The representation of brightness in primary visual cortex.

Although neurons in primary visual cortex are sensitive to the spatial distribution and intensity of light, their responses have not been thought to correlate with the perception of brightness. Indeed, primary visual cortex is often described as an initial processing stage that sends information to higher cortical areas where perception of brightness, color, and form occurs. However, a significant percentage of neurons in primary visual cortex were shown to respond in a manner correlated with perceived brightness, rather than responding strictly to the light level in the receptive fields of the cells. This finding suggests that even at the first stage of visual cortical processing, spatial integration of information yields perceptual qualities that are only indirectly related to the pattern of illumination of the retina.

Neural correlates of perceived brightness in the retina, lateral geniculate nucleus, and striate cortex.

Brightness changes can be induced in a static gray field by modulating the luminance of surrounding areas. We used this induction phenomenon to investigate the neural representation of perceived brightness. Extracellular recordings were made in striate cortex, the lateral geniculate nucleus (LGN), and the optic tract of anesthetized cats using stimuli that produced brightness induction. While a cell's receptive field (RF) was covered by uniform gray illumination, the luminance of rectangular flanking regions was modulated sinusoidally in time, inducing brightness changes in the RF. We looked for a correspondence between the modulation of a cell's response and stimulus conditions that did or did not produce perceptual changes in brightness. We found that the responses of retinal ganglion cell axons in the optic tract were never correlated with brightness. On the other hand, many neurons in striate cortex and a small fraction in the LGN responded in a phase-locked manner at the temporal frequency of the flank modulation, even though the flanks were 3-7 degrees beyond the edges of the RF. Only in striate cortex were cells found that had responses correlated with brightness under all stimulus conditions. These findings suggest that brightness information is explicitly represented in the responses of neurons in striate cortex as part of a neural representation of object surfaces.

Contextual modulation in primary visual cortex of macaques.

Recent studies have suggested that V1 neurons extract figures from their backgrounds, in that they respond better to interior features of figures than to equivalent features of background stimuli. This is reportedly true even when the figure boundaries are distant from the borders of the classical receptive field (RF). To test the role of V1 neurons in figure-ground segregation, we recorded their responses to texture figures on texture backgrounds, centered on the RF. The texture elements of the figures remained identical across trials, and figure boundaries were defined by orientation differences between the elements in the background texture relative to elements in the figure. For nearly all neurons (98/102), responses to a large texture figure did not differ from the responses to a uniform-texture background. Although many neurons gave enhanced responses to texture boundaries, this occurred only when the boundaries were within or close to the RF borders. Similar effects were found in V2. For neurons in V1, the limited spatial extent of the contextual modulation was not increased either at low stimulus contrast or when the animal was rewarded for detecting an orientation-defined figure. Thus, V1 neurons appear to signal texture boundaries rather than figures per se. Unexpectedly, many V1 neurons gave significant long-latency responses to texture stimuli located entirely outside the classical RF, up to 5 degrees from the RF border in some cases. However, these responses did not depend on the stimulus forming a figure that contained the RF. Although V1 neurons are influenced by stimuli outside the classical RF, they do not appear to segregate figures from ground.

Usefulness of tacrolimus versus cyclosporine after pediatric heart transplantation.

This study compared the early clinical course of 9 pediatric heart transplantation recipients treated with cyclosporine A-based immunosuppression with 10 similarly aged recipients treated with tacrolimus-based therapy. One-year follow-up after transplantation revealed that tacrolimus-treated children had similar left ventricular function, experienced fewer episodes of severe rejection, were more rapidly weaned from corticosteroids, and had relatively few side effects from immunosuppression compared with cyclosporine A-treated children.

Usefulness of intermittent monitoring of mixed venous oxygen saturation after stage I palliation for hypoplastic left heart syndrome.

Most deaths after stage I palliation for hypoplastic left heart syndrome have occurred within the first 24 hours after surgery. Efforts to improve 1-day survival should therefore have significant impact on improving overall survival. Early death has most often been attributed to low cardiac output and abnormalities of pulmonary to systemic flow ratio (Qp/Qs). Thirteen infants underwent stage I palliation and had a catheter inserted in the high superior vena cava (SVC) for intermittent measurement of SVC oxygen saturation. Calculation of Qp/Qs was achieved using SVC saturation as a mixed venous oxygen saturation, and estimating pulmonary venous oxygen saturation. Eleven patients survived, and 2 patients died within the first 24 hours. Abnormalities in Qp/Qs were noted in 12 of 13 patients after operation. In 10 of these 12 patients, there was a high Qp/Qs, which has been associated with poor outcome. High Qp/Qs was noted even in patients with acceptable arterial oxygen saturations (< 85%). SVC saturation increased in all survivors during the first 24 hours, and was associated with a decrease in Qp/Qs. Measurement of SVC oxygen saturation appears to be a valuable adjuvant in the postoperative management of infants after stage I palliation of hypoplastic left heart syndrome. Major abnormalities in Qp/Qs can be detected even with acceptable arterial saturations. With this information, early ventilator/pharmaceutical adjustments can be made which may improve stage I survival.

The outcome of cardiac operations in infants weighing two kilograms or less.

OBJECTIVE: A review of our recent experience of operating on infants weighing 2 kg or less who had congenital heart disease was performed to determine the outcome of early surgical repair or palliation. METHODS: A retrospective review of hospital records was performed for infants who weighed 2 kg or less and who were identified to have undergone cardiac operation at our institution January 1992 to June 1997. The data collected included age, weight, gestational age, cardiac diagnosis, surgical procedure, and outcome measures such as length of stay, morbidity, and mortality rate. Outpatient charts were reviewed for follow-up survival and cardiac status. RESULTS: Thirty-three operations were performed on 30 patients. Median age at operation was 19.5 days (1 to 140 days), and median weight was 1.8 kg (1.1 to 2.0 kg). Cardiac diagnoses varied, with coarctation of the aorta and tetralogy of Fallot most common. Twenty-four patients were born at 37 or fewer weeks' gestation. Hospital survival was 83% with no difference in mortality rates based on age, weight, or type of surgical procedure. Premature infants tended to have worse hospital survival. Median postoperative length of stay was 39 days (6 to 122 days). Median duration of mechanical ventilation in survivors was 6 days (2 to 24 days). Neurologic complications were documented in eight patients. Of the 25 hospital survivors, 20 (80%) are alive with good cardiac status at a mean follow-up of 13 months. CONCLUSION: Cardiac operations in a selected group of infants weighing 2 kg or less can provide acceptable hospital survival. In most instances, complete repair is possible with good medium-term outcome in the survivors. Investigation into neurologic outcomes in these patients is warranted.

The effects of HLA mismatching and immunosuppressive therapy on early rejection outcome in pediatric heart transplant recipients.

BACKGROUND: Although HLA-DR antigen mismatching between heart transplant recipients and donors has been associated with increased early allograft rejection in adult patients treated with cyclosporine, little information exists in the pediatric age group. In this study we examined retrospectively the effects of HLA mismatching and immunosuppression choice, cyclosporine versus tacrolimus on early rejection outcome in pediatric heart transplant recipients. METHODS: Between 1992 and 1997, 38 patients (ages 10 days to 18 years) underwent 40 heart transplantations. All recipients were typed prospectively and donors retrospectively by use of serologic microcytotoxicity testing for HLA-A and HLA-B antigens and by a polymerase chain reaction technique for HLA-DR antigens. All heart transplant recipients received induction immunosuppression with methylprednisolone and maintenance prednisone, and 38 received OKT3. The first 25 heart transplant recipients received cyclosporine and azathioprine, and the last 15 were given tacrolimus. Clinical courses, HLA mismatching, and biopsy results for the first year after heart transplantation were reviewed and compared between treatment groups. RESULTS: Mean age, donor/recipient weight ratios, and biopsies/patient were similar between treatment groups. Five deaths occurred among cyclosporine-treated patients and none among tacrolimus-treated patients during the study period. HLA mismatching was similar between groups, with 94% of patients having 1 or 2 HLA-A mismatches and 96% having 1 or 2 HLA-B and -DR mismatches. Both International Society for Heart and Lung Transplantation grade 2 and grade 3 or 4 rejections were significantly increased in biopsies from cyclosporine-treated patients (P < .05). Significantly increased grade 3 or 4 rejection was present in patients treated with cyclosporine who had two DR mismatches versus those with one DR mismatch (3.0+/-1.6 vs 1.4+/-0.8; P < .05); no statistical significance between patients treated with tacrolimus with 1 vs 2 DR mismatches was noted. Patients treated with tacrolimus who had 2 DR mismatches had fewer grade 3 or 4 rejection episodes/patient than either patients treated with cyclosporine who had one DR mismatch (0.6+/-0.4 vs 1.4+/-0.8, P = .03) or those treated with cyclosporine who had two DR mismatches (0.6+/-0.4 vs 3.0+/-1.6, P = .01). Grade 3 or 4 rejection episodes/patient were not affected by HLA-A or B mismatching, and grade 2 rejection was not affected by mismatching at any of the loci. CONCLUSION: Although mismatching of HLA-A and -B antigens did not affect frequency of early cellular rejection, the presence of 2 HLA-DR loci mismatches increased the risk of high-grade rejection in pediatric heart transplant recipients treated with cyclosporine. The potent effects of tacrolimus-based immunosuppression mitigated the impact of HLA-DR mismatching, because patients treated with tacrolimus who had 2 DR mismatches had less rejection than even patients treated with cyclosporine who had one DR mismatch and seemed to be at no greater risk for rejection than patients treated with tacrolimus who had 1 DR mismatch.

Oxygen transport in critically ill infants after congenital heart operations.

BACKGROUND: Oxygen transport variables reflect the balance of oxygen delivery and demand. Because oxygen transport in infants undergoing congenital cardiac operations is not well described, we examined oxygen transport in such patients. Differences in oxygen transport between survivors and nonsurvivors and variables that might be predictive of outcome were sought. METHODS: We reviewed hospital records of infants admitted to the pediatric cardiac intensive care unit in our institution from January 1996 through April 1997. Infants in whom simultaneous arterial blood gas and systemic venous oxygen saturation measurements were performed on admission and at 6 and 24 hours after admission were included. Analyses of arterial pH, base excess, arteriovenous oxygen saturation differences, and oxygen extraction ratio were performed, including comparisons of survivors and nonsurvivors and changes over time. RESULTS: Forty-nine infants were included in the study, with 39 survivors. There were no differences in any parameter between survivors and nonsurvivors on admission or at 24 hours. At 6 hours, differences between survivors and nonsurvivors were significant for arterial pH (7.48 versus 7.35, p<0.001), base excess (2.9 versus -4.3 mmol/L, p<0.01), arteriovenous oxygen saturation difference (34 versus 43, p<0.05), and oxygen extraction ratio (0.28 versus 0.53, p<0.001). The oxygen extraction ratio at 6 hours was at least 0.5 in 6 of 39 survivors and 7 of 10 nonsurvivors (p = 0.002). CONCLUSIONS: Infants who die after cardiac operations have significant derangements of oxygen transport at 6 hours after admission to the intensive care unit. Infants with an oxygen extraction ratio greater than 0.5 at 6 hours are at highest risk.

Temporal limits of brightness induction and mechanisms of brightness perception.

The luminance of a squarewave grating was modulated in a manner such that every other stripe temporally varied between bright and dark and the intervening stripes had constant luminance. This produces brightness induction in the constant stripes, roughly in antiphase to the luminance modulation. We used this stimulus as a probe to explore the temporal properties of brightness induction and the mechanisms determining perceived brightness. Over a range of spatial frequencies we measured: (1) the highest temporal frequency at which brightness induction occurs; (2) the magnitude of induced brightness; and (3) the temporal phase of the induced brightness modulation. We find that brightness induction ceases with luminance modulation above a cutoff temporal frequency that depends on spatial frequency. The magnitude of induced brightness modulation is greatest at low spatial frequencies and low temporal frequencies. Induced brightness lags behind the luminance modulation and this phase lag increases as spatial frequency decreases. All of these findings can be understood as consequences of an induction process that takes longer to complete as the induction region increases in size.

Feature-specific effects of selective visual attention.

Four experiments were conducted to quantify the effect of performing a foveal discrimination task on sensitivity for a peripheral grating. The observer's primary task was to discriminate either the spatial frequency or orientation of successive foveal Gabor patches. On a third of the trials they also performed a secondary task to detect the presence of a near-threshold grating in the periphery. We find that sensitivity for detection of the peripheral grating depends on the similarity of the spatial frequencies and orientations between the foveal and peripheral stimuli. Importantly, sensitivity is also affected by which feature is being discriminated in the central task. Because the detectability of the peripheral grating is different when different features of the central stimuli are discriminated, we suggest that the effects on sensitivity are due to feature-specific attention and not simply to passive interactions between filters with similar tuning properties.

Depth in anticorrelated stereograms: effects of spatial density and interocular delay.

Disparity-based depth is not perceived in densely textured, anticorrelated random-dot stereograms (RDSs) whose elements carry opposite signs of brightness contrast on corresponding loci, as extant data show. We observed global depth in anticorrelated RDSs flashed repetitively with an interocular delay. During the delay time, a dot array in one eye was paired with a gray frame in the other eye and thus could interact with the negative afterimage of the contralateral dot array. A correlated RDS (e.g. 8 min arc dots, 50% density, 15-msec flash duration) lost depth with delays > 45 msec. An anticorrelated RDS, that was otherwise identical, showed robust depth when flashed with an interocular delay of some 60 msec. A delay was not always necessary to produce depth. At low dot density (1-2%), anticorrelated RDSs showed disparity-dependent local depth even when displayed continuously, or flashed simultaneously; as dot density alone was increased, depth was progressively lost. To make global depth visible in a dense RDS flashed with an interocular delay, the internal response had to be strongly biphasic. Our results support the generally held notion that cyclopean depth signals emerge exclusively from same-sign binocular cortical filters. However, the exclusionary rule may be invalid with respect to the processing of coarse local depth with figural stimuli. Relative depth between a pair of small dots was easily perceived when one of the dots was in opposite contrast, but the depth threshold was then about 0.5 log unit higher than with the same-contrast pair of dots indicating that the internal effects of contrast have not all lost their sign prior to binocular disparity processing. It remains to be determined whether depth can be perceived from edges of opposite contrast.

Prolongation of the QT interval in children with liver failure.

BACKGROUND: Alcoholic liver disease has been associated with QT prolongation and sudden cardiac death. HYPOTHESIS: We evaluated children with hepatic failure to determine whether they have abnormalities of ventricular repolarization. METHODS: Between October 1990 and January 1996, 38 pediatric patients (mean age 6.5 +/- 7.2 years) underwent evaluation for liver transplantation, including a 12-lead electrocardiogram and an echocardiogram. All patients had normal serum electrolytes, calcium, and magnesium at the time of cardiac evaluation and were not on any medications known to prolong repolarization. Follow-up electrocardiograms were performed on all survivors with QT prolongation following liver transplantation. RESULTS: Among those evaluated, seven (18%) were noted to have a prolonged QT interval corrected for rate (QTc > 450 ms; range 460-560 ms). All had a structurally normal heart, except one with an atrial and ventricular septal defect. When compared with patients with a normal QT interval, there was no significant difference in serum indices of liver function or indication for liver transplantation. None of the patients developed a ventricular arrhythmia. Two patients with a prolonged QTc died prior to transplant and another died immediately after surgery. All four survivors had normalization of the QTc following liver transplantation. CONCLUSION: QTc prolongation can be seen in a significant number of children with hepatic failure. While the mechanism is not known, it appears to be reversible following liver transplantation.

Subclinical infectious bursal disease in an integrated broiler production operation.

A field study was designed to determine the prevalence of subclinical infectious bursal disease (IBD) in broiler chickens from a commercial poultry company. Bursae of Fabricius (BF) from two vaccinated and three nonvaccinated broiler flocks were evaluated histologically, and antibody profiles of these broiler and matched parent breeder flocks were established. Lesions of IBD, including lymphoid necrosis, stromal edema, and infiltrates of heterophils and macrophages, were first detected in BF at 24 days of age in both vaccinated and nonvaccinated chickens. At 41 days, all BF had lesions characteristic of IBD, including severe lymphoid depletion, proliferation of epithelial cells, and mild fibroplasia. Although mean maternal antibody levels (measured by enzyme-linked immunosorbent assay) in broilers were apparently protective through day 12, IBD antibodies decreased to nonprotective levels (below 1,000) by day 16 or 20. Titers began to increase by day 28 or 32 because of field exposure. Sentinel birds, placed with broiler flocks, also developed IBD antibody titers. Broiler breeders had low and nonuniform antibody titers. Prevalence of field IBD exposure was high, and existing vaccination programs were not effective.

[Latent neuropathy in rheumatoid arthritis. Electrophysiological study of 45 cases]. / Neuropatia latente in corso di artrite reumatoide. Studio elettrofisiologico di 34 casi.

Thirty (88.2%) of thirty four patients with rheumatoid arthritis showed evidence of latent neuropathy, as judged by the following tests: measurements of motor and sensory conduction velocity; analysis of single motor units at various sites and under different conditions. All patients demonstrating electrophysiological signs of involvement of nervous functions showed no clinical signs of peripheral neuropathy. On the basis of the present results it is proposed that neurophysiological alterations could depend on a widespread (immunologically mediated?) injury of the axonic membrane.

Influence of aluminum on phosphorus availability in laying hen diets.

An experiment was conducted to determine the influence of Al on P utilization, as well as to determine the short-term response of laying hens to diets containing different levels of P not bound by A1 (PNB). One hundred and sixty Single Comb White Leghorn hens were assigned to eight treatment diets derived from a 2 by 4 factorial design. Diets varying in two percentages of total P (.5 and 1.0%) and four percentages of Al supplementation (.6, .4, .2, and 0%) from aluminum acetate were fed for 15 days. The calculated PNB for the eight treatments were .03, .18, .33, .48, .53, .68, .83, and .98%, respectively. Egg production and feed intake were significantly lower at the two lowest percentages of PNB (.03 and .18%). At the lowest PNB level (.03%), no eggs were laid during the last 2 days of the experiment by any of the 20 hens fed this diet. Plasma inorganic P was significantly decreased by either lowering the total P of the diet or by increasing the Al. These detrimental effects of Al supplementation were completely reversed by increasing the level of P in the diet. Therefore, the detrimental effects of Al are not due to Al per se, but rather are due indirectly through diminishing P availability. Decreased egg specific gravity caused by high percentages of P was reversed by Al supplementation. As the amount of PNB increased, feed consumption also increased. Maximum feed efficiency and egg production were achieved with PNB values between .33 and .98%.

Effects of dietary boron supplementation on broilers.

Two experiments were conducted with a total of 432 broiler chicks to investigate the influence of supplementing different amounts of boron to practical corn-soybean meal diets. The birds were housed in batteries and had free access to feed and water. In Experiment 1, 144 1-day-old broiler chicks were fed a basal diet supplemented with 0, 5, 40, 80, or 120 ppm boron for 21 days. Female body weight was not influenced by the dietary treatments. However, males supplemented with 5 ppm boron were heavier and their tibias resisted more load than the control birds. Overall feed conversion was not influenced by boron. In Experiment 2, 288 1-day-old broiler chicks were fed a basal diet supplemented with 0, 60, 120, 240, or 300 ppm boron for 22 days. Male and female body weights of the 300-ppm group were lower than those of the control birds. Percentage tibia ash was highest with 300 ppm boron. No significant differences were found in intestinal tract weight (grams of intestine per 100 g body weight) among treatments. Boron concentration in the breast muscle and liver increased as dietary concentration of boron increased. Data collected in these two experiments indicated that consumption of diets containing up to 240 ppm boron from hatch to 21 days of age was not detrimental to broiler performance. Data were not conclusive on the need for supplemental boron in broiler diets based on corn and soybean meal.