Unified classification of mouse retinal ganglion cells using function, morphology, and gene expression.

Classification and characterization of neuronal types are critical for understanding their function and dysfunction. Neuronal classification schemes typically rely on measurements of electrophysiological, morphological, and molecular features, but aligning such datasets has been challenging. Here, we present a unified classification of mouse retinal ganglion cells (RGCs), the sole retinal output neurons. We use visually evoked responses to classify 1,859 mouse RGCs into 42 types. We also obtain morphological or transcriptomic data from subsets and use these measurements to align the functional classification to publicly available morphological and transcriptomic datasets. We create an online database that allows users to browse or download the data and to classify RGCs from their light responses using a machine learning algorithm. This work provides a resource for studies of RGCs, their upstream circuits in the retina, and their projections in the brain, and establishes a framework for future efforts in neuronal classification and open data distribution.

Olanzapine as a rescue antiemetic in hematopoietic stem cell transplant.

BACKGROUND: Chemotherapy-induced nausea and vomiting occurs in up to 80% of patients undergoing chemotherapy treatment and is associated with a deterioration in quality of life. Olanzapine is an atypical antipsychotic antagonist blocking a variety of neurotransmitters in the nausea and vomiting pathophysiology. OBJECTIVES: The primary objective of this study is to determine whether olanzapine is associated with improved breakthrough nausea and vomiting in patients undergoing hematopoietic stem cell transplant. Secondary outcomes include number of documented emesis episodes, an evaluation of patient oral intake, and number of rescue antiemetic agents administered after olanzapine initiation. METHODS: This is a retrospective cohort review examining the effects of olanzapine for the treatment of breakthrough nausea and vomiting following hematopoietic stem cell transplant. Patients undergoing autologous or allogeneic hematopoietic stem cell transplant between January 2014 and October 2017 were included. RESULTS: A total of 150 patients were included in the study. Olanzapine use was associated with a complete response in 30% of patients for breakthrough chemotherapy-induced nausea and vomiting (p < 0.0001). An improvement in nausea (p < 0.0001) and vomiting (p = 0.02) was also observed in patients. Olanzapine administration was associated with lower as needed antiemetic usage (p < 0.0001) as well as fewer emesis episodes (p < 0.0001) but had no effect on oral intake (p = 0.13). CONCLUSIONS: Olanzapine was associated with significant improvements in breakthrough nausea and vomiting control while reducing the number of emesis episodes and required antiemetic doses in the hematopoietic stem cell transplant population. Olanzapine may be beneficial in optimizing antiemetic regimens for breakthrough chemotherapy-induced nausea and vomiting control in patients undergoing hematopoietic stem cell transplant.

Eye-specific pattern-motion signals support the perception of three-dimensional motion.

An object moving through three-dimensional (3D) space typically yields different patterns of velocities in each eye. For an interocular velocity difference cue to be used, some instances of real 3D motion in the environment (e.g., when a moving object is partially occluded) would require an interocular velocity difference computation that operates on motion signals that are not only monocular (or eye specific) but also depend on each eye's two-dimensional (2D) direction being estimated over regions larger than the size of V1 receptive fields (i.e., global pattern motion). We investigated this possibility using 3D motion aftereffects (MAEs) with stimuli comprising many small, drifting Gabor elements. Conventional frontoparallel (2D) MAEs were local-highly sensitive to the test elements being in the same locations as the adaptor (Experiment 1). In contrast, 3D MAEs were robust to the test elements being in different retinal locations than the adaptor, indicating that 3D motion processing involves relatively global spatial pooling of motion signals (Experiment 2). The 3D MAEs were strong even when the local elements were in unmatched locations across the two eyes during adaptation, as well as when the adapting stimulus elements were randomly oriented, and specified global motion via the intersection of constraints (Experiment 3). These results bolster the notion of eye-specific computation of 2D pattern motion (involving global pooling of local, eye-specific motion signals) for the purpose of computing 3D motion, and highlight the idea that classically "late" computations such as pattern motion can be done in a manner that retains information about the eye of origin.

Review of videolaryngoscopy pharyngeal wall injuries.

OBJECTIVES: Reports of patient injuries associated with videolaryngoscopy are increasing in the literature. There are a wide variety of opinions regarding both safe use of the device and patient care following aerodigestive tract injury. We have seen an increase in videolaryngoscopy-associated injuries in recent years at our institution. Because of this, we wanted to determine if video-assisted laryngoscopy presents a greater risk of injury compared with direct laryngoscopy. Furthermore, we wanted to determine if there were patient and/or surgical factors that could contribute to patient injuries following videolaryngoscopy. DATA SOURCES: MAMC anesthesia records, PubMed, Ovid. REVIEW METHODS: We compared rates of injury between videolaryngoscopy to direct laryngoscopy at our institution by searching anesthesia records to identify laryngoscopy procedures that resulted in injury to the soft palate or oropharynx. We also identified 19 published cases in the literature, in addition to our cases, that we reviewed for patient characteristics (e.g., body mass index, age and sex, Mallampati grade), type of videolaryngoscope, location of injury, and type of repair (if any) required. RESULTS: At our institution, we have a statistically higher rate of injury using videolaryngoscopy compared to direct laryngoscopy. Our data also indicate that women are more commonly injured during videolaryngoscope intubation than men. The right tonsillar pillars and soft palate are the most frequently injured, with through-and-through perforation of the soft tissues being the most common type of injury. The most common repair of injuries required simple closures, and long-term harm was very rare. CONCLUSION: Our data suggests that using video-assisted laryngoscopy for intubation puts a patient at significantly greater risk for injury compared to direct laryngoscopy. Laryngoscope, 2016 127:349-353, 2017.

Speed discrimination in the far monocular periphery: A relative advantage for interocular comparisons consistent with self-motion.

Some animals with lateral eyes (such as bees) control their navigation through the 3D world using velocity differences between the two eyes. Other animals with frontal eyes (such as primates, including humans) can perceive 3D motion based on the different velocities that a moving object projects upon the two retinae. Although one type of 3D motion perception involves a comparison between velocities from vastly different (monocular) portions of the visual field, and the other involves a comparison within overlapping (binocular) portions of the visual field, both compare velocities across the two eyes. Here we asked whether human interocular velocity comparisons, typically studied in the context of binocularly overlapping vision, operate in the far lateral (and hence, monocular) periphery and, if so, whether these comparisons were accordant with conventional interocular motion processing. We found that speed discrimination was indeed better between the two eyes' monocular visual fields, as compared to within a single eye's (monocular) visual field, but only when the velocities were consistent with commonly encountered motion. This intriguing finding suggests that mechanisms sensitive to relative motion information on opposite sides of an animal may have been retained, or at some point independently achieved, as the eyes became frontal in some animals.