Dental erosion as an indicator of gastroesophageal reflux disease.

While evidence shows that dental erosion (DE) is often caused by gastroesophageal reflux disease (GERD), the relationship of DE severity to a patient's symptoms and receipt of appropriate medical treatment for GERD is not clearly understood. The purpose of this study was to evaluate the association between DE and GERD. Eighty participants underwent a Basic Erosive Wear Examination for DE and completed the Patient-Reported Outcomes Measurement Information System (PROMIS) survey on symptoms of gastrointestinal reflux (PROMIS Scale v1.0, Gastrointestinal Gastroesophageal Reflux 13a) in English. Patients with observed erosive patterns were referred for gastroenterologic evaluation. The association between DE and GERD was assessed using multiple regression. The results showed that the extent of DE was positively associated with GERD symptoms (B = 0.585; 95% CI, 0.21-0.96), as measured by the PROMIS survey, in participants without a current diagnosis of GERD. Of the 80 patients in the study, 28 with more severe DE were evaluated in the gastroenterology department. A diagnosis of GERD was established for 27 of the 28, 9 of whom denied a past history of the disease. Twenty patients with GERD underwent upper endoscopy, and esophageal lesions were found in 6 patients (erosive esophagitis in 5 and Barrett esophagus in 1). Patients with clinically identified DE may benefit from medical evaluation and, if necessary, management of GERD. For a subset of patients, DE may be the only clinical indication of untreated or undertreated GERD, which could lead to serious esophageal changes. Dentists should consider referring patients with DE to primary care providers or gastrointestinal specialists to ensure that systemic conditions are identified and managed appropriately.

Interactions between visual and semantic processing during object recognition revealed by modulatory effects of age of acquisition.

The age of acquisition (AoA) of objects and their names is a powerful determinant of processing speed in adulthood, with early-acquired objects being recognized and named faster than late-acquired objects. Previous research using fMRI (Ellis et al., 2006. Traces of vocabulary acquisition in the brain: evidence from covert object naming. NeuroImage 33, 958-968) found that AoA modulated the strength of BOLD responses in both occipital and left anterior temporal cortex during object naming. We used magnetoencephalography (MEG) to explore in more detail the nature of the influence of AoA on activity in those two regions. Covert object naming recruited a network within the left hemisphere that is familiar from previous research, including visual, left occipito-temporal, anterior temporal and inferior frontal regions. Region of interest (ROI) analyses found that occipital cortex generated a rapid evoked response (~75-200 ms at 0-40 Hz) that peaked at 95 ms but was not modulated by AoA. That response was followed by a complex of later occipital responses that extended from ~300 to 850 ms and were stronger to early- than late-acquired items from ~325 to 675 ms at 10-20 Hz in the induced rather than the evoked component. Left anterior temporal cortex showed an evoked response that occurred significantly later than the first occipital response (~100-400 ms at 0-10 Hz with a peak at 191 ms) and was stronger to early- than late-acquired items from ~100 to 300 ms at 2-12 Hz. A later anterior temporal response from ~550 to 1050 ms at 5-20 Hz was not modulated by AoA. The results indicate that the initial analysis of object forms in visual cortex is not influenced by AoA. A fastforward sweep of activation from occipital and left anterior temporal cortex then results in stronger activation of semantic representations for early- than late-acquired objects. Top-down re-activation of occipital cortex by semantic representations is then greater for early than late acquired objects resulting in delayed modulation of the visual response.

Canal-otolith interactions alter the perception of self-motion direction.

Few studies have investigated the perception of vestibular stimuli when they occur in sequences. Here, three experiments (ntotal = 33) are presented that focus on intravestibular motion sequences and the underlying perceptual decision-making process. Natural vestibular stimulation (yaw rotation or translation) was used to investigate the discrimination process of the direction of a subsequent spatially congruent or incongruent translation or rotation. The few existing studies focusing on unimodal motion sequences have uncovered self-motion aftereffects, similar to the visual motion aftereffect, possibly due to altered processing of sensory stimuli. An alternative hypothesis predicts a shift of spatial attention due to the cue motion influencing perception of the subsequent motion stimulus. The results show that participants systematically misjudged the direction of motion stimuli well above the detection threshold if the direction of the preceding cue motion stimulus was congruent with the direction of the target (a motion aftereffect). Hierarchical drift diffusion models were used to analyze the data. The results suggest that altered perceptual decision-making and the resulting misperceptions are likely to originate in altered processing of sensory vestibular information.

The anatomical bases of semantic retrieval deficits in early Alzheimer's disease.

Semantic abilities deteriorate early in patients with Alzheimer's disease (AD) and their residual language is characterised by strong lexical effects such as the age of acquisition of words and their typicality. The anatomical bases of this early semantic degradation have not been fully explored. To clarify which neural structures, when atrophic, alter lexical-semantic function in patients with very mild AD, this study correlated the lexical attributes of words produced in a semantic fluency task with grey matter density values from 3D MRI scans of mild AD patients. The voxel-based analyses showed a significant correlation between the lexical attributes characterising residual linguistic production in early AD patients and the integrity of regions of the medial temporal lobes, especially in areas of the perirhinal and parahippocampal cortex. This correlation was present in both hemispheres. There were no correlations within these structures with scores on neuropsychological tests not involving semantic or episodic memory. The results have implications for the role of medial temporal structures in episodic and semantic retrieval and argue against a unitary function of these structures in respect of episodic and semantic memory processes. This evidence suggests that specialised regions within the hippocampal complex engage in processes of encoding and retrieval for both semantic and episodic memories.

Order of acquisition in learning perceptual categories: a laboratory analogue of the age-of-acquisition effect?

In the age-of-acquisition (AoA) effect, an advantage for recognition and production is found for items learned early in life, as compared with items learned later. In this laboratory analogue, participants learned to categorize novel random checkerboard stimuli. Some stimuli were presented from the onset of training; others were introduced later. At test, when early and late stimuli had equal cumulative frequency, early stimuli were classified significantly more quickly. Because stimuli were randomly assigned to be introduced either early or late, we can conclude that early stimuli were categorized more quickly because of their order of acquisition. This finding suggests that age- or order-of-acquisition effects are a general property of any learning system.

Cognitive Rehabilitation in Bilateral Vestibular Patients: A Computational Perspective.

There is evidence that vestibular sensory processing affects, and is affected by, higher cognitive processes. This is highly relevant from a clinical perspective, where there is evidence for cognitive impairments in patients with peripheral vestibular deficits. The vestibular system performs complex probabilistic computations, and we claim that understanding these is important for investigating interactions between vestibular processing and cognition. Furthermore, this will aid our understanding of patients' self-motion perception and will provide useful information for clinical interventions. We propose that cognitive training is a promising way to alleviate the debilitating symptoms of patients with complete bilateral vestibular loss (BVP), who often fail to show improvement when relying solely on conventional treatment methods. We present a probabilistic model capable of processing vestibular sensory data during both passive and active self-motion. Crucially, in our model, knowledge from multiple sources, including higher-level cognition, can be used to predict head motion. This is the entry point for cognitive interventions. Despite the loss of sensory input, the processing circuitry in BVP patients is still intact, and they can still perceive self-motion when the movement is self-generated. We provide computer simulations illustrating self-motion perception of BVP patients. Cognitive training may lead to more accurate and confident predictions, which result in decreased weighting of sensory input, and thus improved self-motion perception. Using our model, we show the possible impact of cognitive interventions to help vestibular rehabilitation in patients with BVP.

Words, hemispheres, and dissociable subsystems: the effects of exposure duration, case alternation, priming, and continuity of form on word recognition in the left and right visual fields.

Three experiments explore aspects of the dissociable neural subsystems theory of hemispheric specialisation proposed by Marsolek and colleagues, and in particular a study by [Deason, R. G., & Marsolek, C. J. (2005). A critical boundary to the left-hemisphere advantage in word processing. Brain and Language, 92, 251-261]. Experiment 1A showed that shorter exposure durations for lower-case words (13 ms) are associated with reduced right visual field (RVF) advantages compared with longer exposure durations (144 ms). Experiment 1B compared report accuracy for lower case and mixed case words at the same exposure duration (144 ms). The RVF advantage was reduced for mixed case words due to case alternation having more of an adverse effect in the RVF than in the LVF. Experiment 2 tested a different prediction of dissociable neural subsystems theory. Four-letter words were presented in mixed case in the LVF or RVF for 100 ms. They were preceded at the same location by a prime which could be in the same word in the same alternation pattern (e.g., FlAg-FlAg), the same word in the opposite alternation pattern (e.g., fLaG-FlAg), or an unrelated letter string in the same or opposite case alternation pattern (WoPk-FlAg or wOpK-FlAg). Relative to performance in the letter string prime conditions, which did not differ significantly between the two visual fields, there was more of an effect of word primes in the RVF than in the LVF. Importantly, the benefit of a word prime was the same whether the prime was in the same alternation pattern or was in the opposition alternation pattern. We argue that these results run contrary to the predictions of dissociable neural subsystems theory and are more compatible with theories which propose that a left hemisphere word recognition system is responsible for identifying written words, whether they are presented in the LVF or the RVF, and that letters are processed to an abstract graphemic level of representation before being identified by that system.

Interhemispheric cooperation and non-cooperation during word recognition: evidence for callosal transfer dysfunction in dyslexic adults.

Participants report briefly-presented words more accurately when two copies are presented, one in the left visual field (LVF) and another in the right visual field (RVF), than when only a single copy is presented. This effect is known as the 'redundant bilateral advantage' and has been interpreted as evidence for interhemispheric cooperation. We investigated the redundant bilateral advantage in dyslexic adults and matched controls as a means of assessing communication between the hemispheres in dyslexia. Consistent with previous research, normal adult readers in Experiment 1 showed significantly higher accuracy on a word report task when identical word stimuli were presented bilaterally, compared to unilateral RVF or LVF presentation. Dyslexics, however, did not show the bilateral advantage. In Experiment 2, words were presented above fixation, below fixation or in both positions. In this experiment both dyslexics and controls benefited from the redundant presentation. Experiment 3 combined whole words in one visual field with word fragments in the other visual field (the initial and final letters separated by spaces). Controls showed a bilateral advantage but dyslexics did not. In Experiments 1 and 3, the dyslexics showed significantly lower accuracy for LVF trials than controls, but the groups did not differ for RVF trials. The findings suggest that dyslexics have a problem of interhemispheric integration and not a general problem of processing two lexical inputs simultaneously.

Newly-acquired words are more phonologically robust in verbal short-term memory when they have associated semantic representations.

Verbal short-term memory (STM) is a crucial cognitive function central to language learning, comprehension and reasoning, yet the processes that underlie this capacity are not fully understood. In particular, although STM primarily draws on a phonological code, interactions between long-term phonological and semantic representations might help to stabilise the phonological trace for words ("semantic binding hypothesis"). This idea was first proposed to explain the frequent phoneme recombination errors made by patients with semantic dementia when recalling words that are no longer fully understood. However, converging evidence in support of semantic binding is scant: it is unusual for studies of healthy participants to examine serial recall at the phoneme level and also it is difficult to separate the contribution of phonological-lexical knowledge from effects of word meaning. We used a new method to disentangle these influences in healthy individuals by training new 'words' with or without associated semantic information. We examined phonological coherence in immediate serial recall (ISR), both immediately and the day after training. Trained items were more likely to be recalled than novel nonwords, confirming the importance of phonological-lexical knowledge, and items with semantic associations were also produced more accurately than those with no meaning, at both time points. For semantically-trained items, there were fewer phoneme ordering and identity errors, and consequently more complete target items were produced in both correct and incorrect list positions. These data show that lexical-semantic knowledge improves the robustness of verbal STM at the sub-item level, even when the effect of phonological familiarity is taken into account.

Toward a Dynamic Probabilistic Model for Vestibular Cognition.

We suggest that research in vestibular cognition will benefit from the theoretical framework of probabilistic models. This will aid in developing an understanding of how interactions between high-level cognition and low-level sensory processing might occur. Many such interactions have been shown experimentally; however, to date, no attempt has been made to systematically explore vestibular cognition by using computational modeling. It is widely assumed that mental imagery and perception share at least in part neural circuitry, and it has been proposed that mental simulation is closely connected to the brain's ability to make predictions. We claim that this connection has been disregarded in the vestibular domain, and we suggest ways in which future research may take this into consideration.

Word recognition in Alzheimer's disease: Effects of semantic degeneration.

Impairments of word recognition in Alzheimer's disease (AD) have been less widely investigated than impairments affecting word retrieval and production. In particular, we know little about what makes individual words easier or harder for patients with AD to recognize. We used a lexical selection task in which participants were shown sets of four items, each set consisting of one word and three non-words. The task was simply to point to the word on each trial. Forty patients with mild-to-moderate AD were significantly impaired on this task relative to matched controls who made very few errors. The number of patients with AD able to recognize each word correctly was predicted by the frequency, age of acquisition, and imageability of the words, but not by their length or number of orthographic neighbours. Patient Mini-Mental State Examination and phonological fluency scores also predicted the number of words recognized. We propose that progressive degradation of central semantic representations in AD differentially affects the ability to recognize low-imageability, low-frequency, late-acquired words, with the same factors affecting word recognition as affecting word retrieval.

Vestibular cognition: the effect of prior belief on vestibular perceptual decision making.

Vestibular cognition is a growing field of interest and relatively little is known about the underlying mechanisms. We tested the effect of prior beliefs about the relative probability (50:50 vs. 80:20) of motion direction (yaw rotation) using a direction discrimination task. We analyzed choices individually with a logistic regression model and together with response times using a cognitive process model. The results show that self-motion perception is altered by prior belief, leading to a shift of the psychometric function, without a loss of sensitivity. Hierarchical drift diffusion analysis showed that at the group level, prior belief manifests itself as an offset to the drift criterion. However, individual model fits revealed that participants vary in how they use cognitive information in perceptual decision making. At the individual level, the response bias induced by a prior belief resulted either in a change in starting point (prior to evidence accumulation) or drift rate (during evidence accumulation). Participants incorporate prior belief in a self-motion discrimination task, albeit in different ways.

Reading and lexicalization in opaque and transparent orthographies: Word naming and word learning in English and Spanish.

Do skilled readers of opaque and transparent orthographies make differential use of lexical and sublexical processes when converting words from print to sound? Two experiments are reported, which address that question, using effects of letter length on naming latencies as an index of the involvement of sublexical letter-sound conversion. Adult native speakers of English (Experiment 1) and Spanish (Experiment 2) read aloud four- and seven-letter high-frequency words, low-frequency words, and nonwords in their native language. The stimuli were interleaved and presented 10 times in a first testing session and 10 more times in a second session 28 days later. Effects of lexicality were observed in both languages, indicating the deployment of lexical representations in word naming. Naming latencies to both words and nonwords reduced across repetitions on Day 1, with those savings being retained to Day 28. Length effects were, however, greater for Spanish than English word naming. Reaction times to long and short nonwords converged with repeated presentations in both languages, but less in Spanish than in English. The results support the hypothesis that reading in opaque orthographies favours the rapid creation and use of lexical representations, while reading in transparent orthographies makes more use of a combination of lexical and sublexical processing.

Oscillatory Dynamics Supporting Semantic Cognition: MEG Evidence for the Contribution of the Anterior Temporal Lobe Hub and Modality-Specific Spokes.

The "hub and spoke model" of semantic representation suggests that the multimodal features of objects are drawn together by an anterior temporal lobe (ATL) "hub", while modality-specific "spokes" capture perceptual/action features. However, relatively little is known about how these components are recruited through time to support object identification. We used magnetoencephalography to measure neural oscillations within left ATL, lateral fusiform cortex (FC) and central sulcus (CS) during word-picture matching at different levels of specificity (employing superordinate vs. specific labels) for different categories (manmade vs. animal). This allowed us to determine (i) when each site was sensitive to semantic category and (ii) whether this was modulated by task demands. In ATL, there were two phases of response: from around 100 ms post-stimulus there were phasic bursts of low gamma activity resulting in reductions in oscillatory power, relative to a baseline period, that were modulated by both category and specificity; this was followed by more sustained power decreases across frequency bands from 250 ms onwards. In the spokes, initial power increases were not stronger for specific identification, while later power decreases were stronger for specific-level identification in FC for animals and in CS for manmade objects (from around 150 ms and 200 ms, respectively). These data are inconsistent with a temporal sequence in which early sensory-motor activity is followed by later retrieval in ATL. Instead, knowledge emerges from the rapid recruitment of both hub and spokes, with early specificity and category effects in the ATL hub. The balance between these components depends on semantic category and task, with visual cortex playing a greater role in the fine-grained identification of animals and motor cortex contributing to the identification of tools.

Word finding in the damaged brain: probing Marshall's caveat.

Marshall (1977) constructed a plausible simulation of "anomic" speech out of the 100 most common words in the English language. He suggested that impaired access to lower frequency vocabulary might underlie anomic word finding difficulties. But he also noted that another factor, age of acquisition, may exert an influence, with anomic patients experiencing particular difficulty with later acquired vocabulary. A review of research on word-finding in aphasia and other neuropsychological conditions suggests that Marshall (1977) may have been right on both counts, and that in many patients both frequency of use and age of acquisition influence the likelihood that a given word will be able to be accessed and used. Theoretical accounts of why the age of acquisition of words might affect their retention or loss following brain injury in adulthood are considered.

Unilateral neglect is not unilateral: evidence for additional neglect of extreme right space.

Six patients with visuospatial neglect following right hemisphere lesions were given three tasks that assessed performance in areas of space ranging from extreme left to extreme right. A line bisection task required the patients to detect and bisect lines of four different lengths at seven left-right spatial locations, a number report task required the patients to name 11 two-digit numbers in a left-right array, and a tiling task required patients to place small black tiles over the black squares of a grid that stretched from 65 degrees left to 65 degrees right. Performance was compared with that of 20 age-matched controls. The patients showed the characteristic signs of left-side neglect in left space, extending to the central midline. Performance was relatively normal in centre-right space but all 6 patients showed signs of neglect of extreme right space (60 degrees to the right of the midline and beyond). We propose that neglect is best characterised as a bilateral, asymmetrical compression of experienced space in which the constriction extends further from the left than from the right but nevertheless affects both sides of space.

Orthographic complexity and word naming in Italian: some words are more transparent than others.

Italian is a language with a transparent orthography in which printed words can be translated into the correct sequence of phonemes using a limited set of rules. The rules of letter-sound conversion are, however, simpler for some letters than for others: The pronunciations of sequences involving the letters c and g are determined by complex (i.e., context-sensitive) rules that depend on the letters that follow them. In this article, we report two experiments in which Italian participants read aloud words containing simple or complex letter-sound conversion rules. In Experiment 1, we found that words containing complex rules were read more slowly than words containing simple, noncontextual rules. In Experiment 2, we found that the effect of rule complexity on naming speed held for low-frequency words but not high-frequency words. The results are interpreted in terms of a dual-route model in which rule complexity effects arise from sublexical procedures that are more involved in reading low-frequency words than high-frequency words. The experimental material used in this study may be downloaded from www.psychonomic.org/archive.

The age of acquisition of words produced in a semantic fluency task can reliably differentiate normal from pathological age related cognitive decline.

This study examined differences in the characteristics of words produced by healthy elderly controls and by patients with Alzheimer's disease (AD) in a semantic fluency task (generating words from the categories of animals and fruit). Ninety-six AD patients (MMSE 13-29) and 40 controls matched for age and socio-cultural background completed a semantic fluency task. Length, frequency, typicality and age of acquisition (AoA) values were obtained for each word generated. In comparison with controls, AD patients generated fewer items, and their items were higher in frequency, shorter in length, more typical and earlier in AoA. Discriminant function analysis showed that AoA was the best predictor of group membership (patient/control). The mean AoA of words generated correctly classified 95% of controls and 88% of patients.

Internal Models, Vestibular Cognition, and Mental Imagery: Conceptual Considerations.

Vestibular cognition has recently gained attention. Despite numerous experimental and clinical demonstrations, it is not yet clear what vestibular cognition really is. For future research in vestibular cognition, adopting a computational approach will make it easier to explore the underlying mechanisms. Indeed, most modeling approaches in vestibular science include a top-down or a priori component. We review recent Bayesian optimal observer models, and discuss in detail the conceptual value of prior assumptions, likelihood and posterior estimates for research in vestibular cognition. We then consider forward models in vestibular processing, which are required in order to distinguish between sensory input that is induced by active self-motion, and sensory input that is due to passive self-motion. We suggest that forward models are used not only in the service of estimating sensory states but they can also be drawn upon in an offline mode (e.g., spatial perspective transformations), in which interaction with sensory input is not desired. A computational approach to vestibular cognition will help to discover connections across studies, and it will provide a more coherent framework for investigating vestibular cognition.

Negative emotional stimuli enhance vestibular processing.

Recent studies have shown that vestibular stimulation can influence affective processes. In the present study, we examined whether emotional information can also modulate vestibular perception. Participants performed a vestibular discrimination task on a motion platform while viewing emotional pictures. Six different picture categories were taken from the International Affective Picture System: mutilation, threat, snakes, neutral objects, sports, and erotic pictures. Using a Bayesian hierarchical approach, we were able to show that vestibular discrimination improved when participants viewed emotionally negative pictures (mutilation, threat, snake) when compared to neutral/positive objects. We conclude that some of the mechanisms involved in the processing of vestibular information are also sensitive to emotional content. Emotional information signals importance and mobilizes the body for action. In case of danger, a successful motor response requires precise vestibular processing. Therefore, negative emotional information improves processing of vestibular information.