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Biomedical subjects

G Benedek

Publications and source records attributed to G Benedek.

At least 37 records · Page 2Linked to original sources
PubMed2001

[Surgery without boundaries].

Surgery at the turn of the century and at the millennium is characterised by an extremely rapid development. There are no boundaries anymore among the different branches of medicine, in different anatomical regions of the human body, between the living human and the artificial tissues, between the reality and the virtual reality. Nanotechnology and robotics offer new possibilities for minimally invasive procedures. By the introduction of telepresence surgery there are no more surgical limits among countries and continents, between Earth and Space as well. A new chapter in history of medicine is the Cyber Surgery. The future has already arrived. Even in this new world we have to follow the ethical requirements summarised in the Hyppocrates Oath.

Ethics, Medical↗
PubMed2000

Visual information processing in patients with schizophrenia: evidence for the impairment of central mechanisms.

Patients with schizophrenia are especially impaired in the detection of spatial location if the briefly presented target stimulus is followed by a mask in a close temporal proximity (target location backward masking (BM) paradigm). It has been suggested that this phenomenon is related to the impairment of low spatial and high temporal frequency-sensitive transient (magnocellular) visual channels. To test this hypothesis, we measured target location BM and visual contrast sensitivity (CS) in clinically remitted patients with schizophrenia. In the BM task, subjects were asked to indicate the position of letters appearing at four possible spatial locations. In the CS test, a two-alternative forced choice method was used to measure the minimal contrast level required for the detection of horizontal gratings set at low spatial and high temporal frequencies (0.5 cycle/degree and 8 Hz, respectively). We found that the schizophrenia patients with normal CSs (spared transient channel functions) showed a marked deficit in the target location BM task. This suggests that the abnormality of subcortical transient channels does not explain some visual information processing dysfunctions in schizophrenia. Instead, deficient cortical interactions of rapidly changing environmental signals may be involved.

Adult↗
PubMed2000

Coding of spatial co-ordinates on neurones of the feline visual association cortex.

The receptive field properties of 131 visual neurons lying along the anterior ectosylvian sulcus were studied with extracellular recordings in barbiturate-anaesthetized, immobilised, artificially ventilated cats. A stationary visual noise pattern was presented in an area of 24x32 degrees, in which an 8x8 degrees portion moved randomly at a speed of 10 deg/s. A definite best area characterized by maximal firing rate was found, from where the firing rate declined monotonously towards the periphery of the receptive field. The best area locations were distributed in a 40x40 degrees region around the area centralis. These results seem to verify a rather robust capacity in AEV neurones for stimulus localization, in spite of their immense receptive fields.

Analysis of Variance↗
PubMed2000

Bifurcating projections from the cerebellar fastigial neurons to the thalamic suprageniculate nucleus and to the superior colliculus.

A double-labeling fluorescence microscopic study was performed on the mesencephalic and thalamic distribution of fastigial efferents. Anesthetized cats were injected with 2% fast blue into the suprageniculate nucleus and with 0.5% nuclear yellow into the superior colliculus. Analysis of serial sections through the cerebellar fastigial nucleus revealed that 25% of the neurons projecting to the superior colliculus and 10% of those projecting to the thalamus were double labeled. The results suggest that bifurcating fastigial fibers to the mesencephalon and to the visual thalamus may play a role in cerebellar visual control.

Amidines↗
PubMed2000

P300 component of visual event-related potentials distinguishes patients with idiopathic parkinson's disease from patients with essential tremor.

A considerable rate of misdiagnosis has recently been reported in movement disorders. One of the most difficult clinical problems is the differentiation of Parkinson's disease and essential tremor. In this study, we have examined whether event-related potentials (ERPs) could aid in the solution of this differential diagnostic problem. Visual ERPs were obtained by using an "oddball" paradigm in 20 patients with idiopathic Parkinson's disease (IPD), 20 patients with essential tremor (ET), and 20 age-matched control subjects. We found that the P300 amplitudes were selectively reduced in the IPD group at the midline (Fz, Cz, Pz) electrode sites, whereas the ET group exhibited selectively elevated P300 amplitudes at the left parietal and frontal (F3, P3) recording sites. The patients with IPD, but not ET, showed a significant prolongation of the P300 latency at each electrode site. Similarly, only the IPD patients were significantly slower in responding to the target stimulus. The primary visual evoked potential (P100) did not distinguish among the IPD, ET, and control subjects. These results suggest that visual ERPs might provide a useful diagnostic method for differentiating IPD from ET.

Aged↗
PubMed2000

Early and late components of visual categorization: an event-related potential study.

We examined the characteristics of early and late components of event-related potentials (ERPs) accompanying the visual categorization of natural scenes. In the first experiment, ERPs were recorded in an animal-non-animal categorization task (CT), whereas the second experiment included a spatial frequency discrimination task (DT). In the CT, there were more negative potentials for non-animals in the time windows of 150-250 ms (N1) and 350-500 ms (N2), and a more positive potential for animals in the time window of 250-350 ms (P2). In the DT, spatial frequency gratings evoked only a short-duration difference N1 at the frontal sites. Our results suggest that N1 may be related to higher-level categorization processes.

Adult↗
PubMed2000

Schizophrenics know more than they can tell: probabilistic classification learning in schizophrenia.

BACKGROUND: Previous studies have demonstrated impaired explicit and preserved implicit memory functions in schizophrenia. However, it is less clear whether schizophrenics can learn complex information (e.g. probabilistic stimulus response associations) with or without access for conscious recollection. In this study we applied a classification learning task to assess explicit and implicit processes concurrently. METHODS: Two test procedures were administered to 40 schizophrenic subjects and 20 healthy volunteers: a probabilistic classification learning (PCL) task to evaluate implicit memory functions; and a category cue recognition test to investigate the explicit memory system. The PCL task included feedback guided category learning of geometrical shapes. These shapes were called category cues, predicting class membership with certain probabilities. The gradual increase of categorization performance during the feedback learning was a potentially implicit process, whereas the subsequent recognition of category cues required explicit memory functions. RESULTS: The schizophrenic patients improved their categorization performance to a similar extent to the controls, but they failed to recognize the category cues. Memory performances were independent of the positive and negative symptoms. CONCLUSIONS: Patients with schizophrenia were able to establish representations of complex categories, but these remained unconscious. This is consistent with earlier reports, suggesting damaged explicit and spared implicit memory in schizophrenia.

Adult↗
PubMed2000

The effects of ketamine and its enantiomers on the morphine- or dexmedetomidine-induced antinociception after intrathecal administration in rats.

BACKGROUND: The spinal administration of some N-methyl-d-aspartate receptor antagonists results in antinociception and potentiates the effects of opioids and alpha2-adrenoceptor agonists, but ketamine and its enantiomers have not been examined. The present study investigated the interactions of racemic ketamine, R(-)-ketamine and S(+)-ketamine with morphine and with dexmedetomidine. METHODS: Intrathecal catheters were implanted into male Wistar rats. Three days later, the acute nociceptive sensitivity was assessed using the tail-flick test. Analgesic latencies were converted to the percentage maximum possible effect. The dose that yielded 50% of the maximum possible effect (ED50) and dose-response and time-course curves were determined for the ketamines (30-300 microg), morphine (0.1-3.0 microg), dexmedetomidine (0.3-10.0 microg), and mixtures of two doses of ketamines (30 or 100 microg) with different doses of morphine or dexmedetomidine for fixed-dose analysis. RESULTS: Neither racemic ketamine nor its enantiomers alone had a significant effect on the tail-flick test, with the exception of the highest dose of racemic ketamine, which caused motor impairment. Morphine and dexmedetomidine each produced dose-dependent antinociception, with ED50 of 1.7 microg (95% confidence interval: 1.04-2.32) and 4. 85 microg (3.96-5.79), respectively. A low dose (30 microg) of racemic ketamine or its enantiomers did not influence the ED50 of morphine significantly. Coadministration of 100 microg racemic ketamine or S(+)-ketamine, but not R(-)-ketamine, significantly enhanced and prolonged the antinociceptive effect of morphine. Both doses of racemic ketamine or its isomers significantly decreased the ED50 value for dexmedetomidine, although the higher dose of racemic or S(+)-ketamine had the highest potency. One-hundred micrograms of racemic ketamine or S(+)-ketamine also prolonged the effects of dexmedetomidine. CONCLUSIONS: These data indicate that racemic ketamine and S(+)-ketamine, but not R(-)-ketamine, exhibit similar effectiveness in potentiating the antinociceptive effects of both morphine and dexmedetomidine.

Adrenergic alpha-Agonists↗
PubMed1999

Late maturation of visual spatial integration in humans.

Visual development is thought to be completed at an early age. We suggest that the maturation of the visual brain is not homogeneous: functions with greater need for early availability, such as visuomotor control, mature earlier, and the development of other visual functions may extend well into childhood. We found significant improvement in children between 5 and 14 years in visual spatial integration by using a contour-detection task. The data show that long-range spatial interactions-subserving the integration of orientational information across the visual field-span a shorter spatial range in children than in adults. Performance in the task improves in a cue-specific manner with practice, which indicates the participation of fairly low-level perceptual mechanisms. We interpret our findings in terms of a protracted development of ventral visual-stream function in humans.

Adolescent↗
PubMed1999

Effect of intrathecal agmatine on inflammation-induced thermal hyperalgesia in rats.

Agmatine, an endogenous ligand, interacts both with the alpha2-adrenoceptors and with the imidazoline binding sites. The effect of intrathecally administered agmatine on carrageenan-induced thermal hyperalgesia was investigated by means of a paw-withdrawal test in rats. The effect of agmatine on morphine-induced anti-hyperalgesia was also studied. Intrathecal agmatine in doses larger than 250 microg caused a decrease in the pain threshold, with vocalization and agitation lasting for several hours in all animals. Agmatine alone at 1-100 microg did not give rise to any change in the thermal withdrawal threshold in the contralateral non-inflamed paw. Agmatine pretreatment was found to dose-dependently attenuate the thermal hyperalgesia induced by intraplantar carrageenan. The effect of 100 microg agmatine was completely lost by 60 min, whereas the effect of 50 microg was of similar magnitude but exhibited a longer duration. Agmatine posttreatment had a slighter effect. Agmatine pretreatment (100 microg) together with 1 microg morphine (subeffective dose) has significantly higher anti-hyperalgesic effect then the individual compounds by themselves. These are the first data demonstrating the behavioral and anti-hyperalgesic effects of intrathecal agmatine. The results reveal important interactions between intrathecal agmatine and opioids in thermal hyperalgesia.

Agmatine↗
PubMed1999

Antinociceptive effects of intrathecal endomorphin-1 and -2 in rats.

Endomorphin-1 and endomorphin-2 were recently postulated to be endogenous mu-opioid receptor agonists. We have investigated the antinociceptive and antihyperalgesic effects of intrathecally administered endomorphins in cumulative doses (0.1-100 microg) on acute and inflammatory pain sensations in awake rats. In the tail-flick test, both peptides caused a dose-dependent short-lasting antinociception, except at the highest dose, which caused motor impairment also. The dose-response curves revealed the development of acute tolerance (tachyphylaxis) to endomorphin. Similarly in the carrageenan-injected paw, the endomorphins (10 microg) exerted transient antinociceptive effects. These are the first data to demonstrate decreased responsivity in models of both acute and inflammatory pain after intrathecal administration of endomorphin-1 and -2 in awake rats.

Analgesics, Opioid↗
PubMed1999

Early visual impairment is independent of the visuocognitive and memory disturbances in Alzheimer's disease.

Static and dynamic contrast sensitivity (SCS and DCS), semantic object identification, and verbal recall functions were evaluated in 20 Alzheimer's disease (AD) patients and in 20 control subjects. We found general SCS and DCS loss in the 0.48-14.34 c deg-1 spatial frequency range. In relation to the cognitive functions, semantic object identification was intact, whereas explicit memory was markedly impaired in the AD group. There was no significant correlation between the CS and the memory disturbances. The results suggest that early visual impairment and higher-level cognitive disturbances are independent in AD.

Aged↗
PubMed1999

Fluorescein-ERG, a sensitive method for the detection of vascular damage in diabetic patients.

The purpose of this paper was to provide evidence for the reintroduction of simultaneously performed fluorescein angiography and electroretinography in the detection of diabetic retinopathy. ERG observations were made in conjunction with fluorescein angiography of 13 patients suffering from type I diabetes mellitus for five to 13 years. Only patients without any fluorescein leakage during angiography and without any morphologic changes in the fundus were involved in the study. Gold foil electrodes were used for recording. A stroboscopic lamp provided flashing light stimulation through a monochromatic blue filter. Intravenous fluorescein administration caused an immediate reduction in the ERG response. This reduction was seen both in the control subjects and in diabetes patients. In the control group, the reduction was over in 30-45 min, while in the diabetes group a considerable amplitude elevation was seen in all recordings between 15 and 60 min post-fluorescein. In the adaptation control group, where only repeated ERG recordings were employed every 15 min, a slight decrease in the a wave and a slight elevation of the b wave were observed during the whole recording period. No complaints or side-effects were detected during the observations. As all the patients displayed a normal fluorescein angiography besides elevated b wave after fluorescein administration, and this elevation was seen exclusively in the diabetic group, our study raises the possibility that this diagnostic method can be used in the detection of diabetic retinopathy.

Adolescent↗
PubMed1999

Classification learning in Alzheimer's disease.

Previous research has demonstrated that explicit recognition of dot patterns is impaired in amnesic patients with damage to the limbic-diencephalic memory system, while implicit categorization of the same kind of stimuli is preserved. The aim of the present study was to investigate the relationship between recognition and categorization performances in patients with Alzheimer's disease. Consistent with the findings in amnesic subjects, our results revealed that the explicit recognition of dot patterns was significantly impaired in Alzheimer's disease. However, implicit categorization functions were also disrupted. This was selective for the prototype stimuli; the categorization of non-prototype dot patterns was spared. The impaired category learning is likely to reflect the damage of modality-specific neocortical areas in Alzheimer's disease.

Aged↗
PubMed1999

Category learning and perceptual categorization in schizophrenia.

The aim of this study was to evaluate category learning in schizophrenia on tests of perceptual abstraction. Participants learned to categorize simple geometrical shapes. The categories were either well-defined (discrete categories, or DCs) or ill-defined (graded categories, or GCs). In DCs, the cues defining category membership can be verbalized in an all-or-none fashion, while in GCs they cannot be defined unambiguously. Three types of learning were used successively: serial presentation of category-exemplars, verbal description, and feedback. After the serial presentation, schizophrenia patients showed a deficit for GCs (p<0.005) but not for DCs (p = 0.98). After the verbal definition of GCs, the difference between schizophrenia patients and controls diminished (p = 0.09). Finally, after the feedback learning of GCs, a significant difference was observed again (p<0.0001), suggesting that schizophrenia patients were impaired in this learning paradigm. The GC-learning impairment after the serial presentation displayed a relationship with the score of the cognitive component assessed with the Positive and Negative Syndrome Scale (r = -0.66). In conclusion, these results suggest that the perceptual stage of abstraction is impaired in schizophrenia. This impairment can be partially compensated by instructions via top-down verbal processes.

Adult↗
PubMed1999

Response variability and stimulus discrimination capacity of neurons in monkey inferior temporal cortex.

Single neurons (n = 73) were recorded from the inferior temporal cortex (IT) of an awake macaque monkey, while performing a visual fixation task. Shape stimuli that elicited different responses of the IT neurons, were found to result in different response variances. The response variance vs. mean response relationship of the IT neurons could be described by an analogous function to those found in previous studies of A17 in cats and of V1 in macaques. A comparison of the stimulus discrimination capacities of the individual neurons revealed that neurons which exhibit lower variances can discriminate their preferred and non-preferred shape stimuli more reliably than neurons with higher variances.

Animals↗
PubMed1998

Abstraction is impaired at the perceptual level in schizophrenic patients.

This study investigates category learning in schizophrenia in order to evaluate abstraction abilities at the perceptual level. The participants learned about two categories of geometric shapes. The category exemplars were presented successively. In the case of schizophrenic patients, longer exposure time and more stimulus presentations were used to counterbalance attention impairments. In spite of this, the perceptual category learning was significantly impaired in the patient group. In contrast, when the training procedure involved verbal category definition and not perceptual learning, the performance of schizophrenics was similar to that of the healthy controls. These findings suggest that the perceptual learning of categories, but not free classification judgements are impaired in schizophrenia, and that this impairment is not due to pure attentional disturbances.

Adult↗