Functional cerebral changes in multiple sclerosis patients during an autobiographical memory test

Our aim was to investigate the functional underpinnings of autobiographical memory (AM) impairment in multiple sclerosis (MS) patients. To that end, 18 patients and 18 controls underwent the autobiographical interview (AI). Subsequently, the 36 participants underwent a functional magnetic resonance imaging (fMRI) session designed to assess the construction and elaboration of AMs. A categorical control task was also presented. Patients were trained in the fMRI procedure to optimise the procedural aspects accompanying the task itself. Although the patients obtained significantly poorer AI scores (p < .001), their performance on the easier AM fMRI task was efficiently carried out, allowing relevant comparisons with healthy controls. Relatively to healthy controls, the patients showed increased and bilateral cerebral activations (p < .005) during the construction and elaboration phases. The prefrontal, temporal and posterior cerebral region activations were located within the core network sustaining AM, with the bilateral prefrontal region being centrally involved. The parametric neural responses to the difficulty of access and amount of details of memories were also significantly different for the two groups, with the right hippocampal region showing a particularly increased recruitment (p < .005). The findings suggested the presence of functional cerebral changes during AM performance and supported the presence of AM retrieval deficit in MS patients.     

Predictors of Reading Comprehension in Children with Cerebral Palsy and Typically Developing Children

Predictors of reading comprehension were evaluated in 41 children with cerebral palsy and 74 typically developing children between the ages of 6 and 12 years. Regression analyses were conducted to determine the relative contributions of measures of phonemic awareness, receptive vocabulary, and general reasoning to variance in reading comprehension. All three independent variables were statistically significant predictors of reading comprehension in both groups of participants. The impact of phonemic awareness on reading comprehension was moderated by age, but only in the typically developing group. Within the group with cerebral palsy, there was an indirect effect of functional expressive ability on reading comprehension, mediated by phonemic awareness. It is concluded that largely the same variables predict reading comprehension in children with cerebral palsy as in typically developing children, but that children with cerebral palsy continue to rely on phonological processing for a more protracted period of time.     

Hand Grip and Load Force Coordination of the Ipsilesional Hand of Chronic Stroke Individuals

Object manipulation depends on a refined control of grip force (GF) and load force (LF). After a brain injury, the GF control is altered in the paretic hand but what happens with the non-paretic hand is still unclear. In this study, we compared the GF control and GF–LF coordination of the non-paretic hand of 10 stroke individuals who suffered right brain damage (RBD) and 10 who suffered left brain damage (LBD), with 20 healthy individuals during lifting and oscillation task, using an instrumented object. GF was recorded with a force transducer, and LF was estimated from the object weight and acceleration. Overall, the ipsilesional hand of stroke individuals, independent of the lesion side, presented similar GF control and GF–LF coordination. However, LBD individuals took longer to start lifting the object, which may be due to the need of more time to obtain somatosensory information from the contact with the object. The findings indicate that stroke individuals preserve their ability to control and coordinate GF and LF when using their ipsilesional hand for object manipulation and the left hemisphere may play an essential role in the processing of somatosensory information needed for the GF control.     

Dialectal differences in hemispheric specialization for Japanese lexical pitch accent

Language experience can alter perceptual abilities and the neural specialization for phonological contrasts. Here we investigated whether dialectal differences in the lexical use of pitch information lead to differences in functional lateralization for pitch processing. We measured cortical hemodynamic responses to pitch pattern changes in native speakers of Standard (Tokyo) Japanese, which has a lexical pitch accent system, and native speakers of ‘accentless’ dialects, which do not have any lexical tonal phenomena. While the Standard Japanese speakers showed left-dominant responses in temporal regions to pitch pattern changes within words, the accentless dialects speakers did not show such left-dominance. Pitch pattern changes within harmonic-complex tones also elicited different brain activation patterns between the two groups. These results indicate that the neural processing of pitch information differs depending on the listener’s native dialect, and that listeners’ linguistic experiences may further affect the processing of pitch changes even for non-linguistic sounds.     

Anomalous global effects induced by ‘blind’ distractors in visual hemifield defects

Previous research has revealed that a stimulus presented in the blind visual field of participants with visual hemifield defects can evoke oculomotor competition, in the absence of awareness. Here we studied three cases to determine whether a distractor in a blind hemifield would be capable of inducing a global effect, a shift of saccade endpoint when target and distractor are close to each other, in participants with lesions of the optic radiations or striate cortex. We found that blind field distractors significantly shifted saccadic endpoints in two of three participants with lesions of either the striate cortex or distal optic radiations. The direction of the effect was paradoxical, however, in that saccadic endpoints shifted away from blind field distractors, whereas endpoints shifted towards distractors in the visible hemifields, which is the normal global effect. These results provide further evidence that elements presented in the blind visual field can generate modulatory interactions in the oculomotor system, which may differ from interactions in normal vision.     

Right–left approach and reaching arm movements of 4-month infants in free and constrained conditions

Recent theories on the evolution of language (e.g. Corballis, 2009) emphazise the interest of early manifestations of manual laterality and manual specialization in human infants. In the present study, left- and right-hand movements towards a midline object were observed in 24 infants aged 4 months in a constrained condition, in which the hands were maintained closed, and in a free condition. A left-hand dominance for approach movements without contact with the object, and a right-hand dominance for reaching movements with object contact was observed in the free condition. In the constrained condition reaching movements of the right hand decreased dramatically. These results are interpreted as strong evidence of manual specialization in 4-month olds, with approach movements having a localization role and reaching movements announcing future right-hand dominance for prehension and object manipulation.     

A Reply to Uttl and Morin’s (2010) Commentary of

In response to a commentary provided by Uttl and Morin (2010) regarding the recent study by Hughes and Nicholson (2010), we evaluate their suggestion to modify our study’s design to reduce ceiling effects (similar to that of Rosa, Lassonde, Pinard, Keenan, &; Belin, 2008). Also, the commentators failed to take into account our data on reaction times (a measure that is arguably less affected by ceiling effects), which help substantiate our conclusions regarding self-face and self-voice recognition. This rejoinder encourages readers to consider the relevance of the ecological validity of Hughes and Nicholson’s findings.     

Consciousness wanted,attention found: Reasons for the advantage of the left visual field in identifying T2 among rapidly presented series

Everyday experience suggests that people are equally aware of events in both hemi-fields. However, when two streams of stimuli are rapidly presented left and right containing two targets, the second target is better identified in the left than in the right visual field.This might be considered evidence for a right-hemisphere advantage in generating conscious percepts. However, this putative asymmetry of conscious perception cannot be measured independently of participants’ access to their conscious percepts, and there is actually evidence from split-brain patients for the reverse, left-hemisphere advantage in having access to conscious percepts. Several other topics were studied in search of the responsible mechanism, among others: Mutual inhibition of hemispheres, cooperation of hemispheres in perceiving midline stimuli, and asymmetries in processing various perceptual inputs. Directing attention by salient cues turned out to be one of the few mechanisms capable of modifying the left visual-field advantage in this paradigm. Thus, this left visual-field advantage is best explained by the notion of a right-hemisphere advantage in directing attention to salient events. Dovetailing with the pathological asymmetries of attention after right-hemisphere lesions and with asymmetries of brain activation when healthy participants shift their attention, the present results extend that body of evidence by demonstrating unusually large and reliable behavioral asymmetries for attention-directing processes in healthy participants.     

Distance‐Based Measures of Specialization and Balance in Multi‐Criteria: A DEA‐Integrated Method

Decision makers pursuing several distinct goals may differ in their behaviour. Some try to achieve all goals simultaneously, whereas others concentrate on only certain ones and are therefore specialized. We present a new method of measuring the specialization degree with respect to a given standard balanced relation of the goals. The measurement is integrated into data envelopment analysis (DEA) methodology, uses a non‐compensative distance measure, permits optional convex polyhedral cones as predefined balance sets and guarantees feasible solutions. Geometrically, it is based on the angle between the balance cone and the ray through the point of investigation. The proposed models can be used to support and complement the usual effectiveness and efficiency analysis in multi‐criteria decision analysis and DEA. They are motivated and illustrated by a simple numerical example, compared with an alternative method recently published and applied to real data from the literature. Copyright © 2014 John Wiley & Sons, Ltd.     

职业化院长与专业化院长比较研究

专家型院长和职业化院长,谁入主中国的医院管理,一直是倍受关注的焦点议题,尽管职业化院长具有诸多优点,却难以占据医院管理的主要市场。分析二类院长的特点及专业化普遍存在的原因,并阐述国内外现状和趋势,探讨职业化推进的诸多障碍及原因,最后提出推行职业化的建议。