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Biomedical subjects

G Fein

Publications and source records attributed to G Fein.

121 records · Page 7Linked to original sources
PubMed1979

Flurazepam effects on sleep EEG. Visual, computer, and cycle analysis.

Analysis of sleep effects of flurazepam hydrochloride on four normal subjects confirmed that this drug substantially suppresses both REM and stage 4 sleep. Computer analysis disclosed that delta wave amplitude was greatly reduced by flurazepam. However, low density delta wave activity (ie, stage 2 sleep, which was increased in duration beyond the reduction in stage 4), permitted the number of delta waves and the time they occupied per night to remain at baseline levels. This finding suggests that sedative-hypnotics increase total sleep time by slowing the metabolic processes of sleep so that a longer sleep duration is required for the same biological effects. New observations on the induction times of REM and stage 4 effects are also presented. In general, the distortions in sleep EEG produced by flurazepam qualitatively resemble, but are quantitatively greater than, those produced by barbiturates in equivalent hypnotic doses.

Adult↗
PubMed1979

An optical scan system for encoding and tabulation of visually scored sleep data.

A system for computer-assisted encoding, tabulation and analysis of visually scored sleep data is presented. The main features of the system are: (1) The use of computer-readable optical scan sheets for direct encoding of the sleep data. This eliminates the need for a separate transcription and/or key-punching operation. (2) The development of a visually scored data base, organized by NREM and REM periods, which contains all items of visually scored data indexed by time and/or page of occurrence in the sleep record. The advantages of this new system are: (a) the low cost per night of operation; (b) the facilitation of analysis of cycle phenomena and testing of new hypotheses that would usually involve retabulation of the data; and (c) the facilitation of analysis of real-time correlates of visually scored sleep stages.

Computers↗
PubMed1979

Cytotoxic antibody to cells infected with measles virus in serum and cerebrospinal fluid of multiple sclerosis and control patients.

Sera and cerebrospinal fluids (CSFs) from 66 patients selected from a larger sample of multiple sclerosis (MS) and control patients were studied for presence of complement-dependent cytotoxic (CT) antibody against baby hamster kidney cells infected with measles virus, strain Lec. The MS group contained 26 patients with clinically definite disease and 7 with probable MS. Seventeen of the 33 patients selected from the MS group had hemagglutination-inhibiting (HI) antibody to measles virus in their CSFs. Specimens from 33 control patients with other identifiable neurological disorders were matched according to the time of specimen sampling and with the age of the donors. Seven of the controls had HI CSF antibody. The serum CT geometric mean antibody titer of the MS group was approximately twofold higher than that of the control group. Forty-two percent of the MS group and 18% of the control group had CT antibody in the CSF. With the exception of the ratio of one control patient, the serum/CSF ratios of CT antibody from all patients were 128 or less. Nine CSFs (six MS and three control specimens) had CT antibody but no detectable HI antibody. Conversely, 12 CSFs (eight MS and four control specimens) had HI antibody but no detectable CT antibody. Five patients in the MS group with both kinds of CSF antibodies had reduced CT ratios but normal HI ratios. The results suggest that the two tests detect CSF antibodies reactive with different antigens. In this study, where less than half of the MS patients displayed CSF CT antibody, it is unlikely that such antibodies play an active role in the pathogenetic mechanism operative in the disease.

Antibodies, Viral↗
PubMed1978

Effects of exercise on sleep.

We tested the hypothesis that EEG sleep stages 3 and 4 (slow-wave sleep, SWS) would be increased as a function of either acute of chronic exercise. Ten distance runners were matched with 10 nonrunners, and their sleep was recorded under both habitual (runners running and nonrunners not running, 3 night) and abruptly changed (runners not running and nonrunners running, 1 night) conditions. Analyses of both visually scored SWS and computer measures of delta activity during non-rapid eye-movement (NREM) sleep failed to support the SWS-exercise hypothesis. The runners showed a significantly higher proportion and a greater absolute amount of NREM sleep than the nonrunners. The runners showed less rapid eye-movement activity during sleep than the nonrunners under both experimental conditions, indicating a strong and unexpected effect of physical fitness on this measure. Modest afternoon exercise in nonrunners was associated with a strong trend toward elevated heart rate during sleep. Mood tests and personality profiles revealed few differences, either between groups or within groups, as a function of exercise.

Adult↗
PubMed1977

Flurazepam effects on slow-wave sleep: stage 4 suppressed but number of delta waves constant.

Repeated administration of flurazepam reduced stage 4 sleep (high delta-wave concentration) but produced a greater increase in stage 2 duration so that total sleep time was increased. Computer analysis revealed that the increased amount of stage 2 (low delta-wave concentration) sleep provided a number and duration of delta waves sufficient to offset the loss of delta activity in stage 4. However, the amplitude of the average delta wave was reduced. These results demonstrate the value of direct quantification of delta-wave activity, the variable that underlies visual classification of slow-wave sleep into stages 2 to 4. They also give rise to new hypotheses regarding the relative absence of side effects in spite of profound stage 4 suppression by flurazepam and the mechanisms by which total sleep time is increased by this drug.

Anti-Anxiety Agents↗
PubMedDate not supplied

Noise and signal power and their effects on evoked potential estimation.

Signal power, noise power and their ratio (SNR) are important variables underlying estimation of evoked potential signals, yet, they are rarely explicitly considered in the design or analysis of EP experiments. A model is developed which relates the reliability of the average evoked potential (AEP) wave form to signal power, noise power, SNR, and the number of single trials included in the average. Measurements taken from auditory and visual EP experiments in elderly subjects show that noise power is highly reliable across experimental conditions and probably reflects global CNS anatomic or physiologic factors. In contrast, signal power and SNR are variable across conditions and sensory modalities, but are stable across replications. Thus signal power reflects CNS processes specific to the experimental paradigm. These results have importance for EP estimation. The expected reliability of the AEP cannot be adequately predicted from estimates of a subject's noise power, or from SNR estimated under different experimental conditions. These findings suggest the need for on-line estimation of SNR during data acquisition to ensure adequate reliability of AEPs.

Aged↗
PubMedDate not supplied

Identification of pain, intensity and P300 components in the pain evoked potential.

This study examined the relationships among 3 components of the somatosensory evoked potential (SEP) to painful stimuli. Painful stimuli were produced using intracutaneous electrical stimulation of a fingertip and two levels of non-painful stimuli were produced by superficial electrical stimulation of a neighboring fingertip. SEPs were recorded from Cz-A1 and Pz-A1, and difference waves were computed for 3 components: (1) a pain component (the difference between SEPs to painful vs. strong but non-painful stimuli); (2) an intensity component that is not related to pain (the difference between SEPs to strong non-painful vs. mild non-painful stimuli); and (3) a P300 component (the difference between SEPs to the same stimuli under Target instructions vs. Standard instructions). The positive peaks in the 3 types of difference waves differed in both latency and topography, although with latency and topography overlap. The intensity component had an earlier positive peak than the pain component, and the pain component had an earlier positive peak than the P300 component. The pain and intensity components were larger at Cz than Pz, whereas the P300 component was larger at Pz than Cz. Under certain conditions, the pain evoked SEP consists of a weighted combination of the 3 components, complicating interpretation of the positive peaks in the recorded wave forms.

Adult↗
PubMedDate not supplied

Task-related EEG alpha asymmetry in schizophrenic patients prior to and after neuroleptic treatment.

EEG was recorded from bilateral frontal, central, temporal, and parietal leads (referenced to or transformed to a vertex reference) during cognitive activity in 13 normal controls, ten schizophrenics, and eight patients with affective disorders. All subjects were male and right-handed, and patients had been free of psychotropic medications for at least 2 weeks. A verbal (copying text) and spatial (copying shapes) task were matched for stimulus presentation and motor output. The number and rate of correct responses were recorded for each normal subject and 11 of the patients. As reported by others, normal subjects manifested a significant difference in alpha asymmetry between the tasks, reflecting relatively greater alpha suppression over the left hemisphere during the verbal task compared to the spatial task (P less than 0.05). This effect was not significant in either patient group. However, analysis of seven schizophrenics after neuroleptic treatment revealed robust effects of task on alpha asymmetry similar to that present in the normal control group (P less than 0.02). The results suggest that abnormal task-related brain lateralization may be present in untreated schizophrenic patients, but it is state dependent and does not reflect permanent patterns of brain organization.

Adult↗
PubMedDate not supplied

Age-related metabolite changes and volume loss in the hippocampus by magnetic resonance spectroscopy and imaging.

Magnetic resonance imaging (MRI) studies have produced controversial results concerning the correlation of hippocampal volume loss with increasing age. The goals in this study were: 1) to test whether levels of N-acetyl aspartate (NAA, a neuron marker) change in the hippocampus during normal aging and 2) to determine the relationship between hippocampal NAA and volume changes. Proton magnetic resonance spectroscopic imaging (1H MRSI) and MRI were used to measure hippocampal metabolites and volumes in 24 healthy adults from 36 to 85 years of age. NAA/Cho decreased by 24% (r = 0.53, p = 0.01) and NAA/Cr by 26% (r = 0.61, p < 0.005) over the age range studied, whereas Cho/Cr remained stable, implying diminished NAA levels. Hippocampal volume shrank by 20% (r = 0.64, p < 0.05). In summary, aging effects must be considered in 1H MRSI brain studies. Furthermore, because NAA is considered a marker of neurons, these results provide stronger support for neuron loss in the aging hippocampus than volume measurements by MRI alone.

Adult↗
PubMedDate not supplied

A multichannel, model-free method for estimation of event-related potential amplitudes and its comparison with dipole source localization.

We present a multichannel, model-free method for estimation of event-related potential (ERP) amplitude ratios and amplitudes using singular value decomposition (SVD), and compare with the Dipole Components Model (DCM). When the ERPs are generated by a single or multiple dipoles with equal amplitude ratios, the SVD method is superior to DCM in terms of reliable estimation of amplitude and is comparable with DCM for reliable and unbiased estimation of amplitude ratios. We show that dipole model misspecification leads to unbiased amplitude ratios and biased amplitudes when the ERP data sets are (1) generated and fit with a single dipole, or (2) generated by N dipoles with equal amplitude ratios and fit with M < or = N dipoles, because the effect of model misspecification 'cancels' for a ratio. Similarly proof that DCM estimates amplitude ratios more reliably than amplitudes for these cases is given.

Algorithms↗
PubMedDate not supplied

MR imaging of the aging brain: patchy white-matter lesions and dementia.

Magnetic resonance (MR) imaging studies of the brain in five elderly patients with non-Alzheimer dementia were compared with those in two groups of nondemented control subjects. Group 1 included five subjects aged 59-66; group 2 included nine subjects aged 74-81. In all of the demented patients and in three of the subjects in the older control group, MR showed diffuse, patchy white-matter lesions. A rating scale was used to grade the severity of the changes. The results suggest a higher incidence of white-matter lesions in elderly patients with non-Alzheimer dementia and in cognitively normal elderly with advancing age.

Age Factors↗