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Biomedical subjects

S Cobb

Publications and source records attributed to S Cobb.

At least 19 recordsLinked to original sources

The gamma band response may account for poor P50 suppression in schizophrenia.

The relationship between gamma band response (GBR) and P50 suppression was investigated among 10 DSM-IV schizophrenia patients and 10 normal comparison subjects using neuromagnetic and electrical recordings. In a paired-click paradigm, the neuromagnetic GBR and M100 suppression data improved schizophrenia-normal group separations over the typical electrical, vertex-recorded P50 suppression measure. The neuromagnetic GBR was also superior to the magnetic equivalent of P50 (M50) for discriminating schizophrenia and normal subjects. Our data are consistent with the hypothesis that P50 may be a subcomponent of the GBR, and that P50 suppression may be a proxy for GBR suppression. Measurement of the GBR should be given consideration as another, and perhaps better, means for evaluating auditory-evoked response abnormalities among schizophrenia patients.

Adult

Visual attention modulates metacontrast masking.

How does the human visual system 'bind' different fragments in the visual scene to create enduring representations of objects? A visual illusion known as 'metacontrast' or backward masking provides compelling evidence that perception is not instantaneous and that it occurs sequentially in distinct stages. If a solid white target square is displayed for 50 ms in a tachistoscope, switched off, and followed by a 50 ms display of two flanking mask squares, remarkably, subjects report seeing only the two flanking squares: the first square is simply not 'seen'. By plotting the magnitude of masking as a function of the delay between the target and mask (the stimulus onset asynchrony), one can obtain a characteristic 'U'-shaped function with optimum masking occurring at about 50 ms, and no masking with synchronous target and mask presentations or at delays higher than 300 ms. The illusion is also highly sensitive to elementary stimulus dimensions such as colour, orientation and spatial frequency, and it has been suggested that it is based on 'low level' autonomous visual mechanisms rather than cognitive processes. Here we describe a novel visual stimulus that demonstrates that metacontrast can be strongly modulated by 'top down' influence such as voluntary visual attention.

Attention

Timing disclosure sessions: adding a narrative perspective to clinical work with adult survivors of childhood sexual abuse.

Though the literature on the diagnosis and treatment of survivors of childhood sexual abuse has burgeoned in the last 20 years, relatively little guidance is available in the popular or professional literature to assist clients or therapists about issues of disclosure of this abuse to family members. When authors explicitly focus on disclosure, the timing of such disclosure is usually framed within a psychological and/or interpersonal perspective. In this article, we suggest that attention to characteristics of the sexual abuse narrative itself offers an important additional resource to guide decision making with respect to disclosure. We also describe ways that a narrative approach to disclosure can produce empowering conversational practices. A detailed case example provides the clinical material to illustrate this narrative approach to disclosure.

Adaptation, Psychological

The neural locus of binocular rivalry and monocular diplopia in intermittent exotropes.

Patients with intermittent exotropia (strabismus) can either fixate normally or allow one eye to deviate outward by as much as 60 degrees. Two such patients (D.N. and K.C.) were studied and it was found that during eye deviation, binocular correspondence is maintained by completely 'remapping' egocentric space for the deviating eye alone using extraretinal signals from that eye. Also, by using foveal afterimages we showed that binocular rivalry occurs at a site earlier than this egocentric remapping, probably in area 17 itself. And finally, consistent with the neural remapping hypothesis, patient K.C. also experienced monocular diplopia; objects appeared double when viewed with the deviating eye.

Afterimage

Noninvasive detection of cerebral plasticity in adult human somatosensory cortex.

After upper limb deafferentation, adult macaques exhibit substantial reorganization of cortical somatosensory topography with enlargement of cortical areas responsive to facial stimuli. In the present study non-invasive magnetic source imaging technology has been used to map in detail the bilateral somatosensory homunculi in four neurologically normal controls and two upper arm amputees. Bilateral homuncular maps of normals and of the unaffected hemisphere of both amputees showed a wide hand area. The affected hemisphere of both amputees showed marked intrusion of facial representations into the digit and hand area consistent with the earlier observations in macaques. Our findings provide the first evidence of massive somatosensory plasticity in human adults and suggest a mechanism for post-amputation perceptual changes.

Adolescent

On the perception of illusory contours.

Illusory contours are invoked by the visual system to account for otherwise inexplicable gaps in the image. We report three sets of novel observations on illusory contours. First, when an illusory square is superimposed on a checkerboard pattern there is a considerable enhancement of the contours so long as they are exactly coincident with the borders of the checks. If the checks are misaligned, on the other hand, the illusory contours associated with the pacman edges disappear and a novel percept emerges: the contours of the checks nearest to the illusory square appear enhanced. This result implies that subjective contours are generated by intermediate-level contour interactions rather than the top-down processes of three-dimensional interpretation. Second, we find that steady fixation for as little as 4 sec leads to a complete disappearance of the enhanced illusory contours caused, presumably, by adaptation or "fatigue" of cells that signal these contours. Such adaptation occurred even when the illusory contours were rendered invisible by displaying them on a misaligned checkerboard, suggesting that the adaptation occurs prior to the vetoing of the signal by the checks. Third, we found that illusory contours persist for a surprisingly long time (0.3 sec) after the inducing elements have been switched off. These results suggest that the stimuli we have designed ("enhanced illusory contours") might provide a novel probe for dissecting different stages involved in the processing of illusory contours and for understanding how the visual system combines different types of contours to construct object boundaries.

Adaptation, Ocular

Effect of immunological differences on rat aortic valve allograft calcification.

Calcification may be a cause of allograft valve degeneration. To determine whether immunological differences between donor and recipient affect the degree of calcification that occurs, adult Lewis rats received aortic valve allografts transplanted heterotopically into the abdominal aorta. All valves were transplanted immediately after harvest. The valves were not exposed to antibiotics or albumin before insertion. Valve donors were of the Lewis (syngeneic), F344 (weakly allogeneic, RT1 compatible, non-RT1 incompatible), LBN F1 (moderately allogeneic, one haplotype identical, one haplotype incompatible at the RT1 and non-RT1 loci), and Brown Norway (strongly allogeneic, RT1 and non-RT1 incompatible) strains. Valves were harvested 3-12 weeks following transplantation. Scanning electron microscopy and energy dispersion x-ray microanalysis were performed on one leaflet of each valve to evaluate calcium content. Calcium content expressed in counts (mean +/- standard error) according to donor strain were: Lewis, 1642 +/- 233; F344, 4853 +/- 1412; LBN F1, 4714 +/- 823; and Brown Norway, 4358 +/- 835. Significant differences (p less than 0.05) existed between valves from Lewis donors and those from each other strain. No differences among the other strains were statistically significant. It is concluded that syngeneic valve allografts calcify less than allogeneic grafts. However, the degree of allogenicity did not influence the magnitude of calcification.

Analysis of Variance

A comparison of two temporary restorations: light-cured resin versus a self-polymerizing temporary restoration.

Temporary restorative materials are an important component of endodontic therapy. They must both adequately seal the access preparation between visits and protect the obturated canal(s) from microleakage until a permanent restoration can be placed. The efficacy of Cavit and T.E.R.M. (a new light-cured composite product) was compared with the use of a carbon black coronal microleakage protocol. The teeth examined had previously received coronal restorations. After the teeth were accessed, restored with Cavit or T.E.R.M., and exposed to the dye, they were cleared. Three-dimensional assessment then revealed that Cavit more consistently provided an effective seal. In addition, a great deal of microleakage was observed around the permanent restoration-tooth interface. This indicates that perhaps leaking permanent restorations should be removed in their entirety before initiation of endodontic treatment.

Acid Etching, Dental

Role of ligand in antibody-directed endocytosis of liposomes by human T-leukemia cells.

The rate of uptake and intracellular processing of ligand-directed drug carriers may depend heavily on the endocytic pathway of the target antigen. We examined the role of the target antigen and type of antibody-liposome linkage in determining endocytosis of liposomes by three human T-cell leukemias, Jurkat, CEM, and Molt-4. Liposome-cell binding and internalization over time were studied using two independent assays for intracellular delivery of liposome contents: a new fluorescence assay using a pH-sensitive fluorescent dye; and a growth inhibition assay for delivery of cytotoxic drug, methotrexate-gamma-aspartate. Liposomes targeted against the transferrin receptor showed greater surface binding, internalization, and growth inhibition than liposomes targeted against the T-cell surface antigens, CD2, CD3, or CD5. Furthermore, liposomes made by conjugating the targeting antibody directly to the liposome surface were more efficiently internalized and retained than were liposomes linked to antibody-coated cells via Protein A. Selection of the type of antibody-liposome conjugate as well as the appropriate surface receptor to facilitate endocytosis is essential in antibody-directed drug treatment of cancer.

Antibodies, Monoclonal

Dieulafoy's lesion associated with truncus arteriosus type IV: an unusual cause of upper gastrointestinal hemorrhage.

Dieulafoy's lesion is an abnormal submucosal artery in the stomach characterized by massive and often fatal upper gastrointestinal hemorrhage. Diagnosis is usually made at operation, as endoscopy and arteriography frequently fail to identify the lesion. Embolization may be helpful, but surgery is generally the treatment of choice. We present the first reported case of Dieulafoy's lesion in a 17-yr-old boy with type IV truncus arteriosus. This congenital cardiac anomaly may have predisposed this patient to early manifestation of Dieulafoy's lesion, a rare and frequently unrecognized disorder.

Adolescent

The measurement of C-reactive protein and immune complexes in endocarditis caused by coagulase-negative staphylococci.

Coagulase-negative staphylococci are a major cause of early endocarditis following the insertion of prosthetic heart valves but rarely cause endocarditis in natural valves. From a 2-year prospective study we report seven cases: six with endocarditis related to prosthetic valves and one with endocarditis related to a natural valve. Each isolate of coagulase-negative staphylococcus was identified biochemically (six Staphylococcus epidermidis; one Staphylococcus hominis) and characterised by bacteriophage typing. Six isolates were also examined for slime production and for extracellular toxins and enzymes: all produced toxin but enzyme and slime production was variable. Concentrations of immune complexes and C-reactive protein in the serum were measured in six of the patients. Our results suggest that measuring C-reactive protein may be useful but measuring immune complexes is not helpful and takes more time.

Antigen-Antibody Complex