities (0.001%), multi-layered eyespots exhibited about twice the reflection intensity at the presumptive photoreceptor site compared to single/double-layered eyespots. Our results provide the first experimental evidence to support the proposal that multi-layered eyespots act as interference reflectors in photoaxis of green algae.

Chlorophyta