Electroencephalogram correlates of higher cortical functions.

By means of two-stage, nonlinear multivariate pattern recognition, electroencephalograms (EEG's) were analyzed during performance of verbal and spatial tasks. Complex scalp distributions of theta-, beta-, and, to a lesser extent, alpha-band spectral intensities discriminated between the two members of a pair of tasks, such as writing sentences and Koh's block design. Small EEG asymmetries were probably attributable to limb movements and other uncontrolled noncognitive aspects of tasks. Significant EEG differences beteeen cognitive tasks were eliminated when controls for inter-task differences in efferent activity, stimulus characteristics, and performance-related factors were introduced. Each controlled task was associated with an approximately 10 percent reduction, as compared with visual fixation, in the magnitude of alpha- and beta-band spectral intensity. This effect occurred bilaterally and was approximately the same over occipital, parietal, and central regions, with some minor difference over the frontal region in the beta band. With these controls, no evidence for lateralization of different cognitive functions was found in the EEG.

Human neuroelectric patterns predict performance accuracy.

In seven right-handed adults, the brain electrical patterns before accurate performance differed from the patterns before inaccurate performance. Activity overlying the left frontal cortex and the motor and parietal cortices contralateral to the performing hand preceded accurate left- or right-hand performance. Additional strong activity overlying midline motor and premotor cortices preceded left-hand performance. These measurements suggest that brief, spatially distributed neural activity patterns, or "preparatory sets," in distinct cognitive, somesthetic-motor, and integrative motor areas of the human brain may be essential precursors of accurate visuomotor performance.

Nonlinear effects of chicken endogenous viruses on body weight may be responsible for maintaining these elements in a stable genetic polymorphism.

The effects of presence or absence of individual endogenous virus (ev) genes on production traits was studied in a highly productive commercial layer cross. Age and BW at first egg, egg production, egg weight, and mature BW were recorded for each bird. The birds were examined for presence of ev gene fragments by Southern analysis. A general linear model was used to determine significance of effects of the 21 individual ev fragments on the individual traits and the effects of all ev fragments taken together on each of the traits. Seven significant effects were found for individual ev fragments on individual traits. Four of these involved BW at first egg, and all ev gene fragments taken together had a significant effect on BW at first egg, explaining 17% of total phenotypic variation in this trait. Significant nonlinear correlations were found between total number of ev genes and both BW at first egg and mature BW, with birds having a moderate number of ev genes showing the lowest BW. For age at first egg and egg weight, nonlinear correlations, although not significant, were consistent in sign with those found for BW, implying minimum trait magnitude at moderate number of ev genes. These effects imply that animals with intermediate numbers of ev genes will tend to be favored by commercial selection in layer flocks, whereas birds with either too many or too few ev genes will tend to be culled.(ABSTRACT TRUNCATED AT 250 WORDS)

Hematocrit values and mortality from ascites in cold-stressed broilers from parents selected by hematocrit.

A hypothesis that the relative hematocrit value of broilers is inherited and can serve as an indicator of partial resistance to the ascites syndrome in cold-stressed broilers was shown to be valid in a field trial. Hematocrits were determined for male and female grandparent breeding stocks. Matings were then made between low (LL), low-medium (LM), medium-high (MH), and high (HH) hematocrit parents: LL x LL, LM x LM, MH x MH, and HH x HH. The progeny of HH parents had higher hematocrit values than the progeny of lower hematocrit parents (P < 0.0001). Exposure of the progeny from all the parental groups to an ascites-predisposing cold environment caused higher losses from ascites in the progeny of the HH parents (P < 0.0001). The progeny of LH parents had an increased mortality from causes other than ascites (P < 0.0001). This work suggests that elimination of birds with HH in broiler breeding programs may be desirable where cold-induced ascites is an important problem.

Accumulation of carbon dioxide during eye surgery.

During cataract surgery, both the surgeon and the anesthesiologist need access to the patient's face. At our institution we achieved a working compromise by using an oxygen insufflating hoop, which allowed the surgeon access to the eye and a sterile field. The patient's airway was kept free by the hoop, and the patient breathed a high inspired oxygen fraction. We measured the partial pressure of carbon dioxide (PCO2) of the gas mixture under the surgeon's drapes because they form a semiclosed breathing system for the patient. Accumulation of CO2 occurred in all patients (mean +/- SD, 6.1 +/- 3.1 mmHg), but an oxygen flow of 10 L/min through the hoop prevented an additional rise of CO2 levels during the operation. Reducing the oxygen flow below 10 L/min led to increased retention of CO2 under the drapes. Paper drapes are permeable to CO2, but plastic drapes are impermeable. We did not measure the arterial partial pressure of CO2, and so we do not know whether CO2 accumulation was accompanied by respiratory acidosis.

Age and anesthetic practice: a regional perspective.

STUDY OBJECTIVE: To obtain information about practitioners' behaviors, perceptions, and perspectives concerning issues related to advancing age and anesthetic practice. DESIGN: Questionnaire survey mailed to 1,208 active and retired American Society of Anesthesiologists (ASA) members in Northern New England. Topics included hours worked, practice policies, stress level of activities, observed in colleagues and personally perceived errors and problems associated with performance, and plans, preparation, and reasons for retirement. SETTING: Practicing respondents worked in academic, community, or federal hospitals, and in ambulatory surgical facilities. MEASUREMENTS AND MAIN RESULTS: For descriptive analysis, counts and frequency distributions were calculated for each question. Statistical methods were used to test differences across age groups and to identify sources of differences. Approximately 40% of respondents in each age group worked an average work week of 50 to 59 hours. Respondents aged 40 to 49 years worked the longest work weeks and duty periods and were more concerned about liability issues than other age groups. Respondents age 60+ tended to work shorter average and maximum work weeks, although 5% of them continued to work 70- to 79-hour weeks. There was no statistically significant difference in hours worked among men and women. Approximately 20% to 30% of respondents relieved older colleagues of late night or call duties, and asked them to restrict or to stop practice out of concern for patient safety. Night call was equally stressful for all age groups. Economic uncertainty, production pressure, and interpersonal relations were more stressful for younger respondents. In preparation for retirement, shifting away from complex cases and phased reduction in clinical activity were increasingly prevalent with each advancing age group. Important reasons for retirement included attitude changes, physical limitations, and declining health. CONCLUSIONS: Despite modest age-associated trends, chronological age per se is not a strong correlate of an individual's practice pattern, behaviors, or perceptions about performance.

Quality assurance programmes and patient safety in anaesthesia.

Formal Quality Assurance programmes have been widely promoted and applied in anaesthesia departments in the United States of America. The rationale of three well-known programmes is examined. Although they may be of use as a method of examining one's own practice, there is little objective evidence to support the idea of measuring an anaesthesiologist's competence. There is also a danger that licensing authorities will misuse such spurious information.

Possible decrease in mortality associated with anaesthesia. A comparison of two time periods in Massachusetts, USA. Closed Claims Study Committee.

This paper compares mortality associated with anaesthesia in Massachusetts USA, during two periods of time separated by 13 years. The denominators in the calculation of the mortality rates are not precisely comparable but there appears to be approximately a thirteenfold decrease in the death rate after general anaesthesia and a tenfold decrease after spinal anaesthesia.

Hypoventilation in a newborn following administration of succinylcholine to the mother: a case report.

Analysis of maternal and neonatal blood samples for cholinesterase-activity determination revealed a case of hypoventilation in the newborn to be apparently secondary to succinylcholine administration to the mother during obstetric anesthesia.

DNA markers and crossbreeding scheme as means to select sires for heterosis in egg production of chickens.

Genotypes for 24 microsatellite markers, dispersed across the chicken genome, were used to predict progeny performance and heterosis for egg production (number and mass) in 'layers' (egg-type chickens). These markers were used to evaluate genetic distance between each of 39 sires sampled from two-layer male-lines; Rhode Island Red (RIR) and White egg Leghorn (Leghorn), and a DNA pool of 30 randomly sampled females from a Brown-egg female line (Silver). Each sire was analysed for egg production across months in the laying period and cumulatively in each of three subperiods; onset (2 month), mid (9 month) and late (1 month). The average Reynolds' genetic distance between Leghorn sires and the Silver female line (theta;=0.6) was significantly higher than that between RIR sires and the Silver female line (theta;=0.5). Neither performance nor heterosis values in the RIR sire's daughters were associated with genetic distance values between sires and the Silver female line. On the other hand, performance as well as heterosis values of Leghorn's daughters were positively associated with genetic distance. This association was particularly evident in the mid-subperiod. If 25% of the most genetically distant Leghorn sires from the Silver female line had been selected in a single generation on the basis of DNA markers information only, average egg production of the crossbred daughters would have been improved by about nine eggs (3%). In principle, further improvement is possible if selection to increase genetic distance between the parental lines is carried on.

EEG patterns during 'cognitive' tasks. II. Analysis of controlled tasks.

This experiment was designed to distinguish possible EEG correlates of the cognitive components of tasks from EEG patterns associated with stimulus characteristics, limb and eye movements, and performance-related factors such as subjects' ability and effort. Thirty-two right-handed adults each performed 30 trials, lasting 6-15 sec each, of four simplified, controlled tasks: mental rotation of geometric forms, serial addition of a column of signed digits, substitution of letters with subsequent word recognition and visual fixation. The first three tasks could not be differentiated from each other. Each of these tasks could be differentiated from visual fixation by approximately 10% generalized reductions in alpha and beta band intensities, and slight increases in theta band intensities frontally and occipitally. We conclude that the EEG patterns which differentiated the complex tasks described in Part I were due to inter-task differences in stimulus characteristics, efferent activities and/or performance-related factors, rather than to cognitive differences. With these controls, no evidence for lateralization of different types of cognitive activity was found in the EEG.

Computer rejection of EEG artifact. II. Contamination by drowsiness.

As part of an effort to automatically measure a background EEG baseline against which changes due to therapy or experimental manipulations may be measured, algorithms to detect EEG patterns associated with drowsiness have been developed and objectively evaluated. The decision of drowsiness is tentatively based upon changes in simple signal features, including increased ratios of both delta-band to alpha-band and theta-band to alpha-band spectral intensity as compared to thresholds automatically determined from a waking calibration period. Several heuristic criteria are then required to reach a final decision. Thirty-one normal and abnormal, 3-minute, 8-channel clinical EEG recordings containing drowsiness were scored by 5 expert scorers. Out of a total of 106 events labeled drowsy by at least one judge, 85 were found by a consensus of 3 or more of the 5 experts. On the 20 recordings not used for training the decision thresholds (testing data set), the system found 84% for the 85 episodes found by the consensus, and 89% of the 62 episodes found by all 5 scorers. Only one event was found by the system which was not found by any scorer, or which did not border on a consensus-defined episode of drowsiness. This performance is adequate to justify inclusion of these algorithms into a previously described real time EEG analysis system, ADI-EEG, allowing integration of the decisions of the separate subsystems for detection of artifact, sharp transients and drowsiness.

EEG patterns during 'cognitive' tasks. I. Methodology and analysis of complex behaviors.

This paper presents a methodology which uses nonlinear pattern recognition to study the spatial distribution of EEG patterns accompanying higher cortical functions. The multivariate decision rules reveal the essential EEG patterns which differentiate performance of two tasks. Cross-validation classification accuracy measures the generality of the findings. Using this method, EEG patterns were derived from a group of 23 adults during performance of several complex tasks, including Koh's block design, writing sentences, mental paper folding, and reading silently. These patterns discriminate between the tasks, are consistent with, and extend the results of, visual EEG interpretations and univariate analysis of spectral intensities. Since writing sentences could not be distinguished from mere scribbling, it is unclear whether the EEG patterns found to distinguish complex behaviors were related to the cognitive components of tasks, or to sensory-motor and performance-related factors.