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The self-organized task switching paradigm enables to investigate the link between task performance and task selection in a voluntary task switching setting that benefits task switches over task repetitions. For example, waiting for a repetition-related stimulus onset denotes environmental costs, which are balanced with internal task-switch costs. Here we extent this research by asking whether movement effort also plays a crucial role for task selection. In detail, we investigate how motor-related consequences, i.e., increasing force for task repetitions, influence task-switching behavior. Participants voluntarily switched between a number (i.e., even or odd) or letter task (i.e., vowel or consonant) using a robot system for response execution. With consecutive task repetitions the robot system was harder to move to the response target as we systematically added a damping load. We found that switch rate correlated with cognitive switch costs (i.e., costs in: reaction time, r = −0.741, and error rate, r = −0.545), and motor repetition cost represented by movement-time increment, r = 0.414. Interestingly, switch rate also correlated with individual force maximum, r = −0.480. However, switch rate did not correlate with movement-impulse increment, r = −0.033. Stepwise multiple regression analyses across participants revealed that 66% of variance are explained including all predicting factors. Yet, only cognitive costs and individual force maximum reached significant importance in the regression model. Hence, we extended switch-rate analyses using linear regression on a within-subject level, and thus, keeping individual force maximum constant. We found about 84% of variance explained by motor and cognitive costs. Thereby, movement impulse predicted task selection more than reaction time and more than movement time. Thus, we demonstrated that both cognitive and motor consequences influence task-switch behavior. Furthermore, we showed that task selection is importantly modulated by motor effort related to individual motor skills.

BACKGROUND: About 2000 children and adolescents under the age of 18 are diagnosed with cancer each year in Germany. Because of current medical treatment methods, a high survival rate can be reached for many types of the disease. Nevertheless, patients face a number of long-term effects related to the treatment. As a result, physical and psychological consequences have increasingly become the focus of research in recent years. Social dimensions of health have received little attention in health services research in oncology so far. Yet, there are no robust results that allow an estimation of whether and to what extent the disease and treatment impair the participation of children and adolescents and which factors mediate this effect. Social participation is of great importance especially because interactions with peers and experiences in different areas of life are essential for the development of children and adolescents. METHODS: Data are collected in a longitudinal, prospective, observational multicenter study. For this purpose, all patients and their parents who are being treated for cancer in one of the participating clinics throughout Germany will be interviewed within the first month after diagnosis (t1), after completion of intensive treatment (t2) and half a year after the end of intensive treatment (t3) using standardized questionnaires. Analysis will be done by descriptive and multivariate methods. DISCUSSION: The results can be used to identify children and adolescents in high-risk situations at an early stage in order to be able to initiate interventions tailored to the needs. Such tailored interventions will finally reduce the risk of impairments in the participation of children and adolescents and increase quality of life. TRIAL REGISTRATION: ClinicalTrials.gov: NCT04101123. CA extern

In contrast to a self-generated action, a human-to-human object handover represents a semi-predictable task, due to a lack of exact knowledge about the partner's future movement behavior. Thus far, it has not been determined which behavioral characteristics result from dealing with this prevailing uncertainty, although this distinction would enhance the understanding of underlying motor control strategies in such semi-predictable situations. Behavioral effects of mutual interaction during object handovers were therefore investigated in the current study, by comparing grip force profiles and kinematic data from predictable solo-handovers (between the two hands of one person) with data from semi-predictable partner-handovers. There were significant decreases in passers' mean release rates as well as corresponding increases in handover durations in partner-handovers compared to solo-handovers. Likewise, receivers in partner-handovers employed lower mean grip force rates to take the object, which speaks for feedback reliance of both partners in the load transfer process of partner-handovers. Increased vertical object displacement in this phase might represent timing deficits due to the prediction uncertainties in partner-handovers. The data also provided first evidence that left-handed people serving as receivers in partner-handovers exhibit an altered take-over strategy compared to right-handed receivers.

Sequence learning in serial reaction time tasks (SRTTs) is usually inferred through the reaction time measured by a keyboard. However, this chronometric parameter offers no information beyond the time point of the button-press. We therefore examined whether sequence learning can be measured by muscle activations via electromyography (EMG) in a dual-task paradigm. The primary task was a SRTT, in which the stimuli followed a fixed sequence in some blocks, whereas the sequence was random in the control condition. The secondary task stimulus was always random. One group was informed about the fixed sequence, and the other not. We assessed three dependent variables. The chronometric parameter premotor time represents the duration between stimulus onset and the onset of EMG activity, which indicates the start of the response. The other variables describe the response itself considering the EMG activity after response start. The EMG integral was analyzed, and additionally, tensor decomposition was implemented to assess sequence dependent changes in the contribution of the obtained subcomponents. The results show explicit sequence learning in this dual-task setting. Specifically, the informed group show shorter premotor times in fixed than random sequences as well as larger EMG integral and tensor contributions. Further, increased activity seems to represent response certainty, since a decrease is found for both groups in trials following erroneous responses. Interestingly, the sensitivity to sequence and post-error effects varies between the subcomponents. The results indicate that muscle activity can be a useful indicator of response behavior in addition to chronometric parameters.

The prediction of the sensory consequences of physical movements is a fundamental feature of the human brain. This function is attributed to a forward model, which generates predictions based on sensory and efferent information. The neural processes underlying such predictions have been studied using the error-related negativity (ERN) as a fronto-central event-related potential in electroencephalogram (EEG) tracings. In this experiment, 16 participants practiced a novel motor task for 4000 trials over ten sessions. Neural correlates of error processing were recorded in sessions one, five, and ten. Along with significant improvements in task performance, the ERN amplitude increased over the sessions. Simultaneously, the feedback-related negativity (FRN), a neural marker corresponding to the processing of movement-outcome feedback, attenuated with learning. The findings suggest that early in learning, the motor control system relies more on information from external feedback about terminal outcome. With increasing task performance, the forward model is able to generate more accurate outcome predictions, which, as a result, increasingly contributes to error processing. The data also suggests a complementary relationship between the ERN and the FRN over motor learning.

From a motor control perspective, human-to-human object handovers can be described as coordinated joint-actions transferring the power over an object from a passer to a receiver. Although, human-to-human handovers are very reliable in terms of success, it is unclear how both actors plan and execute their actions independently while taking into account the partners behaviour. Here, we measured grip-forces of passer and receiver while handing over an object. In order to study mutual interaction in human-to-human handovers, we measured how changes in relevant features (sensory information available to the passer and receiver’s reaching velocity) in one partner affect grip-force profiles not only at the manipulated side but also at the partner’s side. The data reveals strong effects of sensory manipulations on time-related (duration and release delay) and dynamometric measures (force rates). Variation of reaching velocities had the largest impact on the receiver’s force rates. Furthermore, there are first indications that the vertical object movement is used as an implicit cue to signal the start of the handover in situations where vision is restricted.

Simultaneous dual- or multitasking training has been used in manifold ways to improve cognitive-motor performance in different age groups. Dual task (DT) training is assumed to improve both, single task (ST) motor and cognitive performance, but particularly, performance under dual tasking conditions. Further, DT interventions have been shown to be beneficial for motor skill learning and cognitive performance as well as academic achievements in children and adolescents. The aim of this scoping review was to summarize current evidence on different cognitive-motor interventions that practice motor and cognitive performance simultaneously in children and adolescents and to identify training regimes that are most effective to improve cognitive or motor performance in this target group. Methods: Four electronic databases were searched (Pubmed, MEDLINE, Web of Science and APA Psycinfo) until May 2021. Following the PRISMA guidelines, title, abstract, and full-text screening as well as quality assessment was done by two independent reviewers. Studies were eligible if they (1) were published in English or German language, (2) accessible as a full-text version, (3) included at least one group of children or adolescents with a mean age of 4 to 21 years, (4) used dual-tasks as part of the intervention, (5) conducted one or more training sessions, and (6) reported at least one cognitive or motor outcome. The main outcome measures were cognitive and motor as well as cognitive-motor DT performance. Due to the heterogeneity in the characteristics of the included studies, we designed this review as a scoping review. Results: Seven studies met the inclusion criteria (n = 543, age four to 14 years, 47.1% female). One study reported two intervention experiments. Studies differed in sample size (20–189) as well as in type of training (specific or general DT training) and dose (frequency: one session/week to 110 sessions within 22 weeks). Overall, task-specific improvements in physical and cognitive functions were found, but not consistently across all interventions. Two interventions out of five interventions that measured motor performance demonstrated improvement in that domain, especially in balance. Three out of five interventions that measured cognitive functions found improved cognition. Only one study examined DT performance post training but failed to gain significant improvements in comparison to a control group. Studies only occasionally integrated training principles like individualization or progression in the design of their intervention. Discussion: The results indicate that DT training interventions may improve physical and/or cognitive functions in children and adolescents. Best practice recommendations for training regimes cannot be derived as outcomes differed a lot and were not systematically assessed across studies. Future studies should integrate more principles of training monitoring and aspects like individualization and progression to provide ideal training control and achieve better DT training results. Further, more high-quality trials are needed that adhere to the previous concepts. PsycINFO classification: 2340 Cognitive Processes2820 Cognitive & Perceptual Development.3720 Sports

The error (related) negativity (Ne/ERN) is an event-related potential in the electroencephalogram (EEG) correlating with error processing. Its conditions of appearance before terminal external error information suggest that the Ne/ERN is indicative of predictive processes in the evaluation of errors. The aim of the present study was to specifically examine the Ne/ERN in a complex motor task and to particularly rule out other explaining sources of the Ne/ERN aside from error prediction processes. To this end, we focused on the dependency of the Ne/ERN on visual monitoring about the action outcome after movement termination but before result feedback (action effect monitoring). Participants performed a semi-virtual throwing task by using a manipulandum to throw a virtual ball displayed on a computer screen to hit a target object. Visual feedback about the ball flying to the target was masked to prevent action effect monitoring. Participants received a static feedback about the action outcome (850 ms) after each trial. We found a significant negative deflection in the average EEG curves of the error trials peaking at ~250 ms after ball release, i.e., before error feedback. Furthermore, this Ne/ERN signal did not depend on visual ball-flight monitoring after release. We conclude that the Ne/ERN has the potential to indicate error prediction in motor tasks and that it exists even in the absence of action effect monitoring. NEW & NOTEWORTHY In this study, we are separating different kinds of possible contributors to an electroencephalogram (EEG) error correlate (Ne/ERN) in a throwing task. We tested the influence of action effect monitoring on the Ne/ERN amplitude in the EEG. We used a task that allows us to restrict movement correction and action effect monitoring and to control the onset of result feedback. We ascribe the Ne/ERN to predictive error processing where a conscious feeling of failure is not a prerequisite.

Error processing is an important aspect of learning. The detection and online correction of an error as well as error-based adaptation of subsequent movements enables humans to improve behavior. For this improvement, it is necessary to differentiate between relevant and irrelevant errors. Behavioral adaptations are only reasonable when an error is attributed to one's own behavior and therefore regarded as relevant for subsequent adjustments, whereas irrelevant errors caused by unsystematic external influences should be disregarded. Here, we ask whether error predictions as indexed by the error-related negativity (Ne/ERN) can be used to differentiate relevant and irrelevant errors in movements with a complex visuomotor mapping. Using event-related potentials, we compared the neural activation between relevant (self-induced/internal) errors and irrelevant (externally manipulated) errors in a virtual goal-oriented throwing task. Results show that the Ne/ERN responds more strongly to self-induced errors, while the feedback-related negativity (FRN) more strongly correlates with externally manipulated errors. Moreover, subsequent behavioral adjustments were larger in the relevant compared to the irrelevant error trials. We conclude that predictive processes, marked by the Ne/ERN, can subserve error attribution in naturalistic, complex visuomotor tasks like throwing.

Numerous studies showed decreased performance in situations that require multiple tasks or actions relative to appropriate control conditions. Because humans often engage in such multitasking activities, it is important to understand how multitasking affects performance. In the present article, we argue that research on dual-task interference and sequential task switching has proceeded largely separately using different experimental paradigms and methodology. In our article we aim at organizing this complex set of research in terms of three complementary research perspectives on human multitasking. One perspective refers to structural accounts in terms of cognitive bottlenecks (i.e., critical processing stages). A second perspective refers to cognitive flexibility in terms of the underlying cognitive control processes. A third perspective emphasizes cognitive plasticity in terms of the influence of practice on human multitasking abilities. With our review article we aimed at highlighting the value of an integrative position that goes beyond isolated consideration of a single theoretical research perspective and that broadens the focus from single experimental paradigms (dual task and task switching) to favor instead a view that emphasizes the fundamental similarity of the underlying cognitive mechanisms across multitasking paradigms. (PsycINFO Database Record

As surgical expertise has a proven impact on post-treatment morbidity, medical societies should establish criteria of adequate professional expertise for surgical treatment of craniopharyngioma.

The analysis of timing in human movements requires a reference with which timing can be quantified. In reactive movements this reference is given by the stimulus. However, many movements do not respond to such an external event. In throwing, for instance, the hand opening for release has to be timed to an acceleration of the throwing arm. A common approach to analyzing release-timing variability is to choose a landmark in the movement that is supposed to have a fixed temporal relation to the release. Such distinct landmarks, however, are not always well definable. Therefore, the present article describes an alternative approach analyzing timing variability on the basis of the alignment of different trials relative to their kinematic shape, by shifting the trials in the time domain. The basic assumption behind this approach is that single throwing movements are one instance of an acquired movement template, and thus show a considerable similarity. In contrast, the location of the temporal moment of release varies from trial to trial, generating imprecision regarding the release timing. In trials synchronized with respect to the release, this variability can be assessed by shifting the kinematic profiles of the throwing movements in time such that they superimpose as closely as possible. As a result, the corresponding time shifts for all trials represent a measure of the release time deviations across trials, and the standard deviation of these deviations represents the timing variability. Aside from timing analyses in such movements as throwing, the approach can be applied to very different tasks with timing demands—for example, to neurophysiological signals.

Timely movement initiation is crucial in quick reactions or when a series of movements has to be strung together in a timed fashion to create a coordinated sequence. Stochastic neural variability can lead to misinitiation errors as reaction time studies suggest. Higher reaction times occur when preparatory neural activity reaches an initiation threshold later relative to shorter reaction times. Whether this also applies to self-timed movements is harder to scrutinize because they lack an external event that could serve as a reference for timing accuracy estimations. By example of a self-timed goal-oriented throwing task, we used a method that synchronizes the throwing movements by their kinematic profiles to assess relative timing differences in throwing release. We determined neural preparatory processes of the release using the movement-related electrophysiological Bereitschaftspotential (BP). By analyzing differences in shape and timing of the BP in delayed and non-delayed throws, two variables could be extracted that are related to timing differences on the kinematic level. First, temporal deviations in BP curves partly meet the kinematic deviations. Second, delayed releases were preceded by a short flattening of the BP curves prior to release. Thus, temporal and shape deviations in the neural movement initiation are assumed to delay self-timed movements.

Motor and cognitive tasks often interfere when performed concurrently. The amount of interference typically scales with difficulty of the tasks involved. Thus, supposedly 'easy' motor tasks with restricted movement amplitude, like sitting on a chair, should show little or no interference with cognitive tasks at all. We measured the processing load induced by different postural tasks and their effect on cognitive performance under cognitive-motor dual-task conditions. Sixteen subjects performed postural motor tasks in three different positions: 'Lying in a sun lounger', 'Sitting on a bike saddle', and 'Upright on feet'. In each position, three different movement instructions were given; 'Stay stock-still', 'Relax', 'Move easily'. Each combination of position and instruction was performed as single task but also in a dual-task condition with a concurrent calculation task. Brain activity in the right prefrontal cortex was monitored using functional near-infrared spectroscopy. The instruction to 'Stay stock-still' produced higher cortical loads in single-task conditions for all positions compared to all other instructions. The calculation task induced additional brain activity in the same prefrontal area as the motor task. Calculation performance tended to be reduced in the 'Lying'-'Stay stock-still' condition. We discuss the relevance of these findings for learning scenarios in school.

Manure from animal farms and sewage sludge contain pathogens and opportunistic organisms in various concentrations depending on the health of the herds and human sources. Other than for the presence of pathogens, these waste substances are excellent nutrient sources and constitute a preferred organic fertilizer. However, because of the pathogens, the risks of infection of animals or humans increase with the indiscriminate use of manure, especially liquid manure or sludge, for agriculture. This potential problem can increase with the global connectedness of animal herds fed imported feed grown on fields fertilized with local manures. This paper describes a simple, easy-to-use, low-tech hygienization method which conserves nutrients and does not require large investments in infrastructure. The proposed method uses the microbiotic shift during mesophilic fermentation of cow manure or sewage sludge during which gram-negative bacteria, enterococci and yeasts were inactivated below the detection limit of 3 log10 cfu/g while lactobacilli increased up to a thousand fold. Pathogens like Salmonella, Listeria monocytogenes, Staphylococcus aureus, E. coli EHEC O:157 and vegetative Clostridium perfringens were inactivated within 3 days of fermentation. In addition, ECBO-viruses and eggs of Ascaris suum were inactivated within 7 and 56 days, respectively. Compared to the mass lost through composting (15-57%), the loss of mass during fermentation (< 2.45%) is very low and provides strong economic and ecological benefits for this process. This method might be an acceptable hygienization method for developed as well as undeveloped countries, and could play a key role in public and animal health while safely closing the nutrient cycle by reducing the necessity of using energy-inefficient inorganic fertilizer for crop production.

Patients who had previously undergone amputation of the arm (n = 2) or leg (n = 2) were treated with botulinum toxin type B injections at several trigger points of their stump musculature. We administered a total dose of 2500 IU of botulinum toxin type B (Neurobloc, Elan Pharma, Munich, Germany) to the arm amputation stumps, 5000 IU for one amputation of the lower leg, and 2500 IU to the other lower leg amputation of a patient with a very low baseline body weight. Two patients reported that the injection was very painful. All patients experienced a reduction in stump pain, which lasted for many weeks. Other reports included a reduction in the frequency of pain attacks, cessation of "balloon feelings," improvement in stump allodynia, and decreased occurrence of involuntary stump movements. In addition, quality of sleep at night significantly improved in one patient. Botulinum toxin type B can therefore be regarded as a new treatment option for possible improvements in the rehabilitation of amputees.

This study investigates the control involved in a task where subjects rhythmically bounce a ball with a hand-held racket as regularly as possible to a prescribed amplitude. Stability analyses of a kinematic model of the ball-racket system revealed that dynamically stable solutions exist if the racket hits the ball in its decelerating upward movement phase. Such solutions are resistant to small perturbations obviating explicit error corrections. Previous studies reported that subjects' performance was consistent with this 'passive' stability. However, some 'active' control is needed to attune to this passive stability. The present study investigates this control by confronting subjects with perturbations where stable behavior cannot be maintained solely from passive stability. Six subjects performed rhythmic ball bouncing in a virtual reality set-up with and without perturbations. In the perturbation trials the coefficient of restitution of the ball-racket contact was changed at every fifth contact leading to unexpected ball amplitudes. The perturbations were compensated for within 2-3 bouncing cycles such that ball amplitudes decreased to initial values. Passive stability was reestablished as indicated by negative racket acceleration. Results revealed that an adjustment of the racket period ensured that the impacts occurred at a phase associated with passive stability. These findings were implemented in a model consisting of a neural oscillator that drives a mechanical actuator (forearm holding the racket) to bounce the ball. Following the perturbation, the oscillator's period is adjusted based on the perceived ball velocity after impact. Simulation results reproduced the major aspects of the experimental results. (C) 2003 Elsevier B.V. All rights reserved.

A randomization method is developed for the calculation of covariation between multiple variables that are linked nonlinearly to a dependent variable. Covariation is a phenomenon often invoked in the study of movement coordination to capture the fact that in coordinated movement the outcome shows greater than expected consistency from the variability in the component processes. However, in most cases, the problem is that more than two variables covary in a nonlinear fashion, which makes quantification with the bivariate linear covariation and correlation coefficient inapplicable. This paper presents a generalization of the calculation of linear bivariate covariance using a variant of a randomization method that is based on the comparison between the empirically measured variability in the outcome and a covariation-free variability. The latter can be estimated by permuting data sets. A generalized correlation coefficient is derived, and it is shown how errors of estimation can be quantified. The permutation method can also quantify partial multiple nonlinear covariation. The calculations are illustrated in a numerical example of an arm-reaching task. However, the method is applicable to all cases where the internal organization of a nonlinear system of multiple variables needs to be quantified. The relation and applicability of the permutation method compared to other methods using regression and principal component analysis are discussed and illustrated with a numerical example.

Purpose: The present study shows the possibility of preventing restenosis of renal arteries by endovascular brachytherapy. Methods and materials: We present a patient suffering from rapid restenosis of both renal arteries with decreasing renal function. Percutaneous transluminal angioplasty (PTA) and stent implantation were unable to stop hypertension and to stabilize renal function. Both renal arteries and the right pole artery were treated by endovascular brachytherapy in one session. Results: Six months after intervention, intraarterial digital subtraction angiography (DSA) showed no evidence of recurrence, and the blood pressure remained normal without medical treatment. Conclusion: Endovascular brachytherapy can help to prevent restenosis in renal arteries. It is possible to treat both renal arteries and one pole artery in one session without any disadvantage.

In motor tasks with redundancy neuromotor noise can lead to variations in execution while achieving relative invariance in the result. The present study examined whether humans find solutions that are tolerant to intrinsic noise. Using a throwing task in a virtual set-up where an infinite set of angle and velocity combinations at ball release yield throwing accuracy, our computational approach permitted quantitative predictions about solution strategies that are tolerant to noise. Based on a mathematical model of the task expected results were computed and provided predictions about error-tolerant strategies (Hypothesis 1). As strategies can take on a large range of velocities, a second hypothesis was that subjects select strategies that minimize velocity at release to avoid costs associated with signal- or velocity-dependent noise or higher energy demands (Hypothesis 2). Two experiments with different target constellations tested these two hypotheses. Results of Experiment 1 showed that subjects chose solutions with high error-tolerance, although these solutions also had relatively low velocity. These two benefits seemed to outweigh that for many subjects these solutions were close to a high-penalty area, i.e. they were risky. Experiment 2 dissociated the two hypotheses. Results showed that individuals were consistent with Hypothesis 1 although their solutions were distributed over a range of velocities. Additional analyses revealed that a velocity-dependent increase in variability was absent, probably due to the presence of a solution manifold that channeled variability in a task-specific manner. Hence, the general acceptance of signal-dependent noise may need some qualification. These findings have significance for the fundamental understanding of how the central nervous system deals with its inherent neuromotor noise., Author Summary It is widely recognized that variability or noise is present at all levels of the sensorimotor system. How the central nervous system generates functional behavior with a sufficient degree of accuracy in the face of this noise remains an open question. This is specifically relevant when the motor task is redundant, i.e., where many different executions can achieve the same task goal. Using an experimentally controlled throwing movement as model task we examined how humans acquire movement strategies that are tolerant to intrinsic noise. Based on a new computational approach that parses variability based on an analysis of task redundancy, we tested two hypotheses: 1) Subjects are sensitive to noise and seek solutions that are tolerant to this noise. 2) Subjects avoid solutions with high velocities and the costs associated with high velocities. Analysis of the distributional properties of variability in two experiments revealed that humans select those strategies that maximize error-tolerance. These findings have significance for fundamental understanding of the central nervous system and for learning in the context of rehabilitation.

Parkinson's disease, which affects the basal ganglia, is known to lead to various impairments of motor control. Since the basal ganglia have also been shown to be involved in learning processes, motor learning has frequently been investigated in this group of patients. However, results are still inconsistent, mainly due to skill levels and time scales of testing. To bridge across the time scale problem, the present study examined de novo skill learning over a long series of practice sessions that comprised early and late learning stages as well as retention. 19 non-demented, medicated, mild to moderate patients with Parkinson's disease and 19 healthy age and gender matched participants practiced a novel throwing task over five days in a virtual environment where timing of release was a critical element. Six patients and seven control participants came to an additional long-term retention testing after seven to nine months. Changes in task performance were analyzed by a method that differentiates between three components of motor learning prominent in different stages of learning: Tolerance, Noise and Covariation. In addition, kinematic analysis related the influence of skill levels as affected by the specific motor control deficits in Parkinson patients to the process of learning. As a result, patients showed similar learning in early and late stages compared to the control subjects. Differences occurred in short-term retention tests; patients' performance constantly decreased after breaks arising from poorer release timing. However, patients were able to overcome the initial timing problems within the course of each practice session and could further improve their throwing performance. Thus, results demonstrate the intact ability to learn a novel motor skill in non-demented, medicated patients with Parkinson's disease and indicate confounding effects of motor control deficits on retention performance.

Analysis of motor performance variability in tasks with redundancy affords insight about synergies underlying central nervous system (CNS) control. Preferential distribution of variability in ways that minimally affect task performance suggests sophisticated neural control. Unfortunately, in the analysis of variability the choice of coordinates used to represent multi-dimensional data may profoundly affect analysis, introducing an arbitrariness which compromises its conclusions. This paper assesses the influence of coordinates. Methods based on analyzing a covariance matrix are fundamentally dependent on an investigator's choices. Two reasons are identified: using anisotropy of a covariance matrix as evidence of preferential distribution of variability; and using orthogonality to quantify relevance of variability to task performance. Both are exquisitely sensitive to coordinates. Unless coordinates are known a priori, these methods do not support unambiguous inferences about CNS control. An alternative method uses a two-level approach where variability in task execution (expressed in one coordinate frame) is mapped by a function to its result (expressed in another coordinate frame). An analysis of variability in execution using this function to quantify performance at the level of results offers substantially less sensitivity to coordinates than analysis of a covariance matrix of execution variables. This is an initial step towards developing coordinate-invariant analysis methods for movement neuroscience., National Science Foundation (BCS-0096543 and PAC-0450218 ), National Institutes of Health (R01HD045639 ), New York State Spinal Cord Injury Center of Research Excellence (CO19772), Toyota Motor Company's Partner Robot Division, Eric P. and Evelyn E. Newman Fund

Although variability is a fundamental and ubiquitous feature of movement in all biological systems, skilled performance is typically associated with a low level of variability and, implicitly, random noise. Hence, during practice performance variability undergoes changes leading to an overall reduction. However, learning manifests itself through more than just a reduction of random noise. To better understand the processes underlying acquisition and control of movements we show how the examination of variability and its changes with practice provides a suitable window to shed light on this phenomenon. We present one route into this problem that is particularly suited for tasks with redundant degrees of freedom: task performance is parsed into execution and result variables that are related by some function which provides a set of equivalent executions for a given result. Variability over repeated performances is analyzed with a view to this solution manifold. We present a method that parses the structure of variability into four conceptually motivated components and review three methods that are currently used in motor control research. Their advantages and limitations are discussed.

Rotaviruses, a genus within the family Reoviridae, are among the most important etiological agents of severe diarrhoeal illness in humans and animals worldwide. Their genome, consisting of 11 segments of double-stranded RNA, is characterized by genetic variability including (i) point mutations, (ii) genomic reassortment, and (iii) genome rearrangements, thus leading to the considerable diversity of rotaviruses. Animal rotaviruses are regarded as a potential reservoir for genetic exchange with human rotaviruses. There is now increasing evidence that animal rotaviruses can infect humans, either by direct transmission of the virus or by contributing one or several genes to reassortants with essentially a human strain genetic background. As mixed infections are a prerequisite for reassortment events, cosurveillance of animal and human rotavirus strains will be vital to gain a better understanding of the relationships between cocirculating viruses, as well as assessing any relevant vaccination programs.

An attempt is made to present out of a multitude of available data those that will allow an insight into the biology of the influenza viruses, in order to contribute to the understanding of the present situation of influenza virus infections and the risk of pandemic influenza. This short overview is based on several reviews presented by others, some own reviews and statements, as well as some recent publications in scientific journals.

Four post-amputation patients (1 with phantom pain, 3 with stump pain) were each treated with 100 IU botulinum toxin A, divided between several trigger points in the distal stump musculature. In 1 female patient (along with a pronounced reduction in phantom pain) hyperhidrosis of the stump ceased completely, probably after diffusion of the drug into the dermal sweat glands, leading to longer and safer use of the prosthesis. Intentional intradermal injection for this issue therefore could be valuable. Another patient was able to use her prosthesis for the whole day again after botulinum toxin A treatment for substantial stump pain, compared with only 4 hours a day before treatment. In 2 male patients, stump pain while wearing the prosthesis subsided to a considerable extent, 1 of the 2 reported an improvement in steadiness of gait. We suggest that stump treatment with botulinum toxin in rehabilitative medicine should be investigated in more detail.

Lipid peroxidation and enhanced arachidonic acid metabolism is activated after blood-brain cell contact. Previous studies have indicated that cysteinyl-leukotrienes (cys-LT) have the capacity to constrict arterial vessels in vivo and in vitro suggesting their involvement in the pathogenesis of cerebral vasospasm. The purpose of this study was to measure the amount of cyst-LT in the cerebro-spinal fluid (CSF) in correlation with transcranial Doppler findings (TCD) in patients with aneurysmal subarachnoid haemorrhage (SAH). In all patients early surgery was performed. In the first cisternal CSF-sample which was already collected intra-operatively an initial peak of cys-LT was detected, followed by decreasing amounts of cys-LT during the next 5 days. The CSF-levels of immunoreactive cys-LT were significantly higher in those patients who showed signs of vasospasm on transcranial Doppler sonography (TCD) (p < 0.001). Normalization of TCD values was accompanied by decreasing levels of CSF-cys-LT. We found a significant correlation between the amounts of immunoreactive cys-LT in cerebrospinal fluid and cerebral vasospasm measured by TCD.

SUMMARY The effect of adding 6% dextran to a lignocaine solution containing adrenaline was studied in 27 neurosurgicalpatients during modified neurolept-anaesthesia. Before trepanation they received infiltration anaesthesia of the scalp at the site of the proposed operation. For a period of 1 h following injection plasma concentrations of adrenaline were measured by high pressure liquid chromatography and serum concentrations of lignocaine by gas chromatography. The addition of dextran caused a significant reduction in the absorption of both adrenaline and lignocaine from the injection site. It is concluded that the dextran adjuvant constitutes a protective mechanism against toxic systemic side effects in local anaesthesia using adrenaline-containing anaesthetic solutions. This effect is particularly significant in patients with pre-existing cardiovascular disease and when local anaesthetic solutions are used in combination with volatile anaesthetics.

The results of acid-base status and blood-gas analysis can be influenced massively by incorrect sampling. We found that the addition of heparin has no great effect on blood-gas measurement. Citric acid and fluoride can also be admixed to blood samples in the usual concentrations without severe side-effects. The major error in the determination of blood gases and acid-base status is a consequence of even minimal dilution: filling the deadspace of a syringe with any diluent leads to unacceptable results. Hence, we conclude that blood specimens for determination of blood gases and acid-base status should be taken in specially prepared syringes containing the anticoagulant in the form of a dry substance. We think that citric acid is also acceptable for anticoagulation. Fluoride should be added in order to minimize alterations of pH due to anaerobic glycolysis.

The efficacy of intrathecally administered baclofen was demonstrated in three patients with different types of muscular hypertonia (supraspinal rigidity, spasms shortly after spinal trauma, spasms for many years induced by multiple sclerosis) using integrated electromyography. Reduction of muscular electrical activity was accompanied by clinical improvement during long-term infusion via an implanted pump. The three patients have been observed for more than 1 year, during which time the antispastic activity of intrathecally infused baclofen has remained stable. Intrathecal application of baclofen may be considered as a possible alternative to surgery.

The DNA of a virus isolated from fledgling budgerigars, designated BFDV, was cloned and analyzed with regard to its relationship to the polyomavirus subgroup of the papovavirus family. Under relaxed conditions, the DNA of BFDV cross-hybridized with the DNAs of members of the polyomavirus subgroup, such as the mouse polyomavirus, the monkey viruses simian virus 40, stump-tailed macaque virus, and lymphotropic papovavirus, and the human viruses JCV and BKV. Under stringent conditions, however, no homologies could be detected. Furthermore, BFDV propagated in chicken embryo cells was antigenically related to the capsid antigen(s) of the other polyomaviruses. The virus was able to transform hamster embryo cells in vitro which is a typical feature of polyomaviruses. These data clearly indicate that BFDV is a new distinct member of the polyomavirus genus representing the first nonmammalian polyomavirus.

We report on an isolated complete paralysis of the tensor fasciae latae muscle, which led to a minimal functional disability.