Cognitive function after open-heart surgery: Are postoperative neuropsychological deficits caused by cardiopulmonary bypass?

Despite the many technological developments in arterial perfusion and cardiac surgical procedures, open-heart surgery is still believed to pose a significant risk for cerebral injury. There are several potential causes of brain damage during open-heart surgery, including prolonged or severe arterial hypotension, as well as emboli emanating from the cardiopulmonary bypass circuit or the operative field. This article reviews the available neuropsychological studies of outcome following cardiac valve replacement and coronary artery bypass grafting. Because both procedures are life-saving operations, the research in this area has been quasi-experimental and fraught with methodological problems. Nonetheless, the findings converge to suggest that cognitive dysfunction occurs after open-heart surgery, and that the deficits are attributable, at least in part, to factors specific to the operation or to the patient being maintained on cardiopulmonary bypass. Preliminary findings suggest that embolization is the primary cause of perioperative deficits in uncomplicated operations. Studies have also consistently found preoperative deficits in this population, suggesting that neuropsychological dysfunction is caused by severe chronic cardiac disease as well as open-heart surgery.     

A PRELIMINARY PROCEDURE FOR PREDICTING THE POSITIVE AND NEGATIVE EFFECTS OF REINFORCEMENT-BASED PROCEDURES

In the current investigation, a modification was made to the preference assessment described by Pace, Ivancic, Edwards, Iwata, and Page (1985) to predict the effects of stimuli when used in a differential-reinforcement-of-other-behavior (DRO) schedule for 2 clients with severe self-injurious behavior (SIB) and profound mental retardation. Based on the results of the preference assessment, three types of stimuli were identified: (a) high-preference stimuli associated with high rates of SIB (HP/HS), (b) high-preference stimuli associated with relatively lower rates of SIB (HP/LS), and (c) low-preference stimuli associated with low rates of SIB (LP/LS). Consistent with the results of the preference assessment, the DRO schedule with HP/HS stimuli resulted in increased SIB, and the DRO schedule with LP/LS stimuli resulted in no changes in SIB. HP/LS stimuli were demonstrated reinforcers but did not result in a change in SIB when used in a DRO schedule. Thus, the stimulus preference assessment may be useful clinically in some situations for predicting both the beneficial and the negative side effects of stimuli in DRO procedures.     

Rasch's multiplicative poisson model with covariates

As a multivariate model of the number of events, Rasch's multiplicative Poisson model is extended such that the parameters for individuals in the prior gamma distribution have continuous covariates. The parameters for individuals are integrated out and the hyperparameters in the prior distribution are estimated by a numerical method separately from difficulty parameters that are treated as fixed parameters or random variables. In addition, a method is presented for estimating parameters in Rasch's model with missing values. The author is now affiliated with the Otara University of Commerce. The author is grateful to Yoshio Takane, Haruo Yanai, Eiji Muraki, the editor and referees for their careful readings and helpful suggestions on earlier versions of this paper. Part of this work was presented at the third European Congress of Psychology at Tampere, Finland in 1993.     

汉语阅读困难儿童认知特征研究

为了解汉语阅读困难者的认知特征,本研究从９６７名５年级１１－１３岁学生中抽取了１１８名被试,将他们分成困难组（包括截点组和低成就组）和对照组,并将其在词语理解等８个认知变量上进行了比较。结果表明,图形记忆与加工能力及对词语和一般信息理解能力的缺损是汉语阅读困难者主要的认知特征。研究还表明,一般信息理解能力发展水平是区分一般阅读落后和特殊阅读落后的一个指标。     

7－15岁儿童对友谊关系的认知及其发展

用以承诺为主题的两难推理故事探查７－１５岁儿童对友谊关系的认知及其发展。结果表明,儿童的有关发展制约于社会观点采择能力的发展和调节友谊关系的道德规范的理解,并表现出阶段结构的发展模式,我国儿童的发展具有某种跨文化的普遍性,也显示出自己的特点。     

Interactions in multiple schedules: negative induction with squirrel monkeys

In Experiment I, lever pressing by squirrel monkeys was maintained under a sequence of variable-interval, multiple variable-interval variable-interval, and multiple variable-interval extinction schedules of food presentation. Negative induction (decreased responding in the unchanged component) occurred when one component of the multiple variable-interval variable-interval schedule was changed to extinction. Negative induction was transient over sessions; responding in the unchanged component usually recovered to a rate similar to that under the multiple variable-interval variable-interval schedule. Negative induction was not accompanied by consistent changes in the patterns of local responding within the unchanged component, and did not depend on whether component schedules were associated with localized (lever lights) or diffuse visual stimuli (houselights), or on whether the unchanged component was a 60- or 180-sec variable-interval schedule. In Experiment II, responding was maintained under a sequence of variable-interval and multiple variable-interval timeout schedules of food presentation. Negative induction occurred when responding declined gradually in the timeout component but not when responding declined abruptly. The nature of interactions in multiple schedules may depend on the species; negative induction was observed with squirrel monkeys under conditions similar to those that produce positive contrast with pigeons.     

Concurrent avoidance of shocks by pigeons pecking a key

Three pigeons were studied on concurrent, unsignaled, avoidance schedules in a two-key procedure. Shock-shock intervals were two seconds in both schedules. The response-shock interval on one key was always 22 seconds, while the response-shock interval associated with the other key was varied from 7 to 52 seconds in different experimental conditions. Response rates on the key associated with the varied schedule tended to decrease when the response-shock interval length was increased. Responding on the key associated with the constant schedule was not systematically affected.     

Duration-reduction of avoidance sessions as negative reinforcement

Five rats were exposed to a shock-postponement procedure in which responses on each of two levers initially had equivalent effects. After an initial training sequence that ensured at least some responding on each lever, an additional consequence was made conjointly operative on the previously less-preferred lever for each animal. Each response on this lever continued to postpone shock, but also reduced the session duration by one minute. The conjoint contingencies were operative until, through session-shortening responses and the passage of time, the session was scheduled to end in two minutes; during the final two minutes the session-shortening contingency was disabled while the shock-postponement contingency continued to be operative on both levers. When responding shifted to a predominance on the session-shortening lever, the conjoint contingency was shifted to the other lever; for four of the five rats this reversal was followed by two additional reversals. Two of the rats' responding showed clear, strong, and unambiguous sensitivity to the session-shortening contingency. The responding of two others was also systematically controlled by that contingency, but the effects were less clearcut. The fifth animal showed an initial shift when session-shortening was introduced, but its subsequent behavior proved insensitive to reversals of procedure. The results clearly indicate a sensitivity of behavior to events on a time scale quite distinct from that of immediate consequences. They also support an interpretation of avoidance sessions, considered in their entirety, as events whose contingent relationship to behavior can affect that behavior—even in the absence of stimuli that delineate those relationships. Finally, these results support an interpretation of aversively based conditioning within a broader context, analogous to the “open versus closed economy” interpretation of appetitively controlled behavior.     

Behavioral assessment and treatment of acquired visuoperceptual disorders

Visuoperceptual deficits are common sequelae of damage to either hemisphere of the brain, but are typically more pronounced following injuries involving the right cerebral hemisphere. Common visuoperceptual disorders include visual field cuts, hemi-inattention and hemi-spatial neglect, hemi-perceptual deficits, and gaze and visual pursuit disturbances. A number of behavioral interventions have been developed to teach patients to compensate for acquired visual deficits. Studies addressing assessment and treatment issues in this area are reviewed, and future directions for research are outlined.