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Biomedical subjects

Carlo Umiltà

Publications and source records attributed to Carlo Umiltà.

At least 19 recordsLinked to original sources
PubMed2007

Rehabilitation of endogenous task shift processes in closed head injury patients.

This paper reports a study that was aimed to rehabilitate executive functions in CHI patients. When a subject is engaged in two speeded tasks, not simultaneously but with some form of alternation, the response is slower to an item of task A if it was preceded by an item of task B, than when it was preceded by an item of task A. This shift cost is small when subjects can prepare in advance for the new task (endogenous task shift), whereas the cost is much greater when preparation is not possible (exogenous task shift). The groups tested comprised 20 severe closed head injury (CHI) patients (10 who underwent treatment and 10 controls), 8 mild CHI patients, and 18 non-brain damaged (NBD) controls. In the present study, the shift cost was greater for severe CHI patients than for NBD controls. Treatment consisted of five sessions, in which an endogenous task shift paradigm was used. A significant reduction of the endogenous shift cost from assessment to retest was found. The reduction remained stable at the 4-month follow-up session. These results are not simply due to retesting, as the control patients did not show any improvement at retest. Interestingly, no reduction of exogenous task shift cost was found. The results showed also that the beneficial effect of the treatment generalises to other executive functions.

Adolescent↗
PubMed2006

Temporal order judgment reveals how number magnitude affects visuospatial attention.

The existence of spatial components in the mental representation of number magnitude has raised the question regarding the relation between numbers and spatial attention. We present six experiments in which this relation was examined using a temporal order judgment task to index attentional allocation. Results demonstrate that one important consequence of numerical processing is the automatic allocation of spatial attention, which in turn affects the perception of the temporal order of visual events. Given equal onset time, left-side stimuli are perceived to occur before right-side stimuli when a small number (1, 2) is processed, whereas right-side stimuli are perceived to occur before left-side stimuli when a larger number (8, 9) is processed. In addition, we show that this attentional effect is specific to quantity processing and does not generalize to non-numerical ordinal sequences.

Adult↗
PubMed2006

Top-down and bottom-up processes in the extrastriate cortex of cirrhotic patients: an ERP study.

OBJECTIVE: This study aims to evaluate the efficiency of top-down and bottom-up processes in the extrastriate cortex of cirrhotic patients without overt hepatic encephalopathy (HE). METHODS: Reaction times (RTs), accuracy and event-related potentials (ERPs) were recorded during the execution of a visual Simon task in 17 cirrhotic patients and 10 healthy controls. Amplitude and latency of the P1 and N1 (indexes of bottom-up processes) and of the N2pc (index of top-down processes) were measured. RESULTS: Patients were slower than controls, and patients with minimal HE (MHE) were slower than patients without MHE. The distribution analysis of RTs showed that the Simon effect decays with slower RTs in all the groups and that the shape of the distribution was different in MHE patients. No differences were found between cirrhotic patients and controls for P1 and N1 amplitude and latency. In contrast, N2pc latency was delayed in cirrhotic patients compared to controls independently of MHE. CONCLUSIONS: In the extrastriate cortex of cirrhotic patients without HE, top-down processes are altered whereas bottom-up processes are preserved. SIGNIFICANCE: The analysis of exogenous and endogenous visual components of ERPs provides a model to study the functional dissociation between top-down and bottom-up processes inside the extrastriate cortex.

Brain↗
PubMed2006

How automatic are audiovisual links in exogenous spatial attention?

Three experiments on healthy humans investigated the degree of automaticity of crossmodal spatial attention shifts by assessing the intentionality criterion. We used the orthogonal cuing paradigm in which a lateralized cue, either visual or auditory was followed by a unimodal or crossmodal target that occurred at the same or opposite side. In all experiments, the cue was always uninformative as to target location. In Experiment 1, where both side and modality of targets were unpredictable, we found faster discriminations for visual targets following uninformative auditory cues on the same side. This result was replicated in Experiment 2, where target side was blocked and participants could orient attention in advance toward the appropriate side, and in Experiment 3, where they were additionally informed about target modality. Our results suggest that this sort of crossmodal orienting is automatic because it occurred even when participants were provided with detailed information about the target to prevent uninformative auditory cues from orienting attention. This is consistent with the notion that peripheral auditory stimuli are very powerful in capturing visual attention.

Adolescent↗
PubMed2006

Breaking ranks: space and number may march to the beat of a different drum.

Number processing can evoke spatial representations and cause lateralized attention shifts. The article by Wood et al. suggests interesting considerations about the mental space of numbers by pointing to a difference between physical and numerical space processing. We read Wood et al.'s findings in a perspective that takes into consideration a currently debated issue, that is the relation between Simon and SNARC effects. By pointing to a difference between peripheral onsets and numerical targets, indeed, their finding suggests that the hypothesis of a complete overlap between Simon and SNARC effects is less plausible than a partial overlap hypothesis.

Attention↗
PubMed2006

Simon effect with and without awareness of the accessory stimulus.

The authors investigated whether a Simon effect could be observed in an accessory-stimulus Simon task when participants were unaware of the task-irrelevant accessory cue. In Experiment 1A a central visual target was accompanied by a suprathreshold visual lateral cue. A regular Simon effect (i.e., faster cue-response corresponding reaction times [RTs]) was found. Experiment 1B demonstrated that this effect cannot be attributed to perceptual grouping of the target and cue. Experiments 2A, 2B, and 2C showed a reverse Simon effect (i.e., faster noncorresponding RTs) when participants were not aware of the cue. In this condition, the Simon effect would occur relative to the reorientation of attention from the cue, which would initially capture attention, toward the target. This conclusion is supported by the results of Experiments 3A and 3B, in which the reorientation of attention was induced by having the target flash after its onset. With suprathreshold cues either a reverse or regular Simon effect was observed by using a 100-ms or > or = 200-ms onset flashing interval, respectively, whereas with subthreshold cues a reverse Simon effect was found irrespective of the interval length.

Adult↗
PubMed2006

Explicit versus implicit processing of representational space in neglect: dissociations in accessing the mental number line.

The present study investigated the effects of left hemispatial neglect on two tasks activating the mental number line (MNL). Six patients with left neglect performed a mental number bisection task and a modified version of the Spatial Numerical Association of Response Codes (SNARC) task. Effects of left neglect were observed in the number bisection task, but not in the SNARC task. We argue that the dissociation between number bisection and SNARC resembles, in the representational space of the MNL, previously reported dissociations on neglect between explicit knowledge (assessed by direct tasks) and implicit knowledge (assessed by indirect tasks).

Adult↗
PubMed2005

The spatial representation of numerical and non-numerical sequences: evidence from neglect.

Psychophysical and neuropsychological studies have revealed that humans represent numbers along a continuous, left-to-right oriented mental line. However, it has been recently claimed that this format of representation is not special to numbers because non-numerical sequences would be spatially coded in the same way. To test this hypothesis, the present study investigated the effects of left neglect upon the bisection of numerical and non-numerical intervals. Eight patients with left neglect performed a visual line bisection task and three mental bisection tasks with number, letter, and month intervals. The error pattern in the number bisection task, indexed by the modulating effect of interval length, mirrored that of the visual task and confirmed the left-to-right spatial orientation of the mental number line. In contrast, the bisection of non-numerical intervals showed a very different pattern. The results suggest that the spatial layout characterizing numerical representations constitutes a specific property of numbers rather than a general characteristic of ordered sequences.

Aged↗
PubMed2005

Diagnostic tools for the study of vascular cognitive dysfunction in hypertension and antihypertensive drug research.

Arterial hypertension is one of the main risk factors for cerebrovascular diseases, and antihypertensive treatment has significantly reduced their associated mortality. However, morbidity has not been reduced to a similar extent and a still increasing number of patients suffers from recurring strokes and from the disabling consequences of cerebrovascular diseases and develops progressive cognitive impairment. It is still debated to what extent antihypertensive treatment may prevent the development of cognitive dysfunction, due to the lack of a focused approach to vascular cognitive impairment, to the lack of a systematic study of the early phases of dementia, and to the use of diagnostic tests that are not sensitive and specific for a slow onset clinical condition, such as dementia. The aim of the present expert consensus report is to enlist the diagnostic tools that are currently available to assess mild cognitive impairment (MCI) and early dementia and that are sensitive and specific enough to be used in observational, longitudinal, and interventional clinical research studies, aiming to investigate the impact of antihypertensive drugs on vascular dementia (VD).

Animals↗
PubMed2005

Spatial representation of pitch height: the SMARC effect.

Through the preferential pairing of response positions to pitch, here we show that the internal representation of pitch height is spatial in nature and affects performance, especially in musically trained participants, when response alternatives are either vertically or horizontally aligned. The finding that our cognitive system maps pitch height onto an internal representation of space, which in turn affects motor performance even when this perceptual attribute is irrelevant to the task, extends previous studies on auditory perception and suggests an interesting analogy between music perception and mathematical cognition. Both the basic elements of mathematical cognition (i.e. numbers) and the basic elements of musical cognition (i.e. pitches), appear to be mapped onto a mental spatial representation in a way that affects motor performance.

Adult↗
PubMed2005

Attention dysfunction in cirrhotic patients: an inquiry on the role of executive control, attention orienting and focusing.

Attention alterations are reported in cirrhotics. Aiming at clarifying attention functioning in cirrhotics, an inquiry on the functioning of the anterior (AAS) and the posterior (PAS) attention system was performed. Thirty-six cirrhotics without overt hepatic encephalopathy (24 with EEG or TMT-A alterations) and 16 matched control subjects were enrolled. The AAS was studied by the Stroop task measuring selective attention control, the PAS was studied by the Posner task and the Focus task measuring automatic covert orienting and visual focusing of attention respectively. Cirrhotics presented a task-dependent psychomotor slowing (Stroop > Posner > Focus) with an increased percentage of errors in the incongruent condition of the Stroop task [F(1, 57) = 4.9, p < 0.03]. Class C patients had both a selective slowing [F(1, 33) = 4.3, p < 0.05] and an increased percentage of errors in the incongruent condition [F(1, 34) = 5.1, p < 0.05] compared to Class A-B patients and controls. The patients with an altered EEG performed the Stroop test significantly slowly than those without EEG alterations [F(1, 41) = 8.9, p < 0.01] and with a clear trend for a higher number of errors in the incongruent condition [F(1, 39) = 3.8, p < 0.06]. In contrast, attention orienting and focusing were maintained. In conclusion, the AAS is more sensitive than the PAS to the early stages of hepatic encephalopathy.

Attention↗
PubMed2005

Impairment of response inhibition precedes motor alteration in the early stage of liver cirrhosis: a behavioral and electrophysiological study.

Abnormality in movement initiation may partially explain psychomotor delay of cirrhotic patients, even in the absence of overt hepatic encephalopathy (HE). Therefore, the aim of this study was to determine the mechanisms of psychomotor delay observed in patients with cirrhosis in the absence of overt HE. Fourteen patients with nonalcoholic cirrhosis and 12 healthy matched control subjects underwent the lateralized readiness potential (LRP) measurement elicited by a visuospatial compatibility task (Simon task). Stimulus-triggered LRPonset reflects the time in which response is selected, while response-triggered LRP onset reflects motor execution. Cirrhotic patients showed delayed reaction times (RTs) compared to controls, particularly those with trial-making test A (TMT-A) or electroencephalogram (EEG) alterations. Stimulus-triggered LRP onset was found to be delayed in cirrhotic patients compared to controls, with a significant Group-versus-Condition interaction, showing a reduced cognitive ability to cope with interfering codes, even in patients without minimal HE (MHE). Response-triggered LRP was found to be delayed only in the patients with TMT-A or EEG alterations. In conclusion, cirrhotic patients without overt HE display a psychomotor slowing, depending first lyon response inhibition and only later accompanied by impaired motor execution.

Data Interpretation, Statistical↗
PubMed2005

Horizontal and vertical Simon effect: different underlying mechanisms?

Reaction times are usually faster when stimulus and response occur at the same location than when they do not, even if stimulus location is irrelevant to the task (Simon effect). This effect was found with both horizontal and vertical stimulus-response arrangements. The same mechanisms have been proposed to be involved in either case. Here, we compared a horizontal and a vertical Simon task by means of a RT time-course analysis of the Simon effect. Also, we analysed the lateralised readiness potential (LRP), an index of covert response-preparation processes. In the horizontal task, the Simon effect decays over time and pre-activation occurs above the motor cortex ipsilateral to the stimulus. In contrast, the Simon effect does not decay over time and no early incorrect LRP deflection is observed in the vertical task. These findings suggest that typical activation accounts can fit only the horizontal Simon effect, while a translation explanation is more suitable for the vertical Simon effect.

Adult↗
PubMed2005

Crossmodal object-based attention: auditory objects affect visual processing.

According to the object-based view, visual attention can be deployed to "objects" or perceptual units, regardless of spatial locations. Recently, however, the notion of object has also been extended to the auditory domain, with some authors suggesting possible interactions between visual and auditory objects. Here we show that task-irrelevant auditory objects may affect the deployment of visual attention, providing evidence that crossmodal links can also occur at an object-based level. Hence, in addition to the well documented control of visual objects over what we hear, our findings demonstrate that, in some cases, auditory objects can affect visual processing.

Affect↗
PubMed2005

Is handedness recognition automatic? A study using a Simon-like paradigm.

The authors used a modified Simon task (J. R. Simon, 1969) to assess the automatic recognition of handedness. Participants responded to the color of a circle in the center of the photograph of a right or a left hand, displayed in the center of the computer screen. A regular Simon effect was found for back views, whereas a reverse Simon effect was found for palm views. This pattern of results was found when the forearm was present (Experiment 2), when 1 finger at a time was rendered invisible (Experiment 3), and when the hands were connected to a body image (Experiment 4). When the hands were cut at the wrist, no effect emerged (Experiment 1). These findings suggest an automatic encoding of the relative position of the hand in relation to the body (imaginary or real) rather than the automatic encoding of handedness.

Automatism↗
PubMed2005

The mental space of pitch height.

Through stimulus-response compatibility we tested whether sound frequency (pitch height) elicits a mental spatial representation. Musically untrained and, mostly, trained participants were shown a stimulus-response compatibility effect (Spatial-Musical Association of Response Codes or SMARC effect). When response alternatives were either vertically or horizontally aligned, performance was better when the lower (or leftward) button had to be pressed in response to a low sound and the upper (or rightward) button had to be pressed in response to a high sound, even when pitch height was irrelevant to the task.

Cognition↗
PubMed2004

Bidirectional links in the network of multiplication facts.

In three experiments, we tested the hypothesis that activation of multiplication operand nodes (e.g., 3 and 8) can occur through presentation of their product (e.g., 24). In Experiments 1 and 2 we found activation of the operands when the product was presented as a cue in a number-matching task. In Experiment 3, activation also occurred in a parity-matching task, where the product (24) was not relevant to the parity matching on its operands (3 and 8). We concluded that bidirectional links exist among the operands and their product for multiplication problems and these links can be activated in a purely stimulus-driven manner. We suggest this may constitute the basis for the solution of simple divisions by mediation through the complementary multiplication facts.

Adult↗