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Levi A, Pugsley A, Fernandes MA, Turner GR, Gilboa A. Drawing improves memory in patients with hippocampal damage. Mem Cognit 2024:10.3758/s13421-023-01505-4. [PMID: 38180603 DOI: 10.3758/s13421-023-01505-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/04/2023] [Indexed: 01/06/2024]
Abstract
The hippocampus plays a critical role in the formation of declarative memories, and hippocampal damage leads to significant impairments in new memory formation. Drawing can serve as a form of multi-modal encoding that improves declarative memory performance relative to other multimodal encoding strategies such as writing. We examined whether, and to what extent, patients with hippocampal damage could benefit from the mnemonic strategy of drawing. Three patients with focal hippocampal damage, and one patient with both hippocampal and cortical lesions, in addition to 22 age-, sex-, and education-matched controls, were shown a list of words one at a time during encoding and instructed to either draw a picture or repeatedly write each word for 40 s. Following a brief filled delay, free recall and recognition memory for words from both encoding trial types were assessed. Controls showed enhanced recall and recognition memory for words drawn versus those that were written, an effect that was even more pronounced in patients with focal hippocampal damage. By contrast, the patient with both hippocampal and cortical lesions showed no drawing-mediated boost in either recall or recognition memory. These findings demonstrate that drawing is an effective encoding strategy, likely accruing from the engagement of extra-hippocampal processes including the integration of cortical-based motor, visual, and semantic processing, enabling more elaborative encoding.
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Fernandes MA, de Mello Tavares Lima P, do Amarante AFT, Abdalla AL, Louvandini H. Hematological, biochemical alterations and methane production in sheep submitted to mixed infection of Haemonchus contortus and Trichostrongylus colubriformis. Small Rumin Res 2022. [DOI: 10.1016/j.smallrumres.2022.106798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Vasconcelos RMMAP, Gomes FRAF, Araújo MSC, Parente JGMA, Costa ANB, Parente MTDMA, Fernandes MA, Araújo DC, Gomes YPF, Vasconcelos RMAP. PERFIL IMUNOHEMÁTOLÓGICO DOS DOADORES DE SANGUE DO HEMOCENTRO REGIONAL DE SOBRAL CEARÁ. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Fernandes MA, Leonel JAF, Isaac JA, Benassi JC, Silva DT, Spada JCP, Pereira NWB, Ferreira HL, Keid LB, Soares RM, Oliveira TMFDS. Molecular detection of Leishmania infantum DNA according to clinical stages of leishmaniasis in dog. ACTA ACUST UNITED AC 2019; 28:194-202. [PMID: 31188942 DOI: 10.1590/s1984-29612019015] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2018] [Accepted: 02/19/2019] [Indexed: 12/20/2022]
Abstract
The aim of this study was to compare molecular tests used to diagnose Leishmania spp. in dogs with different stages of infection. Blood and conjunctival swab (CS) samples from dogs classified in four clinical stages were subjected to different PCR protocols (13A/13B, MC1/MC2, LITSR/L5.8S and LEISH-1/LEISH-2 primers). To the study, 22.3% (48/215) of dogs were classified as without clinical signs, 67.5% (145/215) stage I (mild disease), 7.0% (15/215) stage II (moderate disease) and 3.2% (7/215) stage III (severe disease). The results showed that in blood samples, 13A/13B detected a significant higher number of positive dogs in stage I (25/145) and in total (42/215) (p≤0.05). However, when CS samples were tested, no difference was observed (p>0.05). On the other hand, in blood samples, MC1/MC2 detected significantly fewer positive dogs classified as without clinical signs (0/48), in stage I (0/145) and in total (1/215) (p≤0.05). Likewise, in CS samples, this primers showed also lower detection (1/215) (p≤0.05). So than, we can conclude that PCR on blood samples with 13A/13B primers has greater capacity to detect positive dogs, mainly at the initial of clinical disease than do other primers and MC1/MC2 are not a good choice to detect Leishmania infantum infection in dogs.
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Candeias E, Duarte AI, Sebastião I, Fernandes MA, Plácido AI, Carvalho C, Correia S, Santos RX, Seiça R, Santos MS, Oliveira CR, Moreira PI. Middle-Aged Diabetic Females and Males Present Distinct Susceptibility to Alzheimer Disease-like Pathology. Mol Neurobiol 2016; 54:6471-6489. [PMID: 27730513 DOI: 10.1007/s12035-016-0155-1] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2016] [Accepted: 09/22/2016] [Indexed: 02/06/2023]
Abstract
Type 2 diabetes (T2D) is a highly concerning public health problem of the twenty-first century. Currently, it is estimated that T2D affects 422 million people worldwide with a rapidly increasing prevalence. During the past two decades, T2D has been widely shown to have a major impact in the brain. This, together with the cognitive decline and increased risk for dementia upon T2D, may arise from the complex interaction between normal brain aging and central insulin signaling dysfunction. Among the several features shared between T2D and some neurodegenerative disorders (e.g., Alzheimer disease (AD)), the impairment of insulin signaling may be a key link. However, these may also involve changes in sex hormones' function and metabolism, ultimately contributing to the different susceptibilities between females and males to some pathologies. For example, female sex has been pointed as a risk factor for AD, particularly after menopause. However, less is known on the underlying molecular mechanisms or even if these changes start during middle-age (perimenopause). From the above, we hypothesized that sex differentially affects hormone-mediated intracellular signaling pathways in T2D brain, ultimately modulating the risk for neurodegenerative conditions. We aimed to evaluate sex-associated alterations in estrogen/insulin-like growth factor-1 (IGF-1)/insulin-related signaling, oxidative stress markers, and AD-like hallmarks in middle-aged control and T2D rat brain cortices. We used brain cortices homogenates obtained from middle-aged (8-month-old) control Wistar and non-obese, spontaneously T2D Goto-Kakizaki (GK) male and female rats. Peripheral characterization of the animal models was done by standard biochemical analyses of blood, plasma, or serum. Steroid sex hormones, oxidative stress markers, and AD-like hallmarks were given by specific ELISA kits and colorimetric techniques, whereas the levels of intracellular signaling proteins were determined by Western blotting. Albeit the high levels of plasma estradiol and progesterone observed in middle-aged control females suggested that they were still under their reproductive phase, some gonadal dysfunction might be already occurring in T2D ones, hence, anticipating their menopause. Moreover, the higher blood and lower brain cholesterol levels in female rats suggested that its dysfunctional uptake into the brain cortex may also hamper peripheral estrogen uptake and/or its local brain steroidogenic metabolism. Despite the massive drop in IGF-1 levels in females' brains, particularly upon T2D, they might have developed some compensatory mechanisms towards the maintenance of estrogen, IGF-1, and insulin receptors function and of the subsequent Akt- and ERK1/2-mediated signaling. These may ultimately delay the deleterious AD-like brain changes (including oxidative damage to lipids and DNA, amyloidogenic processing of amyloid precursor protein and increased tau protein phosphorylation) associated with T2D and/or age (reproductive senescence) in female rats. By demonstrating that differential sex steroid hormone profiles/action may play a pivotal role in brain over T2D progression, the present study reinforces the need to establish sex-specific preventive and/or therapeutic approaches and an appropriate time window for the efficient treatment against T2D and AD.
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Peronti ALBG, Fernandes LBR, Fernandes MA. A facultative association between Plebeia droryana (Friese, 1900) (Hymenoptera: Apidae: Meliponini) and a wax scale insect, Ceroplastes janeirensis (Hemiptera: Coccoidea: Coccidae). BRAZ J BIOL 2013; 73:453-4. [PMID: 23917579 DOI: 10.1590/s1519-69842013000200032] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2012] [Accepted: 07/19/2012] [Indexed: 11/22/2022] Open
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Fernandes ES, Fernandes MA, Keeble JE. The functions of TRPA1 and TRPV1: moving away from sensory nerves. Br J Pharmacol 2012; 166:510-21. [PMID: 22233379 DOI: 10.1111/j.1476-5381.2012.01851.x] [Citation(s) in RCA: 297] [Impact Index Per Article: 24.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
The transient receptor potential vanilloid 1 and ankyrin 1 (TRPV1 and TRPA1, respectively) channels are members of the TRP superfamily of structurally related, non-selective cation channels. It is rapidly becoming clear that the functions of TRPV1 and TRPA1 interlink with each other to a considerable extent. This is especially clear in relation to pain and neurogenic inflammation where TRPV1 is coexpressed on the vast majority of TRPA1-expressing sensory nerves and both integrate a variety of noxious stimuli. The more recent discovery that both TRPV1 and TRPA1 are expressed on a multitude of non-neuronal sites has led to a plethora of research into possible functions of these receptors. Non-neuronal cells on which TRPV1 and TRPA1 are expressed vary from vascular smooth muscle to keratinocytes and endothelium. This review will discuss the expression, functionality and roles of these non-neuronal TRP channels away from sensory nerves to demonstrate the diverse nature of TRPV1 and TRPA1 in addition to a direct role in pain and neurogenic inflammation.
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Morgans GL, Scalzullo SM, Fernandes MA, Michael JP, van Otterlo WAL. 2-{[(4-Methylphenyl)sulfonyl]amino}phenyl 4-methylbenzenesulfonate. Acta Crystallogr C 2007; 63:o309-11. [PMID: 17478920 DOI: 10.1107/s0108270107015430] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2007] [Accepted: 03/29/2007] [Indexed: 11/10/2022] Open
Abstract
The title compound, C(20)H(19)NO(5)S(2), crystallizes as an almost 2:1 mixture of two molecular orientations (described as Orient-A and Orient-B). The consequences of these two orientations is the formation of three types of N-H...O hydrogen-bonded dimers in which the (Orient-A + Orient-A) dimers are likely to be the most stable, while the mixed (Orient-A + Orient-B) dimers are more frequent. Extra interactions in the form of C-H...O and C-H...pi interactions act to further stabilize these dimers and probably allow the less energetically favourable (Orient-A + Orient-B) and (Orient-B + Orient-B) hydrogen-bonded dimers to exist by preventing their conversion to (Orient-A + Orient-A)-only hydrogen-bonded dimers during the crystal-growth process.
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Lötter ANC, Fernandes MA, van Otterlo WAL, de Koning CB. 1-Benzyl-3,3-dichloro-1H-indol-2(3H)-one. Acta Crystallogr C 2007; 63:o157-9. [PMID: 17339719 DOI: 10.1107/s0108270107002028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2006] [Accepted: 01/15/2007] [Indexed: 11/11/2022] Open
Abstract
The title compound, C(15)H(11)Cl(2)NO, was synthesized from N-benzyl isatin. The compound crystallizes as stacks of molecules running down the c axis. Molecules within each of these stacks interact with each other through pi-pi and C-H...pi interactions, and interact with neighbouring stacks through C-H...O interactions.
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Sakamoto FH, Colleoni GWB, Teixeira SP, Yamamoto M, Michalany NS, Almeida FA, Chiba AK, Petri V, Fernandes MA, Pombo-de-Oliveira MS. Cutaneous T-cell lymphoma with HTLV-I infection: clinical overlap with adult T-cell leukemia/lymphoma. Int J Dermatol 2006; 45:447-9. [PMID: 16650175 DOI: 10.1111/j.1365-4632.2006.02687.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Adult T-cell leukemia/lymphoma (ATLL) is a malignant proliferation of mature helper T lymphocytes,(1) and is caused by human T-lymphotropic virus type I (HTLV-I);(2) an HTLV-I infection endemic in the Caribbean, south-western Japan, South America and Africa.(3,4) Seroepidemiological studies suggest that it is also endemic in Brazil.(5) Although carriers of HTLV-I show polyclonal integration of virus in T lymphocytes, only patients with ATLL of various subtypes show monoclonal integration of HTLV-I in tumor cells.(6,7) Cutaneous T-cell lymphomas (CTCL) are a group of primary cutaneous lymphoproliferative diseases(8) with unknown etiology.(9) The two most common presentations of CTCL are mycosis fungoides (MF) and Sézary syndrome (SS).(10-13) However, both CTCL categories can easily resemble ATLL. Therefore, in HTLV-I endemic areas, differentiation between ATLL and CTCL must be performed, as they have different prognoses and treatment approaches.(14).
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Fernandes MA, Smith ML, Logan W, Crawley A, McAndrews MP. Comparing language lateralization determined by dichotic listening and fMRI activation in frontal and temporal lobes in children with epilepsy. BRAIN AND LANGUAGE 2006; 96:106-14. [PMID: 16083954 DOI: 10.1016/j.bandl.2005.06.006] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2004] [Revised: 05/19/2005] [Accepted: 06/18/2005] [Indexed: 05/03/2023]
Abstract
We investigated the relationship between ear advantage scores on the Fused Dichotic Words Test (FDWT), and laterality of activation in fMRI using a verb generation paradigm in fourteen children with epilepsy. The magnitude of the laterality index (LI), based on spatial extent and magnitude of activation in classical language areas (BA 44/45, 21/22, 39) differed significantly for patients classified with unilateral left, compared to bilateral, language representation based on FDWT scores. Concordance with fMRI was higher for those classified with unilateral left, than bilateral language representation on the FDWT. Of note, asymmetry in temporal lobe, rather than frontal lobe, activation was more strongly related to the LI from the dichotic listening test. This study shows that the FDWT can provide a quick and valid estimate of lateralization in pre-surgical candidates, which can be readily adopted for other clinical or research purposes when an estimate of language dominance is desired.
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Fernandes MA, Levendis DC. Photodimerization of the α′-polymorph of ortho-ethoxy-trans-cinnamic acid in the solid state. I. Monitoring the reaction at 293 K. ACTA CRYSTALLOGRAPHICA SECTION B: STRUCTURAL SCIENCE 2004; 60:315-24. [PMID: 15148435 DOI: 10.1107/s0108768104007955] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2004] [Accepted: 04/01/2004] [Indexed: 11/10/2022]
Abstract
Structural changes that occur during the [2 + 2] photodimerization of the metastable α′-polymorph of ortho-ethoxy-trans-cinnamic acid at 293 K are presented here. Crystals of the α′-polymorph were first stabilized by exposing the α-polymorph to UV light for a short period of time at 343 K. The photodimerization reaction was then carried out at 293 K and observed in situ by single-crystal X-ray diffraction. The α′-polymorph contains three molecules in the asymmetric unit, labelled A, B and C, which are arranged to form two potential reaction sites. The intermolecular distance between the C=C bonds of molecules A and B (making up the AB site) is 3.6 Å, and these were observed to undergo photodimerization at 293 K. The corresponding distance between centrosymmetrically related C=C bonds in the CC site (made up of C molecules) is 4.6 Å, and these remain unreacted even after 60 h irradiation at 293 K. The crystal of the final product, which corresponds to a 66.7% conversion (only two out of three molecules in the asymmetric unit take part in the photodimerization reaction at 293 K), contains an ordered arrangement of the photodimer and unreacted monomer. The crystal retains many structural features of the original monomer crystal, including carboxylic acid hydrogen bonds and C—H...O interactions. Single-crystal X-ray diffraction was used to monitor changes in the unit-cell parameters, reacting molecules and molecular conformations as the reaction progressed. The conformation of the photodimer obtained from the solid-state reaction differs from that of the photodimer obtained by recrystallization from solution.
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Aranha F, Gomes R, Rutherford C, Rouge A, Alves S, Oliveira M, Campos L, Fernandes M, Nogueira P, Dohmann H. Crit Care 2003; 7:P86. [DOI: 10.1186/cc2282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Dohman H, Perin E, Sousa A, Silva S, Tinoco C, Esporcatte R, Rangel F, Campos L, Fernandes M, Dohmann H. Crit Care 2003; 7:P12. [DOI: 10.1186/cc2208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Gomes R, Aranha F, Campos L, Fernandes M, Nogueira P, Nunes E, Sabino J, Carvalho A, Farina R, Dohmann H. Crit Care 2002; 6:P241. [DOI: 10.1186/cc1709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Gomes R, Aranha F, Mendonça H, Campos L, Tura B, Fernandes M, Nogueira P, Vegni R, Silva D, Dohmann H. Crit Care 2002; 6:P243. [DOI: 10.1186/cc1711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Mendonça F° H, Campos L, Gomes R, Fernandes M, Nogueira P, Sabino J, Aranha F, Silva F° D, Farina R, Dohmann H. Crit Care 2001; 5:P51. [DOI: 10.1186/cc1384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Aranha F, Gomes R, Pinto J, Campos L, Fernandes M, Nogueira P, Azevedo F° C, Vegni R, Carvalho A, Dohmann H. Crit Care 2001; 5:P15. [DOI: 10.1186/cc1348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Morgado J, Nouér S, Porto A, Gomes R, Campos L, Fernandes M, Nogueira P, Drumond L, Rey H, Dohmann H. Crit Care 2001; 5:P66. [DOI: 10.1186/cc1399] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Campos L, Soares L, Fernandes M, Gomes R, Nogueira P, Aranha F, Vegni R, Carvalho A, Silva D, Dohmann H. Crit Care 2001; 5:P70. [DOI: 10.1186/cc1403] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Gomes R, Tura B, Campos L, Fernandes M, Nogueira P, Nunes E, Mendonça F° H, Aranha F, Carvalho A, Dohmann H. Crit Care 2001; 5:P88. [DOI: 10.1186/cc1421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Azevedo F° CF, Aranha FG, Gomes RV, Campos LA, Fernandes MA, Nogueira PM, Dornelles AP, Mendonça F° HTF, Sabino J, Dohmann HF. Early experience of intensive postoperative unit (IPU): percutaneous tracheotomy as the first option after long-term oro-tracheal intubation. Crit Care 2001. [PMCID: PMC3300997 DOI: 10.1186/cc1430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Porto A, Morgado J, Bitencourt M, Gomes R, Campos L, Fernandes M, Nogueira P, Silva S, Rey H, Dohmann H. Crit Care 2001; 5:P11. [DOI: 10.1186/cc1344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Fernandes MA, Moscovitch M. Divided attention and memory: evidence of substantial interference effects at retrieval and encoding. J Exp Psychol Gen 2000. [PMID: 10868332 DOI: 10.1037//0096-3445.129.2.155] [Citation(s) in RCA: 56] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
In 5 divided attention (DA) experiments, students (24 in each experiment) performed visual distracting tasks (e.g., recognition of words, word and digit monitoring) while either simultaneously encoding an auditory word list or engaging in oral free recall of the target word list. DA during retrieval, using either of the word-based distracting tasks, produced relatively larger interference effects than the digit-monitoring task. DA during encoding produced uniformly large interference effects, regardless of the type of distracting task. Results suggest that when attention is divided at retrieval, interference is created only when the memory and concurrent task compete for access to word-specific representational systems; no such specificity is necessary to create interference at encoding. During encoding, memory and concurrent tasks compete primarily for general resources, whereas during retrieval, they compete primarily for representational systems.
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Fernandes MA, Smith ML. Comparing the Fused Dichotic Words Test and the Intracarotid Amobarbital Procedure in children with epilepsy. Neuropsychologia 2000; 38:1216-28. [PMID: 10865097 DOI: 10.1016/s0028-3932(00)00035-x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The validity of the Fused Dichotic Words Test (FDWT) in predicting the nature of speech representation, as determined by the Intracarotid Amobarbital Procedure (IAP), was examined in a sample of 28 children with epilepsy. Various methods of analysis (difference score, lambda, and lambda(*)), for the FDWT data were calculated and compared. Results showed the validity of the FDWT did not change depending on the method of analysis. The difference scores showed that 18 of the 19 patients with left hemisphere speech obtained right-ear advantages, while the patient with right hemisphere speech showed a left-ear advantage. As a group, patients with left-hemisphere speech obtained a statistically significant right-ear advantage for the lambda and lambda(*) indices, while the patient with right-hemisphere speech showed a left-ear advantage that was also significant for both lambda measures. Patients with bilateral speech, as a group, displayed a non-significant ear advantage. Some of the scores from the left-hemisphere group overlapped with those from patients with bilateral speech representation. Controlling for stimulus dominance effects using the lambda(*) measure did not improve classification accuracy for nature of speech representation based on FDWT scores. Finally, comparison of our data using the laterality index from a similar study, showed scores smaller in magnitude than that found in adults with epilepsy.
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