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PubMed1996

[Preserved implicit reading and the recovery of explicit reading in a pure alexic].

We described a 55-year-old, right-handed, university-educated Japanese man who showed pure alexia after an infarction in the territory of the left posterior cerebral artery. Damage to the corpus callosum was limited to the most caudal part of the splenium. In the early days of his illness, he demonstrated the inability to read aloud on either Kana (Japanese syllabograms) or Kanji (Japanese morphograms). In contrast, he could semantically categorize Kanji-words such as animals or non-animals. Subsequently, he gradually regained the ability of reading aloud Kanji as well as Kana. At that time, we further investigated the relation between his reading ability and the attributes of 881 Kanji characters including hieroglyphicity, concreteness, and familiarity. We found that he could more readily read Kanjis with higher hieroglyphicity, concreteness, and familiarity. The reading times for Kanji-words were significantly shorter than those of corresponding Kana-words. Moreover, he showed some difficulty to read Kana-words and Kana combinations without meaning when asked to perform repetitive opposing movements with his thumb and little finger inhibiting kinesthetic reading. The effect was not observed when he read Kanji-words. These results lead us to suggest the following: (1) the two components of reading, reading aloud and comprehension abilities, are dissociable in a pure alexic, especially in Kanji reading; and (2) recovery mechanisms underlying Kanji and Kana reading were different in our case. Namely, restitution of the direct connection through the residual splenium fibers between the visual word form processing area in the right hemisphere and the left angular gyrus was attributed to Kanji reading, and utilization of kinesthetic reading played an important role in Kana reading.

Dyslexia, Acquired↗
PubMed1996

A validated case study of facilitated communication.

The case of a 13-year-old boy with autism, severe mental retardation, and a seizure disorder who was able to demonstrate valid facilitated communication was described. In three independent trials, short stories were presented to him, followed by validation test procedures with an uninformed facilitator providing physical support to the subject's arm. In Trials 1 and 3, several specific answers were provided that clearly indicated that the young man, not the uninformed facilitator, was the source of the information. Moreover, some responses seemed to imply that the subject was employing simple inferential and abstract reasoning. This case study adds to the small, but growing number of demonstrations that facilitated communication can sometimes be a valid method for at least some individuals with developmental disabilities.

Adolescent↗
PubMed1996

Investigation of authorship in facilitated communication.

We examined whether facilitated communication users, under controlled conditions, could transmit rudimentary information to a naive facilitator. Forty-three students across 10 classrooms were shown a single randomly selected word with their facilitator out of the room. The facilitator then entered the room and asked the student to type the word, which was recorded exactly as typed and later evaluated; approximately 3,800 attempts were conducted over a 6-week period. Results showed that (a) under controlled conditions, some facilitated communication users can pass accurate information and (b) measurement of facilitated communication under test conditions may be significantly benefitted by extensive practice of the test protocol, which could partially account for the inability of several past studies to verify facilitated communication-user originated output.

Adolescent↗
PubMed1996

Evolution of a legacy system to a Web patient record server: leveraging investment while opening the system.

A layered system is under development to enhance our legacy system as a backend in a WEB-enabled system. Each layer of the system has defined functionality, leverages the investment in the layer below, and follows the strategy of reducing support requirements for workstations. The mainframe system provides administrative integration of sub-systems, security, and the central data repository for most information. The second layer is a graphical user interface (GUI) to the system for Windows platforms. Support needs are limited by relying chiefly on X-terminals and application servers. The "Intranet" layer is a WEB Server building upon the second layer gateways to provide platform-independent access to selected information and images. The fourth layer, under evaluation, will extend access to the central data repository for Internet users of web browsers that support private-key/public-key encryption.

Computer Communication Networks↗
PubMed1997

From Hippocrates to facsimile. Protecting patient confidentiality is more difficult and more important than ever before.

Although patient confidentiality has been a fundamental ethical principle since the Hippocratic Oath, it is under increasing threat. The main area of confidentiality is patient records. Physicians must be able to store and dispose of medical records securely. Patients should be asked whether some information should be kept out of the record or withheld if information is released. Patient identity should be kept secret during peer review of medical records. Provincial legislation outlines circumstances in which confidential information must be divulged. Because of the "team approach" to care, hospital records may be seen by many health care and administrative personnel. All hospital workers must respect confidentiality, especially when giving out information about patients by telephone or to the media. Research based on medical-record review also creates challenges for confidentiality. Electronic technology and communications are potential major sources of breaches of confidentiality. Computer records must be carefully protected from casual browsing or from unauthorized access. Fax machines and cordless and cellular telephones can allow unauthorized people to see or overhear confidential information. Confidentiality is also a concern in clinical settings, including physicians' offices and hospitals. Conversations among hospital personnel in elevators or public cafeterias can result in breaches of confidentiality. Patient confidentiality is a right that must be safeguarded by all health care personnel.

British Columbia↗
PubMed1997

Early intervention in a case of jargon aphasia: efficacy of language comprehension therapy.

A client with dysphasia was treated during the first six months following onset. A cognitive neuropsychological model of language processing was used to establish the levels of impairment in auditory comprehension. Three separate phases of therapy were administered: a semantic therapy; a period of therapy where both semantics and auditory processing were treated; and therapy designed to enhance the processing of words in a sentence. Four assessments were used to measure changes between each therapy phase and the results demonstrate that improvement occurred in a pattern which suggests specific effects of treatment.

Aphasia↗
PubMed1997

The quality of operation notes: can simple word processors help?

In a retrospective study the quality of operation notes on specifically designed proformas was compared to those produced by word processors and predesigned templates and notes in patients undergoing operations for colorectal cancer. The operations in the two groups were similar. Computer notes scored higher on all criteria, were all legible and took the same time to generate. The results were given to staff in an attempt to improve the quality of future notes. Prospective comparison demonstrated that the quality of computer notes improved even further, while that of manual forms did not change. Word processor computer notes are easy to set up, amend and produce but staff should be trained in the use of personal computers and machines must be readily available in operating theatres. Word processor databases will, in addition, enable the data collected to be analysed automatically to yield information for audit and research.

Colorectal Neoplasms↗
PubMed2000

Brain responses to nouns, verbs and class-ambiguous words in context.

Recent neuropsychological and imaging data have implicated different brain networks in the processing of different word classes, nouns being linked primarily to posterior, visual object-processing regions and verbs to frontal, motor-processing areas. However, as most of these studies have examined words in isolation, the consequences of such anatomically based representational differences, if any, for the processing of these items in sentences remains unclear. Additionally, in some languages many words (e.g. 'drink') are class-ambiguous, i.e. they can play either role depending on context, and it is not yet known how the brain stores and uses information associated with such lexical items in context. We examined these issues by recording event-related potentials (ERPs) in response to unambiguous nouns (e.g. 'beer'), unambiguous verbs (e. g. 'eat'), class-ambiguous words and pseudowords used as nouns or verbs within two types of minimally contrastive sentence contexts: noun-predicting (e.g. 'John wanted THE [target] but.') and verb-predicting ('John wanted TO [target] but.'). Our results indicate that the nature of neural processing for nouns and verbs is a function of both the type of stimulus and the role it is playing. Even when the context completely specifies their role, word class-ambiguous items differ from unambiguous ones over frontal regions by approximately 150 ms. Moreover, whereas pseudowords elicit larger N400s when used as verbs than when used as nouns, unambiguous nouns and ambiguous words used as nouns elicit more frontocentral negativity than unambiguous verbs and ambiguous words used as verbs, respectively. Additionally, unambiguous verbs elicit a left-lateralized, anterior positivity (approximately 200 ms) not observed for any other stimulus type, though only when these items are used appropriately as verbs (i.e. in verb-predicting contexts). In summary, the pattern of neural activity observed in response to lexical items depends on their general probability of being a verb or a noun and on the particular role they are playing in any given sentence. This implicates more than a simple two-way distinction of the brain networks involved in their storage and processing. Experience, as well as context during on-line language processing, clearly shapes the neural representations of nouns and verbs, such that there is no single neural marker of word class. Our results further suggest that the presence and nature of the word class-based dissociations observed after brain damage are similarly likely to be a function of both the type of stimulus and the context in which it occurs, and thus must be assessed accordingly.

Adult↗
PubMed2001

A functional disconnection between spoken and visual word recognition: evidence from unconscious priming.

The goal of the present study is to assess whether there is an automatic and obligatory activation of the phonological lexicon upon the presentation of a written word under unconscious processing conditions. We use a cross-modal version of the masked repetition priming procedure introduced by Forster and Davis (Journal of Experimental Psychology: Learning, Memory, and Cognition 10 (1984) 680) which consists of priming a spoken word by its written equivalent under masked conditions. These trials are randomly mixed with within-modal (visual-visual) repetition priming control trials. Our results show that cross-modal priming effects are absent unless primes are consciously perceived, as assessed by d' scores obtained with a letter/pseudo discrimination task. In contrast, priming effects within the written modality are observed under conscious as well as unconscious processing conditions. We conclude that the systems underlying written and spoken word processing are, respectively, autonomous and connected only under conscious conditions.

Adult↗
PubMed2000

[The effect of impression formation on memory of trait words: relation between coding and retrieval process].

Three experiments investigated the effect of impression formation of a person on the recall and recognition of trait words. The subjects were assigned to one of four groups: Impression, Memory, Impression-Memory, and Incidental groups. Each subject performed an orienting task followed by free recall and recognition tests. In a recall test, false recall of antonyms of targets occurred more often in the Memory group than in the Impression group. There was no difference in the correct recall. In a multiple choice recognition test and a yes-no recognition test, false recognition to antonyms of targets occurred more often in the Memory group than in the Impression group. Hit to targets occurred more often in the Impression group than in the Memory group. These results were interpreted as showing that formation of an impression for a person had different effects for recall and recognition tests. The results were discussed in terms of a relation between encoding and retrieval processes.

Adult↗
PubMed2006

Levels-of-processing effect on internal source monitoring in schizophrenia.

BACKGROUND: Recognition can be normalized in schizophrenia by providing patients with semantic organizational strategies through a levels-of-processing (LOP) framework. However, patients may rely primarily on familiarity effects, making recognition less sensitive than source monitoring to the strength of the episodic memory trace. The current study investigates whether providing semantic organizational strategies can also normalize patients' internal source-monitoring performance. METHOD: Sixteen clinically stable medicated patients with schizophrenia and 15 demographically matched healthy controls were asked to identify the source of remembered words following an LOP-encoding paradigm in which they alternated between processing words on a 'shallow' perceptual versus a 'deep' semantic level. A multinomial analysis provided orthogonal measures of item recognition and source discrimination, and bootstrapping generated variance to allow for parametric analyses. LOP and group effects were tested by contrasting recognition and source-monitoring parameters for words that had been encoded during deep versus shallow processing conditions. RESULTS: As in a previous study there were no group differences in LOP effects on recognition performance, with patients and controls benefiting equally from deep versus shallow processing. Although there were no group differences in internal source monitoring, only controls had significantly better performance for words processed during the deep encoding condition. Patient performance did not correlate with clinical symptoms or medication dose. CONCLUSIONS: Providing a deep processing semantic encoding strategy significantly improved patients' recognition performance only. The lack of a significant LOP effect on internal source monitoring in patients may reflect subtle problems in the relational binding of semantic information that are independent of strategic memory processes.

Adult↗
PubMed2003

Lexical ambiguity resolution across languages: a theoretical and empirical review.

Words that involve completely different meanings across languages but possess significant overlap in form are referred to as homographic noncognates or interlexical homographs (e.g., red is a color word in English but means "net" in Spanish). An important question in the investigation of the processing of these words is whether or not both meaning and form are integral to their representation leading to language-specific processing of these items. In contrast, some theories have been put forth indicating that the processing of these words is nonselective with regards to language. Simply stated, when one of these words is encountered, all of the relevant meanings are accessed regardless of the specific demands of the task and the base language that is being used. In the present, critical review, evidence purported to favor each view is presented along with a discussion of the methodological and analytic constraints that moderate the reported findings. The data lead to the conclusion that there is a time course involved in the activation of multiple meanings such that a primary or dominant meaning (sometimes biased by frequency) is typically accessed more readily, followed by the opposite language meaning. These results indicated that studies should focus on manipulating the timing intervals between the presentation of these words and subsequent responses that are required by a particular task.

Humans↗
PubMed2004

The functional neuroanatomy of metrical stress evaluation of perceived and imagined spoken words.

We hypothesized that areas in the temporal lobe that have been implicated in the phonological processing of spoken words would also be activated during the generation and phonological processing of imagined speech. We tested this hypothesis using functional magnetic resonance imaging during a behaviorally controlled task of metrical stress evaluation. Subjects were presented with bisyllabic words and had to determine the alternation of strong and weak syllables. Thus, they were required to discriminate between weak-initial words and strong-initial words. In one condition, the stimuli were presented auditorily to the subjects (by headphones). In the other condition the stimuli were presented visually on a screen and subjects were asked to imagine hearing the word. Results showed activation of the supplementary motor area, inferior frontal gyrus (Broca's area) and insula in both conditions. In the superior temporal gyrus (STG) and in the superior temporal sulcus (STS) strong activation was observed during the auditory (perceptual) condition. However, a region located in the posterior part of the STS/STG also responded during the imagery condition. No activation of this same region of the STS was observed during a control condition which also involved processing of visually presented words, but which required a semantic decision from the subject. We suggest that processing of metrical stress, with or without auditory input, relies in part on cortical interface systems located in the posterior part of STS/STG. These results corroborate behavioral evidence regarding phonological loop involvement in auditory-verbal imagery.

Acoustic Stimulation↗