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Performance consistency in picture naming: a study of the rehabilitation effect on two aphasic patients.

We describe the effect of language rehabilitation on the naming deficits of 2 patients affected by longstanding amnestic aphasia. In particular, our aim was to study the evolution of the rate of inconsistent naming (i.e., performance with stimuli that were named sometimes correctly and sometimes incorrectly when the test was repeated at close intervals) by means of a stochastic model based on Markov chains (Faglioni & Botti, 1993). From a quantitative point of view, both patients showed a significant improvement that was still present several months after treatment. However, at baseline these patients showed different degrees of consistency which revealed a basic difference in the way their language functions. One case presented with low consistency, delayed responses, and self-corrections: A clear effect of rehabilitation was improvement in consistency and reduction of delays. In the other case, at baseline consistency was greater, but naming of pictures did not improve even after delay or self-correction; after rehabilitation more stimuli were named correctly, but only after delay and self-correction. The relevance of consistency and its relationship with delayed naming and self-corrections is discussed. It is suggested that consistency analysis based on stochastic models would make a useful contribution to the description and interpretation of naming deficits in aphasic patients.

Adult↗

On the relation between mental representation and naming in a child with specific language impairment.

The naming and drawing responses of a child with specific language impairment (age 5.5 years) were used to test the hypothesis that deficient storage in the mental lexicon plays a role in the naming problems associated with SLI. In confrontation- and repeated naming, the child demonstrated frequent semantic substitutions and occasional phonologic substitutions. Stochastic modelling of his repeated naming revealed storage deficits to be a source of these errors. Comparative picture naming, picture drawing allowed exploration of this storage deficit and revealed that, for some semantic naming errors, sparse semantic representations were clearly at fault but for others, sparse phonological input and output representations played a role. Phonological naming errors, in contrast, were typically associated with strong semantic representations. Clinical, theoretical, and methodological contributions of this cognitive neuropsychological case study are discussed.

Child↗

Refractory effects in picture naming as assessed in a semantic blocking paradigm.

In the cyclic semantic blocking paradigm participants repeatedly name sets of objects with semantically related names (homogeneous sets) or unrelated names (heterogeneous sets). The naming latencies are typically longer in related than in unrelated sets. In Experiment 1 we replicated this semantic blocking effect and demonstrated that the effect only arose after all objects of a set had been shown and named once. In Experiment 2, the objects of a set were presented simultaneously (instead of on successive trials). Evidence for semantic blocking was found in the naming latencies and in the gaze durations for the objects, which were longer in homogeneous than in heterogeneous sets. For the gaze-to-speech lag between the offset of gaze on an object and the onset of the articulation of its name, a repetition priming effect was obtained but no blocking effect. Experiment 3 showed that the blocking effect for speech onset latencies generalized to new, previously unnamed lexical items. We propose that the blocking effect is due to refractory behaviour in the semantic system.

Association Learning↗

The compositionality of lexical semantic representations: clues from semantic errors in object naming.

We present evidence that semantic errors in object naming can arise not only from impairment to the semantic system but also from damage to input and output processes. Although each of these levels of disruption can result in similar types of semantic errors in object naming, they have different types of consequences for performance on other lexical tasks, such as comprehension and naming to definition. We show that the analysis of the co-occurrence of semantic errors in naming with different patterns of performance in other lexical processing tasks can be used to localise the source of semantic errors in the naming process. Finally, we argue that the similarity of semantic errors in object naming, resulting from damage to different components of the naming processes by which they are activated by visual input, as well as the processes by which they activate output representations.

Agraphia↗

An interactive activation approach to object processing: effects of structural similarity, name frequency, and task in normality and pathology.

We present a computational model of the processes involved in retrieving stored semantic and name information from objects, using a simple interactive activation and competition architecture. We simulate evidence showing a cross-over in normal reaction times to make semantic classification and identification responses to objects from categories with either structurally similar or structurally dissimilar exemplars, and that identification times to objects from these two different classes correlate differentially with measures of the structural similarity of objects within the category and the frequency of the object's name. Structural similarity exerts a negative effect on object decision as well as naming, though this effect is larger on naming. Also, on naming, structural similarity interacts with the effects of name frequency, captured in the model by varying the weight on connections from semantic to name units; frequency effects are larger with structurally dissimilar items. In addition, (1) the range of potential errors for objects from these two classes, when responses are elicited before activation reached a stable state, differ--a wider range of errors occur to objects from categories with structurally similar exemplars; and (2) simulated lesions to different locations within the model produce selective impairments to identification but not to semantic classification responses to objects from categories with structurally similar exemplars. We discuss the results in relation to data on visual object processing in both normality and pathology.

Anomia↗

Speed of naming in children with Williams and Down syndromes.

BACKGROUND: Williams syndrome (WS) and Down syndrome (DS) are two neurodevelopmental genetically based disorders which exhibit mental retardation with a unique cognitive profile. Naming in individuals with WS and DS has been investigated in several studies, with results indicating that the performance of children with WS and DS is at a similar level and below mental age expectations on naming tasks. METHOD: Speed of naming pictures, colours, numbers, letters and words was assessed in 8 individuals with WS, 10 individuals with DS, and 18 mental age controls. All stimuli were presented on a computer monitor and reaction times for naming were recorded. RESULTS: Our results indicated that speed of naming in children with DS and WS is not statistically different to that of mental age controls. However, error analysis in naming words and pictures revealed qualitative differences between the three groups. CONCLUSION: These results challenge the tenet of increased naming speed in children with WS compared to mental age controls. The findings are discussed in the light of current evidence concerning the linguistic abilities of children with neurodevelopmental disorders and those with typical development.

Child↗

An interactive activation model of face naming.

Burton and Bruce's (1992) model of face naming predicts a "fan effect", in which naming of famous people about whom many descriptive properties are known should be slower than naming of celebrities about whom few properties are known. An experiment is reported that showed that, contrary to this prediction, knowledge of many descriptive properties facilitated face-naming latency. An alternative architecture for an interactive activation model is proposed in which descriptive properties are represented in separate pools of units for each domain of information and in which names are represented by a separate pool of lexical output units. Computer simulations showed that this model could simulate the previously available empirical data as effectively as Burton and Bruce's (1992) original model. However, the proposed model could also simulate the effect of the number of known descriptive properties upon face-naming latency observed in the experiment reported. The new architecture also has the advantage of being more compatible with current models of speech production, and it allows preserved access to unique semantic properties in the context of impaired face naming as reported in the neuropsychological literature.

Adult↗

Pneumocystis carinii: has the name really been changed?

The proposed renaming of Pneumocystis carinii has caused much confusion and controversy among authors, peer reviewers, editors, and interested readers. Proponents of the new nomenclature emphasize the fact that the new names are judged to be "valid" by the International Code of Botanical Nomenclature. What is generally not appreciated is the fact that the International Code of Botanical Nomenclature does not make any determination as to the scientific correctness of proposed names; rather, it mandates the process of naming an organism. Thus, acknowledgement by the International Code of Botanical Nomenclature that new names for P. carinii have been validly published does not mandate their use. Rather, the scientific community interested in P. carinii needs to be aware of the issues involved in changing the name and then decide for themselves as to the correctness of the newly proposed names. Use of the newly proposed names for P. carinii should not be mandated by journal reviewers or editors.

Consensus↗

Immediate free recall of drug names: effects of similarity and availability.

The prescribing frequency, subjective familiarity, and two measures of similarity as predictors of error in immediate free recall of drug names were assessed. The study design utilized prospective, computer-based, word memory experiments in which 30 pharmacists and 66 college students were asked to immediately recall 15 lists of three three-syllable drug names. Intralist similarity was systematically varied. The number of words forgotten or incorrectly recalled was then examined as a function of similarity, subjective familiarity, and prescribing frequency. The primary outcome measure was the number of item errors in free recall. Pharmacists made fewer errors than college students. Familiarity reliably enhanced item recall among both pharmacists and college students. Prescribing frequency enhanced recall among both pharmacists and college students except when college students recalled generic names. Orthographic (i.e., spelling) similarity was reliably associated with item recall in both groups. Fewer errors were made when lists were more orthographically similar. Among pharmacists, there was an inverted U-shaped relationship between phonologic (i.e., sound) similarity and item errors, with the fewest errors being made on the most similar lists. Among college students, phonologic similarity was not reliably associated with item errors. Frequently prescribed and subjectively familiar drug names are more accurately recalled than rarely prescribed and unfamiliar names. Orthographically similar lists of drug names are easier to recall than dissimilar lists because similarity provides cues that facilitate the retrieval of degraded short-term memories. The effects of similarity, familiarity, and frequency on short-term memory of drug names vary as a function of task and stimulus characteristics.

Humans↗

Protein names precisely peeled off free text.

MOTIVATION: Automatically identifying protein names from the scientific literature is a pre-requisite for the increasing demand in data-mining this wealth of information. Existing approaches are based on dictionaries, rules and machine-learning. Here, we introduced a novel system that combines a pre-processing dictionary- and rule-based filtering step with several separately trained support vector machines (SVMs) to identify protein names in the MEDLINE abstracts. RESULTS: Our new tagging-system NLProt is capable of extracting protein names with a precision (accuracy) of 75% at a recall (coverage) of 76% after training on a corpus, which was used before by other groups and contains 200 annotated abstracts. For our estimate of sustained performance, we considered partially identified names as false positives. One important issue frequently ignored in the literature is the redundancy in evaluation sets. We suggested some guidelines for removing overly inadequate overlaps between training and testing sets. Applying these new guidelines, our program appeared to significantly out-perform other methods tagging protein names. NLProt was so successful due to the SVM-building blocks that succeeded in utilizing the local context of protein names in the scientific literature. We challenge that our system may constitute the most general and precise method for tagging protein names. AVAILABILITY: http://cubic.bioc.columbia.edu/services/nlprot/

Abstracting and Indexing↗

Long-term administration of L-arginine, L-NAME, and the exogenous NO donor molsidomine modulates urinary nitrate and cGMP excretion in rats.

OBJECTIVE: The effects of long term oral administration of L-arginine, NG-nitro-L-arginine methyl-ester (L-NAME), or molsidomine v placebo on blood pressure and the urinary excretion rates of NO3- and cyclic GMP were studied in Munich Wistar Frömter (MWF) rats. METHODS: L-arginine (2 g.kg-1 body weight, n = 8), NG-nitro-L-arginine methylester (L-NAME; 5 mg.kg-1, n = 8), or molsidomine (3 mg.kg-1, n = 8) were given in drinking water and compared with placebo (n = 8) over a period of five months. Urinary excretion rates of NO3- (by gas chromatography) and cyclic GMP (by radioimmunoassay) were assessed in monthly intervals, as well as systolic blood pressure (tail plethysmography). RESULTS: Mean basal blood pressure was 143.5(SEM 2.2) mm Hg. It was unaffected by L-arginine or molsidomine, but continuously and significantly increased during L-NAME treatment to 199.3(6.4) mm Hg (p < 0.05). Urinary excretion of NO3- increased by 20-41% v controls in L-arginine and molsidomine treated rats (p < 0.05), and decreased by 5-15% in L-NAME treated rats (p < 0.05). Urinary excretion of cyclic GMP increased by 9-38% v controls in the L-arginine and molsidomine treated groups and decreased by 5-20% in the L-NAME treated animals. Consistent with their higher blood pressure, L-NAME treated animals displayed cardiac hypertrophy. CONCLUSIONS: Determination of urinary NO3- excretion by gas chromatography is a sensitive and specific method to assess NO formation in vivo. Long term oral administration of L-arginine in MWF rats increases NO production (as assessed by the urinary excretion rates of NO3- and cyclic GMP), but does not significantly influence systolic blood pressure, whereas L-NAME induces sustained hypertension and cardiac hypertrophy due to inhibition of NO formation.

Animals↗

Does HIV reporting by name deter testing? MESH Study Group.

OBJECTIVE: Name-based HIV reporting is controversial in the United States because of concerns that it may deter high-risk persons from being tested. We sought to determine whether persons at risk of HIV infection knew their state's HIV reporting policy and whether they had delayed or avoided testing because of it. DESIGN: A cross-sectional anonymous survey. METHODS: We interviewed 2404 participants in one of three high-risk groups: men who have sex with men (MSM), heterosexuals attending a sexually transmitted disease (STD) clinic, and street-recruited injection drug users (IDU). Participants were asked standardized questions about their knowledge of reporting policies and reasons for having delayed or avoided testing. We recruited in eight US states: four with name-based reporting and four without; all offered anonymous testing at certain sites. RESULTS: Fewer than 25% correctly identified their state's HIV reporting policy. Over 50% stated they did not know whether their state used name-based reporting. Of the total, 480 participants (20%) had never been tested. Of these, 17% from states with name-based reporting selected concern about reporting as a reason for not testing compared with 14% from states without name-based reporting (P = 0.5). Comparing previously tested participants from states with name-based reporting to those from states without, concern about HIV reporting was given as a reason for delaying testing by 26% compared with 13% of IDU (P < 0.001), and for 26% compared with 19% of MSM (P = 0.06). CONCLUSION: Most participants did not know their state's HIV reporting policy. Name-based reporting policies were not associated with avoiding HIV testing because of worry about reporting, although they may have contributed to delays in testing among some IDU.

AIDS Serodiagnosis↗

Contribution of endothelin to the acute pressor response of L-NAME in stroke-prone spontaneously hypertensive rats.

In this study, we examined whether endothelin (ET) plays a role in the short-term increase in mean arterial pressure (MAP) after nitric oxide synthase (NOS) inhibition with N(omega)-nitro-L-arginine methyl ester (L-NAME) in stroke-prone spontaneously hypertensive rats (SHRSPs). Experiments were performed by using Inactin-anesthetized male SHRSPs that were pretreated with chlorisondamine to block reflex autonomic cardiovascular effects. Injection of L-NAME (10 mg/kg, i.v.), but not D-NAME, produced rapid and marked increases (74 +/- 3 mm Hg) in MAP that were sustained for >1 h. In SHRSPs that were treated with the ET(A/B) receptor antagonist, L-754,142 (15 mg/kg + 15 mg/kg/h), L-NAME increased MAP by 45 +/- 4 mm Hg (p < 0.0001 compared with L-NAME alone). L-754,142 blocked pressor responses to big ET-1 by >90% but was without effect on pressor responses to norepinephrine. Plasma levels of ET-1 averaged 5 +/- 1 pg/ml in animals given vehicle and were slightly increased in animals given either L-NAME alone (7 +/- 2 pg/ml) or L-754,142 alone (7 +/- 2 pg/ml) but increased markedly when L-NAME and L-754,142 were given together (114 +/- 18 pg/ml). This may relate to an effect of L-754,142 to block ET-receptor-mediated clearance of ET-1. We conclude that ET plays a role in the short-term pressor response after NOS inhibition in SHRSPs.

Acetamides↗

Similarity as a risk factor in drug-name confusion errors: the look-alike (orthographic) and sound-alike (phonetic) model.

BACKGROUND: One of every four medication errors reported in the United States is a name-confusion error. The rate of name-confusion errors might be reduced if new and confusing names were not allowed on the market and if safeguards could be put in place to avoid confusion between existing names. OBJECTIVES: To evaluate several prognostic tests of drug-name confusion, alone and in combination, with respect to their sensitivity, specificity, and overall accuracy. RESEARCH DESIGN: Case-control study. Twenty-two different computerized measures of orthographic similarity, orthographic distance, and phonetic similarity were used to compute similarity/distance scores for n = 1,127 cases (ie, pairs of names that appeared in published error reports or national error databases) and n = 1,127 controls. MAIN OUTCOME MEASURES: Mean similarity/distance scores were compared across cases and controls. The performance of each measure at distinguishing between cases and controls was evaluated by tenfold crossvalidation. Dose-response relationships were examined. Univariate and multivariate logistic regression models were formed and evaluated by 10 fold crossvalidation. RESULTS: Cases had significantly higher similarity scores than controls. Every measure of similarity proved to be a significant risk factor for error. There was a significant increasing trend in the odds-ratio as a function of similarity. A three-predictor logistic regression model had crossvalidated sensitivity of 93.7%, specificity of 95.9% and accuracy of 94.8%. CONCLUSIONS: A sensitive and specific test of drug-name confusion potential can be formed using objective measures of orthographic similarity, orthographic distance, and phonetic distance.

Analysis of Variance↗

Influence of L-arginine, aminoguanidine, and NG-nitro-L-arginine methyl ester (L-name) on the survival rate in a rat model of hemorrhagic shock.

Nitric oxide (NO) has been implicated in the pathophysiology of hemorrhagic shock. We investigated the influence of L-arginine (the precursor of NO synthesis), N(G)-nitro-L-arginine methyl ester (L-NAME) and aminoguanidine (AG) (inhibitors of NO synthase, with selectivity toward the constitutive and inducible isoforms, respectively) on the survival rate in a rat model of hemorrhagic shock. Anesthetized, male Sprague-Dawley rats (300-350 g) were subjected to hemorrhagic shock for 30 min followed by intravenous injection (1 mL/kg) with normal saline, L-arginine (30 mg/kg), L-NAME (10 mg/kg), L-NAME+L-arginine, AG (1, 10, 100 mg/kg) or AG (100 mg/kg)+L-arginine (n = 5 per group). Hemorrhagic shocked rats treated with saline died within 90 min. In contrast, L-NAME increased the survival time to >72 h in shocked rats. AG (1, 10, and 100 mg/kg) increased the survival time of shocked animals to 150 min, 230 min, and >72 h, respectively. Shocked rats treated with L-arginine died within 80 min, and those that received L-NAME+L-arginine and AG+L-arginine died within 120 min and 110 min, respectively. L-NAME and AG (dose dependently) reduced macroscopic and microscopic injuries, nitrate/nitrite, PGE2 and creatinine production, and inhibited GOT activity in shocked animals. L-arginine reversed the beneficial effects of AG and L-NAME, suggesting the involvement of NO in the pathophysiology of hemorrhagic shock.

Animals↗

Identifying Health Maintenance Organization membership through self-report of health plan name: ascertainment and reliability.

OBJECTIVE: To evaluate the feasibility and reliability of (1) identifying Health Maintenance Organization (HMO) membership by ascertaining self-reported health plan name in a telephone survey and (2) using external information to determine whether the plan was an HMO. METHODS: Respondents to the 1999-2001 Massachusetts Behavioral Risk Factor Surveillance System (BRFSS) and the 1999 Massachusetts Colorectal Cancer (CRC) survey were asked to name their health plan. The authors used information from external sources to classify the plan as an HMO or a non-HMO. Test-retest reliability of reported plan name was examined overall, by demographic characteristics, and by health plan name. Reliability of HMO classification was tested with the kappa statistic. RESULTS: More than 88 percent of respondents with commercial health insurance provided their health plan name; 84 percent reported a plan that could be assigned as either an HMO or a non-HMO. The percentage whose HMO status could be assigned differed by demographic characteristics. Among those assigned, the distribution of specific HMOs among survey respondents was similar to the distribution reported by the Massachusetts Division of Insurance. In a subsample, 78 percent reported the same health plan during a follow-up interview. Agreement was higher for men, and differed according to the plan reported at the first time point. Kappa for HMO classification from health plan name was 0.87. CONCLUSIONS: Self-report of health plan name is a feasible and reliable method to ascertain health insurance information in a telephone interview.

Adolescent↗

Effects of Hct on L-NAME-induced potentiation of anaphylactic presinusoidal constriction in perfused rat livers.

Effects of hematocrit (Hct) on N-nitro-L-arginine methyl ester (L-NAME)-induced modulation of anaphylactic venoconstriction were determined in isolated perfused rat livers. The rats were sensitized with ovalbumin (1 mg), and the livers were excised 2 weeks later and perfused portally and recirculatingly under constant flow at Hct of 0%, 5%, 16%, and 22%. The hepatic sinusoidal pressure was estimated via the double occlusion pressure (Pdo), and the presinusoidal resistance (Rpre) and the postsinusoidal resistance (Rhv) were calculated. The antigen of ovalbumin 0.1 mg was injected into the reservoir at 10 minutes after pretreatment with L-NAME (100 microM) or D-NAME (100 microM). Perfusate viscosity, a determinant of vascular resistance and shear stress, was increased in parallel with Hct. In the D-NAME groups, antigen caused predominant presinusoidal constriction. The magnitude of venoconstriction was significantly smaller at Hct 0% than at Hct 5% to 22%, whereas no significant differences were found among Hct 5% to 22%. L-NAME potentiated the antigen-induced increase in Rpre, but not in Rpost at Hct 5% to 22% as compared with D-NAME. But the augmentative effects of L-NAME were similar in magnitude among Hct 5% to 22%. These findings suggest that hepatic anaphylaxis increases production of nitric oxide, which consequently attenuates anaphylactic presinusoidal constriction in rat livers, and that these effects are independent of perfusate Hct or viscosity in blood-perfused rat livers.

Anaphylaxis↗

Effect of nitric oxide synthase inhibitor (L-NAME) on substance P-induced vasodilatation in the dental pulp.

AIM: To investigate the vasodilator mechanisms of pulpal vessels, especially the involvement of nitric oxide (NO), during pulpal inflammation. METHODOLOGY: Eleven cats were prepared for intra-arterial administration of test agents through a lingual artery. The pulpal blood flow was measured by laser Doppler flowmetry from ipsilateral mandibular canine teeth. By using the NO synthase (NOS) inhibitor N(G)-nitro L-arginine methyl ester (L-NAME), the effects of L-NAME on various vasodilators, such as Substance P (SP)-, calcitonin-gene related peptide (CGRP)-, and papaverine-induced vasodilatation, were compared in vivo in 11 feline dental pulps. RESULTS: L-NAME pretreatment potentiates SP-induced vasodilatation for a duration of approximately 5 h. The increase of pulpal blood flow ranged from 91.47 to 109.91%, which was significantly different from SP injection alone (48.79%, P < 0.05). Other vasodilators such as CGRP and papaverine did not respond to L-NAME pretreatment. CONCLUSIONS: This study demonstrates that NOS inhibitor L-NAME administration alone has insignificant effects on pulpal blood flow, although L-NAME pretreatment can potentiate SP-induced vasodilatation, probably via increased activity in the enzyme guanylate cyclase. CGRP and papaverine did not respond to L-NAME pretreatment, indicating that they are not mediated via an endothelium-dependent mechanism.

Animals↗