Biomedical subjects

W Serniclaes

Publications and source records attributed to W Serniclaes.

7 recordsLinked to original sources

PubMed2006

Top-down processes during auditory phoneme categorization in dyslexia: a PET study.

While persistence of subtle phonological deficits in dyslexic adults is well documented, deficit of categorical perception of phonemes has received little attention so far. We studied learning of phoneme categorization during an activation H(2)O(15) PET experiment in 14 dyslexic adults and 16 normal readers with similar age, handedness and performance IQ. Dyslexic subjects exhibited typical, marked impairments in reading and phoneme awareness tasks. During the PET experiment, subjects performed a discrimination task involving sine wave analogues of speech first presented as pairs of electronic sounds and, after debriefing, as syllables /ba/ and /da/. Discrimination performance and brain activation were compared between the acoustic mode and the speech mode of the task which involved physically identical stimuli; signal changes in the speech mode relative to the acoustic mode revealed the neural counterparts of phonological top-down processes that are engaged after debriefing. Although dyslexic subjects showed good abilities to learn discriminating speech sounds, their performance remained lower than those of normal readers on the discrimination task over the whole experiment. Activation observed in the speech mode in normal readers showed a strongly left-lateralized pattern involving the superior temporal, inferior parietal and inferior lateral frontal cortex. Frontal and parietal subparts of these left-sided regions were significantly more activated in the control group than in the dyslexic group. Activations in the right frontal cortex were larger in the dyslexic group than in the control group for both speech and acoustic modes relative to rest. Dyslexic subjects showed an unexpected large deactivation in the medial occipital cortex for the acoustic mode that may reflect increased effortful attention to auditory stimuli.

Auditory Perception↗

PubMed2001

Perceptual discrimination of speech sounds in developmental dyslexia.

Experiments previously reported in the literature suggest that people with dyslexia have a deficit in categorical perception. However, it is still unclear whether the deficit is specific to the perception of speech sounds or whether it more generally affects auditory function. In order to investigate the relationship between categorical perception and dyslexia, as well as the nature of this categorization deficit, speech specific or not, the discrimination responses of children who have dyslexia and those of average readers to sinewave analogues of speech sounds were compared. These analogues were presented in two different conditions, either as nonspeech whistles or as speech sounds. Results showed that children with dyslexia are less categorical than average readers in the speech condition, mainly because they are better at discriminating acoustic differences between stimuli belonging to the same category. In the nonspeech condition, discrimination was also better for children with dyslexia, but differences in categorical perception were less clear-cut. Further, the location of the categorical boundary on the stimulus continuum differed between speech and nonspeech conditions. As a whole, this study shows that categorical deficit in children with dyslexia results primarily from an increased perceptibility of within-category differences and that it has a speech-specific component. These findings may have profound implications for learning and re-education.

Adolescent↗

PubMed2000

On subtypes of developmental dyslexia: evidence from processing time and accuracy scores.

Phonological dyslexics (Ph-DYS) are characterized by a phonological deficit, while surface dyslexics (S-DYS) are characterized by an orthographic deficit. Four issues were addressed in this study. First, we determined the proportion of Ph-DYS and S-DYS in a population of French dyslexics by applying Castles and Coltheart's (1993) regression method to two previously unused diagnostic measures: pseudo-word and irregular-word processing time. Thirty-one dyslexics were matched to 19 average readers of the same age (10 years, CA controls) and to 19 younger children of the same reading level (8 years, RL controls). Compared to CA controls, there were more Ph-DYS than S-DYS. Compared to RL controls, there were still a high number of Ph-DYS; however, the S-DYS profile almost disappeared. Next, we examined the reliability of these subtypes across different measures of phonological and orthographic skills. Compared to RL controls, both groups of dyslexics were found to be impaired only in phonological skills, either in processing time (Ph-DYS) or in accuracy (S-DYS). Then we assessed the moment at which the two dissociated profiles emerged in the course of cognitive development. In order to do so, we examined earlier longitudinal data, collected when the children were 7 and 8 years old, and found that only the S-DYS's orthographic deficit increased with development. Last, we looked at whether the Ph-DYS and S-DYS profiles were associated with other specific cognitive deficits. Specific deficits in phonemic awareness and in phonological short-term memory were found for both Ph-DYS and S-DYS. These data suggest that developmental dyslexia could be largely accounted for by an underlying phonological impairment.

Articulation Disorders↗

PubMed1997

Pathogenesis of subcortical visuo-spatial neglect. A HMPAO SPECT study.

The pathophysiology of neuropsychological disorders due to right deep-seated hemispheric lesions remains a debated point. We undertook this study to check the hypothesis according to which remote cortical dysfunction could be responsible for the occurrence of neglect. Twenty-eight patients presenting with a right-sided subcortical stroke were studied. A neuropsychological battery of tests suitable for assessment of possible visuo-spatial neglect was performed as well as HMPAO SPECT. Neglect was observed in 15 cases out of 28. The lesion's site (at CT and/or MRI) did not allow discrimination between patients without neglect and patients with neglect. The latter however could be distinguished from the former by the presence of a remote decrease in cortical blood flow in the right temporo-parietal region. By suggesting that cortical involvement is necessary for the occurrence of neglect, the results were interpreted according to a network approach in which subcortical neglect is attributed to a cortical deprivation from afferent input in the posterior part of the brain.

Aged↗

PubMed1993

[Ignorance and misconceptions in the use of contraceptive methods].

Good knowledge of the available contraceptive methods ensures better acceptability, continuity and satisfaction, and lower failure rates of these methods. This paper describes an inquiry on the contraceptive knowledge in 114 women attending three Brussels family planning clinics. Misconceptions, beliefs in false rumors, and considerable insufficiencies in knowledge were detected. In order to increase patient's ability to correctly use birth control methods, so as to lower unwanted pregnancy rate, efforts should be made by health practitioners as well as by mass media and teaching institutions.

Adolescent↗

PubMed1984

Consequences of auditory deprivation in animals and humans.

An electron microscopic study of the cerebral cortex of mutant deaf mice (Deol's dn gene) has shown differences in synaptic organisation between these mice and normally hearing ones. In the auditory cortex of the deaf mice, there are fewer synapses and these are larger than in the normally hearing, whereas there is no difference between these two categories in the visual cortex. These results are the reverse of those observed by other authors in the occipital cortex of rats raised in an enriched or impoverished environment. In humans, the functional consequences of early hearing loss have been investigated on moderately to severely deaf (60-80 db mean loss) youngsters, who have been tested for their capacity of categorical perception, auditory discrimination, and production of significant contrasts between stop consonants. Categorical perception was absent in all but one subject. Auditory discrimination was poor for both the voiced-voiceless contrast and the place of articulation contrast. In the production experiments, the subjects had greater difficulty in producing the voiced-voiceless than the place of articulation contrasts. The possible relevance of these animal and human studies to cochlear implantation is discussed.

Acoustic Stimulation↗

PubMedDate not supplied

Objective evaluation of vowel identification with the Digisonic cochlear implant.

Perceptual assessment of speech recognition performance with cochlear implants is confronted with problems raised by patients' availability and specificity. These problems can be avoided by using objective evaluation methods based on automatic classification of speech sounds. In the present report, different tuning strategies for the Digisonic cochlear implant were evaluated by discriminant analysis. The results presented here concern the correct classification of vowels. A set of 600 vocalic items, corresponding to 10 vowel categories and produced by 20 French speakers, were processed by the Digisonic DX10 with two different strategies. In the linear strategy, center frequencies of the 15 Digisonic channels were almost equally spaced in acoustic units (Hz). In the mel strategy, center frequencies were almost equally spaced in psychoacoustic units. For each strategy, energy levels of the frequency channels were quantified for each vocalic item and processed by statistical discriminant analysis for classification into 10 vowel categories. Results mainly show that the percent correct classification (PCC) is larger for the mel strategy and that the improvement is due to a higher concentration of frequency channels below 4 kHz. Implications of these results for the tuning of cochlear implants are discussed.

Adult↗