Estimating minimum detectable concentrations achievable while scanning building surfaces and land areas

Scanning is performed during radiological surveys to identify elevated levels of direct radiation. The levels detected depend on the surveyor's abilities and decision processes. A method is described for anticipating levels that surveyors might reasonably be expected to detect in scanning by estimating the increment in a survey instrument's counting rate that would be necessary to support specified limits on Type I and Type II error rates, taking into account the fact that human beings typically do not operate with perfect efficiency. The result is applied to calculations of minimum detectable concentrations (MDCs) achievable while scanning structure surfaces and land areas. The approaches used for determining scan MDCs are provided, along with examples for common radionuclide contaminants and field survey instrumentation.

Interhemispheric transfer in normals and acallosals: latency adjusted evoked potential averaging

Interhemispheric transfer time (IHTT) can be estimated from visual evoked potentials (EPs). Latency adjusted averaging (LAA) produces EPs which have enhanced components. LAA also provides estimates of EP latency variance and signal-to-noise ratio (S/N). LAA was tested in analysis of EP-IHTT in normal and acallosal subjects. It was hypothesized that in normals S/N and latency variance would reveal signal degradation resulting from interhemispheric transfer. LAA in normals replicated IHTT findings for both P1 and N1 latency. Latency variance did not increase for cross-callosal measures, whereas the S/N measure showed significant EP degradation due to callosal transfer. EPs from five subjects with callosal absence (two commissurotomy; two complete and one partial callosal agenesis) showed significantly larger than normal latency variability, as well as decreased S/N ratios, for cross-hemisphere visual EPs. Results support the value of LAA in EP research on adequacy of hemispheric interactions in clinical populations.

Reliability of single sample experimental designs: comfortable effort level

This study was designed to ascertain the intrasubject variability across multiple recording sessions-most often disregarded in reporting group mean data or unavailable because of single sample experimental designs. Intrasubject variability was assessed within and across several experimental sessions from measures of speaking fundamental frequency, vocal intensity, and reading rate. Three age groups of men and women--young, middle-aged, and elderly--repeated the vowel /a/, read a standard passage, and spoke extemporaneously during each experimental session. Statistical analyses were performed to assess each speaker's variability from his or her own mean, and that which consistently varied for any one speaking sample type, both within or across days. Results indicated that intrasubject variability was minimal, with approximately 4% of the data exhibiting significant variation across experimental sessions.

Variations in adductor spasmodic dysphonia: acoustic evidence

Acoustic analysis was used to gain information about the normal, as well as the abnormal acoustic events associated with adductor spasmodic dysphonia (ADSD). This analysis was completed to determine whether specific acoustic events could be used to differentiate the voice of individuals with ADSD from those with normal voice. A group comparison between 14 women diagnosed with ADSD and 14 women (age-matched) with no evidence of vocal pathology or vocal dysfunction was completed. Phonatory breaks, aperiodicity, and frequency shifts, acoustic parameters previously identified in ADSD, were found throughout sustained vowel productions. The duration of the phonatory breaks and aperiodic segments was calculated and the amount of frequency shift was determined. The location of each acoustic event was marked relative to the onset of the vowel production. The subjects with ADSD presented with normal phonation and various amounts of each of the three acoustic parameters. Aperiodic segments primarily characterized the phonation of ADSD, followed by frequency shifts and phonatory breaks. The location of each of these acoustic events was within the midportion of the vowel production. The advantages of segmenting the acoustic waveform into these measures and separating the spasmodic events from normal phonation when examining laryngeal motor control of spasmodic dysphonics is discussed.

Event-related potential correlates of linguistic information processing in schizophrenics

Event-related potentials (ERPs) were recorded from adult schizophrenics and age- and education-matched normal controls during performance of an idiom recognition task involving judgments of the meaningfulness of idiomatic, literal, and nonsense phrases. Schizophrenics produced more errors and had prolonged reaction times while attempting to correctly differentiate meaningful from meaningless phrases. An ERP correlate of that deficit was a larger than normal N400 to idioms and literals, with no difference in N400 amplitude to nonsense phrases. This result was interpreted as evidence that the influence of the linguistic context provided by the first word of two-word idiomatic and literal phrases is reduced in schizophrenia. Schizophrenics also showed reduced amplitude P300.

Soluble human leukocyte antigens, interleukin-6, and interferon-gamma during pregnancy

PROBLEM

Soluble human leukocyte antigens (sHLA), interferon-gamma (IFN-gamma), and interleukin-6 (IL-6) were studied during human pregnancy to test the hypothesis that sHLA concentrations are regulated by these specific cytokines.

METHOD OF STUDY

Enzyme-linked immunoadsorbent assays (ELISA) were used to measure sHLA I and II in maternal circulation, cord blood, and placenta effluents of pregnant and nonpregnant women; maternal serum cytokines were also determined.

RESULTS

sHLA in maternal and cord blood were equivalent to that in the placenta. By the third trimester, sHLA I concentrations in maternal plasma were significantly reduced compared to the first or second trimesters. sHLA II was increased during the second trimester relative to that postpartum. Maternal IL-6 and IFN-gamma concentrations were not statistically different throughout gestation or postpartum.

CONCLUSIONS

These data do not suggest a role for maternal plasma IL-6 or IFN-gamma in regulation of systemic sHLA class I during pregnancy, but they do not address whether such events take place in local tissues of the maternal-fetal unit.

Speech breathing during reading in women with vocal nodules

This study examined speech breathing patterns during reading by women with bilateral vocal fold nodules judged as mildly dysphonic and by women without vocal nodules. Although it might be predictable that the speech breathing patterns of individuals with laryngeal dysfunction will differ from those without laryngeal dysfunction, there is a lack of empirical data to support such assumptions. The results of the current study indicated that glottal airflow was greater during reading for the women with vocal nodules and that a larger volume of air was expended both per syllable and per breath group during reading. The rate of speech did not significantly differ between the two groups of women. There was no significant difference for the average duration of the breath groups and no significant difference for the number of syllables spoken per breath group. Additionally, both groups of women demonstrated a similar pattern of inspiratory pause location during the reading. The results suggest that speech breathing patterns associated with dysphonia be examined independently to distinguish specifically the nature of the interaction between the laryngeal dysfunction and the speech breathing pattern. Certainly, more information on how the severity of a voice disorder influences speech breathing is necessary.

Bilateral field interactions, hemispheric specialization and evoked potential interhemispheric transmission time

The interrelationship between bilateral visual field processing, hemispheric specialization and interhemispheric transmission time (IHTT) was examined in two experiments in order to test two theories regarding callosal function and lateralized visual processing. Contrary to both theoretical speculations [Braun, Neuropsychology Review, Vol. 3, pp. 321-365, 1992] and a recent report [Nowicka et al., Neuropsychologia, Vol. 34, pp. 147-151, 1996], the directional asymmetry in evoked potential measures of IHTT did not vary with task differences in indices of hemispheric specialization. IHTT was faster from right to left hemispheres regardless of visual field advantage for the task. Similarly, patterns of correlation between IHTT and bilateral field advantage did not change between verbal and spatial matching tasks, despite differences in visual field advantage. Since the latter data did not consistently support the Brown and Jeeves [Neuropsychologia, Vol. 31. pp. 1267-1281, 1993] hypothesis, an alternative hypothesis involving hemispheric asymmetries in attention rather than processing specialization was proposed.

Continuous-processing--related event-related potentials in children with attention deficit hyperactivity disorder

Visual information processing in children with attention deficit hyperactivity disorder (ADHD) was studied using event-related potentials recorded during two versions of the Continuous Performance Task (CPT). ADHD children made more errors, and had longer reaction times than normal children on both the single- and dual-target CPT. Event-related potential waveforms were normal in the ADHD children with reference to early processing stages, i.e., contingent negative variation, P1-N1 laterality, and processing negativities, suggesting that ADHD children did not differ in their level of preparedness or their ability to mobilize resources for target identification and categorization. With respect to later processing, P3 amplitude was reduced in the ADHD group, whereas P3 latency was longer than normal. ADHD children had a diminished late frontal negative component, suggestive of reduced involvement in postdecisional processing.

Comfortable effort level revisited

The purpose of this study was to measure the variability of frequency and intensity of speech, using multiple voice samples obtained over a period of time at a speaker's "comfortable effort level." Variability in vocal output within and across several experimental sessions was assessed from measures of speaking fundamental frequency (SFF) and vocal intensity for utterances repeated three times a day over a 3-day period. Three distinct age groups of men and women-young, middle-aged and elderly-repeated the vowel /a/, read a standard passage, and spoke extemporaneously during each experimental session. Results indicated that variability in SFF and intensity were present across experimental sessions, age groups, gender, and speaking samples. Generally, group means indicated that approximately +/- 1 semitone of variability for SFF and approximately 2 db sound pressure level (SPL) variation in vocal intensity from any one experimental session to the next could be expected; individual variations within any group may reach two semitones and 6 db SPL.

Comparison of various automatic means for measuring mean fundamental frequency

The purpose of this paper was to evaluate the reliability of, and agreement among, six speech analysis systems in the determination of fundamental frequency. Five male and five female speakers provided oral reading and sustained vowel samples for analysis. Each sample was analyzed five times by each system. The results indicated high reliability for all of the systems for both sexes and both utterance types. Agreement among the systems was high for the male sustained vowels and the female oral reading samples. In contrast, poor agreement occurred among the systems for the male oral reading samples and the female sustained vowels. The findings indicate that the output of these automatic methods tends to be consistent over repeated trials within the systems in their extraction of fundamental frequency; however, agreement among these systems varies.

Callosal transfer of finger localization information in phonologically dyslexic adults

Dyslexia, particularly phonological dyslexia, has been hypothesized to be associated with deficits in interhemispheric interactions mediated by the corpus callosum. Twenty-one dyslexic subjects were compared to 21 controls on the Finger Localization Test in order to observe patterns of tactile-motor integration and interhemispheric collaboration. When compared to control subjects, dyslexics showed consistent deficits in finger localization, particularly when more complex trials had to be completed. When subjects were re-grouped according to phonological processing ability (regardless of diagnostic group membership), subjects with lower phonological processing scores were found to perform poorly on complex trials of finger localization, particularly on those trials which reflect callosal transfer of finger localization information from one hemisphere (hand) to the other. These results suggest that interhemispheric transfer of information is critical to efficient phonological processing.

Intraoral air pressure of alaryngeal speakers during a no-air insufflation maneuver

Intraoral air pressure was recorded during the production of the consonant cognate pairs /p/-/b, /t/-/d, and /s/-/z/ by eight esophageal speakers. These consonants were combined with the vowel /a/ to form CV, VCV, and VC syllables and produced under two experimental conditions: after the insufflation of air and without air insufflation. The purpose was to determine if the voiced-voiceless pressure difference associated with the production of cognate pairs would occur in the absence of an insufflated air flow source. The results revealed that peak intraoral air pressure magnitudes were significantly greater following the insufflation of air than without it. Moreover, the voiceless consonants were generally produced with greater peak air pressures than the voiced consonants under both experimental conditions, although not all contrasts were significantly different. Finally, peak air pressure magnitudes were significantly more variable in the air insufflation condition. The finding that the esophageal speakers exhibited a pressure difference relative to voicing in the absence of an insufflated air flow source provides support to the concept that intraoral air pressure may be an important variable in regulating and controlling consonant production.

Respiratory and laryngeal function associated with experimental coupling of the oral and nasal cavities

Three experimental openings (10 mm2, 20 mm2, 30 mm2) were placed one at a time in a man's palatal obturator at a location approximating the junction of the prepalate and the palatal shelves. The man's laryngeal and respiratory function were examined during his production of a series of CV syllables [pa] repeated at a comfortable and loud vocal intensity for each of the three experimental conditions. Two more conditions, in which the subject's obturator was not altered (no hole) and in which no obturator was worn, were also included for study. Laryngeal and respiratory function adjustments were most apparent during the 30 mm2 hole size and no obturator conditions. Laryngeal adjustment, as measured by fundamental frequency, was the most identifiable. A respiratory adjustment, which involved the expenditure of more lung volume as nasal airflow leakage increased, was also observed. These observations imply an active physiologic adjustment rather than a passive response to aberrant oronasal coupling.

Patterns of fundamental frequency for three types of voice samples

The purpose of this study was to determine the variability in speaking fundamental frequency (Fo) associated with sample type in two age groups of normal male and female speakers and a group with vocal-fold paralysis. Young and elderly normal control men and women produced a sustained vowel, read a passage, and spoke extemporaneously in the morning, early afternoon, and late afternoon on three different days. The vocal-fold-paralysis group produced two voice samples at different times on the same day. Two patterns of variability emerged in the normal groups. Young men produced sustained phonation at a significantly lower Fo than their reading or extemporaneous samples. Young and older women and older men produced sustained phonation with a higher Fo than their reading or extemporaneous samples. The eight subjects with unilateral vocal-fold paralysis (seven women, one man) produced samples with a pattern similar to that of the older normal groups but with greater differences between the sustained vowel and speech samples. The use of different sample types resulted in variations in mean speaking Fo in the normal subjects as well as in the vocal-fold-paralysis group. Within-day sampling of all normal subjects resulted in approximately the same variability as across-day sampling. In the vocal-fold-paralysis group, within-day sampling resulted in greater variability of mean Fo for vowels than for connected speech, following a pattern similar to the older normal control subjects and various speech materials for voice.(ABSTRACT TRUNCATED AT 250 WORDS)

Phonational profiles of male trained singers and nonsingers

The purpose of this study was to compare the mean speaking fundamental frequency (SFF), speaking frequency range, and mean speaking intensity for a group of trained male singers and a group of age-matched non-singers in three age ranges: 20 to 35 years old; 40 to 55 years old; and older than 65 years. Each subject was recorded as he read "The Rainbow Passage" and produced the vowel /a/ to the limits of his phonational frequency range. The data indicated that the mean SFF of the nonsingers was significantly lower among the middle-aged speakers than with the young or elderly. In contrast, the tenors exhibited no age-related SFF trends, and the young bass/baritones exhibited lower SFF levels than the middle-aged or elderly. The elderly nonsingers produced frequency ranges that were smaller than any other group. Finally, the young nonsingers used greater speech intensity than did the other groups.

Bimanual coordination in dyslexic adults

Various types of dyslexia have been associated with tactile-motor coordination deficits and inefficient transfer of information between the two cerebral hemispheres. Twenty-one dyslexic adults were compared to 21 controls on the Bimanual Coordination Task, a test of tactile-motor coordination and interhemispheric collaboration. When compared to control subjects, dyslexics showed a consistent pattern of deficits in bimanual motor coordination, both with and without visual feedback. In particular, dyslexics had greater difficulty relative to normals when the left hand had to move faster than the right, and when the hands had to make opposite (mirror-image) movements, suggesting problems with interhemispheric modulation of visuomotor control. In addition, accuracy on this bimanual coordination task was significantly correlated with the Block Design subtest of the WAIS--R, but not with a rhyme fluency task, suggesting some contribution of right hemisphere controlled visuospatial skill to performance.

Primary central nervous system recurrence after paclitaxel therapy for epithelial ovarian malignancy

Paclitaxel is currently being utilized to treat neoplasms which have a significant incidence of central nervous system metastases. It is, however, unclear as to whether paclitaxel crosses the blood-brain barrier. In this report, the authors describe a patient with refractory epithelial ovarian cancer treated with paclitaxel at 135 mg/m2/24 hr every 21 days. The patient achieved a complete clinical response of all abdominal and pelvic disease, but simultaneously developed central nervous system metastases. Paclitaxel was effective against the patient's abdominal and pelvic disease but was not protective against central nervous system metastasis.

The perception of speech sounds recorded within the uterus of a pregnant sheep

The intelligibility of speech stimuli recorded within the uterus of a pregnant sheep was determined perceptually using a group of untrained judges. The intrauterine sound environment of the ewe was intended to simulate that of a pregnant woman. Two separate lists, one of meaningful and one of nonmeaningful speech stimuli, were delivered through a loudspeaker to the side of the ewe and were simultaneously recorded with an air microphone located 15 cm from the flank and with a hydrophone previously sutured to the neck of the fetus. Perceptual test tapes generated from these recordings were played to 102 judges. The intelligibility of the phonemes recorded in the air was significantly greater than the intelligibility of phonemes recorded from the uterus. A male talker's voice was more intelligible than a female talker's voice when recorded from within the uterus, but not so when recorded in the air. An analysis of the feature information transmission from recordings inside and outside the uterus revealed that voicing information is better transmitted in utero than place or manner information.

Paclitaxel (Taxol) treatment for refractory ovarian cancer: phase II clinical trial

OBJECTIVE

Our aim was to determine the efficacy and toxicity of paclitaxel in the treatment of refractory and platinum-resistant epithelial ovarian cancer.

STUDY DESIGN

Eligibility required three prior failed chemotherapy regimens and documented platinum resistance. One hundred patients with advanced ovarian cancer received paclitaxel 135 mg/m2 over 24 hours every 21 days with optional granulocyte colony-stimulating factor support.

RESULTS

Paclitaxel was generally well tolerated. In four patients bowel perforation or fistula developed. After three cycles 34% of patients had stable disease and 25% of patients demonstrated a response, either partial or complete. After six cycles 24% of patients continued to respond. To date, six patients have achieved a complete response.

CONCLUSION

A 25% response rate in patients with refractory ovarian cancer was observed, which was durable to six cycles.

Reduced attention-related negative potentials in schizophrenic adults

Event-related potentials were recorded from outpatient adult schizophrenics receiving maintenance doses of neuroleptics and from normal control subjects during performance of a reaction time task and a complex visual discrimination task, the Span of Apprehension. Difference potentials were computed to isolate endogenous activity associated with the processing demands of the Span task. Schizophrenics produce significantly less early endogenous negative activity than do normal subjects. This processing-related negativity reflects pattern matching activity to an attentional trace during the serial scan of the visual icon. We previously reported an identical reduction in processing-related negativity in childhood-onset schizophrenia, suggesting that this deficit is age independent. Both frontal contingent negative variation and an early frontal P3 were larger in the schizophrenics than in normal subjects, suggesting an inappropriate mobilization of nonspecific attentional resources. A later posterior P3 was significantly smaller in schizophrenics than in normal subjects.

Continuous-processing related ERPS in schizophrenic and normal children

The continuous performance task (CPT) has proven to be sensitive to schizophrenic impairments. Multichannel event-related potential (ERP) data were recorded from schizophrenic and normal children during performance of easy and hard versions of the CPT. Schizophrenics produced fewer hits, more false alarms, and prolonged reaction times. Poor performance in schizophrenics was associated with four ERP abnormalities: (1) Schizophrenics did not exhibit the normal increase in amplitude of an early-onset, processing-related negativity from nontarget to target stimuli, suggesting a failure to appropriately allocate attentional resources to discriminative processing. (2) Although P3 amplitude to targets was not significantly smaller in schizophrenic children, the distribution of P3 amplitude between target and nontarget responses in the easy and hard versions of the CPT was abnormal, suggesting that schizophrenics differed in the strategic allocation of resources in later stages of CPT processing. (3) In all task conditions schizophrenics showed a parietal negative component with a latency of 400 msec seen in younger, but not older normal children, suggestive of maturational lag. (4) ERP data demonstrated absence of right-lateralized P1/N1 amplitude in schizophrenic children. Taken together these data indicate that at several stages of information processing, schizophrenics are deficient in the control and strategic allocation of processing resources.

Directional asymmetries in interhemispheric transmission time: evidence from visual evoked potentials

The hypothesis was tested that interhemispheric transfer time (IHTT), as measured in the latency of bilaterally recorded visual evoked potentials, is directionally asymmetric, i.e. that an IHTT is faster for transmission from right-to-left hemisphere, than from left-to-right. A meta-analysis of 18 experiments within the published literature reporting visual evoked potential IHTTs indicates a significant experiment-wise predominance of faster right-to-left IHTTs. A new experiment is also reported in which significantly faster right-to-left IHTT was found in visual evoked potentials recorded from parietal electrodes to lateral visual field presentations while subjects performed a task requiring complex stimulus recognition and analysis, and a choice response.

Age-related differences in speech variability among women

The purpose of this study was to examine the differences in variability of several measures of the speech produced by two groups of women, one aged 20-35 years and one aged 75 years and over. The subjects read the first paragraph of the "Rainbow Passage," sustained vowels at three loudness levels, and repeated a carrier phrase in which a series of 18 syllables were embedded. Data were gathered on intraoral pressure (PIO), vocal intensity, speaking fundamental frequency (SFF), voice onset time (VOT), and phoneme duration. The F-max test and ANOVA statistics revealed that the older women exhibited greater within-subject variability than the younger women for PIO, SFF, VOT, and consonant duration. These factors required more precise temporal, respiratory, phonatory, or articulatory adjustments than did the vocal intensity tasks or vowel duration. The variability differences found in this study may reflect individual patterns of acoustic and physiologic change in the speech produced by older women.

Information-processing deficits across childhood- and adult-onset schizophrenia

Event-related potentials were recorded for childhood- and adult-onset schizophrenia subjects performing the span of apprehension (Span) task, which is sensitive to vulnerability factors in schizophrenia. Subjects responded to the onset of the Span arrays in a reaction time condition and then responded differentially to the presence of one of two target letters in the Span condition. While neither the childhood- nor the adult-onset group exhibited abnormalities in preparatory contingent negative variation activity, both groups produced significantly less endogenous negative activity between 100 and 300 ms after Span stimulus onset than age-matched normals. This endogenous negative activity reflects attentional effort associated with serial search and stimulus identification. These results support the position that schizophrenia subjects are impaired in their ability to allocate adequate attentional resources for processing Span stimuli. Moreover, the similarity of this information-processing deficit in the two groups suggests that childhood- and adult-onset schizophrenia lie on a continuum in this regard.

Age-related differences in speech intensity among adult females

Two groups of women, one aged 20-35 years and the other aged 75 years and older, read the 'Rainbow Passage' and produced the vowel/a/at minimum, conversational, and maximum intensity levels. The results indicate that the two groups did not exhibit significant differences in speech intensity for the reading passage or the conversational level vowel productions. On the other hand, the older women exhibited significantly higher minimum and significantly lower maximum intensity vowels than the younger women.

Bilateral visual field processing and evoked potential interhemispheric transmission time

The relationship between the efficiency of interhemispheric interactions via the corpus callosum and the speed and accuracy in making comparisons of information simultaneously presented to the right and left visual fields was studied by comparing bilateral (vs unilateral) advantages in matching letters, with evoked potential measures of interhemispheric transmission time (EP-IHTT). The primary finding was a strong correlation suggesting that larger bilateral field advantages in reaction time are associated with faster EP-IHTT. However, the association between EP-IHTT and bilateral advantage was strong only for transmission speed from left hemisphere to right hemisphere, but not for speed of transmission in the opposite direction. The data are consistent with a hypothesis of asymmetric homologue enhancement, i.e. a directionally asymmetric callosal influence which facilitates processing of letter stimuli in the right hemisphere allowing for increased response speed and accuracy of bilateral visual field comparisons.

Phonational profiles of female professional singers and nonsingers

Measures of the SFF, vocal intensity, phonational range, and habitual pitch level are reported for 39 professional singer and 39 nonsinger females, who were divided into three age groups (young, middle, and old age), with the professionals further divided into sopranos and altos. Each read the "Rainbow Passage" and spoke extemporaneously, from which measures of the SFF and vocal intensity were calculated; phonational range and habitual pitch levels were also determined. No significant differences were noted between the reading and speaking tasks. The SFF and intensity levels were significantly higher for the professionals in comparison to the nonsingers, but only for certain age groups. Moreover, whereas the nonsinger SFF levels varied significantly as a function of age, those for the professional singers did not. Although trends occurred, no significant differences were found for the mean phonational range or habitual pitch levels when the professionals and nonsingers were compared.

Response latency, latency-based receiver-operating characteristics, and uncertainty about interaural phase in the detection of in-phase and out-of-phase tones presented in noise

Subjects were given the task of detecting tonal signals presented in a continuous background of white noise which was always in phase at the ears (No). The signals were either in phase (So), or phase-reversed (S pi) at the ears. The analysis of response latencies (for similar levels of performance) indicated that there were consistent differences in the processing of the two types of signals. Latencies were longer, and somewhat more variable, for S pi than for So signals. It was also found that the theory of signal detectability can contribute to an understanding of what and how decisions are made. Latencies were treated as confidence ratings in order to determine latency-based receiver operating characteristics (LROCs) for the detection task. It was observed that the LROCs for the interaural condition No-So tend to leave the origin at a steeper angle than do those for the interaural condition No-S pi, presumably reflecting the different sensory and decision processes employed in the two conditions. When the two interaural conditions were intermixed within blocks of trials, performance was slightly impaired in comparison to the situation in which the interaural condition remained constant throughout blocks of trials.

Event-related potentials in high-functioning adult autistics: linguistic and nonlinguistic visual information processing tasks

Event-related potentials (ERPs) were recorded from high-functioning adult autistics and age- and IQ-matched normal controls during performance of two non-linguistic information processing tasks, the Continuous Performance Task (CPT) and Span of Apprehension (SPAN), and an Idiom Recognition Task (IRT) involving idiomatic, literal and nonsense phrases. The autistics exhibited behavioral deficits only when attempting to identify idiomatic phrases. The ERP correlate of that deficit was greatly reduced N400 to idioms. In addition, autistics produced larger N1 amplitudes in all tasks, and larger P3s in the IRT and CPT.

Dissipation of metabolic heat in the horse during exercise

Horses were exercised at 40, 65, and 90% of their maximum O2 uptake (VO2max) until moderately fatigued (approximately 38, 15, and 9 min, respectively) to assess heat loss through different routes. Approximately 4,232, 3,195, and 2,333 kcal of heat were generated in response to exercise at these intensities. Of this, approximately 7, 16, and 20% remained as stored heat 30 min postexercise. Respiratory heat loss, estimated from the temperature difference between blood in the pulmonary and carotid arteries and the cardiac output, was estimated to be 30, 19, and 23% of the heat produced during exercise at the three intensities. The kinetics of the increases in muscle and blood temperature were similar, with the greatest change in temperature occurring in muscle (+3.8, 5.2, and 6.1 degrees C after exercise at 40, 65, and 90% of VO2max, respectively). The temperature of blood in the superficial thoracic vein was approximately 2 degrees C below that of arterial blood at rest. This difference had increased to approximately 3 degrees C during the last minute of exercise. The rate of sweating at sites on the back and neck increased with exercise intensity to a common peak of approximately 40 ml.m-2.min-1. If complete evaporation had occurred, water loss in response to exercise (estimated to be 12, 10, and 7.7 liters for the different intensities of exercise) greatly surpassed that required for dissipation of the metabolic heat load.

Confabulation in Alzheimer's disease

Confabulation is present when memory is disturbed, but does it occur in Alzheimer's disease (AD) where memory abnormalities are often severe? In this study, confabulation was assessed prospectively in 26 AD patients and 15 normal elderly (NE) controls using a neuropsychological battery specifically designed to assess different types of memory errors. The results indicated that the AD group made significantly more verbal intrusions than the NE group. These findings provide evidence for the feasibility of eliciting confabulatory-type behavior during clinical assessment and support previous reports which have documented verbal intrusions as a common accompaniment of the memory impairment manifested by AD patients.

Probing the time-course of the auditory oddball P3 with secondary reaction time

An elementary neural model of the P3 is proposed in which the P3 is held to manifest a brief, widely-distributed, inhibitory event. A preliminary and indirect test of the model is described using secondary-task methodology. Manual reaction times were measured to probe clicks delivered during the presumed time-course of an auditory oddball P3. We observed that reaction times to probes presented after oddball stimuli were significantly slowed as compared to reaction times to probes presented after standards. The latency of maximum reaction time slowing corresponded generally to the latency of the P3. The latency of maximum reaction time slowing did not respond to a manipulation varying the latency of the P3. Thus, some of the obtained results were consistent with the P3-inhibition hypothesis, whereas others were not. Secondary-task methodology may provide a valuable new approach to understanding the late event-related potentials.

Reduced attention-related negative potentials in schizophrenic children

ERPs were recorded from normal and schizophrenic children during performance of a reaction time task (RT) followed by a complex visual discrimination, the span of apprehension task (Span), sensitive to vulnerability factors in schizophrenia. Subjects responded rapidly to the onset of the visual arrays in the RT condition and differentially to the presence of 1 of 2 target letters in the Span condition. The EEG was recorded at 19 scalp sites and ERPs included activity 1 sec before through 1 sec after Span array onset. Difference potentials (Span-RT) were computed to remove unvarying exogenous activity, thus isolating endogenous activity associated with the processing demands of the Span task. When RT and Span task ERPs are compared, schizophrenic children produced a significantly smaller than normal increment in endogenous negative activity. This endogenous negativity differed in its topography and time course from the exogenous components (P1, N1 and P2), and most likely reflects attentional effort associated with serial search, pattern recognition and stimulus identification. We believe that the current results support the position that schizophrenics are impaired in their ability to allocate adequate attentional resources for the processing of the Span stimuli. It is important to note that this deficit is apparent quite early in discriminative processing.

rHuEPO treatment improves brain and cognitive function of anemic dialysis patients

Twenty-four patients with chronic renal failure, stabilized on hemodialysis, were treated with recombinant human erythropoietin. Before treatment, all patients were anemic (mean Hct = 23.7%). Hematocrits reached normal levels (36.5%) after three months of treatment. Brain event-related potentials and neuropsychological tests were used to assess changes in brain and cognitive functions associated with the correction of anemia. Assessments were done prior to and after three and twelve months of rHuEPO treatment. The P3 component of the event-related potential increased in amplitude significantly with treatment, while its latency was unaffected. Of the four neuropsychological tests administered, scores on two improved significantly with treatment, and the other two approached significance. Taken together, these findings suggest that the correction of anemia to hematocrits near normal in uremic patients by rHuEPO treatment improves brain and cognitive function by raising levels of sustained attention, thus increasing speed and efficiency of scanning and perceptual-motor functions and enhancing learning and memory. These findings also suggest that anemia, either directly or indirectly, may impair brain function.

Cognitive function, mood and P3 latency: effects of the amelioration of anemia in dialysis patients

Attention difficulties and psychomotor slowing associated with depressed mood affect the ability of individuals to perform on most neuropsychological tests. It has been suggested that latency of the P3 (P300) component of the event-related EEG potential is an index of neurocognitive status which is not affected by mood. Dialysis patients, who experience diminished dysphoric mood with the reversal of anemia when treated with recombinant human erythropoietin (rHuEPO), were tested for neurocognitive performance, mood and latency of P3. Prior to rHuEPO treatment mood was dysphoric, and neurocognitive testing showed mild deficits, but P3 latency was normal. After treatment, mood improved and neurocognitive test performance was normal. P3 amplitude increased over frontal areas, while P3 latency remained unchanged. Thus, in the case of dysphoric mood, P3 latency may provide a more accurate index of cognitive capacity (as opposed to level of functioning) than neurocognitive test measures.

Cross-correlation and latency compensation analysis of click-evoked and frequency-following brain-stem responses in man

Cross-correlation (CC) and latency compensation (LC) analysis were applied to the human click-evoked brain-stem auditory evoked response (BAER) and the brain-stem frequency-following response (FFR). FFRs were elicited by pure tone stimuli (230 Hz and 460 Hz) or by complex tones derived from the sum of 3rd (920 Hz), 4th (1150 Hz), and 5th (1380 Hz) harmonics of the missing 230 Hz fundamental. The lower and upper harmonics always began in sine phase, while the middle harmonic varied in starting phase, resulting in harmonically complex stimuli with differing amplitude and phase patterns. Cross-correlations were computed between individual trials and a wave form template (smoothed wave V for BAER, pure tone stimulus sinusoids for FFR). Trials were included in the analysis only if values of r2 exceeded 0.5 (negative values of r were thus included, which controlled for the chance occurrence of positive correlations). Although brain-stem recordings are noisy, requiring as many as 1000 stimuli/average, correlation analysis consistently identified more positive than negative trials (approximately 2:1 ratio). Trials were also deleted if the lag associated with the selected r2 was at the maximum shift position ('extreme lag'). Averaging trials that satisfied the correlation and lag criteria led to sizeable enhancement of BAER (mean = 114%) and FFR (mean = 68% for 230 Hz stimulus) amplitudes. LC analysis resulted in additional, albeit smaller, increases in amplitude (approximately 10%). FFRs to harmonically complex stimuli were characterized by a clear periodicity at the missing fundamental frequency (230 Hz). However, amplitudes varied according to the modulation depth of the stimulus and, in certain cases, actually exceeded that of the FFR response to a 230 Hz pure tone. The results demonstrate the effectiveness of cross-correlation and, to a lesser degree, latency compensation analysis, applied to two classes of brain-stem potentials. It is anticipated that such techniques will prove useful in the study of auditory signal processing at the level of the brain-stem.

PET and P300 relationships in early Alzheimer's disease

The P300 (P3) wave of the auditory brain event-related potential was investigated in patients with probable Alzheimer's disease to determine whether P300 latency discriminated these patients from controls and whether prolonged P300 latency correlated with rates of brain glucose metabolism as measured by Positron Emission Tomography. P300 latency was prolonged by more than 1.5 standard deviations from age expectancy in 14 of 18 patients, but none of 17 controls. In these subjects P300 latency was shown to be inversely correlated with relative metabolic rates of parietal and, to a lesser extent, temporal and frontal association areas, but not with subcortical areas.

Event-related potential correlates of impaired attention in schizophrenic children

Electrophysiological correlates of focused attention were studied in 13 schizophrenic and 19 age- and gender-matched children. Subjects performed a version of the Continuous Performance Task (CPT) in which a target was designated as any digit from 0 through 9 occurring on two successive stimulus presentations. Signal digits were surrounded by distractor digits which varied in position, value, and number. Event-related potentials (ERPs) elicited by each stimulus of a target pair were recorded from midline and homologous parietal, temporal, and occipital electrode placements. Schizophrenic children made significantly more errors of omission and commission than normal children. The amplitude and time course of the intertrial CNV was the same for both groups. There was a circumscribed amplitude asymmetry, left smaller than right, for the P1/N1 and P2 measures which was greater in normal than in schizophrenic children. The P3 component was significantly larger to the second stimulus of the target pair than to the first for both groups, and larger for the normal than the schizophrenic children to both stimuli.

Longitudinal P300 latency changes in Alzheimer's disease

A longitudinal study of the changes in latency of the P300 (P3) wave of the auditory event-related brain potential was undertaken in a group of 18 thoroughly screened and diagnosed possible and probable Alzheimer's disease (pAD) patients and 15 normal controls. On initial recording, P3 latency was significantly prolonged in the pAD group by more than 1.5 standard deviations (40 msec) beyond the normal group. Over the course of the next 3 years, the rate of increase in P3 latency was significantly greater for the patient group than for the controls. The rate of change in P3 latency may reflect accelerated senescence in Alzheimer's disease. Development of the auditory P300 as a marker of neurobiological processes in aging and dementia is discussed.

Stratus automated creatine kinase-MB assay evaluated: identification and elimination of falsely increased results associated with a high-molecular-mass form of alkaline phosphatase

We compared the performance of an automated assay of creatine kinase MB isoenzyme (CK-MB) mass (Stratus) with that of a CK-MB enzymatic assay routinely used at our institutions. Both of these assays use the same CK-MB-specific monoclonal antibody to immunocapture CK-MB, thus providing a direct means of comparing a mass assay with an activity assay. Routine CK-MB measurements for 206 samples within the analytical range of both assays revealed the following relationship: Stratus (micrograms/L) = 0.67 (activity U/L) + 0.18 (r = 0.95, Sx.y = 4.45). The linearity, sensitivity, and precision of the Stratus assay were acceptable for routine clinical use. Icteric, lipemic, and hemolyzed samples do not interfere with the assay. During our evaluation we identified a single, clinically significant false-positive sample. Because this patient had alkaline phosphatase values greater than 1100 U/L, we investigated additional samples with increased activities of alkaline phosphatase and found that samples from 12 of 23 patients selected for alkaline phosphatase values greater than 460 U/L produced falsely increased CK-MB values. We determined that a membrane-associated, high-molecular-mass form of alkaline phosphatase was a cause of these falsely increased values and instituted an approach to identify falsely increased Stratus CK-MB values. Samples from 23 of 1933 patients were falsely increased, the increase being clinically significant in samples from 14 of these patients. Consultation with the manufacturer resulted in the successful reformulation of the substrate/wash solution to minimize interferences from high-molecular-mass forms of alkaline phosphatase.

Stratus automated creatine kinase-MB assay evaluated: identification and elimination of falsely increased results associated with a high-molecular-mass form of alkaline phosphatase

We compared the performance of an automated assay of creatine kinase MB isoenzyme (CK-MB) mass (Stratus) with that of a CK-MB enzymatic assay routinely used at our institutions. Both of these assays use the same CK-MB-specific monoclonal antibody to immunocapture CK-MB, thus providing a direct means of comparing a mass assay with an activity assay. Routine CK-MB measurements for 206 samples within the analytical range of both assays revealed the following relationship: Stratus (micrograms/L) = 0.67 (activity U/L) + 0.18 (r = 0.95, Sx.y = 4.45). The linearity, sensitivity, and precision of the Stratus assay were acceptable for routine clinical use. Icteric, lipemic, and hemolyzed samples do not interfere with the assay. During our evaluation we identified a single, clinically significant false-positive sample. Because this patient had alkaline phosphatase values greater than 1100 U/L, we investigated additional samples with increased activities of alkaline phosphatase and found that samples from 12 of 23 patients selected for alkaline phosphatase values greater than 460 U/L produced falsely increased CK-MB values. We determined that a membrane-associated, high-molecular-mass form of alkaline phosphatase was a cause of these falsely increased values and instituted an approach to identify falsely increased Stratus CK-MB values. Samples from 23 of 1933 patients were falsely increased, the increase being clinically significant in samples from 14 of these patients. Consultation with the manufacturer resulted in the successful reformulation of the substrate/wash solution to minimize interferences from high-molecular-mass forms of alkaline phosphatase.