Search PubMed⌕ Search

Biomedical subjects

H Hill

Publications and source records attributed to H Hill.

At least 37 records · Page 2Linked to original sources
PubMed1999

The relation between asymmetry and amplitude of the P300 field in schizophrenia.

OBJECTIVES: A general reduction of auditory P300 amplitude is one of the most consistently replicated observations in schizophrenic patients. However, a left hemisphere amplitude reduction is discussed controversely. METHODS: Encouraged by this controversy we analysed P300 data of 53 controls and 60 patients of the schizophrenia spectrum (ICD-10: F20, F23, F25). RESULTS: Our main result was the finding of the correlation between general amplitude and hemispheric asymmetry in the patient group: low general amplitudes were assigned to a left hemispheric amplitude reduction, high amplitudes to a right hemispheric reduction. Based on this result, we grouped all subjects according to their hemispheric asymmetry pattern. The control group and the group of schizoaffective patients (F25) with a left hemispheric amplitude reduction showed the inverse asymmetry pattern of P300 amplitude compared to subjects with a right hemispheric amplitude reduction. In contrast, the schizophrenic patients (F20) showed only a difference in P300 amplitudes measured at electrode sites of the left hemisphere. Additionally, we could show, that the amount of the general amplitude reduction in patients was different between the diagnostic groups. CONCLUSIONS: We conclude that a left hemispheric amplitude reduction is not a general feature of schizophrenia but it seems to be pathological when combined with a general amplitude reduction.

Acoustic Stimulation↗
PubMed1999

Traumatic brain injury: a view from the inside.

Information about the outcomes after traumatic brain injury comes from observational studies and, increasingly, subjective sources. Narrative analysis provides an avenue to explore life after the trauma, and a perspective that may illuminate critical aspects of the relationship between the health professional and health consumer. Language use by health professionals in their interactions with health consumers may profoundly bias expectations and outcomes. Terms such as 'recovery', for example, may be inappropriate, as severe traumatic brain injury may not be an injury that one is able to 'recover' from. If the brain is seen as the basis of the personality and is altered by the trauma, then, philosophically, it is difficult to argue that the person is the same as before. Concepts of rehabilitation after severe traumatic brain injury should, therefore, take into account the expectation of the health consumer in shaping the outcomes and the possibility that new and adaptive patterns of behaviour need to be developed rather than focusing on returning to the pre-injured person. This introduces the notion of rehabilitation as assisting the injured person to re-orientate or rebuild their life using a new set of 'maps' with which to navigate through life. The paradigm of 'new maps' is positive, challenging, and honest as far as expectations are concerned, and encompasses the idea of actively exploring new and unknown territory.

Adaptation, Psychological↗
PubMed1999

Comparison of large restriction fragments of Mycobacterium avium isolates recovered from AIDS and non-AIDS patients with those of isolates from potable water.

We examined potable water in Los Angeles, California, as a possible source of infection in AIDS and non-AIDS patients. Nontuberculous mycobacteria were recovered from 12 (92%) of 13 reservoirs, 45 (82%) of 55 homes, 31 (100%) of 31 commercial buildings, and 15 (100%) of 15 hospitals. Large-restriction-fragment (LRF) pattern analyses were done with AseI. The LRF patterns of Mycobacterium avium isolates recovered from potable water in three homes, two commercial buildings, one reservoir, and eight hospitals had varying degrees of relatedness to 19 clinical isolates recovered from 17 patients. The high number of M. avium isolates recovered from hospital water and their close relationship with clinical isolates suggests the potential threat of nosocomial spread. This study supports the possibility that potable water is a source for the acquisition of M. avium infections.

AIDS-Related Opportunistic Infections↗
PubMed1997

Left lateralized P300 amplitude deficit in schizophrenic patients depends on pitch disparity.

The general reduction of P300 amplitude in response to auditory oddball stimuli is one of the most consistently replicated biological observations in schizophrenic patients. Several groups have reported a P300 asymmetry in schizophrenic patients, others have not been able to replicate this finding. In order to clarify this issue, we examined the effect of stimulus discriminability on P300 amplitude distribution in schizophrenic patients and in age-matched normal control subjects, using two different auditory oddball paradigms. The detection of the target tone was either simple or difficult, due to manipulation of pitch disparity. The P300 amplitude was comparatively smaller in the schizophrenic patient group compared to the healthy controls and in the difficult task compared to the simple. The schizophrenic patients showed a specific P300 amplitude reduction over left temporal electrode sites when the simple paradigm was used. The difficult paradigm did not elicit asymmetrical P300 amplitudes in schizophrenic patients.

Adult↗
PubMed1997

Information and viewpoint dependence in face recognition.

How we recognize faces despite rotations in depth is of great interest to psychologists, computer scientists and neurophysiologists because of the accuracy of human performance despite the intrinsic difficulty of the task. Three experiments are reported here which used three-dimensional facial surface representations to investigate the effects of rotations in depth on a face recognition task. Experiment 1, using "shape only" representations, showed that all the views used (full-face, three-quarter and profile) were equally well recognized when all had been learned. Performance was better when the same views were presented in an animated sequence rather than at random, suggesting that structure-from-motion provides useful information for recognition. When stimuli were presented inverted, performance was worse and there were differences in the recognizability of views, demonstrating that the familiarity of upright faces affects generalization across views. Experiments 2 and 3 investigated generalization from single views and found performance to be dependent on learned view. In both experiments, generalization from learned full-face fell off with increasing angle of rotation. With shape only stimuli, three-quarter views generalized well to each other, even when inverted but for profiles generalization was equally bad to all unlearned views. This difference may be explained because of the particular relationship of the profile to the axis of symmetry. In Experiment 3, addition of information about superficial properties including color and texture facilitated performance, but patterns of generalization remained substantially the same, emphasizing the importance of underlying shape information. However, generalization from the three-quarter view became viewpoint invariant and there was some evidence for better generalization between profiles. The results are interpreted as showing that three-dimensional shape information is fundamental for recognition across rotations in depth although superficial information may also be used to reduce viewpoint dependence.

Adult↗
PubMed1996

Effects of lighting on the perception of facial surfaces.

A series of experiments is reported that investigated the effects of variations in lighting and viewpoint on the recognition and matching of facial surfaces. In matching tasks, changing lighting reduced performance, as did changing view, but changing both did not further reduce performance. There were also differences between top and bottom lighting. Recognizing familiar surfaces and matching across changes in viewpoint were more accurate when lighting was from above than when it was from below the heads, and matching between different directions of top lighting was more accurate than between different directions of bottom lighting. Top lighting also benefited matching between views of unfamiliar objects (amoebae), though this benefit was not found for inverted faces. The results are difficult to explain if edge- or image-based representations mediate face processing and seem more consistent with an account in which lighting from above helps the derivation of 3-dimensional shape.

Adult↗
PubMed1995

Perceiving the sex and race of faces: the role of shape and colour.

Theories of object recognition have emphasized the information conveyed by shape information, whereas theories of face recognition have emphasized properties of superficial features. In the experiments reported here we used novel technology to investigate the relative contributions of shape and superficial colour information to simple categorization decisions about the sex and 'race' of faces. The results show that both shape and colour provide useful information for these decisions; shape information was particularly useful for race decisions while colour dominated sex decisions. When both sources of information were combined, the dominant source depended on viewpoint, with angled views emphasizing the contribution of shape and the full-face view colour. The results are discussed within the context of theories of face recognition and their implications for telecommunication applications are considered.

Adult↗
PubMed1995

Characterization of B-cell lines established from two X-linked severe combined immunodeficiency patients: interleukin-15 binds to the B cells but is not internalized efficiently.

X-linked severe combined immunodeficiency (XSCID) is characterized by absent or profoundly reduced numbers of T cells and normal numbers of B cells in the circulation. Affected patients have mutations of the interleukin-2 (IL-2) receptor gamma chain gene. Using Epstein-Barr virus-transformed B-lymphoblastoid cell lines (B-LCLs) established from two unrelated XSCID patients, we could show that neither expressed the IL-2 receptor gamma chain on the cell surface. A novel cytokine IL-15, which has biologic activities similar to those of IL-2, could bind to the XSCID B-LCLs in the absence of the gamma chain, although both the beta and gamma chains of the human IL-2 receptor were previously shown to be required for IL-15 binding by transfected COS cells. Furthermore, a significant reduction and delay of IL-15 internalization by B lymphoblasts from XSCID patients was observed when compared with that of normal control B-LCLs. These results show the existence of a novel IL-15-specific receptor component that contributes to IL-15 binding but is insufficient for IL-15 internalization in the absence of the IL-2 receptor gamma chain.

B-Lymphocytes↗
PubMed1995

Placental transfer and neonatal effects of epidural sufentanil and fentanyl administered with bupivacaine during labor.

BACKGROUND: This randomized double-blind investigation was designed to study the placental transfer and neonatal effects of epidural sufentanil and fentanyl infused with bupivacaine for labor analgesia. METHODS: Healthy parturient women (n = 36) received epidural bupivacaine alone (group B) or with fentanyl (group B-F) or sufentanil (group B-S). Group B received a 12-ml bolus of 0.25% bupivacaine followed by a 10 ml/h infusion of 0.125% bupivacaine. Groups B-F and B-S received a 12-ml bolus of 0.125% bupivacaine with 75 micrograms fentanyl or 15 micrograms sufentanil, respectively, followed by 10 ml/h of 0.125% bupivacaine with fentanyl 1.5 micrograms/ml or sufentanil 0.25 micrograms/ml. Maternal venous (MV) and umbilical arterial (UA) and umbilical venous (UV) bupivacaine and opioid plasma concentrations were determined. Neonatal assessment included Apgar scores, umbilical cord blood gas analyses, and neurobehavioral testing at delivery and at 2 and 24 h of life using the Neurologic and Adaptive Capacity Score (NACS). RESULTS: The mean total dose of fentanyl was 136.6 +/- 13.1 micrograms (SEM), and of sufentanil, 23.8 +/- 1.8 micrograms. Although administered in a ratio of 5.7:1, fentanyl and sufentanil MV plasma concentrations were in the ratio of 27:1. UV/MV ratios were 0.37 for fentanyl and 0.81 for sufentanil. Fentanyl was detected in most UA samples, whereas sufentanil was present in only one sample. Neonatal condition was good and generally similar in all groups, with the exception of a lower NACS at 24 h in group B-F. CONCLUSIONS: Although the degree of placental transfer of sufentanil appeared greater than that of fentanyl, lower MV sufentanil concentrations resulted in less fetal exposure to sufentanil. The lower NACS at 24 h in group B-F may reflect the continued presence of fentanyl in the neonate.

Adult↗
PubMed1994

The random inactivation of the X chromosome carrying the defective gene responsible for X-linked hyper IgM syndrome (X-HIM) in female carriers of HIGM1.

The molecular origin of X-linked hyper IgM syndrome has recently been identified as a defect in the ligand of CD40, gp39, a protein expressed on the surface of activated T cells. The availability of detailed pedigrees for three families with affected males allowed assessment of the random or nonrandom nature of the inactivation of the defective X chromosome as well as a determination of the origin of the mutation. X chromosome inactivation was studied because of the relevance to the ability to detect carriers of HIGM1 and the potential for phenotypic effect in the carriers. Using immunostaining, PCR, and DNA sequencing, we found that the defective gene for gp39 is not selectively inactivated. Even in the presence of extremely skewed inactivation, normal levels of serum Ig were found. In carriers in which the defective gene is predominantly expressed, staining alone revealed the carrier status reliably while cloning and sequencing of the cDNA was necessary when the normal gene was predominantly expressed. Unlike some other X-linked defects where extreme Lyonization may lead to disease, a small population of cells expressing the wild-type gp39 is sufficient to maintain normal humoral immunity and prevent the clinical symptoms of X-HIM.

Adolescent↗
PubMed1993

Independent effects of lighting, orientation, and stereopsis on the hollow-face illusion.

Three experiments were conducted to investigate factors contributing to the 'hollow face' illusion. A novel method was employed in which the distance from the mask at which the illusion became apparent or disappeared, when retreating or approaching, respectively, was taken as a measure of the strength of the illusion. In all the experiments an effect of direction of observer's movement was found, demonstrating the stability of the initial percept. Upright orientations were compared with inverted ones to investigate if the illusion reflects a bias towards a familiar percept. The direction of lighting was also varied. Independent main effects of orientation and lighting were found to be consistent with preferences both for upright faces and for top lighting. However, inverted faces also produced the illusion to some extent, suggesting a general preference for convexity. The role of stereopsis in resolving the illusion was tested by comparing monocular with binocular viewing conditions. Monocular viewing conditions gave rise to shorter distances, suggesting that the retinal disparities available with binocular viewing are important in disambiguating the illusion at small distances. The results are interpreted within the framework of a 2 1/2-dimensional sketch derived from independent modular processing of visual information.

Depth Perception↗
PubMed1993

Behavioural mechanisms in AIDS patients under stress.

Clinical observation at the Kenyatta National Hospital showed unusually rapid deterioration of patients testing seropositive to HIV infection and being moved to a side room for nursing. This pilot study tested the hypothesis that deterioration was at least partly, mediated by B-endorphins and other endogeneous opioids. The study design was a prospective and comparative study looking at 6 HIV seropositive and 10 control (HIV seronegative) patients matched for sex, age, and clinical status at time of study. The laboratory measures compaired were baseline, and daily serum B-endorphin and ACTH. A significant variation is noted between the two groups. The significance of this study is discussed.

Adolescent↗
PubMed1992

Evaluation of the accuracy of a pharmacokinetically-based patient-controlled analgesia system.

Bone marrow transplant patients having severe, prolonged oral mucositis pain (expected to last for one to three weeks) used a computer-controlled infusion system to self-administer morphine for pain control. Individual patient pharmacokinetic information, derived from a pretreatment bolus morphine dose, was used in a new bolus-elimination transfer algorithm to produce rapid adjustments of steady plasma morphine concentrations when the patient requested more or less drug. We evaluated the performance characteristics (bias and precision) of this pharmacokinetically based patient-controlled analgesic infusion system (PKPCA) in a group of 15 cancer patients over six to 14 days. Although we found a three- to fivefold pharmacokinetic variability in the tailoring morphine dose data, the PKPCA system was free of systematic bias (insignificant overall prediction error) during the patient-controlled infusions in this study population. The absolute prediction error was 19.9% for the group on the first study day and 25.6% over the entire study period (aggregate results; 6-14 days of continuous use). Two-thirds of the patients exhibited no bias throughout the study period, and individual bias in the others was symmetrically distributed (three patients with underpredictions and two overpredicted). Magnitude of prediction error during the patient-controlled morphine infusions was not related to the magnitude of pharmacokinetic deviation of individual subjects from group parameters. Our results indicate that this PKPCA system provides accurate control of plasma morphine concentration when used by patients to self-administer opioid for prolonged pain relief continuously over 1 to 2 weeks.(ABSTRACT TRUNCATED AT 250 WORDS)

Analgesia, Patient-Controlled↗
PubMed1992

Recognising faces: effects of lighting direction, inversion, and brightness reversal.

When information about three-dimensional shape obtained from shading and shadows is ambiguous, the visual system favours an interpretation of surface geometry which is consistent with illumination from above. If pictures of top-lit faces are rotated the resulting stimulus is both figurally inverted and illuminated from below. In this study the question of whether the effects of figural inversion and lighting orientation on face recognition are independent or interactive is addressed. Although there was a clear inversion effect for faces illuminated from the front and above, the inversion effect was found to be reduced or eliminated for faces illuminated from below. A strong inversion effect for photographic negatives was also found but in this case the effect was not dependent on the direction of illumination. These findings are interpreted as evidence to suggest that lighting faces from below disrupts the formation of surface-based representations of facial shape.

Adult↗
PubMed1991

Differentiation of transmissible gastroenteritis virus from porcine respiratory coronavirus and other antigenically related coronaviruses by using cDNA probes specific for the 5' region of the S glycoprotein gene.

Two cDNA clones prepared from the virulent Miller strain of transmissible gastroenteritis virus (TGEV) were identified, and their nucleotide sequences were determined. The clones were nonoverlapping and located in the 5' region of the S glycoprotein gene. Their nucleotide and predicted amino acid sequences were compared with published sequences of the attenuated Purdue strain of TGEV and feline infectious peritonitis virus (FIPV). TGEV clone pE21 contained 381 bp of the S glycoprotein gene and had greater than 98% nucleotide and amino acid sequence homology with Purdue TGEV and over 87% nucleotide and amino acid sequence homology with FIPV. TGEV clone pD24 contained 267 bp of the S glycoprotein gene. It had greater than 98% nucleotide and amino acid sequence homology with Purdue TGEV but only 54% nucleotide sequence homology and 24% amino acid sequence homology with FIPV. A probe prepared from pD24 could differentiate TGEV from porcine respiratory coronavirus and other antigenically related coronaviruses, FIPV, feline enteric coronavirus, and canine coronavirus in a dot blot hybridization assay.

Amino Acid Sequence↗