Dyspraxia in a patient with corticobasal degeneration: the role of visual and tactile inputs to action

Objectives-To investigate the roles of visual and tactile information in a dyspraxic patient with corticobasal degeneration (CBD) who showed dramatic facilitation in miming the use of a tool or object when he was given a tool to manipulate; and to study the nature of the praxic and neuropsychological deficits in CBD. Methods-The subject had clinically diagnosed CBD, and exhibited alien limb behaviour and striking ideomotor dyspraxia. General neuropsychological evaluation focused on constructional and visuospatial abilities, calculation, verbal fluency, episodic and semantic memory, plus spelling and writing because impairments in this domain were presenting complaints. Four experiments assessed the roles of visual and tactile information in the facilitation of motor performance by tools. Experiment I evaluated the patient's performance of six limb transitive actions under six conditions: (1) after he described the relevant tool from memory, (2) after he was shown a Line drawing of the tool, (3) after he was shown a real exemplar of the tool, (4) after he watched the experimenter perform the action, (5) while he was holding the tool, and (6) immediately after he had performed the action with the tool but with the tool removed from his grasp. Experiment 2 evaluated the use of the same six tools when the patient had tactile but no visual information (while he was blindfolded). Experiments 3 and 4 assessed performance of actions appropriate to the same six tools when the patient had either neutral or inappropriate tactile feedback-that is, while he was holding a non-tool object or a different tool. Results-Miming of tool use was not facilitated by visual input; moreover, lack of visual information in the blindfolded condition did not reduce performance. The principal positive finding was a dramatic facilitation of the patient's ability to demonstrate object use when he was holding either the appropriate tool or a neutral object. Tools inappropriate to the requested action produced involuntary performance of the stimulus relevant action. Conclusions-Tactile stimulation was paramount in the facilitation of motor performance in tool use by this patient with CBD. This outcome suggests that tactile information should be included in models which hypothesise modality specific inputs to the action production system. Significant impairments in spelling and letter production that have not previously been reported in CBD have also been documented

Chemical ionization mass spectrometric analysis of lubricating oils and the kinetics of some associated ion-molecule reactions

Selection of suitable reagent gases and ion-source pressures can lead to formation of mono-ionic plasmas for chemical ionization. If sample ionization occurs by a single mechanism, discrimination between chemically different components in mixtures is possible. This has permitted the analysis of specific components in lubricating base oils. Ammonia chemical ionization of esters, at ammonia pressures, ca.0.6 Torr, leads only to the formation of the cluster ions (M.NH)+. These conditions have been used to analyse aviation lubricant esters. A method for ion-source pressure determination, of ammonia, directly from the abundance of NHg and NH+ plasma ions was developed from data obtained in a study of ion-molecule reactions consequent upon its electron-impact ionization. The collision-stabilized NO+ ion, generated from nitrogen-nitric oxide mixtures was used to ionize synthetic hydrocarbon lubricants; semi-quantitative determination of components were obtained. Aromatic components in mineral oils, with ionization potentials 9.1 eV, were preferentially ionized by the fluorobenzene molecular ion. The rates of reaction of selected aromatic compounds with fluoro benzene molecular-ion have been determined to permit quantitation. Good agreement with calculated collision rates (ADO) suggests a direct charge transfer mechanism. The dependence of ion-abundances of primary ions derived from several fluorinated benzenes have been investigated at ion-source pressures between 0.01 and 0.25 Torr.<p

Amnion Epithelial Cells as a Candidate Therapy for Acute and Chronic Lung Injury

Acute and chronic lung injury represents a major and growing global burden of disease. For many of these lung diseases, the damage is irreparable, exhausting the host's ability to regenerate new lung, and current therapies are simply supportive rather than restorative. Cell-based therapies offer the promise of tissue regeneration for many organs. In this paper, we examine the potential application of amnion epithelial cells, derived from the term placenta, to lung regeneration. We discuss their unique properties of plasticity and immunomodulation, reviewing the experimental evidence that amnion epithelial cells can prevent and repair lung injury, offering the potential to be applied to both neonatal, childhood, and adult lung disease. It is amazing to suggest that the placenta may offer renewed life after birth as well as securing new life before

Determining the Impact of Autobiographical Experience on "Meaning": New Insights from Investigating Sports-related Vocabulary and Knowledge in Two Cases with Semantic Dementia

Snowden, Griffiths, and Neary (1994, 1995) have proposed thatautobiographical experience helps to maintain the integrity of semantic memory in patients with semantic dementia. We investigated this hypothesis by testing knowledge related to golf and bowls in two case studies. If Snowden and colleagues' hypothesis is correct, our two patients should have better semantic knowledge for the sport that they regularly experience, compared with knowledge of other sports. In keeping with Snowden et al's hypothesis, we found that autobiographical experience influenced the ability of the patients to match up a surname with a first name: The names of personally and currently relevant golf bowls partners were more likely to be matched correctly than such personally relevant names from the past, or the names of famous sports celebrities. Unlike Snowden et al., however, we found that knowledge of people, in all categories, was severely impoverished and that any semantic information was produced as part of an autobiographical memory. Likewise, detailed study of each patient's understanding of their favourite sportrevealed no significanteffectof autobiographical experience on true semantic knowledge. We propose that the ability of semantic dementia patients to encode, albeit temporarily, recent autobiographical memories via a spared hippocampal complex supports the production of highly autobiographically constrained semantic-like facts and, to a lesser extent, frequently encountered names. There is, however, no direct effect of autobiographical experience on previously established semantic memory, i.e. knowledge of golf, bowls, and people, presumably stored within the temporal neocortex. These results are discussed with respect to current anatomically based computational models of long-term memory

A questionable semantics: The interaction between semantic knowledge and autobiographical experience in semantic dementia

In our earlier article, we proposed that recent episodic experiences in patients with semantic dementia support the production of nongeneralisable, autobiographically constrained, “semantic-like” facts (Graham, Lambon Ralph, & Hodges, 1997). We argued that this type of “semantic-like” knowledge was distinguishable from true semantic information because our two patients with semantic dementia showed no facilitatory effect of recent autobiographical experiences on their knowledge of golf and bowls; information which was presumably learnt prior to the onset of their disease. In this paper, we discuss the implications of these results for current views relating to the nature and organisation of long-term memory

Naming in semantic dementia - What matters?

One of the major symptoms of semantic dementia (or progressive fluent aphasia) is profound word-finding difficulties. We present here a cross-sectional study of the factors affecting picture naming in semantic dementia based on data obtained from eight patients, together with a longitudinal analysis of naming in another patient. Various properties and attributes of the objects were entered into a series of regression analyses in order to predict which items the patients could or could not name. The analyses showed that object familiarity, word frequency and age-of-acquisition predicted naming success for the group and, in most cases, for each individual patient, irrespective of lesion site or overall naming success. We propose that the pattern of naming in semantic dementia is best described in terms of reduced semantic activation within a cascading\interactive speech production system. We suggest that object familiarity, and possibly word frequency, reflect the inherent robustness of individual semantic representations to the decay process in terms of both quantity and quality of experience. Age-of-acquisition and word frequency (at a phonological–lexical level) predicts naming success, because frequent, early-acquired words are relatively easy to activate even with reduced semantic "input"

Episodic memory in semantic dementia: Implications for the roles played by the perirhinal and hippocampal memory systems in new learning [Letter]

Aggleton & Brown (A&B) propose that the hippocampal-anterior thalamic and perirhinal-medial dorsal thalamic systems play independent roles in episodic memory, with the hippocampus supporting recollection-based memory and the perirhinal cortex, recognition memory. In this commentary we discuss whether there is experimental support for the A&B model from studies of long-term memory in semantic dementia

Center of pressure motion after calf vibration is more random in fallers than non-fallers: Prospective study of older individuals

Aging is associated with changes in balance control and elderly take longer to adapt to changing sensory conditions, which may increase falls risk. Low amplitude calf muscle vibration stimulates local sensory afferents/receptors and affects sense of upright when applied in stance. It has been used to assess the extent the nervous system relies on calf muscle somatosensory information and to rapidly change/perturb part of the somatosensory information causing balance unsteadiness by addition and removal of the vibratory stimulus. This study assessed the effect of addition and removal of calf vibration on balance control (in the absence of vision) in elderly individuals (> 65 years, n = 99) who did (n = 41) or did not prospectively report falls (n = 58), and in a group of young individuals (18-25 years, n = 23). Participants stood barefoot and blindfolded on a force plate for 135 s. Vibrators (60 Hz, 1 mm) attached bilaterally over the triceps surae muscles were activated twice for 15 s; after 15 and 75 s (45 s for recovery). Balance measures were applied in a windowed (15 s epoch) manner to compare center-of-pressure (CoP) motion before, during and after removal of calf vibration between groups. In each epoch, CoP motion was quantified using linear measures, and non-linear measures to assess temporal structure of CoP motion [using recurrence quantification analysis (RQA) and detrended fluctuation analysis]. Mean CoP displacement during and after vibration did not differ between groups, which suggests that calf proprioception and/or weighting assigned by the nervous system to calf proprioception was similar for the young and both groups of older individuals. Overall, compared to the elderly, CoP motion of young was more predictable and persistent. Balance measures were not different between fallers and non-fallers before and during vibration. However, non-linear aspects of CoP motion of fallers and non-fallers differed after removal of vibration, when dynamic re-weighting is required. During this period fallers exhibited more random CoP motion, which could result from a reduced ability to control balance and/or a reduced ability to dynamically reweight proprioceptive information. These results show that non-linear measures of balance provide evidence for deficits in balance control in people who go on to fall in the following 12 months