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[Medical publishing--dissemination of knowledge or personal promotion?].

Over time an evolution has taken place in the nature of medical publishing. From being more-or-less exclusively channels for professional information to clinicians, medical journals have become tools in the process of qualifying researchers. Bringing credits to authors has become one of the main tasks of scientific publishing. This evolution can be described as a shift from a main focus on the reader as the recipient of information (reader-orientation) to greater emphasis on the author, who gets merits for publishing scientific papers (author-orientation). The scientific community does not live up to the international guidelines, which require substantial contributions in order to obtain authorship credits. The result has been author inflation and honorary authorship. The concept of authorship has changed, which may imperil the integrity of the scientific article. Increasing consciousness and changing attitudes are needed among researchers, medical schools and granting agencies. A stricter and more traditional definition of authorship should be established.

Clinical Competence↗

Comparison of the views of junior doctors, consultants and managers on work and training.

OBJECTIVE: To determine the views of junior hospital doctors on their working conditions, NHS reforms and training, and to compare their views with those of consultants and managers. SUBJECTS: A questionnaire was distributed to 52 junior doctors, 19 consultants and 14 middle or senior grade managers in an acute NHS trust. CONCLUSIONS: Junior doctors had strong feelings about several areas covered in the questionnaire; in particular, more structured training without the requirement to undertake a higher degree would be welcomed. Shift systems are unpopular and the reduction of 'non-medical' tasks with a reduction in work intensity is perceived to be more important than further reductions in hours available for work.

Attitude of Health Personnel↗

Near vision stress: vergence adaptation and accommodative fatigue.

Changes in the visual system following prolonged near work were investigated. Fifteen young, normal subjects undertook a severe, two hour long, binocular near visual task at 20 cm without any breaks. Fusional stress was assessed by near 'phoria change. Refractive change was measured with an autorefractometer to investigate whether transient myopia occurred and its subsequent recovery. The near task caused vergence adaptation which was primarily due to the fusional stress of the task (accounting for 67% of its variance). The 'phoria change was to a lesser extent (40%) dependent on the accommodative "stress" of the task. Fatigue of the accommodative system resulted in increased accommodative innervation to maintain the same accurate response. Increased innervation can continue after the task on subsequent distance viewing, resulting in transient myopia (mean 0.29 DS). This transient myopia was found to be due to a transient regression of the far point towards the subject's tonic accommodation level. This can be accounted for by a shift of the tonic level as well as an increased bias towards the pre-task tonic level.

Accommodation, Ocular↗

A proteomics approach for the identification of DNA binding activities observed in the electrophoretic mobility shift assay.

Transcription factors lie at the center of gene regulation, and their identification is crucial to the understanding of transcription and gene expression. Traditionally, the isolation and identification of transcription factors has been a long and laborious task. We present here a novel method for the identification of DNA-binding proteins seen in electrophoretic mobility shift assay (EMSA) using the power of two-dimensional electrophoresis coupled with mass spectrometry. By coupling SDS-PAGE and isoelectric focusing to EMSA, the molecular mass and pI of a protein complex seen in EMSA were estimated. Candidate proteins were then identified on a two-dimensional array at the predetermined pI and molecular mass coordinates and identified by mass spectrometry. We show here the successful isolation of a functionally relevant transcription factor and validate the identity through EMSA supershift analysis.

Binding, Competitive↗

Gustatory parabrachial lesions disrupt taste-guided quinine responsiveness in rats.

This study examined the effects of electrophysiologically placed electrolytic lesions in the gustatory zone of the parabrachial nuclei (PBN) on the rat's taste-guided unconditioned licking of quinine hydrochloride during repeated 10-s trials. Concentration-response functions measured in water-deprived rats before and after surgery significantly shifted to the right as a result of the bilaterally placed lesions. These same rats were tested on their ability to acquire a lithium chloride (LiCl)-based conditioned taste aversion (CTA) to 0.1 M sucrose. Although the largest lesions severely affected performance in both tasks, there was only a modest correlation (r = -.447) between the extent of the lesion-induced shift in the quinine concentration-response curves and the degree of sucrose intake suppression after the first CTA conditioning trial. Thus, PBN lesions can disrupt performance on both tasks, but it appears that the neural processes governing unconditioned responsiveness to quinine may be to some extent dissociable from those subserving acquisition of a sucrose LiCl-based CTA.

Animals↗

Lingual vibrotactile threshold shift during magnitude-estimation scaling: effects on magnitude-estimation responses and scaling behavior.

The purpose of the present study was to determine if lingual vibrotactile threshold shifts occurred during magnitude-estimation scaling of suprathreshold stimuli presented to the dorsal surface of the tongue. Possible relationships of the lingual vibrotactile threshold shifts to suprathreshold stimulus intensity, magnitude-estimation responses, and overall scaling behavior were explored. A single group of 24 subjects with an age range of 18 to 22 years participated in this study. Each subject performed two magnitude-estimation tasks. In one of the tasks, threshold of sensitivity was determined after every suprathreshold numerical response of the subject. If a threshold shift was recorded, threshold was allowed to return to the pretest baseline level before continuing to the next suprathreshold stimulus presentation. The results showed that threshold shift did occur during lingual vibrotactile magnitude-estimation scaling, and that it was related to suprathreshold stimulus intensity. The results also showed that the numerical magnitude-estimation responses of the subjects were different for the two scaling tasks. Overall scaling behavior of the subjects in the form of power-function exponents was not different for the two tasks.

Adolescent↗

Measurements of colour constancy by using a forced-choice matching technique.

Colour constancy is typically measured with techniques involving asymmetric matching by adjustment, in which the observer views two scenes under different illuminants and adjusts the colour of a reference patch in one to match a test patch in the other. This technique involves an unnatural task, requiring the observer to predict and adjust colour appearance under an illumination shift. Natural colour constancy is more a simple matter of determining whether a colour is the same as or different from that seen under different illumination conditions. There are also technical disadvantages to the method of matching by adjustment, particularly when used to measure colour constancy in complex scenes. Therefore, we have developed and tested a two-dimensional method of constant-stimuli, forced-choice matching paradigm for measuring colour constancy. Observers view test and reference scenes haploscopically and simultaneously, each eye maintaining separate adaptation throughout a session. On each trial, a pair of test and reference patches against multicoloured backgrounds are presented, the reference patch colours being selected from a two-dimensional grid of displayable colours around the point of perfect colour constancy. The observer's task is to respond "same" or "different". Fitting a two-dimensional Gaussian to the percentage of "different" responses yields (1) the subjective colour-constancy point, (2) the discrimination ellipse centred on this point, and (3) a map of changes in sensitivity to chromatic differences induced by the illuminant shift. The subjective colour-constancy point measured in this way shows smaller deviations from perfect colour constancy-under conditions of monocular adaptation-than previously reported; discrimination ellipses are several times larger than standard MacAdam ellipses; and chromatic sensitivity is independent of the direction of the illuminant shift, for broad distributions of background colours.

Choice Behavior↗

An event-related potential study of explicit memory on tests of cued recall and recognition.

The event-related potential (ERP) correlates of performance on test of word-stem cued recall and recognition memory were contrasted. ERPs elicited by stems attracting successful recall exhibited a sustained positive-going shift relative to ERPs elicited by stems completed with unstudied items. This positive shift was maximal at electrode sites on and adjacent to the midline. An equally sustained positive-going ERP modulation was observed for the recognition memory task in ERPs elicited by recognised 'old' items relative to ERPs elicited by correctly rejected 'new' items. The scalp topography of this effect shifted from a parietally distributed asymmetry favouring left hemisphere sites, to a frontally distributed effect maximal over midline and right hemisphere sites. The findings indicate that ERP correlates of explicit memory are task-dependent. The disparate ERP effects are interpreted as reflecting a common explicit retrieval mechanism which is sensitive to the nature of retrieval cues provided at test.

Adult↗

Feedforward and feedback processes in motor control.

In this study, we utilized functional magnetic resonance imaging (fMRI) to examine which brain regions contribute to feedback and feedforward motor control processes. Several studies have investigated the contributions of cortical and subcortical brain regions to motor performance by independently varying factors such as movement rate, force, and speed, and observing the neural responses. Such studies have contributed greatly to our understanding of neural coding of movement variables. Under natural movement conditions, however, these factors interact in a complex manner to produce differing performance levels. In the current investigation, we induced performance changes in a less constrained way, by having subjects move a joystick to hit targets of differing sizes on an LCD screen. These parametric changes in target size resulted in the well-known speed-accuracy tradeoff effect, allowing us to examine the brain regions responsive to global shifts in motor performance levels. That is, movements made to larger targets relied more on feedforward control whereas movements made to smaller targets relied more on feedback control. Using functional MRI, we identified two sets of brain regions in which activation was modulated with task difficulty. Areas exhibiting activation that was positively correlated with increasing target size included primary motor cortex, premotor cortex, and the basal ganglia, regions that are typically classified as playing a role in force control and movement planning. Brain regions whose activation was negatively correlated with increasing target size included the ipsilateral sensorimotor cortex, multiple cerebellar regions, and the thalamus. These areas contributed to motor performance under higher levels of task difficulty. The results elucidate cortical and subcortical brain regions that are responsive to global shifts in motor performance, reflecting changes along the continuum of feedforward and feedback motor control.

Adult↗

Neurotoxic lesions of the dorsomedial thalamus impair the acquisition but not the performance of delayed matching to place by rats: a deficit in shifting response rules.

This study examined the acquisition of a T-maze matching to place task by rats with neurotoxic lesions of the thalamic nucleus medialis dorsalis. This test of spatial working memory also entails learning a task rule that is contrary to the animals' innate preference. The rats next performed the same matching task over different retention delays. Finally, they were trained on a reversal of the task rule, i.e., to nonmatch to place. Although the lesions produced a clear acquisition impairment on the matching task, there was no evidence of a loss of working memory. A series of control tasks found no appreciable effect on a conditioned cue preference task or on open field activity. The pattern of results shows that medialis dorsalis lesions lead to a selective increase in perseverative behavior that can retard task acquisition. This perseverative deficit closely resembles that observed after prefrontal damage in rats, strongly indicating dysfunction in a common system.

Animals↗

Vibrotactile threshold shift during magnitude-estimation scaling on the hand: effects on magnitude-estimation responses and scaling behavior.

The purpose of the present study was to determine whether threshold shifts occurred during magnitude-estimation scaling of suprathreshold stimuli presented to the thenar eminence of the right hand. Possible relationships of the vibrotactile threshold shifts to suprathreshold stimulus intensity, magnitude-estimation responses, and over-all scaling behavior were explored. A single group of 14 subjects whose ages ranged from 18 to 22 yr. participated. Each subject performed two magnitude-estimation tasks. In one of the tasks threshold of sensitivity was determined after every suprathreshold numerical response of the subject. If a threshold shift was recorded, threshold was allowed to return to pretest baseline level before continuation to the next suprathreshold stimulus presentation. Analysis showed that threshold shift did occur during vibrotactile magnitude-estimation scaling on the hand and that it was related to suprathreshold stimulus intensity. Results also showed that the subjects' numerical magnitude-estimation responses and over-all scaling behavior in the form of power function exponents were not statistically different for the two scaling tasks.

Adolescent↗

Changes in EEG alpha power during simulated driving: a demonstration.

The aim was to assess the suitability of EEG-based techniques to recording activity during a driving simulation task. To achieve this, an inexpensive driving simulator (comprising a steering wheel, pedals and gear shift) were made to function with a personal computer running 'Need for Speed' simulation software. Simulators of this type are both inexpensive and relatively realistic. The EEG was recorded from four sites on the scalp (P3, P4, F3, F4) for two laps during the driving task, and during a replay task. The driving task involved participants driving a vehicle on a simulated undulating, sealed surface circuit, without any other vehicles present. Two men were participants in this experiment. Power spectra were computed and integrated to produce values of relative alpha activity for each channel and recording epoch, a time-series of alpha activity during each recorded segment. Overall values for alpha activity indicated an increase for replay compared to driving, and also driving on lap 5 compared to driving on lap 2. The EEG changes are consistent with the notion of overall reduction of attention during the later laps and the replay task and indicate the potential of such measures for complex motor behaviour.

Adult↗

[Interhemispheric EEG-asymmetry in 5--7-year-old children].

Interhemispheric asymmetry (IHA) of the theta-rhythm in the frontal, central, parietal, occipital and temporal cortical areas was studied in 5-7 years old children. The children performed visual-spatial (drawing mosaic) and verbal (reciting, associative experiment) tasks. IHA was also estimated in the state of rest, when a child doesn't move with his eyes open. It is found that in the state of rest the theta-activity is predominant in the right hemisphere in all cortical areas. During performance of visual spatial tasks this correlation does not change significantly. During verbal activity IHA values shift towards the left hemisphere. These changes are mostly pronounced in the frontal and temporal cortical areas where the left-side asymmetry of the theta-activity is revealed. In the central areas no significant IHA is recorded; in the parietal and occipital areas the theta-rhythm is predominant in the right hemisphere. The data obtained suggest a functional specialization of the hemispheres in 5-7 years old children. The left hemisphere is more active during verbal activity whereas the right one plays the leading role both during visual-spatial activity and in the organization of the rest state.

Brain Mapping↗

Age-related change in executive function: developmental trends and a latent variable analysis.

This study examined the developmental trajectories of three frequently postulated executive function (EF) components, Working Memory, Shifting, and Inhibition of responses, and their relation to performance on standard, but complex, neuropsychological EF tasks, the Wisconsin Card Sorting Task (WCST), and the Tower of London (ToL). Participants in four age groups (7-, 11-, 15-, and 21-year olds) carried out nine basic experimental tasks (three tasks for each EF), the WCST, and the ToL. Analyses were done in two steps: (1) analyses of (co)variance to examine developmental trends in individual EF tasks while correcting for basic processing speed, (2) confirmatory factor analysis to extract latent variables from the nine basic EF tasks, and to explain variance in the performance on WCST and ToL, using these latent variables. Analyses of (co)variance revealed a continuation of EF development into adolescence. Confirmatory factor analysis yielded two common factors: Working Memory and Shifting. However, the variables assumed to tap Inhibition proved unrelated. At a latent level, again correcting for basic processing speed, the development of Shifting was seen to continue into adolescence, while Working Memory continued to develop into young-adulthood. Regression analyses revealed that Working Memory contributed most strongly to WCST performance in all age groups. These results suggest that EF component processes develop at different rates, and that it is important to recognize both the unity and diversity of EF component processes in studying the development of EF.

Adolescent↗

Rhythmic and discrete elements in multi-joint coordination.

Everyday actions invariably consist of a combination of discrete and rhythmic elements within or across joints. The study investigated constraints arising from the co-occurrence of the two actions in a two-joint task and how endpoint trajectories are shaped due to these action elements at the joint level. The task consisted of an elbow oscillation in the plane that was to be merged with a fast discrete adduction or abduction in the shoulder triggered by an auditory signal. The task was performed with and without explicit instruction about the joint involvement. Two hypotheses were tested: (1) kinematic constraints for the coupling of discrete and rhythmic elements arise at the neuro-muscular level, such that EMG bursts of the discrete and rhythmic movement have a tendency to synchronize. This effect was documented previously in a comparable single-joint task. (2) The merging of the two elements is constrained by intersegmental torques such that initiation and performance of the discrete movement utilizes interaction torques. This hypothesis rests on the assumption that the CNS has an internal model of the limb dynamics and exploits passive torques. Key results support hypothesis 1: (i) the discrete action's initiation at the shoulder was constrained to a preferred phase of the ongoing elbow oscillation. (ii) The rhythmic elbow movement showed a systematic phase advance during the discrete shoulder shift, similar to those reported for the single-joint variant of the task. Reaction times of the discrete movement were longer and peak velocities slower than reported for isolated discrete movements, due to the simultaneous presence of the oscillation. (iii) Interaction torques acting from the elbow onto the shoulder joint were not selectively exploited for the acceleration of the discrete shoulder movement. Indirectly however, hypothesis 2 also found support: torques at the elbow generated compensatory muscle activity in the shoulder that stabilized the stationary joint. It was this rhythmic activity that posed the direct constraints on the initiation of the discrete movement.

Adult↗

Verification of the change blindness phenomenon while managing critical events on a combat information display.

Change blindness occurs when humans are unable to detect significant changes in objects and scenes after their attention is momentarily diverted. Because change blindness is relevant in many applied settings, the current study investigated the phenomenon in the context of tasks performed by naval command and control system personnel. Operators of such systems are often heavily loaded with concurrent visual search, situation assessment, voice communications, and control-display manipulation tasks at large, physically dispersed tactical situation displays. As the operators' attention shifts from one display to another, it creates an opportunity for changes to occur on unattended screens with potentially negative consequences. Our results show that on a display containing 8 objects of interest, considerable change blindness was demonstrated in that participants required 2 or more selections to correctly identify a changed object on nearly 1/3 of the test trials. Further, operator performance on 15% of the trials was equivalent to randomly guessing with replacement after making 3 incorrect selections. This research underscores the need for developing effective countermeasures to the change blindness phenomenon. Actual or potential uses of this research include interface design of computer workstations for military, nuclear power industry, air traffic control, crisis response center, and hospital emergency room applications.

Attention↗

Effects of fimbria-fornix lesion and amyloid pathology on spatial learning and memory in transgenic APP+PS1 mice.

Transgenic mice carrying mutated human amyloid precursor protein (APPswe) and presenilin (PS1, A246E) genes develop first amyloid plaques around 9 months of age, but up to 18 months of age, amyloid depositions in these mice were largely restricted to the hippocampus, subiculum, and neocortex. To assess the behavioral consequences of amyloid accumulation in the hippocampal formation, we compared the effects of APP+PS1 (AP) genotype and fimbria-fornix (FFX) transection, either alone or combined, on various spatial learning and memory tasks. Both FFX-lesioned and AP mice were impaired in spatial navigation in the water maze, a typical hippocampal dependent task. Conversely, neither group of mice was impaired in a win-stay version of the radial arm maze (RAM) or position discrimination in the T-maze, tasks that do not depend on the hippocampus. FFX-lesioned mice were impaired in the win-shift version of the RAM, and in spontaneous and rewarded alternation in the T-maze, while AP mice performed equal to non-transgenic controls in all these working memory tasks, except long-term retention of the RAM task. AP mice thus appear to have a selective deficit in hippocampal dependent long-term memory, as do Alzheimer patients at early stage of the disease.

Amygdala↗

Motor system activation after subcortical stroke depends on corticospinal system integrity.

Movement-related brain activation patterns after subcortical stroke are characterized by relative overactivations in cortical motor areas compared with controls. In patients able to perform a motor task, overactivations are greater in those with more motor impairment. We hypothesized that recruitment of motor regions would shift from primary to secondary motor networks in response to impaired functional integrity of the corticospinal system (CSS). We measured the magnitude of brain activation using functional MRI during a motor task in eight chronic subcortical stroke patients. CSS functional integrity was assessed using transcranial magnetic stimulation to obtain stimulus/response curves for the affected first dorsal interosseus muscle, with a shallower gradient representing increasing disruption of CSS functional integrity. A negative correlation between the gradient of stimulus/response curve and magnitude of task-related brain activation was found in several motor-related regions, including ipsilesional posterior primary motor cortex [Brodmann area (BA) 4p], contralesional anterior primary motor cortex (BA 4a), bilateral premotor cortex, supplementary motor area, intraparietal sulcus, dorsolateral prefrontal cortex and contralesional superior cingulate sulcus. There were no significant positive correlations in any brain region. These results suggest that impaired functional integrity of the CSS is associated with recruitment of secondary motor networks in both hemispheres in an attempt to generate motor output to spinal cord motoneurons. Secondary motor regions are less efficient at generating motor output so this reorganization can only be considered partially successful in reducing motor impairment after stroke.

Adult↗