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Vasopressin peptide (DDAVP) may narrow the focus of attention in normal elderly.

Administration of DDAVP (1 desamino-8-D-arginine vasopressin), a form of vasopressin with little pressor action, has been shown to improve cognitive performance in the elderly. It remains unclear whether memory processes are specifically influenced or more general processes are altered. Fifteen elderly subjects performed a central mental arithmetic task and a peripheral choice reaction time task in DDAVP and control conditions. DDAVP slowed reaction times to peripheral lights but did not alter arithmetic performance. The results suggest that DDAVP increases the proportion of attention allocated to primary task performance by decreasing attention to secondary tasks. This shift does not appear to be mediated by any action of DDAVP on peripheral cardiovascular function.

Aged↗

The effect of nitric oxide synthase inhibition on cognitive ability and strategies employed for place learning in the water maze: sex differences.

Male and female rats use different cognitive strategies in the solution of place-learning problems in the water maze despite similar abilities. The female-type strategy has been negatively correlated with cortical nitric oxide (NO) metabolites. The present study aimed to examine the effect of NO synthase (NOS) inhibition (N(omega)-nitro-L-arginine, L-NA) on cognitive ability and strategy in the water maze, and to evaluate possible sex differences. In a 2 (male versus female) x2 (L-NA versus saline) factorial design, rats were trained to find the platform (visible or hidden), always in the same position, for 12 days. L-NA impaired acquisition, during the earlier phases and more prominently in females. This impairment was quite dramatic and unique to females during the first day that the platform was hidden following 3 days of visible-platform conditions. After acquisition, the visible platform's position was shifted, thereby presenting the rats with a choice (searching for the hidden platform in the previous location, i.e. adopting a conceptual cognitive style, or escaping to the visible platform in a new position, i.e. adopting a perceptual style). On the first of the four shift trials (where the newly positioned platform was proximal to the rat's starting position), female rats showed the previously found tendency to adopt a perceptual style escape directly in clear contrast to saline-treated males. The L-NA-treated males tended to manifest female-like perceptual style, suggesting that inhibition of NO synthesis in males weakened the tendency to choose a conceptual style in this shifted-platform task. The role of NO in both cognitive and non-cognitive psychological functions is discussed.

Animals↗

Stride cycle influences on goal-directed head movements made during walking.

Horizontal head movements were studied in six subjects as they made rapid horizontal gaze adjustments while walking. The aim of the present research was to determine if gait cycle events alter the head movement response to a visual target acquisition task. Gaze shifts of approximately 40 degrees were elicited by a step change in the position of a visual target from a central location to a second location in the left or right horizontal periphery. The timing of the target position change was constrained to occur at 25%, 50%, 75% and 100% of the stride cycle. The trials were randomly presented as the subjects walked on a treadmill at their preferred speed (range: 1.25-1.48 m/s, mean: 1.39+/-0.09 m/s). Analyses focused on the movement onset latencies of the head and eyes and on the peak velocity and saccade amplitude of the head movement response. The head and eye movement onset latencies were not affected by either the direction of the target change or the point in the gait cycle during which the target relocation occurred. However, the presence of an interaction between the gait cycle events and the direction of the visual target shift for both the amplitude and peak velocity of the head movement response indicates that the head movement responses to visual target changes can be influenced by the phase of the gait cycle during which the target relocation takes place.

Adult↗

Attention and executive functions in remitted major depression patients.

BACKGROUND: Although deficits in attention and executive functions in patients with Major Depressive Disorder (MDD) are well confirmed [Veiel, H.O.F., 1997. A preliminary profile of neuropsychological deficits associated with major depression. Journal of Clinical and Experimental Neuropsychology 19, 587-603.]. The database regarding the relationship between impairments and the duration of disease or the number of episodes is inconsistent. Furthermore, the role of long-term cognitive impairments in MDD during remitted state is not well understood [Elliott, R., 2002. The neuropsychological profile in primary depression. Taylor and Francis, London, pp. 273-293.]. There is consequently a lack of studies accounting for different courses of illness in the euthymic state and considering the influence of possible attentional deficits on executive performance. METHODS: 40 euthymic patients with MDD diagnosis according to DSM-IV (20 patients with 1-2 episodes and 20 severe depressives with at least three episodes) as well as 20 healthy controls matched for education and age were administered three tests for attention (attentional shift, Stroop task, sustained attention) and three for executive functions (BADS, word fluency, memory span). The methods selected were theory based with regard to an involvement of frontal-subcortical networks in MDD, attention, and executive functions, respectively. RESULTS: Euthymic patients with MDD showed deficits in all tests related to attentional and executive functions compared to healthy controls. The patient groups did not differ with regard to attentional performance. Executive functions in severe depressives were more impaired than in mild depressives. LIMITATIONS: Differing performances of the patient groups in the subtests of the executive test battery (BADS) can only be interpreted to a limited extent. CONCLUSIONS: The results support the assumption that deficits in attention and executive functions in MDD show an increase in trait character and executive function during chronic course. Implications for differential diagnosis and cognitive psychotherapy are discussed.

Adult↗

Task alternation cost without task alternation: measuring intentionality.

A behavioral dissociation between intention and action was demonstrated by patient AF who sustained damage to the left-hemisphere including the basal ganglia. The patient was tested in a task switching paradigm involving two choice reaction-time tasks: SIZE (small/large) and SHAPE (circle/square). The last block in each of the two sessions involved only one task. AF switched tasks reasonably well in the first 40 trials, but unlike her matched control group, in all the remaining trials when two tasks were involved, she performed only the SIZE task. Interestingly, although no task switching took place, AF continued to demonstrate behaviorally her intention to switch tasks. First, she exhibited "task alternation cost", poorer performance relative to instructed single-task trials. Second, shifting to an instructed single-task condition was accompanied by an initial response slowing, indicating a change in goal-state. Finally, when instructed to switch tasks, AF demonstrated the "task-congruency effect", indicating interference from the instructed but competing stimulus-response mapping. Two groups of university students were instructed to perform only the SIZE task, after initial switching, either while ignoring the SHAPE cues ("Ignore") or while being prepared for the SHAPE task only when the cue appeared in red, which never happened ("Attend color"). AF's performance resembled the one of the "Attend color" group and not the "Ignore" group. The results indicate that AF had a partially activated intention to switch tasks. The implications to intentionality and task switching theory are discussed.

Attention↗

The cognitive-enhancing properties of modafinil are limited in non-sleep-deprived middle-aged volunteers.

Modafinil is a selective wakefulness-promoting agent that has been shown to enhance cognitive performance under conditions of sleep deprivation but which has equivocal effects in normal young volunteers. In a double-blind parallel group design study, 45 non-sleep-deprived middle-aged volunteers (20 men and 25 women, aged 50-67 years) were randomly allocated to receive two capsules containing placebo, 100 or 200 mg modafinil, and 3 h later they completed 100 mm visual analogue scales of mood and bodily symptoms, before and after an extensive battery of cognitive tests [pen and paper and the Cambridge Neuropsychological Test Automated Battery (CANTAB)]. There were no significant treatment-associated changes in ratings of mood or bodily symptoms and no significant effects on most of the cognitive tests used in this study. The group treated with modafinil (200 mg) was significantly faster in a simple colour naming of dots and also significantly better in a test of constructional ability (Clock Drawing Test) compared with the placebo group. However, subjects in the 200-mg group also made significantly more total errors in the Intra/Extradimensional Set Shift (ID/ED) task than both the other groups. Thus, this study found limited evidence of cognitive-enhancing properties of modafinil in healthy middle-aged volunteers.

Aged↗

Improvement of visual acuity by spatial cueing: a comparative study in human and non-human primates.

This study investigated the influence of spatial cueing (valid/invalid/no cue) on visual discrimination in human and non-human primates. We employed a spatial resolution task which required the accurate discrimination of the orientation of a Landolt "C" ring. The C appeared as single target in specific retinal locations while subjects maintained fixation of a central fixation point. The minimal discernable size of the "C" (=acuity threshold) was determined as a function of cue condition, retinal eccentricity (3 degrees -15 degrees ), and stimulus onset asynchrony (SOA) (200-1100 ms). For both species, we found consistent benefits from spatial cueing with differences in absolute thresholds ranging from 6% to 25%. These differences increased with retinal eccentricity and decreased with longer SOAs. Further experiments performed with humans only, showed that the effect of spatial cueing on visual discrimination is independent of spatial uncertainty, i.e. the number of possible target locations (2 versus 4), but fades with longer target presentation times. From our results we draw the following conclusions. (i) Since sensory noise and spatial uncertainty was small in our tasks, spatial shifts of attention involve signal enhancement in both, human and non-human primates. (ii) The similarity of the results obtained for humans and macaque monkeys indicates that the latter may serve as a suitable model system in studies trying to tackle the neural underpinnings of attentional control. (iii) In order to elicit robust effects on visual discrimination by spatial shifts of attention, a paradigm comprising short SOAs (approximately 200 ms) and target presentation times (approximately 150 ms), and retinal eccentricities larger than approximately 9 degrees seems most promising.

Adult↗

Characterization of brux-like movements in the laboratory rat by optoelectronic mandibular tracking and electromyographic techniques.

High-resolution optoelectronic mandibular tracking and fine-wire electromyographic (EMG) data from the anterior temporalis muscles of laboratory rats (Rattus norvegicus) were collected during mastication (chewing) and bruxing/thegosis (grinding sharpening of teeth) in order to test for task-related activity patterns of the anterior temporalis. Analyses of the collected data revealed that masticatory and bruxing/thegosis cycles displayed significantly different patterns of movement trajectories, displacement, duration, velocity, and acceleration in all three spatial dimensions (frontal vertical, frontal horizontal and sagittal horizontal). Activity patterns in the anterior temporalis during masticatory and bruxing/thegosis behaviours were also significantly different from each other. High-resolution analyses revealed that the masticatory cycle had both opening-burst and closing-burst phasic patterns of anterior temporalis activity while the bruxing/thegosis cycle displayed only opening-burst phasic patterns. The opening- and closing-burst attributes of anterior temporalis phasic activity patterns in relation to physiological centric occlusion also revealed significant differences between masticatory and bruxing/thegosis behaviours. These data demonstrate that the anterior temporalis muscle of the laboratory rat does indeed display task-related activity patterns depending upon the manifested oral behaviour. The task-related shifts of EMG patterns in the anterior temporalis between masticatory bruxing/thegosis behaviours in the same animal suggests a complex neurophysiological substrate that coordinates the three-dimensional expression of phasic activity patterns in the muscle. The radically different nature of masticatory and bruxing/thegosis cycles and their associated EMG patterns in the anterior temporalis suggest the possible existence of a bruxing/thegosis pattern generator in addition to the masticatory one. Careful, high-resolution analyses of these rat behaviours by combined optoelectronic/EMG techniques suggest that the rat model for human bruxism may prove useful in future studies.

Animals↗

Mapping motor representations with positron emission tomography.

Brain activity was mapped in normal subjects during passive observation of the movements of an 'alien' hand and while imagining grasping objects with their own hand. None of the tasks required actual movement. Shifting from one mental task to the other greatly changed the pattern of brain activation. During observation of hand movements, activation was mainly found in visual cortical areas, but also in subcortical areas involved in motor behaviour, such as the basal ganglia and the cerebellum. During motor imagery, cortical and subcortical areas related to motor preparation and programming were strongly activated. These data support the notion that motor learning during observation of movements and mental practice involves rehearsal of neural pathways related to cognitive stages of motor control.

Adult↗

A physiological correlate of the 'spotlight' of visual attention.

Here we identify a neural correlate of the ability to precisely direct visual attention to locations other than the center of gaze. Human subjects performed a task requiring shifts of visual attention (but not of gaze) from one location to the next within a dense array of targets and distracters while functional MRI was used to map corresponding displacements of neural activation within visual cortex. The cortical topography of the purely attention-driven activity precisely matched the topography of activity evoked by the cued targets when presented in isolation. Such retinotopic mapping of attention-related activation was found in primary visual cortex, as well as in dorsomedial and ventral occipital visual areas previously implicated in processing the attended target features. These results identify a physiological basis for the effects of spatially directed visual attention.

Adult↗

Inhibition of self-observing activity in psychoanalytic treatment.

The author examines the topic of inhibition of self-observing function in some patients arising from conflicts over aggression. The author's thesis is that conflicts over aggression can interfere with the patient's task of shifting from passively reporting spontaneously occurring associations to actively reflecting on his thoughts in an analysis. This can result in the patient remaining in the role of passive reporter of his associations while ceding to the analyst the role of aggressive interpreter of the patient's psychic functioning. The active ego functions necessary for understanding and integration are inhibited, compromising the potential for growth and change. Clinical vignettes illustrate a close process analytic process to this phenomenon.

Adult↗

Occupational risk of HIV infection among western health care professionals posted in AIDS endemic areas.

In this study on occupational risks of HIV infection among 99 Dutch medics working in AIDS endemic areas, 61% reported percutaneous exposures during an average stay of 21 months. The mean number of injuries was lower among physicians (2.0 versus 3.9 per year) and higher among nurses (1.9 versus 1.2) than in previous research conducted in 1987-1990 among Dutch medics returning from Africa. But the reduction of exposures among physicians might be explained by the fact that the number of procedures they carried out was less in the later study. Also among nurses a shift of tasks was seen. On the basis of an estimated HIV prevalence in the patient population of 19%, a chance of transmission per accident of 0.3%, and 1.9 percutaneous exposures per year, the mean occupational risk of HIV infection per year can be estimated at 0.11% per person. Besides length of stay and number of activities, characteristics of the work setting were associated with the frequency of different kinds of injuries. From the analysis of 109 extensive descriptions of recent accidents, it appeared that the majority of the injuries occurred during routine activities and were self-inflicted. Injuries with hollow needles usually occurred after the actual medical act (e.g. during recapping). Carelessness (e.g. due to fatigue) or being in a hurry (e.g. because of an emergency) were also often the cause of percutaneous injuries, as were the poor quality of the equipment, lack of professional skills, or a combination of these factors. Prevention activities are still important to reduce the frequency of occupational exposures. But they will not eliminate them totally; from the descriptions of recent exposures it was clear that some of the injuries occurred in spite of precautions.

Acquired Immunodeficiency Syndrome↗

Characterization of the decision-making deficit of patients with ventromedial prefrontal cortex lesions.

On a gambling task that models real-life decisions, patients with bilateral lesions of the ventromedial prefrontal cortex (VM) opt for choices that yield high immediate gains in spite of higher future losses. In this study, we addressed three possibilities that may account for this behaviour: (i) hypersensitivity to reward; (ii) insensitivity to punishment; and (iii) insensitivity to future consequences, such that behaviour is always guided by immediate prospects. For this purpose, we designed a variant of the original gambling task in which the advantageous decks yielded high immediate punishment but even higher future reward. The disadvantageous decks yielded low immediate punishment but even lower future reward. We measured the skin conductance responses (SCRs) of subjects after they had received a reward or punishment. Patients with VM lesions opted for the disadvantageous decks in both the original and variant versions of the gambling task. The SCRs of VM lesion patients after they had received a reward or punishment were not significantly different from those of controls. In a second experiment, we investigated whether increasing the delayed punishment in the disadvantageous decks of the original task or decreasing the delayed reward in the disadvantageous decks of the variant task would shift the behaviour of VM lesion patients towards an advantageous strategy. Both manipulations failed to shift the behaviour of VM lesion patients away from the disadvantageous decks. These results suggest that patients with VM lesions are insensitive to future consequences, positive or negative, and are primarily guided by immediate prospects. This 'myopia for the future' in VM lesion patients persists in the face of severe adverse consequences, i.e. rising future punishment or declining future reward.

Adult↗

Alpha frequency, reaction time, and the speed of processing information.

Several experiments indicate that alpha frequency is significantly correlated with the speed of information processing, as measured by reaction times. These data imply that alpha frequency is a timing mechanism for cognitive processes. However, this interpretation contradicts the well-accepted view that there is no single alpha rhythm, but instead an entire population of different alpha oscillations. We present arguments and report data in the attempt to demonstrate that this paradox can be resolved if different states of alpha oscillations are distinguished. The results of the present study show that during a state of desynchronization, task-related shifts in alpha frequency are not "real" because they are not related to reaction times. Instead, they most likely reflect power changes in different frequency bands.

Adult↗

Spatial differences in fatigue-associated electromyographic behaviour of the human first dorsal interosseus muscle.

1. Fatigue-associated electromyographic (EMG) reactions of intrinsic hand muscles were studied during maintained isometric voluntary contractions of normal subjects. Most measurements concerned actions of the first dorsal interosseus (FDI). In a smaller number of subjects, complementary measurements were obtained for adductor pollicis (AP). 2. Measurements were made of isometric force (thumb adduction, index finger abduction and flexion) and of surface EMG amplitudes (AP and FDI) after rectification and smoothing (rsEMG). 3. In the analysis of fatigue, the subjects were required to maintain a steady isometric force (index finger abduction or thumb adduction) of half their maximum voluntary contraction (1/2MVC test) for as long as possible. Average endurance times were 88 +/- 19 s (mean +/- S.D.) for FDI and 119 +/- 29 s for AP (Student's t test, P < 0.02). 4. Pronounced differences in fatigue-associated EMG behaviour were observed between AP and FDI. In AP the reaction was as expected: a rise of EMG during maintained force (mean rsEMG at end of fatigue test/mean rsEMG at start of test (rsEMG-FI): 181 +/- 64%). In FDI this reaction was seen in half of the recorded cases, the remainder displaying bidirectional changes or a more or less marked decrease of EMG during the endurance task (mean for all cases together: rsEMG-FI, 103 +/- 15%; difference between AP vs. FDI significant, P < 0.01). 5. The unexpected EMG variability of the FDI reactions was further analysed with multiple bipolar recordings of surface EMG. For all the four thoroughly studied subjects, recordings were obtained which showed simultaneously occurring EMG changes in opposite directions (decrease and increase) at different sites of FDI while force was kept constant at 50% of the maximum voluntary contraction (MVC). 6. Further observations on FDI showed that EMGs simultaneously obtained from different recording sites could show dramatic differences in their responses depending on 'synergistic context' (e.g. in relation to changes in index finger extension force during maintained abduction at 50% MVC). Evidence for 'task switching' (shift in rsEMG distribution, shift in hand muscle synergy) was frequently observed during the performance of the 1/2MVC test. 7. The results indicate that FDI is not handled in a topographically homogeneous manner during the execution of an isometric constant force endurance test. Furthermore, the results suggest that this seemingly simple motor performance can be executed in several alternative manners associated with the activation of different muscle synergies and with different distributions of activity within the FDI.

Adult↗

Neuropsychological abnormalities in AIDS and asymptomatic HIV seropositive patients.

Neuropsychological and immunological parameters were studied in 36 AIDS patients with early disease and without clinical, laboratory, and neuroradiological signs of CNS impairment, and also in 33 asymptomatic HIV seropositive subjects. Many AIDS patients performed abnormally on timed psychomotor tasks, tasks involving sequencing and "set-shifting", and memory tasks stressing attention, learning, active retrieval, and monitoring of information. Asymptomatic HIV seropositive subjects as a group did not perform significantly worse than controls. However, on the basis of a cut off number of pathological performances on neuropsychological tasks, 52.8% of AIDS and 30.3% of asymptomatic HIV seropositive subjects had cognitive impairment, compared with 3.9% of HIV seronegative controls. Low values of CD4+ cells and of CD4+/CD8+ ratio and high titres of P-24 antigen in the blood prevailed among subjects with cognitive impairment, especially in the asymptomatic HIV seropositive group.

Acquired Immunodeficiency Syndrome↗