Search PubMed⌕ Search

Biomedical subjects

D Carden

Publications and source records attributed to D Carden.

At least 19 recordsLinked to original sources
PubMed2006

The dazzle reflex: electrophysiological signals from ocular muscles reveal strong binocular summation effects.

Under dark adapted or dim conditions the mammalian visual system is carefully programmed to respond rapidly to the sudden onset of bright lights. This response, called the dazzle reflex, is controlled from sub-cortical structures of the brain. It is known anecdotally that exposure to a bright light when dark adapted induces an instinctive closure of one eye to reduce the pain associated with dazzle. This binocular summation of the dazzle response has not previously been reported. The dazzle reflex can be measured in human subjects by recording the electrical activity from surface electrodes located near the muscles around the eye. In this paper we report an investigation of the apparent binocular summation of the dazzle reflex using this technique. The data reveal a clear difference between monocular and binocular stimulation, with the binocular response being much larger than the monocular response. Furthermore this monocular/binocular difference arises only if the stimulus duration is longer than approximately 1 s. These observations are interpreted in terms of the known physiology of blink mechanisms.

Adult↗
PubMed2003

Matrix metalloproteinases are not involved in early brain edema formation after cardiac arrest in rats.

INTRODUCTION: Resuscitation from cardiac arrest (CA) often results in a poor neurological outcome possibly due to an incomplete understanding of the pathophysiology of brain injury following CA-induced global cerebral ischemia. Brain edema is an important manifestation after CA and is associated with significant morbidity and mortality. The matrix metalloproteinases (MMPs) contribute to brain edema formation following focal cerebral ischemia. The objective of this study was to investigate the role of an MMP inhibitor, GM6001, in CA-elicited brain edema. METHODS: Eighteen rats were subjected to normothermic (37.5 +/- 0.5 degrees C) CA induced by eight minutes of asphyxiation and assigned to a CA-control group (CA), an alcohol-placebo group (CA + ETOH), or a GM6001-treated group (CA + GM6001). GM6001 in 100% alcohol or a vehicle was given i.v. before CA to achieve a whole blood concentration of 10 microM. Animals were resuscitated with CPR, ventilation and epinephrine. Brain edema was determined by brain wet-to-dry weight ratio at one hour after resuscitation. FINDINGS: Brain wet-to-dry weight ratio was 4.86 +/- 0.09 in CA, 4.76 +/- 0.12 in CA + ETOH (p = 0.30 vs. CA), and 4.72 +/- 0.03 in CA + GM6001 (p = 0.17 vs. CA and 0.42 vs. CA + ETOH). INTERPRETATION: MMPs are not involved in brain edema formation one hour following CA.

Animals↗
PubMed2001

Macular pigment and risk for age-related macular degeneration in subjects from a Northern European population.

PURPOSE: Age and advanced disease in the fellow eye are the two most important risk factors for age-related macular degeneration (AMD). In this study, the authors investigated the relationship between these variables and the optical density of macular pigment (MP) in a group of subjects from a northern European population. METHODS: The optical density of MP was measured psychophysically in 46 subjects ranging in age from 21 to 81 years with healthy maculae and in 9 healthy eyes known to be at high-risk of AMD because of advanced disease in the fellow eye. Each eye in the latter group was matched with a control eye on the basis of variables believed to be associated with the optical density of MP (iris color, gender, smoking habits, age, and lens density). RESULTS: There was an age-related decline in the optical density of macular pigment among volunteers with no ocular disease (right eye: r(2) = 0.29, P = 0.0006; left eye: r(2) = 0.29, P < 0.0001). Healthy eyes predisposed to AMD had significantly less MP than healthy eyes at no such risk (Wilcoxon's signed rank test: P = 0.015). CONCLUSIONS: The two most important risk factors for AMD are associated with a relative absence of MP. These findings are consistent with the hypothesis that supplemental lutein and zeaxanthin may delay, avert, or modify the course of this disease.

Adult↗
PubMed2000

Macular pigment optical density measurement: a novel compact instrument.

A compact device to derive the optical density of human macular pigment (MP) using heterochromatic flicker photometry is described. The validity of the system is assessed by measuring the optical density spectra of MP in 12 healthy subjects and comparing this with well-established previously published values. The mean spectral absorbance characteristics of MP across subjects corresponds well with accepted values. As reported in other studies, our measurements show a wide variation of MP optical densities between individuals. In our technique within-subject variability is low; standard deviations are between 0.025 and 0.15 in most cases. The overall optical density of MP ranged from 0.08 to 0.84 with a mean of 0.496 and standard deviation of 0.257 at 460 nm. The stimulus size was 0.95 degrees. The unique feature of the technique is that it allows free viewing (not Maxwellian View) of the stimulus, it can be conducted easily and quickly and does not need frequent re-calibration.

Humans↗
PubMed1998

Neutrophil elastase promotes lung microvascular injury and proteolysis of endothelial cadherins.

Intestinal ischemia-reperfusion (I-R) is associated with lung injury and the acute respiratory distress syndrome. The hypothesis of this study was that intestinal I-R activates circulating neutrophils to promote elastase-mediated lung injury. Isolated rat lungs were perfused with blood or plasma obtained after intestinal I-R, and lung neutrophil retention and injury and bronchoalveolar lavage (BAL) elastase were measured. Perfusion with I-R blood caused lung neutrophil accumulation and injury and increased BAL elastase. These effects were attenuated by the elastase inhibitor L-658758. Interference with neutrophil adherence before gut reperfusion blocked BAL elastase accumulation. The role of endothelial junction proteins (cadherins) in I-R-elicited lung damage was also evaluated. Activated human neutrophils proteolyzed cadherins in human umbilical vein endothelial cells. Furthermore, plasma of patients with acute respiratory distress syndrome contained soluble cadherin fragments. The results of this study suggest that the elastase released by systemically activated neutrophils contributes to lung neutrophil accumulation and pulmonary microvascular injury. Elastase-mediated proteolysis of endothelial cell cadherins may represent the mechanism through which lung microvascular integrity is disrupted after intestinal I-R.

Animals↗
PubMed1998

Isolation of chromatic and achromatic mechanisms: a new approach.

The purpose of this study was to optimise the testing paradigm for isolating the contributions of chromatic and achromatic mechanisms to the human spectral sensitivity function. Spectral sensitivity was determined for a test spot size of 1.2 deg presented with various spatial and temporal masks on a large, 10 deg background field of moderate intensity (1000 td) and colour temperature, CT = 2700 K. Sinusoidal temporal presentation (1 Hz) and a masking annulus of between 3 and 10 min of arc surrounding the test spot, was found to be most effective in separating chromatic from achromatic mechanisms. Square-wave (1 Hz) temporal presentation combined with the annulus was slightly less selective. The presence of the annulus did not affect the shape of flicker detection at 25 Hz which is a measure of the luminosity (achromatic) spectral sensitivity function.

Color Perception↗
PubMed1994

The electrophysiological basis of colour processing in macaques with V4 lesions.

Monkeys with lesions of visual area V4 have deficits in colour constancy, but are able to discriminate hues and segment the spectrum in a categorical manner. To investigate the nature of the processing mechanisms subserving the spared functions we recorded occipital visual evoked potentials (VEPs) of normal monkeys and monkeys with bilateral lesions of area V4. The stimuli used to elicit the potentials were chromatic and achromatic gratings of low spatial frequency. The waveforms from the two groups of animals were similar in all respects. VEPs for the onset of a chromatic grating were negative-going, indicative of the activity of sustained units, as opposed to those elicited by offset or reversal of the grating which were positive-going. The amplitude of the chromatic, 12.5 Hz reversal VEP went through a minimum at isoluminance, in accord with low temporal resolution of colour processing. The VEP waveforms were identical in character from three weeks to approximately four years post-operatively. These data indicate that chromatic processing in areas V1 and V2 is normal after V4 lesions and, together with the behavioural evidence, that these areas are sufficient for some basic aspects of colour perception.

Animals↗
PubMed1993

The effects of V4 lesions on the visual abilities of macaques: hue discrimination and colour constancy.

Monkeys with lesions of cortical visual area V4 were compared with unoperated monkeys in three experiments. In Expt. 1 they were tested for the reacquisition of a pre-operatively learned hue discrimination task. In Expt. 2, as a test of colour constancy, the monkeys were required to perform previously overlearned colour discrimination tasks when the amounts of red, green and blue light in the illuminant were changed. In Expt. 3 the animals were compared on the post-operative acquisition of hue, greyness and saturation discrimination tasks. The results of Expt. 1 showed that monkeys with V4 lesions can regain their pre-operative levels of performance on hue discrimination tasks. Expt. 2 showed that monkeys with V4 lesions have a colour constancy deficit. Expt. 3 reinforced the finding that the animals with V4 lesions could learn to perform fine hue discriminations but that their final, asymptotic performance was not as reliable as that of normal animals. The wavelength discrimination data are discussed within the context of recent electrophysiological findings that V4 is involved in selective attention to visual stimuli and the constancy data are interpreted as evidence that V4 is important for defining colour constancy thresholds but not for constructing the perceptual categories underlying constant colour perception.

Animals↗
PubMed1992

The effects of lesions of area V4 on the visual abilities of macaques: colour categorization.

Monkeys with V4 lesions and unoperated controls were tested behaviourally for their perception of the colour categories red, green, blue and yellow. As expected, the monkeys with V4 lesions took longer to acquire the colour discriminations. However, the pattern of learning was the same in the two groups of animals. Both the lesioned and the control animals made more errors when the stimuli to be discriminated belonged to the same colour category than when they belonged to different categories and thus showed normal colour categorization. The results suggest that monkeys with V4 lesions perceive the colour spectrum according to the same fundamental perceptual categories as normal monkeys and humans, and thus support the view that, in the colour domain, the four basic perceptual categories are constructed by chromatic mechanisms operating earlier than visual area V4.

Animals↗
PubMed1992

The effects of V4 lesions on the visual abilities of macaques: shape discrimination.

Monkeys with bilateral ablation of cortical visual area V4 were compared with unoperated controls for their ability to relearn postoperatively a series of preoperatively acquired two-choice visual discrimination problems. The animals with V4 lesions were impaired on relearning to discriminate between different shapes, and discrimination between identical shapes presented at different orientations was also impaired. Some of the deficits were consistent with disrupting the input to inferotemporal cortex, but discrimination of a subset of the stimuli is known to be unaffected by inferotemporal cortex lesions and could not be explained in the same way. To clarify the nature of the deficit, and to test the hypothesis that shapes differing in orientation are analyzed in the occipitoparietal processing pathway, animals with V4 lesions were also compared to normals on their ability to acquire a version of the landmark task. The V4 animals performed as well as the control animals on this task. The results suggest that V4 is important for the shape discrimination abilities that survive inferotemporal cortex lesions. The role of V4 in shape analysis is discussed in the light of recent evidence that V4 neurones are modulated by visual attention.

Animals↗
PubMed1990

An evaluation of cocaine-induced chest pain.

STUDY OBJECTIVE: To determine if enzymatic evidence of acute myocardial injury is present in patients complaining of chest pain after cocaine use when the ECG is normal or nondiagnostic. DESIGN: Serial ECG and creatinine kinase (CK) and CK isoenzymes (CK-ISO) determinations were performed at time of emergency department presentation and every six hours over 12 hours on individuals complaining of chest pain within six hours of last cocaine use. SETTING: ED of an urban tertiary care center. TYPE OF PARTICIPANTS: Forty-two individuals with a mean age of 28.5 years. INTERVENTIONS: Patients with positive CK-ISOs were admitted immediately to formally rule out myocardial infarction. Patients developing ECG changes during observation period also were admitted even if CK-ISOs were normal. Patients with unchanged ECGs and normal CK-ISOs were discharged after 12 hours of observation. RESULTS: Eight patients (19%) had elevated CK and CK-ISO values at presentation. Two of these patients had elevated values on three sequential determinations and were believed to have sustained acute myocardial infarction. Six patients had elevated CK and CK-ISOs at presentation only. ECGs remained normal or nondiagnostic in all patients. CONCLUSIONS: Enzymatic evidence of acute myocardial injury may occur in patients who develop chest pain after cocaine use and have normal or nondiagnostic ECGs. This injury may reflect acute infarction or transient ischemia. Single or serial normal or nondiagnostic ECGs do not rule out ischemia or injury in this group of patients.

Adult↗
PubMed1986

Immediate mobilization of fractures of the neck of the fifth metacarpal.

Although fractures of the neck of the fifth metacarpal are common injuries, their management remains controversial. In this study we present the results of early mobilization after these fractures in 101 patients. We conclude that if rotational alignment of the finger is maintained, these fractures can be treated by immediate use with good functional and cosmetic results.

Adolescent↗
PubMed1983

Stereotaxic head restraint for chronic and semi-chronic marmoset and macaque monkeys.

A device allowing head holding and stereotaxic manipulations in both small-sized Marmoset and in relatively large Macaca monkeys is described. Its design permits free access to most targets in the visual system and optimizes presentation of visual stimuli in awake-chronic and anaesthetized semi-chronic preparations. Extra-aural attachments to temporal bone are implanted stereotaxically, under anaesthesia, on both sides of the skull. This provides means for stereotaxic head-holding which minimizes discomfort to the animal. Maintenance of stereotaxic precision over long periods of time, possibility of realignment and use of one device for various monkey species are special features of the method.

Animals↗
PubMed1982

Hypothermia.

Explore the source record for details and available documents.

Anemia, Macrocytic↗
PubMed1982

Eye movements induced by electrical stimulation of the frontal eye fields of marmosets and squirrel monkeys.

Two or three sites in the region of the frontal lobe of marmoset and squirrel monkey are definable as frontal eye fields (FEF) on the basis of electrical stimulation which results in slow and/or saccadic eye movements. In the squirrel monkey these are located on the banks of the arcuate and principal sulci; in the marmoset at estimated analogous locations. Eye ball deviations result from stimulation of these sites with a return to initial position at the end of stimulation. The induced eye movements included large, slow eye movements of varying speeds, micro- and macro-saccades, pendular eye movements, and saccadic stairways. The direction of these eye movements depended on the site stimulated. Both smooth slow and saccadic eye movements were obtained even with stimulation of the same site, depending on the stimulus intensity and the depth of anesthesia. A precise relationship between the site stimulated and the type of eye movement elicited could not be established in these species. Effective stimulus was 300 Hz frequency, 0.2-0.5 ms pulse duration, 0,05-0.05 mA current, and trains of 4-160 pulses. Characteristically, sites for induction of saccadic eye movements were frontal to sites for induction of slow eye movements.

Animals↗
PubMed1980

A new treatment for congenital nystagmus.

Congenital nystagmus is a disorder of eye movement with an associated reduction in visual acuity. The latter is mainly due to the intensity of the nystagmus (amplitude times frequency) allowing the object of regard to spend only a short time on the fovea. Training patients by an auditory feedback technique to control the nystagmus enables visual sensitivity to improve. This method is compared with present alternatives, and further studies are suggested.

Adult↗