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Biomedical subjects

D A Robinson

Publications and source records attributed to D A Robinson.

At least 55 records · Page 3Linked to original sources
PubMed1990

Precision of Larsen grading of radiographs in assessing progression of rheumatoid arthritis in individual patients.

A study was designed to evaluate observer variation in the assessment of radiographic deterioration of individual patients using the Larsen grading system. Radiographs of hands and feet of 52 patients were assessed by three observers. Each patient had paired films taken one year apart which were assessed together for change in score. To assess within-observer variation each set of films was read twice by all observers. The average progression was 11.6 (SD 9.0). Analysis of the source of variation showed the single observer replication SD to be 3.7 but that for different observers to be 5.5. This may be interpreted as indicating that to achieve 95% confidence of detecting a true change an increase in Larsen score of 8 is required if the same observer assesses or up to 11 if a different observer assesses.

Arthritis, Rheumatoid↗
PubMed1990

Retinal image motion alone does not control disconjugate postsaccadic eye drift.

1. In these experiments, postsaccadic ocular drift was induced by postsaccadic motion of the visual scene. In the most important case, the scene was moved in one eye but not the other. Six human subjects viewed the interior of a full-field hemisphere filled with a random-dot pattern. During training, eye movements were recorded by the electrooculogram. A computer detected the end of every saccade and immediately moved the pattern horizontally in the same or, in different experiments, in the opposite direction as the saccade. The pattern motion was exponential with an amplitude of 25% of the size of the antecedent saccade and a time constant of 50 ms. Before and after 3-4 h of such training, movements of both eyes were measured simultaneously by the eye coil-magnetic field method while subjects looked between stationary targets for calibration, explored the visual pattern with saccades, or made saccades in the dark to measure the effects of adaptation on postsaccadic ocular drift. The amplitude of this drift was expressed as a percentage of the size of the antecedent saccade. 2. In monocular experiments, subjects viewed the random-dot pattern with one eye. The other eye was patched. With two subjects, the pattern drifted backward in the direction opposite to the saccade; with the third, it drifted onward. The induced ocular drift was exponential, always in the direction to reduce retinal image motion, had zero latency, and persisted in the dark. After training, drift in the dark changed by 6.7% in agreement with our prior study with binocular vision, which produced a change of 6.0%. 3. In a dichoptic arrangement, one eye regarded the moveable random-dot pattern; the other, through mirrors, saw a different random-dot pattern (with similar spacing, contrast, and distance) that was stationary. These visual patterns were not fuseable and did not evoke subjective diplopia. In this case, the induced change in postsaccadic drift in the same three subjects was only 4.8%. In all cases the changes in postsaccadic drift were conjugate--they obeyed Hering's law. 4. Normal human saccades are characterized by essentially no postsaccadic drift in the abducting eye and a pronounced onward drift (approximately 4%) in the adducting eye. After training, this abduction-adduction asymmetry was preserved in the light and dark with monocular or dichoptic viewing, indicating again that all adaptive changes were conjugate. 5. When the subjects viewed the adapting stimulus after training, the zero-latency, postsaccadic drift always increased from levels in the dark.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗
PubMed1989

The distributed representation of vestibulo-oculomotor signals by brain-stem neurons.

The vestibuloocular reflex and other oculomotor functions are subserved by populations of neurons operating in parallel. This distributed aspect of the system's organization has been largely ignored in previous block diagram models. Neurons that transmit oculomotor signals, such as those in the vestibular nucleus (VN), actually combine the different types of signals in a diverse, seemingly random way that could not be predicted from a block diagram. We used the backpropagation learning algorithm to program distributed neural-network models of the vestibulo-oculomotor system. Networks were trained to combine vestibular, pursuit and saccadic eye velocity command signals. The model neurons in these neural networks have diverse combinations of vestibulo-oculomotor signals that are qualitatively similar to those reported for actual VN neurons in the monkey. This similarity implicates a learning mechanism as an organizing influence on the vestibulo-oculomotor system and demonstrates how VN neurons can encode vestibulo-oculomotor signals in a diverse, distributed manner.

Algorithms↗
PubMed1989

Visual cancellation of the torsional vestibulo-ocular reflex in humans.

Using the eye-coil/magnetic field method, we measured the torsional vestibulo-ocular reflex (VOR) in ten subjects during active head rotations in roll at about 0.5 Hz. In the dark, regardless of instructions or mental effort, the gains (eye velocity/head velocity) had a mean value of around 0.61. When they viewed a visual display that was stationary, gains rose to 0.72. When viewing a visual display that moved in roll with their heads, subjects could decrease their gains to a mean of 0.46. Separate experiments showed that, as expected at this frequency, the optokinetic system made only a weak contribution. It has been proposed that the horizontal VOR is cancelled by the smooth pursuit system. Since there is no torsional pursuit system, some other mechanism must be used to augment or partially cancel the torsional VOR. Attempts to show that imagination could change this gain showed only weak effects. When asked to imagine an earth-fixed scene, gains were around 0.63; when asked to imagine a subject-fixed scene, gains decreased to only 0.60. When allowed to use a tactile contribution to aid the imagination in cancelling the VOR, the gain dropped further but only to 0.57. We conclude that mental effort in the dark has little influence on the torsional VOR but vision does by a mechanism that is not optokinetic or pursuit.

Adult↗
PubMed1989

Tracheal tube biofilm as a source of bacterial colonization of the lung.

Biofilm formation in tracheal tubes, its bacterial content, and its interaction with ventilator gas flow were investigated. At least 50 mg (dry weight) of biofilm was found in 30 of 40 tracheal tubes used in intensive care patients for 2 h to 10 days. Electron microscopy showed bacteria in this layer, and quantitative studies showed that bacterial counts could reach up to 10(6)/cm of tube length. Bacteria were cultured from the patient side of 18 of 78 heat and moisture exchanger-microbiological filter units removed from ventilator circuits. Particles were shown to detach from tracheal tube luminal biofilm and were projected up to 45 cm from the tracheal tube tip. Following contamination of the tracheal tube biofilm with a patient's own gastrointestinal flora, entrainment of bacteria in the inspiratory gas flow provides a mechanism for initial and repeated lung colonization.

Bacteria↗
PubMed1989

Visually induced plasticity of postsaccadic ocular drift in normal humans.

1. Five human subjects viewed binocularly the interior of a full-field hemisphere filled with a random-dot pattern. During training, eye movements were recorded by the electrooculogram. A computer detected the end of every saccade and immediately moved the pattern horizontally either in the same or, in different experiments, the opposite direction as the saccade. The motion was exponential, its amplitude was 25% of the horizontal component of the antecedent saccade, and its time constant was either 25, 50, or 100 ms in different experiments. Before and after 2-3 h of this experience, movements of both eyes were measured simultaneously by the eye-coil/magnetic-field method while subjects made saccades across the moveable pattern, looked between stationary targets, or made saccades in the dark, to see the effect of such adaptation on postsaccadic eye movements. 2. After 2-3 h (10,000-20,000 saccades) subjects developed a zero-latency, postsaccadic, ocular drift in the dark in the direction of the pattern motion. Three subjects were trained to backward drift, two to onward drift. Drift amplitude in the dark changed by 6% of the saccade size (range: 2-11%). The drift was exponential with an overall time constant of 108 ms. 3. After training, while viewing the adapting pattern motion, the change in the amplitude of the zero-latency drift was approximately 10% (range: 6.5-14%). 4. Increasing the time constant of the pattern motion produced significant increases in the time constant of the ocular drift. 5. The incidence of dynamic overshoot (a tiny, backward saccade immediately following a main saccade) was idiosyncratic and went up in some subjects and down in others with adaptation. These changes did not seem related to modifications of postsaccadic drift. 6. Normal human saccades are characterized by essentially no postsaccadic drift in the abducting eye and a pronounced onward drift (approximately 4%) in the adducting eye. This adduction-adduction asymmetry is largely preserved through adaptation. Thus the changes in drift were conjugate and conformed to Hering's law of equal (change of) innervation. 7. These results agree with those previously demonstrated in the monkey and can similarly be explained by parametric changes in the pulse, slide, and step of normal saccadic innervation.

Acclimatization↗
PubMed1989

Site-directed mutagenesis of m1 muscarinic acetylcholine receptors: conserved aspartic acids play important roles in receptor function.

Muscarinic acetylcholine receptors contain a region encompassing the second and third transmembrane domains that is rich in conserved aspartic acid residues. To investigate the role of four conserved aspartic acids at positions 71, 99, 105, and 122 in muscarinic receptor function, point mutations in the rat m1 muscarinic receptor gene were made that converted each Asp to Asn, and wild type or mutant genes were stably expressed in Chinese hamster ovary cells that normally lack muscarinic receptors. Substitution of Asp71 or Asp122 with Asn produced mutant receptors that displayed high affinity for carbachol but decreased efficacy and potency, respectively, in agonist-induced activation of phosphoinositide hydrolysis, suggesting that these residues may mediate receptor-GTP binding protein interactions. Substitution of Asp99 or Asp105 with Asn produced marked decreases in ligand binding affinities and/or covalent incorporation of [3H] propylbenzilylcholine mustard, suggesting that these residues may be involved in receptor-ligand interactions.

Animals↗
PubMed1988

Ambivalence in modelling oblique saccades.

Human oblique saccades might be made by synchronized but independent vertical and horizontal pulse generators; we call this the Cartesian theory. Another hypothesis is that the oblique amplitude and angle are coded centrally and trigonometrically-derived signals are sent to the horizontal and vertical muscles (the polar coordinate theory). We took a Cartesian model and cross-coupled the two generators to produce saccades identical to those of a polar coordinate model. This is disproof by counter-example: the experimental evidence claimed to support the polar coordinate model does not necessarily do so. Moreover, the behavior reported for oblique saccades is so variable, contradictory, idiosyncratic, and species-dependent that any model of the central organization of oblique saccades is probably premature.

Eye Movements↗
PubMed1988

Smooth pursuit eye movements in schizophrenics: quantitative measurements with the search-coil technique.

Eye movements of five schizophrenic and five normal subjects were measured with the magnetic-field search-coil technique. Subjects followed targets moving smoothly at various speeds, either unpredictably in a step-ramp fashion or predictably in a triangular wave. The tracking stimulus was either a small dot or a large, richly-textured image that occupied a large portion of the visual field. Tracking by schizophrenics was abnormal; it was punctuated by catch-up saccades that corrected for smooth following movements of inadequate velocity. We did not, however, find saccadic intrusions, such as square wave jerks. Under all tracking conditions steady-state gains (eye velocity/target velocity) and, in the case of step-ramps, average acceleration in the first 120 ms were lower in patients than in normal subjects. The differences were most pronounced for tracking of the small target, moving at the highest speed tested (30 degree/s), in the nonpredictable, step-ramp waveform. With this stimulus mean steady-state gain was 0.36 (SD +/- 0.12) for the schizophrenic patients and 0.73 (SD +/- 0.11) for the normal subjects. When the target was changed to the large-field stimulus or moved in a predictable (triangular-wave) fashion, tracking improved in both patients and normal subjects, and even more so when these features were combined.

Adult↗
PubMed1988

Transition dynamics between pursuit and fixation suggest different systems.

The offset of smooth pursuit eye movements is very different from the onset. The onset eye velocity is characterized by overshoot and ringing before settling to steady-state velocity. Yet, at pursuit offset, the eye velocity returns smoothly to zero. One reason for this difference may be that the pursuit system is nonlinear and behaves differently during acceleration and deceleration. After testing four subjects, we found no difference between acceleration and deceleration ringing dynamics, except for decelerations to 0 +/- 2 deg/sec, suggesting that around zero velocity, the central nervous system switches off pursuit and adopts fixation. This supports the idea that fixation and pursuit represent different neurological systems.

Eye Movements↗
PubMed1988

Evolution of neurotransmitter receptor systems.

The presence of hormones, neurotransmitters, their receptors and biosynthetic and degradative enzymes is clearly not only associated with the present and the recent past but with the past several hundred million years. Evidence is mounting which indicates substantial conservation of protein structure and function of these receptors and enzymes over these tremendous periods of time. These findings indicate that the evolution and development of the nervous system was not dependent upon the formation of new or better transmitter substances, receptor proteins, transducers and effector proteins but involved better utilization of these highly developed elements in creating advanced and refined circuitry. This is not a new concept; it is one that is now substantiated by increasingly sophisticated studies. In a 1953 article discussing chemical aspects of evolution (Danielli, 1953) Danielli quotes Medawar, "... endocrine evolution is not an evolution of hormones but an evolution of the uses to which they are put; an evolution not, to put it crudely, of chemical formulae but of reactivities, reaction patterns and tissue competences." To also quote Danielli, "In terms of comparative biochemistry, one must ask to what extent the evolution of these reactivities, reaction patterns and competences is conditional upon the evolution of methods of synthesis of new proteins, etc., and to what extent the proteins, etc., are always within the synthetic competence of an organism. In the latter case evolution is the history of changing uses of molecules, and not of changing synthetic abilities." (Danielli, 1953). Figure 4 outlines a phylogenetic tree together with an indication of where evidence exists for both the enzymes that determine the biosynthesis and metabolism of the cholinergic and adrenergic transmitters and their specific cholinergic and adrenergic receptors. This figure illustrates a number of important points. For example, the evidence appears to show that the transmitters and their associated enzymes existed for a substantial period before their respective receptor proteins. While the transmitters and enzymes appear to exist in single cellular organisms, there is no solid evidence for the presence of adrenergic or cholinergic receptors until multicellular organisms where the receptors appear to be clearly associated with specific cellular and neuronal communication (Fig. 4). One can only speculate as to the possible role for acetylcholine and the catecholamine in single cell organisms.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1988

Complications of a pressure sore of the chest wall: case report.

A female tetraplegic patient developed a pressure sore of the chest wall leading to an empyema of the lung and respiratory failure. The pressure sore resulted from the commonly practised habit of grasping the upright of the wheel chair with the upper arm in order to gain stability.

Adult↗
PubMed1988

Predicting successful brachial plexus block using changes in skin electrical resistance.

Skin electrical resistance is determined by the degree of sweating of the skin which is, in turn, related to sympathetic nervous system activity in the area concerned. It is increased when the nerves supplying the area are damaged or blocked by local anaesthetic agents. We have assessed the temporal and spatial relationship between the onset of sympathetic and sensory loss in the hand following brachial plexus block in 44 patients. Skin electrical resistance, measured using a simple ohm meter, has been shown to increase within 2 min of brachial plexus blockade with 1% lignocaine and adrenaline 1:200,000. This increase is an early and reliable indicator of subsequent, and occasionally delayed, sensory loss.

Aged↗
PubMed1987

Adaptive changes in post-saccadic drift induced by patching one eye.

A prior study showed that after horizontal saccades the abducting eye has little post-saccadic drift (about 0.5 deg/sec) while the abducting eye has considerable onward drift (about 1.7 deg/sec). To investigate this further, five subjects patched one eye for three days. This reduced the drift after adducting saccades in the viewing eye to the level of that after abducting saccades. The changes were a combination of conjugate and disconjugate alterations. Decreases in drift in the viewing eye did not cause increases in drift in the covered eye. These changes appear functional in that retinal image slip is decreased in the viewing eye but why this goal is not attained when both eyes habitually view is not understood. Also, post-saccadic drift could depend on which eye was used to view the target.

Adaptation, Ocular↗