Biomedical subjects

A Kok

Publications and source records attributed to A Kok.

At least 37 records · Page 2Linked to original sources

PubMed1999

Varieties of inhibition: manifestations in cognition, event-related potentials and aging.

Inhibition and facilitation are the driving forces of selective attention. Some important and still unresolved conceptual issues with respect to facilitation and inhibition are: (a) are they separate processes with different neural substrates (b) what is their time course and (c) what is their temporal locus: do they operate at the level of early sensory, central or response-related selection processes? In this introductory article we present a overview of relevant experimental paradigms that are also (in part) reflected in the contributions of this special volume, and discuss the major behavioral and psychophysiological findings from which inhibitory processes have been inferred. The global pattern of the results indicates that there are multiple inhibitory systems and processes in the central nervous system that may be expressed in many different ways. Our overview of paradigms together with the aging-related literature leads us to propose a framework for conceptualizing inhibitory processes in terms of three distinct but interacting neural systems at the level of anterior and posterior cortices and the brain stem.

Aging↗

PubMed1999

Effects of task complexity in young and old adults: reaction time and P300 latency are not always dissociated.

Twelve young and 11 elderly men (mean ages 21.1 and 70.1) performed a choice-reaction time (RT) task in which stimulus degradation and stimulus-response (S-R) compatibility were manipulated. The extant literature has suggested that the effects of age on RT are usually augmented (multiplicative) in more difficult task conditions, but also that the effects of age on the latency of the P300 component of the event-related brain potential (ERP) are constant (additive). The results indicated that the effects of age on RT were enhanced in more difficult conditions, whether the difficulty consisted of stimulus degradation or S-R incompatibility. However, the effects of age on P300 latency were enlarged as the stimuli were degraded, but not if the S-R mapping was incompatible. Thus, it appears that task content determines if effects of age on P300 latency are additive or multiplicative. A simple model is proposed that produces the obtained pattern of effects.

Adult↗

PubMed1999

Trachoma: can trichiasis be treated with a sticking-plaster? A randomized clinical trial in China.

Trachoma is the most frequent cause of preventable blindness in the world. At the trichiasis/entropion stage, lid surgery is recommended, but many patients only use epilation, which does not prevent loss of vision. We developed a new treatment that should be more accessible than lid surgery and more effective than epilation: a sticking plaster that forces eyelashes back to their correct position. The first randomized controlled trial was conducted in Shanghai with 57 patients to compare the plaster method with epilation. After 3 months of follow-up, with no attrition, 67% of those treated by the new method presented a good clinical status, vs none of those treated by epilation (P < 0.001). The new treatment was well tolerated and lid function remained normal. Although our results show overwhelming benefit of this new, simple treatment for trachoma at the trichiasis stage, more research is needed at the primary health care level and in other settings to determine the potential use of the new method on a large scale and by nonspecialists.

Adult↗

PubMed1998

Functional correlates of callosal atrophy in relapsing-remitting multiple sclerosis patients. A preliminary MRI study.

In multiple sclerosis (MS), periventricular lesions produce atrophy of the corpus callosum (CC), as evidenced by magnetic resonance imaging (MRI). We investigated whether CC atrophy in relapsing-remitting MS patients is related to functional deficits. We compared 14 mildly disabled (mean Expanded Disability Status Scale score 2.7) relapsing-remitting MS patients with 14 age- und sex-matched controls. CC size was determined using sagittal T1-weighted MRI. The function of the CC was studied using a neuropsychological battery and neurophysiological evaluation based on visual stimulation using a divided visual field paradigm. The total area of the CC in patients (mean 5.3 cm2) was significantly (P = 0.002) smaller than in controls (mean 6.6 cm2). Patients showed left ear extinction using the dichotic listening test and impaired name learning, which was correlated with atrophy of the splenium. There were no differences in interhemispheric transfer time between patients and controls. Marked atrophy of the CC can be encountered in relapsing-remitting MS patients. The associated cerebral disconnection correlated with atrophy of expected regions of the CC, thus supporting topographical organization.

Adult↗

PubMed1998

Effects of inter- and intramodal selective attention to non-spatial visual stimuli: an event-related potential analysis.

Event-related potentials (ERPs) were recorded to trains of rapidly presented auditory and visual stimuli. ERPs in conditions in which subjects attended to different features of visual stimuli were compared with ERPs to the same type of stimuli when subjects attended to different features of auditory stimuli. This design permitted us to study effects of variations in both intramodal and intermodal visual attention on the timing and topography of ERP components in the same experiment. There were no indications that exogenous N110, P140 and N180 components to line gratings of high and low spatial frequencies were modulated by either intra- or intermodal forms of attention. Furthermore, intramodal and intermodal attention effects on ERPs showed similar topographical distributions. These combined findings suggest that the same neural generators in extrastriate occipital areas are involved in both forms of attention. Visual ERPs elicited in the condition in which subjects were engaged in auditory selective attention showed a large positive displacement at the occipital scalp sites relative to ERPs to attended and unattended stimuli in the visual condition. The early onset of this positivity might be associated with a highly confident and early rejection of the irrelevant visual stimuli, when these stimuli are presented among auditory stimuli. In addition, the later onset of selection potentials in the intramodal condition suggests that a more precise stimulus selection is needed when features of visual stimuli are rejected among other features of the same stimulus pattern, than when visual stimuli are rejected among stimuli of another modality.

Adolescent↗

PubMed1998

P3 scalp topography to target and novel visual stimuli in children of alcoholics.

The P3 event-related potential (ERP) component was recorded from 7- to 18-year-old children of alcoholics (COAs, n = 50) and age- and sex-matched control children (n = 50) using a visual oddball paradigm, involving nontarget (76%), target (12%), and novel (12%) stimuli. Topographic maps of P3 and associated scalp current density were obtained to supplement a topographic profile analysis. COAs manifested a smaller amplitude P3 to target stimuli over the centroparietal, parietal, and occipital scalp locations than controls. Also, COAs exhibited a smaller amplitude P3 to novel stimuli over the occipital scalp than controls. There were no significant differences between COAs and controls in the P3 scalp topography, indicating that differences in intracranial source strength rather than in source configuration were responsible for the between-group amplitude differences. Also, no significant group differences were observed in the P3 peak latency or in behavioral performance. These results support the notion that the visual P3 may provide a vulnerability marker of alcoholism.

Adolescent↗

PubMed1998

Cerebral event-related potentials associated with selective attention to color: developmental changes from childhood to adulthood.

Event-related potentials were recorded from 80 participants ranging in age from 7 to 24 years while they attended selectively to stimuli with a specified color (red or blue) in an attempt to detect the occurrence of target stimuli. Color attention effects were identified as frontal selection positivity (FSP; 140-275 ms), selection negativity (SN; 150-300 ms), and N2b (200-450 ms), whereas target detection was reflected in P3b (300-700 ms). There were age-related decreases in the latencies of FSP, N2b, and P3b that paralleled decreases in reaction time and error rates. Also, the SN amplitude increased with advancing age, whereas both N2b and P3b showed changes in scalp topography. These results represent neurophysiological evidence that the efficiency of visual selective processes increases during childhood and adolescence. Developmental growth may take place at both relatively early and late levels of visual selective information processing.

Adolescent↗

PubMed1998

Nucleic acid (DNA, RNA) quantification and RNA/DNA ratio determination in marine sediments: comparison of spectrophotometric, fluorometric, and HighPerformance liquid chromatography methods and estimation of detrital DNA

In this study, we compared three methods for extraction and quantification of RNA and DNA from marine sediments: (i) a spectrophotometric method using the diphenylamine assay; (ii) a fluorometric method utilizing selective fluorochromes (thiazole orange for total nucleic acids and Hoechst 33258 for DNA); and (iii) a high-pressure liquid chromatography (HPLC) method which uses a specific column to separate RNA and DNA and UV absorption of the nucleic acids for quantification. Sediment samples were collected in the oligotrophic Cretan Sea (eastern Mediterranean, from 40 to 1,540 m in depth) and compared to the distribution and composition of the benthic microbial assemblages (i.e., bacteria and microprotozoa). DNA concentrations measured spectrophotometrically and by HPLC were not significantly different, while fluorometric yields were significantly lower. Such differences appear mainly due to fact that the stain-DNA complex is strongly dependent on the DNA composition and structure. RNA concentrations determined by the three methods displayed some differences; fluorometric and spectrophotometric methods obtain RNA concentration by difference and therefore may be biased by DNA estimates. By contrast, the HPLC method provides independent assessments of RNA and DNA concentrations. We tentatively estimated the contribution of the detrital DNA to the total DNA pools in two ways. The two calculations provided quite similar results indicating that the majority of the DNA pool in the deep-sea sediments was detrital. Microbial RNA generally accounted for almost the entire sedimentary RNA pools below 100-m depth. RNA concentrations were found to decrease along the Cretan shelf and slope. The RNA/DNA ratio calculated by using fluorometric DNA concentrations was significantly correlated with values of sediment community oxygen consumption only below 100-m depth (dominated by the microbial biomass). These data suggest that the RNA/DNA ratio, based on fluorometric estimates of DNA, can be used as an indicator of benthic metabolic activity, but only when metazoan contribution to the microbial DNA is negligible.

Journal Article↗

PubMed1998

An enzyme-linked immunosorbent assay for the measurement of circulating antibodies to polymorphic epithelial mucin (MUC1).

INTRODUCTION: About one-third of breast and ovarian carcinoma patients have circulating antibodies reactive with polymorphic epithelial mucin (MUC1), either free or bound to immune complexes. While the presence of these immune complexes has prognostic significance in breast cancer patients, the significance of free MUC1 antibodies is less clear. The objective of this study was to develop a reliable assay for the accurate determination of circulating free antibodies to MUC1. MATERIAL AND METHODS: We developed an enzyme-linked immunosorbent assay (ELISA) (PEM.CIg) employing a 60 mer peptide (a triple tandem repeat sequence of the MUC1 peptide core) conjugated to bovine serum albumin and peroxidase-labeled antihuman immunoglobulin G or M antibodies. The assay was standardized and its analytical performance evaluated. A total of 492 serum samples were obtained from 40 healthy men, from 201 healthy women (including 55 women without a history of pregnancy and 45 pregnant women), and (before primary treatment) from 62 benign breast tumor patients and 190 breast cancer patients. MUC1 serum levels were determined with commercial CA 15-3 tests. RESULTS: Circulating antibodies to MUC1 are present both in healthy subjects and in breast cancer patients. The within- and between-assay coefficients of variation were, respectively, 2 and 12% for the IgG determinations and 1.2 and 3% for the IgM determinations. Correlation coefficients for serially diluted serum samples ranged from 0.9998 to 0.9920 for IgG and from 0.9996 to 0.9818 for IgM determinations. The reactivity of serum samples was partially blocked by the addition of various MUC1 peptides and by MUC1 mucin. The inhibiting effect of modified 60 mer peptides suggests the presence of antibodies directed to more than one epitope. CONCLUSIONS: The PEM. CIg assay is a reliable ELISA for measuring free MUC1 antibodies in serum. We are in the process of relating the results obtained in the breast cancer group to disease outcome to evaluate its prognostic significance. In addition, the assay may become a useful tool for vaccine therapy monitoring.

Autoantibodies↗

PubMed1998

Event-related potentials during visual selective attention in children of alcoholics.

Event-related potentials were recorded from 7- to 18-year-old children of alcoholics (COAs, n = 50) and age- and sex-matched control children (n = 50) while they performed a visual selective attention task. The task was to attend selectively to stimuli with a specified color (red or blue) in an attempt to detect the occurrence of target stimuli. COAs manifested a smaller P3b amplitude to attended-target stimuli over the parietal and occipital scalp than did the controls. A more specific analysis indicated that both the attentional relevance and the target properties of the eliciting stimulus determined the observed P3b amplitude differences between COAs and controls. In contrast, no significant group differences were observed in attention-related earlier occurring event-related potential components, referred to as frontal selection positivity, selection negativity, and N2b. These results represent neurophysiological evidence that COAs suffer from deficits at a late (semantic) level of visual selective information processing that are unlikely a consequence of deficits at earlier (sensory) levels of selective processing. The findings support the notion that a reduced visual P3b amplitude in COAs represents a high-level processing dysfunction indicating their increased vulnerability to alcoholism.

Adolescent↗

PubMed1997

Event-related-potential (ERP) reflections of mental resources: a review and synthesis.

In this review studies are evaluated that have utilized middle-latency and late components of the event-related potential (ERP) as indices of the activation of processing resources. Processing resources are defined as energetical systems that modulate cognitive processes or data processing systems. An essential element of the resource conceptualization is the idea that processing structures receive not only information input but also input from these energetical systems. It is argued further that the principal role of these systems is to provide the 'gain' for the data processing systems. In reviewing these studies special attention is paid to factors affecting the amplitude of ERP components in single- and dual-task studies, and to the inferences that can be drawn about which particular types of processing resources are reflected in these changes in component amplitudes. Finally, a working model is presented relating middle-latency and late ERP components to specific perceptual, perceptual-central and central processing resources.

Attention↗

PubMed1997

Feature processing and attention in the human visual system: an overview.

A recent development in the cognitive modelling of visual selective attention is the incorporation of design principles derived from the neuroanatomy and neurophysiology of the primate visual system. In this paper, we describe these recent 'neurocognitive' models in more detail, point out the underlying neurobiological principles, and show that in all cases attention is implemented as an energetical resource which can be directed to representations and pathways in the system. In the second part of the paper, we specify the predictions derived from this 'energy hypothesis', and evaluate available data pertaining to this issue. We present new analyses of electrophysiological data in order to directly test the hypothesis that attention modulates feature-specific representations. It will be shown that in the case of sustained spatial attention, the data are in agreement with this hypothesis, whereas in the case of nonspatial attention, there is no evidence of a modulation of feature-specific pathways by attention.

Attention↗

PubMed1997

The effects of sleep loss on task performance and the electroencephalogram in young and elderly subjects.

The effects of 28-h sleep loss on performance, reaction time (RT) distribution functions, and spectral composition of the EEG were evaluated in three choice-RT tasks for young (N = 12, aged 18-24 years) and old (N = 12, aged 62-73 years) subjects. Manipulations of stimulus degradation, stimulus-response compatibility, and interstimulus interval variability were to affect encoding, response selection, and motor adjustment stages, respectively. In order to discriminate between independent variables that were presumed to be computational or energetical in nature, effects on EEG spectra and RT-distributions were studied. Spectra of the EEG indicated higher cortical arousal levels for the elderly than for the young. The most dramatic effect of sleep loss on performance was a marked increase in the number of omitted responses. This effect was smaller for the elderly than for the young. The results suggest that the detrimental effects of sleep loss are smaller in the elderly, which is consistent with an inverted-U relationship between arousal and performance. The age effects on the processing stages were mainly limited to response selection.

Adolescent↗

PubMed1997

Event-related potentials to tones in the absence and presence of sleep spindles.

The present study focused on event-related potentials to tones in the presence and absence of sleep spindles. Six undergraduates were studied throughout an experimental night, following an adaptation session. The event-related potentials to tone stimuli were averaged for each subject. Separate averages were determined for trials on which no sleep spindle occurred 2 s before or after a tone and trials in which spindle activity was present. Both voltage distribution maps and multivariate analysis of the waveforms produced significant differences between these conditions, which could be seen as a higher initial positive component and sustained positively over the averaged epoch in the presence of spindles. Spectral analysis indicated that this result could not solely be ascribed to residual sigma activity in the spindle-present average. The results may provide insights into the functional role of sleep spindles in humans in addition to that suggested by a neurophysiological model of inhibition.

Adult↗

PubMed1997

No electrocortical evidence of automatic mismatch dysfunction in children of alcoholics.

The mismatch negativity (MMN) event-related potential (ERP) component is an automatic, attention-independent brain response to auditory stimulus change, which has been reported to be smaller in alcoholics relative to nonalcoholic controls. To determine whether MMN decrements might be a trait marker of alcoholism that is also present in nonalcoholic individuals at high risk for developing alcoholism, we investigated MMN in 9- to 18-year-old children of alcoholics (n = 20) and control children (n = 20) in three different stimulus conditions using a passive auditory oddball paradigm. There were no statistically significant between-group differences observed in amplitude, scalp topography, and peak latency of MMN. These findings, if replicated, suggest that reported MMN decrements in alcoholics most likely represent a state marker, and not a trait marker, of alcoholism. Also, inasmuch as another ERP component, the P300, is attention-dependent and reported to be smaller in children of alcoholics, the present results implicate that deviations in attentive, but not in automatic, information processing are associated with alcoholism vulnerability.

Adolescent↗

PubMed1996

Helicobacter pylori, pepsinogens and gastrin: relationship with age and development of atrophic gastritis.

BACKGROUND: Helicobacter pylori causes chronic gastritis in all infected individuals and thus may be a risk factor for the ultimate development of trophic gastritis and gastric cancer. The serum levels of pepsinogen A, pepsinogen C and gastrin can be used as markers for both non-atrophic and atrophic gastritis. METHODS: We determined the serum levels of gastrin, pepsinogen A and pepsinogen C and the pepsinogen A/C ratio in 150 H. pylori-negative and 186 H. pylori-positive individuals. RESULTS: The H. pylori infected patients had significantly higher serum levels of pepsinogen A, pepsinogen C and gastrin and a significantly lower pepsinogen A/C ratio. In the non-infected patients, none of the respective serum values changed with increasing age. In contrast, in the infected patients, the pepsinogen A level and pepsinogen A/C ratio decreased significantly with increasing age. CONCLUSION: H. pylori infection increases serum levels of pepsinogen A, pepsinogen C and gastrin and decreases the pepsinogen A/C ratio. In infected subjects, levels of pepsinogen A and the pepsinogen A/C ratio decrease with ageing. These findings support the concept of H. pylori as a risk factor for the development of atrophic gastritis.

Adolescent↗

PubMed1996

Acute effects of caffeine on selective attention and visual search processes.

The influence of a single dose of caffeine was evaluated in focused and divided attention conditions of a visual selective search task in which subjects had to perform controlled search processes to locate a target item. Search processes were manipulated by varying display load. A dose of 3 mg/kg body weight caffeine or lactose, dissolved in a cup of decaffeinated coffee, was administered double blindly and deceptively to overnight abstinent coffee drinkers. Behavioral measures were supplemented by event-related potentials (ERPs). Subjects reacted faster in the caffeine condition. The P3b peak latency decreased after caffeine in the low display load condition and in the focused attention condition, indicating that the effects of caffeine are dependent on the number of relevant display items, not on the total number of display items presented. Search processes, as reflected in a negative ERP deflection, were not affected by caffeine.

Adult↗

PubMed1996

Effects of task variables on measures of the mean onset latency of LRP depend on the scoring method.

The lateralized readiness potential (LRP) can be used to index the start of response activation. The onset of the average LRP can be computed as the latency at which the component starts to deviate significantly from zero or as the latency at which a certain proportion of its maximum amplitude is attained. The properties of both measures as estimates of the mean onset latency of the LRP were examined. Experiment 1 was a simulation study in which the mean onset latencies were known. Results indicated different types of bias for the two measures and greater reliability for a proportional measure. In Experiment 2, the sensitivity to bias, consistency, and linearity of both measures were evaluated in a set of empirical data. By all three criteria, a proportional onset measure was superior. It is recommended that the choice of the measure should depend on the hypothesis to be tested, so that conclusions are based on the more conservative test.

Adult↗