Episodic memory effects of gamma frequency precuneus transcranial magnetic stimulation in Alzheimer's disease: A randomized multiple baseline study

Episodic memory decline is the prominent neuropsychological feature of typical Alzheimer's Disease (AD), for which current treatments have a limited clinical response. Recently, gamma entrainment therapy has been used as a non-invasive treatment in AD, providing evidence that it may have the potential to alleviate brain pathology and improve cognitive function in AD patients. At the same time, the precuneus (PC) has been recognized as a key area involved in AD related memory deficits and as a key node of the Default Mode Network. This study aimed to investigate the effectiveness of a 40 Hz Transcranial Magnetic Stimulation (TMS) intervention, delivered bilaterally to the precuneus for 10 days, in improving the patients' episodic memory performance. Secondary outcome variables investigated included general cognitive function, semantic and spatial memory, as well as attention and executive function. A concurrent multiple baseline design across five cases was employed. Four patients completed the study. Visual analysis combined with effect size indices were used to evaluate changes across phases. An increase in the average level of immediate recalled words was observed in three out of four patients. Effect size indices indicated significant improvement of attention skills in two patients. No treatment effect was observed for semantic and visual memory, or for executive function. An immediate treatment effect was observed in all patients' general cognitive function as assessed with the Alzheimer's Disease Assessment Scale (mean reduction of 5 points), which was maintained and improved further three months post-treatment. The neuropsychological evaluations indicated improved performance three months post-treatment in immediate and delayed recall, attention, phonological verbal fluency, anxiety, and neuropsychiatric symptoms. This study provides preliminary evidence for the efficacy of a novel non-pharmacological treatment using gamma-band TMS in addressing cognitive dysfunction in AD.     

Critical Rationalism in the Test Tube? Lecture given at the ’’International Summer School on the Philosophy of Chemistry and Biochemistry‘‘, Bradford & Ilkley Community College, 11. – 14. July 1994.

Popper's critical rationalism is widely accepted under scientists and philosophers of science as a proper method for the reconstruction of scientific theories. On occasion of the application of the Popperian ideas for the reconstruction of chemistry by Akeroyd the flaws of the critical rationalist approach are criticised and a methodical alternative is proposed, involving the operational definition of scientific terms. This revised version was published online in July 2006 with corrections to the Cover Date.     

The Recruitment of Shifting and Inhibition in On‐line Science and Mathematics Tasks

Prior research has investigated the recruitment of inhibition in the use of science/mathematics concepts in tasks that require the rejection of a conflicting, nonscientific initial concept. The present research examines if inhibition is the only EF skill recruited in such tasks and investigates whether shifting is also involved. It also investigates whether inhibition and/or shifting are recruited in tasks in which the use of science/mathematics concepts does not require the rejection of an initial concept, or which require only the use of initial concepts. One hundred and thirty‐three third‐ and fifth‐grade children participated in two inhibition and shifting tasks and two science and mathematics conceptual understanding and conceptual change (CU&C) tasks. All the tasks were on‐line, and performance was measured in accuracy and RTs. The CU&C tasks involved the use of initial concepts and of science/mathematics concepts which required conceptual changes for their initial formation. Only in one of the tasks the use of the science/mathematics concepts required the concurrent rejection of an initial concept. The results confirmed that in this task inhibition was recruited and also showed that the speed of shifting was a significant predictor of performance. Shifting was a significant predictor of performance in all the tasks, regardless of whether they involved science/mathematics or initial concepts. It is argued that shifting is likely to be recruited in complex tasks that require multiple comparisons of stimuli and the entertainment of different perspectives. Inhibition seems to be a more selective cognitive skill likely to be recruited when the use of science/mathematics concepts requires the rejection of a conflicting initial concept.     

Predictable Mispredictions in the Context of Physical Activity and Sport: A Review

Theoretical models and research that aim to identify antecedents of participation in physical activities or sport can measure antecedents of physical activity behaviour through instruments that involve subjective predictions. In this article, we argue that such instruments may not reflect physical activity experiences or behaviour accurately because people are not very good predictors of future states. Additionally, we propose that mispredictions may be predictable because they are “caused” by tendencies to neglect processes related to hedonic adaptation and competing alternatives. We also suggest that it may be possible to improve measurement of antecedents through methods that focus respondents' attention on factors that cause mispredictions or through experiential sampling methods.     

Working memory load and distraction: dissociable effects of visual maintenance and cognitive control

We establish a new dissociation between the roles of working memory (WM) cognitive control and visual maintenance in selective attention as measured by the efficiency of distractor rejection. The extent to which focused selective attention can prevent distraction has been shown to critically depend on the level and type of load involved in the task. High perceptual load that consumes perceptual capacity leads to reduced distractor processing, whereas high WM load that reduces WM ability to exert priority-based executive cognitive control over the task results in increased distractor processing (e.g., Lavie, Trends in Cognitive Sciences, 9(2), 75–82, 2005). WM also serves to maintain task-relevant visual representations, and such visual maintenance is known to recruit the same sensory cortices as those involved in perception (e.g., Pasternak & Greenlee, Nature Reviews Neuroscience, 6(2), 97–107, 2005). These findings led us to hypothesize that loading WM with visual maintenance would reduce visual capacity involved in perception, thus resulting in reduced distractor processing—similar to perceptual load and opposite to WM cognitive control load. Distractor processing was assessed in a response competition task, presented during the memory interval (or during encoding; Experiment 1a) of a WM task. Loading visual maintenance or encoding by increased set size for a memory sample of shapes, colors, and locations led to reduced distractor response competition effects. In contrast, loading WM cognitive control with verbal rehearsal of a random letter set led to increased distractor effects. These findings confirm load theory predictions and provide a novel functional distinction between the roles of WM maintenance and cognitive control in selective attention.     

Eye movements of monkey observers viewing vocalizing conspecifics

Primates, including humans, communicate using facial expressions, vocalizations and often a combination of the two modalities. For humans, such bimodal integration is best exemplified by speech-reading - humans readily use facial cues to enhance speech comprehension, particularly in noisy environments. Studies of the eye movement patterns of human speech-readers have revealed, unexpectedly, that they predominantly fixate on the eye region of the face as opposed to the mouth. Here, we tested the evolutionary basis for such a behavioral strategy by examining the eye movements of rhesus monkeys observers as they viewed vocalizing conspecifics. Under a variety of listening conditions, we found that rhesus monkeys predominantly focused on the eye region versus the mouth and that fixations on the mouth were tightly correlated with the onset of mouth movements. These eye movement patterns of rhesus monkeys are strikingly similar to those reported for humans observing the visual components of speech. The data therefore suggest that the sensorimotor strategies underlying bimodal speech perception may have a homologous counterpart in a closely related primate ancestor.     

Recognition memory and awareness: A high-frequency advantage in the accuracy of knowing

The well-established advantage of low-frequency words over high-frequency words in recognition memory has been found to occur in remembering and not knowing. Two experiments employed remember and know judgements, and divided attention to investigate the possibility of an effect of word frequency on know responses given appropriate study conditions. With undivided attention at study, the usual low-frequency advantage in the accuracy of remember responses, but no effect on know responses, was obtained. Under a demanding divided attention task at encoding, a high-frequency advantage in the accuracy of know responses was obtained. The results are discussed in relation to theories of knowing, particularly those incorporating perceptual and conceptual fluency.     

Recognition memory and awareness: A high-frequency advantage in the accuracy of knowing

The well-established advantage of low-frequency words over high-frequency words in recognition memory has been found to occur in remembering and not knowing. Two experiments employed remember and know judgements, and divided attention to investigate the possibility of an effect of word frequency on know responses given appropriate study conditions. With undivided attention at study, the usual low-frequency advantage in the accuracy of remember responses, but no effect on know responses, was obtained. Under a demanding divided attention task at encoding, a high-frequency advantage in the accuracy of know responses was obtained. The results are discussed in relation to theories of knowing, particularly those incorporating perceptual and conceptual fluency.