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Biomedical subjects

F Vega-Bermudez

Publications and source records attributed to F Vega-Bermudez.

8 recordsLinked to original sources

Transcranial magnetic stimulation for the treatment of seizures: a controlled study.

OBJECTIVE: To perform a controlled trial of transcranial magnetic stimulation (TMS). METHODS: Twenty-four patients with localization-related epilepsy were randomized to blinded active or placebo stimulation. Weekly seizure frequency was compared for 8 weeks before and after 1 week of 1-Hz TMS for 15 minutes twice daily. RESULTS: When the 8-week baseline and post-stimulation periods were compared, active patients had a mean seizure frequency reduction of 0.045 +/- 0.13 and sham-stimulated control subjects -0.004 +/- 0.20. Over 2 weeks, actively treated patients had a mean reduction in weekly seizure frequency of 0.16 +/- 0.18 and sham-stimulated control subjects 0.01 +/- 0.24. Neither difference was significant. CONCLUSION: The effect of TMS on seizure frequency was mild and short lived.

Adult↗

Differences in spatial acuity between digits.

The spatial acuity of the index, middle, and ring distal finger pads of eight right-handed men, aged 22 to 57 years, was measured by using gratings and raised letters. Acuity declined significantly from the index to the middle finger and from the middle to the ring finger. There were no significant differences between homologous fingers of the two hands. Letter recognition and grating orientation threshold measures were highly correlated.

Adult↗

Conjoint and extended neural networks for the computation of speech codes: the neural basis of selective impairment in reading words and pseudowords.

The computation of speech codes (i.e. phonology) is an important aspect of word reading. Understanding the neural systems and mech- anisms underlying phonological processes provides a foundation for the investigation of language in the brain. We used high-resolution three-dimensional positron emission tomography (PET) to investigate neural systems essential for phonological processes. The burden of neural activities on the computation of speech codes was maximized by three rhyming tasks (rhyming words, pseudowords and words printed in mixed letter cases). Brain activation patterns associated with these tasks were compared with those of two baseline tasks involving visual feature detection. Results suggest strong left lateralized epicenters of neural activity in rhyming irrespective of gender. Word rhyming activated the same brain regions engaged in pseudoword rhyming, suggesting conjoint neural networks for phonological processing of words and pseudowords. However, pseudoword rhyming induced the largest change in cerebral blood flow and activated more voxels in the left posterior prefrontal regions and the left inferior occipital-temporal junction. In addition, pseudoword rhyming activated the left supramarginal gyrus, which was not apparent in word rhyming. These results suggest that rhyming pseudowords requires active participation of extended neural systems and networks not observed for rhyming words. The implications of the results on theories and models of visual word reading and on selective reading dysfunctions after brain lesions are discussed.

Adult↗

Tactile functions of mechanoreceptive afferents innervating the hand.

Four types of mechanoreceptive afferents innervate the glabrous skin of the hand. Evidence from more than three decades of combined psychophysical and neurophysiological research supports the idea that each afferent type serves a distinctly different sensory function and that these functions explain most of tactual perceptual function. The available evidence supports the following hypotheses: (1) The slowly adapting type 1 system provides the information on which form and texture perception are based. (2) The cutaneous rapidly adapting system provides information about minute skin motion and, thereby, plays a critical role in grip control. (3) The Pacinian system is responsible for the detection and perception of distant events by vibrations transmitted through objects, probes, and tools held in the hand. (4) The slowly adapting type 2 system provides information for the perception of hand conformation and for the perception of forces acting on the hand. The authors review the evidence on which these hypotheses are based. They also review the role of proprioceptive afferents in the perception of hand conformation because they appear to play a significant role along with cutaneous afferents.

Afferent Pathways↗

SA1 and RA receptive fields, response variability, and population responses mapped with a probe array.

Twenty-four slowly adapting type 1 (SA1) and 26 rapidly adapting (RA) cutaneous mechanoreceptive afferents in the rhesus monkey were studied with an array of independently controlled, punctate probes that covered an entire fingerpad. Each afferent had a receptive field (RF) on a single fingerpad and was studied at 73 skin sites (50 mm2). The entire array was lowered to 1.6 mm below the point of initial skin contact (the background indentation) before delivering single-probe indentations. SA1 and RA responses differed in several ways. 1) SA1 RF boundaries were affected much less by indentation depth than were RA boundaries, and the SA1 RF areas were much more uniform in size. The mean SA1 RF area grew from 5.1 to 8.8 mm2 as the indentation depth increased from 50 to 500 microm; the mean RA RF area grew from 5.5 to 22.4 mm2 over the same intensity range. 2) SA1 RFs were more elongated than RA RFs. Elongated RFs were oriented in all directions relative to the skin ridges and the finger axis. 3) SA1 impulse rates were linear functions of indentation depth at all probe locations in the RF; RA responses tended toward saturation beginning at 100 microm indentation depth when the probe was over the HS. Similarities between SA1 and RA responses were that 1) both were extremely repeatable with SDs < 1 impulse per trial and 2) both had population responses (number of impulses) that were nearly linear functions of indentation depth. However, SA1s represented increasing indentation depth by increasing impulse rates in a small, relatively constant group of afferents, whereas the RAs represented increasing indentation depth predominantly by the recruitment of new afferents at a distance.

Animals↗

Surround suppression in the responses of primate SA1 and RA mechanoreceptive afferents mapped with a probe array.

Twenty-four slowly adapting type 1 (SA1) and 26 rapidly adapting (RA) cutaneous mechanoreceptive afferents in the rhesus monkey were studied with an array of independently controlled, punctate probes that covered an entire fingerpad. Each afferent had a receptive field (RF) on a single fingerpad and was studied at 73 skin sites (50 mm2). The entire array was lowered to 1.6 to 3.0 mm below the point of initial skin contact (the background indentation) before delivering indentations with one to seven probes. Indentations were generally limited to 100 microm to minimize gross mechanical interactions. There were two major, new findings. 1) The discharge rates of both SA1 and RA afferents were strongly affected by the number of probes indenting the RF simultaneously. The effect was exponential. Each increase in probe number reduced the response by 24% in SA1 and 12% in RA afferents on average. When seven probes indented the skin simultaneously, the impulse rates in SA1 and RA afferents were reduced to 20 and 40% of the rates evoked by a single probe at the hot spot (all indentations were 100 microm). This shows that before any synaptic interaction in the CNS there is already a mechanism analogous to surround inhibition that suppresses an afferent's responses to uniform indentation and makes it especially sensitive to deviations from spatial uniformity. 2) The responses of both SA1 and RA afferents were independent of background array depth over the range from 1.6 to 3 mm below the point of initial skin contact. This shows that the neural responses to elements raised above a background are independent of the applied force over a wide range of forces. To relate the background depths to indentation force and to compare humans and monkeys, we studied the biomechanics of indentation with a uniform surface. A remarkable result is that the force-displacement relationships in humans and monkeys were the same; the skin is highly compliant for the first 2-3 mm of indentation and then becomes much stiffer. The results were the same in alert humans and monkeys and in monkeys anesthetized with pentobarbital. Ketamine anesthesia made the skin much stiffer and reduced the compliant range substantially.

Animals↗

Human tactile pattern recognition: active versus passive touch, velocity effects, and patterns of confusion.

1. Subjects without any previous experience in a tactile psychophysics task participated in a study of tactile letter recognition employing active and passive touch. In the active task, subjects reached through a curtain and examined embossed letters with horizontal, unidirectional finger strokes. In the passive task, subjects sat with their arms and hands immobilized while a rotating drum stimulator pressed the embossed letters onto the right index finger. The stimulus conditions in the passive task were identical to those used in neurophysiological experiments with monkeys. 2. A survey of 40 naive subjects who were not screened in any way showed a wide range of performance levels. There was no difference between the subjects in the active and passive tasks, either in overall mean percent correct scores, which were 49.0 and 50.7%, respectively or in the percent correct scores for individual letters whose product-moment correlation coefficient was 0.94. The active and passive groups, which contained 25 and 15 members, respectively, had no members in common. 3. Videotapes of the finger movements of eight subjects in the active task showed a characteristic V-shaped velocity profile (velocity vs. lateral position) starting at approximately 100 mm/s at the left-hand edge of the plate containing the embossed letter, decelerating to a minimum when the center of the finger was directly over the letter, and then accelerating away from the letter. The average minimum scanning velocity was 17 mm/s. 4. Scanning velocity had no significant effect on performance in the passive task between 20 and 40 mm/s. An increase to 80 mm/s produced a 16% decline in percent correct identifications. 5. Learning effects were evident across sessions even though subjects were given no feedback or training. The increase in mean percent correct judgments averaged 4% per session, which lasted for approximately 1 h. 6. Data from 64 subjects were pooled for detailed comparison of identification patterns in active and passive touch. The results were analyzed and found to be consistent with the hypothesis that the identification and confusion probabilities are identical in the two modes. We conclude that there is no difference between active and passive touch in form recognition when the stimulus pattern is smaller than a finger pad. 7. Data from all experiments were pooled to produce a single confusion matrix with 324 presentations per letter. The majority of erroneous responses are grouped in a small number of confusion pairs and the majority of those confusion pairs are strongly asymmetric. The probable neural mechanisms of some confusion patterns are discussed.

Adult↗