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Biomedical subjects

A Kok

Publications and source records attributed to A Kok.

At least 55 records · Page 3Linked to original sources
PubMed1996

Perceptual factors affecting age-related differences in focused attention: performance and psychophysiological analyses.

In this study, the impact of two perceptual factors, feature similarity and spacing, on age-related differences in performance and psychophysiological measures were investigated within a focused attention paradigm. Young and old subjects performed an Eriksen letter identification task, in which centrally presented targets were flanked by response-compatible or response-incompatible letters. In feature similarity conditions, targets and flankers had a low or high amount of feature overlap. In spacing conditions, flankers were presented at four different lateral positions from the target. In the condition with high feature overlap and shortest target-flanker distance, old subjects showed greater interference by incompatible flankers than young subjects. Feature similarity was of little influence on age-related differences. However, spacing turned out to be of critical importance. Age-related interference effects disappeared when the target-flanker distance increased. This appears to be due to a decrease in response competition.

Adult↗
PubMed1995

The temporal selectivity of additive factor effects on the reaction process revealed in ERP component latencies.

An experiment was conducted to relate individual components of the event-related brain potential to specific stages of information processing in a two-choice reaction time (RT) task in a group of undergraduate students. Specifically, the latency of the P300 component and the lateralized readiness potential (LRP) were studied as a function of variations in stimulus degradation and response complexity. It was hypothesized that degrading the stimulus would delay the P300 and LRP to the same extent as RT, and that increasing response complexity would affect RT but not P300 latency. The extant literature did not permit any hypothesis regarding the effect of response complexity on LRP latency. The two task variables were found to have additive effects on RT. As predicted, variations in stimulus degradation influenced the latencies of both components, whereas alterations in response complexity had no effect on P300 latency. A significant new finding was that the onset latency of the LRP remained unchanged across levels of response complexity. The overall pattern of results supports the notion of temporal selectivity of stage manipulations that is derived from discrete stage models of human information processing. Furthermore, these results refine the functional interpretation of the LRP by indicating that within the conceptual framework of a stage model the processes this component indexes succeed the start of response choice but preceded the start of motor programming.

Adult↗
PubMed1995

Auditory event-related potentials to deviant stimuli during drowsiness and stage 2 sleep.

Twelve subjects were tested using a 3-tone auditory oddball paradigm consisting of a standard 1000 Hz tone (P = 80%) and two deviants, namely, a 1200 Hz tone and a 2000 Hz tone (both P = 10%). Testing took place in 3 conditions: (1) attend, in which the subject had to count one of the deviant tones; (2) ignore, in which the subject read a book; and (3) sleep, in which the subject was encouraged to go to sleep during presentation of the tones. In the awake conditions stimulus deviance elicited mismatch negativity (MMN) and P3. During drowsiness, no separate mismatch negativity (MMN) could be detected, but the 2000 Hz tone evoked a broad fronto-central early negative deflection, suggesting an overlap of N1 and MMN. In the same condition, P210, N330 and P430 appeared, all being sensitive to magnitude of deviance. During stage 2, the P210, N330 and P430 amplitudes increased, most notably to the large deviant. These data indicate that differential processing of auditory inputs is maintained during drowsiness and stage 2 sleep, but do not support the notion that MMN or P3 activity comparable to the waking state occurs to oddball stimuli during this stage. It is hypothesised that during light sleep, scanning of the environment is performed by a different system than in the awake state and that during drowsiness a gradual switch between these two systems takes place.

Acoustic Stimulation↗
PubMed1995

Aging, caffeine, and information processing: an event-related potential analysis.

Structural and energetic processes in information processing were studied in young and elderly subjects. A visually focussed selective search task was used, in which subjects had to select relevant information, followed by controlled memory search processes to locate a target item. Caffeine was used to manipulate the energetic state of the subjects. During task performance event-related potentials (ERPs) and reaction time (RT) were recorded. Subjects were 15 young and 15 elderly healthy, non-smoking, moderate caffeine consumers (250-600 mg/day). Before the experimental sessions they abstained from caffeine for > or = 12 h. In the experiment subjects received 250 mg caffeine or placebo dissolved in decaffeinated coffee. RT data seem to indicate that aging effects are at least partly due to a shift in the speed-accuracy trade-off. ERP results provide evidence for decreased levels of energy resources in the elderly. The identification of relevant information and stimulus evaluation processes were delayed in the elderly, suggesting an additional effect of aging on structural processes. Caffeine improved performance and increased the amplitude of the N1, N2b, and P3b, in both young and old subjects. These results suggest that caffeine makes more energy resources available for task performance. The effects of aging on P3b latency were counteracted by caffeine. Other caffeine effects did not differ significantly between young and elderly subjects.

Adolescent↗
PubMed1995

Cognitive and biological determinants of P300: an integrative review.

The P300 event-related brain potential (ERP) is thought to reflect neuroelectric activity related to cognitive processes such as attention allocation and activation of immediate memory. However, recent studies have provided evidence that the P300 also is influenced by biological processes such as fluctuations in the arousal state of subjects. The effects of natural (circadian, ultradian, seasonal, menstrual) and environmentally induced (exercise, fatigue, drugs) state variables on the P300 are reviewed. The findings suggest that these factors contribute to P300 measures and are discussed in terms of their theoretical and applied implications.

Brain↗
PubMed1995

Selective processing of two-dimensional visual stimuli in young and old subjects: electrophysiological analysis.

In this study, we compared selection of conjunctions of spatial frequency and orientation in young and old subjects, using performance and event-related brain potential (ERP) measures. Responses to target conjunctions were slightly but significantly slower in older subjects; lateralized readiness potential (LRP) onsets did not differ between groups. Older subjects made more false-positive responses to stimuli sharing only spatial frequency with the target. Difference waves associated with selection of separate dimensions included frontal positivity and occipital and central negativity and were 20-50 ms slower in older subjects. Later parts of these difference waves had smaller amplitudes in older subjects. Sensory discrimination, assessed through the effects of physical stimulus parameters on ERPs, was not clearly affected by age. Data are interpreted in terms of a relationship in older subjects between longer latencies of difference waves but equal LRP onsets and a higher false-alarm rate.

Adult↗
PubMed1995

Determinants of blood pressure in Sowetan infants.

A study of the effect of different variables on the blood pressure of Sowetan infants was undertaken with the Birth-to-Ten (BTT) cohort as the study population. Variables studied at 1 year included anthropometric indices, aspects of feeding practices and relationship to maternal blood pressure. Systolic blood pressure was recorded in 792 infants at 1 year; 29,3% of the variance was determined by weight, upper arm circumference, age at which formula feeds were started, length and volume of formula feeds (in order of significance). Amount of salt added to diet approached statistical significance. Data available for 353 of the 752 infants showed a correlation between the infants' and the mothers' blood pressure. The maternal blood pressure only accounted for an additional 2% of the variance; approximately 70% of blood pressure variance is therefore still unexplained. Firm recommendations with regard to use of formula feeds and the addition of salt to infants' diet are difficult to make on the basis of this limited follow-up.

Anthropometry↗
PubMed1994

Influence of caffeine on information processing stages in well rested and fatigued subjects.

The effects of caffeine on different information processing stages were examined by using choice reaction time tasks. Independent variables were stimulus degradation, stimulus-response compatibility, time-uncertainty, state of the subject, and caffeine treatment. The task variables were assumed to affect the following processing stages; encoding, response selection and motor preparation, respectively. A 200 mg dose at the beginning of the experiment and a maintenance dose of 50 mg caffeine or lactose half-way through the session were administered to well rested and fatigued subjects, double-blind and deceptively. Behavioural measurements, event-related potentials (ERPs) and mood questionnaires were used to assess caffeine effects. The data showed that caffeine shortened reaction time. This effect showed an interaction with stimulus degradation and time uncertainty. In addition, ERP results supported the view that caffeine increases cortical arousal and perceptual sensitivity. Stimulating effects of caffeine were mainly located at input and output stages of the information processing system. Central processes were unaffected by caffeine. Fatigued subjects showed larger improvements in performance after caffeine than well-rested subjects. The results also indicated that caffeine effects were not stimulating in all subjects: 6 out of 30 subjects did not show arousing effects of caffeine.

Adolescent↗
PubMed1994

A comparison of different methods for estimating single-trial P300 latencies.

Inferences from comparative analyses of reaction time and P300 latency are stronger when the various aspects of the distribution across trials are treated in the same way for both variables. To this end, a number of studies have resorted to estimation of P300 latency at the single-trial level. This report presents a comparative evaluation of two common methods for such single-trial analysis, i.e., peak-picking and template-matching. Both methods were applied to a representative set of real data, comprising different task conditions and two age groups. Relevant scoring parameters were varied: low-pass filter settings (down to 0.94 Hz) for peak-picking, template duration (250-970 msec) and use of covariance vs. correlation for template-matching, and use of a noise-range criterion for both methods. It is concluded that peak-picking with a 3.4 Hz filter, and template-matching using covariance and template duration between 600 and 800 msec, are best in terms of sensitivity and reliability, with peak-picking surpassing template-matching. Also, the marked increase in the number of rejected trials when the noise-range criterion was applied resulted in unwanted modulation of behavioral effects of task conditions and age groups.

Adult↗
PubMed1994

Influence of caffeine on selective attention in well-rested and fatigued subjects.

Effects of caffeine were studied in a visual focused selective search task in well-rested and fatigued subjects. A dose of 200 + 50 mg caffeine or placebo, dissolved in decaffeinated coffee, was administered in a double-blind and deceptive fashion. The task was to detect a target letter on one diagonal of a visual display designated as relevant and ignore stimuli presented on the irrelevant diagonal. Behavioral measures were supplemented by event-related potential (ERP) measures. Subjects reacted faster in the caffeine condition. Caffeine enhanced the N1 and the N2b components. Selection of relevant information apparently was more adequate in this condition. Search negativity was not affected by caffeine. Caffeine effects on the P3 elicited by target letters were more pronounced in the fatigued than in the well-rested subjects, indicating that the effects of caffeine are dependent on the state of the subject. The results suggest that caffeine has specific rather than general effects on information processing.

Adolescent↗
PubMed1994

Children of alcoholics: attention, information processing and event-related brain potentials.

Recent studies on biological markers and risk factors for alcoholism have distinguished between nonalcoholic individuals with a family history of alcoholism and those without such a family history on measures of event-related brain potentials. The main finding of these "high-risk" studies is a smaller amplitude of the P300 component in males with a history of paternal alcoholism. This relationship between P300 amplitude and a family history of paternal alcoholism has been observed in adults and children. Consequently, several authors have suggested that a reduced P300 amplitude could serve as a vulnerability marker for alcoholism. We address several conceptual and methodological issues involved in the study of event-related potentials in children at high risk for alcoholism. Subsequently, the ongoing high-risk study of the Amsterdam Institute for Addiction Research is described briefly.

Adult↗
PubMed1993

REM sleep pathways and anticholinesterase intoxication: a mechanism for nerve agent-induced, central respiratory failure.

The mechanism of death following exposure to anticholinesterases, such as the highly toxic nerve agents soman and VX, and other organophosphate anticholinesterases such as the insecticide parathion, remains unclear, although evidence from nerve agent research suggests that death occurs by an atropine blockable respiratory failure mediated through mechanisms involving the central nervous system. It is proposed that REM sleep pathways, which can be triggered by acetylcholine accumulation in the pontomedullar reticular field, mediate respiratory failure through the inhibition of respiratory muscles. Cholinergic activation of REM sleep activities may also account for other physiological and behavioural effects that follow exposure to nerve agents. These include forebrain activation, which is associated with EEG desynchronization and seizures, locomotor depression with concomitant loss of righting reflex, and limb jerks and extensions. Pharmacologic evidence for atropine and clonidine protection against soman intoxication effects is entirely consistent with a scenario of cholinergic receptor activation in the pontomedullar reticular field.

Animals↗
PubMed1993

EEG spectral power analysis of phasic and tonic REM sleep in young and older male subjects.

EEG spectral power was studied during periods of rapid eye movements (REMs) and tonic intervals in REM sleep of 7 young and 7 older male subjects. Significant symmetrical decreases in alpha and beta1 power at central and occipital sites, concurrent with an increase in frontal theta power, were observed during the production of REMs. The former findings are discussed as sleep analogues to changes in alpha and beta1 during waking, showing increased information processing and behavioural activation, and that of theta is tentatively presented as reflecting an increase in afferent thresholds. Independent of the phasic-tonic REM distinction, total EEG power markedly decreased as a function of time of night and did not interact with age. Significant age differences in the overall spectral composition of the EEG were obtained, namely, a lower level of delta power and a relative shift towards more power in frequencies above 12 Hz for the older group. Further, older subjects also demonstrated a more uniform topographical distribution of alpha and sigma power.

Journal Article↗
PubMed1993

Age-related differences in the timing of stimulus and response processes during visual selective attention: performance and psychophysiological analyses.

In this study, age-related differences in the selection of visual information were investigated. Two groups of younger and older subjects performed focused- and divided-attention (i.e., visual search) tasks. In the focused-attention task, centrally presented target letters could be flanked by compatible or incompatible noise letters. In the visual-search task, targets could be cued or uncued, and target locations could be spatially compatible or incompatible with the responding hand. P3 latency, lateralized readiness potentials, the electromyogram, and reaction times were used to detect possible age-related differences in the timing of stimulus- and response-related processes during selective processing of information. In the focused-attention task, performance of older subjects showed greater interference by incompatible flankers than did that of younger subjects because of stronger response competition caused by partial activation of the incorrect response channel by the incompatible flankers. No evidence was found of specific age-related differences in the efficiency of visual search in a divided-attention task. Furthermore, in both tasks, younger subjects showed an earlier start of response execution (in the electromyogram) relative to the onset of response preparation (lateralized readiness potential) and a higher percentage of incorrect electromyographic activity than did older subjects.

Adult↗
PubMed1993

Helicobacter pylori serology in patients with gastric carcinoma.

Helicobacter pylori-associated gastritis has been put forward as a distinct risk factor for gastric cancer. Furthermore, among H. pylori-positive individuals a correlation between a high serum level of H. pylori antibodies and the risk of gastric cancer has been found in two different studies. Other studies have challenged this hypothesis. We therefore studied the presence and level of H. pylori serum antibodies, using an enzyme-linked immunosorbent assay technique in 116 gastric cancer patients (65 men; mean age, 67 years; range, 23-92 years) and 116 controls matched for age and sex. Patients and controls were selected on referral for gastroscopy. The prevalence of infection in gastric cancer patients was 77% (89 of 116) and in controls 79% (92 of 116). This difference is not statistically significant, nor is the prevalence of infection in cases and controls of different age cohorts significantly different. High levels of serum antibodies were found in 46% (53 of 116) of gastric cancer patients and 40% (46 of 116) of controls. Comparison of the prevalence of high serum levels of antibodies for the total population and for the different age cohorts did not show significant differences either. We conclude that the comparison of actual H. pylori infection in a cross-sectional study of gastric cancer patients and controls does not enable relative risk calculation in the study of the role of H. pylori infection in gastric carcinogenesis. Prospective studies showing diminishment of the risk for gastric cancer after eradication of H. pylori are required.

Aged↗
PubMed1993

Evaluation of colorectal cancer-associated mucin CA M43 assay in serum.

The technical performance of a newly developed assay for CA M43, a serum marker for colorectal cancer, was evaluated and its preliminary clinical potential assessed. The heterologous double-determinant enzyme immunoassay for the detection of the tumor-associated mucin CA M43 utilizes two monoclonal antibodies (CT 43 and CT 66) selected for their binding capacity to two distinct epitopes present on mucins in the sera of patients with colorectal cancer. CT 66 recognizes both Lewis(a) and sialylated Lewis(a) antigen; CT 43 is directed toward a mucin epitope of an as-yet uncharacterized structure. Precision experiments revealed interassay CVs of 11.8%, 5.9%, and 4.9% at 9.3, 11.9, and 78.9 units/mL, respectively; intraassay precision was 2.0% at 95.1 units/mL. The upper normal value was set at 7.5 units/mL, which included 99% of the values found in healthy controls. In colorectal cancer patients, CA M43 showed a positivity rate equivalent to that of carcinoembryonic antigen (CEA) and superior to that of CA 19.9, with only one CA 19.9-positive serum being negative for CA M43. Interestingly, CA M43 appeared to be complementary to CEA, with CA M43 and CEA together reaching 87% positivity in metastatic disease.

Adult↗
PubMed1992

Grade-related changes in event-related potentials (ERPs) in primary school children: differences between two reading tasks.

Event-related potentials (ERPs) were recorded from the left and right temporal and parietal sites during word reading in a group of children who were followed over three consecutive years, starting at Grade 1. The first task required the child to read repeatedly presented words; the second task consisted of a series of different words, with each word being presented only once. All ERP components showed changes in amplitude as a function of grade: P240, N530, the parietal N150, and SW all decreased, whereas the temporal N360 and SW both increased. In addition, SW changed from no asymmetry to larger positivity over the right site, whereas N360 changed from symmetric amplitudes to larger amplitudes over the left hemisphere with grade. Single word presentations were associated with smaller SW activity and larger N530 and N360 amplitudes than were repeated word presentations. It was also found that proficient readers showed larger SW and N360 asymmetries and shorter vocal response times than did less proficient readers. In addition, a positive relationship was found between reading performance and ERP amplitudes over the left temporal hemisphere at Grades 2 and 3, particularly in the single word reading task. The results are discussed in terms of age-related changes in right and left hemisphere functions involved in learning to read.

Attention↗