The neural correlates of perceptual load induced attentional selection: an fMRI study.

The neural correlates of perceptual load induced attentional selection were investigated in an functional magnetic resonance imaging (fMRI) experiment in which attentional selection was manipulated through the variation of perceptual load in target search. Participants searched for a vertically or horizontally oriented bar among heterogeneously (the high load condition) or homogeneously (the low load condition) oriented distractor bars in the central display, which was flanked by a vertical or horizontal bar presented at the left or the right periphery. The search reaction times were longer when the central display was of high load than of low load, and were longer when the flanker was incongruent than congruent with the target. Importantly, the flanker congruency effect was manifested only in the low load condition, not in the high load condition, indicating that the perceptual load in target search determined whether the task-irrelevant flanker was processed. Imaging analyses revealed a set of fronto-parietal regions having higher activations in the high than in the low load condition. Anterior cingulate cortex (ACC) was more activated for the incongruent than for the congruent trials. Moreover, ACC and bilateral anterior insula were sensitive to the interaction between perceptual load and flanker congruency such that the activation differences between the incongruent and congruent conditions were significant in the low, but not in the high load condition. These results are consistent with the claim that ACC and bilateral anterior insula may exert executive control by selectively biasing processing in favor of task-relevant information and this biasing depends on the resources currently available to the control system.

Deficits of spatial and task-related attentional selection in mild cognitive impairment and Alzheimer's disease.

Visual selective attention was assessed with a partial-report task in patients with probable Alzheimer's disease (AD), amnestic mild cognitive impairment (MCI), and healthy elderly controls. Based on Bundesen's "theory of visual attention" (TVA), two parameters were derived: top-down control of attentional selection, representing task-related attentional weighting for prioritizing relevant visual objects, and spatial distribution of attentional weights across the left and the right hemifield. Compared with controls, MCI patients showed significantly reduced top-down controlled selection, which was further deteriorated in AD subjects. Moreover, attentional weighting was significantly unbalanced across hemifields in MCI and tended to be more lateralized in AD. Across MCI and AD patients, carriers of the apolipoprotein E ε4 allele (ApoE4) displayed a leftward spatial bias, which was the more pronounced the younger the ApoE4-positive patients and the earlier disease onset. These results indicate that impaired top-down control may be linked to early dysfunction of fronto-parietal networks. An early temporo-parietal interhemispheric asymmetry might cause a pathological spatial bias which is associated with ApoE4 genotype and may therefore function as early cognitive marker of upcoming AD.

Visual context modulates the subjective vertical in neglect: evidence for an increased rod-and-frame-effect.

Patients with spatial hemi-neglect display systematic deviations of the subjective vertical. The magnitude of such deviations was shown to be modulated by internal factors mediating the perception of verticality, including head-orientation. The present study investigated whether and how spatial orientation deficits are modulated by external, contextual changes in neglect patients. In a classic rod-and-frame task, we analyzed effects of frame orientation on the subjective visual vertical (SVV) in neglect patients, control patients with left- or right-sided brain damage without neglect and healthy participants. We found that neglect patients, but not brain-damaged control patients, generally display a systematic counterclockwise (CCW) tilt in their SVV judgments. Furthermore, all participant groups displayed a typical rod-and-frame effect (RFE), that is, a modulation of the SVV as a function of frame tilt. However, in the control groups, this modulation was only moderate whereas in the neglect group SVV judgments were substantially and systematically modulated by frame orientation: with CCW frame tilts, the spatial bias of neglect patients increased as a function of the magnitude of the tilt whereas with clockwise (CW) frame tilts, the spatial bias was decreased in case of moderate frame tilts and even reversed in case of stronger frame tilts, resulting in a substantial CW spatial bias. This dramatically enhanced RFE might be caused by a pathologically increased influence of contextual cues on the subjective vertical in neglect patients as a consequence of impaired processing of gravitational information. The results indicate a systematic bias of the subjective vertical along with an impairment of spatial orientation constancy which leads to severe perturbations of subjective space as well as an increased reliance on internal and external cues mediating the perception of verticality in neglect.

Effects of Packet Loss and Latency on the Temporal Discrimination of Visual-Haptic Events.

Temporal discontinuities and delay caused by packet loss or communication latency often occur in multimodal telepresence systems. It is known that such artifacts can influence the feeling of presence [1]. However, it is largely unknown how the packet loss and communication latency affect the temporal perception of multisensory events. In this article, we simulated random packet dropouts and communication latency in the visual modality and investigated the effects on the temporal discrimination of visual-haptic collisions. Our results demonstrated that the synchronous perception of crossmodal events was very sensitive to the packet loss rate. The packet loss caused the impression of time delay and influenced the perception of the subsequent events. The perceived time of the visual event increased linearly, and the temporal discrimination deteriorated, with increasing packet loss rate. The perceived time was also influenced by the communication delay, which caused time to be slightly overestimated.

Selective visual dimension weighting deficit after left lateral frontopolar lesions.

The left lateral frontopolar (LFP) cortex showed dimension change-related activation in previous event-related functional magnetic resonance imaging studies of visual singleton feature search with non-brain-lesioned participants. Here, we tested the hypothesis that LFP actively supports changes of attention from the old to the new target-defining dimension in singleton feature search. Singleton detection was selectively slowed in this task when the target-defining dimension changed in patients with left LFP lesions, compared with patients with frontomedian lesions as well as with matched controls without brain lesions. We discuss a potential role of LFP in change detection when the optimal allocation of dimension-based attention is not clearly defined by the task.

The neural basis of ego- and allocentric reference frames in spatial navigation: evidence from spatio-temporal coupled current density reconstruction.

Different strategies in spatial navigation during passages through computer-simulated tunnels were investigated by means of EEG source reconstruction. The tunnels consisted of straight and curved segments and provided only visual flow, but no landmark, information. At the end of each tunnel passage, subjects had to indicate their end position relative to the starting point of the tunnel. Even though the visual information was identical for all subjects, two different strategy groups were identified: one group using an egocentric and the other group an allocentric reference frame. The current density reconstruction revealed the use of one or the other reference frame to be associated with distinct cortical activation patterns during critical stages of the task. For both strategy groups, an occipito-temporal network was dominantly active during the initial, straight tunnel segment. With turns in the tunnel, however, the activation patterns started to diverge, reflecting translational and/or rotational changes in the underlying coordinate systems. Computation of an egocentric reference frame was associated with prevailing activity within a posterior parietal-premotor network, with additional activity in frontal areas. In contrast, computation of an allocentric reference frame was associated with dominant activity within an occipito-temporal network, confirming right-temporal structures to play a crucial role for an allocentric representation of space.

Foam films stabilized with dodecyl maltoside. 2. Film stability and gas permeability.

The gas permeability and stability of foam films stabilized by n-dodecyl-beta-D-maltoside (beta-C(12)G(2)) were determined. The permeability coefficient (K, cm/s) and the mean film lifetime were measured as a function of the surfactant concentration. The films are less permeable than those stabilized by other surfactants at comparable conditions. The permeability coefficient decreases with increasing surfactant concentration. It does not show a remarkable dependence on the salt concentration. Stable Newton black foam films (NBFs) are formed above a surfactant concentration of 3.9 x 10(-)(6) M beta-C(12)G(2) in the presence of 0.2 M NaCl. The theory of nucleation hole formation in NBFs was applied to describe the observed dependencies of the permeability and film stability on the surfactant concentration. The theory gave satisfactory relation to the experiment.

Effect of headgroup size on permeability of Newton black films.

Gas permeability and thin-film interferometry are used as a tool to elucidate the orientation of polymeric headgroups in free-standing foam films. Nonionic polyoxyethylene (EO) surfactants were used to stabilize the foam films, keeping the size of the hydrophobic part constant (C12) and varying the size of the hydrophilic (EO numbers) part. The effect of headgroup size on the gas permeability of Newton black foam films was studied. Thickness, contact angle, and surface tension were measured to understand the permeation mechanism. Increase of film thickness and surface tension was observed while increasing the headgroup size, but the contact angle remains small and constant. Upon increasing the headgroup size, the permeability decreases showing that the headgroups provide a resistance to permeation. For smaller headgroups, the permeability follows a linear dependence on the film thickness, whereas for larger headgroups, the permeability essentially deviates from linearity. We use the conventional "coil model" of the EO chains to explain the observed results providing a detailed picture of the orientation of this important molecule in a confined volume of foam films.

Endovascular treatment of subclavian pseudoaneurysm causing delayed brachial plexus paralysis.

Pseudoaneurysms of the subclavian artery are rarities. Due to their close relationship to the brachial plexus in the shoulder girdle, delayed lesions of the brachial plexus are possible. We report a case of a subclavian pseudoaneurysm following fracture of the clavicle, and the endovascular treatment using a balloon-expandable stent-graft.

Foam films stabilized by dodecyl maltoside. 1. Film thickness and free energy of film formation.

Foam films stabilized by a sugar-based nonionic surfactant, beta-dodecyl maltoside, are investigated. The film thickness and the film contact angle (which is formed at the transition between the film and the bulk solution) are measured as a function of NaCl concentration, surfactant concentration, and temperature. The film thickness measurements provide information about the balance of the surface forces in the film whereas the contact angle measurements provide information about the specific film interaction free energy. The use of the glass ring cell and the thin film pressure balance methods enables studies under a large variety of conditions. Thick foam films are formed at low electrolyte concentration. The film thickness decreases (respectively the absolute value of the interaction film free energy increases) with the increase of the electrolyte concentration according to the classical DLVO theory. This indicates the existence of a repulsive double layer electrostatic component of the disjoining pressure. An electrostatic double layer potential of 16 mV was calculated from the data. A decrease of the film thickness on increase of the surfactant concentration in the solution is observed. The results are interpreted on the basis of the assumption that the surface double layer potential originates in the adsorption of hydroxyl ions at the film surfaces. These ions are expelled from the surface at higher surfactant concentration.

Exclusion of an extracolonic disease modifier locus on chromosome 1p33-36 in a large Swiss familial adenomatous polyposis kindred.

Familial adenomatous polyposis (FAP), an autosomal dominantly inherited colorectal cancer predisposition syndrome, displays considerable inter- and intrafamilial phenotypic heterogeneity, which represents a major problem in genetic counselling of APC mutation carriers. The Min mouse model indicated a putative disease modifier locus on chromosome 4, which is syntenic to human chromosome 1p35-36. This finding was subsequently supported by parametric and nonparametric linkage analyses in FAP families, however, without identifying functional variants in candidate genes. Recently, germline mutations in the base-excision repair gene MYH (1p33-34) have been described in patients with multiple adenomas, pointing to a possible role as disease modifier in FAP. Here, we present critical reassessment of one of the largest FAP kindreds published, which was previously used in linkage mapping of 1p35-36. In this family, all affected members harbour the same APC germline mutation (5945delA), but display marked phenotypic variability, in particular regarding the occurrence of extracolonic disease that segregates in several branches of the family tree. Using updated clinical information, additional mutation carriers and polymorphic markers, fine mapping of the critical region as well as mutation analysis of the MYH gene were performed. These investigations allowed us to significantly exclude (i) the 1p33-36 region as a modifier locus and (ii) MYH as a modifier gene for extracolonic disease in this FAP kindred. Our results do not eliminate 1p33-36 from suspicion in other families, but clearly indicate that in our family linkage analysis of further putative candidate regions is necessary to identify a disease modifier locus in FAP.

Pegylated asparaginase in combination with high-dose methotrexate for consolidation in adult acute lymphoblastic leukaemia in first remission: a pilot study.

The German Multicentre acute lymphoblastic leukaemia (ALL) study group (GMALL) performed a pilot study using pegylated asparaginase (PEG-ASP) in combination with high-dose methotrexate as consolidation therapy in the 05/93 protocol. The aim of the study was an intra-individual comparison of two different doses of PEG-ASP in 26 patients, with regard to the depletion of asparagine in serum and toxicity. 'Pharmacokinetic' monitoring was performed to evaluate the effect of an intra-individual dose escalation of PEG-ASP from 500 to 1000 U/m2 intravenously in successive doses. Serum asparaginase activity was targeted at > or =100 U/l for 1 week and > or =50 U/l for 10 d. The second course of PEG-ASP was administered to 23 patients. Due to hypersensitivity reactions in five patients, only 18 patients were evaluable for pharmacokinetic monitoring. With respect to the PEG-ASP activity, an effective depletion of asparagine could be postulated in the majority of patients during 10 d after the first administration. The effect of an intraindividual dose escalation form 500 to 1000 U/m2 was evaluable in 17 of 22 patients. An increment in peak PEG-ASP activity >70% was observed in 65% of the patients. PEG-ASP was well tolerated. Despite the long half-life of PEG-ASP, neither pancreatic nor central nervous toxicities occurred among the 26 adult patients treated in this pilot study.

Top-down controlled visual dimension weighting: an event-related fMRI study.

Target detection in visual singleton feature search is slowed when consecutive targets are defined in different visual dimensions. Behavioral data provide evidence that attentional weight needs to be shifted between dimension-specific processing modules. We found similar dimension-specific change effects in a conjunction search task, in which observers searched for an odd-one-out target defined by a unique combination of size and color or, respectively, size and motion direction. Changes of the secondary target dimension (color or motion) across trials, but not target feature changes within a dimension, increased the time required to detect the target. Dimensional change costs were greatly increased for singleton conjunction search compared to singleton feature search. This suggests involvement of top-down control processes in dimensional change in conjunction search, in contrast to stimulus-driven dimensional change in singleton feature search. The functional anatomical correlates of top-down controlled visual dimension changes were investigated in two event-related functional magnetic resonance imaging (fMRI) experiments. In Experiment 1, dimensional change in singleton conjunction search was accompanied by transient activations in a fronto-posterior network of brain areas that was largely non-overlapping with the general network activated during visual search. Experiment 2, which contrasted singleton feature and conjunction search within the same session, revealed a double dissociation in anterior prefrontal cortex: left frontopolar cortex was selectively involved in stimulus-driven dimension changes but not in top-down controlled dimension changes, whereas the reverse was observed in frontomedian cortex.

Monitoring of Erwinia asparaginase therapy in childhood ALL in the Nordic countries.

AIMS: Evaluation of L-asparaginase therapy in the NOPHO-92 ALL-protocol (treatment protocol of acute lymphoblastic leukaemia of the Nordic Society of Paediatric Haematology and Oncology, initiated in 1992) after intravenous and intramuscular administration of Erwinia asparaginase during induction and re-induction therapy. METHODS: Forty children with newly diagnosed acute lymphoblastic leukaemia received Erwinia asparaginase (30 000 IU/m2 i.v. or i.m.) during induction therapy (every day for 10 days), and 19 children received Erwinia asparaginase (30 000 IU/m2 i.v. or i.m.) during re-induction therapy (twice a week for 2 weeks). Within the treatment periods asparaginase trough activity (using a spectrophotometric assay) was determined on specific days. The goal of therapy is complete L-asparagine depletion, which asparaginase activities above 100 IU l(-1) have been shown to ensure. Therefore determination of L-asparagine (using a h.p.l.c. method) was performed only in plasma samples with asparaginase activities below 100 IU l(-1). RESULTS: During induction therapy 92.2% of the trough enzyme activities were above 500 IU l(-1) for the i.v.-treated patients, and 92.4% of the trough enzyme activities were above 500 IU l(-1) for the i.m.-treated patients. During re-induction therapy 64.7% of the trough enzyme activities were below 100 IU l(-1) in the i.v.-treated group, and 73.3% of the trough enzyme activities were below 100 IU l(-1) in the i.m.-treated group. For trough enzyme activities below 100 IU l(-1) L-asparagine depletion was complete in two thirds of the samples. CONCLUSIONS: In the NOPHO-92 ALL-protocol L-asparaginase treatment during induction therapy was unnecessarily intense, but during the re-induction phase it appeared inadequate.

Mutations of the cystic fibrosis gene in patients with chronic pancreatitis.

OBJECTIVE: Several studies have reported an increased frequency of cystic fibrosis gene mutations in idiopathic but not in alcoholic chronic pancreatitis. The impact of cystic fibrosis gene mutations on the long-term course of chronic pancreatitis has not been analyzed. The aim of our study was to determine the frequency of cystic fibrosis gene mutations in patients with chronic pancreatitis with long-term follow-up and to see whether patients with mutations have a clinically different natural course compared to those without mutations. METHODS: Eighty two patients with chronic pancreatitis and 11 patients with recurrent acute pancreatitis of our well defined pancreatitis cohort were screened for the 31 most common cystic fibrosis gene mutations. The impact of cystic fibrosis gene mutations on the long-term course of chronic pancreatitis was assessed. RESULTS: A cystic fibrosis gene mutation was detected in five of 49 patients with alcoholic chronic pancreatitis (10.2%; 2.3 times the expected frequency) and in three of 14 patients with idiopathic-juvenile chronic pancreatitis (21.4%; 4.8 times the expected frequency). No mutations were found in the remaining patients with chronic pancreatitis of rare causes, hereditary pancreatitis, and recurrent acute pancreatitis. The frequency of pancreatic calcifications was significantly higher in patients with alcoholic chronic pancreatitis without mutations. This result was not confirmed in patients with idiopathic-juvenile chronic pancreatitis. The duration of pain and the frequency of exocrine and endocrine insufficiency was comparable in both subgroups irrespective of the mutation status. CONCLUSION: Our data indicate a significantly increased frequency of cystic fibrosis gene mutations both in patients with alcoholic and idiopathic-juvenile chronic pancreatitis. The natural course was similar in patients with mutations compared to those without mutations.

Pharmacokinetics of native Escherichia coli asparaginase (Asparaginase medac) and hypersensitivity reactions in ALL-BFM 95 reinduction treatment.

Repeated asparaginase treatment has been associated with hypersensitivity reactions against the bacterial macromolecule in a considerable number of patients. Immunological reactions may range from anaphylaxis without impairment of serum asparaginase activity to a very fast decline in enzyme activity without any clinical symptoms. Previous investigations on a limited number of patients have shown high interindividual variability of asparaginase activity time courses and hypersensitivity reactions in about 30% of patients during reinduction treatment. Therefore, monitoring of reinduction treatment was performed prospectively in 76 children with newly diagnosed acute lymphoblastic leukaemia (ALL). According to the ALL-Berlin-Frankfurt-Münster (BFM) 95 protocol, 10 000 U/m2 body surface area of native Escherichia coli asparaginase (Asparaginase medac) was given on d 8, 11, 15 and 18. In 45/76 children, trough and peak activities were determined with every dose, and also on d 4 and d 11 after the last administration. Data on asparaginase activity were not available from the remaining 31 patients, but information with regard to hypersensitivity reactions only was given. Eighteen out of 76 patients (24%) suffered a clinical hypersensitivity reaction; however, no silent inactivation was observed. Activity in the therapeutic range of greater than 100 U/l for at least 14 d was determined in 43 of the 45 patients who were analysed for enzyme activity.

Visual search for dimensionally redundant pop-out targets: evidence for parallel-coactive processing of dimensions.

In two visual search experiments, the detection of singleton feature targets redundantly defined on multiple dimensions was investigated. Targets differed from the distractors in orientation, color, or both (redundant targets). In Experiment 1, the various target types were presented either in separate blocks or in random order within blocks. Reaction times to redundant targets significantly violated the race model inequality (Miller, 1982), but only when there was constancy of the target-defining dimension(s) within trial blocks. In Experiment 2, there was dimensional variability within blocks. Consistent with Experiment 1, constancy of the target-defining dimension(s), but this time across successive trials (rather than within blocks), was critical for observing violations of the race model inequality. These results provide evidence for parallel-coactive processing of multiple dimensions, consistent with the dimension-weighting account of Müller, Heller, and Ziegler (1995).