Search PubMed⌕ Search

Biomedical subjects

D L Woods

Publications and source records attributed to D L Woods.

At least 19 recordsLinked to original sources
PubMed2006

Selective cerebral hypothermia for post-hypoxic neuroprotection in neonates using a solid ice cap.

OBJECTIVE: The main objective of this study was to study the safety and efficacy of a simple, cost-effective method of selective head cooling with mild systemic hypothermia in newborn infants with hypoxic ischaemic encephalopathy. DESIGN: Ethical approval was obtained for a randomized controlled study in which 20 asphyxiated neonates with clinical signs of hypoxic ischaemic encephalopathy would be randomised into cooled and non-cooled groups. However, after cooling the first 4 babies, it was clear that repeated revisions to the cooling technique had to be made which was inappropriate in the context of a randomised controlled trial. The study was therefore stopped and the data for the 4 cooled infants are presented here in the form of a technical report. Hypothermia was achieved by applying an insulated ice cap to the heads of the infants and replacing it at 2-3-hourly intervals, aiming to achieve a target rectal temperature of 35-35.5 degrees C and a target scalp temperature of 10-28 degrees C. SETTING: This study was carried out between July 2000 and September 2001 in the neonatal units of Groote Schuur Hospital and Mowbray Maternity Hospital, Cape Town. SUBJECTS: Term infants with signs of encephalopathy were recruited within the first 8 hours of life if they had required resuscitation at birth and had significant acidosis within the first hour of life. RESULTS: Target rectal temperature was achieved in all infants, but large variations in incubator and scalp temperatures occurred in 3 of the 4 infants. Reducing the target core temperature in a stepwise manner did not prevent excessive temperature variation and resulted in a longer time to reach target temperature. There was least variation in scalp temperature when the ice pack was covered in two layers of mutton cloth before application, but the resulting scalp temperatures were above the target temperature. The maximum scalp temperature variation was reduced from 22 degrees C to 12 degrees C using this method. Nasopharyngeal temperatures varied excessively within less than a minute, suggesting that air cooling via mouth breathing was occurring. The surface site that correlated best with deep rectal temperature was the back, with the infant supine. During cooling, the respiratory rate and heart rate dropped while the mean arterial blood pressure was elevated. There were no irreversible adverse events due to cooling, but infants did become agitated and exhibited shivering which required sedation and analgesia. CONCLUSIONS: Nasopharyngeal temperature monitoring was not reliable as an acute clinical indicator of brain temperature in these spontaneously breathing infants, and the back temperature in supine infants correlated better with deep rectal temperature than did exposed skin temperature. This method of cooling achieved systemic cooling but there were large variations in regional temperatures in 3 of the 4 infants. The variations in temperature were probably due to the excessive cooling effect of the ice cap, coupled with the use of external heating to maintain systemic temperature at 35-35.5 degrees C. Variation in temperature was reduced when additional insulation was provided. However, the additional insulation resulted in the loss of the selective cerebral cooling effect. This cooling technique was therefore not an appropriate method of selective head cooling, but did successfully induce systemic hypothermia. This method of insulating an ice cap could therefore be used to induce whole-body cooling but the use of lower core temperatures of 33-34 degrees C is recommended as this will probably result in fewer regional temperature fluctuations. Ideally a more uniform method of cooling should be used.

Body Temperature↗
PubMed2004

Escalation/de-escalation patterns of behavioral symptoms of persons with dementia.

Behavioral and psychological symptoms of dementia (BPSD) may be framed within the Needs Driven Dementia-Compromised Behavior (NBD) Model. Current literature suggests that BPSD may escalate. Several researchers have described a sequence of behavioral escalation that has a clear starting point and ending point. This 'ideal' or concatenated sequence is used to explain behavior that begins with relatively calm behavior and progresses through a prescribed sequence of behaviors that end in violence. This article presents two studies, a descriptive study and an intervention study that examine the escalation and de-escalation patterns of BPSD. Results of the descriptive study indicate a dominant pattern of agitation, aggression, and agitation while results of the intervention study, using sequential analysis indicate persistence of behavior from one 20-minute period to another. The persistence of vocalization at intensity level 2 changed from pre-intervention (mean conditional probability 29%) to post-intervention (mean conditional probability 13%). Taken together these studies shed light on the pattern of escalation and de-escalation of BPSD and suggest an intervention to alter behavior persistence. This article discusses methodological challenges of measuring the escalation and de-escalation of BPSD and offers suggestions for analysis and design such as time series and sequential analysis.

Aged↗
PubMed2001

Conjoining three auditory features: an event-related brain potential study.

The mechanisms of auditory feature processing and conjunction were examined with event-related brain potential (ERP) recording in a task in which participants responded to target tones defined by the combination of location, frequency, and duration features amid distractor tones varying randomly along all feature dimensions. Attention effects were isolated as negative difference (Nd) waves by subtracting ERPs to tones with no target features from ERPs to tones with one, two, or three target features. Nd waves were seen to all tones sharing a single feature with the target, including tones sharing only target duration. Nd waves associated with the analysis of frequency and location features began at latencies of 60 msec, whereas Nd-Duration waves began at 120 msec. Nd waves to tones with single target features continued until 400+ msec, suggesting that once begun, the analysis of tone features continued exhaustively to conclusion. Nd-Frequency and Nd-Human Location waves had distinct scalp distributions, consistent with generation in different auditory cortical areas. Three stages of feature processing were identified: (1) Parallel feature processing (60-140 msec): Nd waves combined linearly, such that Nd-wave amplitudes following tones with two or three target features were equal to the sum of the Nd waves elicited by tones with only one target feature. (2) Conjunction-specific (CS) processing (140-220 msec): Nd amplitudes were enhanced following tones with any pair of attended features. (3) Target-specific (TS) processing (220-300 msec): Nd amplitudes were specifically enhanced to target tones with all three features. These results are consistent with a facilitatory interactive feature analysis (FIFA) model in which feature conjunction is associated with the amplified processing of individual stimulus features. Activation of N-methyl-D-aspartate (NMDA) receptors is proposed to underlie the FIFA process.

Adult↗
PubMed2001

Attentional selection in the processing of hierarchical patterns: an ERP study.

The current study aimed to investigate the effect of attentional selection of distinctive local elements on the processing of hierarchically organized patterns. Event-related brain potentials (ERPs) were recorded from subjects during identifications of global or local shapes of hierarchical patterns where either all local elements were identical (homogeneous stimulus) or a local element closest to fixation was distinguished by color from others (pop-out stimulus). One group of subjects was presented with the homogeneous stimuli and required to identify global or local shapes in separate blocks of trials. The other group was presented with the pop-out stimuli and asked to attend to the unique local item in the local task. A global precedence effect was observed in behavioral data. ERPs showed enlarged posterior P1 and N2 amplitudes in the local relative to global conditions. Top-down attention to the pop-out item resulted in increased frontal/central N2 amplitudes in the local condition but eliminated the temporal/occipital N2 enhancement in the local relative to global conditions. Top-down attention to the pop-out item also increased local-to-global interference in reaction times and frontal N2 latencies. The results suggest that a frontal mechanism is involved in directing top-down attention to a specific local item whereas a temporal/occipital mechanism is engaged in an attentional filtering process in the identification of local shapes in hierarchical analysis.

Adult↗
PubMed2001

Location and frequency cues in auditory selective attention.

The roles of frequency and location cues in auditory selective attention were investigated in a series of experiments in which target tones were distinguished from distractors by frequency, location, or the conjunction of frequency and location features. When frequency separations in high-rate tone sequences were greater than 1 octave, participants were fastest at identifying targets defined by frequency and were sometimes faster at identifying conjunction than location targets. Frequency salience diminished as filtering demands were reduced: At long interstimulus intervals (> 2.0 s), performance was superior in location conditions. The results suggest that frequency may play a role in auditory selective attention tasks analogous to the role of spatial position in visual attention.

Adolescent↗
PubMed2001

Neural substrates for visual perceptual grouping in humans.

Two experiments investigated the neural mechanisms of Gestalt grouping by recording high-density event-related brain potentials (ERPs) during discrimination tasks. In Experiment 1, stimulus arrays contained luminance-defined local elements that were either evenly spaced or grouped into columns or rows based on either proximity or similarity of shape. Proximity grouping was indexed by a short-latency positivity (110-120 ms) over the medial occipital cortex and a subsequent right occipitoparietal negativity. Grouping by similarity was reflected only in a long-latency occipitotemporal negativity. In Experiment 2, proximity grouping was examined when local elements were defined by motion cues, and was again associated with a medial occipital positivity. However, the subsequent long-latency negativity was now enhanced over the left posterior areas. The implications of these results to the neural substrates subserving different grouping processes are discussed.

Adult↗
PubMed2000

Interactions between spatial attention and global/local feature selection: an ERP study.

The present study examined the interaction between spatial attention and global/local feature processing of visual hierarchical stimuli. Event-related brain potentials (ERPs) were recorded from subjects who detected global or local targets at attended locations while ignoring those at unattended locations. Spatial attention produced enhanced occipital P1 and N1 waves in both global and local conditions. Selection of local features enhanced posterior P1, N1 and N2 waves relative to selection of global features. However, the modulations of the P1 and N2 by global/local feature selection were stronger when spatial attention was directed to the left than the right visual fields. The results suggest neurophysiological bases for interactions between spatial attention and hierarchical analysis at multiple stages of visual processing.

Adult↗
PubMed2000

Sleep impairments in healthy seniors: roles of stress, cortisol, and interleukin-1 beta.

STUDY OBJECTIVES: Increased stress responsivity and a longer-lasting glucocorticoid increase are common findings in aging studies. Increased cortisol levels at the circadian nadir also accompany aging. We used 24 h free urine cortisol to assess these age changes in healthy seniors. We hypothesized that free cortisol levels would explain individual differences in age-related sleep impairments. DESIGN: The study compared sleep, cortisol, and sleep-cortisol correlations under baseline and "stress" conditions in men and women. SETTING: Subjects were studied in the General Clinical Research Center under baseline conditions and a mildly stressful procedure (24 h indwelling intravenous catheter placement). PARTICIPANTS: Eighty-eight healthy, nonobese subjects (60 women and 28 men) from a large study of successful aging participated in the study. Mean ages were 70.6 (+/-6.2) and 72.3 (+/-5.7) years for women and men, respectively. MEASUREMENTS: The 24 h urines were collected for cortisol assay (radioimmunoassay [RIA]); blood was sampled at three diurnal time points for assay (enzyme-linked immunosorbent assay [ELISA]) of interleukin-1 (IL-1) beta; sleep architecture and sleep electroencephalograms (EEGs) were analyzed (after an adaptation and screening night) on baseline and stress nights via polysomnography and EEG power spectral analysis. RESULTS: Healthy older women and men with higher levels of free cortisol (24 h urine level) under a mild stress condition had impaired sleep (lower sleep efficiency; fewer minutes of stages 2, 3, and 4 sleep; more EEG beta activity during non-rapid eye movement sleep [NREM] sleep). Similar results were obtained when stress reactivity measures were used (cortisol and sleep values adjusted for baseline values), but not when baseline values alone were used. Gender differences were apparent: Men had higher levels of free urine cortisol in both baseline and mild stress conditions. Cortisol and sleep correlated most strongly in men; cortisol stress response levels explained 36% of the variance in NREM sleep stress responses. In women, but not men, higher cortisol was also associated with earlier time of arising and less REM sleep. Higher cortisol response to stress was associated with increased circulating levels of IL-1beta, explaining 24% of the variance in a subset of women. CONCLUSION: These results indicate that free cortisol (as indexed by 24 h urine values) can index responses to mild stress in healthy senior adults, revealing functional correlations (impaired sleep, earlier times of arising, more EEG beta activity during sleep, more IL-1beta) and gender differences.

Adult↗
PubMed2000

Hierarchical processing and level-repetition effect as indexed by early brain potentials.

Event-related potentials were recorded to investigate the mechanisms of hierarchical processing and level-repetition effect. Participants identified targets that appeared at global, local, or both levels of hierarchical patterns. Reaction times showed global precedence and level-repetition effects. An occipital P1 wave was enhanced to local relative to global targets. The P1 to local targets was also larger when preceded by global than local targets. Global and both-level target selections were indexed by two posterior negativities peaking at 130 and 190 ms poststimulus, whereas local target selection was indexed by a broad occipitotemporal negativity. A late selection positivity was observed over the left occipitotemporal site for global targets but over the central site for local targets. The findings suggest that sensory-perceptual mechanisms contribute to global precedence and level-repetition effects in hierarchical processing.

Adult↗
PubMed1999

Human brain specialization for phonetic attention.

The effects of auditory selective attention on event related potentials (ERPs) to speech sounds were examined in subjects attending to vowel-consonant-vowels (VCVs) in one ear while ignoring VCVs in the opposite ear. In one condition, subjects discriminated phonetic changes in the VC, CV, or both formant-transition regions. In another condition, they discriminated equally difficult intensity changes in the same VCV regions. Attention-related negative difference waves showed enhanced early and late components (Nde and Ndl) during phoneme-discrimination conditions. Hemispheric asymmetries developed only during the Ndl and were more pronounced during phoneme discrimination. The results suggest that auditory areas of both hemispheres are specialized for phonetic analysis, with hemispherically specialized mechanisms engaged primarily during the final stages of phoneme processing.

Adult↗
PubMed1999

Preattentive control of serial auditory processing in dichotic listening.

Dichotic listening performance was examined in an auditory selective attention task where subjects responded to occasional consonant-vowel (CV) or shaped broadband noise-burst (NB) targets in rapid serial auditory presentation (RASP). Trial types were randomized and included monaural CVs and NBs as well as dichotic CV-CV and CV-NB pairings. CVs were spoken by two different voices (male and female), and the two NB stimuli differed in their filter slopes at higher frequencies. The target was designated by stimulus category (/ba/, /da/, /ga/, or NB) and voice (e.g., "female /ba/"). Performance was compared for targets in the left and right ears on monaural and dichotic trials using accuracy and reaction time (RT) measures. Right ear advantages (REAs) were present for CV targets with either CV or NB distractors, but not for monaural CVs. The REA found for monaural NB targets was eliminated by CV distractors, yielding a left ear advantage (LEA) for the distractor effect of CVs on NB targets. The pattern of results suggests initial preprocessing of speech stimuli through phonetic feature analysis, followed by serial attentional processing of the objects in the auditory field. REAs are attributed to a rightward asymmetry in the preattentive control of auditory attention similar to that found in visual search.

Adult↗
PubMed1999

Age-related changes in processing auditory stimuli during visual attention: evidence for deficits in inhibitory control and sensory memory.

Age-related declines in attention and cognition have been associated with a difficulty in inhibiting the processing of task-irrelevant information (i.e., the inhibitory deficit hypothesis). However, evidence supporting the inhibitory deficit hypothesis remains equivocal, in part because of complexities in examining the processing of irrelevant stimuli using purely behavioral techniques. The effects of age on the processing of task-irrelevant stimuli were examined using scalp-recorded event-related brain potentials. Participants performed a visual discrimination task while standard and deviant auditory stimuli were presented in the background. Deviant auditory stimuli generated a mismatch negativity (MMN) wave that decreased with age, in part because of an age-related enhancement in sensory-evoked responses. The age-related changes in processing task-irrelevant auditory stimuli are consistent with the inhibitory deficit hypothesis and suggest that impaired inhibitory control of sensory input may play a role in the age-related declines in performance during selective attention tasks.

Adult↗
PubMed1999

Phonemes, intensity and attention: differential effects on the mismatch negativity (MMN).

Auditory event-related potentials (ERPs) to speech sounds were recorded in a demanding selective attention task to measure how the mismatch negativity (MMN) was affected by attention, deviant feature, and task relevance, i.e., whether the feature was target or nontarget type. With vowel-consonant-vowel (VCV) disyllables randomly presented to the right and left ears, subjects attended to the VCVs in one ear. In different conditions, the subjects responded to either intensity or phoneme deviance in the consonant. The position of the deviance within the VCV also varied, being in the first (VC), second (CV), or both (VC and CV) formant-transition regions. The MMN amplitudes were larger for deviants in the attended ear. Task relevance affected the MMNs to intensity and phoneme deviants differently. Target-type intensity deviants yielded larger MMNs than nontarget types. For phoneme deviants there was no main effect of task relevance, but there was a critical interaction with deviance position. The both position gave the largest MMN amplitudes for target-type phoneme deviants, as it did for target- and nontarget-type intensity deviants. The MMN for nontarget-type phoneme deviants, however, showed an inverse pattern such that the MMN for the both position had the smallest amplitude despite its greater spectro-temporal deviance and its greater detectability when it was the target. These data indicate that the MMN reflects differences in phonetic structure as well as differences in acoustic spectral-energy structure of the deviant stimuli. Furthermore, the task relevance effects demonstrate that top-down controls not only affect the amplitude of the MMN, but can reverse the pattern of MMN amplitudes among different stimuli.

Adult↗
PubMed1999

Separate memory-related processing for auditory frequency and patterns.

Detecting deviant, and potentially meaningful, auditory events depends on transient representations of preceding stimuli. Here, we examined whether the neural circuitry underlying deviance detection system varied as a function of deviance type. In different blocks of trials, participants were presented with a sequence that included standard and deviant tones differing in frequency or a sequence of tones that alternated regularly in frequency with occasional deviant repetitions. Both frequency- and pattern-deviant stimuli elicited a mismatch negativity (MMN) peaking between 120 and 175 ms poststimulus. The MMN amplitude distribution was more frontal for frequency-deviant than for pattern-deviant stimuli. There are two possible explanations for these results. Both frequency- and pattern-deviation MMNs might arise in the same set of generators whose relative strength of activation varies. Alternatively, frequency- and pattern-deviation MMNs could originate in different generators. These alternatives were investigated using principal component analysis and signal identification methods. These methods revealed that no common signal space could account for both of the MMNs, indicating different generator sources for the analysis of frequency and pattern deviance. The results suggest separate memory-related processing for auditory frequency and patterns and indicate that the neural circuit of deviance detection varies as a function of the perceptual context.

Adult↗
PubMed1998

Processing of auditory stimuli during visual attention in patients with schizophrenia.

BACKGROUND: The aim of this study was to evaluate attentional functioning in patients with schizophrenia with an emphasis on automatic processes using the mismatch negativity (MMN) component of the event-related brain potential. METHODS: Participants were asked to perform a challenging visual discrimination task and simultaneously ignore auditory stimuli presented in the background. In different blocks of trials, the background was either a sequence of tones that included rare deviant tones differing in pitch or a sequence of tones that alternated regularly in pitch with occasional deviant repetitions. In a second experiment, participants were asked to actively respond to auditory deviant stimuli. RESULTS: Visual targets generated smaller N1, N2, and P3b deflections in patients than in control subjects, suggesting deficits in controlled attentional processes. Auditory deviant stimuli elicited an MMN that varied in scalp distribution as a function of the deviant-type (pitch vs. pattern). In patients with schizophrenia, impaired auditory discrimination was associated with altered MMN topography and reduced MMN amplitude. CONCLUSIONS: These findings are consistent with impaired automatic processes in patients with schizophrenia, which may contribute to their difficulties in processing complex auditory sequences. The timing and scalp topography are consistent with impaired auditory pattern analysis in posterior association cortices.

Adult↗
PubMed1998

A distributed cortical network for auditory sensory memory in humans.

Auditory sensory memory is a critical first stage in auditory perception that permits listeners to integrate incoming acoustic information with stored representations of preceding auditory events. Here, we investigated the neural circuits of sensory memory using behavioral and electrophysiological measures of auditory processing in patients with unilateral brain damage to dorsolateral prefrontal cortex, posterior association cortex, or the hippocampus. We used a neurophysiological marker of an automatic component of sensory memory, the mismatch negativity (MMN), which can be recorded without overt attention. In comparison with control subjects, temporal-parietal patients had impaired auditory discrimination and reduced MMN amplitudes with both effects evident only following stimuli presented in the ear contralateral to the lesioned hemisphere. This suggests that auditory sensory memories are predominantly stored in auditory cortex contralateral to the ear of presentation. Dorsolateral prefrontal damage impaired performance and reduced MMNs elicited by deviant stimuli presented in either ear, implying that dorsolateral prefrontal cortices have a bilateral facilitatory effect on sensory memory storage. Hippocampal lesions did not affect either performance or electrophysiological measures. The results provide evidence of a temporal-prefrontal neocortical network critical for the transient storage of auditory stimuli.

Acoustic Stimulation↗
PubMed1998

Conjoining auditory and visual features during high-rate serial presentation: processing and conjoining two features can be faster than processing one.

The time required to conjoin stimulus features in high-rate serial presentation tasks was estimated in auditory and visual modalities. In the visual experiment, targets were defined by color, orientation, or the conjunction of color and orientation features. Responses were fastest in color conditions, intermediate in orientation conditions, and slowest in conjunction conditions. Estimates of feature conjunction time (FCT) were derived on the basis of a model in which features were processed in parallel and then conjoined, permitting FCTs to be estimated from the difference in reaction times between conjunction and the slowest single-feature condition. Visual FCTs averaged 17 msec, but were negative for certain stimuli and subjects. In the auditory experiment, targets were defined by frequency, location, or the conjunction of frequency and location features. Responses were fastest in frequency conditions, but were faster in conjunction than in location conditions, yielding negative FCTs. The results from both experiments suggest that the processing of stimulus features occurs interactively during early stages of feature conjunction.

Adolescent↗