Impact of focus cue presentation on perceived realism of 3-D scene structure: Implications for scene perception and for display technology

Stereoscopic imagery often aims to evoke three-dimensional (3-D) percepts that are accurate and realistic-looking. The "gap" between 3-D imagery and real scenes is small, but focus cues typically remain incorrect because images are displayed on a single focal plane. Research has concentrated on the resulting vergence-accommodation conflicts. Yet, incorrect focus cues may also affect the appearance of 3-D imagery. We investigated whether incorrect focus cues reduce perceived realism of 3-D structure ("depth realism"). Experiment 1 used a multiple-focal-planes display to compare depth realism with correct focus cues vs. conventional stereo presentation. The stimuli were random-dot stereograms, which isolated the role of focus cues. Depth realism was consistently lower with incorrect focus cues, providing proof-of-principle evidence that they contribute to perceptual realism. Experiments 2 and 3 examined whether focus cues play a similar role with realistic objects, presented with an almost complete set of visual cues using a high-resolution, high-dynamic-range multiple-focal-planes display. We also examined the efficacy of approximating correct focus cues via gaze-contingent depth-of-field rendering. Improvements in depth realism with correct focus cues were less clear in more realistic scenes, indicating that the role of focus cues in depth realism depends on scene content. Rendering-based approaches, if anything, reduced depth realism, which we attribute to their inability to present higher-order aspects of blur correctly. Our findings suggest future general 3-D display solutions may need to present focus cues correctly to maximise perceptual realism.

Touch localization after nerve repair in the hand: insights from a new measurement tool

Errors of touch localization after hand nerve injuries are common, and their measurement is important for evaluating functional recovery. Available empirical accounts have significant methodological limitations, however, and a quantitatively rigorous and detailed description of touch localization in nerve injury is lacking. Here, we develop a new method of measuring touch localization and evaluate its value for use in nerve injury. Eighteen patients with transection injuries to the median/ulnar nerves and 33 healthy controls were examined. The hand was blocked from the participant's view and points were marked on the volar surface using an ultraviolet (UV) pen. These points served as targets for touch stimulation. Two photographs were taken, one with and one without UV lighting, rendering targets seen and unseen, respectively. The experimenter used the photograph with visible targets to register their locations, and participants reported the felt position of each stimulation on the photograph with unseen targets. The error of localization and its directional components were measured, separate from misreferrals-errors made across digits, or from a digit to the palm. Nerve injury was found to significantly increase the error of localization. These effects were specific to the territory of the repaired nerve and showed considerable variability at the individual level, with some patients showing no evidence of impairment. A few patients also made abnormally high numbers of misreferrals, and the pattern of misreferrals in patients differed from that observed in healthy controls.NEW & NOTEWORTHY We provide a more rigorous and comprehensive account of touch localization in nerve injury than previously available. Our results show that touch localization is significantly impaired following median/ulnar nerve transection injuries and that these impairments are specific to the territory of the repaired nerve(s), vary considerably between patients, and can involve frequent errors spanning between digits.

Neural representations of haptic object size in the human brain revealed by multivoxel fMRI patterns

The brain must interpret sensory input from diverse receptor systems to estimate object properties. Much has been learned about the brain mechanisms behind these processes in vision, but our understanding of haptic perception remains less clear. Here we examined haptic judgments of object size, which require integrating multiple cutaneous and proprioceptive afferent signals, as a model problem. To identify candidate human brain regions that support this process, participants (n = 16) in an event-related functional MRI experiment grasped objects to categorize them as one of four sizes. Object sizes were calibrated psychophysically to be equally distinct for each participant. We applied representational similarity logic to whole brain, multivoxel searchlight analyses to identify brain regions that exhibit size-relevant voxelwise activity patterns. Of particular interest was to identify regions for which more similar sizes produce more similar patterns of activity, which constitutes evidence of a metric size code. Regions of the intraparietal sulcus and the lateral prefrontal cortex met this criterion, both within hands and across hands. We suggest that these regions compute representations of haptic size that abstract over the specific peripheral afferent signals generated in a grasp. Results of a matched visual size task, performed by the same participants and analyzed in the same fashion, identified similar regions, indicating that these representations may be partly modality general. We consider these results with respect to perspectives on magnitude estimation in general and to computational views on perceptual signal integration.NEW & NOTEWORTHY Our understanding of the neural basis of haptics (perceiving the world through touch) remains incomplete. We used functional MRI to study human haptic judgments of object size, which require integrating multiple afferent signals. Multivoxel pattern analyses identified intraparietal and prefrontal regions that encode size haptically in a metric and hand-invariant fashion. Effector-independent haptic size estimates are useful on their own and in combination with other sensory estimates for a variety of perceptual and motor tasks.

Active Haptic Perception in Robots: A Review

In the past few years a new scenario for robot-based applications has emerged. Service and mobile robots have opened new market niches. Also, new frameworks for shop-floor robot applications have been developed. In all these contexts, robots are requested to perform tasks within open-ended conditions, possibly dynamically varying. These new requirements ask also for a change of paradigm in the design of robots: on-line and safe feedback motion control becomes the core of modern robot systems. Future robots will learn autonomously, interact safely and possess qualities like self-maintenance. Attaining these features would have been relatively easy if a complete model of the environment was available, and if the robot actuators could execute motion commands perfectly relative to this model. Unfortunately, a complete world model is not available and robots have to plan and execute the tasks in the presence of environmental uncertainties which makes sensing an important component of new generation robots. For this reason, today's new generation robots are equipped with more and more sensing components, and consequently they are ready to actively deal with the high complexity of the real world. Complex sensorimotor tasks such as exploration require coordination between the motor system and the sensory feedback. For robot control purposes, sensory feedback should be adequately organized in terms of relevant features and the associated data representation. In this paper, we propose an overall functional picture linking sensing to action in closed-loop sensorimotor control of robots for touch (hands, fingers). Basic qualities of haptic perception in humans inspire the models and categories comprising the proposed classification. The objective is to provide a reasoned, principled perspective on the connections between different taxonomies used in the Robotics and human haptic literature. The specific case of active exploration is chosen to ground interesting use cases. Two reasons motivate this choice. First, in the literature on haptics, exploration has been treated only to a limited extent compared to grasping and manipulation. Second, exploration involves specific robot behaviors that exploit distributed and heterogeneous sensory data.

A margin for error in grasping: hand pre-shaping takes into account task-dependent changes in the probability of errors

Ideal grasping movements should maintain an appropriate probability of success, while controlling movement-related costs, in the presence of varying visual (and motor) uncertainty. It is often assumed that the probability of errors is managed by adjusting a margin for error in hand opening (e.g., opening the hand wider with increased visual uncertainty). This idea is intuitive, but non-trivial. It implies not only that the brain can estimate the amount of uncertainty, but also that it can compute how different possible alterations to the movement will affect the probability of errors—which we term the ‘probability landscape’. Previous work suggests the amount of uncertainty is factored into grasping movements. Our aim was to determine whether grasping movements are also sensitive to the probability landscape. Subjects completed three different grasping tasks, with naturally different probability landscapes, such that appropriate margin-for-error responses to increased uncertainty were qualitatively different (opening the hand wider, the same amount, or less wide). We increased visual uncertainty by blurring vision, and by covering one eye. Movements were performed without visual feedback to isolate uncertainty in the brain’s initial estimate of object properties. Changes to hand opening in response to increased visual uncertainty closely resembled those predicted by the margin-for-error account, suggesting that grasping is sensitive to the probability landscape associated with different tasks. Our findings therefore support the intuitive idea that grasping movements employ a true margin-for-error mechanism, which exerts active control over the probability of errors across changing circumstances.

Optimal visual-haptic integration with articulated tools

When we feel and see an object, the nervous system integrates visual and haptic information optimally, exploiting the redundancy in multiple signals to estimate properties more precisely than is possible from either signal alone. We examined whether optimal integration is similarly achieved when using articulated tools. Such tools (tongs, pliers, etc) are a defining characteristic of human hand function, but complicate the classical sensory 'correspondence problem' underlying multisensory integration. Optimal integration requires establishing the relationship between signals acquired by different sensors (hand and eye) and, therefore, in fundamentally unrelated units. The system must also determine when signals refer to the same property of the world-seeing and feeling the same thing-and only integrate those that do. This could be achieved by comparing the pattern of current visual and haptic input to known statistics of their normal relationship. Articulated tools disrupt this relationship, however, by altering the geometrical relationship between object properties and hand posture (the haptic signal). We examined whether different tool configurations are taken into account in visual-haptic integration. We indexed integration by measuring the precision of size estimates, and compared our results to optimal predictions from a maximum-likelihood integrator. Integration was near optimal, independent of tool configuration/hand posture, provided that visual and haptic signals referred to the same object in the world. Thus, sensory correspondence was determined correctly (trial-by-trial), taking tool configuration into account. This reveals highly flexible multisensory integration underlying tool use, consistent with the brain constructing internal models of tools' properties.

Visual-haptic integration with pliers and tongs: signal "weights" take account of changes in haptic sensitivity caused by different tools

When we hold an object while looking at it, estimates from visual and haptic cues to size are combined in a statistically optimal fashion, whereby the “weight” given to each signal reflects their relative reliabilities. This allows object properties to be estimated more precisely than would otherwise be possible. Tools such as pliers and tongs systematically perturb the mapping between object size and the hand opening. This could complicate visual-haptic integration because it may alter the reliability of the haptic signal, thereby disrupting the determination of appropriate signal weights. To investigate this we first measured the reliability of haptic size estimates made with virtual pliers-like tools (created using a stereoscopic display and force-feedback robots) with different “gains” between hand opening and object size. Haptic reliability in tool use was straightforwardly determined by a combination of sensitivity to changes in hand opening and the effects of tool geometry. The precise pattern of sensitivity to hand opening, which violated Weber's law, meant that haptic reliability changed with tool gain. We then examined whether the visuo-motor system accounts for these reliability changes. We measured the weight given to visual and haptic stimuli when both were available, again with different tool gains, by measuring the perceived size of stimuli in which visual and haptic sizes were varied independently. The weight given to each sensory cue changed with tool gain in a manner that closely resembled the predictions of optimal sensory integration. The results are consistent with the idea that different tool geometries are modeled by the brain, allowing it to calculate not only the distal properties of objects felt with tools, but also the certainty with which those properties are known. These findings highlight the flexibility of human sensory integration and tool-use, and potentially provide an approach for optimizing the design of visual-haptic devices.

Stereoscopy and the Human Visual System

Stereoscopic displays have become important for many applications, including operation of remote devices, medical imaging, surgery, scientific visualization, and computer-assisted design. But the most significant and exciting development is the incorporation of stereo technology into entertainment: specifically, cinema, television, and video games. In these applications for stereo, three-dimensional (3D) imagery should create a faithful impression of the 3D structure of the scene being portrayed. In addition, the viewer should be comfortable and not leave the experience with eye fatigue or a headache. Finally, the presentation of the stereo images should not create temporal artifacts like flicker or motion judder. This paper reviews current research on stereo human vision and how it informs us about how best to create and present stereo 3D imagery. The paper is divided into four parts: (1) getting the geometry right, (2) depth cue interactions in stereo 3D media, (3) focusing and fixating on stereo images, and (4) how temporal presentation protocols affect flicker, motion artifacts, and depth distortion.

Depth-cue integration in grasp programming: no evidence for a binocular specialism

When we grasp with one eye covered, the finger and thumb are typically opened wider than for binocularly guided grasps, as if to build a margin-for-error into the movement. Also, patients with visual form agnosia can have profound deficits in their (otherwise relatively normal) grasping when binocular information is removed. One interpretation of these findings is that there is a functional specialism for binocular vision in the control of grasping. Alternatively, cue-integration theory suggests that binocular and monocular depth cues are combined in the control of grasping, and so impaired performance reflects not the loss of 'critical' binocular cues, but increased uncertainty per se. Unfortunately, removing binocular information confounds removing particular (binocular) depth cues with an overall reduction in the available information, and so such experiments cannot distinguish between these alternatives. We measured the effects on visually open-loop grasping of selectively removing monocular (texture) or binocular depth cues. To allow meaningful comparisons, we made psychophysical measurements of the uncertainty in size estimates in each case, so that the informativeness of binocular and monocular cues was known in each condition. Consistent with cue-integration theory, removing either binocular or monocular cues resulted in similar increases in grip apertures. In a separate experiment, we also confirmed that changes in uncertainty per se (keeping the same depth cues available) resulted in larger grip apertures. Overall, changes in the margin-for-error in grasping movements were determined by the uncertainty in size estimates and not by the presence or absence of particular depth cues. Our data therefore argue against a binocular specialism for grasp programming. Instead, grip apertures were smaller when binocular and monocular cues were available than with either cue alone, providing strong evidence that the visuo-motor system exploits the redundancy available in multiple sources of information, and integrates binocular and monocular cues to improve grasping performance.

Integration of vision and haptics during tool use

When integrating signals from vision and haptics the brain must solve a "correspondence problem" so that it only combines information referring to the same object. An invariant spatial rule could be used when grasping with the hand: here the two signals should only be integrated when the estimate of hand and object position coincide. Tools complicate this relationship, however, because visual information about the object, and the location of the hand, are separated spatially. We show that when a simple tool is used to estimate size, the brain integrates visual and haptic information in a near-optimal fashion, even with a large spatial offset between the signals. Moreover, we show that an offset between the tool-tip and the object results in similar reductions in cross-modal integration as when the felt and seen positions of an object are offset in normal grasping. This suggests that during tool use the haptic signal is treated as coming from the tool-tip, not the hand. The brain therefore appears to combine visual and haptic information, not based on the spatial proximity of sensory stimuli, but based on the proximity of the distal causes of stimuli, taking into account the dynamics and geometry of tools.

The role of binocular vision in grasping: a small stimulus-set distorts results

The role of binocular vision in grasping has frequently been assessed by measuring the effects on grasp kinematics of covering one eye. These studies have typically used three or fewer objects presented at three or fewer distances, raising the possibility that participants learn the properties of the stimulus set. If so, even relatively poor visual information may be sufficient to identify which object/distance configuration is presented on a given trial, in effect providing an additional source of depth information. Here we show that the availability of this uncontrolled cue leads to an underestimate of the effects of removing binocular information, and therefore to an overestimate of the effectiveness of the remaining cues. We measured the effects of removing binocular cues on visually open-loop grasps using (1) a conventional small stimulus-set, and (2) a large, pseudo-randomised stimulus set, which could not be learned. Removing binocular cues resulted in a significant change in grip aperture scaling in both conditions: peak grip apertures were larger (when reaching to small objects), and scaled less with increases in object size. However, this effect was significantly larger with the randomised stimulus set. These results confirm that binocular information makes a significant contribution to grasp planning. Moreover, they suggest that learned stimulus information can contribute to grasping in typical experiments, and so the contribution of information from binocular vision (and from other depth cues) may not have been measured accurately.

The effect of catalytic converter legislation on suicide rates in Grampian and Scotland 1980-2003

OBJECTIVE

To examine the effect of catalytic converter legislation on suicide rates in Grampian and Scotland since its implementation in 1993.

METHODS

(1) Population study in Grampian and Scotland using national population and mortality statistics for 1980 to 2003. (2) Retrospective, controlled cohort study of individualswho had unsuccessfully attempted suicide by motor had unsuccessfully attempted suicide by motor vehicle exhaust gassing to examine the theory of method substitution. method substitution.

RESULTS

There was a significant fall in suicides by motor vehicle exhaust gas inhalation in Scotland and Grampian following the introduction of compulsory catalytic converter legislation. However, in the same time period, there was a significant increase in numbers of suicides by hanging and total suicide rates in Scotland. There was a non-significant trend in a small sample of patients from a local hyperbaric unit for an increased rate of subsequent completed suicide between those who had previously attempted suicide by motor vehicle exhaust gas inhalation and controls.

CONCLUSIONS

Catalytic converter legislation has resulted in a decrease in the number of suicides by motor vehicle exhaust gas inhalation. Overall suicide rates have not decreased. There is evidence to suggest that those who would have previously committed suicide by motor vehicle exhaust gas inhalation find alternative methods of suicide, so called 'method substitution'. Initiatives to reduce suicide rates should be directed at those means that are used by impulsive suicide attempters, as other, determined individuals, will commit suicide by another method.

Focus cues affect perceived depth

Depth information from focus cues--accommodation and the gradient of retinal blur--is typically incorrect in three-dimensional (3-D) displays because the light comes from a planar display surface. If the visual system incorporates information from focus cues into its calculation of 3-D scene parameters, this could cause distortions in perceived depth even when the 2-D retinal images are geometrically correct. In Experiment 1 we measured the direct contribution of focus cues to perceived slant by varying independently the physical slant of the display surface and the slant of a simulated surface specified by binocular disparity (binocular viewing) or perspective/texture (monocular viewing). In the binocular condition, slant estimates were unaffected by display slant. In the monocular condition, display slant had a systematic effect on slant estimates. Estimates were consistent with a weighted average of slant from focus cues and slant from disparity/texture, where the cue weights are determined by the reliability of each cue. In Experiment 2, we examined whether focus cues also have an indirect effect on perceived slant via the distance estimate used in disparity scaling. We varied independently the simulated distance and the focal distance to a disparity-defined 3-D stimulus. Perceived slant was systematically affected by changes in focal distance. Accordingly, depth constancy (with respect to simulated distance) was significantly reduced when focal distance was held constant compared to when it varied appropriately with the simulated distance to the stimulus. The results of both experiments show that focus cues can contribute to estimates of 3-D scene parameters. Inappropriate focus cues in typical 3-D displays may therefore contribute to distortions in perceived space.

Slant from texture and disparity cues: optimal cue combination

How does the visual system combine information from different depth cues to estimate three-dimensional scene parameters? We tested a maximum-likelihood estimation (MLE) model of cue combination for perspective (texture) and binocular disparity cues to surface slant. By factoring the reliability of each cue into the combination process, MLE provides more reliable estimates of slant than would be available from either cue alone. We measured the reliability of each cue in isolation across a range of slants and distances using a slant-discrimination task. The reliability of the texture cue increases as |slant| increases and does not change with distance. The reliability of the disparity cue decreases as distance increases and varies with slant in a way that also depends on viewing distance. The trends in the single-cue data can be understood in terms of the information available in the retinal images and issues related to solving the binocular correspondence problem. To test the MLE model, we measured perceived slant of two-cue stimuli when disparity and texture were in conflict and the reliability of slant estimation when both cues were available. Results from the two-cue study indicate, consistent with the MLE model, that observers weight each cue according to its relative reliability: Disparity weight decreased as distance and |slant| increased. We also observed the expected improvement in slant estimation when both cues were available. With few discrepancies, our data indicate that observers combine cues in a statistically optimal fashion and thereby reduce the variance of slant estimates below that which could be achieved from either cue alone. These results are consistent with other studies that quantitatively examined the MLE model of cue combination. Thus, there is a growing empirical consensus that MLE provides a good quantitative account of cue combination and that sensory information is used in a manner that maximizes the precision of perceptual estimates.

The effects of a pre-movement delay on the kinematics of prehension in middle childhood

The present study examined the effects of a pre-movement delay on the kinematics of prehension in middle childhood. Twenty-five children between the ages of 5 and 11 years made visually open-loop reaches to two different sized objects at two different distances along the midline. Reaches took place either (i) immediately, or (ii) 2 s after the occlusion of the stimulus. In all age groups, reaches following the pre-movement delay were characterised by longer movement durations, lower peak velocities, larger peak grip apertures and longer time spent in the final slow phase of the movement. This pattern of results suggests that the representations that control the transport and grasp component are affected similarly by delay, and is consistent with the results previously reported for adults. Such representations therefore appear to develop before the age of 5.

Binocular cues and the control of prehension

The present study was designed to assess the importance of binocular information (i.e. binocular disparity and angle of convergence) in the control of prehension. Previous studies which have addressed this question have typically used the same experimental manipulation: comparing prehensile movements executed either under binocular conditions to those executed when one eye was occluded (monocular). However this may not be the correct comparison as in addition to depriving the subject of binocular depth cues. it also deprives the subject of any visual information in one eye. Therefore we determined the prehensile performance when the subject viewed the target object and scene with either (i) two different views (binocular), (ii) two identical views (bi-ocular), or (iii) one view only (monocular). Overall, the qualitative and quantitative performance in the bi-ocular and monocular control conditions was very similar on all the main measures (and different from the performance in the binocular condition). We conclude that the deficits in performance observed found for 'monocular' reaches should be attributed to the lack of local depth information specified by the binocular cues. In addition we speculate that convergence angle and binocular disparity, although involved in both the pre-movement and movement-execution phases of the reach, the cues may be weighted differently in both phases of a prehension movement depending on the behavioural strategy involved.

Binocular vision and prehension in middle childhood

Binocular cues have been shown previously to make an important contribution to the control of natural prehensile movements in adults [Visual Cognition 4 (1997) 113, Vision Research 32 (1992) 1513, Neuropsychologia 38 (2000) 1473]. The present study examined the role of binocular vision in the control of prehension in middle childhood. Fourteen children aged 5-6 years, and 16 children aged 10-11 years reached out and grasped different sized objects at different distances, in either binocular or monocular viewing conditions. In contrast to adult data, many of the principal kinematic indices of the children's reaches were unaffected by the removal of binocular information. The older children, like adults, spent an increased amount of time in the final approach to the object when only monocular information was available. However, both peak wrist velocities and peak grip apertures were unaffected by the removal of binocular information and continued to scale with object properties in the normal way. These results suggest that the use of binocular cues to control prehensile movements is not yet mature at the age of 10-11 years.

The visual control of reaching and grasping: binocular disparity and motion parallax

The primary visual sources of depth and size information are binocular cues and motion parallax. Here, the authors determine the efficacy of these cues to control prehension by presenting them in isolation from other visual cues. When only binocular cues were available, reaches showed normal scaling of the transport and grasp components with object distance and size. However, when only motion parallax was available, only the transport component scaled reliably. No additional increase in scaling was found when both cues were available simultaneously. Therefore, although equivalent information is available from binocular and motion parallax information, the latter may be of relatively limited use for the control of the grasp. Binocular disparity appears selectively important for the control of the grasp.

The stereoscopic anisotropy affects manual pointing

Although binocular disparity can in principle provide absolute depth information, perceived stereoscopic depth depends on the relative disparities between points and their spatial arrangement. An example of this is the stereoscopic anisotropy--observers typically perceive less depth for stereoscopic surfaces when depth varies in the horizontal direction than in the vertical direction. We investigated whether this anisotropy also affects manual pointing. Participants were presented with stereograms depicting surfaces that were slanted in depth about either a horizontal axis (inclination) or a vertical axis (slant), and were asked either to point to the edge of a surface, or to estimate its inclination or slant. For both tasks, a clear anisotropy was observed, with participants perceiving greater depth, and also pointing out steeper surfaces, for inclined surfaces than for slanted surfaces. We conclude that both perception and the control of action are subject to a similar stereoscopic anisotropy, and that performance on the two tasks relies on similar depth processing mechanisms.

Binocular information in the control of prehensile movements in multiple-object scenes

Recent evidence suggests that the visual control of prehension may be less dependent on binocular information than has previously been thought. Studies investigating this question, however, have generally only examined reaches to single objects presented in isolation, even though natural prehensile movements are typically directed at objects in cluttered scenes which contain many objects. The present study was designed, therefore, to assess the contribution of binocular information to the control of prehensile movements in multiple-object scenes. Subjects reached for and grasped objects presented either in isolation or in the presence of one, two or four additional 'flanking' objects, under binocular and monocular viewing conditions. So that the role of binocular information could be clearly determined, subjects made reaches both in the absence of a visible scene around the target objects (self-illuminated objects presented in the dark) and under normal ambient lighting conditions. Analysis of kinematic parameters indicated that the removal of binocular information did not significantly affect many of the major indices of the transport component, including peak wrist velocity. However, peak grip apertures increased and subjects spent more time in the final slow phase of movement, prior to grasping the object, during monocularly guided reaches. The dissociation between effects of binocular versus monocular viewing on transport and grasp parameters was observed irrespective of the presence of flanking objects. These results therefore further question the view that binocular vision is pre-eminent in the control of natural prehensile movements.

A dissociation of perception and action in normal human observers: the effect of temporal-delay

Neuropsychological results support the proposal that the human visual system is organised into distinct processing pathways, one for conscious perception and one for the control of action. Here, we compare perceptual and action responses following a pre-response-delay. Experiment 1 required participants to reproduce remembered locations and found that although perceptual matches were unaffected by delays of up to 4 s, pointing responses were significantly biased after only 2 s. Experiment 2 examined whether both the transport and grasp components of a natural prehensile movement were similarly affected by delay. Both peak wrist velocities and peak grip-apertures were affected equivalently by delay, suggesting that the two components of a prehensile movement have similar temporal constraints. The results from both experiments are consistent with the general perception-action dichotomy as originally proposed by Milner and Goodale [The visual brain in action, Oxford: Oxford University Press, 1995].

Increased resting bronchial tone in normal subjects acclimatised to altitude

BACKGROUND

Normal subjects frequently experience troublesome respiratory symptoms when acclimatised to altitude. Bronchial hyperresponsiveness (BHR) and full and partial flow-volume loops were measured before and after ascent to 5000 m altitude to determine if there are changes in resting bronchial tone and BHR that might explain the symptoms.

METHODS

BHR to histamine was measured using a turbine spirometer to record partial and full flow-volume curves and expressed as log dose slopes. Twenty one subjects were tested at sea level and after acclimatisation at 5000 m altitude.

RESULTS

No significant change in log dose slope measurements of forced expiratory volume in 1 second occurred after acclimatisation, and the maximal expiratory flow with 30% of forced vital capacity remaining (MEF(30%)) rose on the full loop and fell on the partial loop. Their ratio (full divided by partial) rose on average by 0.28 (95% confidence limits 0.14 to 0.42) from the mean (SD) sea level value of 0.87 (0.20).

CONCLUSIONS

There is no increase in BHR in normal subjects acclimatised to altitude but an increase in resting bronchial tone occurs that could be released by deep inspiration. This may be the result of increased cholinergic tone.

Diving accidents in sports divers in Orkney waters

Scapa Flow in Orkney is one of the major world centres for wreck diving. Because of the geography of Orkney and the nature of the diving, it is possible to make relatively accurate estimates of the number of dives taking place. The denominator of dive activity allows the unusual opportunity of precise calculation of accident rates. In 1999, one in every 178 sports divers visiting Orkney was involved in a significant accident, in 2000 the figure was one in 102. Some of these accidents appear to have been predictable and could be avoided by better education and preparation of visiting divers.

Binocular cues are important in controlling the grasp but not the reach in natural prehension movements

Binocular cues are typically considered to be pre-eminent in the control of reaching and grasping behaviour. However, in the absence of such information prehension movements can still be accurate and reliable. The present study therefore was designed to assess further the contribution of binocular information in the control of human reaching and grasping movements. Participants reached for and picked up objects under binocular and monocular viewing, both in the absence of a visible scene around the target objects (complete darkness with 'self-illuminated' objects and hand), and under normal (fully illuminated) viewing. Analysis of kinematic parameters indicated that the removal of binocular information did not significantly affect the major indices of the transport component, although it did affect the grasp component. In contrast, the kinematic parameters in the unlit conditions revealed that both the transport component and the grasp component of the reach were severely disrupted whether binocular cues were available or not. Our results suggest that binocular information may be more important for the control of grasp formation than for the control of the transport component. Elimination of the surrounding scene and normal visual feedback affects both the transport and the grasp. It is concluded that in normal viewing conditions, reaching and grasping movements are less dependent on binocular information than has previously been thought.

Field of view affects reaching, not grasping

It has been observed that wearing goggles that restrict the field of view (FOV) causes familiar objects to appear both smaller and nearer. To investigate this further, we examined the effect of a range of field sizes (4 degrees, 8 degrees, 16 degrees, 32 degrees and 64 degrees) on estimates of object distance and object size used to control reaching and grasping movements of binocular observers. No visual or haptic feedback was available during the experiment. It was found that, as the FOV was decreased, the distance reached by subjects also decreased, whereas the size of their grasp was unaffected. In a second experiment, we compared reaching and grasping responses under binocular and monocular conditions for 8 degrees and 64 degrees field sizes and show that the effects of FOV do not result from the progressive loss of binocular information. We conclude that reducing the FOV produces substantial and dissociable effects on reaching and grasping behaviour and that field size must be taken into account in any context where visuo-motor performance is important.

A jittered squares illusion and a proposed mechanism

A new visual illusion is reported in which randomly positioned squares that are perfectly aligned with the horizontal and vertical appear slightly rotated about their midpoints ('jittered') relative to each other. Possible mechanisms for the illusion have been explored in a series of three experiments. Experiment 1 showed that, unlike the Münsterberg illusion, the Jittered Squares illusion persists at isoluminance. Experiment 2 indicated that the degree of rotation from vertical and horizontal, of rows and columns of squares in which the edges of individual squares remain perfectly aligned with vertical and horizontal, changes the perceived strength of the illusion such that the strongest effect is found at rotations of +/- 10 degrees to +/- 15 degrees. Experiment 3 revealed that the illusion is dependent upon the spatial extent of the gaps between the squares, such that it becomes weaker as the separation increases. On the basis of the findings it is suggested that the jittering results from the extraction of obliquely oriented contours by an integrator mechanism when the difference in orientation, between the edges of the individual squares and the global orientation of a contour made up of a number of edges of individual squares, is not too dissimilar. It is proposed that a mechanism such as simultaneous orientation contrast between these global contours and the vertical and horizontal edges of the individual squares causes the squares to appear rotated away from the orientation of the extracted contours, leading to the perceived jittering.

Far Distance Perception

Determining how people perceive distance is a central issue in the study of visual perception. Whilst near-distance perception has been extensively researched, far-distance perception has received little attention. We review the literature and illustrate key points with new data, focusing on analysis of available information/cues, degree of accuracy, measurement procedures, perceptual/cognitive influences, and geometry of perceived space. Analysis of available cues suggests that under natural viewing there is sufficient information for veridical distance perception. However, distance judgements are inaccurate and vary with mode of measurement (eg absolute vs relative judgements). Inaccuracy includes compression of distance. This has been modelled with the use of different geometries—most commonly power functions. Exponents often average 1.0 but this conceals considerable individual variation (in our data individual exponents ranged from 0.5 to over 1.0). Further, even for averaged exponents values vary between 0.8 and 1.25, as a function of viewing conditions, experimental method, and of the relative contribution of cognitive and perceptual factors. Evidence suggests that distance is encoded at an ordinal level, but for many practical tasks the final judgement must be metric (eg range finding) and this transformation is error-prone (in our data numerical estimates could be a factor of 10 out). Further, many natural judgements require perception of the full layout of the scene (including exocentric distances) rather than the more commonly investigated perception of egocentric distance. Evidence suggests that training based on practice with feedback produces some improvement in accuracy, but this is highly context-specific.

Episode of toxic gas exposure in sewer workers

OBJECTIVES

Sewer workers are used to unpleasant smells, but may be required to investigate unusual ones. Twenty six men were involved in investigation of episodes of such a smell after neighbourhood complaints over several weeks.

METHODS

Workers exposed to the smell were investigated by clinical follow up, lung function tests, and measurement of pituitary function.

RESULTS

14 of the 26 developed subacute symptoms including sore throat, cough, chest tightness, breathlessness, thirst, sweating, irritability, and loss of libido. Severity of symptoms seemed to be dose related. Minor symptoms resolved over several weeks but those more seriously affected have shown deteriorating respiratory symptoms and lung function and remain unable to work a year after the incident. In one, evidence of mild cranial diabetes insipidus was found. Analysis of gas from the sewer showed the presence of a mixture of thiols and sulphides, known to be highly odorous and not normally found in sewers. The source remains unknown.

CONCLUSIONS

Several of these men seem to have developed delayed airways disease and disturbances of hypothalamic function. Such an outcome has not to our knowledge been described before. Despite the presence of the smell, standard safety gas detection equipment used to ensure the sewer was safe to enter failed to indicate the presence of a hazard. Protection against such incidents can only be provided by the use of positive pressure breathing apparatus.

Measurement of oxygen concentration in delivery systems used for hyperbaric oxygen therapy

Efficient delivery of oxygen is important during hyperbaric oxygen therapy. We compared two systems in common use, and developed a method to ensure that O2 delivery was adequate during treatment. The systems were a demand valve system with an oral-nasal mask, and a continuously ventilated hood. Five groups were studied over two different time periods, and a further trial was undertaken to examine exhaled O2 levels. The results showed that an acceptable Fio2 could be reliably achieved only with the continuously ventilated hood system or when trained staff supervised their colleagues using the demand system. Inasmuch as the oral-nasal mask system is the standard equipment for the North Sea diving industry, this work shows the importance of ensuring that the correct dose of O2 is delivered. The study indicates, however, that identification of the problem does not always allow a complete solution, and that a hood-based system is more reliable.

The relationship between anaesthetic uptake and cardiac output

The hypothesis that anaesthetic uptake during maintenance of anaesthesia is related to cardiac output was tested on 21 patients undergoing cardiac surgery. Using a computer-controlled closed breathing system, enflurane was administered to maintain an end-expired concentration of 1%. Cardiac output was measured by thermodilution using a pulmonary artery catheter. A clear qualitative but not quantitative relationship was demonstrated. Changes in anaesthetic requirements at a constant end-expired concentration are a better guide to changes in cardiac output than changes in end-expired carbon dioxide with constant ventilation in patients undergoing cardiac surgery.

Penetration of amoxycillin/clavulanic acid into bronchial mucosa with different dosing regimens

BACKGROUND

The efficacy of an antibiotic is related to its concentration at the site of infection. Previous studies of the concentrations of amoxycillin and clavulanic acid (co-amoxiclav) in respiratory secretions or whole lung tissue have suffered from methodological problems. The concentration of amoxycillin and clavulanic acid was determined in bronchial mucosal biopsy samples obtained at bronchoscopy following five different dosing regimens.

METHODS

Bronchial biopsy and serum samples were obtained from 50 patients undergoing diagnostic bronchoscopy. Ten patients each received 375 mg, 625 mg, 750 mg, and 3.25 g oral, and 1.2 g intravenous co-amoxiclav 1-3 hours before bronchoscopy. The concentrations of clavulanic acid and amoxycillin were determined by high performance liquid chromatography using a microbore column, solid phase extraction, and preconcentration to improve sensitivity tenfold over previous methods.

RESULTS

Concentrations of both clavulanic acid and amoxycillin in bronchial mucosa were dose related and were well above the MIC90 of co-amoxiclav for the common bacterial respiratory pathogens including Haemophilus influenzae, Micrococcus catarrhalis and Streptococcus pneumoniae for all dosing regimens. Mean mucosal levels were 200% and 118% of the corresponding serum levels for amoxycillin and clavulanic acid respectively.

CONCLUSIONS

Amoxycillin and clavulanic acid are concentrated in bronchial mucosa and, even at the lowest dose of 375 mg orally, are likely to produce tissue levels in the lung sufficient to inhibit all the common community acquired respiratory pathogens.

Effect of hyperbaric and normobaric oxygen on pulmonary endothelial cell function

The effect of prior exposure to raised partial pressures of oxygen on pulmonary endothelial cell function was assessed in the isolated perfused rat lung preparation. Prolonged exposure to both 1 bar (48 h) and 2.5 bar (11 h) of oxygen caused pulmonary edema and dyspnea. Exposure to 1 bar oxygen for 48 h (approximately 0.66 lethal duration) caused a decrease in pulmonary 5-hydroxytryptamine (5-HT) clearance, suggesting compromised endothelial cell integrity. No change in 5-hydroxy-indole acetic acid (5-HIAA) efflux was noted. However, exposure to 2.5 bar of oxygen for up to 11 h (approximately 0.85 lethal duration) did not decrease pulmonary 5-HT clearance, implying that endothelial cell integrity was not compromised after this oxygen exposure. Exposure to 2.5 bar oxygen resulted in a reduction in 5-HIAA efflux, possibly indicating a decrease in metabolism of cleared 5-HT. The absence of a demonstrable impairment of 5-HT clearance during the development of pulmonary toxicity on exposure to 2.5 bar of oxygen suggests that there may be important differences in pathologic mechanisms in response to oxygen exposure at partial pressures 1 and 2.5 bar.

Wheezing in a commercial diver due to disinfectant

A case is described of a saturation diver with no previous history of asthma who repeatedly developed work-related symptoms of asthma at pressure, which appear to be causally related to the use of dichlorophen as a disinfectant agent. Although challenge tests were negative, suggesting that dichlorophen may have been acting as an irritant rather than as a sensitizer, the symptoms were abolished by the use of an alternative disinfectant agent. The potential importance of this effect in a diver is discussed, and the case highlights the importance of the use of nontoxic agents in the diving environment.

Iron lung: bronchoscopic and pathological consequences of aspiration of ferrous sulphate

Acute bronchial damage was caused by aspiration of a ferrous sulphate tablet, early histological changes (unlike in the few previously reported cases) being observed in the biopsy specimens.

Effect of commercial diving on ventilatory function

A retrospective analysis of spirometric data from divers attending for annual medical examination at intervals from three to nine years was carried out to examine the long term effect of diving on lung volumes. Those divers with records over a three or four year interval (group 1, n = 224) showed a mean reduction of forced vital capacity (FVC) of 240 ml; those with records over a five or more years interval (group 2, n = 123) showed a reduction of FVC of 400 ml. These reductions remained significant when expressed as a percentage of predicted normal values. The reduction of FVC between records did not correlate with the diver's age, maximum operating depth, duration of diving career, or weight change but was positively correlated with the initial FVC. The reductions in FVC were similar in smokers and non-smokers. The change in forced expiratory volume in one second (FEV1) followed a similar pattern but was less pronounced than the effect on FVC. The decline in FVC associated with diving occurs from values of FVC that are above the predicted normal; few values below predicted normal were observed. The effect may represent either a gradual return towards the predicted normal or a pathological reduction in lung volume.

The circulatory response to lifting and carrying and its modification by beta-adrenoceptor blockade

The circulatory effects of lifting and holding weighted suitcases of 5, 10 and 15 kg, and carrying the same suitcases at two different walking speeds were evaluated in 6 normal subjects before and after beta-adrenoceptor blockade with 160 mg oxprenolol. Lifting and holding induced significant weight-induced increments in systolic and diastolic blood pressure which were not attenuated by beta-blockade. There was a significant increase in heart rate only on lifting the 15 kg weight which was attenuated by oxprenolol. Dynamic exercise (walking) with the same weighted suitcases resulted in rate and speed related increase in systolic pressure and heart rate, the magnitude of which was greater than that of lifting alone. The isometric pressor response was attenuated when walking and carrying at 2 mph, but completely abolished by the metabolic and heat induced vasodilatation when walking at 4 mph. Following beta-blockade both the absolute blood pressure and the systolic pressor and heart rate responses to combined lifting and carrying were attenuated. The diastolic pressor response induced by lifting, which was offset in the control period by the vasodilation induced by dynamic exercise was progressively attenuated proportionate to the load carried following beta-blockade; presumably this reflected systemic vasoconstriction to maintain mean perfusion pressure in the presence of central beta-blockade. These observations suggest that the isometric component which predominates at slow walking speeds when carrying weights between 5 and 15 kg is completely suppressed by the vasodilatation at fast walking speeds. Beta-blockade, while reducing heart rate and systolic pressor response to the same stimuli, leads to an augmented systemic vascular resistance which is particularly evident at high metabolic workloads.

Influence of sympatholytic drugs on the cardiovascular response to isometric exercise

1. The effects of single oral doses of various sympatholytic drugs on the heart rate and blood pressure increases during isometric handgrip contraction were studied in six healthy subjects. 2. Bethanidine reduced both the systolic and diastolic increases in pressure. Clonidine reduced the systolic but not the diastolic increase. Oxprenolol alone or in combination with phentolamine or phenyoxybenzamine failed to influence the pressor response. 3. The increase in systemic blood pressure associated with sustained contraction of voluntary muscle appears to be relatively resistant to acute sympathetic adrenoreceptor blockade in man.