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PubMed1997

The prevention of back injuries in Swedish health care--a comparison between two models for action-oriented feedback. PROSA Study Group.

This paper considers two different models for action-oriented feedback designed to prevent back injuries in Swedish health care. Feedback was provided by physiotherapists/ergonomists from Occupational Health Services. The models tested were feedback to work groups, and feedback solely to supervisors. Both generated a considerable number of accident-prevention proposals. Proposals of supervisors were implemented to a greater extent. Supervisors tended to advocate training, while work groups were more concerned with improved technical aids. Otherwise, only minor differences were detected between the models in application. The active involvement promoted by feedback, in particular to work groups, was considerable.

Back Injuries↗
PubMed1997

Video feedback in the rehabilitation of patients with unilateral neglect.

OBJECTIVE: To compare the effects of a video procedure and a conventional verbal procedure in giving patients feedback on their neglect behavior in a practical task. DESIGN: Subjects in group A were trained with a video feedback procedure and subjects in group B with a conventional, verbal procedure. Three hours after the procedures, the subjects were tested with four different neglect tests to evaluate the effects of training. SUBJECTS: A consecutive series of 14 right-brain-damaged patients with moderate to severe unilateral neglect (UN): 7 patients in group A and 7 in group B. INTERVENTIONS: Subjects in group A were given the opportunity to see their performances on video, directly after the performance of the "Baking Tray Task" (BTT). They could see their neglected left side on the right side of the TV monitor. Subjects in group B were given verbal and visual guidance to see their results in the BTT. MAIN OUTCOME MEASURES: Line Cancellation Task, Figure Copying Task, Line Bisection, and BTT before and after procedures. RESULTS: The video feedback group improved significantly in the BTT, as tested 3 hours after training (p < .02). Conventional training had no effect on the BTT or on the other neglect measures. In the video feedback group, no generalization effects from the videotaped BTT on other neglect tests were observed. CONCLUSION: Video feedback seems to be a useful technique in the rehabilitation of patients with unilateral neglect.

Aged↗
PubMed2002

The enhancement of video feedback by cognitive preparation in the treatment of social anxiety. A single-session experiment.

The present study replicates and extends Harvey, Clark, Ehlers and Rapee's (Behav. Res. Therapy 38 (2000) 1183-1192) single-session experiment of video feedback with cognitive preparation in individuals with high social anxiety. Forty participants high on social anxiety were asked to present a speech before a video camera and then received video feedback of their speech. Half of the participants received cognitive preparation prior to the video feedback, whereas the other half only received video feedback. The cognitive preparation procedure asked the participants to (1) predict in detail what they would see in the video, (b) form an image of themselves giving the speech, and (3) watch the video as though they were watching a stranger. All the participants were asked to present a second speech 30 min after the first speech to index generalisation effects. Cognitive preparation enhanced the therapeutic effect of video feedback after the first speech, and also showed a robust generalisation effect on the evaluation of the second speech. Before the second speech, the participants underwent an emotional Stroop task with masked and unmasked words; the results showed that Stroop interference for both masked and unmasked social threat words correlated consistently with measures of social anxiety, but not with the preceding or ensuing speech evaluations.

Adaptation, Psychological↗
PubMed2002

A reduced model clarifies the role of feedback loops and time delays in the Drosophila circadian oscillator.

Although several detailed models of molecular processes essential for circadian oscillations have been developed, their complexity makes intuitive understanding of the oscillation mechanism difficult. The goal of the present study was to reduce a previously developed, detailed model to a minimal representation of the transcriptional regulation essential for circadian rhythmicity in Drosophila. The reduced model contains only two differential equations, each with time delays. A negative feedback loop is included, in which PER protein represses per transcription by binding the dCLOCK transcription factor. A positive feedback loop is also included, in which dCLOCK indirectly enhances its own formation. The model simulated circadian oscillations, light entrainment, and a phase-response curve with qualitative similarities to experiment. Time delays were found to be essential for simulation of circadian oscillations with this model. To examine the robustness of the simplified model to fluctuations in molecule numbers, a stochastic variant was constructed. Robust circadian oscillations and entrainment to light pulses were simulated with fewer than 80 molecules of each gene product present on average. Circadian oscillations persisted when the positive feedback loop was removed. Moreover, elimination of positive feedback did not decrease the robustness of oscillations to stochastic fluctuations or to variations in parameter values. Such reduced models can aid understanding of the oscillation mechanisms in Drosophila and in other organisms in which feedback regulation of transcription may play an important role.

Algorithms↗
PubMed2000

Visual feedback has differential effects on reaching movements in Parkinson's and Alzheimer's disease.

We examine the role of visual feedback in the programming and execution of reaching movement in patients with Parkinson's disease without cognitive impairment and patients with Alzheimer's disease without extrapyramidal signs. Controls were normally aging subjects. All subjects moved a cursor to targets on a digitizing tablet without seeing their limb. Starting and target positions were always visible on a screen while, during movement, cursor position was either visible or blanked. They were instructed to make uncorrected movements, as fast and as accurate as possible without minimizing reaction time. In absence of visual feedback, movement accuracy in patients with AD was severely impaired. Hand paths of parkinsonian patients were as accurate as normal subjects' with similar temporal velocity profiles and movement speed. With cursor feedback, accuracy was the same in the three groups, although movement speed and transport phase in patients with Alzheimer's disease were significantly reduced compared to the other groups. Also, movements of parkinsonian patients showed shorter transport phase and lower mean velocity than controls'. The different characteristics of the motor performance suggests that in the two diseases visual information is used differently for both motor programming and execution: patients with Alzheimer's disease, while scarcely using feed forward commands, relied on continuous on-line external cues. The correlation of motor performance with cognitive impairment argues against the hypothesis of basal ganglia involvement in AD. The motor abnormalities we found may represent early subclinical manifestation of apraxic disturbance. Parkinsonian patients showed higher reliance on feedback commands only with cursor feedback: this could be explained by their difficulty in engaging effectively automatic routines when distractors are present.

Aged↗
PubMed2000

Emotional and physiological responses to false feedback.

The relationship between autonomic-visceral arousal and emotional experience is unclear. The attribution or cognitive-arousal theory of emotional experience posits that emotional experience is dependent on both visceral-autonomic nervous system feedback and the cognitive interpretation of the stimulus that induced this visceral activation. The finding that false cardiac feedback can alter emotional experience suggests that it may be the conscious perception that one is aroused, together with the cognitive interpretation of the stimulus that are important in developing emotional experience. Because the right hemisphere appears to play a special role in modulating arousal and interpreting emotional stimuli, it is possible that right hemisphere damage may interfere with developing the computations needed for emotional experience. To test this hypothesis we exposed men, both neurologically intact and those with right and left hemisphere lesions, to emotionally provocative pictures that were paired with false cardiac feedback, and examined the effects of this false feedback on their ratings of attractiveness of these pictures and their cardiac reactivity to this information. Subjects with left hemisphere damage, but not right hemisphere damage, showed significant changes in their emotional rating whereas control subjects showed marginal reactivity in their emotional ratings. Subjects with left hemisphere damage also showed significant changes in their cardiac reactivity. This finding is consistent with prior reports that indicate, when compared to right hemisphere damaged patients and normal controls, patients with left hemisphere lesions have an increased visceral-autonomic response to stimuli. These findings further provide support for the postulate that it is the cognitive interpretation of perceived physiological arousal together with the cognitive interpretation of the stimulus that is important in the development of emotional judgment and experience. These results do not support the approach-left hemisphere/avoidance-right hemisphere dichotomy, but instead suggest that left hemisphere damage increases reactivity to false feedback, and that the intact right hemisphere function integrates the cognitive interpretation of the emotional information and perceived arousal that lead to that emotional judgment. That these subjects showed no consistent relationship between their measures of cardiac reactivity and their ratings of attractiveness detracts from the James-Lange and attribution theories. These subjects also showed no consistent relationship between their knowledge of affective physiological reactivity and their ratings of attractiveness, or between their knowledge of physiological reactivity and actual measures of cardiac reactivity, suggesting that other neuropsychological factors are involved in making an emotional judgment.

Aged↗
PubMed1999

Feedback inhibition of epithelial Na(+) channels in Xenopus oocytes does not require G(0) or G(i2) proteins.

Regulation of amiloride-sensitive epithelial Na(+) channels (ENaC) is a prerequisite for coordination of electrolyte transport in epithelia. Downregulation of Na(+) conductance occurs when the intracellular Na(+) concentration is increased during reabsorption of electrolytes, known as feedback inhibition. Recent studies have demonstrated the involvement of alphaG(0) and alphaG(i2) proteins in the feedback control of ENaC in mouse salivary duct cells. In this report, we demonstrate that Na(+) feedback inhibition is also present in Xenopus oocytes after expression of rat alpha,beta, gamma-ENaC. Interfering with intracellular alphaG(0) or alphaG(i2) signaling by coexpression of either constitutively active alphaG(0)/alphaG(i2) or dominant negative alphaG(0)/alphaG(i2) and by coinjecting sense or antisense oligonucleotides for alphaG(0) had no impact on Na(+) feedback. Moreover, no evidence for involvement of the intracellular G protein cascade was found in experiments in which a regulator of G protein signaling (RGS3) or beta-adrenergic receptor kinase (betaARK) was coexpressed together with alpha,beta, gamma-ENaC. Although some experiments suggest the presence of an intracellular Na(+) receptor, we may conclude that Na(+) feedback in Xenopus oocytes is different from that described for salivary duct cells in that it does not require G protein signaling.

Animals↗
PubMed2004

High performance force feedback mechanism for virtual reality training of endotracheal intubation.

A high-performance mechanism has been developed to provide force feedback during virtual reality simulations of endotracheal intubation for training purposes for the first time. The force feedback mechanism (FFM) prototype permits planar motion of the intubation tool with three degrees of freedom, each with force feedback. The FFM is computer controlled using a hybrid position-force feedback algorithm that includes a feedforward term to counterbalance the mechanism. This allows the intubation force profiles to be superimposed onto the FFM weight compensation to complete the overall force feedback effort. The development of a mechanism of this type introduces several theoretical and experimental design challenges that are addressed in this paper.

Algorithms↗
PubMed2001

The role of membrane patch size and flow in regulating a proteolytic feedback threshold on a membrane: possible application in blood coagulation.

Positive feedback controls in proteolytic systems are characterized by thresholds which are regulated by the concentration of the initial stimulus and the kinetic parameters for enzyme generation and inhibition. Significant complexity is added when a positive feedback is localized on a membrane in contact with a flowing medium, such as seen in the early steps of blood coagulation. A partial differential equation model of an archetypal feedback loop is examined in which a proteolytic enzyme catalyzes its own formation from a zymogen on a membrane in contact with a flowing medium. As predicted from prior solution-phase and membrane-phase analyses, the threshold conditions for activation of the system are regulated by the kinetics of enzyme generation and inhibition and by the density of reactant-binding sites on the membrane; but the present analysis also establishes how the feedback threshold is controlled by the flow rate of the adjacent medium and the physical size of the membrane patch on which the feedback loop is localized. For given systems of particular kinetic properties, lower flow rates or larger active patches of membrane can result in the activation threshold being exceeded, whereas higher flow rates or smaller membrane patches can prevent initiation. In addition to numerical simulation, a simplified non-flowing model is analyzed to formulate an approximate mathematical statement of the dependence of the minimum activatable patch size on the kinetic and other parameters.

Blood Coagulation↗
PubMed1997

Differential neural response to positive and negative feedback in planning and guessing tasks.

The neural mechanisms by which emotional and cognitive processing interact are unknown. Evidence from animal studies and neurological patients suggests that regions of the ventral striatum and orbitofrontal cortex, together with limbic structures such as the amygdala, are critical to such interactions. We used positron emission tomography to study the neural systems engaged by processing performance feedback under two conditions involving either a complex cognitive or a matched guessing task. The main activations associated with the processing of performance feedback under different task conditions involved foci in the medial caudate nucleus and the ventromedial orbitofrontal cortex. A differential modulation of these activations as a function of task type was observed. In particular the orbitofrontal activation associated with the presence of feedback was only seen in the guessing task. These data suggest that the ventral striatum and orbitofrontal cortex are involved in processing of feedback information, findings consistent with animal and neurological studies. We propose that differential activation associated with guessing compared to planning suggests enhanced neural processing of feedback when the outcome of a task is uncontrollable or when information must be assimilated across a number of trials to assess performance.

Adult↗
PubMedDate not supplied

The impact of milk-derived unconditioned and conditioned negative feedback on the microstructure of ingestive behavior.

We describe at the microstructural level the impact of unconditioned and conditioned negative feedback on the licking behavior of the rat. Six groups of rats were trained to ingest one of six different dilutions of sweetened milk (0.5:1, 1:1, 2:1, 4;1, 8:1, and 16:1, water to milk ratios) under real feeding conditions until intake was stable. Then they were given five sham-feeding tests with the same solution. We compared the size of the clusters (SC) and their number (NC) during the 15-min period when intake rate was declining in the real-feeding test with SC and NC during the corresponding 15-min period in the following sham-feeding test. Intake increased significantly over the five sham-feeding tests with the two highest concentrations, indicating the extinction of conditioned negative feedback. With these two solutions, we compared the microstructure of licking behavior in the first with that in the fifth sham-feeding test to determine if conditioned negative feedback affected SC or NC or both. The effect of both unconditioned and conditioned negative feedback on licking behavior was to decrease the number of clusters without affecting their size. We conclude that negative feedback derived from the accumulation of milk in the gastrointestinal tract decreases the probability of initiating a bout of licking during a pause. It has no effect on the ability to continue a bout of licking once it has begun.

Animals↗
PubMed2003

A spoonful of sugar: feedback signals of energy stores and corticosterone regulate responses to chronic stress.

To begin to understand the effects of chronic stress on food intake and energy stores, the effects of increased activity in the hypothalamo-pituitary-adrenal (HPA) axis and glucocorticoids (GCs) on the body and brain must first be understood. We propose two major systems that are both GC sensitive: a metabolic feedback that is inhibitory and a direct central GC drive. Under basal conditions, the metabolic feedback signal to brain is dominant, although infusion of GC into a lateral brain ventricle blocks the effects of the metabolic feedback. Chronic stress activates GC secretion and brain nuclear GC receptor occupancy, markedly changing the normal relationships between these two major corticosteroid-activated systems. The stressor-induced switch in the relative strengths of these signals determines subsequent brain regulation of stress responses (behavioral, neuroendocrine and autonomic outflows). The metabolic feedback effects of GCs are mimicked by voluntary sucrose ingestion in adrenalectomized rats, and experiments suggest that the metabolic feedback also inhibits the stressor-induced direct GC drive on brain. We speculate that the interaction between peripheral and central GC-sensitive signaling systems may be coupled through the inhibitory actions of endogenous opiatergic inputs on corticotropin-releasing factor (CRF) neurons.

Adrenalectomy↗
PubMed2001

The role of feedback connections in shaping the responses of visual cortical neurons.

The results of a previous study [Hupé et al. (1998) Nature, 394: 784-787] led us to conclude that feedback connections are important for differentiating a figure from the background, particularly in the case of low salience stimuli. This conclusion was principally based on the observation in area V3 neurons that inactivating MT by cooling led to a severe weakening of the center response and of the center-surround interactions, and that these effects were particularly strong for low salience stimuli. In the present paper, we first show that the results extend to areas V1 and V2. In particular, the inhibitory center-surround interactions in areas V1, V2 and V3 disappear almost completely in the absence of feedback input from MT for low salience stimuli, whereas the effects are much more limited for stimuli of middle and high salience. We then compare the results obtained in studies of feedback connections from MT to those obtained in a study of the feedback action of area V2 onto V1 neurons [Hupé et al. (2001) J. Neurophysiol., 85: 146-163], in which the same effects were observed on the center mechanism (decrease in response), but no effects were seen on the center-surround interactions. We conclude that feedback connections act in a non-linear fashion to boost the gain of the center mechanism and that they combine with horizontal connections to generate the center-surround interactions.

Animals↗
PubMed2003

On the feedback control of orienting gaze shifts made with eye and head movements.

Combined eye-head movements are routinely used to orient the visual axis (gaze) rapidly in space. The gaze control system can be modeled using a feedback system in which an internally created instantaneous gaze position error signal equivalent to the distance between the target and the current gaze position is used to drive brainstem eye and head motor circuits. The visual axis is driven until this gaze position error (GPE) is zero. The neural structure of the feedback system is discussed here. The midbrain's superior colliculus (SC) is implicated in gaze control but its 'location' in the feedback circuitry is debated. Our moving hill hypothesis proposed that the SC is within the feedback loop and that GPE is encoded topographically by a moving locus of activity on the motor map. In cat, fixation neurons of the superior colliculus encode GPE, which supports this model. Our preliminary evidence in both monkey and cat shows that neurons on the motor map respond to and encode, at very short latency, gaze shift perturbations. This further supports the hypothesis that the SC is within the gaze feedback loop.

Animals↗
PubMed2004

Reinterpretation of basal glucocorticoid feedback: implications to behavioral and metabolic disease.

A number of metabolic (e.g., abdominal obesity) and psychological (e.g., depression) pathologies commonly present together and have been associated with dysregulation in the hypothalamo-pituitary-adrenal (HPA) axis. Glucocorticoid hormones represent the final product of this classic neuroendocrine axis, and these steroids modulate neuroendocrine, metabolic, and behavioral function. A primary characteristic of the HPA axis is a negative feedback loop, and glucocorticoids act through the brain to inhibit drive to this neuroendocrine system. Slight and chronic perturbations in glucocorticoid levels, below or above normal, throughout the body lead to metabolic (e.g., abdominal obesity) and behavioral (e.g., depression) pathology. Appropriate feedback in the HPA axis is, therefore, critical, and determining how and where glucocorticoids act to impart their feedback effects have been the focus of many laboratories. However, the answer to these questions remain, in part, elusive. In this chapter, I review findings that have led me to reinterpret glucocorticoid feedback in the HPA axis. I propose that, under basal (nonstress) conditions, glucocorticoid feedback is a consequence of the metabolic actions of the adrenal steroid, not a direct effect on brain. This new perspective may provide insight into the etiology of diseases such as major depression and the metabolic syndrome X, and might explain the commonly observed coexistence of affective and metabolic disturbances.

Animals↗
PubMed1999

The effect of stimulus discriminability on stimulus-preceding negativities prior to instructive and feedback stimuli.

Stimulus-preceding negativity (SPN) was recorded in time estimation tasks that allowed the pre-instruction SPN and the pre-feedback SPN to be compared. In the task in which an acoustic tone was presented 3 s after a voluntary movement, (a) the level of stimulus discriminability (easy and difficult), and (b) the information content of the acoustic tone (feedback and instruction) were manipulated. The pre-instruction SPN over the right hemisphere tended to be larger under the difficult than under the easy level of discriminability, but the difference was only marginally significant. In contrast, the pre-feedback SPN over the right hemisphere was significantly larger under the easy than under the difficult level of discriminability. These findings suggest that the level of stimulus discriminability influences the pre-instruction and the pre-feedback SPN differently, and that it is probable that the pre-feedback and the pre-instruction SPN do not have the same functional significance.

Adult↗
PubMed1998

Effects of feedback inhibition on transit time in a linear pathway of Michaelis-Menten-type reactions.

An analysis of the effects of external and internal metabolites on the steady-state behavior of linear pathways comprising a sequence of three Michaelis-Menten-type reactions with and without a simple feedback inhibition (i.e. an interaction of an internal metabolite with the pathway) is performed with respect to the transit time tau by its formulation as rectangular-hyperbolic functions of the flux J, instead of direct expressions in terms of the external metabolite concentrations. For a given concentration of the external metabolite M1 (substrate of the pathway) or M4 (product of the pathway), the flux J has a lower value in the pathway with feedback inhibition than in the pathway without feedback inhibition. With variation in the M1 concentration the transit time tau shows a concave relationship with the flux J which is virtually identical for both pathways, yielding a minimum at a certain value of J. With variation in the M4 concentration the transit time tau monotonously decreases with higher value of J, and for a given value of J the feedback inhibition allows a lower transit time. This effect is enhanced with stronger feedback inhibition, and is in turn greatly reduced with higher values of total concentration and rate constants for the first enzyme in the pathway.

Enzymes↗
PubMed2003

The effects of enhanced visual feedback on human synchronization.

The execution of actions not only reposes on the spatial and temporal organization of the movements as such but also on their appropriate imbedding into the environmental spatio-temporal constraints. Actually, performance outcome appears to be strongly influenced by the strength of the perception-action coupling. The present experiment wants to examine to what degree this coupling strength affects the spatial and spatio-temporal characteristics of a synchronization task. In particular, the effects of: (i) enhanced visual feedback; and (ii) a modification in the spatial organization of the task were investigated. To do so, a task was designed in which horizontal arm movements had to be synchronized with a target light moving horizontally or vertically at a sinusoidal speed. Subjects performed six experimental conditions representing three synchronization modes (horizontal in-phase, horizontal anti-phase and orthogonal) and two feedback conditions (no feedback and feedback). The results for movement amplitude and relative phase revealed the operation of task specific effects. Apparently, the availability of feedback at the perception-action coupling level provoked the use of different strategies to cope with the constraints of this synchronization task.

Feedback↗