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Biomedical subjects

P Kohl

Publications and source records attributed to P Kohl.

41 records · Page 3Linked to original sources

Effect of head and eye positions on fixation disparities, phorias, and ductions at near.

This study evaluated the effects of head and gaze position on near fixation disparity, phoria, and duction findings. A population of 104 non-complaining subjects divided by age into 3 groups participated in the study. The primary head and gaze position along with two others approximating the positions used for reading by nonbifocal and bifocal wearers were used. A statistically significant effect was found for the phoria data from the young group, but the magnitude was clinically insignificant. Changes in head and/or gaze positions did not significantly affect fixation disparities or duction recovery ranges. Phorias and fixation disparities showed statistically significant increases in exo deviation with increasing age regardless of head and/or gaze position. Nine of 23 presbyopic subjects gave erratic findings during fixation disparity testing and this casts doubt upon the clinical usefulness of this procedure with presbyopes.

Adolescent↗

Visual acuity screening of infants and young children with the acuity card procedure.

A new acuity test for infants and young children between 1 and 36 months of age is described. The test was used to evaluate the acuities of 66 infants and young children during a one-day vision screening. At least one estimate of visual acuity was obtained from 63 of the 66 children. Fifty-two of the children completed two monocular acuity tests (or two monocular tests plus a binocular test). The average total test time for these 52 children was less than 15 minutes. Results indicate that the acuity card procedure can be used as a complement to standard optometric tests for large-scale screening of infants and young children.

Child, Preschool↗

Refractive error and preferential looking visual acuity in human infants: a pilot study.

A clinical pilot study comparing refractive error and preferential looking (PL) visual acuity in infants 2 to 12 months of age is described. The PL visual acuity of 30 normal infants without significant visual disorders was assessed using the Acuity Card Procedure. Near retinoscopy was used to determine refractive error. Infants of this sample had monocular PL visual acuities similar to those established by McDonald et al. in a laboratory setting. Statistical analysis of the data for this sample of infants showed that refractive error did not change systematically from 2 to 12 months of age. We have found that results obtained with the Acuity Card Procedure in a clinical setting agree with infant visual acuity as described in the research literature. Refractive error did not correlate with changes in PL visual acuity in infants 2 to 12 months of age.

Humans↗

Properties of anaglyphic materials that affect the testing and training of binocular vision.

Unequal retinal illuminances and target contrasts, and ghost images of anaglyphs can affect binocular vision. These properties were studied in red-green anaglyphic materials, and for all three pairs of red-green glasses tested, the luminous transmittance of the green member of each pair was higher than that of the red. Differences ranged from 15.3% to 33.1%. In all combinations tested, contrast was higher with the green lens when viewing red acetate than it was for the red lens when viewing green acetate. These marked differences between red and green materials are noteworthy because they can induce differences between the two retinal illuminances, thereby affecting suppression tendencies.

Eyeglasses↗

Mechano-electric interactions in heterogeneous myocardium: development of fundamental experimental and theoretical models.

The heart is structurally and functionally a highly non-homogenous organ, yet its main function as a pump can only be achieved by the co-ordinated contraction of millions of ventricular cells. This apparent contradiction gives rise to the hypothesis that 'well-organised' inhomogeneity may be a pre-requisite for normal cardiac function. Here, we present a set of novel experimental and theoretical tools for the study of this concept. Heterogeneity, in its most condensed form, can be simulated using two individually controlled, mechanically interacting elements (duplex). We have developed and characterised three different types of duplexes: (i) biological duplex, consisting of two individually perfused biological samples (like thin papillary muscles or a trabeculae), (ii) virtual duplex, made-up of two interacting mathematical models of cardiac muscle, and (iii) hybrid duplex, containing a biological sample that interacts in real-time with a virtual muscle. In all three duplex types, in-series or in-parallel mechanical interaction of elements can be studied during externally isotonic, externally isometric, and auxotonic modes of contraction and relaxation. Duplex models, therefore, mimic (patho-)physiological mechano-electric interactions in heterogeneous myocardium at the multicellular level, and in an environment that allows one to control mechanical, electrical and pharmacological parameters. Results obtained using the duplex method show that: (i) contractile elements in heterogeneous myocardium are not 'independent' generators of tension/shortening, as their ino- and lusitropic characteristics change dynamically during mechanical interaction-potentially matching microscopic contractility to macroscopic demand, (ii) mechanical heterogeneity contributes differently to action potential duration (APD) changes, depending on whether mechanical coupling of elements is in-parallel or in-series, which may play a role in mechanical tuning of distant tissue regions, (iii) electro-mechanical activity of mechanically interacting contractile elements is affected by their activation sequence, which may optimise myocardial performance by smoothing intrinsic differences in APD. In conclusion, we present a novel set of tools for the experimental and theoretical investigation of cardiac mechano-electric interactions in healthy and/or diseased heterogeneous myocardium, which allows for the testing of previously inaccessible concepts.

Animals↗