Controlling attention to nociceptive stimuli with working memory

Background

Because pain often signals the occurrence of potential tissue damage, a nociceptive stimulus has the capacity to involuntarily capture attention and take priority over other sensory inputs. Whether distraction by nociception actually occurs may depend upon the cognitive characteristics of the ongoing activities. The present study tested the role of working memory in controlling the attentional capture by nociception.

Methodology and Principal Findings

Participants performed visual discrimination and matching tasks in which visual targets were shortly preceded by a tactile distracter. The two tasks were chosen because of the different effects the involvement of working memory produces on performance, in order to dissociate the specific role of working memory in the control of attention from the effect of general resource demands. Occasionally (i.e. 17% of the trials), tactile distracters were replaced by a novel nociceptive stimulus in order to distract participants from the visual tasks. Indeed, in the control conditions (no working memory), reaction times to visual targets were increased when the target was preceded by a novel nociceptive distracter as compared to the target preceded by a frequent tactile distracter, suggesting attentional capture by the novel nociceptive stimulus. However, when the task required an active rehearsal of the visual target in working memory, the novel nociceptive stimulus no longer induced a lengthening of reaction times to visual targets, indicating a reduction of the distraction produced by the novel nociceptive stimulus. This effect was independent of the overall task demands.

Conclusion and Significance

Loading working memory with pain-unrelated information may reduce the ability of nociceptive input to involuntarily capture attention, and shields cognitive processing from nociceptive distraction. An efficient control of attention over pain is best guaranteed by the ability to maintain active goal priorities during achievement of cognitive activities and to keep pain-related information out of task settings.     

Dissociable influences of auditory object vs. spatial attention on visual system oscillatory activity

Given that both auditory and visual systems have anatomically separate object identification ("what") and spatial ("where") pathways, it is of interest whether attention-driven cross-sensory modulations occur separately within these feature domains. Here, we investigated how auditory "what" vs. "where" attention tasks modulate activity in visual pathways using cortically constrained source estimates of magnetoencephalograpic (MEG) oscillatory activity. In the absence of visual stimuli or tasks, subjects were presented with a sequence of auditory-stimulus pairs and instructed to selectively attend to phonetic ("what") vs. spatial ("where") aspects of these sounds, or to listen passively. To investigate sustained modulatory effects, oscillatory power was estimated from time periods between sound-pair presentations. In comparison to attention to sound locations, phonetic auditory attention was associated with stronger alpha (7-13 Hz) power in several visual areas (primary visual cortex; lingual, fusiform, and inferior temporal gyri, lateral occipital cortex), as well as in higher-order visual/multisensory areas including lateral/medial parietal and retrosplenial cortices. Region-of-interest (ROI) analyses of dynamic changes, from which the sustained effects had been removed, suggested further power increases during Attend Phoneme vs. Location centered at the alpha range 400-600 ms after the onset of second sound of each stimulus pair. These results suggest distinct modulations of visual system oscillatory activity during auditory attention to sound object identity ("what") vs. sound location ("where"). The alpha modulations could be interpreted to reflect enhanced crossmodal inhibition of feature-specific visual pathways and adjacent audiovisual association areas during "what" vs. "where" auditory attention.     

Set-related activity in the premotor cortex of rhesus monkeys: effect of triggering cues and relatively long delay intervals

"Set-related activity" has been defined as a significant alteration in neuronal discharge rate during an "instructed delay period," a period when a previously instructed movement is being withheld. It has been argued that set-related activity in the primate premotor cortex, or at least a significant proportion of it, reflects motor preparation. In most previous investigations, however, in which visual stimuli have triggered the movement and simultaneously indicated its target, set-related activity might reflect either the anticipation of or attention to the trigger stimulus. The present report shows that set-related activity is robust and can be directionally selective when trigger stimuli do not indicate the target and when a trigger stimulus is absent. Another feature of previous studies has been the relatively brief intervals between the instruction and trigger stimuli (typically 3 sec or less). In the present study, we were able to observe the activity of a small number of cells during longer delay periods. Set-related activity persists, although it becomes less consistent, for as much as 7.5 sec after an instruction stimulus. These results support the hypothesis that set-related activity reflects the preparation for specific limb movements.     

The health implications of birth by Caesarean section

Since the first mention of fetal programming of adult health and disease, a plethora of programming events in early life has been suggested. These have included intrauterine and postnatal events, but limited attention has been given to the potential contribution of the birth process to normal physiology and long‐term health. Over the last 30 years a growing number of studies have demonstrated that babies born at term by vaginal delivery (VD) have significantly different physiology at birth to those born by Caesarean section (CS), particularly when there has been no exposure to labour, i.e. pre‐labour CS (PLCS). This literature is reviewed here and the processes involved in VD that might programme post‐natal development are discussed. Some of the effects of CS are short term, but longer term problems are also apparent. We suggest that VD initiates important physiological trajectories and the absence of this stimulus in CS has implications for adult health. There are a number of factors that might plausibly contribute to this programming, one of which is the hormonal surge or “stress response” of VD. Given the increasing incidence of elective PLCS, an understanding of the effects of VD on normal development is crucial.     

Effect of sodium nitrite on the activity of the neocortex neurons during realization of defense and inhibition conditioned reflexes

A decrease in intensity and duration of short-latency reaction components of the sensorimotor and visual cortical neurons to specific stimuli (pain reinforcement and light flashes, respectively) was observed after the administration of NO-generating sodium nitrite (11 mg/kg, subcutaneously). Activation decrease in the visual cortex took place irrespective of biological significance of the light flashes, i.e., in case when this stimulus was a signal of defensive conditioning and in case when these flashes were applied with continuous light (a conditioned inhibitor). Sodium nitrite almost did not change the late activation of sensorimotor and visual neurons in response to pain reinforcement and disinhibitory action of the latter. The results confirm the viewpoint about different neurotransmitters in "specifically modal" and "non-specific" pathways to the neocortex during learning.     

Orienting reflex: "targeting reaction" and "searchlight of attention"

The concept of orienting reflex based on the principle of vector coding of cognitive and executive processes is proposed. The orienting reflex to non-signal and signal stimuli is a set of orienting reactions: motor, autonomic, neuronal, and subjective emphasizing new and significant stimuli. Two basic mechanisms can be identified within the orienting reflex: a "targeting reaction" and a "searchlight of attention". In the visual system the first one consists in a foveation of a target stimulus. The foveation is performed with participation of premotor neurons excited by saccadic command neurons of the superior colliculi. The "searchlight of attention" is based on the resonance of gamma-oscillations in the reticular thalamus selectively enhancing responses of cortical neurons (involuntary attention). The novelty signal is generated in novelty neurons of the hippocampus, which are selectively tuned to a repeatedly presented standard stimulus. The selective tuning is caused by the depression of plastic synapses representing a "neuronal model" of the standard stimulus. A mismatch of the novel stimulus with the established neuronal model gives rise to a "novelty signal" enhancing the novel input. The novelty signal inhibits current conditioned reflexes (external inhibition) contributing to redirecting the behavior. By triggering the expression of early genes the novelty signal initiates the formation of the long-term memory connected with neoneurogenesis.     

Ganzfeld Stimulation or Sleep Enhance Long Term Motor Memory Consolidation Compared to Normal Viewing in Saccadic Adaptation Paradigm

Adaptation of saccade amplitude in response to intra-saccadic target displacement is a type of implicit motor learning which is required to compensate for physiological changes in saccade performance. Once established trials without intra-saccadic target displacement lead to de-adaptation or extinction, which has been attributed either to extra-retinal mechanisms of spatial constancy or to the influence of the stable visual surroundings. Therefore we investigated whether visual deprivation (“Ganzfeld”-stimulation or sleep) can partially maintain this motor learning compared to free viewing of the natural surroundings. Thirty-five healthy volunteers performed two adaptation blocks of 100 inward adaptation trials – interspersed by an extinction block – which were followed by a two-hour break with or without visual deprivation (VD). Using additional adaptation and extinction blocks short and long (4 weeks) term memory of this implicit motor learning were tested. In the short term, motor memory tested immediately after free viewing was superior to adaptation performance after VD. In the long run, however, effects were opposite: motor memory and relearning of adaptation was superior in the VD conditions. This could imply independent mechanisms that underlie the short-term ability of retrieving learned saccadic gain and its long term consolidation. We suggest that subjects mainly rely on visual cues (i.e., retinal error) in the free viewing condition which makes them prone to changes of the visual stimulus in the extinction block. This indicates the role of a stable visual array for resetting adapted saccade amplitudes. In contrast, visual deprivation (GS and sleep), might train subjects to rely on extra-retinal cues, e.g., efference copy or prediction to remap their internal representations of saccade targets, thus leading to better consolidation of saccadic adaptation.     

Top-down anticipatory control in prefrontal cortex

Summary The prefrontal cortex has been implicated in a wide variety of executive functions, many involving some form of anticipatory attention. Anticipatory attention involves the pre-selection of specific sensory circuits to allow fast and efficient stimulus processing and a subsequently fast and accurate response. It is generally agreed that the prefrontal cortex plays a critical role in anticipatory attention by exerting a facilitatory “top-down” bias on sensory pathways. In this paper we review recent results indicating that synchronized activity in prefrontal cortex, during anticipation of visual stimulus, can predict features of early visual stimulus processing and behavioral response. Although the mechanisms involved in anticipatory attention are still largely unknown, we argue that the synchronized oscillation in prefrontal cortex is a plausible candidate during sustained visual anticipation. We further propose a learning hypothesis that explains how this top-down anticipatory control in prefrontal cortex is learned based on accumulated prior experience by adopting a Temporal Difference learning algorithm.     

Desynchronization α frequency event-related in visual selective attention requiring tasks

Comparative analysis of the EEG amplitude depression in the α band has been performed in two paradigms varying in the degree of involvement of functionally different attention processes: visual search for the relevant stimulus (RS) among many irrelevant stimuli (iRS) and oddball. Simple visual examination of several identical stimuli was used as a control for the visual search task. The method of videooculography was used for verification of gaze direction during RS search. The EEG dynamics in the α band (desynchronization, D) was considered to be a correlate of attention processes. The visual search task performance revealed considerably higher D after RS finding compared to the control. The higher degree of D during the search seems to be due to the higher complexity of the task and complexity of visual environment. The D in the frontal regions, which has the greatest amplitude, supposedly reflects the performance of an adequate motor performance program under the control of voluntary (top-down) attention. At the same time, the D in the occipital and parietal areas seems to reflect the processes of involuntary attention activated due to the change in visual information (the finding of the only RS among numerous iRS). In the oddball task, presentation of both RS and iRS also induced D, which proved to be more marked in response to RS and maximal in the visual areas. We suppose that D under oddball reflects the involvement of involuntary attention.     

Characteristics of Human Luminance Discrimination and Modeling a Neural Network Based on the Response Properties of the Visual Cortex

Reaction time (RT) and error rate that depend on stimulus duration were measured in a luminance-discrimination reaction time task. Two patches of light with different luminance were presented to participants for ‘short’ (150 ms) or ‘long’ (1 s) period on each trial. When the stimulus duration was ‘short’, the participants responded more rapidly with poorer discrimination performance than they did in the longer duration. The results suggested that different sensory responses in the visual cortices were responsible for the dependence of response speed and accuracy on the stimulus duration during the luminance-discrimination reaction time task. It was shown that the simple winner-take-all-type neural network model receiving transient and sustained stimulus information from the primary visual cortex successfully reproduced RT distributions for correct responses and error rates. Moreover, temporal spike sequences obtained from the model network closely resembled to the neural activity in the monkey prefrontal or parietal area during other visual decision tasks such as motion discrimination and oddball detection tasks.     

Effects of Attention to Auditory Motion on Cortical Activations during Smooth Pursuit Eye Tracking

Background

In contrast to traditional views that consider smooth pursuit as a relatively automatic process, evidence has been reported for the importance of attention for accurate pursuit performance. However, the exact role that attention might play in the maintenance of pursuit remains unclear.

Methodology/Principal Findings

We analysed the neuronal activity associated with healthy subjects executing smooth pursuit eye movements (SPEM) during concurrent attentive tracking of a moving sound source, which was either in-phase or in antiphase to the executed eye movements. Assuming that attentional resources must be allocated to the moving sound source, the simultaneous execution of SPEM and auditory tracking in diverging directions should result in increased load on common attentional resources. By using an auditory stimulus as a distractor rather then a visual stimulus we guaranteed that cortical activity cannot be caused by conflicts between two simultaneous visual motion stimuli. Our results revealed that the smooth pursuit task with divided attention led to significantly higher activations bilaterally in the posterior parietal cortex and lateral and medial frontal cortex, presumably containing the parietal, frontal and supplementary eye fields respectively.

Conclusions

The additional cortical activation in these areas is apparently due to the process of dividing attention between the execution of SPEM and the covert tracking of the auditory target. On the other hand, even though attention had to be divided the attentional resources did not seem to be exhausted, since the identification of the direction of the auditory target and the quality of SPEM were unaffected by the congruence between visual and auditory motion stimuli. Finally, we found that this form of task-related attention modulated not only the cortical pursuit network in general but also affected modality specific and supramodal attention regions.     

A visual aid for teaching ventilation-perfusion relationships

To help students understand the concept of the ventilation-perfusion ratio (VA/Q) and the effects that VA/Q mismatching has on pulmonary gas exchange, a "sliding rectangles" visual aid was developed to teach VA/Q relationships. Adjacent rectangles representing "ventilation" and "perfusion" are slid past one another so that portions of the ventilation and perfusion rectangles are not touching, illustrating the concepts of dead-space ventilation (VD) and shunt flow (QS). The portion of the ventilation bar representing VD is further subdivided into anatomical and alveolar VD and used to show the effects of alveolar dead space on the PO2 (PAO2) and PCO2 of alveolar air (PACO2); movement away from the "ideal" point). Similarly, the portion of the perfusion bar representing QS is used to define anatomical and physiological shunts and the effect of shunts on the PO2 (PaO2) and PCO2 of arterial blood (PaCO2). The genesis of the PAO2-PaO2 (A-a) PO2 difference as well as the effects of VA/Q mismatching and diffusion abnormalities can all be discussed with this visual aid. This approach has greatly assisted some students in mastering this traditionally difficult area of respiratory physiology.     

Vision in Flies: Measuring the Attention Span

A visual stimulus at a particular location of the visual field may elicit a behavior while at the same time equally salient stimuli in other parts do not. This property of visual systems is known as selective visual attention (SVA). The animal is said to have a focus of attention (FoA) which it has shifted to a particular location. Visual attention normally involves an attention span at the location to which the FoA has been shifted. Here the attention span is measured in Drosophila. The fly is tethered and hence has its eyes fixed in space. It can shift its FoA internally. This shift is revealed using two simultaneous test stimuli with characteristic responses at their particular locations. In tethered flight a wild type fly keeps its FoA at a certain location for up to 4s. Flies with a mutation in the radish gene, that has been suggested to be involved in attention-like mechanisms, display a reduced attention span of only 1s.     

Distributed attention and focused attention: different modalities of use

In the present experiments two different attention modalities were investigated: focused and distributed attention. In Experiment 1 manual choice reaction times to lateralized visual stimuli were measured. Visual stimuli (rectangles or squares) were presented in one of six positions along the horizontal axis. In between each position a digit 1 to 5 was permanently displayed. The subjects were instructed to switch their attention to one of the five digits and to respond as fast as possible to the stimulus target flashed either on the right or on the left of the focus of attention. The only difference in Experiment 2 was that the digit stayed on 100 msec only. The results show the importance of a visual cue (Exp. 1) for focused attention. In the absence of a permanent visual cue (Exp. 2) only distributed attention can be employed.     

Evoked potentials during elaboration of fine differentiations

The paper deals with the character of changes in the EP form recorded from the visual cortex of a rat during elaboration of a system of positive and negative (with different degree of precision) conditioned defensive reflexes. It has been shown that in a state of a consolidated habit of pain stimulus avoidance in a shuttle box a negative component with peak latency up to 70 msec develops in EP to the differentiation stimulus of 0.5 c/s. This component is much less pronounced to the 2 c/s conditioned stimulus. When a more precise differentiation stimulus (1 c/s) was presented to the animal in this state the development of the studied component depended on the subsequent behavioural reaction: it developed if the animal reacted in the same way as to the differentiation stimulus. This fact suggests that the generation of this component is connected with the inhibitory processes developing at the time when the animal is choosing its behavioural reaction.     

EEG θ rhythm in preterm and full-term infants at the age of five months in endogenous attention

EEG indicators of endogenous attention (EnA) were studied in healthy infants carried to term and extremely preterm infants at a corrected age of five months. The cortical topography of the spectral amplitudes of the EEG θ rhythm was studied during long-term attention of the children to a new visual stimulus (exogenous attention, ExA) and during the retention of anticipatory attention under the conditions of constant appearance and disappearance of a stimulus in the paradigm of visual expectation (EnA). The relationship between reactive changes in the EEG θ rhythm during the retention of EnA and the behavioral parameters of the infant’s ability to retain this type of attention was also assessed. In five-month-old infants, the retention of EnA, in contrast to simpler types of attention to an exogenous stimulus, was accompanied by the appearance of a highly synchronized EEG θ rhythm (3.6–5.2 Hz) with a topical amplitude maximum in the lower temporal associative areas of the cortex. The ability to maintain EnA in children of this age is directly related to the reactive increase in the θ rhythm in the lower temporal areas of the cortex during the retention of EnA as compared to ExA. The deficit of EnA control in healthy extremely preterm (HEP) infants was associated with a relative deficit of the functional synchronization of the θ rhythm in the lower temporal areas of the cortex during the retention of EnA compared to full-term infants. In HEP infants, a decreased synchronization of the θ rhythm was equally typical of EnA and ExA. However, its cortical location depended on the type of attention. The functional nature of the θ rhythm inhibition in HEP infants suggests that this abnormality was related to alterations in the neurotransmitter interactions between the limbic and cortical structures, rather than to structural defects. These alterations could be one of the causes of the partial deficit of EnA in HEP infants.     

Directed attention influence on the human brain potentials under conditions of probability visual stimulation

Saccadic latency and averaged EEG-potentials connected with switching on of the set and cue visual stimuli were examined in 12 right-handed healthy subjects in M. Posner's "cost-benefit" experimental paradigm. It was shown that attention was reflected in parameters of positive potential P100 evoked by switching on of set and cue stimuli and P300 and slow positive wave PMP1 evoked by switching on of the set stimulus in the relevant conditions. The spatiotemporal pattern of P100 probably reflects the involvement of the frontoparietal network of spacial attention in the perception of a relevant stimulus. Prevalence of the P300 and PMP1 potentials in the right parietal cortex suggests that these potentials reflect processes of space attention and visual fixation. Late positive potentials in a 600-900-ms interval after switching on of the set stimulus were found. Their amplitude was higher in backward averaging and they were predominantly localized in the left frontal cortex. These findings suggest that the late potentials reflect the anticipation and motor attention processes.     

Reaction time and interhemispheric interaction

The study was made on healthy adult subjects. The reaction time of the hand (RT) was measured under two conditions: 1) the choice of reaction (right or left hand) is determined by the nature of the warning stimulus; 2) decision on the choice is taken, depending on the second, trigger stimulus. Stimuli are presented at random sequences to different visual fields. The reaction time to the visual signal presented to the visual field ipsilateral to the hand is significantly shorter (by 15 to 26 msec) than to the stimulus in the contralateral visual field. In a simple motor reaction, when no discrimination of trigger stimulus and the decision on the choice of reaction is required, a hemispheric asymmetry of reaction time is manifested: the left hemisphere only responds differently to direct visual stimulation and to that mediated through the contralateral hemisphere.     

Generation of Ponto-Geniculo-Occipital (PGO) waves as a possible reason of disturbances in visual perception in microsleep

A hypothesis is put forward that one of the reasons for disturbances in visual perception during microsleep could be a spontaneous generation of Ponto-Geniculo-Occipital (PGO) waves. If the PGO waves are generated in microsleep, they could propagate into different thalamic nuclei conveying visual infomation. Consequently, a propagation of visual infonnation from the retina (if the eyes are opened) to visual neocortical areas and to input basal ganglia nucleus, striatum could be impaired. According to previously proposed mechanism of visual processing, which includes visual attention, in absence of striatum activation by a visual stimulus, a disinhibition through the basal ganglia of superior colliculus that transfer visual information to dopaminergic structures becomes impossible. Due to absence of dopamine release in response to visual stimulus, the attention to this stimulus cannot start, and therefore its processing worsens in all visual cortical areas. The suggested hypothesis could be verified in experiments with artificially evoked microsleep using non-invasive methods for searching for the correlates of the PGO activity presence in the brain.     

Priming the Semantic Neighbourhood during the Attentional Blink

Background

When two targets are presented in close temporal proximity amongst a rapid serial visual stream of distractors, a period of disrupted attention and attenuated awareness lasting 200–500 ms follows identification of the first target (T1). This phenomenon is known as the “attentional blink” (AB) and is generally attributed to a failure to consolidate information in visual short-term memory due to depleted or disrupted attentional resources. Previous research has shown that items presented during the AB that fail to reach conscious awareness are still processed to relatively high levels, including the level of meaning. For example, missed word stimuli have been shown to prime later targets that are closely associated words. Although these findings have been interpreted as evidence for semantic processing during the AB, closely associated words (e.g., day-night) may also rely on specific, well-worn, lexical associative links which enhance attention to the relevant target.

Methodology/Principal Findings

We used a measure of semantic distance to create prime-target pairs that are conceptually close, but have low word associations (e.g., wagon and van) and investigated priming from a distractor stimulus presented during the AB to a subsequent target (T2). The stimuli were words (concrete nouns) in Experiment 1 and the corresponding pictures of objects in Experiment 2. In both experiments, report of T2 was facilitated when this item was preceded by a semantically-related distractor.

Conclusions/Significance

This study is the first to show conclusively that conceptual information is extracted from distractor stimuli presented during a period of attenuated awareness and that this information spreads to neighbouring concepts within a semantic network.