This research aimed to explore and contextualise research on the electrophysiological potentials evoked in response to human face recognition within the South African context. Previous research provides evidence that there is a measurable difference in the electrophysiological response to faces of people of other racial groups when compared to the response to one’s own race group. The difference is seen in greater peak amplitudes in response to one’s own-race (indicating greater attention being granted) in comparison to the other-race. This has been labelled the Cross-Race Effect. This research also attempted to expand on previous research in the use of a mixed-race sample and realistic colour images, in contrast to previously used greyscale images. A purposive sample of 40 students at the University of the Witwatersrand was split equally between gender and race (Black and White) with an Indian control group. The electrical potentials elicited by the facial stimuli were extracted from the ongoing electroencephalograms. The results obtained displayed inverse results to those found internationally, with Black participants eliciting no differences between racial groups, and White participants eliciting a greater peak amplitude to Black (other-race) faces. A gender effect was also seen, with White participants eliciting greater peak amplitudes towards female faces, while Black participant again showed no differences between male and female faces. Trends displayed in the results, and the significance thereof, are discussed, and the importance of the effect of society of developmental neurology is highlighted, with the rephrasing of cultural neuroscience to Socio-Cultural Neuroscience. The results ultimately suggest that the internationally seen cross-race effect is absent in a young South African population (with the principle of increased exposure leading to increased attention still in effect), indicating that South Africa is beginning to move away from racial discrimination, and moving towards a future of true integration and equality.

Introdução: A captação e o estudo de respostas cerebrais evocadas por um estímulo sonoro vem permitindo a investigação objetiva do processamento da informação auditiva e uma melhor compreensão da via auditiva central. A utilidade deste método diagnóstico tem sido cada vez mais valorizada pelos audiologistas, no entanto sua aplicação clínica corrente requer a realização de uma quantidade mais expressiva de estudos, especialmente na literatura nacional, para um conhecimento mais profundo deste método, sobretudo quanto a normatizações, critérios de identificação das ondas e interferências de variáveis como idade, sexo e parâmetros utilizados na aquisição. Os Potenciais Evocados Auditivos de Média Latência são compostos por uma seqüência de ondas com latências em torno de 10 a 80ms, com origem neurogênica múltipla (projeções tálamo-corticais e córtex auditivo, colículo inferior e formação reticular em menor escala). O presente estudo tem como objetivo pesquisar os componentes dos PEAMLs, numa população de crianças saudáveis, estudando a latência e amplitude das ondas, a fim de conhecer as características dos PEAMLs para esta faixa etária. Metodologia: Participaram do estudo 32 crianças de ambos os sexos com idade entre 10 e 13 anos, otologicamente normais e sem histórias neurológicas. A análise estatística incluiu a realização da estatística descritiva (média e desvio-padrão) e análise da variância pelo teste F. Os PEAMLs foram pesquisados utilizando como estímulo tone-burst, nas intensidades de 50, 60 e 70 dBNA. Resultados e conclusão: Os valores médios de latência dos componentes foram Na=20,79ms, Pa=35,34ms, Nb=43,27ms e Pb=53,36ms. Para a amplitude Na-Pa os valores médios obtidos no estudo variaram entre 0,2 e 1,9mV (M=1,0mV). As formas de onda Na-Pa constituíram os componentes mais consistentes e mais facilmente identificáveis. Pode-se concluir que a amplitude aumenta e a latência diminui com o aumento da intensidade sonora. Na intensidade de 50dBNA as latências obtidas são significativamente maiores que as intensidades de 60 e 70 dBNA para a onda Na. A partir de 60dBNA os valores se estabilizam e não há mudanças significativas na latência ou morfologia da onda. Nas comparações inter e intra-individual foram observadas latências mais longas e amplitudes menores para o lado E (A1/Cz). Numa análise posterior dos dados segundo queixa de dificuldade escolar não foram observadas diferenças ao nível de significância para os componentes Na, Pa, Nb e Pb para os grupos de crianças com e sem queixa de dificuldades escolares. Nestas crianças foram observadas anormalidades na morfologia das ondas, as quais não foram atribuídas exclusivamente à queixa de dificuldade escolar, já que poderia haver também interferência da idade do sujeito avaliado e do neuro-desenvolvimento do Sistema Nervoso Auditivo Central. O presente estudo possibilitou um melhor conhecimento das características dos PEAMLs, o que contribuirá para a aplicação mais segura da técnica. Porém, outros estudos ainda se fazem necessários, principalmente na literatura nacional, a fim de estabelecer padrões normativos para o uso na rotina clínica. / Introduction: The record and study of corticals responses evoked by auditory stimulus has allowed the objective investigation from process of auditory information and a better understanding of central auditory path. The utility of the procedure has been valued by audiologists, nevertheless her clinical aplication current demand the a execution a sum more significative of the study, especially in nationals researchs, to knowledge profoundest this procedure, over all as for normative studys, waves?s identification criterion and interference of the variables with age, gender and parameters used in records. The PEAMLs are composed of a waves?s sequence with latency are around 10 a 80ms, with multiple neurogenic origen (thalamus corticais projections and auditory cortex, coliculus inferior and reticular formation in small scale). The present study objetive examined the components dos PEAMLs, in healthy childrens, researching the waves?s latency and amplitude, to know the PEAML in this band of age. Methods: make part of study 32 childrens in both genders between the ages of 10 e 13, normal hearing without neurological desorders. The statistical analises involved the descrition statistical (mean and standard deviation) and variance analises by test F. The PEAMLs are investigated with tone-burst stimuli in 50, 60 e 70 dBNA. Results and conclusions: the means values of the components are Na=20,79ms, Pa=35,34ms, Nb=43,27ms e Pb=53,36ms. To the amplitude Na-Pa the means values obtained in the study varies between 0,2 and 1,9mV (M=1,0mV). The waveforms are more consistents e more easyly identifiable. We are able to conclude that the amplitude increase and latency decrease with growth of intensity of sound. In 50dBNA the latency are significative higher that 60 and 70 dBNA to wave Na. From 60dBNA the values are stabilize and there is no significatives changes in the latency ou morphology of wave. In the comparisions inter e inta-hemisferical were observed latencys lengthest and amplitudes higher to side left (A1/Cz). In a posterior analises in conformity to complaint of hardness scholar were observeds diferrences no significants to the components Na, Pa, Nb e Pb in the childrens groups with and without complaint of hardness scholar. Anormalities in the morphology of waves were viewed in this childrens wich weren´t atribute to complaint of hardness scholar exclusively once there was interference of the patient?s age and the neural development of Central Auditory System Nervous. The present study made possible a better knowledge of PEAMLs and will contribute to securest aplication this procedure. But, another studys still are requisite, essentialy in the researchs national to established normatives standard to utily in the clinical practice.

Purpose and hypothesis: The purpose of this study was to optimize and standardize the following parameters of sweep Visually Evoked Potential (sVEP) in adults: criteria for fitting the regression line to estimate threshold, luminance, electrode placement, temporal frequency, sweep direction, presence of fixation target and stimulus area. The hypothesis is that the parameters chosen will have an impact on the measured visual acuity, contrast threshold and on the number of viable sVEP plots. Methods: The Power Diva software, Version 1.9 was used for this study. Five gold cup active electrodes, one reference electrode and one ground electrode were used to measure the Electroencephalography (EEG) signals. Six adult participants (aged 17 to 35 years), with corrected to normal visual acuity and no history of ocular disease took part in each experiment, except for the repeatability experiment in which 3 subjects participated. Four criteria for regression line fitting were compared. Psychophysical thresholds were used to validate the sVEP measures for the different criterion and repeatability of sVEP was estimated for 10 sessions. The effect of luminance (25 cd/m2, 50 cd/m2, 100 cd/m2), electrode placement (Power Diva and ISCEV), temporal frequency (6 Hz, 7.5 Hz, 10 Hz), sweep direction, fixation target and stimulus area were investigated. A repeated measure ANOVA statistical method was used to analyze the average threshold and the number of viable plots out of five active channels for all subjects. Results: Criterion 2 and 3 gave better visual acuity, higher contrast sensitivity, better repeatability and gave results that were closer to the psychophysical threshold than criterion 0 and 1. Luminance of 25 cd/m2 gave significantly fewer viable readings than 50 and 100 cd/m2 while measuring visual acuity (F = 5.11, df = 2, p = 0.0295). Temporal frequency of 7.5 Hz gave significantly more viable readings than 6 and 10 Hz while measuring visual acuity (F = 50.53, df = 2, p < 0.0001) and contrast threshold (F = 9.87, df = 2,p = 0.0043). There was a highly significant interaction of criterion with temporal frequency (F = 1536.98, df = 6, p < 0.0001) while measuring contrast threshold. There was a significant interaction of criterion with sweep direction (F = 4.26, df = 3, p = 0.0231) and for the number of readings (F = 3.75, df = 3, p = 0.0343) while measuring visual acuity. There was an interaction of criterion with sweep direction (F = 4.97, df = 3, p = 0.0136) while measuring contrast threshold at a spatial frequency of 1 cpd. There was a significant effect of fixation target (F = 7.64, df = 1, p = 0.0396) while measuring visual acuity. There was a significant effect of stimulus area (F = 11.78, df = 4, p < 0.0001) on the number of readings while measuring contrast threshold. Conclusion: The sVEP parameters chosen do have a significant effect on visual acuity, contrast threshold and on the number of viable readings. The following parameters are recommended in adults on the basis of results; Criterion 2 or 3 for fitting regression line (C2 - regression line fitted from the signal peak amplitude to the last data point with a signal to noise ratio (SNR) >1; C3 – similar to criterion 2, but the threshold should be within sweep range used), luminance of 50 or 100 cd/m2 , either Power Diva (PD) or International Society for Clinical Electrophysiology of Vision (ISCEV) electrode placement, temporal frequency of 7.5 Hz, either sweep direction, measurement with the central fixation target, larger stimulus area.

Purpose and hypothesis: The purpose of this study was to optimize and standardize the following parameters of sweep Visually Evoked Potential (sVEP) in adults: criteria for fitting the regression line to estimate threshold, luminance, electrode placement, temporal frequency, sweep direction, presence of fixation target and stimulus area. The hypothesis is that the parameters chosen will have an impact on the measured visual acuity, contrast threshold and on the number of viable sVEP plots. Methods: The Power Diva software, Version 1.9 was used for this study. Five gold cup active electrodes, one reference electrode and one ground electrode were used to measure the Electroencephalography (EEG) signals. Six adult participants (aged 17 to 35 years), with corrected to normal visual acuity and no history of ocular disease took part in each experiment, except for the repeatability experiment in which 3 subjects participated. Four criteria for regression line fitting were compared. Psychophysical thresholds were used to validate the sVEP measures for the different criterion and repeatability of sVEP was estimated for 10 sessions. The effect of luminance (25 cd/m2, 50 cd/m2, 100 cd/m2), electrode placement (Power Diva and ISCEV), temporal frequency (6 Hz, 7.5 Hz, 10 Hz), sweep direction, fixation target and stimulus area were investigated. A repeated measure ANOVA statistical method was used to analyze the average threshold and the number of viable plots out of five active channels for all subjects. Results: Criterion 2 and 3 gave better visual acuity, higher contrast sensitivity, better repeatability and gave results that were closer to the psychophysical threshold than criterion 0 and 1. Luminance of 25 cd/m2 gave significantly fewer viable readings than 50 and 100 cd/m2 while measuring visual acuity (F = 5.11, df = 2, p = 0.0295). Temporal frequency of 7.5 Hz gave significantly more viable readings than 6 and 10 Hz while measuring visual acuity (F = 50.53, df = 2, p < 0.0001) and contrast threshold (F = 9.87, df = 2,p = 0.0043). There was a highly significant interaction of criterion with temporal frequency (F = 1536.98, df = 6, p < 0.0001) while measuring contrast threshold. There was a significant interaction of criterion with sweep direction (F = 4.26, df = 3, p = 0.0231) and for the number of readings (F = 3.75, df = 3, p = 0.0343) while measuring visual acuity. There was an interaction of criterion with sweep direction (F = 4.97, df = 3, p = 0.0136) while measuring contrast threshold at a spatial frequency of 1 cpd. There was a significant effect of fixation target (F = 7.64, df = 1, p = 0.0396) while measuring visual acuity. There was a significant effect of stimulus area (F = 11.78, df = 4, p < 0.0001) on the number of readings while measuring contrast threshold. Conclusion: The sVEP parameters chosen do have a significant effect on visual acuity, contrast threshold and on the number of viable readings. The following parameters are recommended in adults on the basis of results; Criterion 2 or 3 for fitting regression line (C2 - regression line fitted from the signal peak amplitude to the last data point with a signal to noise ratio (SNR) >1; C3 – similar to criterion 2, but the threshold should be within sweep range used), luminance of 50 or 100 cd/m2 , either Power Diva (PD) or International Society for Clinical Electrophysiology of Vision (ISCEV) electrode placement, temporal frequency of 7.5 Hz, either sweep direction, measurement with the central fixation target, larger stimulus area.

No description available.

Background. A visual prosthesis is a conceptual device designed to activate residual functional neurons in the visual pathway of blind individuals to produce artificial vision. Such device, when applied to stimulate the vitreous surface of the retina, has proven feasible in producing patterned light perception in blind individuals suffering from dystrophic diseases of the retina, such as aged-related macular degeneration (AMD). However the practicality of such approach has been challenged by the difficulty of surgical access and the risks of damaging the neuroretina. Positioning a visual implant over the scleral surface of the eye could present a safer alternative but this stimulation modality has not been tested in diseased retinas. Additionally, recent research has shown that the adult neocortex retains substantial plasticity following a disruption to its visual input and the potential deterioration in visual capabilities as a result of such experience modification may undermine the overall bionic rescue strategy. Methods. Two animal models mimicking the principal pathologies found in AMD, namely photoreceptor degeneration and reduced retinal ganglion cell mass, were used to evaluate the efficacy of trans-scleral stimulation of the retina by recording electrical evoked potentials in the visual cortex. The visual performance following the loss of pattern vision induced by bilateral eyelid suturing in adult mice was examined by analysing visual evoked potentials. Findings. Spatially differentiated cortical activations were obtained notwithstanding the underlying retinopathy in the experiment animals. The charge density thresholds were found to be similar to controls and below the bioelectric safety limit. After prolonged visual deprivation (weeks) in the mouse, the visual cortical responses evoked by either electrical or photic stimuli were both significantly reduced. An assessment of different visual capabilities using patterned stimuli demonstrated that whilst visual acuity and motion sensitivity were preserved, significant depression in luminance and contrast sensitivities was detected. Conclusion. Trans-scleral stimulation of the retina is a feasible approach for the development of a visual prosthesis. Following visual loss the adult brain exhibits significant experience-dependent modifications. These new insights may force a revision on the current bionic rescue strategy.

Background. A visual prosthesis is a conceptual device designed to activate residual functional neurons in the visual pathway of blind individuals to produce artificial vision. Such device, when applied to stimulate the vitreous surface of the retina, has proven feasible in producing patterned light perception in blind individuals suffering from dystrophic diseases of the retina, such as aged-related macular degeneration (AMD). However the practicality of such approach has been challenged by the difficulty of surgical access and the risks of damaging the neuroretina. Positioning a visual implant over the scleral surface of the eye could present a safer alternative but this stimulation modality has not been tested in diseased retinas. Additionally, recent research has shown that the adult neocortex retains substantial plasticity following a disruption to its visual input and the potential deterioration in visual capabilities as a result of such experience modification may undermine the overall bionic rescue strategy. Methods. Two animal models mimicking the principal pathologies found in AMD, namely photoreceptor degeneration and reduced retinal ganglion cell mass, were used to evaluate the efficacy of trans-scleral stimulation of the retina by recording electrical evoked potentials in the visual cortex. The visual performance following the loss of pattern vision induced by bilateral eyelid suturing in adult mice was examined by analysing visual evoked potentials. Findings. Spatially differentiated cortical activations were obtained notwithstanding the underlying retinopathy in the experiment animals. The charge density thresholds were found to be similar to controls and below the bioelectric safety limit. After prolonged visual deprivation (weeks) in the mouse, the visual cortical responses evoked by either electrical or photic stimuli were both significantly reduced. An assessment of different visual capabilities using patterned stimuli demonstrated that whilst visual acuity and motion sensitivity were preserved, significant depression in luminance and contrast sensitivities was detected. Conclusion. Trans-scleral stimulation of the retina is a feasible approach for the development of a visual prosthesis. Following visual loss the adult brain exhibits significant experience-dependent modifications. These new insights may force a revision on the current bionic rescue strategy.

Introdução: A captação e o estudo de respostas cerebrais evocadas por um estímulo sonoro vem permitindo a investigação objetiva do processamento da informação auditiva e uma melhor compreensão da via auditiva central. A utilidade deste método diagnóstico tem sido cada vez mais valorizada pelos audiologistas, no entanto sua aplicação clínica corrente requer a realização de uma quantidade mais expressiva de estudos, especialmente na literatura nacional, para um conhecimento mais profundo deste método, sobretudo quanto a normatizações, critérios de identificação das ondas e interferências de variáveis como idade, sexo e parâmetros utilizados na aquisição. Os Potenciais Evocados Auditivos de Média Latência são compostos por uma seqüência de ondas com latências em torno de 10 a 80ms, com origem neurogênica múltipla (projeções tálamo-corticais e córtex auditivo, colículo inferior e formação reticular em menor escala). O presente estudo tem como objetivo pesquisar os componentes dos PEAMLs, numa população de crianças saudáveis, estudando a latência e amplitude das ondas, a fim de conhecer as características dos PEAMLs para esta faixa etária. Metodologia: Participaram do estudo 32 crianças de ambos os sexos com idade entre 10 e 13 anos, otologicamente normais e sem histórias neurológicas. A análise estatística incluiu a realização da estatística descritiva (média e desvio-padrão) e análise da variância pelo teste F. Os PEAMLs foram pesquisados utilizando como estímulo tone-burst, nas intensidades de 50, 60 e 70 dBNA. Resultados e conclusão: Os valores médios de latência dos componentes foram Na=20,79ms, Pa=35,34ms, Nb=43,27ms e Pb=53,36ms. Para a amplitude Na-Pa os valores médios obtidos no estudo variaram entre 0,2 e 1,9mV (M=1,0mV). As formas de onda Na-Pa constituíram os componentes mais consistentes e mais facilmente identificáveis. Pode-se concluir que a amplitude aumenta e a latência diminui com o aumento da intensidade sonora. Na intensidade de 50dBNA as latências obtidas são significativamente maiores que as intensidades de 60 e 70 dBNA para a onda Na. A partir de 60dBNA os valores se estabilizam e não há mudanças significativas na latência ou morfologia da onda. Nas comparações inter e intra-individual foram observadas latências mais longas e amplitudes menores para o lado E (A1/Cz). Numa análise posterior dos dados segundo queixa de dificuldade escolar não foram observadas diferenças ao nível de significância para os componentes Na, Pa, Nb e Pb para os grupos de crianças com e sem queixa de dificuldades escolares. Nestas crianças foram observadas anormalidades na morfologia das ondas, as quais não foram atribuídas exclusivamente à queixa de dificuldade escolar, já que poderia haver também interferência da idade do sujeito avaliado e do neuro-desenvolvimento do Sistema Nervoso Auditivo Central. O presente estudo possibilitou um melhor conhecimento das características dos PEAMLs, o que contribuirá para a aplicação mais segura da técnica. Porém, outros estudos ainda se fazem necessários, principalmente na literatura nacional, a fim de estabelecer padrões normativos para o uso na rotina clínica. / Introduction: The record and study of corticals responses evoked by auditory stimulus has allowed the objective investigation from process of auditory information and a better understanding of central auditory path. The utility of the procedure has been valued by audiologists, nevertheless her clinical aplication current demand the a execution a sum more significative of the study, especially in nationals researchs, to knowledge profoundest this procedure, over all as for normative studys, waves?s identification criterion and interference of the variables with age, gender and parameters used in records. The PEAMLs are composed of a waves?s sequence with latency are around 10 a 80ms, with multiple neurogenic origen (thalamus corticais projections and auditory cortex, coliculus inferior and reticular formation in small scale). The present study objetive examined the components dos PEAMLs, in healthy childrens, researching the waves?s latency and amplitude, to know the PEAML in this band of age. Methods: make part of study 32 childrens in both genders between the ages of 10 e 13, normal hearing without neurological desorders. The statistical analises involved the descrition statistical (mean and standard deviation) and variance analises by test F. The PEAMLs are investigated with tone-burst stimuli in 50, 60 e 70 dBNA. Results and conclusions: the means values of the components are Na=20,79ms, Pa=35,34ms, Nb=43,27ms e Pb=53,36ms. To the amplitude Na-Pa the means values obtained in the study varies between 0,2 and 1,9mV (M=1,0mV). The waveforms are more consistents e more easyly identifiable. We are able to conclude that the amplitude increase and latency decrease with growth of intensity of sound. In 50dBNA the latency are significative higher that 60 and 70 dBNA to wave Na. From 60dBNA the values are stabilize and there is no significatives changes in the latency ou morphology of wave. In the comparisions inter e inta-hemisferical were observed latencys lengthest and amplitudes higher to side left (A1/Cz). In a posterior analises in conformity to complaint of hardness scholar were observeds diferrences no significants to the components Na, Pa, Nb e Pb in the childrens groups with and without complaint of hardness scholar. Anormalities in the morphology of waves were viewed in this childrens wich weren´t atribute to complaint of hardness scholar exclusively once there was interference of the patient?s age and the neural development of Central Auditory System Nervous. The present study made possible a better knowledge of PEAMLs and will contribute to securest aplication this procedure. But, another studys still are requisite, essentialy in the researchs national to established normatives standard to utily in the clinical practice.

Die Ableitung Vagus-somatosensibel evozierter Potentiale (VSEP) ist eine vielversprechende, kostengünstige und nicht-invasive Methode zur Frühdiagnostik von Alzheimer-Demenz. In der vorliegenden Arbeit wurde die Retest-Reliabilität der VSEP untersucht. Des Weiteren wurden alternative Stimulationsbedingungen (Stimulation in der Cymba conchae und im anterioren äußeren Gehörgang) und alternative Ableitbedingungen (referentielle Ableitungen mit Elektroden an Mastoid, Spina scapulae, Vertebra prominens und Handrücken) getestet und mit der herkömmlichen Methode verglichen. Die Reliabilitätsuntersuchungen wurden an 24 gesunden Probanden im Abstand von sechs Monaten durchgeführt. Die alternativen Stimulations- und Ableitbedingungen wurden an je zehn bis zwölf Probanden angewandt und die Ergebnisse mit denen von Messungen mit der herkömmlichen Methode verglichen. Es zeigte sich eine besonders gute Reliabilität in den Ableitungen T3/O1 und T4/O2. Außerdem liegen Hinweise darauf vor, dass das Alter der Probanden die Reliabilität beeinflusst. Als beste alternative Ableitposition erwies sich das Mastoid. Die Messungen mit alternativen Stimulationspositionen ergaben stark von der herkömmlichen Methode abweichende Ergebnisse, deren Ursache die vorliegende Studie nicht sicher klären kann. / The recording of vagus somatosensory evoked potentials (VSEP) is a promising, cheap and non-invasive method for the early diagnosis of Alzheimer´s disease. The present study examined the retest-reliability of VSEP. Furthermore alternative stimulation sites (stimulation at cymba concha and at the anterior side of the external auditory canal) as well as alternative recording sides (recording electrodes at mastoid, spina scapulae, vertebra prominens and dorsum of the hand) were examined and compared to the standard method. For the reliability tests, VSEP-measures were performed on 24 healthy subjects at intervals of at least six months. For the alternative stimulation and recording sites VSEP measures were carried out on ten to twelve subjects for each site and the results were then compared to the ones of measures with the conventional method. The recording positions T3/O1 and T4/O2 showed the highest reliability. Additionally there is evidence for an affection of reliability by the subjects´ age. Among the alternative recording sites, mastoid showed to be the most appropriate one. The VSEP-measures with alternative stimulation sites revealed highly divergent results compared to the results from standard measures. The present study cannot certainly clarify the reasons for these divergences.

京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第19273号 / 医博第4037号 / 新制||医||1011(附属図書館) / 32275 / 京都大学大学院医学研究科医学専攻 / (主査)教授 渡邉 大, 教授 村井 俊哉, 教授 高橋 淳 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM