Home About us Contact
|
Home About us Contact | ||
|
|
||
Immediate Recall (immediate + recall)
Selected AbstractsNeurocognitive Functions after Beating Heart Mitral Valve Replacement without Cross-Clamping the AortaJOURNAL OF CARDIAC SURGERY, Issue 2 2008Ferit Cicekcioglu M.D. The aim of this study was to compare preoperative and postoperative neurocognitive functions in patients who underwent beating heart mitral valve replacement on cardiopulmonary bypass without cross-clamping the aorta. Methods: The prospective study included 25 consecutive patients who underwent mitral valve replacement. The operations were carried out on a beating heart method using normothermic cardiopulmonary bypass without cross-clamping the aorta. All patients were evaluated preoperatively (E1) and postoperatively (at sixth day [E2] and second month [E3]) for neurocognitive functions. Results: Neurologic deficit was not observed in the postoperative period. Comparison of the neurocognitive test results, between the preoperative and postoperative assessment for both hemispheric cognitive functions, demonstrated that no deterioration occurred. In the three subsets of left hemispheric cognitive function test evaluation, total verbal learning, delayed recall, and recognition, significant improvements were detected at the postoperative second month (E3) compared to the preoperative results (p = 0.005, 0.01, and 0.047, respectively). Immediate recall and retention were significantly improved within the first postoperative week (E2) when compared to the preoperative results (p = 0.05 and 0.05, respectively). Conclusions: The technique of mitral valve replacement with normothermic cardiopulmonary bypass without cross-clamping of the aorta may be safely used for majority of patients requiring mitral valve replacement without causing deterioration in neurocognitive functions. [source] Depression, cognitive reserve and memory performance in older adultsINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 7 2010Mike Murphy Abstract Objectives The purpose of this research study was to examine the relationship between education and leisure, as markers of cognitive reserve, depressive symptoms and memory performance in a sample of cognitively normal Irish older adults. Methods A cross-sectional survey style design was employed to gather data. A sample of 121 older adults in the Cork area was recruited through publicly advertising for volunteers. Only those volunteers who obtained a score of greater than 23 on the MMSE, and were not taking antidepressant or anxiolytic medications, were included. Data from 99 participants were included in the analysis. Results Controlling for age and gender, depressive symptoms were found to be associated with poorer immediate recall performance, while greater than 12 years of education was positively associated with delayed recall and savings. Leisure did not emerge as being associated with any of the dimensions of memory assessed. Conclusions Depressive symptoms emerged as associated with immediate recall, even though few of the participants met the cut-off for caseness. This may indicate a need for intervention in cases of subclinical depression with associated memory complaints. The association between education level and both delayed recall and savings provides support for the cognitive reserve hypothesis, and may suggest useful non-pharmacological approaches to memory deficits in later life. Copyright © 2009 John Wiley & Sons, Ltd. [source] Randomized double-blind placebo-controlled donepezil augmentation in antidepressant-treated elderly patients with depression and cognitive impairment: a pilot studyINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 7 2008Gregory H. Pelton Abstract Objective To assess combined antidepressant and cognitive enhancer treatment in elderly patients presenting with depression plus cognitive impairment. Methods Twenty-three elderly (>50 years old) depressed, cognitively impaired (DEP-CI) patients participated in a pilot study. We evaluated whether, after 8 weeks of open antidepressant treatment, donepezil HCl (Aricept) would afford added cognitive benefit compared to placebo in a randomized 12-week trial. A subsample continued in an 8-month extension phase of open treatment with donepezil. Neuropsychological testing (NPT) was performed and antidepressant response monitored at baseline and the 8, 20, and 52-week time points. Results At 8-weeks, the antidepressant response rate was 61% (14/23). Improvement in SRT immediate recall (SRT-IR; e.g. episodic verbal memory) was observed in responders compared to non-responders. During the 12-week, placebo-controlled, donepezil add-on trial, patients on donepezil showed further improvement in SRT-IR versus patients on placebo. In the open extension phase, patients who continued open donepezil treatment (n,=,6) maintained improvement in memory and tended to show an advantage over patients who never received donepezil and were evaluated at the 52-week time point (n,=,6). There were no observed significant donepezil effects on non-memory cognitive domains. Conclusion These preliminary findings suggest that addition of a cholinesterase inhibitor (AChEI) following antidepressant medication treatment in elderly Dep-CI patients may improve cognition, and support the need for a confirmatory, larger randomized placebo-controlled trial. Copyright © 2007 John Wiley & Sons, Ltd. [source] The Revised Kingston Standardized Cognitive AssessmentINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 4 2004Robert W. Hopkins Abstract The original Kingston Standardized Cognitive Assessment (KSCA) was designed to assess cognitive functioning in the elderly with suspected organic brain damage (i.e. dementia). It was specifically designed to be a relatively quickly administered assessment tool available to mental health professionals who were not trained in specialized cognitive assessment techniques. It was introduced over a decade ago to bridge a gap between brief, narrowly focused rating scales, and intensive, expensive, full neuropsychological assessments. Recently, a revision of the KSCA was completed. This revision includes the addition of a word-list memory task with immediate recall, delayed recall and recognition formats, as well as new norms for patients with Alzheimer's disease (AD). The updated norms reflect the abilities of higher-functioning (community-dwelling) patients. In order to facilitate the Revised KSCAs use we have developed a new scoring and analysis form as well as a more comprehensive scoring and administration manual. These changes have resulted in better detection of earlier Alzheimer's disease and use of comparison groups that reflect the changing referral base. The structure of the revised scale and updated normative data are described. An illustrative clinical case example is also provided. Copyright © 2004 John Wiley & Sons, Ltd. [source] Health Literacy and Cognitive Performance in Older AdultsJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 8 2009Alex D. Federman MD OBJECTIVES: To study the relationship between health literacy and memory and verbal fluency in older adults. DESIGN: Cross-sectional cohort. SETTING: Twenty senior centers and apartment buildings in New York, New York. PARTICIPANTS: Independently living, English- and Spanish-speaking adults aged 60 and older (N=414). MEASUREMENTS: Health literacy was measured using the Short Test of Functional Health Literacy in Adults (S-TOFHLA). The associations between S-TOFHLA scores and immediate and delayed recall (Wechsler Memory Scale II), verbal fluency (Animal Naming), and global cognitive function (Mini-Mental State Examination, MMSE) were modeled using multivariable logistic and linear regression. RESULTS: Health literacy was inadequate in 24.3% of participants. Impairment of immediate recall occurred in 20.4%; delayed recall, 15.0%; verbal fluency, 9.9%; and MMSE, 17.4%. Abnormal cognitive function was strongly associated with inadequate health literacy: immediate recall (adjusted odds ratio (AOR)=3.44, 95% confidence interval (CI)=1.71,6.94, P<.001), delayed recall (AOR=3.48, 95% CI=1.58,7.67, P=.002), and verbal fluency (AOR=3.47, 95% CI=1.44,8.38, P=.006). These associations persisted in subgroups that excluded individuals with normal age-adjusted MMSE scores. CONCLUSION: Memory and verbal fluency are strongly associated with health literacy, independently of education and health status, even in those with subtle cognitive dysfunction. Reducing the cognitive burden of health information might mitigate the detrimental effects of limited health literacy in older adults. Research that examines the effect of materials modified to older adults' cognitive limitations on health literacy and health outcomes is needed. [source] Association Between Apolipoprotein E4 and Cognitive Decline in Elderly AdultsJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 11 2007Chris J. Packard DSc OBJECTIVE: To determine the influence of apolipoprotein E on cognitive decline in a cohort of elderly men and women. DESIGN: Prospective study. SETTING: Scotland, Ireland, and the Netherlands. PARTICIPANTS: Five thousand eight hundred four subjects aged 70 to 82 from the Prospective Study of Pravastatin in the Elderly at Risk (PROSPER). MEASUREMENTS: Subjects were assessed at baseline and over a mean 3.2-year (range 0.7,4.2) follow-up for memory (Picture-Word Recall), speed of information processing (Stroop and Letter-Digit Coding), global cognitive function (Mini-Mental State Examination), and activities of daily living. RESULTS: At baseline, subjects with apolipoprotein E4 versus those without E4 had poorer memory performance (mean score difference ,0.20 (95% confidence interval (CI)=,0.31 to ,0.09) for immediate recall and ,0.32 (95% CI=,0.48 to ,0.16) for delayed recall and slower information processing (difference in Stroop, 2.79 seconds, (95% CI=1.20,4.28); Letter-Digit score, ,0.36, (95% CI=,0.77,0.05). Subjects with apolipoprotein E4 showed a greater decline in immediate (,0.22, 95% CI=,0.33 to ,0.11) and delayed (,0.30, 95% CI=,0.46 to ,0.15) memory scores but no significant change in speed of information processing (Stroop, P=.17; Letter-Digit, P=.06). Memory scores decreased 2.5% from baseline in those without E4, 4.3% in E4 heterozygotes (P=.01 for immediate and P=.03 for delayed, vs no E4) and 8.9% to 13.8% in E4 homozygotes (P=.04 for immediate and P=.004 for delayed, vs heterozygotes). Apolipoprotein E4 was associated with greater decline in instrumental activities of daily living (P<.001). Cognitive decline was not associated with lipoprotein levels. CONCLUSION: Findings in PROSPER indicate that E4 is associated with more-rapid cognitive decline and may, therefore, predispose to dementia. [source] The Bishops' Ban of 1599 and the Ideology of English SatireLITERATURE COMPASS (ELECTRONIC), Issue 5 2010William R. Jones On June 1, 1599, the Archbishop of Canterbury and the Bishop of London banned the further printing of satires, epigrams, and unlicensed histories and plays. Furthermore, the order demanded the immediate recall and burning of specific works, many of which were verse imitations of the Roman satirist Juvenal. Although the order itself lacks specific motivational language, current explanations tend to foreground the potentially obscene and/or libelous nature of the recalled works. Comparatively little attention has been paid, however, to the internal ideologies of the banned satires themselves and to the dialogue between the satires and the cultural and political conditions that inspired them. Instead of an ad hoc response to any one particular transgression, this essay argues for the Ban as an attempt to stem the growing cultural influence of a particularly unorthodox mode of Juvenalian imitative satire expressed most forcefully in John Marston's banned work, The Scourge of Villanie. Marston's rejection of all established belief systems, especially the conservative literary traditions of native English and Horatian imitative satire, in favor of a highly individualistic and indecorous mode of social representation, was simply too ideologically destabilizing for the bishops to tolerate. In support of this reading, two relatively underexplored pieces of evidence are examined: first, the reprieve granted to Joseph Hall's imitative satire entitled Virgidemiarum, which attempts to negotiate an ideologically safe middle-ground between the radical Juvenalian mode and the conservative Horatian tradition; and second, the contemporary reflections on the bishops' prohibition within John Weever's 1599 Epigrams, his 1600 pastoral Faunus and Melliflora, and his 1601 direct attack on Marston in The Whipping of the Satyre. Weever's support of the bishops' actions derives from his identification of the banned Juvenalian mode as not merely morally offensive or personally defamatory, but as a tangible threat to the ideological stability of the English nation. [source] Memory and executive function impairment predict dementia in Parkinson's diseaseMOVEMENT DISORDERS, Issue 6 2002Gilberto Levy MD Abstract We analyzed the association of neuropsychological test impairment at baseline with the development of dementia in idiopathic Parkinson's disease (PD) patients. A cohort of nondemented PD patients from northern Manhattan, NY was followed annually with neurological and neuropsychological evaluations. The neuropsychological battery included tests of verbal and nonverbal memory, orientation, visuospatial ability, language, and abstract reasoning. The association of baseline neuropsychological tests scores with incident dementia was analyzed using Cox proportional hazards models. The analysis controlled for age, gender, education, duration of PD, and the total Unified Parkinson's Disease Rating Scale motor score at baseline. Forty-five out of 164 patients (27%) became demented during a mean follow-up of 3.7 ± 2.3 years. Four neuropsychological test scores were significantly associated with incident dementia in the Cox model: total immediate recall (RR: 0.92, 95% CI: 0.87,0.97, P = 0.001) and delayed recall (RR: 0.73, 95% CI: 0.59,0.91, P = 0.005) of the Selective Reminding Test (SRT), letter fluency (RR: 0.87, 95% CI: 0.77,0.99, P = 0.03), and Identities and Oddities of the Mattis Dementia Rating Scale (RR: 0.85, 95% CI: 0.73,0.98, P = 0.03). When the analysis was performed excluding patients with a clinical dementia rating of 0.5 (questionable dementia) at baseline evaluation, total immediate recall and delayed recall were still predictive of dementia in PD. Our results indicate that impairment in verbal memory and executive function are associated with the development of dementia in patients with PD. © 2002 Movement Disorder Society [source] Expertise and self-regulation processes in a professional taskAPPLIED COGNITIVE PSYCHOLOGY, Issue 7 2009Nathalie Huet This study investigated self-regulation processes in a professional task, a beverage service task, using the model of self-regulated study. The main purpose was to explore how self-regulatory activity changes both with professional experience and with memory task demands. In a simulated beverage service task, 22 beginner waiters and 22 experienced waiters were asked to request the drink ordered by each customer until they were sure they knew the entire order. Then, they had to execute an immediate recall of the customer-beverage pairs and a delayed recall. Results showed that globally beginners did not modify their self-regulation processes as a function of task demands. By contrast to beginners, experienced waiters increased their self-regulatory activity when they had to face with a more demanding task. Besides, experts showed higher recall performance than beginners under all conditions. In the conclusion, results from this more naturalistic task were compared to those obtained in experimental studies and discussed. Copyright © 2008 John Wiley & Sons, Ltd. [source] Selective retrieval and induced forgetting in eyewitness memoryAPPLIED COGNITIVE PSYCHOLOGY, Issue 9 2007Malen Migueles This study analyses retrieval-induced forgetting (RIF) in eyewitness memory. Selective retrieval of specific information about an event could cause eyewitnesses to forget related contents. Based on a video of a man being robbed while withdrawing money from a cash machine, we examined the effects of partial retrieval on the most relevant aspects of the event: actions (Experiment 1) and offender characteristics (Experiment 2), in both immediate and long-term recall (24 hours). In both experiments long-term recall was a replica of immediate recall for correct information as well as errors. The effects of partial retrieval practice were also repeated in long-term recall. Conventional RIF was found for offender characteristics but selective retrieval of the actions of the event produced no comparable effect. It is assumed that the organisation and integration of the actions of the event protected them from RIF. Copyright © 2006 John Wiley & Sons, Ltd. [source] Smoking, alcohol use and engagement in exercise and cognitive performance among older adultsAUSTRALASIAN JOURNAL ON AGEING, Issue 2 2002Janet Bryan Objectives: To examine cross-sectional and longitudinal effects of history of smoking, alcohol use and engagement in exercise on cognitive performance. Method: Health habits and cognitive performance of a large community sample of older adults were assessed at measurement points two years apart. Results: Past smokers performed more poorly on tests of recall and speed of information processing at times 1 and 2 than those who had never smoked. Past smokers and moderate users of alcohol performed better on confrontation naming and working memory, than those who had never smoked or drank alcohol. Engagement in exercise was related to immediate recall and speed of processing before, but not after, controlling for covariates. Health habits were not related to longitudinal change in cognition. Conclusions: The results suggest a negative effect of history of smoking on effortful cognitive tasks and a protective effect of alcohol use on more automatic cognitive tasks among older adults. [source] | ||||||||||