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An on-line method in studying music parsing.

Listening to music entails the construction of a mental representation based on partial and ambiguous information. This study examines an experimental method that reflects such parsing decisions on-line by detecting the cognitive load resulting from temporary parsing failures. The method investigated was a divided attention paradigm in which listening to music was the primary task and click detection was a concurrent secondary task. It was hypothesized that increasing the complexity of the primary task by introducing an unprepared chromatic modulation results in an increase in response latencies to a click presented immediately after the modulatory shift. The support of this prediction by musicians' data provides evidence for the sensitivity of the paradigm. The failure of non-musicians to reflect the expected load is attributed to their attention-allocation strategy. These results are discussed in terms of their implications on the view of the musical parser as deterministic.

Adult↗

Diuretic as a means for rapid adaptation to weightlessness.

In a number of flights, cosmonauts and astronauts have experienced aggravation of their health status and general condition in the initial hours and days in a weightless environment. One of the trigger mechanisms for the onset of these unfavourable conditions at the start of space flight is a redistribution of body fluids and a blood shift towards the head. To ensure controlled hypohydration as a countermeasure to the deleterious effects of 0-g and to investigate the feasibility to control adaptation, six cosmonauts were administered lasix once a day during the first 3 days of a mission. All data of the experiment (correction test, questionnaire, hematocrit) were recorded on a special form in the logbook and transmitted to the control centre for processing. Results showed that the diuretic weakened the sensation of discomfort and improved the cosmonauts' general condition. Objective indices of the correction test indicate an increased work ability of cosmonauts. After hypohydration, circulating plasma volumes in the group were reduced by 6.8 + 1.0% on average.

Adaptation, Physiological↗

A functional modulation for timing a movement: a coordinative structure in baseball hitting.

In baseball hitting, a powerful bat-swing needs to be produced by utilizing ground reaction force (GRF) and it should also be temporally coordinated relative to the flight of the pitch. The temporal organization of hitting movements associated with these task requirements was investigated by analyzing GRF during hitting slow and fast pitches. The timing of stepping with a front foot and shifting weight forward was modulated relative to the pitch's speed. The temporal relation between successive motion phases was compensatory and timing variability progressively reduced up to ball-bat contact. These results demonstrated the coordinative structure of the hitting movement for timing the bat-swing relative to the pitch's flight.

Adult↗

Spatiotemporal brain maps of delayed word repetition and recognition.

Whole-head magnetoencephalography (MEG) was used to spatiotemporally map the brain response underlying episodic retrieval of words studied a single time following a long delay (approximately 40 min). Recognition following a long delay occurs as a strong, sustained, differential response, within bilateral, ventral, and lateral prefrontal cortex, anterior temporal and medial parietal regions from approximately 500 ms onward, as well as ventral occipitotemporal regions from approximately 700 ms onward. In comparison with previous tasks using multiple repetitions at short delays, these effects were centered within the same areas (anteroventral temporal and ventral prefrontal) but were shifted to longer latencies (approximately 500 ms vs. approximately 200 ms), were less left-lateralized, and appear more in anterolateral prefrontal regions and less in lateral temporal cortex. Furthermore, comparison of correctly classified words with misclassified, novel and repeated words, suggests that these frontotemporal-parietocingulate responses are sensitive to actual as well as perceived repetition. The results also suggest that lateral prefrontal regions may participate more in controlled effortful retrieval, while left ventral frontal and anterior temporal responses may support sustained lexicosemantic processing. Additionally, left ventromedial temporal sites may be relatively more involved in episodic retrieval, while lateral temporal sites may participate more in automatic priming.

Adolescent↗

Visual attention in long-term survivors of leukemia receiving cranial radiation therapy.

The effect of cranial radiation therapy (CRT) on visual attention was examined in long-term survivors of childhood acute lymphoblastic leukemia (ALL) compared to peers with no history of ALL (n = 24) using a cued orienting task and a global-local task. ALL participants treated with CRT (n = 13) demonstrated an increased cost in response time with invalid spatial orienting cues and inefficient shifts of attention across hierarchical levels. ALL participants treated only with chemotherapy (n = 8) showed performance similar to the non-ALL comparison group. Participants with exposure to CRT early in life appeared to largely account for the attention deficits, and showed particular difficulties with shifting attention from the local level of stimuli to the global level. The data are consistent with prior reports emphasizing attention deficits following CRT, and suggest that attention shifting may be particularly affected by CRT early in life.

Adolescent↗

Different perceptual codes support priming for words and pseudowords: was Morton right all along?

A perceptual-identification task was used to assess priming for words and pseudowords that in their upper- and lowercase formats share either few (high-shift items) or many (low-shift items) visual features. Equivalent priming was obtained for high-shift words repeated in the same case and in a different case, and this priming was greatly reduced when there was a study-test modality shift. Accordingly, the cross-case priming was mediated in large part by modality-specific perceptual codes. By contrast, priming for high-shift pseudowords was greatly reduced following the case manipulation, as was so for high-shift words when they were randomly intermixed with pseudowords. Low-shift items were not affected by the case manipulation. On the basis of the overall pattern of results, the author argues that different mechanisms mediate priming for words and pseudowords and that J. Morton (1979) was essentially correct in his characterization of word priming.

Humans↗

Correlation between head direction cell activity and spatial behavior on a radial arm maze.

This study assessed the activity of head direction (HD) cells during performance of a spatial reference memory task on a radial arm maze. Rats were trained to select a maze arm located in a constant position in relation to a salient extramaze visual landmark. HD cell discharge properties remained relatively stable across task acquisition in most rats. Following acquisition, rotation of the landmark by 90 degrees or 180 degrees usually led to a corresponding shift in the maze arm selected and the HD cell's preferred firing direction. When the cell's preferred direction did not shift, rats usually selected the wrong arm. HD cell activity was not influenced by the rat's approach to the goal, reward consumption, or exit from the reward area. This demonstration of landmark control over behavior and the cell's preferred direction supports the hypothesis that HD cells contribute to an absolute representation of the environment that can be used to guide spatial behavior.

Animals↗

Problem solving deteriorates following mood challenge in formerly depressed patients with a history of suicidal ideation.

The authors divided 34 participants who had a history of depression into 2 groups, those having previous suicidal ideation or behavior (n=19) and those having no such symptoms (n=15), then compared the 2 groups with a group of participants who had no history of depression (n=22). Assessment of interpersonal problem-solving performance using the Means-Ends Problem-Solving (MEPS) task before and after a mood-induction procedure showed that only those formerly depressed people with a history of suicidal ideation shifted in MEPS performance, producing significantly less effective problem solutions following mood challenge, consistent with a differential activation account of vulnerability for recurrence of suicidal ideation and behavior. The deterioration in effectiveness following mood challenge was moderated by lack of specificity in autobiographical memory.

Adult↗

[Language activation in ischemic stroke and brain tumor: a PET study].

Disturbance of neurologic function in disorders of the central nervous system is expressed as altered activation pattern in functional networks after specific tasks, and can be studied by functional imaging modalities, e.g. positron emission tomography (PET). Language, a complex brain function is based on the interplay of a distributed network in which partial functions are executed in various centers and tasks are hierarchically organized according to their complexity. The specialization of different centers and the lateralization of integrative functions into the dominant (usually left) hemisphere is achieved by collateral and transcallosal inhibition of structures of lower order in the network. Patients with ischemic stroke often suffer from aphasia; the features and the prognosis of this disturbance is determined by the localization and the extent of the infarct in the dominant hemisphere. The preservation of the left superior temporal gyrus or its functional reintegration, respectively, is of utmost importance for the recovery of the deficits and for a satisfactory outcome. Reactivation of this region in repeated PET-activation studies were related to a favorable outcome, activation of other eloquent regions or of contralateral areas were accompanied by some improvements, but never indicated recovery of sufficient speech production. Symptoms develop slowly in patients with tumors in the left hemisphere, and the functional network can adapt to the lesion. In these patients a dislocation of areas activated during language tasks was observed, either to ipsilateral regions usually not involved or to contralateral homotopic areas. Aphasia was frequent in cases with activation shift to the subdominant hemisphere, and the right over left asymmetry in activation of the cerebellum was correlated to the severity of language impairment. The shift of dominance in activation could be reversed after surgical resection of the tumor leading to improved speech performance. The patterns of intrahemispheric as well as interhemispheric compensation may be explained by reduction of collateral inhibition of specific centers on other structures within the network (disinhibition): circumscript and/or slowly developing lesions disinhibit surrounding areas leading to increases and to displacements of activated centers; large morphological defects reduce the transcallosal inhibition leading to the activation of contralateral regions.

Adult↗

Deldrin toxicity and successive discrimation reversal in squirrel monkeys (Saimiri sciureus).

Seven squirrel monkeys were systematically exposed to dieldrin (C12H10DC16) at two oral doses: 0.10 and 0.01 mg/kg-day. Two zero-dose controls were included. After 55 days of exposure dose assignments were shifted and continued for an additional 54 days. The higher dose group was shifted to zero exposure and lower dose group was shifted to high-dose exposure. Controls continued at zero exposure. The monkeys were presented with a visual nonspatial successive discrimination reversal task. During the first 55 days (preshift), control and low-dose monkeys learned the task; high-dose monkeys did not (p less than 0.001). During the subsequent 54 days (postshift), all groups performances remained at the approximate level achieved at the end of the preshift period. It was concluded that the high dose disrupted learning acquisition. This effect is speculated to be attributed to disruption of hippocampal activity. The low dose had no effect on task acquisition or maintenance.

Animals↗

A study of the performance of patients with frontal lobe lesions in a financial planning task.

It has long been argued that patients with lesions in the prefrontal cortex have difficulties in decision making and problem solving in real-world, ill-structured situations, particularly problem types involving planning and look-ahead components. Recently, several researchers have questioned our ability to capture and characterize these deficits adequately using just the standard neuropsychological test batteries, and have called for tests that reflect real-world task requirements more accurately. We present data from 10 patients with focal lesions to the prefrontal cortex and 10 normal control subjects engaged in a real-world financial planning task. We also introduce a theoretical framework and methodology developed in the cognitive science literature for quantifying and analysing the complex data generated by problem-solving tasks. Our findings indicate that patient performance is impoverished at a global level but not at the local level. Patients have difficulty in organizing and structuring their problem space. Once they begin problem solving, they have difficulty in allocating adequate effort to each problem-solving phase. Patients also have difficulty dealing with the fact that there are no right or wrong answers nor official termination points in real-world planning problems. They also find it problematic to generate their own feedback. They invariably terminate the session before the details are fleshed out and all the goals satisfied. Finally, patients do not take full advantage of the fact that constraints on real-world problems are negotiable. However, it is not necessary to postulate a 'planning' deficit. It is possible to understand the patients' difficulties in real world planning tasks in terms of the following four accepted deficits: inadequate access to 'structured event complexes', difficulty in generalizing from particulars, failure to shift between 'mental sets', and poor judgment regarding adequacy and completeness of a plan.

Brain Diseases↗

Life review as a therapeutic frame in the treatment of young adults with AIDS.

In this article, the author describes developmental and clinical issues in the use of life review as a therapeutic frame in psychotherapy of young adults with acquired immune deficiency syndrome. Presentation of clinical data suggests that elaboration of life narratives, by means of reminiscence, may help people to regain a cohesive sense of self, carry out psychological and social tasks, and revise life structures in the context of the illness experience. The author demonstrates how narrative approaches, informed by developmental theory, shift the focus from disability and dysfunction to concern for relative health and personal growth in social intervention with this population. Emergent research issues also are identified.

Acquired Immunodeficiency Syndrome↗

Risk factors for occupational hand injury.

A case-control study of occupational hand injury was conducted in an effort to identify risk factors for disabling injury. Case employees in this study were municipal employees who had sustained restricted activity or lost work time as a result of hand injuries while at work. Each case employee was individually matched to a control employee of the same sex who held the same job and was at work on the same date and shift that the case employee's injury occurred. A conditional logistic regression model was used to adjust for confounding variables. Performing a task that was not a usual job requirement, using defective materials, presence of cardiovascular disease, sleeping nine or more hours per night, and being less than 25 years of age were identified to be risk factors after adjustment.

Accidents, Occupational↗

The design and use of a microcomputerized real-time muscle fatigue monitor based on the medial frequency shift in the electromyographic signal.

We have designed a real-time microcomputerized muscle fatigue monitor based on the median frequency shift of the electromyographic signal, computed via the fast Fourier transform. For the ten subjects performing an isotonic and isometric trunk extension task on two separate days, preliminary results suggest a repeatable linear decrease in median frequency as a function of time.

Electromyography↗

Relationship between language lateralization and handedness in left-hemispheric partial epilepsy.

OBJECTIVE: To investigate the relationship between language lateralization and handedness in patients with epilepsy and a left-sided seizure focus and in healthy control subjects. METHODS: We recruited a consecutive series of 74 patients and 70 control subjects. Functional MRI, using a noun-verb generation task, was performed to establish the language laterality index (LI). Handedness was quantified using the Edinburgh Handedness Inventory. RESULTS: Patients showed a shift toward atypical language lateralization (0.43 +/- 0.47; controls 0.57 +/- 034; p < or = 0.05) and left-handedness (55 +/- 57; controls 74 +/- 39; p < or = 0.05). The LI and handedness were correlated in patients (r = 0.54; F = 25.9; p < 0.001) but not in control subjects (r = 0.1; F = 0.64; NS). A combination of left-handedness and atypical LI was more frequent in patients (12%) than control subjects (0%; p < or = 0.05). Crossed hemispheric specialization (e.g., right-handedness associated with atypical LI) was equally frequent in patients (20%) and control subjects (16%; NS). CONCLUSION: In epilepsy patients with a left-sided seizure focus, language lateralization is correlated to handedness. The increased frequency of left-handedness and associated atypical language lateralization is most likely related to the left-hemispheric seizure focus, influencing hemispheric specialization for both domains.

Adolescent↗

A comparison of the clinical judgment process in experienced registered nurses and student nurses.

The purpose of this study was to analyze the clinical judgment process used by registered nurses identified as highly-skilled judgment-makers (HSJMs) and student nurses. Two areas of the clinical judgment process were explored: the type and number of cues elicited, and the judgment process. Thirteen students within a month of graduation, and 13 HSJMs participated in this study. For each participant, the judgment task was the initial assessment of a hospitalized patient. Each nurse reviewed the patient's Kardex, listened to the end-of-shift report and then assessed the patient as if this was the beginning of a workshift. This nurse-patient interview was tape recorded. Each nurse was then asked to review her thoughts as short segments of the nurse-patient interview were replayed. This was also tape recorded. These tapes were transcribed, and three nurse educators rated each transcript using a judgment process rating scale. Results of this study indicated the following: the registered nurses collected significantly more cues than the students, use of each cue type was not the same, students and HSJMs collected cues in the same proportion, and total scores on the rating scale could discriminate between the student and HSJM groups.

Adult↗

Reducing pacemaker costs while preserving choice: a partnership that worked.

Over the last ten years, separate and repeated attempts by Cardiology Management, Materials Management, and physicians to effectively reduce pacemaker costs had led to limited successes of short duration. Issues of physician choice, clinical application of advancing technology and long-term relationships with a variety of vendor representatives had usually conspired to overwhelm any incremental inroads into manufacturers' pricing structures. A collaborative review of past practices resulted in the creation of a multi-disciplinary task force charged with two goals: maintain physician choice and reduce costs. In the resulting process, no manufacturer was eliminated, vendors accepted all of the risks and received no guarantees of market share, and device specifications were matched to clinical indications in a preferred device matrix. The task force met both of its goals as evidenced by a 18.9% decrease in annual expenditures for pacemakers and by a 27% shift in device use based upon physician choice.

Cardiology Service, Hospital↗

Implications of flexible work systems for work studies.

The relationship between changing work systems and work study methods is discussed by focusing on a recent trend toward more flexible work systems in different countries. These systems are commonly characterized by (a) uncoupling of working hours from business hours, (b) combining different atypical work forms and (c) individualized work patterns. Increased flexibility in working patterns is demanded because business hours may be covered by different workers and because special arrangements become necessary for unpopular shifts or linking separate jobs. Changes in work systems seem more successful when they are associated with (a) multiskilled work, (b) independent task implementation, (c) networked communication, (d) balanced or adjusted workload, and (e) accommodation of workers' preferences. Special attention is drawn to safety and health concerns and work-life effects. Many intervention studies done for work improvement are paying attention to multifaceted work aspects, locally available options, and participation by people. All these elements are important because prepackaged solutions do not exist. The following three views seem especially useful for action-oriented work studies: 1) Look at multiple aspects of the work, including work content and atypical work forms; 2) Know worker preferences and available options; and 3) Take into account work elements that may not be well defined, but important from local points of view. It is envisioned that these studies can provide support for a well-informed participatory process of work system changes in each local context.

Attitude↗