Consenting to donation: an examination of current practices in informed consent for tissue donation in the US

Informed consent is the primary moral principle guiding the donation of human tissue for transplant purposes. When patients’ donation wishes are not known, family members making the decision about tissue donation should be provided with requisite information needed to make informed donation decisions. Using a unique dataset of 1,016 audiotaped requests for tissue obtained from 15 US tissue banking organizations, we examined whether the information provided to families considering tissue donation met current standards for informed consent. The results indicated that many elements of informed consent were missing from the donation discussions, including the timeframe for procurement, autopsy issues, the involvement of both for-profit and nonprofit organizations, and the processing, storage and distribution of donated tissue. A multiple linear regression analysis also revealed that nonwhites and family members of increased age received less information regarding tissue donation than did younger, white decision makers. Recommendations for improving the practice of obtaining consent to tissue donation are provided.     

Simulated bipolar cells in fovea of human retina

Fourier analysis is used to study resolution of images processed by the matrix of simulated red-center (BCR) and green-center (BCG) bipolar cells (BC) of the human central fovea. Simulated achromatic and chromatic sine and square waves, and a two-bar stimulus are used to activate the BCs. Due to the "honeycomb" packing of the cones and BC matrices Fourier transforms are computed row by row using a one-dimensional FFT. Resolution computed by the Fourier transform is compared with the resolution index (RI), which is a method for determining resolution based on two-point discrimination in the space domain. In general the harmonic with the maximum amplitude gives the best correlation with RI for the three stimuli. Amplitudes at all spatial frequencies are enhanced by increasing the number of cycles in the sine and square wave gratings. Results with simulated BCs compare favorably with human and macaque psychophysics measuring contrast sensitivity. Square wave gratings are better than sine wave greetings for studying resolution.     

Modelling the effects of a negative feedback circuit from horizontal cells to cones on the impulse responses of cones and horizontal cells in the catfish retina

A model of the cone-L-HC circuit for the catfish retina is presented with the following features: the outer segment consists of a compression factor and 7 low-pass filters in tandem; the cone pedicle consists of an internal negative feedback circuit in series with a low-pass filter; and the L-HC consists of a low-pass filter and forms a negative feedback circuit with the cone pedicle. By proper adjustment of the various time constants of the low-pass filters and the gain factors, the impulse responses for cones and L-HCs of the catfish retina (and turtle) can be duplicated. The negative feedback gain increases with increasing levels of mean illuminance which causes the monophasic impulse responses to become faster, biphasic and decrease in amplitude, i.e. in gain. This is an expression of the Weber-Fechner law.     

Effects of electrical coupling on the cone-horizontal cell circuit in the catfish retina

Based on experimental data, a model of the cone-horizontal cell (L-HC) circuit has been developed for the luminosity channel of the catfish retina and impulse responses of cones and L-HC's were replicated for various experimental conditions. Negative feedback from L-HC to the cone pedicle and increases in the dc levels of L-HC (H ⁰), that produce increases in the feedback gain, convert monophasic impulse responses to those that are biphasic, smaller and faster. Electrical coupling of cones and L-HC's lead to decremental spread of 2 radially outgoing waves with time courses of the coupled cones and L-HC's dependent on the spatial organization of the negative feedback circuit: however, the L-HC's impulse response on spreading outward shows an initial increase before decreasing. Interactions of the cone and L-HC waves were studied using Laplace transforms and the convolution theorem. The presence of a negative feedback circuit leads to deviations of the electrotonic decay from an exponential function. As a result of the dependency of the feedback gain on H ⁰, electrical coupling introduces non-linearities in the cone-L-HC circuit that are dependent on the mean illuminance level.     

Dynamics of chromatic adaptation in cones of freshwater turtle

The closer the wavelength of a steady background of monochromatic light is to the peak sensitivity of a cone that is being illuminated, the stronger is the desensitization of that cone; this is chromatic adaptation. A model of the freshwater turtle retina with the neural components of chromatic adaptation via negative feedback circuits is used to simulate and study various aspects of chromatic adaptation. An internal negative feedback circuit resides solely within the cone pedicle and thereby, its adaptive effects are relatively specific, so that univariance is maintained. The cone-L-horizontal cell circuit is an external negative feedback circuit and its adaptive effects are less specific since all 3 chromatic cone types are involved, so that univariance is violated. Chromatic adaptation is the result of the decrease in the cone gain due to the dependency of the gains of the negative feedback circuits on the mean illuminance level. The results of the model are consistent with von Kries law, but the changes in gains of the cones due to chromatic adaptation are dependent on wavelength, intensity of the adapting light and size.     

Simulated bipolar cells in fovea of human retina

The static model developed in Part I is used to study spectral responses of C-type bipolar cells (BC). Once unique loci are adjusted to their proper wavelengths, and with a specified set of absorption spectra for cones, spectral responses of C-type BCs are dependent on only the balance between BC receptive field center and surround responses. This is true regardless of cone mosaic or BC receptive field organization. The unique yellow loci for the r-g channel is set at 576.7 nm while the unique green locus for the blue-center BC is set at 517.7 nm. A unique orange locus for a combined r-g and bl-y channels is set at 600 nm by multiplying the blue-center BC response spectra by a factor of six before adding to the r-g channel.     

Electronic simulation of ganglion cells of generalized vertebrate cone retina

Electronic simulation of generalized vertebrate cone retina consists of 43x41 grid of red-, green-, and blue-sensitive cones. Each retinal element is simulated by a linear summator in series with a leaky integrator and spatial-temporal properties are developed by spatial organization of cone mosaic into unit hexagons and interplay of antagonistic inputs of differing time courses. Model has full compliments of horizontal and bipolar cells including color- and noncolor coding as well as single- and double-opponent receptive fields for bipolar cells. Electronic simulation also has negative feedback from L-horizontal cells to cones. Ganglion cells are formed by convergence of 7 bipolar cells, either all same and thus homogeneous, or else with a central-DPBC (or HPBC) and 6 surround-HPBCs (or DPBCs) and thus non-homogeneous. Responses of color- and non-color-coded ganglion cells as well as single- and double-opponents are investigated with stationary and moving light spots using white and colored lights. While responses to stationary light spots are predictable from digital models, responses to moving spots are complicated by differing time lags of components involved in total response. Therefore, responses to moving stimuli are more readily simulated by analogue models.     

Simulated bipolar cells in fovea of human retina

This static bipolar cell (BC) model of the human fovea is based on a number of reasonable assumptions. The human fovea is directly responsible for visual acuity and color vision. The fovea can be considered as having two parts; a central fovea with only red- and green-sensitive cones and a parafovea with blue-sensitive cones added to the other two. A cone mosaic can be precisely organized spatially into unit hexagons that specify inputs to horizontal cells (HC) and BCs. The retina up to and including BCs is piece-wise linear, i.e. at a given steady-state adapting light intensity BC outputs are linear functions of the physical image. BC centers receive inputs directly from weighted cones, while antagonistic surrounds receive inverted inputs from HCs. Appropriate optical and chromatic filtering due to the eye that are taken from human data are incorporated into the model. Chromatic aberrations are simulated by three separate point spread functions that also are taken from human data. Automatic gain control of cones is a function of intensity and wavelength of the steady adapting light.The major part of this work was done while the author was a Senior Research Associate of the National Research Council, USA     

A simulated human fovea: the L-type cells of the magnocellular pathway

A static model of the human fovea is used to study the properties of L-type amacrine cells (L-AC) that link the cones with the magnocellular pathway. Sine and square wave gratings are used to obtain response spectra of L-ACs and C-type bipolar cells (C-BC); these two types of cells are compared in both central fovea, where there are no blue-sensitive cones and parafovea, where the blue-sensitive cones represent 12% of the population. Three dispersion conditions are used: no, aberration-free, and chromatic dispersions. The abilities of L- and C-type cells to resolve a twobar image are also compared. The findings are consistent with the magnocellular pathway having higher contrast luminance and chromatic sensitivity gains than those of the parvocellular pathways, but under specified conditions. And under specified conditions the findings are also consistent with both pathways being involved in the detection of chromatic and achromatic signals. Nevertheless when all factors are considered the parvocellular pathway appears to be involved with fine spatial and chromatic tuning while the magnocellular pathway appears to deal with coarser tuning.     

Simulated bipolar cells in fovea of human retina

The ability of simulated bipolar cells (BC) of the human central fovea to resolve images is studied with a two-bar stimulus using a resolution index (RI) as a measure of resolvability. RIs are determined for intensity and chromatic contrasts using all combinations of white, black, red, yellow, green, and blue lights. arious cone matrixes and BC receptive field organizations are studied for orientation preference by using two-bars oriented either 0, 45, 90, or 135 degrees to the horizontal axis of the retina. Nonpreference for orientation, i.e. RI does not change with bar orientation, varies with matrix type, and receptive field organization. For a given orientation RI increases asymptotically as bar width or length, or gap between the bars increases. Systematic changes in RI occur with systematic changes in contrast. For most color pairs there are residual RIs at isoluminance.The major part of this work was done while the author was a Senior Research Associate of the National Research Council, USA