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1.
Hum Brain Mapp ; 42(1): 65-79, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33030812

RESUMO

The ability to infer other persons' mental states, "Theory of Mind" (ToM), is a key function of social cognition and is needed when interpreting the intention of others. ToM is associated with a network of functionally related regions, with reportedly key prominent hubs located in the dorsolateral prefrontal cortex (dlPFC) and the temporoparietal junction (TPJ). The involvement of (mainly the right) TPJ in ToM is based primarily on functional imaging studies that provide correlational evidence for brain-behavior associations. In this lesion study, we test whether certain brain areas are necessary for intact ToM performance. We investigated individuals with penetrating traumatic brain injury (n = 170) and healthy matched controls (n = 30) using voxel-based lesion-symptom mapping (VLSM) and by measuring the impact of a given lesion on white matter disconnections. ToM performance was compared between five patient groups based on lesion location: right TPJ, left TPJ, right dlPFC, left dlPFC, and other lesion, as well as healthy controls. The only group to present with lower ToM abilities was the one with lesions in the right dlPFC. Similarly, VLSM analysis revealed a main cluster in the right frontal middle gyrus and a secondary cluster in the left inferior parietal gyrus. Last, we found that disconnection of the left inferior longitudinal fasciculus and right superior longitudinal fasciculus were associated with poor ToM performance. This study highlights the importance of lesion studies in complementing functional neuroimaging findings and supports the assertion that the right dlPFC is a key region mediating mental state attribution.


Assuntos
Lesões Encefálicas Traumáticas/patologia , Lesões Encefálicas Traumáticas/fisiopatologia , Disfunção Cognitiva/fisiopatologia , Córtex Pré-Frontal Dorsolateral/patologia , Lobo Parietal/patologia , Percepção Social , Lobo Temporal/patologia , Teoria da Mente/fisiologia , Substância Branca/patologia , Lesões Encefálicas Traumáticas/complicações , Lesões Encefálicas Traumáticas/etiologia , Disfunção Cognitiva/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Neuroimagem , Ferimentos Penetrantes/complicações
2.
Neurobiol Learn Mem ; 169: 107175, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32018026

RESUMO

The ability to learn and process sequential dependencies is essential for language acquisition and other cognitive domains. Recent studies suggest that the learning of adjacent (e.g., "A-B") versus nonadjacent (e.g., "A-X-B") dependencies have different cognitive demands, but the neural correlates accompanying such processing are currently underspecified. We developed a sequential learning task in which sequences of printed nonsense syllables containing both adjacent and nonadjacent dependencies were presented. After incidentally learning these grammatical sequences, twenty-one healthy adults (age M = 22.1, 12 females) made familiarity judgments about novel grammatical sequences and ungrammatical sequences containing violations of the adjacent or nonadjacent structure while in a 3T MRI scanner. Violations of adjacent dependencies were associated with increased BOLD activation in both posterior (lateral occipital and angular gyrus) as well as frontal regions (e.g., medial frontal gyrus, inferior frontal gyrus). Initial results indicated no regions showing significant BOLD activations for the violations of nonadjacent dependencies. However, when using a less stringent cluster threshold, exploratory analyses revealed that violations of nonadjacent dependencies were associated with increased activation in subcallosal cortex, paracingulate cortex, and anterior cingulate cortex (ACC). Finally, when directly comparing the adjacent condition to the nonadjacent condition, we found significantly greater levels of activation for the right superior lateral occipital cortex (BA 19) for the adjacent relative to nonadjacent condition. In sum, the detection of violations of adjacent and nonadjacent dependencies appear to involve distinct neural networks, with perceptual brain regions mediating the processing of adjacent but not nonadjacent dependencies. These results are consistent with recent proposals that statistical-sequential learning is not a unified construct but depends on the interaction of multiple neurocognitive mechanisms acting together.


Assuntos
Encéfalo/fisiologia , Aprendizagem/fisiologia , Reconhecimento Psicológico/fisiologia , Adulto , Mapeamento Encefálico , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Vias Neurais/fisiologia , Reconhecimento Visual de Modelos/fisiologia , Adulto Jovem
3.
Ear Hear ; 40(5): 1149-1161, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30601227

RESUMO

OBJECTIVES: The objective of the present study was to determine whether long-term cochlear implant (CI) users would show greater variability in rapid phonological coding skills and greater reliance on slow-effortful compensatory executive functioning (EF) skills than normal-hearing (NH) peers on perceptually challenging high-variability sentence recognition tasks. We tested the following three hypotheses: First, CI users would show lower scores on sentence recognition tests involving high speaker and dialect variability than NH controls, even after adjusting for poorer sentence recognition performance by CI users on a conventional low-variability sentence recognition test. Second, variability in fast-automatic rapid phonological coding skills would be more strongly associated with performance on high-variability sentence recognition tasks for CI users than NH peers. Third, compensatory EF strategies would be more strongly associated with performance on high-variability sentence recognition tasks for CI users than NH peers. DESIGN: Two groups of children, adolescents, and young adults aged 9 to 29 years participated in this cross-sectional study: 49 long-term CI users (≥7 years) and 56 NH controls. All participants were tested on measures of rapid phonological coding (Children's Test of Nonword Repetition), conventional sentence recognition (Harvard Sentence Recognition Test), and two novel high-variability sentence recognition tests that varied the indexical attributes of speech (Perceptually Robust English Sentence Test Open-set test and Perceptually Robust English Sentence Test Open-set test-Foreign Accented English test). Measures of EF included verbal working memory (WM), spatial WM, controlled cognitive fluency, and inhibition concentration. RESULTS: CI users scored lower than NH peers on both tests of high-variability sentence recognition even after conventional sentence recognition skills were statistically controlled. Correlations between rapid phonological coding and high-variability sentence recognition scores were stronger for the CI sample than for the NH sample even after basic sentence perception skills were statistically controlled. Scatterplots revealed different ranges and slopes for the relationship between rapid phonological coding skills and high-variability sentence recognition performance in CI users and NH peers. Although no statistically significant correlations between EF strategies and sentence recognition were found in the CI or NH sample after use of a conservative Bonferroni-type correction, medium to high effect sizes for correlations between verbal WM and sentence recognition in the CI sample suggest that further investigation of this relationship is needed. CONCLUSIONS: These findings provide converging support for neurocognitive models that propose two channels for speech-language processing: a fast-automatic channel that predominates whenever possible and a compensatory slow-effortful processing channel that is activated during perceptually-challenging speech processing tasks that are not fully managed by the fast-automatic channel (ease of language understanding, framework for understanding effortful listening, and auditory neurocognitive model). CI users showed significantly poorer performance on measures of high-variability sentence recognition than NH peers, even after simple sentence recognition was controlled. Nonword repetition scores showed almost no overlap between CI and NH samples, and correlations between nonword repetition scores and high-variability sentence recognition were consistent with greater reliance on engagement of fast-automatic phonological coding for high-variability sentence recognition in the CI sample than in the NH sample. Further investigation of the verbal WM-sentence recognition relationship in CI users is recommended. Assessment of fast-automatic phonological processing and slow-effortful EF skills may provide a better understanding of speech perception outcomes in CI users in the clinical setting.


Assuntos
Implantes Cocleares , Surdez/reabilitação , Função Executiva , Percepção da Fala , Adolescente , Adulto , Estudos de Casos e Controles , Criança , Surdez/fisiopatologia , Feminino , Humanos , Masculino , Fonética , Adulto Jovem
4.
J Breast Imaging ; 6(3): 311-326, 2024 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-38538078

RESUMO

Breast pain is extremely common, occurring in 70% to 80% of women. Most cases of breast pain are from physiologic or benign causes, and patients should be reassured and offered treatment strategies to alleviate symptoms, often without diagnostic imaging. A complete clinical history and physical examination is key for distinguishing intrinsic breast pain from extramammary pain. Breast pain without other suspicious symptoms and with a negative history and physical examination result is rarely associated with malignancy, although it is a common reason for women to undergo diagnostic imaging. When breast imaging is indicated, guidelines according to the American College of Radiology Appropriateness Criteria should be followed as to whether mammography, US, or both are recommended. This review article summarizes the initial clinical evaluation of breast pain and evidence-based guidelines for imaging. Additionally, the article reviews cyclical and noncyclical breast pain and provides an image-rich discussion of the imaging presentation and management of benign and malignant breast pain etiologies.


Assuntos
Mastodinia , Humanos , Feminino , Mastodinia/diagnóstico , Mamografia/métodos , Neoplasias da Mama/complicações , Neoplasias da Mama/diagnóstico por imagem , Mama/diagnóstico por imagem , Mama/patologia , Ultrassonografia Mamária , Diagnóstico Diferencial
5.
Environ Monit Assess ; 184(7): 4049-65, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-21863266

RESUMO

The US Forest Service administers a long-term, nationwide ozone biomonitoring program in partnership with other state and federal agencies to address national concerns about ozone impacts on forest health. Biomonitoring surveys begun in 1994 in the East and 1998 in the West provide important regional information on ozone air quality and a field-based record of ozone injury unavailable from any other data source. Surveys in the Northeast and North Central subregions cover 450 field sites in 24 states where ozone-sensitive plants are evaluated for ozone-induced foliar injury every year. Sites are typically large, undisturbed openings (>3 acres in size) close to forested areas where >3 bioindicator species are available for evaluation. Over the 16-year sampling period, injury indices have fluctuated annually in response to seasonal ozone concentrations and site moisture conditions. Sites with and without injury occur at all ozone exposures but when ambient concentrations are relatively low, the percentage of uninjured sites is much greater than the percentage of injured sites; and regardless of ozone exposure, when drought conditions prevail, the percentage of uninjured sites is much greater than the percentage of injured sites. Results indicate a declining trend in foliar injury especially after 2002 when peak ozone concentrations declined across the entire region.


Assuntos
Poluentes Atmosféricos/toxicidade , Poluição do Ar/estatística & dados numéricos , Ozônio/toxicidade , Plantas/efeitos dos fármacos , Poluentes Atmosféricos/análise , Monitoramento Ambiental , Meio-Oeste dos Estados Unidos , New England , Ozônio/análise , Desenvolvimento Vegetal , Folhas de Planta/efeitos dos fármacos , Folhas de Planta/fisiologia , Árvores
6.
Sci Rep ; 12(1): 4999, 2022 03 23.
Artigo em Inglês | MEDLINE | ID: mdl-35322157

RESUMO

Theory of Mind (ToM) is a social-cognitive skill that allows the understanding of the intentions, beliefs, and desires of others. There is a distinction between affective and cognitive ToM, with evidence showing that these processes rely on partially distinct neural networks. The role of the cerebellum in social cognition has only been rarely explored. In this study, we tested whether the cerebellum is necessary for cognitive and affective ToM performance. We investigated adults with traumatic brain injury (n = 193) and healthy controls (n = 52) using voxel-based lesion-symptom mapping (VLSM) and by measuring the impact on functional connectivity. First, we observed that damage to the cerebellum affected pure Cognitive ToM processing. Further, we found a lateralization effect for the role of the cerebellum in cognitive ToM with participants with left cerebellar injury performing worse than those with right cerebellar injury. Both VLSM and standard statistical analysis provided evidence that left cerebellar Crus I and lobule VI contributed to ToM processing. Lastly, we found that disconnection of the left thalamic projection and the left fronto-striatal fasciculus was associated with poor cognitive ToM performance. Our study is the first to reveal direct causal neuropsychological evidence for a role of the cerebellum in some but not all types of ToM, processing. It reinforces the idea that social cognition relies on a complex network functionally connected through white matter pathways that include the cerebellum. It supports evidence that the neural networks underpinning the different types of ToM can be differentiated.


Assuntos
Teoria da Mente , Substância Branca , Adulto , Mapeamento Encefálico , Cerebelo/diagnóstico por imagem , Cognição , Humanos , Imageamento por Ressonância Magnética , Testes Neuropsicológicos , Substância Branca/diagnóstico por imagem
7.
Pharmaceutics ; 14(9)2022 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-36145611

RESUMO

Pharmacogenetics (PGx) has the potential to improve opioid medication management. Here, we present patient perception data, pharmacogenetic data and medication management trends in patients with chronic pain (arm 1) and opioid use disorder (arm 2) treated at Cooper University Health Care in Camden City, NJ. Our results demonstrate that the majority of patients in both arms of the study (55% and 65%, respectively) are open to pharmacogenetic testing, and most (66% and 69%, respectively) believe that genetic testing has the potential to improve their medical care. Our results further support the potential for CYP2D6 PGx testing to inform chronic pain medication management for poor metabolizers (PMs) and ultrarapid metabolizers (UMs). Future efforts to implement PGx testing in chronic pain management, however, must address patient concerns about genetic test result access and genetic discrimination.

8.
Genet Med ; 13(2): 125-30, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21239989

RESUMO

PURPOSE: Recurrence of lethal osteogenesis imperfecta in families results from either dominant (parental mosaicism) or recessive inheritance. The proportion of these two mechanisms is not known, and determination of the contribution of each is important to structure genetic counseling for these families. METHODS: We measured the recurrence rate of lethal osteogenesis imperfecta after the birth of an affected infant. We determined the rate of parental mosaicism in a subset of families in which we had identified dominant mutations. In 37 families in which two or more affected infants were born, we identified mutations and determined the proportion that resulted from recessive inheritance. RESULTS: The recurrence rate after the first affected pregnancy was 1.3%. The rate of parental mosaicism in families in which a dominant mutation was identified in a first affected child was 16%. In 37 families with two affected infants, 26 had dominant mutations, seven had recessive mutations, and we failed to find mutations in four. The overall recurrence rate for couples after two or more affected infants was 32%; 27% for families with parental mosaicism, 31% for recessive mutations, and 50% for families with no identified mutation. CONCLUSIONS: In most populations, recurrence of lethal osteogenesis imperfecta usually results from parental mosaicism for dominant mutations, but the carrier frequency of recessive forms of osteogenesis imperfecta will alter that proportion. Mutation identification is an important tool to assess risk and facilitate prenatal or preimplantation diagnosis.


Assuntos
Genes Dominantes , Genes Recessivos , Mosaicismo , Osteogênese Imperfeita/diagnóstico , Osteogênese Imperfeita/genética , Diagnóstico Pré-Natal , Células Cultivadas , Colágeno/genética , Colágeno Tipo I , Ciclofilinas/genética , Proteínas da Matriz Extracelular/genética , Feminino , Aconselhamento Genético , Mutação em Linhagem Germinativa , Humanos , Lactente , Glicoproteínas de Membrana/genética , Chaperonas Moleculares , Linhagem , Gravidez , Prolil Hidroxilases , Proteoglicanas/genética , Recidiva , Medição de Risco
9.
J Toxicol Environ Health A ; 74(18): 1195-214, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21797772

RESUMO

Marine mammals (bowhead whale, walrus, and various seals) constitute the major component of the diet of the Yupik people of St. Lawrence Island, Alaska. St. Lawrence Island residents have higher serum concentrations of polychlorinated biphenyls (PCB) than in the general U.S. population. In order to determine potential sources, traditional food samples were collected from 2004 to 2009 and analyzed for PCBs, three chlorinated pesticides, and seven heavy metals (mercury, copper, zinc, arsenic, selenium, cadmium, and lead). Concentrations of PCB in rendered oils (193-421 ppb) and blubber (73-317 ppb) from all marine mammal samples were at levels that trigger advisories for severely restricted consumption, using U.S. Environmental Protection Agency (EPA) fish consumption advisories. Concentrations of pesticides were lower, but were still elevated. The highest PCB concentrations were found in polar bear (445 ppb) and the lowest in reindeer adipose tissue (2 ppb). Marine mammal and polar bear meat in general have PCB concentrations that were 1-5% of those in rendered oils or adipose tissue. PCB concentrations in organs were higher than meat. Concentrations of metals in oils and meats from all species were relatively low, but increased levels of mercury, cadmium, copper, and zinc were present in some liver and kidney samples. Mercury and arsenic were found in lipid-rich samples, indicating organometals. These results show that the source of the elevated concentrations of these contaminants in the Yupik population is primarily from consumption of marine mammal blubber and rendered oils.


Assuntos
Arsênio/análise , Poluentes Ambientais/análise , Contaminação de Alimentos , Hidrocarbonetos Clorados/análise , Carne/análise , Metais Pesados/análise , Selênio/análise , Tecido Adiposo/química , Alaska , Animais , Baleia Franca , Caniformia , Dieta/etnologia , Gorduras na Dieta/análise , Humanos , Inuíte , Rim/química , Fígado/química , Resíduos de Praguicidas/análise , Bifenilos Policlorados/análise , Ursidae
10.
Environ Monit Assess ; 177(1-4): 419-36, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20711860

RESUMO

For two decades, the US Department of Agriculture, Forest Service, has been charged with implementing a nationwide field-based forest health monitoring effort. Given its extensive nature, the monitoring program has been gradually implemented across forest health indicators and inventoried states. Currently, the Forest Service's Forest Inventory and Analysis program has initiated forest health inventories in all states, and most forest health indicators are being documented in terms of sampling protocols, data management structures, and estimation procedures. Field data from most sample years and indicators are available on-line with numerous analytical examples published both internally and externally. This investment in national forest health monitoring has begun to yield dividends by allowing evaluation of state/regional forest health issues (e.g., pollution and invasive pests) and contributing substantially to national/international reporting efforts (e.g., National Report on Sustainability and US EPA Annual Greenhouse Gas Estimates). With the emerging threat of climate change, full national implementation and remeasurement of a forest health inventory should allow for more robust assessment of forest communities that are undergoing unprecedented changes, aiding future land management and policy decisions.


Assuntos
Agricultura Florestal/métodos , Árvores/crescimento & desenvolvimento , Biodiversidade , Conservação dos Recursos Naturais , Monitoramento Ambiental/métodos , Poluição Ambiental , Líquens/classificação , Líquens/crescimento & desenvolvimento , Ozônio/análise , Árvores/classificação , Estados Unidos
11.
Biopreserv Biobank ; 19(5): 438-443, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34468209

RESUMO

Microsatellites, or MSATs, offer a fast and cost-effective way for biobanks to establish a biospecimen genetic profile. Importantly, this genetic profile can be used to authenticate multiple submissions derived from the same individual as well as biospecimens derived from the same original sample submission over time. While the Certificate of Confidentiality provided by the National Institutes of Health offers some meaningful protection to prevent the disclosure of potentially identifiable information to entities within the United States, we consider, in this study, the potential to offer additional protection to participants who choose to donate to biobanks by minimizing the use of forensic Combined DNA Index System (CODIS) MSAT markers in biobanking. To this end, we report the design and validation of a new multiplexed MSAT assay that does not include CODIS markers for use in biobanking operations and quality control management.


Assuntos
Bancos de Espécimes Biológicos , Confidencialidade , Revelação , Humanos , Repetições de Microssatélites , National Institutes of Health (U.S.) , Estados Unidos
12.
Front Neurol ; 11: 593490, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33424746

RESUMO

Objective: We investigated whether the cerebellum plays a critical or supportive role in in executive and emotion processes in adults. Many investigators now espouse the hypothesis that participants with cerebellar lesions experience executive functions and emotions (EE) disorders. But we hypothesized that these disorders would be milder if the damage is relatively limited to the cerebellum compared to damage involving the cerebellum plus additional cortical areas. Methods: We studied veterans with penetrating Traumatic Brain Injury (pTBI) participating in the Vietnam Head Injury Study (VHIS). We selected veterans with a cerebellar lesion (n = 24), a prefrontal cortex lesion (n = 20), along with healthy controls (HC) (n = 55). Tests of executive functions and emotions were analyzed as well as caregiver burden. We performed between-group null hypothesis significance testing, Bayesian hypothesis tests and correlational analyses. Results: Performance of participants with cerebellar lesions which extended to the cerebral cortex was similar to the HC on the Executive Function tests but they were significantly impaired on the Working Memory Index. No differences were found on the emotional processing tasks with one exception-the Facial Expression of Emotion-Test (FEEST). We then examined a sub-group of participants with large cerebellar lesions (>15%) but minimal lesions in the cerebral cortex (<15%). This sub-group of participants performed similarly to the HC on the Working Memory Index and on the FEEST. Conclusions: We suggest that the cerebellar cortex may not be critical for executive functions or processing emotional stimuli in adults as suggested. Instead, we find that the cerebellum has a supportive role characterized by its computing of the motor requirements when EE processing is required.

13.
Lang Speech Hear Serv Sch ; 49(3S): 723-739, 2018 08 14.
Artigo em Inglês | MEDLINE | ID: mdl-30120449

RESUMO

Purpose: Statistical learning-the ability to learn patterns in environmental input-is increasingly recognized as a foundational mechanism necessary for the successful acquisition of spoken language. Spoken language is a complex, serially presented signal that contains embedded statistical relations among linguistic units, such as phonemes, morphemes, and words, which represent the phonotactic and syntactic rules of language. In this review article, we first review recent work that demonstrates that, in typical language development, individuals who display better nonlinguistic statistical learning abilities also show better performance on different measures of language. We next review research findings that suggest that children who are deaf and use cochlear implants may have difficulties learning sequential input patterns, possibly due to auditory and/or linguistic deprivation early in development, and that the children who show better sequence learning abilities also display improved spoken language outcomes. Finally, we present recent findings suggesting that it may be possible to improve core statistical learning abilities with specialized training and interventions and that such improvements can potentially impact and facilitate the acquisition and processing of spoken language. Method: We conducted a literature search through various online databases including PsychINFO and PubMed, as well as including relevant review articles gleaned from the reference sections of other review articles used in this review. Search terms included various combinations of the following: sequential learning, sequence learning, statistical learning, sequence processing, procedural learning, procedural memory, implicit learning, language, computerized training, working memory training, statistical learning training, deaf, deafness, hearing impairment, hearing impaired, DHH, hard of hearing, cochlear implant(s), hearing aid(s), and auditory deprivation. To keep this review concise and clear, we limited inclusion to the foundational and most recent (2005-2018) relevant studies that explicitly included research or theoretical perspectives on statistical or sequential learning. We here summarize and synthesize the most recent and relevant literature to understanding and treating language delays in children using cochlear implants through the lens of statistical learning. Conclusions: We suggest that understanding how statistical learning contributes to spoken language development is important for understanding some of the difficulties that children who are deaf and use cochlear implants might face and argue that it may be beneficial to develop novel language interventions that focus specifically on improving core foundational statistical learning skills.


Assuntos
Implante Coclear/métodos , Implantes Cocleares , Surdez/cirurgia , Desenvolvimento da Linguagem , Aprendizagem , Aptidão , Comportamento , Criança , Pré-Escolar , Surdez/reabilitação , Feminino , Auxiliares de Audição , Perda Auditiva , Humanos , Idioma , Linguística , Masculino , Memória de Curto Prazo , Pessoas com Deficiência Auditiva , Probabilidade , Estatística como Assunto , Resultado do Tratamento
14.
PLoS One ; 10(5): e0127148, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25946222

RESUMO

Recent research suggests that language acquisition may rely on domain-general learning abilities, such as structured sequence processing, which is the ability to extract, encode, and represent structured patterns in a temporal sequence. If structured sequence processing supports language, then it may be possible to improve language function by enhancing this foundational learning ability. The goal of the present study was to use a novel computerized training task as a means to better understand the relationship between structured sequence processing and language function. Participants first were assessed on pre-training tasks to provide baseline behavioral measures of structured sequence processing and language abilities. Participants were then quasi-randomly assigned to either a treatment group involving adaptive structured visuospatial sequence training, a treatment group involving adaptive non-structured visuospatial sequence training, or a control group. Following four days of sequence training, all participants were assessed with the same pre-training measures. Overall comparison of the post-training means revealed no group differences. However, in order to examine the potential relations between sequence training, structured sequence processing, and language ability, we used a mediation analysis that showed two competing effects. In the indirect effect, adaptive sequence training with structural regularities had a positive impact on structured sequence processing performance, which in turn had a positive impact on language processing. This finding not only identifies a potential novel intervention to treat language impairments but also may be the first demonstration that structured sequence processing can be improved and that this, in turn, has an impact on language processing. However, in the direct effect, adaptive sequence training with structural regularities had a direct negative impact on language processing. This unexpected finding suggests that adaptive training with structural regularities might potentially interfere with language processing. Taken together, these findings underscore the importance of pursuing designs that promote a better understanding of the mechanisms underlying training-related changes, so that regimens can be developed that help reduce these types of negative effects while simultaneously maximizing the benefits to outcome measures of interest.


Assuntos
Cognição , Idioma , Aprendizagem , Adolescente , Adulto , Inteligência Artificial , Feminino , Humanos , Transtornos da Linguagem/etiologia , Masculino , Adulto Jovem
15.
J Macrotrends Health Med ; 1(1): 41-57, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-31157288

RESUMO

Recent research suggests that language processing (LP) may rely heavily on sequential processing (SP), a cognitive ability that allows people to process the patterns of environmental stimuli that unfold in time, such as spoken language or music. Indeed, spoken language corresponds to a set of linguistic units (e.g., phonemes, syllables, words) that are organized in time in a non-random way, according to phonotactic and syntactic rules. In this review, we discuss recent research highlighting the importance of SP for learning and processing such linguistic regularities and argue that interventions focused on improving SP may provide a potentially effective way to rehabilitate language impairments. The first part of this review presents a series of findings showing that LP is intimately related to SP. We review the literature on populations with normal LP performance suggesting that LP relies upon SP. We then report two recent studies from our lab that demonstrated a direct link between LP and SP: (1) a behavioral study showing that variations on a non-linguistic SP task are significantly associated with LP, and (2) an event-related potential study showing that the neural correlates of SP interact with LP abilities in healthy adults. The second part of this review summarizes the literature suggesting that populations with LP impairments (such as language delays due to hearing loss, dyslexia, specific language impairment, and aphasia) also display SP impairments. Thus, disturbances to SP appear to be a commonality among what appears to be very different types of LP impairments, suggesting that impaired SP causes or exacerbates LP impairment. This leads to the third part of this review, where we first summarize recent findings from brain plasticity showing that: (1) cognitive training can improve cognitive processing, and that (2) increasing cognitive processing performance through training can result in a cognitive "transfer" by also increasing performance on other related cognitive skills. We then present a potentially new method for LP remediation that is based on the idea that some LP impairments might stem directly from SP disturbances and that improving SP processing will, via transfer, result in increased LP performance. This method was applied by our research team to conduct a study aimed at improving SP and LP mechanisms. To our knowledge, the SP training study presented here shows the first evidence that SP performance can be improved and therefore has strong clinical implications as a potentially effective and novel intervention to treat LP impairments.

16.
Artigo em Inglês | MEDLINE | ID: mdl-23977641

RESUMO

OBJECTIVES: This article synthesizes discussion of collaborative research results, interventions and policy engagement for St Lawrence Island (SLI), Alaska, during the years 2000-2012. METHODS: As part of on-going community-based participatory research (CBPR) studies on SLI, 5 discrete exposure-assessment projects were conducted: (a) a biomonitoring study of human blood serum; (b-d) 3 investigations of levels of contaminants in environmental media at an abandoned military site at Northeast Cape--using sediment cores and plants, semi-permeable membrane devices and blackfish, respectively; and (e) a study of traditional foods. RESULTS: Blood serum in residents of SLI showed elevated levels of polychlorinated biphenyls (PCBs) with higher levels among those exposed to the military site at Northeast Cape, an important traditional subsistence-use area. Environmental studies at the military site demonstrated that the site is a continuing source of PCBs to a major watershed, and that clean-up operations at the military site generated PCB-contaminated dust on plants in the region. Important traditional foods eaten by the people of SLI showed elevated concentrations of PCBs, which are primarily derived from the long-range transport of persistent pollutants that are transported by atmospheric and marine currents from more southerly latitudes to the north. INTERVENTIONS: An important task for all CBPR projects is to conduct intervention strategies as needed in response to research results. Because of the findings of the CBPR projects on SLI, the CBPR team and the people of the Island are actively engaging in interventions to ensure cleanup of the formerly used military sites; reform chemicals policy on a national level; and eliminate persistent pollutants internationally. The goal is to make the Island and other northern/Arctic communities safe for themselves and future generations. CONCLUSIONS: As part of the CBPR projects conducted from 2000 to 2012, a series of exposure assessments demonstrate that the leaders of SLI have reason to be concerned about the health of people due to the presence of carcinogenic chemicals as measured in biomonitoring and environmental samples and important traditional foods.


Assuntos
Pesquisa Participativa Baseada na Comunidade/organização & administração , Saúde Ambiental/organização & administração , Alaska , Animais , Pesquisa Participativa Baseada na Comunidade/métodos , Exposição Ambiental/análise , Saúde Ambiental/métodos , Peixes , Sedimentos Geológicos/análise , Política de Saúde , Humanos , Ilhas/epidemiologia , Bifenilos Policlorados/análise , Bifenilos Policlorados/sangue
17.
PLoS One ; 5(8): e12396, 2010 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-20811633

RESUMO

BACKGROUND: Persistent organic pollutants (POPs), including polychlorinated biphenyls (PCBs) and chlorinated pesticides, have been shown to have many adverse human health effects. These contaminants therefore may pose a risk to Alaska Natives that follow a traditional diet high in marine mammals and fish, in which POPs bioaccumulate. METHODS AND FINDINGS: This study examined the levels of PCBs and three pesticides [p, p'-DDE, mirex, and hexachlorobenzene (HCB)] in muscle tissue from nine fish species from several locations around the Aleutian Islands of Alaska. The highest median PCB level was found in rock sole (Lepidopsetta bilineata, 285 ppb, wet weight), while the lowest level was found in rock greenling (Hexagrammos lagocephalus, 104 ppb, wet weight). Lipid adjusted PCB values were also calculated and significant interspecies differences were found. Again, rock sole had the highest level (68,536 ppb, lipid weight). Concerning the PCB congener patterns, the more highly chlorinated congeners were most common as would be expected due to their greater persistence. Among the pesticides, p, p'-DDE generally dominated, and the highest level was found in sockeye salmon (Oncorhynchus nerka, 6.9 ppb, wet weight). The methodology developed by U.S. Environmental Protection Agency (USEPA) was used to calculate risk-based consumption limits for the analyzed fish species. For cancer health endpoints for PCBs, all species would trigger strict advisories of between two and six meals per year, depending upon species. For noncancer effects by PCBs, advisories of between seven and twenty-two meals per year were triggered. None of the pesticides triggered consumption limits. CONCLUSION: The fish analyzed, mainly from Adak, contain significant concentrations of POPs, in particular PCBs, which raises the question whether these fish are safe to eat, particularly for sensitive populations. However when assessing any risk of the traditional diet, one must also consider the many health and cultural benefits from eating fish.


Assuntos
Monitoramento Ambiental/métodos , Poluentes Ambientais/análise , Peixes , Geografia , Hidrocarbonetos Clorados/análise , Praguicidas/análise , Bifenilos Policlorados/análise , Comitês Consultivos , Alaska , Animais , Ingestão de Alimentos , Poluentes Ambientais/toxicidade , Humanos , Hidrocarbonetos Clorados/toxicidade , Neoplasias/induzido quimicamente , Praguicidas/toxicidade , Bifenilos Policlorados/toxicidade , Risco , Especificidade da Espécie , Estados Unidos , United States Environmental Protection Agency
18.
PLoS One ; 5(10): e13443, 2010 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-20976178

RESUMO

BACKGROUND: Genetic ancestry is known to impact outcomes of genotype-phenotype studies that are designed to identify risk for common diseases in human populations. Failure to control for population stratification due to genetic ancestry can significantly confound results of disease association studies. Moreover, ancestry is a critical factor in assessing lifetime risk of disease, and can play an important role in optimizing treatment. As modern medicine moves towards using personal genetic information for clinical applications, it is important to determine genetic ancestry in an accurate, cost-effective and efficient manner. Self-identified race is a common method used to track and control for population stratification; however, social constructs of race are not necessarily informative for genetic applications. The use of ancestry informative markers (AIMs) is a more accurate method for determining genetic ancestry for the purposes of population stratification. METHODOLOGY/PRINCIPAL FINDINGS: Here we introduce a novel panel of 36 microsatellite (MSAT) AIMs that determines continental admixture proportions. This panel, which we have named Continental Ancestry Informative Markers or CoAIMs, consists of MSAT AIMs that were chosen based upon their measure of genetic variance (F(st)), allele frequencies and their suitability for efficient genotyping. Genotype analysis using CoAIMs along with a Bayesian clustering method (STRUCTURE) is able to discern continental origins including Europe/Middle East (Caucasians), East Asia, Africa, Native America, and Oceania. In addition to determining continental ancestry for individuals without significant admixture, we applied CoAIMs to ascertain admixture proportions of individuals of self declared race. CONCLUSION/SIGNIFICANCE: CoAIMs can be used to efficiently and effectively determine continental admixture proportions in a sample set. The CoAIMs panel is a valuable resource for genetic researchers performing case-control genetic association studies, as it can control for the confounding effects of population stratification. The MSAT-based approach used here has potential for broad applicability as a cost effective tool toward determining admixture proportions.


Assuntos
Análise Custo-Benefício , Genealogia e Heráldica , Genótipo , Fenótipo
19.
Environ Monit Assess ; 83(2): 113-27, 2003 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-12691526

RESUMO

Tropospheric ozone occurs at phytotoxic levels in the northeastern and mid-Atlantic regions of the United States. Quantifying possible regional-scale impacts of ambient ozone on forest tree species is difficult and is confounded by other factors, such as moisture and light, which influence the uptake of ozone by plants. Biomonitoring provides an approach to document direct foliar injury irrespective of direct measure of ozone uptake. We used bioindicator and field plot data from the USDA Forest Service to identify tree species likely to exhibit regional-scale ozone impacts. Approximately 24% of sampled sweetgum (Liquidambar styraciflua), 15% of sampled loblolly pine (Pinus taeda), and 12% of sampled black cherry (Prunus serotina) trees were in the highest risk category. Sweetgum and loblolly pine trees were at risk on the coastal plain of Maryland, Virginia and Delaware. Black cherry trees were at risk on the Allegheny Plateau (Pennsylvania), in the Allegheny Mountains (Pennsylvania, West Virginia, and Maryland) as well as coastal plain areas of Maryland and Virginia. Our findings indicate a need for more in-depth study of actual impacts on growth and reproduction of these three species.


Assuntos
Poluentes Atmosféricos/análise , Monitoramento Ambiental/métodos , Liquidambar , Oxidantes Fotoquímicos/efeitos adversos , Ozônio/efeitos adversos , Pinus , Prunus , Poluentes Atmosféricos/farmacocinética , Biomarcadores/análise , Oxidantes Fotoquímicos/farmacocinética , Ozônio/farmacocinética , Medição de Risco , Árvores/crescimento & desenvolvimento
20.
Environ Monit Assess ; 95(1-3): 57-74, 2004 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15195820

RESUMO

Air pollutants pose a risk to forest health and vitality in the United States. Here we present the major findings from a national scale air pollution assessment that is part of the United States' 2003 Report on Sustainable Forests. We examine trends and the percent forest subjected to specific levels of ozone and wet deposition of sulfate, nitrate, and ammonium. Results are reported by Resource Planning Act (RPA) reporting region and integrated by forest type using multivariate clustering. Estimates of sulfate deposition for forested areas had decreasing trends (1994-2000) across RPA regions that were statistically significant for North and South RPA regions. Nitrate deposition rates were relatively constant for the 1994 to 2000 period, but the South RPA region had a statistically decreasing trend. The North and South RPA regions experienced the highest ammonium deposition rates and showed slightly decreasing trends. Ozone concentrations were highest in portions of the Pacific Coast RPA region and relatively high across much of the South RPA region. Both the South and Rocky Mountain RPA regions had an increasing trend in ozone exposure. Ozone-induced foliar injury to sensitive species was recorded in all regions except for the Rocky Mountain region. The multivariate analysis showed that the oak-hickory and loblolly-shortleaf pine forest types were generally exposed to more air pollution than other forest types, and the redwood, western white pine, and larch forest types were generally exposed to less. These findings offer a new approach to national air pollution assessments and are intended to help focus research and planning initiatives related to air pollution and forest health.


Assuntos
Poluentes Atmosféricos/análise , Monitoramento Ambiental/métodos , Chuva Ácida , Canadá , Análise por Conglomerados , Saúde Ambiental , Análise Multivariada , Nitratos/análise , Ozônio/análise , Compostos de Amônio Quaternário/análise , Sulfatos/análise , Árvores , Estados Unidos
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