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Generalized Impairment (generalized + impairment)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

Neuropsychological profile of children with subcortical band heterotopia

DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 11 2009
MEGAN SPENCER-SMITH BPSYCSC PHD
Aim, Subcortical band heterotopia (SBH) or ,double cortex' is a malformation of cortical development resulting from impaired neuronal migration. So far, research has focused on the neurological, neuroimaging, and genetic correlates of SBH. More recently, clinical reports and small sample studies have documented neuropsychological dysfunction in patients with this malformation. This study aimed to characterize further the phenotype of patients with SBH by describing the neuropsychological profiles of children. Method, Seven children (six females) aged 4 to 15 years were assessed for cognitive functioning (intellectual ability, processing speed, attention, working memory) and academic achievement (reading, spelling, arithmetic). Parents completed questionnaires examining their child's social skills and problem behaviours. Magnetic resonance images (MRI) conducted for routine clinical follow-up were coded by a paediatric neurologist. Genetic and seizure history were obtained from medical records. Results, There was variation in the neurological, neuroimaging, and genetic presentation of children in the sample. Impairments were observed in all areas of neuropsychological functioning examined. Intellectual ability was generally within the ,extremely low' range (full-scale IQ 44,74; performance IQ 45,72; verbal IQ 57,80). Generalized impairments in cognitive skills were typical, with severe impairments (scores greater than 2SD below the test mean) reported in processing speed, working memory, and arithmetic. Impairments in academic, social, and behavioural functioning were less generalized. No clear relationship between neuroimaging and neuropsychological impairments was found. Interpretation, Children with SBH demonstrate cognitive, academic, social, and behavioural problems, with the greatest difficulties in processing speed and complex cognitive skills. [source]

Developmental dyslexia and explicit long-term memory

DYSLEXIA, Issue 3 2010
Deny Menghini
Abstract The reduced verbal long-term memory capacities often reported in dyslexics are generally interpreted as a consequence of their deficit in phonological coding. The present study was aimed at evaluating whether the learning deficit exhibited by dyslexics was restricted only to the verbal component of the long-term memory abilities or also involved visual-object and visual-spatial domain. A further goal of the present study was to investigate the predictive value of non-verbal long-term memory abilities with respect to word and non-word reading in dyslexic children. In accordance with these aims, performances of 60 dyslexic children were compared with that of 65 age-matched normal readers on verbal, visual-spatial and visual-object task. Results documented a generalized impairment of episodic long-term memory capacities in dyslexic children and the results did not vary as a function of children's age. Furthermore, in addition to verbal measures, also individual differences in non-verbal long-term memory tasks turn out to be good predictors of reading difficulties in dyslexics. Our findings indicate that the long-term memory deficit in dyslexia is not limited to the dysfunction of phonological components but also involves visual-object and visual-spatial aspect, thus suggesting that dyslexia is associated to multiple cognitive deficits. Copyright © 2010 John Wiley & Sons, Ltd. [source]

Visual, auditory and cross-modal processing of linguistic and nonlinguistic temporal patterns among adult dyslexic readers

DYSLEXIA, Issue 2 2005
Ann Meyler
Abstract This study examined visual, auditory, and cross-modal temporal pattern processing at the nonlinguistic and sublexical linguistic levels, and the relationships between these abilities and decoding skill. The central question addressed whether dyslexic readers are impaired in their perception of timing, as assessed by sensitivity to rhythm. Participants were college-level adult dyslexic and normal readers. The dyslexic adults evidenced generalized impairment in temporal processing: they were less accurate and slower than normal readers when required to detect the temporal gap that differentiated pairs of patterns. Impairment was greatest when processing visual syllables. Temporal pattern processing correlated to decoding ability only among normal readers. It is suggested that high-functioning dyslexics may cope with temporal processing problems by adopting a predominantly holistic, orthographic strategy when decoding. It is proposed that there may be cumulative effects of processing demands from different sources including modality, stimulus complexity, and linguistic demands, and that combinations of these may interact to impact temporal processing ability. Moreover, there may be fundamentally distinct and dissociable temporal processing abilities, each of which may be differently linked developmental dyslexia. Copyright © 2005 John Wiley & Sons, Ltd. [source]

Smoking and hypoxemia caused by hepatopulmonary syndrome before and after liver transplantation

HEPATOLOGY, Issue 2 2001
Giovanni Rolla
Severe hypoxemia may occur in patients with liver disease as a result of abnormal intrapulmonary vasodilatations (hepatopulmonary syndrome, HPS). Liver transplantation (LT) is the only effective treatment of HPS, with a quite variable delay of improvement of oxygenation. Smoking, by decreasing respiratory nitric oxide (NO), apparently contributed to improved oxygenation in a 44-year-old man with alcohol-induced cirrhosis, complicated by HPS, who underwent LT. The patient quit smoking just before LT, when his PaO2 was 29 mm Hg and exhaled NO (eNO) 28 ppb, a value far above the normal limits (9.6 ± 3.2 ppb). After LT, oxygenation remained poor and eNO remained high for more than 4 months, when the patient started to smoke again (blood HbCO going up to 5%). At that time eNO decreased to 6 ppb and PaO2 increased to 67 mm Hg. The strict relationship between eNO and oxygenation observed in this case reinforces the hypothesis that NO is the most important vasodilating mediator in HPS. Smoking may have hastened the resolution of HPS after LT by inhibiting respiratory NO and/or through a generalized impairment of endothelium-dependent vasodilation. [source]