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Biomedical subjects

B L Schwartz

Publications and source records attributed to B L Schwartz.

At least 19 recordsLinked to original sources

Episodic memory in primates.

Episodic memory refers to a system of memory with the capacity to recollect specific events from an individual's life. Some psychologists have suggested that episodic memory is a uniquely human phenomenon. We challenge that idea and present evidence that great apes and other primates may possess episodic-like memory. We review criteria developed to assess episodic-like memory in nonhumans, and how they apply to primates. In particular, we discuss the criteria of Clayton et al. [2001], who stated that episodic-like memory is based on the retrieval of multiple and integrated components of an event. We then review eight studies examining memory in great apes and apply the Clayton et al. criteria to each of them. We summarize the evidence that is compatible with the existence of episodic-like memory, although none of the data completely satisfy the Clayton et al. criteria. Morover, feelings of pastness and feelings of confidence, which mark episodic memory in humans, have not been empirically addressed in nonhuman primates. Future studies should be directed at these aspects of memory in primates. We speculate on the functional significance of episodic memory in nonhuman primates.

Animals↗

The relation of tip-of-the-tongue states and retrieval time.

The tip-of-the-tongue state (TOT) is the phenomenological experience that a word is on the verge of being recalled. Participants rated TOTs as either emotional or nonemotional. In Experiment 1, given general-information questions, participants spent more time attempting retrieval during emotional TOTs than during nonemotional TOTs or n-TOTs (retrieval failures not accompanied by TOTs). Experiment 2 replicated the effect that TOTs show longer retrieval times than n-TOTs. In Experiment 3, with word definitions as stimuli, retrieval times were longer for emotional TOTs. Experiment 4 showed the same relation between retrieval times and TOTs even when participants made retrospective decisions about whether they had experienced a TOT before they retrieved the correct target. Valence of emotion was correlated with correct resolution of the TOT. These results are discussed in the context of a metacognitive model, in which TOTs serve to monitor and control cognition.

Adult↗

The phenomenology of real and illusory tip-of-the-tongue states.

The tip-of-the-tongue state (TOT) is the phenomenological experience that a word is on the verge of being recalled. Most research has been directed at TOT etiology and at retrieval processes occurring during a TOT. In this study, TOT phenomenology was examined. In Experiment 1, strong TOTs were more likely than weak TOTs to be followed by correct recognition, and resolution (later recall) of TOTs was higher for strong than for weak TOTs, but only for commission errors. In Experiment 2, emotional TOTs were more likely to be resolved and recognized than nonemotional TOTs. In Experiment 3, imminence was defined as the feeling that retrieval is about to occur. Imminent TOTs were more likely to be followed by resolution and recognition than were nonimminent TOTs. Illusory TOTs (TOTs for unanswerable questions) tended to be weaker, less emotional, and less imminent than TOTs for answerable questions.

Adult↗

Stress and a glycinergic intervention interact in the modulation of MK-801-elicited mouse popping behavior.

The ability of D-cycloserine, a partial glycine agonist, to modulate mouse popping behavior elicited by MK-801, a noncompetitive NMDA receptor antagonist, was studied in unstressed and stressed mice. In unstressed animals, D-cycloserine (5.6 and 10 mg/kg) attenuated the ability of MK-801 (1.0 mg/kg) to elicit this behavior. However, the ability of D-cycloserine to attenuate MK-801-elicited mouse-popping behavior was not evident in stressed mice, 24 h after they were forced to swim for up to 10 min in cold water. Thus, the therapeutic value of glycinergic interventions may be limited by environmental factors, such as stress.

Animals↗

Visual scanning of facial expressions in schizophrenia.

The authors previously observed that schizophrenic patients generated fewer fixations of < or = 50.1 ms in response to faces than did a clinical control group. This study examined whether deficits in short-duration eye movements were related to patients' problems in gestalt perception of faces. Faces were presented in upright and inverted orientations to examine the effects of distorting facial gestalts on eye movements. Normal subjects generated more saccades of < or = 50.1 ms to upright than to inverted faces. Patients' saccades of < or = 50.1 ms did not differ between orientations. Patterns of fixations and of saccades > 50.1 ms did not differ between groups. The results may indicate deficits in these patients in search strategies that underlie perception of facial gestalts.

Adult↗

Sparkling at the end of the tongue: the etiology of tip-of-the-tongue phenomenology.

The tip-of-the-tongue experience (TOT) is the phenomenological experience that a currently inaccessible word is stored in memory and will be retrieved. TOTs appear to be a universal experience that occurs frequently in everyday life, making the TOT an ideal case study in human phenomenology. This paper considers TOTs in light of Tulving's (1989) challenge to the doctrine of concordance, which is the assumption that behavior, cognition, and phenomenology are correlated, if not caused by identical processes. Psycholinguistic and memory theories, consistent with concordance, argue for direct access, or the view that TOTs and word retrieval are caused by the same retrieval processes. The metacognition view challenges concordance and views TOTs as an inference based on nontarget information that is accessible to rememberers. Current data, reviewed here, suggest that TOTs are caused via direct access and through inferential processes. Dissociations between TOTs and retrieval suggest that the causes of TOT phenomenology and the processes of retrieval are not identical.

Cognition↗

Effect of visual cues, vital signs, and protocols on triage: a prospective randomized crossover trial.

STUDY OBJECTIVES: We sought to compare triage designations derived from in-person and telephone interviews and systematically examine the effect of visual cues, vital signs, and complaint-based protocols on the triage process. METHODS: We conducted a 2-phase, prospective, observational study employing a randomized, crossover design in a university teaching hospital emergency department. In both phases, every eligible patient underwent sequential in-person and telephone triage interviews conducted by certified ED triage nurses. After taking a history, each nurse chose 1 of 5 hypothetical triage designations and, after being told the patient's vital signs, again selected a designation. Phase 1 designations were based solely on nurses' clinical expertise. In phase 2, both nurses used complaint-based protocols. RESULTS: Agreement between telephone and in-person designations was poor (percent agreement, 43.1% to 48.8%; kappa,.19 to.26; taub,.34 to.45 for the 4 primary comparisons). Knowledge of vital signs and use of protocols did not improve agreement or increase identification of patients requiring admission to hospital. CONCLUSION: These data establish that telephone and in-person triage are not equivalent and suggest that visual cues may play an important role in the triage process. It is unclear whether telephone triage is an adequate method of assigning patients to an appropriate level of care.

Adolescent↗

Visual scanning of faces correlates with schizophrenia symptomatology.

1. The purpose of this study was to examine whether quantitative measures of visual scanning of faces correlated with the severity of symptoms in patients with schizophrenia. 2. Preattentive visual fixations (fixations less than or equal to 50.1 ms in duration) were measured while 16 subjects with chronic schizophrenia and 38 comparison subjects scanned slides of human faces. 3. A significant inverse correlation was found between the number of preattentive fixations exhibited during 10 seconds of facial scanning and total Brief Psychiatric Rating Scale (BPRS) scores. 4. This study suggests that measures that probe preattentive processing during scanning of faces could represent a novel paradigm for studying the symptoms of schizophrenia.

Adult↗

The mismeasure of memory: when retrieval fluency is misleading as a metamnemonic index.

The experiments address the degree to which retrieval fluency--the case with which information is accessed from long-term memory--guides and occasionally misleads metamnemonic judgments. In each of 3 experiments, participants' predictions of their own future recall performance were examined under conditions in which probability or speed of retrieval at one time or on one task is known to be negatively related to retrieval probability on a later task. Participants' predictions reflected retrieval fluency on the initial task in each case, which led to striking mismatches between their predicted and actual performance on the later tasks. The results suggest that retrieval fluency is a potent but not necessarily reliable source of information for metacognitive judgments. Aspects of the results suggest that a basis on which better and poorer rememberers differ is the degree to which certain memory dynamics are understood, such as the fleeting nature of recency effects and the consequences of an initial retrieval. The results have pedagogical as well as theoretical implications, particularly with respect to the education of subjective assessments of ongoing learning.

Female↗

The relation of output order and commission errors in free recall and eyewitness accounts.

We explored the relation between output order and the likelihood of a commission error in free recall under both laboratory and eyewitness conditions. In Experiment 1, participants studied a list of 20 unrelated words and, after a five-minute distractor task, were asked to recall those words. Whereas the items that participants recalled were mostly correct, commission errors were more likely to occur at the end of a participant's output. In Experiment 2, participants viewed a police film depicting an armed robbery. Participants described the perpetrators, their truck, and the sequence of events during the robbery. When describing the perpetrators or the truck, commission errors were more likely to occur at the end of the output. However, when describing the sequence of events, commission errors were more likely to occur in the middle of the output. In Experiment 3, we replicated the finding that commission errors are likely to occur at the end of the output order when participants are describing people. We speculate on the potential application of this finding and its theoretical underpinnings.

Analysis of Variance↗

Illusory tip-of-the-tongue states.

The tip-of-the-tongue state (TOT) is the phenomenological experience that a target word is on the verge of being recalled. An illusory TOT occurs when a person experiences a TOT, but the actual target is either unavailable, forgotten, or never learned. Illusory TOTs were induced by asking participants to answer questions that did not have correct answers. In Experiment 1, an episodic-memory paradigm, participants were shown fictional animals, some of which were accompanied by the animal's name (identified targets) and some of which were not (unidentified targets). Some participants experienced TOTs for unidentified targets. In Experiment 2, a semantic-memory paradigm, participants were asked general-information questions, some of which were questions with no correct answer. Every one of the 31 participants experienced at least one illusory TOT. The characteristics of illusory TOTs are discussed in light of inferential and direct-access views of TOTS.

Humans↗

Methylene blue adjuvant therapy of schizophrenia.

There is growing interest in the role of the nitric oxide (NO) pathway in idiopathic psychotic disorders such as schizophrenia. In this preliminary study, we examined the therapeutic efficacy of methylene blue (MB), a "downstream" inhibitor of one of NO's actions, administered orally as an adjuvant to conventional neuroleptic medications. Specifically, MB blocks NO's activation of soluble guanylyl cyclase. MB has previously been reported to have therapeutic effects in the treatment of psychosis and mania. Preclinical data also suggest that MB might possess antipsychotic potential. Participants in the current study were eight patients with schizophrenia who had incomplete responses to conventional antipsychotics (as evidenced by a Brief Psychiatric Rating Scale [BPRS] total score of 35 or more). These patients completed a 4-week open-label study with a 1 week "off", 2 week "on", and one final week "off" design. Measures of treatment efficacy were the BPRS, Schedule for the Assessment of Negative Symptoms, and Clinical Global Improvement Scale administered weekly. Final scores for each outcome measure item were based on the consensus of at least two trained raters present during each rating interview. A statistically significant, albeit modest, decrease in the severity of psychopathology was observed while the subjects were taking MB, and psychopathology significantly worsened when MB was discontinued. The results suggest a need for further study with MB or perhaps other NO-dependent guanylyl cyclase-inhibiting medications.

Adult↗

Effects of nifedipine, a calcium channel antagonist, on cognitive function in schizophrenic patients with tardive dyskinesia.

We examined whether nifedipine, a calcium channel antagonist, added to a stable regimen of neuroleptic medication would affect cognition in patients with chronic schizophrenia or schizoaffective disorder who had tardive dyskinesia. Fifteen patients with tardive dyskinesia were treated with nifedipine (60 mg daily) or matching placebo for 4 weeks and then were crossed over from nifedipine to placebo or from placebo to nifedipine for another 4 weeks. At the end of each 4-week phase of the study, the patients performed a rotary pursuit test of procedural learning and a dementia scale assessing general cognitive abilities. Nifedipine improved performance in the rotary pursuit test and conceptual abilities in the dementia scale compared with placebo, but only for patients who first were exposed to the tests during the placebo condition. These results provide preliminary evidence that calcium channel antagonists might enhance learning and memory in schizophrenic patients with tardive dyskinesia.

Aged↗

Frontal cortical atrophy and negative symptoms in patients with chronic alcohol dependence.

It has been suggested that frontal lobe pathology is associated with negative symptoms in patients with chronic alcoholism. In his exploratory study, the authors examined 19 chronic alcoholic inpatients on an alcohol treatment unit and found a significant relationship between severity of frontal atrophy (as measured by CT) and negative symptoms (as measured by the Scale for the Assessment of Negative Symptoms).

Adolescent↗

Screening derivatized peptide libraries for tight binding inhibitors to carbonic anhydrase II by electrospray ionization-mass spectrometry.

This paper describes the use of electrospray ionization-mass spectrometry (ESI-MS) to screen two libraries of soluble compounds to search for tight binding inhibitors for carbonic anhydrase II (EC 4.2.1.1). The two libraries, H2NO2SC6H4C(O)NH-AA1-AA2-C(O)NHCH2CH2CO2H where AA1 and AA2 are L-amino acids (library size: 289 compounds) or D-amino acids (256 compounds), were constructed by attaching tripeptides to the carboxyl group of 4-carboxybenzenesulfonamide. Screening of both libraries yielded, as the tightest binding inhibitor, compound 1 (AA1 = AA2 = L-Leu; binding constant Kb = 1.4 x 10(8) M-1). The ability of ESI-MS to estimate simultaneously the relative binding affinities of a protein to soluble ligands in a library, if general, should be useful in drug development.

Amino Acid Sequence↗

Impaired motor skill learning in schizophrenia: implications for corticostriatal dysfunction.

We assessed skill learning in young and older schizophrenic patients using the rotary pursuit task. Schizophrenic patients displayed impaired learning on this task compared with normal control subjects, but older patients were not more impaired than young ones. The patients' rotary pursuit learning was not correlated to the severity of abnormal movements or to their treatment with medication, but it was associated to conceptual abilities assessed on the Dementia Rating Scale (Mattis 1988). An impairment in acquiring motor procedures in this task might reflect neuropsychological deficits associated with corticostriatal pathology.

Adult↗

Electrospray mass spectrometric investigation of the chaperone SecB.

Electrospray ionization mass spectrometry was used to investigate the structure of the Escherichia coli chaperone protein SecB. It was determined that the N-terminal methionine of SecB has been removed and that more than half of all SecB monomers are additionally modified, most likely by acetylation of the N-terminus or a lysine. The use of gentle mass spectrometer interface conditions showed that the predominant, oligomeric form of SecB is a tetramer that is stable over a range of solution pH conditions and mass spectrometer interface heating (i.e., inlet capillary temperatures). At very high pH, SecB dimers are observed. SecB contains a region that is hypersensitive to cleavage by proteinase K and is thought to be involved in conformational changes that are crucial to the function of SecB. We identified the primary site of cleavage to be between Leu 141 and Gln 142. Fourteen amino acids are removed, but the truncated form remains a tetramer with stability similar to that of the intact form.

Bacterial Proteins↗

d-Cycloserine enhances implicit memory in Alzheimer patients.

We tested the ability of d-cycloserine, a partial glycine agonist acting at the N-methyl-D-aspartate (NMDA) receptor complex, to improve implicit memory in Alzheimer patients in a parallel-group, placebo-controlled, double-blind study. One-hundred eight patients with probable Alzheimer's disease of mild to moderate severity received d-cycloserine (5, 15, or 50 mg) or placebo twice daily for 10 weeks. We then evaluated their ability to identify perceptually degraded words, some of which were repeated over multiple trials across 3 days. Implicit memory performance of words repeated across trials was significantly enhanced for the patients who received 15 mg d-cycloserine compared with those who received placebo. These findings support development of NMDA receptor-mediated glutamatergic interventions for the treatment of Alzheimer-related memory disorders.

Aged↗