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Tissue PO2 and the effects of hypoxia on the generation of locomotor-like activity in the in vitro spinal cord of the neonatal mouse.

The neonatal mouse en bloc spinal cord-brainstem preparation used in combination with advances in mouse genomics provides a novel strategy for studying the spinal control of locomotion. How well the mouse en bloc preparation is oxygenated however, is unknown. This is an important consideration given that (a) other superfused mammalian en bloc preparations have anoxic cores and (b) hypoxia can have profound effects on neuronal activity. Here we measure the level of tissue oxygenation in the mouse preparation and determine how neuronal activity within the spinal cord is influenced by poor superfusion and/or low oxygen. To measure tissue oxygenation, oxygen depth profiles were obtained (P0-1 and P2-3; Swiss Webster mice). At P0-1, spinal cords were oxygenated throughout under resting conditions. When fictive locomotor activity was evoked (5-HT 10 microM, dopamine 50 microM, NMA 5 microM), there was a substantial reduction in tissue PO(2) starting within 5 min of drug application. Following washout, the PO(2) slowly returned to control levels over a period of 30 min. The experiments described above were repeated using P2-3 preparations. In this older age group, the spinal cord preparations had a hypoxic/anoxic core that was exacerbated during metabolically demanding tasks such as drug-evoked rhythmic activity. To examine how an anoxic core affects neuronal activity within the spinal cord we either altered the flow-rate or manipulated superfusate PO(2). When the flow-rate was reduced a transient disruption in the rhythmicity of drug-induced locomotion occurred during the first 15 min (P0-1 preparations). However, the motor output adapted and stabilized. During prolonged superfusion with hypoxic artificial cerebrospinal fluid on the other hand, both the motor bursts in spinal nerves and the activity of most neurons near the center of the tissue were abolished.Overall, this study suggests that while oxygenation of P0-P1 preparations is adequate for studies of locomotor function, oxygenation of older preparations is more problematic. Our data also show that neonatal spinal neurons require oxygen to maintain activity; and the spinal locomotor rhythm generator continues to function providing the peripheral tissue of the cord is oxygenated. Together, these results are consistent with the results of a previous study which suggest that the locomotor pattern generator is located close to the surface of the spinal cord.

Animals↗

[Eye blink: electrophysiological behavioral index (author's transl)].

Eye movements of 15 subjects were recorded through EEG derivation (nasion to first quarter of mid-line) during 17 different precisely controlled psychophysiological situations of 2'30 each. These situation were supposed to trigger the various sensory modalities--visual, auditory, gustato--olfactory, and subjects having to be either passive or active. The relationship between the Number of Eye Blinks per minute (NEB) and each psychophysiological situation were studied. An average oculographic profile was obtained across situations.--The average value of NEP was approximately 25/mn.--In order to control serial effects the situation order was reversed for 7 of the 15 subjects: no serial effect was noticed.--As regards the influence of the various sensory modalities, it appeared that blinking rate was minimal during visual situations, and maximal during tactile, olfactory and taste situations.--The changes in blinking rate were discussed in terms of visual and oculor factors, variations in selective attention or cognitive process and also in terms of emotional factors as they appear in some stressing situations in which the task demand was particularly important.

Behavior↗

Decision-making in the diagnosis and treatment of leukemia.

OBJECTIVES: To review the precepts of decision-making for people diagnosed with leukemia. DATA SOURCES: Professional journals, research studies, review articles, and personal experience. CONCLUSION: Decision-making is one of the most complex and demanding tasks faced by people diagnosed with leukemia. There are multiple dimensions of decision-making, including access to information, psychosocial support, spiritual support, education options for treatment and participation in clinical trials. IMPLICATIONS FOR NURSING PRACTICE: Health care professionals are integral to the decision-making process for people diagnosed with leukemia and are involved in most situations where decisions must be made relative to treatment, research, and symptom management.

Anecdotes as Topic↗

Trajectory formation and speed-accuracy trade-off in aiming movements.

The trade-off between speed and accuracy and the patterning of movement kinematics have been central issues for theories of human movement for almost a century. In the present contribution experimentally obtained kinematics of reciprocal aiming movements, performed under different task conditions, are modelled as resulting from a single non-linear dynamical system whose parameters vary so as to respond to the task demands. Providing a unified account of speed-accuracy trade-off and trajectory formation phenomena, the model offers a theoretical framework in which both discrete and continuous movements, performed along one or more dimensions can be understood.

Biophysical Phenomena↗

Dissatisfaction with cataract surgery in relation to visual results in a population-based study in Sweden.

PURPOSE: To evaluate dissatisfied patients and those with subjectively worse visual ability after cataract surgery and to analyze how these factors relate to poor visual acuity results (worse than 20/40). SETTING: Department of Ophthalmology, Norrlands University Hospital, Umeå, Sweden. METHODS: A prospective, population-based study of cataract surgery outcome was conducted. All patients (459 surgeries) who had cataract surgery during a 1 year period were studied using self-administered questionnaires and data from patient records. Outcome measures were (1) patient degree of satisfaction with the result, (2) subjective visual ability after surgery of visually demanding tasks such as reading, television viewing, orientation in unfamiliar surroundings, and distance estimation far and near, and (3) visual acuity results. RESULTS: After surgery, 37 of the 459 cases (8%) were dissatisfied. These patients had a significantly lower age-corrected visual acuity in the operated eye than the satisfied patients (P < .0001). Ten percent said 1 or more visual ability was worse after their cataract surgery. Logistic regression analysis revealed that the visual acuity in the better eye before surgery and age-related maculopathy were the most significant risk factors. Poor visual acuity after surgery in the operated eye was found in 22%, mostly as a result of concurrent age-related maculopathy, diabetes, or glaucoma. Four percent had no improvement in visual acuity in the operated eye. CONCLUSIONS: Dissatisfaction seemed to rely mostly on visual acuity in the operated eye. Low visual acuity in the better eye before surgery and age-related maculopathy were the most significant risk factors for subjectively worse visual ability after surgery. The degree of satisfaction after cataract surgery and changes in visual ability differed in important ways from visual acuity as a measure of visual function.

Activities of Daily Living↗

Adductor spasmodic dysphonia and muscular tension dysphonia: acoustic analysis of sustained phonation and reading.

Acoustic phonatory events were identified in 10 women diagnosed with adductor spasmodic dysphonia (ADSD) and compared to 5 women and 5 men diagnosed with muscle tension dysphonia (MTD). The three acoustic parameters examined during sustained vowel production and reading included phonatory breaks, aperiodicity, and frequency shifts. Intra- and intermeasurer correlations showed high reliability for the measures. Findings indicated that those with ADSD produced a greater number of aberrant acoustic events than those with MTD. The results suggested that: (1) only those with ADSD show evidence of phonatory breaks during vocalization, albeit a sustained vowel or voicing during reading; (2) those with ADSD demonstrate greater variation in the type of aberrant acoustic events produced as a function of speech task. The latter point suggests that control of the larynx varies as a function of task demand, a finding not evident in the functionally based disorder of MTD. MTD is a disorder that often presents itself in a similar clinical manner to ADSD because of its perceptual commonalties and resembling laryngoscopic characteristics. The acoustic analysis presented in this study could be used as a method to assist in distinguishing between the two disorder types.

Acoustics↗

Limbic activation and psychophysiologic responses to aversive visual stimuli. Interaction with cognitive task.

We mapped regional brain activity and peripheral psychophysiologic responses, occurring in response to evocative emotional stimuli, and examined whether task instructions could modulate limbic activation. Ten subjects viewed pictures with neutral or aversive emotional content during simultaneous measurement of peripheral psychophysiology and brain activity with [15O]water positron emission tomography (PET). Cognitive task was manipulated by having the subjects rate the pictures or perform a recognition memory task. Aversive pictures, relative to neutral pictures, increased cerebral activity in bilateral amygdala, thalamic/hypothalamic area, midbrain, and left lateral prefrontal cortex, along with greater skin conductance responses (SCR). Voxel-by-voxel correlation coefficients between regional brain activity and SCR showed significant positive correlation peaks in the thalamus and right amygdala. Limbic activation was significantly greater during the rating condition compared to the recognition condition, suggesting that when task demands modify emotional responses, this modulation can occur at the level of limbic activity.

Adult↗

The generality of parietal involvement in visual attention.

Functional magnetic resonance imaging (fMRI) was used to determine whether different kinds of visual attention rely on a common neural substrate. Within one session, subjects performed three different attention experiments (each comparing an attentionally demanding task with an easier task using identical stimuli): (1) peripheral shifting, (2) object matching, and (3) a nonspatial conjunction task. Two areas were activated in all three experiments: one at the junction of intraparietal and transverse occipital sulci (IPTO), and another in the anterior intraparietal sulcus (AIPS). These regions are not simply involved in any effortful task, because they were not activated in a fourth experiment comparing a difficult language task with an easier control task. Thus, activity in IPTO and AIPS generalizes across a wide variety of attention-requiring tasks, supporting the existence of a common neural substrate underlying multiple modes of visual selection.

Adult↗

Drug-resistant and multidrug-resistant tubercle bacilli.

Drug resistant (DR) and multidrug resistant (MDR) tuberculosis (TB) is a consequence of human activity and did not exist before chemotherapeutic drugs were introduced. Monotherapy with various drugs in sequence or other inadequate drug regimens have strongly contributed to the creation of MDR-TB. Such TB strains are mainly prevalent in regions with weak national TB programmes or poor socio-economic environments. Strains may also spread in some communities such as poorly administered prisons. From these and other sources, MDR-TB may spread in the population from which travellers might transfer strains between countries and continents. Therefore an effective surveillance of the resistance pattern of TB bacilli is a demanding task in all countries. In this review some aspects of epidemiology, diagnosis and mechanisms of DR in TB are discussed. MDR-TB is an important international problem of increasing significance for the whole global community.

Antitubercular Agents↗

Visual short-term memory load affects sensory processing of irrelevant sounds in human auditory cortex.

We used whole-head magnetoencephalography (MEG) to investigate neural activity in human auditory cortex elicited by irrelevant tones while the subjects were engaged in a short-term memory task presented in the visual modality. As compared to a no-memory-task condition, memory load enhanced the amplitude of the auditory N1m response. In addition, the N1m amplitude depended on the phase of the memory task, with larger response amplitudes observed during encoding than retention. Further, these amplitude modulations were accompanied by anterior-posterior shifts in N1m source locations. The results show that a memory task for visually presented stimuli alters sensory processing in human auditory cortex, even when subjects are explicitly instructed to ignore any auditory stimuli. Thus, it appears that task demands requiring attentional allocation and short-term memory result in interaction across visual and auditory brain areas carrying out the processing of stimulus features.

Acoustic Stimulation↗

Organization of voluntary movement.

There have recently been a number of advances in our knowledge of the organization of complex, multi-joint movements. Promising starts have been made in our understanding of how the motor system translates information about the location of external targets into motor commands encoded in a body-based coordinate system. Two simplifying strategies for trajectory control that are discussed are parallel specification of response features and the programming of equilibrium trajectories. New insights have also been gained into how neural systems process sensory information to plan and assist with task performance. A number of recent papers emphasize the feedforward use of sensory input, which is mediated through models of the external world, the body's physical plant, and the task structure. These models exert their influence at both reflex and higher levels and permit the preparation of predictive default parameters of trajectories as well as strategies for resolving task demands.

Animals↗

State observers for a biological wastewater nitrogen removal process in a sequential batch reactor.

Biological removal of nitrogen is a two-step process: aerobic autotrophic microorganisms oxidize ammoniacal nitrogen to nitrate, and the nitrate is further reduced to elementary nitrogen by heterotrophic microorganisms under anoxic condition with concomitant organic carbon removal. Several state variables are involved which render process monitoring a demanding task, as in most biotechnological processes, measurement of primary variables such as microorganism, carbon and nitrogen concentrations is either difficult or expensive. An alternative is to use a process model of reduced order for on-line inference of state variables based on secondary process measurements, e.g. pH and redox potential. In this work, two modeling approaches were investigated: a generic reduced order model based on the generally accepted IAWQ No. 1 Model [M. Henze, C.P.L., Grady, W., Gujer, G.V.R., Marais, T., Matsuo, Water Res. 21 (5) (1987) 505-515]-generic model (GM), and a reduced order model specially validated with the data acquired from a benchscale sequential batch reactor (SBR) specific model (SM). Model inaccuracies and measurement errors were compensated for with a Kalman filter structure to develop two state observers: one built with GM, the generic observer (GO), and another based on SM, the specific observer (SO). State variables estimated by GM, SM, GO and SO were compared to experimental data from the SBR unit. GM gave the worst performance while SM predictions presented some model to data mismatch. GO and SO, on the other hand, were both in very good agreement with experimental data showing that filters add robustness against model errors, which reduces the modeling effort while assuring adequate inference of process variables.

Biomass↗

The cost of cortical computation.

Electrophysiological recordings show that individual neurons in cortex are strongly activated when engaged in appropriate tasks, but they tell us little about how many neurons might be engaged by a task, which is important to know if we are to understand how cortex encodes information. For human cortex, I estimate the cost of individual spikes, then, from the known energy consumption of cortex, I establish how many neurons can be active concurrently. The cost of a single spike is high, and this severely limits, possibly to fewer than 1%, the number of neurons that can be substantially active concurrently. The high cost of spikes requires the brain not only to use representational codes that rely on very few active neurons, but also to allocate its energy resources flexibly among cortical regions according to task demand. The latter constraint explains the investment in local control of hemodynamics, exploited by functional magnetic resonance imaging, and the need for mechanisms of selective attention.

Action Potentials↗

Ground reaction forces and frictional demands during stair descent: effects of age and illumination.

Stair descent is an inherently risky and demanding task that older adults often encounter in everyday life. It is believed that slip between the foot or shoe sole and the stair surface may play a role in stair related falls, however, there are no reports on slip resistance requirements for stair descent. The aim of this study was to determine the required coefficient of friction (RCOF) necessary for safe stair descent in 12 young and 12 older adults, under varied illuminance conditions. The RCOF during stair descent was found to be comparable in magnitude and time to that for overground walking, and thus, with adequate footwear and dry stair surfaces, friction does not appear to be a major determinant of stair safety. Illuminance level had little effect on the dependent variables quantified in this study. However, the older participants demonstrated safer strategies than the young during stair descent, as reflected by differences in the ground reaction forces and lower RCOF.

Activities of Daily Living↗

Speed related changes in muscle activity from normal to very slow walking speeds.

The study of neuromuscular activity at very slow walking speeds may lead to a better understanding of the mechanisms underlying speed regulation during walking, and may aid the interpretation of gait data in patients who walk slowly. Extreme reductions in walking speed will cause changes in locomotor task demands that may eventually result in modifications of the patterning of muscle activity that underlies walking. The aim of the present study was to investigate patterns of lower limb muscle activity during very slow walking (< 0.28 m s(-1)), and to study the neuromuscular gain functions that reflect the phase dependent effects of walking speed on electromyographic (EMG) amplitude. Nine healthy young adults walked at seven different walking speeds (1.39, 0.83, 0.28, 0.22, 0.17, 0.11, and 0.06 m s(-1)) while EMG was recorded from eight lower extremity muscles. Results showed that the phasing of muscle activity remained relatively stable over walking speeds despite substantial changes in its amplitude. However, between 1.39 and 0.28 m s(-1), epochs of Rectus femoris, Biceps femoris and Tibialis anterior activities were found that were typical for specific speed ranges. When walking speed decreased further to almost standing still (0.06 m s(-1)), negative gain values were found in Peroneus longus during midstance and Rectus femoris in late swing, indicating the emergence of new bursts of activity with decreasing walking speed. It is proposed that these extra activities may be attributed to increased demands on postural stability, and the altered dynamics of the swinging limb at very slow speeds.

Adult↗

Spatial vs. object specific attention in high-order visual areas.

Recently we reported that the topographic organization of visual field eccentricity in human visual cortex extends into high-order, ventral occipitotemporal (VOT) cortex. Within this cortex, regions that respond preferentially to faces and buildings have specific eccentricity biases, suggesting that this category-eccentricity association may reflect differential needs of recognition processes. However, it is still not clear to what extent this center/periphery differentiation within high-order occipitotemporal cortex depends on immediate, moment-to-moment, task demands. Previous attention studies were confined either to exploring the visual field topography (spatial attention) or to object identity (object-based attention). Here, we combined the investigation of these two different attentional mechanisms in the same study. We found that the main source of attentional modulation in occipitotemporal cortex was object-based attention. Shifting attention to different object categories (buildings, faces, and arrows) substantially modulated the object-related activations. The differential activation to each object category in occipitotemporal object areas was maintained, albeit at a reduced level, even when attention was focused on different spatial locations. A slight eccentricity-related attentional differentiation was observed in the more dorsal lateral occipital region, but not in the VOT cortex. These results argue against the possibility that the source of the eccentricity differentiation in VOT cortex is due solely to moment-to-moment shifts in spatial attention mechanism and supports the notion that the eccentricity-biased maps found in this region are due to built-in shape selectivity established over long-term processes.

Adult↗

Learning to see faces and objects.

Visual recognition of objects is an impressively difficult problem that biological systems solve effortlessly. We consider two aspects of this ability. First, is the recognition of all objects accomplished by either a single system or multiple, domain-specific systems? Behavioral, neuropsychological and neuroimaging data indicate that a single system is sufficient for the recognition of all objects at all levels. Second, how does such a system 'tune' itself to the constraints imposed by recognition at different levels of specificity? Evidence indicates that the task demands and learning that arise from different forms of feedback determine which computational routines are recruited automatically in object recognition.

Journal Article↗