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Kantanen J, Olsaker I, Holm LE, Lien S, Vilkki J, Brusgaard K, Eythorsdottir E, Danell B, Adalsteinsson S. Genetic diversity and population structure of 20 North European cattle breeds. J Hered 2000; 91:446-57. [PMID: 11218082 DOI: 10.1093/jhered/91.6.446] [Citation(s) in RCA: 113] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Blood samples were collected from 743 animals from 15 indigenous, 2 old imported, and 3 commercial North European cattle breeds. The samples were analyzed for 11 erythrocyte antigen systems, 8 proteins, and 10 microsatellites, and used to assess inter- and intrabreed genetic variation and genetic population structures. The microsatellites BoLA-DRBP1 and CSSM66 were nonneutral markers according to the Ewens-Watterson test, suggesting some kind of selection imposed on these loci. North European cattle breeds displayed generally similar levels of multilocus heterozygosity and allelic diversity. However, allelic diversity has been reduced in several breeds, which was explained by limited effective population sizes over the course of man-directed breed development and demographic bottlenecks of indigenous breeds. A tree showing genetic relationships between breeds was constructed from a matrix of random drift-based genetic distance estimates. The breeds were classified on the basis of the tree topology into four major breed groups, defined as Northern indigenous breeds, Southern breeds, Ayrshire and Friesian breeds, and Jersey. Grouping of Nordic breeds was supported by documented breed history and geographical divisions of native breeding regions of indigenous cattle. Divergence estimates between Icelandic cattle and indigenous breeds suggested a separation time of more than 1,000 years between Icelandic cattle and Norwegian native breeds, a finding consistent with historical evidence.
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Jehkonen M, Ahonen JP, Dastidar P, Koivisto AM, Laippala P, Vilkki J, Molnár G. Visual neglect as a predictor of functional outcome one year after stroke. Acta Neurol Scand 2000; 101:195-201. [PMID: 10705943 DOI: 10.1034/j.1600-0404.2000.101003195.x] [Citation(s) in RCA: 157] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE The aim was to study the role of visual neglect in acute right hemisphere brain infarct as a predictor of poor functional outcome during the first year after stroke. In particular, we were interested in the additional value of neglect measures besides hemiparesis, hemianopia, cognitive deficits and age. PATIENTS AND METHODS A consecutive series of 57 patients with a neuroradiologically verified right hemisphere infarct was examined within 10 days of the stroke. Fifty patients were followed up for 1 year. Neglect was measured with the Conventional and the Behavioural subtests of the Behavioural Inattention Test (BITC and BITB, respectively). The predictors were determined at the 10-day examination. Functional outcome was assessed 3, 6 and 12 months after the onset with the Frenchay Activities Index. RESULTS Neglect in BITB was the best single predictor, which together with high age formed the best combination of predictors for poor functional outcome at each follow-up. Hemiparesis was also included in this prediction model at the 3-month follow-up, but hemianopia, BITC, or visuoconstructional and memory deficits showed no additional predictive value. However, neglect usually recovered soon. When neurological and cognitive deficits were assessed at the same time as the outcome, hemiparesis rather than neglect was the strongest correlate of poor outcome. CONCLUSION Neglect in acute stroke is an important predictor of poor functional recovery. Residual neglect, which could be compensated in the follow-up tests, may nevertheless restrict patients' real-life activities and hobbies.
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Elo KT, Vilkki J, de Koning DJ, Velmala RJ, Mäki-Tanila AV. A quantitative trait locus for live weight maps to bovine chromosome 23. Mamm Genome 1999; 10:831-5. [PMID: 10430670 DOI: 10.1007/s003359901098] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
A multiple-marker mapping approach was used to search for quantitative trait loci (QTLs) affecting production, health, and fertility traits in Finnish Ayrshire dairy cattle. As part of a whole-genome scan, altogether 469 bulls were genotyped for six microsatellite loci in 12 families on Chromosome (Chr) 23. Both multiple-marker interval mapping with regression and maximum-likelihood methods were applied with a granddaughter design. Eighteen traits, belonging to 11 trait groups, were included in the analysis. One QTL exceeded experiment level and one QTL genome level significance thresholds. Across-families analysis provided strong evidence (P(experiment) = 0.0314) for a QTL affecting live weight. The QTL for live weight maps between markers BM1258 and BoLA DRBP1. A QTL significant at genome level (P(genome) = 0.0087) was mapped for veterinary treatment, and the putative QTL probably affects susceptibility to milk fever or ketosis. In addition, three traits exceeded the chromosome 5% significance threshold: protein percentage of milk, calf mortality (sire), and milking speed. In within-family analyses, protein percentage was associated with markers in one family (LOD score = 4.5).
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Vilkki J, Surma-aho O, Servo A. Inaccurate prediction of retrieval in a face matrix learning task after right frontal lobe lesions. Neuropsychology 1999. [PMID: 10353379 DOI: 10.1037//0894-4105.13.2.298] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
This study partly supports the hypothesis that frontal lobe lesions cause impairment of metamemory. Fifty-nine patients with a focal brain lesion and 21 non-brain-damaged patients memorized a 4 X 4 matrix of 16 faces in 6 consecutive trials and predicted the number of locations of faces they would be able to remember before each retrieval. When age-related impairment of learning was adjusted, the patients with right posterior lesions were inferior to the controls and to the patients with right frontal lesions on the total number of correctly placed faces. The patients with right frontal lesions were less accurate than the patients with right posterior lesions or the controls in the prediction of retrieval. The inaccuracy of retrieval prediction in the face test was associated with that in a word-list learning task.
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Vilkki J, Surma-aho O, Servo A. Inaccurate prediction of retrieval in a face matrix learning task after right frontal lobe lesions. Neuropsychology 1999; 13:298-305. [PMID: 10353379 DOI: 10.1037/0894-4105.13.2.298] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
This study partly supports the hypothesis that frontal lobe lesions cause impairment of metamemory. Fifty-nine patients with a focal brain lesion and 21 non-brain-damaged patients memorized a 4 X 4 matrix of 16 faces in 6 consecutive trials and predicted the number of locations of faces they would be able to remember before each retrieval. When age-related impairment of learning was adjusted, the patients with right posterior lesions were inferior to the controls and to the patients with right frontal lesions on the total number of correctly placed faces. The patients with right frontal lesions were less accurate than the patients with right posterior lesions or the controls in the prediction of retrieval. The inaccuracy of retrieval prediction in the face test was associated with that in a word-list learning task.
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Vilkki J, Servo A, Surma-aho O. Word list learning and prediction of recall after frontal lobe lesions. Neuropsychology 1998. [PMID: 9556773 DOI: 10.1037//0894-4105.12.2.268] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
The effect of frontal lobe lesions on the accuracy of prediction of recall in a word list learning task was studied. Fifty-nine patients with a focal brain lesion and 21 non-brain-damaged control patients memorized a word list by selective reminding and predicted before each recall trial the number of words they would be able to recall. The patients with left frontal lesions, who were inferior to the patients with right frontal lesions and the control patients in word list recall, overpredicted their recall more than the other brain-damaged patients or the control patients, especially on the 1st trial. The patients with right frontal lesions were less accurate in the prediction of recall than the patients with right posterior lesions or the control patients.
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82
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Vanhala T, Tuiskula-Haavisto M, Elo K, Vilkki J, Mäki-Tanila A. Evaluation of genetic variability and genetic distances between eight chicken lines using microsatellite markers. Poult Sci 1998; 77:783-90. [PMID: 9628523 DOI: 10.1093/ps/77.6.783] [Citation(s) in RCA: 66] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The genetic variability and divergence of eight chicken lines were evaluated using nine microsatellite markers. The chicken lines included three White Leghorn hybrids, three Finnish Landrace lines, a Rhode Island Red line, and a broiler hybrid line. All the microsatellite loci were found to be polymorphic, the number of alleles varying from 4 to 13 per locus and 1 to 10 per line, respectively. Observed heterozygosities ranged from 0.00 to 0.91. The highest (0.67) and lowest (0.29) mean heterozygosity per line was observed in the broiler and in White Leghorn of Mäkelä, respectively. Three of the microsatellite loci deviated from the Hardy-Weinberg equilibrium in some populations. F statistics indicated clearly the subdivision of the total population into different lines. The genetic distances confirmed the classification of Finnish Landraces into different lines. A phylogenetic consensus tree was constructed from resampled data (1,000 times) using the neighbor-joining method. According to the phylogenetic tree, the lines were grouped into three clusters, in which the White Leghorns formed one group, two Landraces a second group, and a Landrace, the Rhode Island Red, and the broiler lines a third group. Allele distribution at the loci does not support either the stepwise or the infinite alleles mutation model, but the distribution pattern was quite irregular at different loci.
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Vilkki J, Servo A, Surma-aho O. Word list learning and prediction of recall after frontal lobe lesions. Neuropsychology 1998; 12:268-77. [PMID: 9556773 DOI: 10.1037/0894-4105.12.2.268] [Citation(s) in RCA: 38] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
The effect of frontal lobe lesions on the accuracy of prediction of recall in a word list learning task was studied. Fifty-nine patients with a focal brain lesion and 21 non-brain-damaged control patients memorized a word list by selective reminding and predicted before each recall trial the number of words they would be able to recall. The patients with left frontal lesions, who were inferior to the patients with right frontal lesions and the control patients in word list recall, overpredicted their recall more than the other brain-damaged patients or the control patients, especially on the 1st trial. The patients with right frontal lesions were less accurate in the prediction of recall than the patients with right posterior lesions or the control patients.
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Haikonen S, Wikman AS, Kalska H, Summala H, Hietanen M, Nieminen T, Vilkki J. Neuropsychological Correlates of Duration of Glances at Secondary Tasks While Driving. ACTA ACUST UNITED AC 1998; 5:24-32. [PMID: 16318463 DOI: 10.1207/s15324826an0501_3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
The aim of this study was to find out the neuropsychological measures correlating with overlong glances at secondary in-car tasks while driving. Fifteen. patients with brain damage (without clear neurological or neuropsychological restriction on driving a car) and 11 healthy participants drove a route of 126 km and performed a series of secondary tasks while driving on a highway in an instrumented compact car. Four videocameras allowed detailed analysis of glances during in-car tasks. Neuropsychological measures focused on executive functions, memory, visuospatial skills, and fine motor skills. Moreover, patients' emotional self-evaluation and relatives' evaluation of patients' competencies were included. The proportion of overlong glances away from the road during in-car tasks was greater among the patients than. the healthy drivers. The long glances of the patients correlated strongly with motor and visuospatial deficits, cognitive inflexibility, emotional symptoms, and relatives' evaluations of patients' impaired sensomotor abilities. The results suggest that the frequency of overlong glances was increased by 2 factors: (a) impaired motor and visuospatial skills that evidently caused difficulties in the manipulation of the equipment of the secondary tasks, and (b) impairments of executive functions that were likely to decrease the ability to control the risks related to long glances at the in-car tasks. The slowing of speed during secondary tasks was on the average rather slight and not significantly more pronounced among patients than control drivers, indicating that patients failed to reduce their speed and thus the risk related to prolonged glances at in-car tasks.
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Moisio S, Elo K, Kantanen J, Vilkki J. Polymorphism within the 3' flanking region of the bovine growth hormone receptor gene. Anim Genet 1998; 29:55-7. [PMID: 9682452 DOI: 10.1046/j.1365-2052.1998.00254.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Growth hormone receptor (GHR) has a major role in the regulation of growth hormone action, and thus, is an obvious candidate gene associated with milk production traits in mammals. The present authors have sequenced 273 bp of the 3' flanking region of the bovine GHR, and found three length variants and one base substitution polymorphism in this region. Allele frequencies of the length variants differ between Finnish native and commercial dairy cattle breeds. The chromosomal localization of GHR was confirmed to bovine chromosome 20 by synteny mapping and linkage analysis.
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Kostia S, Vilkki J, Pirinen M, Womack JE, Barendse W, Varvio SL. SINE targeting of bovine microsatellites from bovine/rodent hybrid cell lines. Mamm Genome 1997; 8:365-7. [PMID: 9107686 DOI: 10.1007/s003359900443] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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Vilkki J, Virtanen S, Surma-Aho O, Servo A. Dual task performance after focal cerebral lesions and closed head injuries. Neuropsychologia 1996; 34:1051-6. [PMID: 8904742 DOI: 10.1016/0028-3932(96)00028-0] [Citation(s) in RCA: 49] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
The aim of this study was to demonstrate that focal frontal lobe lesions and closed head injuries cause a deficit in the deliberate minimizing of dual task decrements that follow when two separate tasks should be done concurrently. In single tasks, subjects counted backwards and cancelled visual targets as quickly and accurately as possible on separate 1 min trials. In the dual task, they were required to do both tasks simultaneously, taking care that performance on neither task would be notably more impaired than on the other, as only the performance showing a larger percentage decrement from the corresponding single task performance was taken into account as the result of the test. Patients with acute closed head injury displayed more pronounced dual task decrement than the controls. This deficit was not secondary to inefficiency on the single tasks but was related to the depth of coma at admission, the acuteness of injury and age. Contrary to expectation, patients with focal frontal lobe lesions or patients with subacute closed head injury did not demonstrate abnormal dual task decrement.
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Ahola K, Vilkki J, Servo A. Frontal tests do not detect frontal infarctions after ruptured intracranial aneurysm. Brain Cogn 1996; 31:1-16. [PMID: 8790931 DOI: 10.1006/brcg.1996.0021] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
The series of 155 patients operated on for a ruptured intracranial arterial aneurysm was examined using typical frontal tests (the Stroop test, word fluency tasks, and a sorting task), as well as a learning and memory test. Patients with frontal infarction were not significantly inferior to patients with non-frontal infarction or to patients with no infarction. Frontal patients, however, were unable to return to work as often as non-frontal patients and more frequently than those with no infarction. These results indicate that the frontal tests used in this study are not selectively sensitive to mainly medial frontal infarctions that follow the rupture of an anterior cerebral artery aneurysm.
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Poutiainen E, Elovaara I, Raininko R, Vilkki J, Lähdevirta J, Iivanainen M. Cognitive decline in patients with symptomatic HIV-1 infection. No decline in asymptomatic infection. Acta Neurol Scand 1996; 93:421-7. [PMID: 8836304 DOI: 10.1111/j.1600-0404.1996.tb00021.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Thirty-six HIV-1-infected predominantly well-functioning subjects were followed up for one year by repeated neuropsychological, clinical neurological, neuroradiological, and immunological examinations. Changes in cognitive performance related to the severity of HIV-1 infection as well as to neuroradiological or immunological changes were studied. A decline in cognitive speed and flexibility was found in symptomatic subjects (ARC, AIDS). The impairment was especially pronounced in patients with progression of brain atrophy. These findings suggest a brain pathology underlying the cognitive decline in ambulatory outpatients with symptomatic HIV-1 infection. A practice effect was found in asymptomatic subjects (ASX, LAS) and in those with unchanged CT/MRI scans. No systematic relationship was found between cognitive change and immunological change.
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Velmala R, Vilkki J, Elo K, Mäki-Tanila A. Casein haplotypes and their association with milk production traits in the Finnish Ayrshire cattle. Anim Genet 1995; 26:419-25. [PMID: 8572365 DOI: 10.1111/j.1365-2052.1995.tb02694.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Polymorphism of casein genes was studied in half-sib families of artificial insemination bulls of the Finnish Ayrshire dairy breed. Ten grandsires and 300 of their sons were genotyped for the following polymorphisms: alpha s1-casein (B, C), beta-casein (A1, A2), the microsatellite within the kappa-casein gene (ms5, ms4) and kappa-casein (A, B, E). Nine different combinations of these alleles, casein haplotypes, were found. Associations between casein haplotypes and milk production traits (milk and protein yield, fat and protein percentage and milking speed) were studied with ordinary least-squares analysis to find a direct effect of the haplotypes or an association within individual grandsire families using the granddaughter design. Estimated breeding values of sons were obtained from cow evaluation by animal model. No direct effect of the casein haplotypes on the traits was found. Within grandsire families, in one out of four families the chromosomal segment characterized by haplotype 3 (B-A2-ms4-A) was associated with an increase in milk yield (P < 0.01) and a decrease in fat percentage (P < 0.01) when contrasted with haplotype 8 (B-A1-ms4-E). The results provide evidence that in the Finnish Ayrshire breed at least one quantitative trait locus affecting the genetic variation in yields traits is segregating linked to either haplotype 3 (B-A2-ms4-A) or 8 (B-A1-ms4-E).
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Kantanen J, Vilkki J, Elo K, Mäki-Tanila A. Random amplified polymorphic DNA in cattle and sheep: application for detecting genetic variation. Anim Genet 1995; 26:315-20. [PMID: 7486248 DOI: 10.1111/j.1365-2052.1995.tb02665.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
The present study investigated the use of the random amplified polymorphic DNA (RAPD) method to detect genetic variation in cattle and sheep. The animals studied consisted of samples from five Finnish cattle breeds: native Eastern (18 animals), Northern (24), Western Finncattle (24), Finnish Ayrshire (24), and Finnish Friesian (18); as well as a white (6 animals) and a grey (9) colour type of Finnsheep. The cattle and sheep populations were analysed with 11 and 13 RAPD primers demonstrating the most repeatable amplification pattern. Two out of ten RAPD fragments tested by cross hybridization showed homology between the two species. The RAPD method did not prove efficient for finding new polymorphisms in either species, because we found only three polymorphic RAPD markers for cattle and seven markers for sheep with different allele frequencies between the breeds. Although there is a greater presence of polymorphic RAPD markers in sheep, according to the similarity indices the sheep populations showed a higher degree of homogeneity than the cattle breeds. However, the interbreed and intrabreed similarity indices for cattle did not suggest any significant differentiation of the Finnish breeds, contrary to earlier results based on blood group and protein polymorphism.
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Vilkki J. Neuropsychology of mental programming: an approach for the evaluation of frontal lobe dysfunction. ACTA ACUST UNITED AC 1995; 2:93-106. [PMID: 16318512 DOI: 10.1080/09084282.1995.9645346] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Patients with frontal lobe lesions tend to have poor psychosocial recovery, yet they may perform well on common cognitive tests. Their habitual cognitive skills seem to be preserved, whereas the purposeful utilization of skills in novel situations is impaired. This paper reviews neuropsychological disorders and models of mental programming. An approach for the evaluation of programming deficits is presented and some implications of the conception are considered. Programming is defined as the subjective optimization of subgoals for the achievement of the overall goal with available skills. It is posited that programming is critically dependent on prefrontal functions. Measures of programming were found to be sensitive to the effects of frontal lesions and closed-head injuries, as well as, to predict subsequent social recovery. Programming can be seen as an intermediate process between performance and motivation, the subjective optimization of subgoals integrates motivation and skills (operational resources) to purposeful activity.
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Vilkki J. Neuropsychology of mental programming: an approach for the evaluation of frontal lobe dysfunction. ACTA ACUST UNITED AC 1995. [DOI: 10.1207/s15324826an0203&4_1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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95
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Vilkki J, Sandholm J, Kostia S, Varvio SL. Four SINE-associated polymorphic bovine microsatellites (HEL23-HEL26). Anim Genet 1995; 26:206. [PMID: 7793697 DOI: 10.1111/j.1365-2052.1995.tb03171.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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Abstract
It was predicted that frontal lobe damaged patients are slower on word fluency tasks, especially on the generation of words beginning with a particular letter, and less flexible ("stuck-inset") on category alternation than patients with posterior lesions, whereas the latter commit a higher number of repetitions ("recurrent perseverations") than the former. Twenty-nine anterior and 31 posterior brain damaged patients were requested to say as quickly as possible (1) 20 animal names, (2) 10 words beginning with the letter S, and (3) alternately animals and S-words, 10 from each category without repeating the words already used in these tasks. The results failed to confirm the predictions.
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Vilkki J, Ahola K, Holst P, Ohman J, Servo A, Heiskanen O. Prediction of psychosocial recovery after head injury with cognitive tests and neurobehavioral ratings. J Clin Exp Neuropsychol 1994; 16:325-38. [PMID: 7929700 DOI: 10.1080/01688639408402643] [Citation(s) in RCA: 75] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
A series of 53 patients was studied using a battery of tests and a neurobehavioral rating scale on average 4 months after closed-head injury (CHI). Social outcome was assessed 1 year after injury by interviewing a family member. The results supported the hypothesis that tests of flexibility and programming rather than tests of cognitive skills predict psychosocial recovery after CHI. Spatial Learning with Self-Set Goals and Sorting were measures of flexibility and programming. Contrary to expectation, word fluency performance was unrelated to these measures, but was associated with conventional intelligence tests, which did not predict psychosocial recovery. Cognition/Energy deficit on the Neurobehavioral Rating Scale and increased age were useful predictors of poor psychosocial outcome, whereas computed tomography findings or the Glasgow Coma Score were weakly related to the outcome indices. Evidently, cognitive flexibility and mental programming are very important psychological prerequisites of social recovery after CHI.
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Juvonen V, Vilkki J, Aula P, Nikoskelainen E, Savontaus ML. Reevaluation of the linkage of an optic atrophy susceptibility gene to X-chromosomal markers in Finnish families with Leber hereditary optic neuroretinopathy (LHON). Am J Hum Genet 1993; 53:289-92. [PMID: 8317495 PMCID: PMC1682246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
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Vilkki J. Cognitive flexibility and mental programming after closed head injuries and anterior or posterior cerebral excisions. Neuropsychologia 1992; 30:807-14. [PMID: 1407495 DOI: 10.1016/0028-3932(92)90084-y] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Cognitive inflexibility and deficient mental programming are specifically related to frontal lobe lesions. The aim was to demonstrate that closed head injury (CHI) patients with brain lesions verified by computed tomography have such cognitive deficits, and are inferior in these respects to patients with posterior cerebral excisions mainly for tumours. This hypothesis was confirmed using a Category Identification and Sorting test as well as a measure of mental programming in a Spatial Learning task. Furthermore, CHI patients who had non-frontal parenchymal lesions were inferior by these measures to patients with posterior excisions. This result suggests that diffuse axonal lesion in CHI causes the deficits similar to those following frontal lobe excision.
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Vilkki J, Holst P, Ohman J, Servo A, Heiskanen O. Cognitive test performances related to early and late computed tomography findings after closed-head injury. J Clin Exp Neuropsychol 1992; 14:518-32. [PMID: 1400915 DOI: 10.1080/01688639208402841] [Citation(s) in RCA: 25] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Computed tomography (CT) findings from early (less than 24 hours) and late scan (6 months) after closed-head injury (CHI) were compared to cognitive test scores obtained on an average of 4 months after injury in a consecutive series of 53 patients. The presence of parenchymal lesion was associated with poor test results, indicating cognitive inflexibility and disinhibition of routine response tendencies in novel tasks. These deficits have previously been found to be related in particular to frontal-lobe dysfunction, but the present study did not support the hypothesis that frontal lesion is the principal cause of this impairment in CHI. Parenchymal lesions in the right and left hemisphere were associated with spatial and verbal deficits, respectively. Ventricular enlargement in the late CT was related to cognitive inefficiency, both being strongly associated with age. The results suggest that parenchymal lesion in the early CT is an indicator of diffuse axonal injury, which results in cognitive inflexibility during recovery.
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