Depression, Relationship Quality, and Couples’ Demand/Withdraw and Demand/Submit Sequential Interactions

This study investigated the associations among depression, relationship quality, and demand/withdraw and demand/submit behavior in couples’ conflict interactions. Two 10-min conflict interactions were coded for each couple (N = 97) using Structural Analysis of Social Behavior (SASB; Benjamin, 1979a, 1987, 2000a). Depression was assessed categorically (via the presence of depressive disorders) and dimensionally (via symptom reports). Results revealed that relationship quality was negatively associated with demanding behavior, as well as receiving submissive or withdrawing behavior from one’s partner. Relationship quality was positively associated with withdrawal. Demanding behavior was positively associated with women’s depression symptoms but negatively associated with men’s depression symptoms. Sequential analysis revealed couples’ behavior was highly stable across time. Initiation of demand/withdraw and demand/submit sequences were negatively associated with partners’ relationship adjustment. Female demand/male withdraw was positively associated with men’s depression diagnosis. Results underscore the importance of sequential analysis when investigating associations among depression, relationship quality, and couples’ interpersonal behavior

Dissociating Explicit and Implicit Timing in Parkinson\u2019s Disease Patients: Evidence from Bisection and Foreperiod Tasks

A consistent body of literature reported that Parkinson\u2019s disease (PD) is marked by severe deficits in temporal processing. However, the exact nature of timing problems in PD patients is still elusive. In particular, what remains unclear is whether the temporal dysfunction observed in PD patients regards explicit and/or implicit timing. Explicit timing tasks require participants to attend to the duration of the stimulus, whereas in implicit timing tasks no explicit instruction to process time is received but time still affects performance. In the present study, we investigated temporal ability in PD by comparing 20 PD participants and 20 control participants in both explicit and implicit timing tasks. Specifically, we used a time bisection task to investigate explicit timing and a foreperiod task for implicit timing. Moreover, this is the first study investigating sequential effects in PD participants. Results showed preserved temporal ability in PD participants in the implicit timing task only (i.e., normal foreperiod and sequential effects). By contrast, PD participants failed in the explicit timing task as they displayed shorter perceived durations and higher variability compared to controls. Overall, the dissociation reported here supports the idea that timing can be differentiated according to whether it is explicitly or implicitly processed, and that PD participants are selectively impaired in the explicit processing of time

How to use pen and paper tasks to aid tremor diagnosis in the clinic

When a patient presents with tremor, it can be useful to perform a few simple pen and paper tests. In this article, we explain how to maximise the value of handwriting and of drawing Archimedes spirals and straight lines as clinical assessments. These tasks take a matter of seconds to complete but provide a wealth of information that supplements the standard physical examination. They aid the diagnosis of a tremor disorder and can contribute to its longitudinal monitoring. Watching the patient’s upper limb while they write and draw may reveal abnormalities such as bradykinesia, dystonic posturing and distractibility. The finished script and drawings can then be evaluated for frequency, amplitude, direction and symmetry of oscillatory pen movements and for overall scale of penmanship. Essential, dystonic, functional and parkinsonian tremor each has a characteristic pattern of abnormality on these pen and paper tests

Communication difficulties following right hemisphere stroke : applying evidence to clinical management

Following reports in the 1960s that language may be affected by right hemisphere (RH) lesions, many limitations to effective communication in the right hemisphere damaged (RHD) population have been described and evidenced. However, stereotypical portrayals and descriptions of carefully selected cases may be misleading as to the extent of communication deficits. In many of the parameters in which RHD patients are presented as typically impaired, e.g. discourse skills, a less severe picture may emerge where data from the non-brain damaged (NBD) population are considered, with age and education variables controlled. Subsequent to RHD, some people show deficit on some communication measures, but many of these communication behaviours are also present in some NBD adults. Thus diagnosis of deficit must be made with reference both to the healthy peer population and the individual's pre-lesion behaviour. The authors' right RH stroke research programme includes studies of incidence of communication deficit, comparisons of RHD and NBD groups in various spoken discourse and comprehension tasks, comparison of RHD groups of different ages, detailed analysis of topic within discourse in RHD and NBD groups, family members' views of communication behaviour following RHD, and the natural course of communication change during the first year after RH stroke. The findings from several studies are summarised and used as the basis for management recommendations, which may guide future outcome research. There is an urgent need for the evaluation of communication management programmes, to determine whether therapists may with confidence offer an effective intervention service to those people whose communication skills are affected by RHD

PSUDOC - A Simple Diagnostic Program

This report describes research done at the Artificial Intelligence Laboratory of the Massachusetts Institute of Technology. Support for the laboratory's research is provided in part by the Advanced Research Projects Agency of the Department of Defense under Office of Naval Research contract N00014-75-C-0643.This paper describes PSUDOC, a very simple LISP program to carry out some medical diagnosis tasks. The program's domain is a subset of clinical medicine characterized by patients presenting with edema and/or hematuria. The program's goal is to go from the presenting symptoms to a hypothesis of the underlying disease state. The program uses a variation of simple tree searching strategies called ETS.MIT Artificial Intelligence Laboratory Department of Defense Advanced Research Projects Agenc

Infant Vocal Development in a Dynamic Communication System: Vocal Exploration Activities in Various Social Settings

Pre-linguistic vocal productions are the manifestations of a unique capacity ofhuman infants.The uniqueness is characterized by voluntaryvocal play and systematic repetition which serveno fixed functions.Such pre-linguistic infant vocalizations are the product of complex processes of internal vocal exploration activities and external social interactions. However,very few studies have incorporated both aspects to understand the nature of early vocal development. Therefore, the current study aims to investigate the relationship between vocal category development and exploration activities in varying social communication circumstances, using a developmentally appropriate coding scheme for infant vocalization.The vocalizations of 7 infants at three different ages (approximately 4, 7, and 11 months) were used. The three vocal types (i.e., vocant, growl, and squeal), the three engagement types (i.e., symmetrical, asymmetrical, and unengaged), and two proximity types (i.e., immediate and distant) were included. Based on observation and reports from prior research, the current dissertation incorporates fundamental frequency (f0) and duration of utterances as parameters to measure vocal exploration activities in various social settings.The findings in this study provides that infants build their vocal categories, producing the three vocal categories distinctively in the acoustic domains of f0 and duration and showing systematic vocal repetition patterns among the categories. These results provide empirical evidence against Jakobson\u27s view that pre-linguistic vocal sounds are mere byproducts of biological functions, and presumably not affected by socialization.The current results seem to suggest that internally driven vocal activities might tend to be more active when social demands are low, indicating that vocal play is a cognitively intensive process requiring attentional resources.In terms of age effect on vocal exploration activities, at the earliest stage we see high exploration ( and thus repetition), and at the latest stage we see consolidated categories( and thus high discriminability). This result provides a significant new perspective on the sequential logic of the two domains in vocal category development.This research also showed infants\u27 systematic tendency to utilize the vocal categories differentially in various social settings early on, suggesting infants\u27 voluntary control efforts on their pre-linguistic vocal productions to respond to constantly changing social circumstances

Differentiation between Parkinson disease and other forms of Parkinsonism using support vector machine analysis of susceptibility-weighted imaging (SWI): initial results

Objectives: To diagnose Parkinson disease (PD) at the individual level using pattern recognition of brain susceptibility-weighted imaging (SWI). Methods: We analysed brain SWI in 36 consecutive patients with Parkinsonism suggestive of PD who had (1) SWI at 3T, (2) brain 123I-ioflupane SPECT and (3) extensive neurological testing including follow-up (16 PD, 67.4 ± 6.2years, 11 female; 20 OTHER, a heterogeneous group of atypical Parkinsonism syndromes 65.2 ± 12.5years, 6 female). Analysis included group-level comparison of SWI values and individual-level support vector machine (SVM) analysis. Results: At the group level, simple visual analysis yielded no differences between groups. However, the group-level analyses demonstrated increased SWI in the bilateral thalamus and left substantia nigra in PD patients versus other Parkinsonism. The inverse comparison yielded no supra-threshold clusters. At the individual level, SVM correctly classified PD patients with an accuracy above 86%. Conclusions: SVM pattern recognition of SWI data provides accurate discrimination of PD among patients with various forms of Parkinsonism at an individual level, despite the absence of visually detectable alterations. This pilot study warrants further confirmation in a larger cohort of PD patients and with different MR machines and MR parameters. Key Points: • Magnetic resonance imaging data offers new insights into Parkinson's disease • Visual susceptibility-weighted imaging (SWI) analysis could not discriminate idiopathic from atypical PD • However, support vector machine (SVM) analysis provided highly accurate detection of idiopathic PD • SVM analysis may contribute to the clinical diagnosis of individual PD patients • Such information can be readily obtained from routine MR dat

Fault detection using a two-model test for changes in the parameters of an autoregressive time series

This article describes an investigation of a statistical hypothesis testing method for detecting changes in the characteristics of an observed time series. The work is motivated by the need for practical automated methods for on-line monitoring of Deep Space Network (DSN) equipment to detect failures and changes in behavior. In particular, on-line monitoring of the motor current in a DSN 34-m beam waveguide (BWG) antenna is used as an example. The algorithm is based on a measure of the information theoretic distance between two autoregressive models: one estimated with data from a dynamic reference window and one estimated with data from a sliding reference window. The Hinkley cumulative sum stopping rule is utilized to detect a change in the mean of this distance measure, corresponding to the detection of a change in the underlying process. The basic theory behind this two-model test is presented, and the problem of practical implementation is addressed, examining windowing methods, model estimation, and detection parameter assignment. Results from the five fault-transition simulations are presented to show the possible limitations of the detection method, and suggestions for future implementation are given

Mills hemiparetic or hemiplegic variant of amyotrophic lateral sclerosis

Mills hemiplegic variant of Amyotrophic lateral sclerosis (ALS) is a gradually progressive, spastic ascending or descending hemiparesis or hemiplegia without any sensory involvement. Authors presented a 47 years old female with history of gradually progressive left sided wasting of muscles including the tongue, left hemiparesis along with dysarthria and fasciculation’s of tongue and left sided muscles with left sided cortico-spinal tract signs of 2 years duration. There were no sensory as well as bowel bladder involvement. Her cognition was intact. Relevant blood and CSF examinations were within normal limit. MRI Brain and whole spine were unremarkable. Nerve conduction study was essentially normal. Electromyography(EMG) showed chronic denervation potentials which is in accordance to Revised El Escorial criteria, 2015 for the diagnosis of this extremely uncommon entity- Mills hemiplegic variant of ALS. The major challenge in diagnosis of this disease entity is to exclude other diseases/disorders that may mimic its symptomatology

Factors Affecting the Clinical Measurement of Visuo-Spatial Neglect

The present study examined a battery of tests to evaluate unilateral spatial neglect; the tests included different tasks involving several modalities of spatial exploration mapping perceptual, motor, attentional and personal or extrapersonal space dimensions. The subjects, 121 right-brain-damaged patients with unilateral neglect, were studied in seven laboratories in four European countries. Relationships among the various tests were examined by correlations, a cluster analysis and by an analysis of individual cases. Different sensitivity was found among various tests for detecting neglect performances. Both the cluster analysis and the single case analysis clearly showed a segregation between personal and extrapersonal neglect. Analysis of the large cluster, including a variety of tests of extra personal neglect, together with the study of single cases, suggests the possibility of differentiating the various manifestations of spatial neglect which can be interpreted on the basis of the descriptions of other individual cases previously reported in the literature. Finally, the present study indicated the relative stability of neglect following the acute phase and its independence from age