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PubMed2001

Ethanol reduces rCFB activation of left dorsolateral prefrontal cortex during a verbal fluency task.

In a previous study in normal subjects (Wendt et al., 1994), using a reversing checkerboard as activation stimulus, we found that the coupling between local neuronal activity and regional cerebral blood flow was preserved following ethanol, and that a right-sided occipital activation response seen during sobriety became symmetrical during inebriation. In the present study we investigated if ethanol has a detrimental effect also on the activation of the left dorsolateral prefrontal cortex found in normals during verbal fluency. Measurements of regional cerebral blood flow in 20 healthy, young, male, right-handed volunteers during rest and verbal fluency were made during sobriety and inebriation (0.06% blood alcohol concentration) with a 1-week interval. We found a decrease in word production during inebriation. The normal activation within the frontotemporal part of the left dorsolateral prefrontal cortext was preserved during inebriation. The activation of this region seems thus to be robust to the effects of ethanol. During inebriation no activation response to the word fluency test was found in the anterior prefrontal part of the dorsolateral prefrontal cortex. This region is important for working, temporal, and short-term memory functions, processes that are affected by ethanol. Hemispheric functioning and specialization seem to be adversely affected by ethanol, regardless of which hemisphere is most involved while sober.

Adult↗

PubMed1975

The effects of pause time on auditory comprehension of aphasic subjects.

Aphasic subjects performed a modified version of the Token Test, in which 5 sec pauses were placed at various points in some of the spoken commands in the test. Insertion of pauses generally resulted in substantial improvements in the subjects' ability to carry out the commands. The location of the pauses in the commands did not appear to substantially affect subjects' performance. The results suggest that an insertion of a 5 sec pause may facilitate processing of color, size, and shape information, but not processing of locational or relational information.

Aphasia↗

PubMed1991

Development of an "early" detection battery for dementia of the Alzheimer type.

1. To develop a diagnostic battery sensitive to and specific for the early detection of Alzheimer disease (AD) dementia, the authors reviewed over 400 journal articles dealing with the diagnosis of A.D. or senile dementia and cognitive assessment in organic brain dysfunction and closed head injury. 2. We culled those studies that met our criteria for solid, reliable and statistically significant results and recommend the testing paradigms that most often produced good discrimination of mild AD dementia from normal senescence. 3. These include tests of language, verbal and non-verbal memory, perception, praxis, attention and reasoning. 4. The battery we assembled takes less than 1 hour to administer, requires no special equipment, and was designed as an early screen for use by psychologists, psychiatrists and other trained health care professionals; it is not intended for repeated administration, as in pharmacological or longitudinal studies.

Alzheimer Disease↗

PubMed2003

Multiple patterns of writing disorders in dementia of the Alzheimer type and their evolution.

This paper reports the results obtained from a writing task given to 23 Italian patients suffering from mild to moderate dementia of the Alzheimer's type (DAT). Spelling performance was tested with a task that taps the sub-word-level (spelling of regular words and nonwords), and the lexical route (spelling of regular and irregular words), in line with contemporary models of writing. Each patient's performance was classified according to the emergence of dissociated patterns of damage between regular words and nonwords and between regular and irregular words. The 23 DAT patients span the whole spectrum of dysgraphic taxonomy; five showed the characteristic pattern of impairment of surface dysgraphia, two showed the characteristics of phonological dysgraphia, while a mixed pattern (i.e. better performance on regular words compared to irregular words and regular nonwords) emerged in seven cases. Three patients presented undifferentiated writing disorders, two were completely agraphic, while four patients showed only minimal or no writing defects. The rate of dissociated impairments in the lexical and the sub-word-level routine is very similar to that observed after acute focal brain damage, which contradicts the hypothesis that degenerative brain damage selectively impairs writing performance along the lexical-semantic route. To test the hypothesis that surface sub-word-level processing abilities are affected only during the evolution of the disease, nine patients were tested longitudinally after an interval of 6-12 months. Once again, the data showed high variability across subjects, and do not seem to support involvement of the sub-word-level spelling routine only at a late stage in the development of the disease.

Aged↗

PubMed2003

The influence of phonemic awareness development on acoustic cue weighting strategies in children's speech perception.

In speech perception, children give particular patterns of weight to different acoustic cues (their cue weighting). These patterns appear to change with increased linguistic experience. Previous speech perception research has found a positive correlation between more analytical cue weighting strategies and the ability to consciously think about and manipulate segment-sized units (phonemic awareness). That research did not, however, aim to address whether the relation is in any way causal or, if so, then in which direction possible causality might move. Causality in this relation could move in 1 of 2 ways: Either phonemic awareness development could impact on cue weighting strategies or changes in cue weighting could allow for the later development of phonemic awareness. The aim of this study was to follow the development of these 2 processes longitudinally to determine which of the above 2 possibilities was more likely. Five-year-old children were tested 3 times in 7 months on their cue weighting strategies for a /so/-/[symbol in text]o/ contrast, in which the 2 cues manipulated were the frequency of fricative spectrum and the frequency of vowel-onset formant transitions. The children were also tested at the same time on their phoneme segmentation and phoneme blending skills. Results showed that phonemic awareness skills tended to improve before cue weighting changed and that early phonemic awareness ability predicted later cue weighting strategies. These results suggest that the development of metaphonemic awareness may play some role in changes in cue weighting.

Adult↗

PubMed2003

Executive and visuospatial deficits in patients with chronic progressive external ophthalmoplegia and Kearns-Sayre syndrome.

Although neuropsychological deficits have been reported in mitochondrial cytopathies, patients with chronic progressive external ophthalmoplegia (CPEO) or Kearns-Sayre syndrome (KSS) have not been studied systematically using a comprehensive test battery. The aim of our study was to assess the range and extent of putative cognitive dysfunction in 22 patients with CPEO or KSS, and to compare cognitive performance of patients with healthy control subjects matched for age, sex and years of education. Genetic analysis of skeletal muscle tissue from 22 patients with CPEO or KSS included screening for mitochondrial DNA (mtDNA) point mutations (3243/8344) and mtDNA deletions. All patients were examined by a neuropsychological test battery covering verbal skills, verbal and visual memory, visuo-spatial perception, visual construction, attention, abstraction and flexibility, and Quality of Life. Molecular genetic analysis of mtDNA revealed single large-scale deletions in 15 out of 22 patients and the tRNA (Leu) A3243G point mutation in two out of 22 patients. In five out of 22 patients none of the frequently encountered mtDNA mutations could be detected. Neuropsychological testing did not reveal general intellectual deterioration, but specific cognitive deficits, particularly in visual construction, attention and abstraction/flexibility. Subgroup analysis of 15 patients with mtDNA deletions showed similar results when compared with the full group. In our series of patients with CPEO or KSS neuropsychological testing did not reveal signs that would suggest general intellectual decline or dementia, but provided evidence of specific focal neuropsychological deficits, suggesting particular impairment of visuospatial perception associated to parieto-occipital lobes and executive deficits associated to the prefrontal cortex.

Adult↗

PubMed1990

Crosscultural reliability of the physical ability dimension of the health assessment questionnaire.

Functional ability evaluation constitutes an important outcome measurement in any proposed trial involving patients with rheumatoid arthritis (RA). We performed a crosscultural study directed at the translation into Portuguese of the Physical Ability Dimension of the Health Assessment Questionnaire (HAQ) and the evaluation of its reliability. Five questions were modified in the Portuguese version of the HAQ to suit Brazilian conditions. The test-retest correlation coefficient was 0.905 (p less than 0.001) and the interobserver correlation coefficient was 0.830 (p less than 0.001) Our results provide evidence of instrument reliability. The instrument kept its face and content validity and the evaluation of the longitudinal construct validity is now in progress.

Adult↗

PubMed1994

The relationship between cognition and action: performance of children 3 1/2-7 years old on a Stroop-like day-night test.

One hundred and sixty children 3 1/2-7 years of age (10 M, 10 F at each 6-month interval) were tested on a task that requires inhibitory control of action plus learning and remembering two rules. They were asked to say "day" whenever a black card with the moon and stars appeared and to say "night" when shown a white card with a bright sun. Children < 5 years had great difficulty. They started out performing well, but could not sustain this over the course of the 16-trial session. Response latency decreased from 3 1/2 to 4 1/2 years. Children < 4 1/2 years performed well when they took very long to respond. To test whether the requirement to learn and remember two rules alone was sufficient to cause children difficulty, 80 children 3 1/2-5 years old were tested on a control version of the task ("say 'day' to one abstract design and 'night' to another"). Even the youngest children performed at a high level. We conclude that the requirement to learn and remember two rules is not in itself sufficient to account for the poor performance of the younger children in the experimental condition.

Age Factors↗

PubMedDate not supplied

Role of the frontal lobes in implicit and explicit retrieval tasks.

While the role of the frontal lobes in explicit retrieval tasks is well supported, the findings for implicit tasks are less conclusive. We investigated the role of the frontal lobes in perceptual and conceptual implicit priming. Three memory paradigms were given under both implicit and explicit retrieval instructions, using word fragment completion, picture fragment completion and category exemplar generation. Three groups of individuals with frontal lesions were compared to normal controls: Left dorsolateral lesions (n = 5), right dorsolateral lesions (n = 4), and medial lesions (n = 9). Word fragment completion priming was impaired by left dorsolateral lesions, with other priming tests unaffected by any lesion. Explicit performance showed a different pattern, with category exemplar cued recall impaired by left dorsolateral and medial lesions. These findings support the role of the frontal lobes in both implicit and explicit retrieval mechanisms under certain conditions requiring strategy application or lexical retrieval.

Adult↗

PubMed2006

Language in boys with fragile X syndrome.

The current paper reports of language production in 15 Hebrew-speaking boys, aged 9;0-13;0, with fully methylated, non-mosaic fragile X syndrome and no concomitant diagnosis of autism. Contrary to expectations, seven children were non-verbal. Language production in the verbal children was studied in free conversations and in context-bound speech. Despite extra caution in calculating MLU, participants' language level was not predicted by mean utterance length. Context bound speech resulted in grammatically more advanced performance than free conversation, and performance in both contexts differed in important ways from performance of typically developing MLU-matched controls. The relevance of MLU as a predictor of productive grammar in disordered populations is briefly discussed.

Adolescent↗

PubMed1982

Diagnostic utility of the Thurstone Word Fluency Test in neuropsychological evaluations.

Previous research has found that verbal associative fluency tasks are sensitive to the presence of cerebral lesions and more sensitive to frontal lobe and left hemisphere lesions than to other focal lesions. The present study investigated the diagnostic utility of the Thurstone Word Fluency Test (TWFT), a test of written verbal fluency, in detecting and localizing cerebral lesions. Using results from 203 brain-damaged and 134 normal subjects, we found that TWFT performance is affected by cerebral damage generally. At the same time, it is more impaired by frontal than by nonfrontal, by left than by right hemisphere, and by left frontal than by right frontal lesions. This test does not discriminate focal frontal from diffuse lesions. Stepwise discriminant function analyses indicated that the TWFT adds to the Halstead-Reitan Battery in discriminating focal frontal from nonfrontal lesions, but not in discriminating left hemisphere from right hemisphere lesions. Only markedly impaired TWFT performances had lateralizing significance.

Adult↗

PubMed1995

The interpretation of sentence ambiguity in patients with unilateral focal brain surgery.

Interpretations of ambiguous sentences were studied in patients with unilateral anterior temporal lobectomy or selective amygdalo-hippocampectomy. The sentences represented lexical and syntactic ambiguities. In both left- and right-sided groups, regardless of type of surgery, total mean score on the test was below normal. Left-sided cases, regardless of type of surgery, provided significantly fewer alternative interpretations than right-sided cases. The results suggest greater left than right hemisphere specialization in both lexical and syntactic processing, but also suggest right hemisphere involvement in resolution of lexical ambiguity.

Adult↗

PubMed1995

Implicit and explicit memory for emotion-congruent information in clinical depression and anxiety.

Implicit and explicit memory biases were assessed in clinically depressed (n = 19), clinically anxious (n = 17), and normal control (n = 18) Ss. The implicit memory test was a primed lexical decision task, with anxiety- and depression-relevant words, and suprathreshold and subthreshold primes. The explicit memory test was incidental free recall of self-referenced words. The depressed group showed greater suprathreshold and subthreshold priming effects for depression words, and recalled more depression words, than the other two groups. These results suggest that clinical depression, but not clinical anxiety, is associated with mood-congruent biases in both automatic and strategic memory processes.

Adolescent↗

PubMed1988

Prevalence of specific reading disability in Egypt.

2878 children from the 2nd and 3rd grades in elementary schools were assessed for their reading ability by means of standardised tests for linguistic ability and rate of letters identification. 84 children (3%) with IQ 90 or more and no evidence of sensory or motor impairment were backward in their reading ability. They were left to proceed in their conventional educational programme for the next 3 years, then reassessed. 47 (2%) children had attained satisfactory reading skills. The 37 (27 boys, 10 girls) who did not improve were diagnosed as having the syndrome of specific reading disability (SRD). The prevalence of SRD among the population surveyed was 1%, and the male to female ratio was 2.7 to 1. The prevalence was far lower than that reported in western countries. How the Arabic language is written and read probably contributes to the low prevalence of SRD among Arabic speaking populations.

Child↗

PubMed2004

Cognitive neuroactivation using SPECT and the Stroop Colored Word Test in patients with diffuse brain injury.

Psychomotor slowing in patients with diffuse brain injury frequently underlies impaired cognitive performance on neuropsychological tests, for example, the Stroop Colored Word test. The aim of the present study was to determine the neural basis associated with performance on the Stroop interference subtask in patients with diffuse brain injury. We hypothesized that patients would be slower than healthy controls, and that this would be associated with brain activations other than those seen in healthy subjects. Brain perfusion, using a split-dose activation paradigm with single photon emission tomography (SPECT) and the Stroop test, was assessed in 9 patients with diffuse brain injury. The Stroop interference score was calculated as a behavioral parameter, and functional imaging data were analyzed with statistical parametrical mapping (SPM99) to determine significant voxel-wise differences of activation between the control and the activation condition. Patients were impaired on the interference subtask of the Stroop test. Comparison of the SPECT data obtained during the activation condition with those obtained during the control condition by means of SPM showed significant activations in the left inferior parietal lobe, the right anterior cingulate extending into the right middle frontal gyrus and the right caudate, and the left posterior cingulate cortex. Patients with diffuse brain injury were slower than healthy controls on the interference subtask of the Stroop test, suggesting difficulty with resistance to distractions. This finding was associated with activation effects in posterior (mainly parietal) brain areas in addition with activation of previously observed anterior (mainly anterior cingulate) brain regions.

Adult↗

PubMed2005

Factors responsible for performance on the day-night task: response set or semantics?

In a recent study Diamond, Kirkham and Amso (2002) obtained evidence consistent with the claim that the day-night task requires inhibition because the picture and its corresponding conflicting response are semantically related. In their study children responded more accurately in a dog-pig condition (see /day picture/ say "dog"; see /night picture/ say "pig") than the standard day-night condition (see /day picture/ say "night"; see /night picture/ say "day"). However, there is another effect that may have made the day-night condition harder than the dog-pig condition: the response set effect. In the day-night condition the names of the two stimuli ("day" and "night") and the two corresponding conflicting responses ("night" and "day") are from the same response set: both "day" and "night". In the dog-pig condition the names of the stimuli ("day", "night") and the corresponding responses ("dog", "pig") are from a different response set. In two experiments (Experiment 1 with 4-year-olds (n = 25); Experiment 2 with , 4-, 5-, 7- and 11-year-olds (n = 81)) children were tested on four experimental conditions that enabled the effects of semantics and response set to be separated. Overall, our data suggest that response set is a major factor in creating the inhibitory demands of the day-night task in children of all ages. Results are discussed in relation to other inhibitory tasks.

Age Factors↗

PubMed2006

Fragment difficulty in priming on word-completion tests.

Word-fragment completion is a frequently used test in implicit memory research. In this test priming is the relevant variable. Priming is obtained by subtracting the proportion of nonstudied word fragments correctly completed (called "completion difficulty baseline") from the studied word fragments correctly completed. Since completion difficulty can spuriously vary greatly between experimental conditions, its effect on magnitude of priming is studied. Normative frequency of occurrence of target words was considered because their influence over performance is known. In an experiment using a word-fragment completion test, participants' completion of fragments at three levels of completion difficulty and two levels of frequency was tested. Analysis showed that completion difficulty had a significant effect on global priming. The priming magnitude was higher for Difficult and Moderately Difficult fragments than for Easy ones. An interaction between fragment difficulty and normative word frequency was observed. When the fragments were easy to complete, the expected effect of higher priming for low-frequency words than for high-frequency words was not observed.

Humans↗

PubMed2000

Latency shifts in the N2b component track phonological deviations in spoken words.

OBJECTIVE: We investigated event-related brain potentials (ERPs) elicited by a novel speech comprehension paradigm modelled after the neuropsychological Token Test. The objective of the study was to determine whether the ERPs were sensitive to differences in the initial phonemes of the speech stimuli. METHODS: Twenty-seven healthy subjects identified incorrect spoken sentences on the computerised Token Test (CTT). The incorrect spoken sentences contained one word that did not match the previously studied animations. The initial phonemes of these words were either different than or similar to the initial phonemes of their correct counterparts. RESULTS: Different initial phonemes were associated with an early N2b, while words having similar initial phonemes resulted in a substantially delayed N2b. CONCLUSION: The delayed latency effect was due to whether the incorrect word's initial phoneme matched or mismatched that of the expected word. In both cases, this component reflected a mismatch with an existing cognitive template maintained in phonological working memory. The results indicate that this mismatching effect reflected primarily attentional detection rather than language processing.

Adult↗