[Day hospital. A stimulation experience in cognition disorders in the aged].
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Biomedical subjects
Publications and source records attributed to C Bonnet.
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Increment thresholds were measured on either side of one of the illusory contours of a white-on-black Kanizsa square and on the illusory contour itself. The data show that thresholds are elevated when measured on either side of the illusory border. These elevations diminish with increasing distance of the target spot from the white elements which induce the illusory figure. The most striking result, however, is that threshold elevations are considerably lower or even absent when the target is located on the illusory contour itself. At an equivalent position in a control figure where no illusory contour is visible, such a threshold decrease does not occur. The present observations add empirical support to low-level explanations of illusory contour perception.
Two experiments were carried out to investigate the influence of structural information and familiarity on the processing of visual forms. Pairs of "well" structured and nameable and "poorly" structured and non-nameable fragmented forms were employed as stimuli. The effects of structure and familiarity were assessed by manipulating the visual hemifield of presentation and the task. In Experiment 1 stimuli were judged as being either in the same orientation or mirror-reversed, a task that does not require high-level semantic information to be processed. Experiment 2 required physically identical forms to be matched, which may use either physical or name information. In Experiment 1 "same" judgements were equivalent for both types of stimuli, and "different" judgements were longer for the "poorly" structured (non-nameable) forms. In Experiment 2 there was little overall difference between "well" and "poorly" structured forms, though response times to "well" structured (nameable) forms were slowed for right-visual-field presentations. It is suggested that familiarity may not be sufficient to provide a perceptual advantage for nameable forms, as the advantage for nameable stimuli was confined to "same" judgements in Experiment 1 and response times were shorter for non-nameable stimuli in Experiment 2. Rather, performance depends upon factors such as the computation of global shape (due to structural properties of collinearity and closure) and on the use of different kinds or representations (physical versus name) in matching.
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Nine patients, 4 with chronic obstructive pulmonary disease (COPD) and 5 with obstructive sleep apnoea syndrome (OSAS) were monitored during sleep, rest and exercise. Left ventricular ejection fraction (LVEF) was investigated using gated equilibrium 99mtechnetium ventricular scintigraphy during rapid eye movement (REM) sleep, during exercise, and during wakeful rest. Control wakeful rest periods used for comparison with a study state (either REM sleep or exercise) were always selected during the same circadian segment as that state. Myocardial stress thallium-201 scintigraphy was performed during, and 4 h after, exercise, and results were compared to a daytime rest period. Several patients had myocardial hypoperfusion despite a normal electrocardiographic (ECG) treadmill test. During REM sleep, all patients exhibited a significant change in LVEF (greater than 5%) compared to wakefulness. During exercise, 5 subjects increased their LVEF normally (greater than 5%) and 4 (1 COPD, 3 OSAS) decreased it. All patients had a similar change (increase or decrease) during REM and at maximal exercise. Our results suggest that REM sleep in COPD and in OSAS can produce a myocardial stress as great as that produced by exercise. We conclude that REM sleep, like exercise, is a state in which morbidity may become higher and that it may account for mortality in COPD and OSAS patients with compromised myocardial circulation.
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The perceived strength of darkness enhancement in the centre of surfaces surrounded or not surrounded by illusory contours was investigated as a function of proximity of the constituent elements of the display and their angular size. Magnitude estimation was used to measure the perception of the darkness phenomenon in white-on-grey stimuli. Darkness enhancement was perceived in both types of the stimuli used, but more strongly in the presence of illusory contours. In both cases, perceived darkness enhancement increased with increasing proximity of the constituent parts of the display and with their angular size. These results suggest that the occurrence of darkness (or brightness) enhancement phenomena in the centre of the displays is not directly related to illusory contour formation.
We report a series of 9 cases of vertebral somatic gaseous dissection studied between 1978 and 1989. We find most of the characteristics established from the literature data: advanced age, possible medullar compression contrary to the vertebral compression by common osteoporosis, predilection for the dorso-lumbar junction, frequency of the osteoporosis, possibility of metabolic disorders, of occurrence after radiotherapy. The context of the occurrence and the paraclinical examinations of the whole have enabled us to eliminate, in this series, a malignant pathology. However, when there exists a doubt on a malignant origin, it is preferable to carry out a vertebral biopsy with a trocar. In fact, the image may not be pathognomonic of a benign vertebral osteoporosis. Finally, we give the first description of a triple localization of vertebral gaseous dissection.
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The aim of this study was to test the efficacy of nocturnal oximetry as a means of continuous recording of SaO2 in the identification of apnoeic events in the recognition of non-apnoeic desaturation. The oscillations of SaO2 in relation to successive periods of apnoea during the course of the sleep apnoea syndrome (SAS) or with apnoeic episodes in patients with chronic airflow obstruction (BPCO) or restricted disease, were identified using a new delta index quantifying the variations of SaO2 during the night. 26 successive patients in whom there was an indication for nocturnal oximetry were included in a prospective study comparing nocturnal oximetry and polysomnography during 34 nights. In the apnoeic patients we found a strong correlation (r = .85. p. less than .01) between the apnoeic period and the delta index. In BPCO the number of apnoea was correlated with the delta index (r = .96. p. less than .01). A minimal threshold of the delta index fixed at 1.5 was satisfactory for detecting apnoea if the initial SaO2 was less than 93%. The value of the adequate for affected detection ought to be fixed at .8 (95% sensitivity) when the initial SaO2 was greater than 93%. A detection of apnoeic events thus seems possible by this method.
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Recent suggestions on the involvement of the spatial frequency of visual stimuli in the hemispheric lateralization were investigated by recording steady-state evoked potentials in two groups of subjects: five right-handers and five left-handers. Sinusoidal gratings at spatial frequency of 0.5, 1, 3, 4, 6, 8, 10, 12 or 16 cpd were phase reversed at 4 Hz or 12 Hz. Evoked potentials recorded from temporal leads over each hemisphere were submitted to a FFT analysis. Results concern the amplitude of the fundamental component. In right-handers, the temporal frequency was the deciding factor of the lateralization: the evoked activities were greatest in the RH at 4 Hz and in the LH at 12 Hz. This effect was obvious for the range of spatial frequencies from 3-12 cpd. Results, discussed in terms of global/local information, suggested the existence of two transient and sustained systems. In left-handers, both the spatial and temporal parameters were relevant to the lateralization. A spatio-temporal interaction was observed which was reversed at 6 cpd.
The effects of adaptation to the visual contrast of a counterphase grating were studied with visual evoked potentials (VEPs). The spatial frequency of the grating was 4 cpd, and its temporal frequency was 4 or 12 Hz. Steady-state VEPs were analyzed through an FFT (fast Fourier transform) algorithm. In the first experiment, contrast thresholds rose strongly just after the end of adaptation and declined regularly over time. The VEPs recorded in the medio-occipital lead showed an initial decrease in amplitude after adaptation, followed by an enhancement well above the preadaptation level and then a return to that level. The paradoxical enhancement of the VEP was found at both high and low contrast in both the medio-occipital lead and the right temporal lead of a right-handed subject. The left temporal leads showed a VEP enhancement at high contrast and a decline at a low value.
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