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Optic aphasia: a case with spared action naming and associated disorders.

AG, a pure case of optic anomia (object naming impaired; action naming good) is described. We consider the fit of experimental data from AG to different theoretical accounts of optic aphasia. Overall, we find no evidence for impairments intrinsic to semantic representations, but we note a number of problems that we interpret as indicating a slight, and specific, weakness in semantic access from vision. We also note a mild problem in generating names to a cue (verbal fluency). The main aim of the report was to provide a full description of tests of visual, semantic, and speech output skills in this patient in relation to the processing of visually presented objects and scenes, within a sequential information processing account which enables some theoretical implications to be drawn, albeit not conclusively.

Adult↗

Lexical retrieval deficit in picture naming: implications for word production models.

In models of word retrieval, it is common to differentiate lexical-semantic (word meaning) and lexical-phonological (word form) levels. There has been considerable interest in the relationship between these two levels. The so-called discrete two-stage model claims that phonological activation follows selection at the lexical-semantic level and is limited only to the selected item. In contrast, nondiscrete (interactive and cascade) models assume that all activated lexical-semantic candidates are also phonologically activated to some extent. We addressed this issue by studying an anomic patient who suffered from a partial functional disconnection between lexical-semantic and lexical-phonological levels. A multitarget repeated naming task with phonological training was employed. Systematic manipulation of semantic and phonological relatedness between the to-be-named items indicated that our patient's word error patterns were sensitive to both types of lexical relatedness. A delayed repetition task employing the same items failed to show similar effects, suggesting that they were specific to naming. The discrete two-stage model is unable to explain the observed effects of semantic and phonological relatedness. However, they are consistent with assumptions of nondiscrete models of lexical retrieval. In addition to the theoretical implications of this study, the observed effects of lexical context on word retrieval have implications for treatment of anomia.

Aged↗

Judgments of concept similarity by normal and aphasic subjects: relation to naming and comprehension.

A study was conducted in which aphasic patients, age-matched normals, and normal young adults performed five types of matching judgments for object pictures. These required matching for physical identity, basic object identity, and membership in the same superordinate category. Spoken name-to-picture matching was tested for the last two conditions. An analogous set of conditions was presented for letters. Latency patterns across the conditions showed general slowing for the aphasic patients, but with a differential decrement in the conditions that involved auditory (spoken name) input for the matching task. Results showed that variations in semantic judgment capability among the aphasics did not predict the patients' object naming ability.

Age Factors↗

The connectionist simulation of aphasic naming.

The simulation of language disorders using interactive activation (IA) networks and connectionist systems is discussed. An existing IA account of aphasic naming is described, in which two network parameters (decay rate and connection strength) are varied to fit the error production of an aphasic patient. Fairly similar results can be obtained through modification of additional parameters, including the so-called "shared weight increase factor" linking lexical and semantic units. This leads us to consider simulation of aphasic naming using connectionist networks which do not require explicit variation of network parameters. A modular connectionist architecture is presented, in which semantic-lexical and phonological knowledge are instantiated using self-organizing Kohonen maps, while connections between them are implemented using Hebbian networks; a linear connectionist network (Madaline) is used to simulate nonword repetition. The Hebbian connections are lesioned in order to reproduce the patient's naming errors.

Aphasia↗

Category-specific naming deficit for medical terms after dominant thalamic/capsular hemorrhage.

Postmortem, retrograde degeneration, and electrical stimulation studies have implicated the anterior pulvinar in language processing. We examined a patient who, after a hemorrhage affecting the dominant pulvinar and internal capsule, exhibited a circumscribed anomia for medical items and conditions. No other language disturbance was noted. Five category-specific word lists, matched for word frequency, were administered in a naming-to-definition format. Results indicated that the patient exhibited a significant category-specific naming deficit for medical items and conditions compared to matched control subjects. Although medical item lists were found to differ from nonmedical item lists in imageability and abstractness, B.C.'s category-specific deficit did not seem to be caused by word frequency, concept familiarity, imageability, or abstractness. Nor could the patient's performance be explained on the basis of deficits in broader semantic classifications (i.e., animate vs inanimate or man-made vs natural). The patient was unable to retrieve medical items even when given phonemic cues for those he could not name. Findings indicate that subtotal damage in the dominant pulvinar may create category-specific deficits.

Aphasia↗

Bilingual performance on the boston naming test: preliminary norms in Spanish and English.

A total of 100 young educated bilingual adults were administered the Boston Naming Test (BNT) (Kaplan, Goodglass, & Weintraub, 1983) in both Spanish and English. Three group performance scores were obtained: English only, Spanish only, and a composite score indicating the total number of items correctly named independent of language. The scores for the entire group were significantly greater in English than in Spanish. An additional set of analyses explored individual differences in picture naming performance across the two languages as measured by the BNT. For a subset of the larger group (n = 25) there were significant differences in composite over single language scoring, but no significant differences between Spanish and English. Item analyses of correct responses were conducted in both languages to explore the construct validity of the standardized administration of the BNT with this population. There was much greater variability in responses over the Spanish items for this bilingual group. The results of a correlation analysis of information obtained from the initial questionnaire with the BNT scores in each language is also reported. The practical implications of this preliminary bilingual BNT normative data are discussed.

Adolescent↗

Selective preservation of naming from description and the "restricted preverbal message".

We report the case of a patient, LEW, who presents with modality-specific naming deficits. He is seriously impaired in naming pictures of both objects and actions. His naming to auditory verbal definitions and of actions carried out by the experimenter is, however, relatively well preserved. He has no visual perceptual deficits and his access to the semantics of pictures is as good as that to the semantics of spoken words. While LEW is not an optic aphasic patient, his pattern of performance is relevant to the debate that has taken place of the organization of the semantic system. We discuss his case from this perspective and argue that LEW's selective deficits support the multiple semantics position. We also argue that the "preverbal message" level in the speech production model of Levelt (1989) is the equivalent of "verbal semantics." We provide additional constraints and principles to the concept of the preverbal message and we term the system so constrained the "restricted preverbal message."

Aphasia↗

Event-related responses to pronoun and proper name anaphors in parallel and nonparallel discourse structures.

The present study investigated event-related potential (ERP) effects of pronoun and proper name anaphors in both parallel and nonparallel discourse structures. Thirty-seven students processed 400 semantically different text passages. Each trial consisted of two sentences and a comprehension question. The first sentence introduced a protagonist who was referred to by an anaphoric word in the second sentence. The anaphoric word was either a pronoun or a repetition of the proper name of the protagonist and had either the same or a different syntactic role as its antecedent (subject or object). The sentences were presented word by word as rapid serial visual display. Event-related potentials were recorded from 61 scalp electrodes. In agreement with the parallel function strategy, nonparallel discourse structures required longer decision times and exhibited higher error rates than parallel structures. The ERPs revealed two effects: First, pronoun anaphors evoked a more pronounced negativity than proper name anaphors between 270 and 420 ms latency over the frontal cortex electrodes. Another relative negativity occurred between 510 and 600 ms over the parietal cortex electrodes. Second, anaphors in nonparallel positions were accompanied by a more pronounced negativity over the parietal cortex. These data support the idea that an anaphor in nonparallel position triggers extra processing steps, probably search processes in working memory which integrate currently encountered information with previously activated representations.

Adult↗

Rapid naming deficits in children and adolescents with reading disabilities and attention deficit hyperactivity disorder.

Seventy-one children in three groups (reading disabilities, ADHD without reading disabilities, and normal controls) were compared on their ability to rapidly name colors, letters, numbers, and objects (RAN Tasks) and alternating letters/numbers and letters/numbers/colors (RAS tasks). Children with reading disabilities were found to be slower on letter- and number-naming tasks and made more errors on all tasks than controls or children with ADHD. There was an age effect for the RAN/RAS tasks, with younger children with reading disabilities performing more poorly on all tasks, while the older children with reading disabilities showed poorer performance only on the letter- and number-naming tasks.

Adolescent↗

Dissociation of semantic and phonological errors in naming.

We report the naming performance of a fluent aphasic, DP, who shows a striking dissociation between semantic and phonological (nonword) errors: he produced numerous semantic errors but virtually no phonological errors. DP's pattern of performance is the reverse of that reported for patient DM (Caramazza, Papagno, & Ruml, 2000), who only made phonological errors in a naming task. These patterns of performance are inconsistent with the proposal by Dell, Schwartz, Martin, Saffran, and Gagnon (1997) that the naming deficit in fluent aphasia is the result of global damage to all levels of the lexical access system and support instead the hypothesis that brain damage can selectively disrupt distinct subcomponents of the lexical processing system.

Aphasia, Wernicke↗

Where and how morphologically complex words interplay with naming pictures.

Two picture-word experiments are reported in which a delay of 7 to 10 was introduced between distractor and picture. Distractor words were either derived words (Experiment 1) or compounds (Experiment 2), morphologically related to the picture name. In both experiments, the position of morphological overlap between distractor (e.g., rosebud vs tea-rose) and picture name (rose) was manipulated. Clear facilitation of picture naming latencies was obtained when pictures were paired with morphological distractors, and effects were independent of distractor type and position of overlap. The results are evaluated against "full listing" and "decomposition" approaches of morphological representation.

Humans↗

A confrontational naming task produces congruent increases and decreases in PET and fMRI.

This work uses the well-established (by PET) confrontation naming task to compare PET and fMRI in a cognitive activation experiment. The signal changes from this task are much less than the changes caused by visual or motor activation tasks used in previous comparisons. ANOVA methods adjusted for multiple comparisons were used to determine significant changes in signal between confrontation naming and figure size discrimination tasks. All 17 significantly increased regions (confrontation naming signal greater) seen on one modality were increased on both modalities. Ten of 13 regions that were significantly decreased on one modality were decreased on the other. Three mismatched regions showed a significant decrease on one modality and a nonsignificant increase on the other. This study could not detect a consistent difference in activation site location between PET and fMRI.

Adult↗

Mast cell degranulation in rat mesenteric venule: effects of L-NAME, methylene blue and ketotifen.

Mast cells are present in proximity to the microvessels, and on stimulation with inhibition of NO synthesis, are a rich source of numerous inflammatory mediators. A microcirculatory study was undertaken to clarify whether nitric oxide (NO) and activation of guanylate cyclase is involved in degranulation of perivascular mast cells in the rat mesenteric venule, and whether oral administration of ketotifen suppress the degranulation. Intravital microscopy was used to monitor the rates of adherence and extravasation of leukocytes in single unbranched venules with diameters between 25 and 35 microm of rat mesentery. Leukocyte rolling velocity, red blood cell velocity, vessel diameter and blood pressure were also measured. Mast cell degranulation was quantified within 30 microm from the venule. NG-nitro-L-arginine methyl ester (L-NAME) at an intravenous dose of 30 mg kg-1 increased the number of degranulated cells, while its enantiomer, D-NAME at the same dose had no effect. Superfusion with methylene blue (MB), an inhibitor of soluble guanylate cyclase, at 50 microm elicited similar degranulation of the mast cells. The degranulation was associated with increased adhesion of leukocytes to the endothelium and the slowed rolling. Pretreatment with ketotifen at an oral dose of 1 mg kg-1 inhibited mast cell degranulation in responses to either L-NAME or MB. It is conceivable that guanylate cyclase for NO production pathway in endothelial and/or mast cells is involved in the mast cell degranulation process, and the process or subsequent action of NO may be preserved by ketotifen, eliciting down-modulation of mast cell activation.

Animals↗

The effects of chronic L-name and L-arginine administration on beta-adrenergic responsiveness of STZ-diabetic rat atria.

Recent studies have shown that NO acts as a negative inotrope and chronotrop in cardiac muscle. In the present study, we investigated the effects of the chronic administration of L-NAME and L -arginine on 14-week streptozotocin (STZ)-diabetic rat atria. To study these effects, we compared the alterations of inotropic and chronotropic responses to isoprenaline (ISO) on electrically-driven left atria and spontaneously beating right atria. In addition, we compared the blood pressures of rats in all groups. The chronic administration of L-arginine resulted in a significant reduction in blood pressure of the diabetic rats. On the other hand, the chronic nitric oxide synthase inhibition resulted in a significant increase in blood pressure of diabetic animals. To our findings, maximum positive inotropic responses of ISO diminished in STZ-diabetic, L-arginine and L-NAME treated diabetic groups relative to controls but neither the basal contractility of the left atria nor the pD(2)values were altered significantly in all groups. The basal atrial rate and maximum positive chronotropic responses to ISO were found to be significantly lower in treated and untreated diabetic groups, no significant changes were observed in pD(2)values. Our results demonstrate that the changes in inotropic and chronotropic responses in diabetic rat atria were not influenced by the chronic administration of L-arginine and L-NAME treatments.

Animals↗

Lexemic change and semantic shift in disease names.

The lexicon of illness terms used by Mexican American women is affected by the practice of speaking both Spanish and English and by the coexistence of several health systems. When there is changning participation in various health systems, with increasing interference and code switching, linguistic evidence for these changes may be found. In some cases an English disease name is borrowed. In others, a cognate is coined from an English disease name. Some terms, now no longer useful, are dropped. Finally, some Spanish disease names which do not have equivalents in English or in scientific medical theory may be retained, but there is a shift in the meaning of the words themselves. The direction of the shift is towards semantic correspondence with the concepts of scientific medicine. In these ways the medical lexicon is changed, with the changes reflecting a new medical culture.

Attitude to Health↗

Autosomal dominant transmission of the NAME syndrome (nevi, atrial myxoma, mucinosis of the skin and endocrine overactivity).

A family affected in two generations with the NAME syndrome is described, and the literature on this phenotype reviewed. The term "NAME" was originally proposed as an acronym for "nevi, atrial myxoma, myxoid neurofibromata and ephelides". However, in order to give a more comprehensive description of this syndrome, we recommend the following alternative interpretation of "NAME": nevi, atrial myxoma, mucinosis of the skin, endocrine overactivity. Previous family observations suggested a dominant, and probably autosomal, inheritance but an X-linked dominant transmission could not be excluded. We describe male-to-male transmission, strongly supporting the concept of the autosomal inheritance of this trait.

Adult↗

Effects of errorless and errorful face-name associative learning in moderate to severe dementia.

BACKGROUND AND AIMS: The prevention of errors during learning has been found to be effective in overcoming memory problems in patients with amnesia compared with errorful or trial-and-error learning, possibly as a result of intact implicit memory function. Although errorless learning is a clinically promising technique used in cognitive training settings, to date only a few studies have examined errorless learning in patients with dementia. METHODS: The current study examined errorless and errorful learning using a face-name associative memory task in a group of moderate to severe dementia patients suffering from probable Alzheimer's disease (MMSE < or = 22; n = 10) using a fully counterbalanced within-subject design. RESULTS: Errorless learning had a significantly beneficial effect after two consecutive learning trials (p = 0.01). However, after an unfilled delay of 10 minutes, no significant differences in memory performance were found between errorless and errorful learning. Furthermore, current effects were much smaller compared with previous findings in healthy adults and early-stage dementia patients. CONCLUSIONS: Although errorful learning resulted in better performance in a face-name associative memory task in patients with dementia, this effect was only short-lived. Thus, the beneficial effects of errorless learning are probably not due to intact implicit memory function, but may also be subserved by explicit memory, a memory system that is typically impaired in dementia. Also, the clinical applicability of errorless learning in teaching patients with moderate to severe dementia face-name associations is limited.

Aged↗

The nitric oxide synthase inhibitor, L-NAME, block phencyclidine-induced disruption of prepulse inhibition in mice.

RATIONALE: Schizophrenia is a major public health problem that affects approximately 1% of the population worldwide. Schizophrenia-like syndromes can be induced in humans by phencyclidine (PCP), a drug with marked psychomimetic properties. Recent studies show that the behavioural and biochemical effects of PCP in rats are blocked by nitric oxide synthase (NOS) inhibitors, suggesting that NO plays an important role in the pharmacological effects of PCP. OBJECTIVE: The aim of this study was to investigate if PCP-induced disruption of prepulse inhibition of acoustic startle could be blocked by the NOS inhibitor, L-NAME, in mice. RESULTS: The present study shows that PCP readily disrupts prepulse inhibition in mice normally without affecting pulse-alone trials. Furthermore, L-NAME blocked the PCP-induced disruption of prepulse inhibition in a dose-related manner. CONCLUSIONS: The PCP-induced disruption of prepulse inhibition and the ability of L-NAME to block this effect in both rats and mice suggest that this is a general and not a species-specific effect. The results of the present study further suggest that PCP exerts at least some of its actions in the central nervous system by a NO-dependent mechanism.

Acoustic Stimulation↗