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There is accumulating evidence for auditory dysfunctions in patients with Parkinson's disease (PD). Moreover, a possible relationship has been suggested between altered auditory intensity processing and the hypophonic speech characteristics in PD. Nonetheless, further insight into the neurophysiological correlates of auditory intensity processing in patients with PD is needed primarily. In the present study, high-density EEG recordings were used to investigate intensity dependence of auditory evoked potentials (IDAEPs) in 14 patients with PD and 14 age- and gender-matched healthy control participants (HCs). Patients with PD were evaluated in both the on- and off-medication states. HCs were also evaluated twice. Significantly increased IDAEP of the N1/P2 was demonstrated in patients with PD evaluated in the on-medication state compared to HCs. Distinctive results were found for the N1 and P2 component. Regarding the N1 component, no differences in latency or amplitude were shown between patients with PD and HCs regardless of the medication state. In contrast, increased P2 amplitude was demonstrated in patients with PD evaluated in the on-medication state compared to the off-medication state and HCs. In addition to a dopaminergic deficiency, deficits in serotonergic neurotransmission in PD were shown based on increased IDAEP. Due to specific alterations of the N1-P2 complex, the current results suggest deficiencies in early-attentive inhibitory processing of auditory input in PD. This interpretation is consistent with the involvement of the basal ganglia and the role of dopaminergic and serotonergic neurotransmission in auditory gating.

Introduction: A prolonged incubation time is generally recommended for diagnosing periprosthetic joint infections (PJI). However, in literature, no distinction is made between acute and chronic infections., Methods: All patients with a PJI that underwent surgical debridement between November 2015 and February 2019 with or without revision of the prosthesis were retrospectively evaluated. Synovial fluid, 5 intraoperative periprosthetic tissue samples, and the sonicated prosthesis were cultured., Results: Fifty-nine patients were analyzed, including 21 acute PJIs (33 isolates) and 38 chronic PJIs (46 isolates). In acute PJIs, all isolates grew within 5 days, while this took 11 days for chronic PJIs. Sonication fluid showed the shortest time to positivity (78% at day 2) for chronic PJIs, but no difference was observed for acute PJIs compared to tissue cultures., Conclusion: In contrast to cultures from chronic PJIs, acute PJIs do not need a prolonged incubation time and no clear benefit is observed for sonication., (Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.)

How the human brain retains relevant vocal information while suppressing irrelevant sounds is one of the ongoing challenges in cognitive neuroscience. Knowledge of the underlying mechanisms of this ability can be used to identify whether a person is distracted during listening to a target speech, especially in a learning context. This paper investigates the neural correlates of learning from the speech presented in a noisy environment using an ecologically valid learning context and electroencephalography (EEG). To this end, the following listening tasks were performed while 64-channel EEG signals were recorded: (1) attentive listening to the lectures in background sound, (2) attentive listening to the background sound presented alone, and (3) inattentive listening to the background sound. For the first task, 13 lectures of 5 min in length embedded in different types of realistic background noise were presented to participants who were asked to focus on the lectures. As background noise, multi-talker babble, continuous highway, and fluctuating traffic sounds were used. After the second task, a written exam was taken to quantify the amount of information that participants have acquired and retained from the lectures. In addition to various power spectrum-based EEG features in different frequency bands, the peak frequency and long-range temporal correlations (LRTC) of alpha-band activity were estimated. To reduce these dimensions, a principal component analysis (PCA) was applied to the different listening conditions resulting in the feature combinations that discriminate most between listening conditions and persons. Linear mixed-effect modeling was used to explain the origin of extracted principal components, showing their dependence on listening condition and type of background sound. Following this unsupervised step, a supervised analysis was performed to explain the link between the exam results and the EEG principal component scores using both linear fixed and mixed-effect modeling. Results suggest that the ability to learn from the speech presented in environmental noise can be predicted by the several components over the specific brain regions better than by knowing the background noise type. These components were linked to deterioration in attention, speech envelope following, decreased focusing during listening, cognitive prediction error, and specific inhibition mechanisms., (Copyright © 2020 Eqlimi, Bockstael, De Coensel, Schönwiesner, Talsma and Botteldooren.)

Research on auditory processing in Parkinson's disease (PD) has recently made substantial progress. At present, evidence has been found for altered auditory processing in the clinical stage of PD. The auditory alterations in PD have been demonstrated with low-cost and non-invasive assessments that are already used in routine clinical practice. Since auditory alterations have been reported early in disease progression, it would be highly relevant to investigate whether auditory markers could be provided in the prodromal stage of PD. In addition, auditory alterations in early stage PD might be modulated by dopaminergic medication. Therefore, the aim of this review is (1) to summarize the literature on auditory processing in PD with a specific focus on the early disease stages, (2) to give future perspectives on which audiological and electrophysiological measurements could be useful in the prodromal stage of PD and (3) to assess the effect of dopaminergic medication on potential auditory markers in the prodromal stage of PD., (Copyright © 2020 De Groote, De Keyser, Santens, Talsma, Bockstael, Botteldooren and De Letter.)

Purpose Alterations in primary auditory functioning have been reported in patients with Parkinson's disease (PD). Despite the current findings, the pathophysiological mechanisms underlying these alterations remain unclear, and the effect of dopaminergic medication on auditory functioning in PD has been explored insufficiently. Therefore, this study aimed to systematically investigate primary auditory functioning in patients with PD by using both subjective and objective audiological measurements. Method In this case-control study, 25 patients with PD and 25 age-, gender-, and education-matched healthy controls underwent an audiological test battery consisting of tonal audiometry, short increment sensitivity index, otoacoustic emissions (OAEs), and speech audiometry. Patients with PD were tested in the on- and off-medication states. Results Increased OAE amplitudes were found when patients with PD were tested without dopaminergic medication. In addition, speech audiometry in silence and multitalker babble noise demonstrated higher phoneme scores for patients with PD in the off-medication condition. The results showed no differences in auditory functioning between patients with PD in the on-medication condition and healthy controls. No effect of disease stage or motor score was evident. Conclusions This study provides evidence for a top-down involvement in auditory processing in PD at both central and peripheral levels. Most important, the increase in OAE amplitude in the off-medication condition in PD is hypothesized to be linked to a dysfunction of the olivocochlear efferent system, which is known to have an inhibitory effect on outer hair cell functioning. Future studies may clarify whether OAEs may facilitate an early diagnosis of PD.

An ongoing debate in visual working memory research is concentrated on whether visual working memory capacity is determined solely by the number of objects to be memorized, or additionally by the number of relevant features contained within objects. Using a novel change detection task that contained multi-feature objects we examined the effect of both object number and feature number on visual working memory capacity, change detection sensitivity, and posterior slow wave event-related brain potential (ERP) activity. Behaviorally, working memory capacity and sensitivity were modulated as a function of both the number of objects and the number of features memorized per object. However, the Contralateral Delay Activity (CDA) was only sensitive to the number of objects, but not to the number of features. This suggests that while both objects and features contribute to limitations in visual working memory capacity, the CDA is an insufficient mechanism to account for feature level representations., (Copyright © 2018 Elsevier B.V. All rights reserved.)

It has been established that there is an interaction between audition and vision in the appraisal of our living environment, and that this appraisal is influenced by personal factors. Here, we test the hypothesis that audiovisual aptitude influences appraisal of our sonic and visual environment. To measure audiovisual aptitude, an auditory deviant detection experiment was conducted in an ecologically valid and complex context. This experiment allows us to distinguish between accurate and less accurate listeners. Additionally, it allows to distinguish between participants that are easily visually distracted and those who are not. To do so, two previously conducted laboratory experiments were re-analyzed. The first experiment focuses on self-reported noise annoyance in a living room context, whereas the second experiment focuses on the perceived pleasantness of using outdoor public spaces. In the first experiment, the influence of visibility of vegetation on self-reported noise annoyance was modified by audiovisual aptitude. In the second one, it was found that the overall appraisal of walking across a bridge is influenced by audiovisual aptitude, in particular when a visually intrusive noise barrier is used to reduce highway traffic noise levels. We conclude that audiovisual aptitude may affect the appraisal of the living environment.

Reward prediction errors (RPEs) are thought to drive learning. This has been established in procedural learning (e.g., classical and operant conditioning). However, empirical evidence on whether RPEs drive declarative learning-a quintessentially human form of learning-remains surprisingly absent. We therefore coupled RPEs to the acquisition of Dutch-Swahili word pairs in a declarative learning paradigm. Signed RPEs (SRPEs; "better-than-expected" signals) during declarative learning improved recognition in a follow-up test, with increasingly positive RPEs leading to better recognition. In addition, classic declarative memory mechanisms such as time-on-task failed to explain recognition performance. The beneficial effect of SRPEs on recognition was subsequently affirmed in a replication study with visual stimuli.

To recognize individuals, the brain often integrates audiovisual information from familiar or unfamiliar faces, voices, and auditory names. To date, the effects of the semantic familiarity of stimuli on audiovisual integration remain unknown. In this functional magnetic resonance imaging (fMRI) study, we used familiar/unfamiliar facial images, auditory names, and audiovisual face-name pairs as stimuli to determine the influence of semantic familiarity on audiovisual integration. First, we performed a general linear model analysis using fMRI data and found that audiovisual integration occurred for familiar congruent and unfamiliar face-name pairs but not for familiar incongruent pairs. Second, we decoded the familiarity categories of the stimuli (familiar vs. unfamiliar) from the fMRI data and calculated the reproducibility indices of the brain patterns that corresponded to familiar and unfamiliar stimuli. The decoding accuracy rate was significantly higher for familiar congruent versus unfamiliar face-name pairs (83.2%) than for familiar versus unfamiliar faces (63.9%) and for familiar versus unfamiliar names (60.4%). This increase in decoding accuracy was not observed for familiar incongruent versus unfamiliar pairs. Furthermore, compared with the brain patterns associated with facial images or auditory names, the reproducibility index was significantly improved for the brain patterns of familiar congruent face-name pairs but not those of familiar incongruent or unfamiliar pairs. Our results indicate the modulatory effect that semantic familiarity has on audiovisual integration. Specifically, neural representations were enhanced for familiar congruent face-name pairs compared with visual-only faces and auditory-only names, whereas this enhancement effect was not observed for familiar incongruent or unfamiliar pairs. Hum Brain Mapp 37:4333-4348, 2016. © 2016 Wiley Periodicals, Inc., (© 2016 Wiley Periodicals, Inc.)

Purpose: This study investigated the possible relationship between hypokinetic speech production and speech intensity perception in patients with Parkinson's disease (PD)., Method: Participants included 14 patients with idiopathic PD and 14 matched healthy controls (HCs) with normal hearing and cognition. First, speech production was objectified through a standardized speech intelligibility assessment, acoustic analysis, and speech intensity measurements. Second, an overall estimation task and an intensity estimation task were addressed to evaluate overall speech perception and speech intensity perception, respectively. Finally, correlation analysis was performed between the speech characteristics of the overall estimation task and the corresponding acoustic analysis. The interaction between speech production and speech intensity perception was investigated by an intensity imitation task., Results: Acoustic analysis and speech intensity measurements demonstrated significant differences in speech production between patients with PD and the HCs. A different pattern in the auditory perception of speech and speech intensity was found in the PD group., Conclusions: Auditory perceptual deficits may influence speech production in patients with PD. The present results suggest a disturbed auditory perception related to an automatic monitoring deficit in PD.

Efficiently avoiding inappropriate actions in a changing environment is central to cognitive control. One mechanism contributing to this ability is the deliberate slowing down of responses in contexts where full response cancellation might occasionally be required, referred to as proactive response inhibition. The present electroencephalographic (EEG) study investigated the role of attentional processes in proactive response inhibition in humans. To this end, we compared data from a standard stop-signal task, in which stop signals required response cancellation ('stop-relevant'), to data where possible stop signals were task-irrelevant ('stop-irrelevant'). Behavioral data clearly indicated the presence of proactive slowing in the standard stop-signal task. A novel single-trial analysis was used to directly model the relationship between response time and the EEG data of the go-trials in both contexts within a multilevel linear models framework. We found a relationship between response time and amplitude of the attention-related N1 component in stop-relevant blocks, a characteristic that was fully absent in stop-irrelevant blocks. Specifically, N1 amplitudes were lower the slower the response time, suggesting that attentional resources were being strategically down-regulated to control response speed. Drift diffusion modeling of the behavioral data indicated that multiple parameters differed across the two contexts, likely suggesting the contribution from independent brain mechanisms to proactive slowing. Hence, the attentional mechanism of proactive response control we report here might coexist with known mechanisms that are more directly tied to motoric response inhibition. As such, our study opens up new research avenues also concerning clinical conditions that feature deficits in proactive response inhibition., (© 2016 Federation of European Neuroscience Societies and John Wiley & Sons Ltd.)

Multisensory memory traces established via single-trial exposures can impact subsequent visual object recognition. This impact appears to depend on the meaningfulness of the initial multisensory pairing, implying that multisensory exposures establish distinct object representations that are accessible during later unisensory processing. Multisensory contexts may be particularly effective in influencing auditory discrimination, given the purportedly inferior recognition memory in this sensory modality. The possibility of this generalization and the equivalence of effects when memory discrimination was being performed in the visual vs. auditory modality were at the focus of this study. First, we demonstrate that visual object discrimination is affected by the context of prior multisensory encounters, replicating and extending previous findings by controlling for the probability of multisensory contexts during initial as well as repeated object presentations. Second, we provide the first evidence that single-trial multisensory memories impact subsequent auditory object discrimination. Auditory object discrimination was enhanced when initial presentations entailed semantically congruent multisensory pairs and was impaired after semantically incongruent multisensory encounters, compared to sounds that had been encountered only in a unisensory manner. Third, the impact of single-trial multisensory memories upon unisensory object discrimination was greater when the task was performed in the auditory vs. visual modality. Fourth, there was no evidence for correlation between effects of past multisensory experiences on visual and auditory processing, suggestive of largely independent object processing mechanisms between modalities. We discuss these findings in terms of the conceptual short term memory (CSTM) model and predictive coding. Our results suggest differential recruitment and modulation of conceptual memory networks according to the sensory task at hand., (Copyright © 2015 Elsevier B.V. All rights reserved.)

Although our sensory experience is mostly multisensory in nature, research on working memory representations has focused mainly on examining the senses in isolation. Results from the multisensory processing literature make it clear that the senses interact on a more intimate manner than previously assumed. These interactions raise questions regarding the manner in which multisensory information is maintained in working memory. We discuss the current status of research on multisensory processing and the implications of these findings on our theoretical understanding of working memory. To do so, we focus on reviewing working memory research conducted from a multisensory perspective, and discuss the relation between working memory, attention, and multisensory processing in the context of the predictive coding framework. We argue that a multisensory approach to the study of working memory is indispensable to achieve a realistic understanding of how working memory processes maintain and manipulate information.

Multisensory integration involves a host of different cognitive processes, occurring at different stages of sensory processing. Here I argue that, despite recent insights suggesting that multisensory interactions can occur at very early latencies, the actual integration of individual sensory traces into an internally consistent mental representation is dependent on both top-down and bottom-up processes. Moreover, I argue that this integration is not limited to just sensory inputs, but that internal cognitive processes also shape the resulting mental representation. Studies showing that memory recall is affected by the initial multisensory context in which the stimuli were presented will be discussed, as well as several studies showing that mental imagery can affect multisensory illusions. This empirical evidence will be discussed from a predictive coding perspective, in which a central top-down attentional process is proposed to play a central role in coordinating the integration of all these inputs into a coherent mental representation.

Current management of end-stage renal failure is based on renal replacement therapy by dialysis or transplantation. Increased occurrence of renal failure in both native and transplanted kidneys indicates a need for novel therapies to stop or limit the progression of the disease. Acute kidney injury and proteinuria are major risk factors in the development of renal failure. In this regard, innate immunity plays an important role in the pathogenesis of renal diseases in both native and transplanted kidneys. The complement system is a major humoral part of innate defense. Next to the well-known complement activators, quite a number of the complement factors react with proteoglycans (PGs) both on cellular membranes and in the extracellular compartment. Therefore, these interactions might serve as targets for intervention. In this review, the current knowledge of interactions between PGs and complement is reviewed, and additionally the options for interference in the progression of renal disease are discussed.

We recorded ERPs to investigate whether the visual memory load can bias visual selective attention. Participants memorized one or four letters and then responded to memory-matching letters presented in a relevant color while ignoring distractor letters or letters in an irrelevant color. Stimuli in the relevant color elicited larger frontal selection positivities (FSP) and occipital selection negativities (OSN) compared to irrelevant color stimuli. Only distractors elicited a larger FSP in the high than in the low memory load task. Memory load prolonged the OSN for all letters. Response mapping complexity was also modulated but did not affect the FSP and OSN. Together, the FSP data suggest that high memory load increased distractability. The OSN data suggest that memory load sustained attention to letters in a relevant color until working memory processing was completed, independently of whether the letters were in working memory or not., (Copyright © 2013 Society for Psychophysiological Research.)

Saccadic eye movements are a major source of disruption to visual stability, yet we experience little of this disruption. We can keep track of the same object across multiple saccades. It is generally assumed that visual stability is due to the process of remapping, in which retinotopically organized maps are updated to compensate for the retinal shifts caused by eye movements. Recent behavioral and ERP evidence suggests that visual attention is also remapped, but that it may still leave a residual retinotopic trace immediately after a saccade. The current study was designed to further examine electrophysiological evidence for such a retinotopic trace by recording ERPs elicited by stimuli that were presented immediately after a saccade (80 msec SOA). Participants were required to maintain attention at a specific location (and to memorize this location) while making a saccadic eye movement. Immediately after the saccade, a visual stimulus was briefly presented at either the attended location (the same spatiotopic location), a location that matched the attended location retinotopically (the same retinotopic location), or one of two control locations. ERP data revealed an enhanced P1 amplitude for the stimulus presented at the retinotopically matched location, but a significant attenuation for probes presented at the original attended location. These results are consistent with the hypothesis that visuospatial attention lingers in retinotopic coordinates immediately following gaze shifts.

It has recently been shown that spatially uninformative sounds can cause a visual stimulus to pop out from an array of similar distractor stimuli when that sound is presented in temporal proximity to a feature change in the visual stimulus. Until now, this effect has predominantly been demonstrated by using stationary stimuli. Here, we extended these results by showing that auditory stimuli can also improve the sensitivity of visual motion change detection. To accomplish this, we presented moving visual stimuli (small dots) on a computer screen. At a random moment during a trial, one of these stimuli could abruptly move in an orthogonal direction. Participants' task was to indicate whether such an abrupt motion change occurred or not by making a corresponding button press. If a sound (a short 1,000 Hz tone pip) co-occurred with the abrupt motion change, participants were able to detect this motion change more frequently than when the sound was not present. Using measures derived from signal detection theory, we were able to demonstrate that the effect on accuracy was due to increased sensitivity rather than to changes in response bias.

In dynamic cluttered environments, audition and vision may benefit from each other in determining what deserves further attention and what does not. We investigated the underlying neural mechanisms responsible for attentional guidance by audiovisual stimuli in such an environment. Event-related potentials (ERPs) were measured during visual search through dynamic displays consisting of line elements that randomly changed orientation. Search accuracy improved when a target orientation change was synchronized with an auditory signal as compared to when the auditory signal was absent or synchronized with a distractor orientation change. The ERP data show that behavioral benefits were related to an early multisensory interaction over left parieto-occipital cortex (50-60 ms post-stimulus onset), which was followed by an early positive modulation (80-100 ms) over occipital and temporal areas contralateral to the audiovisual event, an enhanced N2pc (210-250 ms), and a contralateral negative slow wave (CNSW). The early multisensory interaction was correlated with behavioral search benefits, indicating that participants with a strong multisensory interaction benefited the most from the synchronized auditory signal. We suggest that an auditory signal enhances the neural response to a synchronized visual event, which increases the chances of selection in a multiple object environment., (Copyright © 2010 Elsevier Inc. All rights reserved.)

Background: When studying attentional orienting processes, brain activity elicited by symbolic cue is usually compared to a neutral condition in which no information is provided about the upcoming target location. It is generally assumed that when a neutral cue is provided, participants do not shift their attention. The present study sought to validate this assumption. We further investigated whether anticipated task demands had an impact on brain activity related to processing symbolic cues., Methodology/principal Findings: Two experiments were conducted, during which event-related potentials were elicited by symbolic cues that instructed participants to shift their attention to a particular location on a computer screen. In Experiment 1, attention shift-inducing cues were compared to non-informative cues, while in both conditions participants were required to detect target stimuli that were subsequently presented at peripheral locations. In Experiment 2, a non-ambiguous "stay-central" cue that explicitly required participants not to shift their attention was used instead. In the latter case, target stimuli that followed a stay-central cue were also presented at a central location. Both experiments revealed enlarged early latency contralateral ERP components to shift-inducing cues compared to those elicited by either non-informative (exp. 1) or stay-central cues (exp. 2). In addition, cueing effects were modulated by the anticipated difficulty of the upcoming target, particularly so in Experiment 2. A positive difference, predominantly over the posterior contralateral scalp areas, could be observed for stay-central cues, especially for those predicting that the upcoming target would be easy. This effect was not present for non-informative cues., Conclusions/significance: We interpret our result in terms of a more rapid engagement of attention occurring in the presence of a more predictive instruction (i.e. stay-central easy target). Our results indicate that the human brain is capable of very rapidly identifying the difference between different types of instructions.

Previous research has shown that the extent to which people spread attention across the visual field plays a crucial role in visual selection and the occurrence of bottom-up driven attentional capture. Consistent with previous findings, we show that when attention was diffusely distributed across the visual field while searching for a shape singleton, an irrelevant salient color singleton captured attention. However, while using the very same displays and task, no capture was observed when observers initially focused their attention at the center of the display. Using event-related fMRI, we examined the modulation of retinotopic activity related to attentional capture in early visual areas. Because the sensory display characteristics were identical in both conditions, we were able to isolate the brain activity associated with exogenous attentional capture. The results show that spreading of attention leads to increased bottom-up exogenous capture and increased activity in visual area V3 but not in V2 and V1.

Multisensory integration has often been characterized as an automatic process. Recent findings indicate that multisensory integration can occur across various stages of stimulus processing that are linked to, and can be modulated by, attention. Stimulus-driven, bottom-up mechanisms induced by crossmodal interactions can automatically capture attention towards multisensory events, particularly when competition to focus elsewhere is relatively low. Conversely, top-down attention can facilitate the integration of multisensory inputs and lead to a spread of attention across sensory modalities. These findings point to a more intimate and multifaceted interplay between attention and multisensory integration than was previously thought. We review developments in the current understanding of the interactions between attention and multisensory processing, and propose a framework that unifies previous, apparently discordant, findings., (2010 Elsevier Ltd. All rights reserved.)

It is still debated to what degree top-down and bottom-up driven attentional control processes are subserved by shared or by separate mechanisms. Interactions between these attentional control forms were investigated using a rapid event-related fMRI design, using an attentional search task. Following a prestimulus mask, target stimuli (consisting of a letter C or a mirror image of the C, enclosed in a diamond outline) were presented either at one unique location among three nontarget items (consisting of a random letter, enclosed in a circle outline; 50% probability), or at all four possible target locations (also 50% probability). On half the trials, irrelevant color singletons were presented, consisting of a color change of one of the four prestimulus masks, just prior to target appearance. Participants were required to search for a target letter inside the diamond and report its orientation. Results indicate that, in addition to a common network of parietal areas, medial frontal cortex is uniquely involved in top-down orienting, whereas bottom-up control is mainly subserved by a network of occipital and parietal areas. Additionally, we found that participants who were better able to suppress orienting to the color singleton showed middle frontal gyrus activation, and that the degree of top-down control correlated with insular activity. We conclude that, in addition to a common set of parietal areas, separate brain areas are involved in top-down and bottom-up driven attentional control, and that frontal areas play a role in the suppression of attentional capture by an irrelevant color singleton.

The temporal asynchrony between inputs to different sensory modalities has been shown to be a critical factor influencing the interaction between such inputs. We used scalp-recorded event-related potentials (ERPs) to investigate the effects of attention on the processing of audiovisual multisensory stimuli as the temporal asynchrony between the auditory and visual inputs varied across the audiovisual integration window (i.e., up to 125 ms). Randomized streams of unisensory auditory stimuli, unisensory visual stimuli, and audiovisual stimuli (consisting of the temporally proximal presentation of the visual and auditory stimulus components) were presented centrally while participants attended to either the auditory or the visual modality to detect occasional target stimuli in that modality. ERPs elicited by each of the contributing sensory modalities were extracted by signal processing techniques from the combined ERP waveforms elicited by the multisensory stimuli. This was done for each of the five different 50-ms subranges of stimulus onset asynchrony (SOA: e.g., V precedes A by 125-75 ms, by 75-25 ms, etc.). The extracted ERPs for the visual inputs of the multisensory stimuli were compared among each other and with the ERPs to the unisensory visual control stimuli, separately when attention was directed to the visual or to the auditory modality. The results showed that the attention effects on the right-hemisphere visual P1 was largest when auditory and visual stimuli were temporally aligned. In contrast, the N1 attention effect was smallest at this latency, suggesting that attention may play a role in the processing of the relative temporal alignment of the constituent parts of multisensory stimuli. At longer latencies an occipital selection negativity for the attended versus unattended visual stimuli was also observed, but this effect did not vary as a function of SOA, suggesting that by that latency a stable representation of the auditory and visual stimulus components has been established.

The auto-adaptive averaging procedure proposed here classifies artifacts in event-related potential data by optimizing the signal-to-noise ratio. This method rank orders single trials according to the impact of each trial on the ERP average. Then, the minimum residual background noise level in the ERP data is determined at each step in the averaging process. Trials having a negative impact on the residual background noise are discarded from the averaging procedure. Simulations showed that ERP estimates obtained by the auto-adaptive averaging procedure were either better or comparable to those obtained by single trial artifact detection methods at their most optimum configuration, in particular during long duration artifacts. Experimental data from a working memory task further illustrate the effectiveness of the method.

This event-related potential study investigated (i) to what extent incongruence between attention-directing cue and cued target modality affects attentional control processes that bias the system in advance to favor a particular stimulus modality and (ii) to what extent top-down attentional control mechanisms are generalized for the type of information that is to be attended. To this end, both visual and auditory word cues were used to instruct participants to direct attention to a specific visual (color) or auditory (pitch) stimulus feature of a forthcoming multisensory target stimulus. Effects of cue congruency were observed within 200 ms post-cue over frontal scalp regions and related to processes involved in shifting attention from the cue modality to the modality of the task-relevant target feature. Both directing visual attention and directing auditory attention were associated with dorsal posterior positivity, followed by sustained fronto-central negativity. However, this fronto-central negativity appeared to have an earlier onset and was more pronounced when the visual modality was cued. Together the present results suggest that the mechanisms involved in deploying attention are to some extent determined by the modality (visual, auditory) in which attention operates, and in addition, that some of these mechanisms can also be affected by cue congruency.

Selective visual attention is thought to facilitate goal-directed behavior by biasing the system in advance to favor certain stimuli over others, resulting in their selective processing. The aim of the present study was to gain more insight into the link between control processes that induce a spatial attention bias, target selection processes and speed of responding. To this end, participants performed a spatial cueing task while their brain activity was recorded using EEG. In this task, cues either validly or invalidly predicted the location (left or right) of a forthcoming imperative stimulus or provided no information regarding its location. Cues directing attention in space elicited greater positivity over fronto-central and contralateral posterior scalp regions than non-informative cues starting around 320 ms post cue. Targets appearing at attended vs. unattended locations evoked larger P1 and N1 components, indicating enhanced perceptual processing. Interestingly, detection of targets was fastest in trials with most cue-evoked posterior positivity and in trials with largest target-evoked N1 amplitude. Importantly, the greater the difference in cue-evoked posterior positivity between fast and slow trials, the greater the difference in target-evoked N1 amplitude between fast and slow trials was. Together these findings support neurobiological models of attention that postulate that preparatory attention to a particular location in space can bias the system in advance to favor stimuli presented at the attended location, resulting in a modulation of perceptual processing of incoming stimuli and facilitated goal-directed behavior.

Interactions between multisensory integration and attention were studied using a combined audiovisual streaming design and a rapid serial visual presentation paradigm. Event-related potentials (ERPs) following audiovisual objects (AV) were compared with the sum of the ERPs following auditory (A) and visual objects (V). Integration processes were expressed as the difference between these AV and (A + V) responses and were studied while attention was directed to one or both modalities or directed elsewhere. Results show that multisensory integration effects depend on the multisensory objects being fully attended--that is, when both the visual and auditory senses were attended. In this condition, a superadditive audiovisual integration effect was observed on the P50 component. When unattended, this effect was reversed; the P50 components of multisensory ERPs were smaller than the unisensory sum. Additionally, we found an enhanced late frontal negativity when subjects attended the visual component of a multisensory object. This effect, bearing a strong resemblance to the auditory processing negativity, appeared to reflect late attention-related processing that had spread to encompass the auditory component of the multisensory object. In conclusion, our results shed new light on how the brain processes multisensory auditory and visual information, including how attention modulates multisensory integration processes.

To assess selective attention processes in young and old adults, behavioral and event-related potential (ERP) measures were recorded. Streams of visual stimuli were presented from left or right locations (Experiment 1) or from a central location and comprising two different spatial frequencies (Experiment 2). In both experiments, results were compared in visual-only and visual+auditory stimulus context conditions. Participants were forced to respond fast in both experiments, while maintaining high accuracy. In Experiment 1, no behavioral effects of aging were found; however, an enlargement of the N1 component in the older age group suggested that older adults initial selection process was larger than that of young adults. A late frontal effect following the P300 elicited by attended non-targets was larger in the visual+auditory condition than in the visual-only condition in the old age group. This effect was interpreted as reflecting a memory update of the relevant target location. In Experiment 2, older adults made relatively more errors in the visual+auditory condition than in visual-only condition, more so than the young adults. Older adults' ERP data were also characterized by an enlargement of the occipital selection negativity, compared to the young age group. In contrast to experiment 1, no late frontal post-P3 effect could be found, suggesting that the memory trace of the relevant stimulus feature was updated less frequently, explaining the reduction in response accuracy in the visual+auditory stimulus context conditions.

One finding in attention research is that visual and auditory attention mechanisms are linked together. Such a link would predict a central, amodal capacity limit in processing visual and auditory stimuli. Here we show that this is not the case. Letter streams were accompanied by asynchronously presented streams of auditory, visual, and audiovisual objects. Either the letter streams or the visual, auditory, or audiovisual parts of the object streams were attended. Attending to various aspects of the objects resulted in modulations of the letter-stream-elicited steady-state evoked potentials (SSVEPs). SSVEPs were larger when auditory objects were attended than when either visual objects alone or when auditory and visual object stimuli were attended together. SSVEP amplitudes were the same in the latter conditions, indicating that attentional capacity between modalities is larger than attentional capacity within one and the same modality.

Cancer is the commonest cause of disease-related death in children over 5 years of age in various parts of Latin America, but the survival rates are improving. This study assessed the health status and health-related quality of life (HRQL) of more than 200 survivors of cancer in childhood in the countries of a Central American consortium devoted to pediatric hematology-oncology. Patients' self-reports and parental proxy assessments were collected using interviewer-administered Spanish-language questionnaires, and physicians provided assessments using self-complete questionnaires, based on the complementary Health Utilities Index (HUI) Mark 2 (HUI2) and Mark 3 (HUI3) health status classification systems. Inter-rater agreement, measured by intra-class correlation (ICC), was fair to moderate (0.340.60) for all 3 pairs of assessors for readily assessable attributes: HUI2 sensation, HUI3 vision, HUI3 hearing, and HUI3 ambulation. Less than 40% of the patients reported being in perfect health. More than 20% reported being in health states with HRQL scores corresponding to moderate or severe disability, notably in the attributes of emotion and cognition. The results reflect a common profile in survivors of cancer in childhood, including those from industrialized societies. This study illustrates the feasibility of collecting reliable and valid information on HRQL in the developing country context, raising the prospect that such information could be used to influence clinical practice.

Background: Osteopenia has been reported in children surviving acute lymphoblastic leukemia and brain tumors, apparently as a consequence of therapy. It has been suggested that cranial irradiation may play a role in the development of this complication. In order to explore that possibility, we examined survivors of brain tumors treated with and without radiation in childhood to investigate associations between radiation, osteopenia, physical activity, health status and overall health-related quality of life (HRQL)., Procedure: Subjects were survivors of posterior fossa tumors (astrocytoma or medulloblastoma) or optic glioma, < 18 years of age at diagnosis and > 1 year off treatment. Measurements of growth velocity, body composition, bone densitometry, physical activity and HRQL were undertaken., Results: Twenty-five (62.5%) of the 40 eligible patients participated in the study. Of the 25 patients, 12 (48%) received radiation therapy (R group) while 13 received no radiation (NR group). Growth hormone (GH) deficiency had been detected in three subjects, one had completed GH therapy while two were still on hormone replacement. The prevalence of osteopenia was 44% in the entire group, and 67% versus 27% in the R and NR groups. Florid osteoporosis was present in 20% of the entire group, more than 40% of the R group but none of the NR group. A significant correlation (P < 0.01) was observed between overall HRQL and Z scores of bone mineral density (BMD) of the lumbar spine. Pain and ambulation/mobility utility scores correlated significantly (P < 0.05) with BMD, while levels of physical activity correlated (P < 0.05) with overall HRQL utility scores., Conclusions: This pilot study demonstrates that in survivors of brain tumors treated in childhood, radiation therapy is associated with significant loss of bone mineral. Among these survivors, HRQL is less, pain is more severe and ambulation is more restricted in those with low BMD scores. The reduction in HRQL is reflected in diminished physical activity. A larger multi-center study is needed to confirm these results.

Here we describe an EEG study investigating the interactions between multisensory (audio-visual) integration and spatial attention, using oscillatory gamma-band responses (GBRs). The results include a comparison with previously reported event-related potential (ERP) findings from the same paradigm. Unisensory-auditory (A), unisensory-visual (V), and multisensory (AV) stimuli were presented to the left and right hemispaces while subjects attended to a designated side to detect deviant target stimuli in either sensory modality. For attended multisensory stimuli we observed larger evoked GBRs approximately 40-50 ms post-stimulus over medial-frontal brain areas compared with those same multisensory stimuli when unattended. Further analysis indicated that the integration effect and its attentional enhancement may be caused in part by a stimulus-triggered phase resetting of ongoing gamma-band responses. Interestingly, no such early interaction effects (<90 ms) could be found in the ERP waveforms, suggesting that oscillatory GBRs may be more sensitive than ERPs to these early latency attention effects. Moreover, no GBR attention effects could be found for the unisensory auditory or unisensory visual stimuli, suggesting that attention particularly affects the integrative processing of audiovisual stimuli at these early latencies.

This study investigated the electrophysiological correlates of shifting, maintaining, and relaxing the focus of attention, using a symbolic cuing task. Cues and imperative stimuli were presented in rapid succession, and the ADJAR procedure was used to remove the contribution of event-related potential (ERP) activity associated with the imperative stimulus from the cue-related ERP waveforms. Initial analyses, comparing left and right attention-directing cues, replicated previous findings of early directing attention negativity (EDAN) and anterior directing attention negativity (ADAN) effects. To isolate ERP activity that is common to leftward and rightward attention shifts, the combined ERP activity elicited by attention-directing cues was compared to the ERP activity elicited by non-informative cues. This analysis revealed a strong and broadly distributed early positivity followed by a sustained central negativity, possibly reflecting the controlled orienting and subsequent maintenance of attentional focus. Finally, imperative stimuli preceded by non-informative cues were characterized by an enhanced posterior P2 effect, with a scalp distribution indicative of generators in visual areas. This result suggests a relatively late (re)activation in visual areas associated with the processing of stimuli that had not been cued in advance.

The present study used event-related potentials and dipole source modeling to investigate dimension specificity in attentional control. Subjects performed cued attention tasks in which the task-relevant information (a) was always the same, (b) varied between features within the same dimension, or (c) varied between features of two different dimensions. Thus, both demands on control processes involved in generating an attentional set and the dimension (color or location) of the task-relevant feature were varied. Attentional control was associated with a dorsal posterior positivity starting at 260 ms postcue, which was stronger over left posterior scalp regions from 580 ms onward, especially when color was task relevant. This positivity likely reflects generic processes involved in the generation of an attentional set that were followed in time by dimension-specific processes related to the persistence of the task-relevant information in working memory.

In the stop-signal task, subjects should withhold their response in a choice reaction time task when a stop-signal, usually a tone, is presented. Successful stops have been associated with event-related potentials (ERPs) featuring a larger frontocentral positivity relative to failed stops. The functional interpretation of this stop-P3 has been disputed, because stop-ERPs are distorted by overlap from ERPs elicited by preceding go-stimuli. We effectively removed confounding potentials with the 'adjacent response filter method (ADJAR)'. Confirming an interpretation in terms of response inhibition, the stop-P3 remained and overlap removal resulted in a more anterior distribution. As a new finding, the N1 was larger on trials with successful stops, which suggests that inhibitory performance at least partly depended on the ability to switch attention to the stop-signal. Finally, the parietal P3 tended to peak earlier for successful than for failed stops. This is in line with the Horse Race Model, which states that faster stop-processes have a higher chance of winning the race against the go-process.

Subjects were required to attend to a combination of stimulus modality (vision or audition) and location (left or right). Intermodal attention was measured by comparing event-related potentials (ERPs) to visual and auditory stimuli when the modality was relevant or irrelevant, while intramodal (spatial) attention was measured by comparing ERPs to visual and auditory stimuli presented at relevant and irrelevant spatial locations. Intramodal spatial attention was expressed differently in visual and auditory ERPs. When vision was relevant, spatial attention showed a contralateral enhancement of posterior N1 and P2 components and enhancement of parietal P3. When audition was relevant, spatial attention showed a biphasic fronto-central negativity, starting after around 100 ms. The same effects were also present in ERPs to stimuli that were presented in the irrelevant modality. Thus, spatial attention was not completely modality specific. Intermodal attention effects were also expressed differently in vision and audition. Taken together, the obtained ERP patterns of the present study show that stimulus attributes such as modality and location are processed differently in vision and audition.

When participants commit errors or receive feedback signaling that they have made an error, a negative brain potential is elicited. According to Holroyd and Coles's (in press) neurocomputational model of error processing, this error-related negativity (ERN) is elicited when the brain first detects that the consequences of an action are worse than expected. To study age-related changes in error processing, we obtained performance and ERN measures of younger and high-functioning older adults. Experiment 1 demonstrated reduced ERN amplitudes in older adults in the context of otherwise intact brain potentials. This result could not be attributed to uncertainty about the required response in older adults. Experiment 2 revealed impaired performance and reduced response- and feedback-related ERNs of older adults in a probabilistic learning task. These age changes could be simulated by manipulation of a single parameter of the neurocomputational model, this manipulation corresponding to weakened phasic activity of the mesencephalic dopamine system.

The present study focuses on the question of whether inter- and intramodal forms of attention are reflected in activation of the same or different brain areas. ERPs were recorded while subjects were presented a random sequence of visual and auditory stimuli. They were instructed to attend to nonspatial attributes of either auditory or visual stimuli and to detect occasional target stimuli within the attended channel. An occipital selection negativity was found for intramodal attention to visual stimuli. Visual intermodal attention was also manifested in a similar negativity. A symmetrical dipole pair in the medial inferior occipital areas could account for the intramodal effects. Dipole pairs for the intermodal attention effect had a slightly more posterior location compared to the dipole pair for the intramodal effect. Auditory intermodal attention was manifested in an early enhanced negativity overlapping with the N1 and P2 components, which was localized using a symmetrical dipole pair in the lateral auditory cortex. The onset of the intramodal attention effect was somewhat later (around 200 ms), and was reflected in a frontal processing negativity. The present results indicate that intra- and intermodal forms of attention were indeed similar for visual stimuli. Auditory data suggest the involvement of multiple brain areas.

This study aimed to identify different processes in working memory, using event-related potentials (ERPs) and response times. Abstract polygons were presented for memorization and subsequent recall in a delayed matching-to-sample paradigm. Two polygons were presented bilaterally for memorization and a cue indicated whether one (and if so, which one of the two) or both polygons had to be memorized. A subsequent test figure was presented unilaterally to the left or right visual field and had to be compared with the memorized figure(s). ERP results suggested that memorization takes place in a visual buffer in contralateral posterior brain areas, whereas identification of the test stimulus as a target appears to be mainly a left hemispheric process. Increased response times were found for nontarget test stimuli as compared to targets, and for target test stimuli that were presented contralaterally with respect to the location of the memorized stimulus. In addition, response times were slower when two figures were memorized than when only one was memorized.

Event-related potentials (ERPs) were recorded as 12 subjects performed a delayed matching to sample task. We presented two bilateral abstract shapes and cued spatially which had to be memorized for a subsequent matching task: left, right or both. During memorization a posterior slow negative ERP wave developed over the hemisphere contralateral to the memorized shape. This effect was similar in high and low memory load trials while the memory figures were visible (for 1000 ms). As the figures disappeared (for 1500 ms), the effect persisted only in the low memory load conditions. We suggest that the contralateral negativity reflects a visual short-term memory process and that capacity limitation in the high memory load condition causes this process to collapse.

The eyes of 15 rhesus monkeys were evaluated. Various degrees of vitreal syneresis were observed in 28 of the 30 eyes. The observed vitreal structures varied from fine strands randomly spaced throughout the vitreous to thick, intertwining, fibrous networks with some clumping of the collagenous condensate at the fiber junctions. Qualitatively, the degree of syneresis was slightly more extensive in the eight older mature males than in the seven younger animals. In all animals a clear view of the fundus could be obtained with the ophthalmoscope. The vitreous structures may be one cause of variability in ocular dose-response relationships for exposure to laser radiation. The effect on retinal exposure experiments of the finer vitreal structure is considered minimal.