6 research outputs found

    The role of complementary learning systems in learning and consolidation in a quasi-regular domain

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    We examine the role of off-line memory consolidation processes in the learning and retention of a new quasi-regular linguistic system similar to the English past tense. Quasi-regular systems are characterized by a dominance of systematic, regular forms (e.g., walk-walked, jump-jumped) alongside a smaller number of high frequency irregulars (e.g., sit-sat, go-went), and are found across many cognitive domains, from spelling-sound mappings to inflectional morphology to semantic cognition. Participants were trained on the novel morphological system using an artificial language paradigm, and then tested after different delays. Based on a complementary systems account of memory, we predicted that irregular forms would show stronger off-line changes due to consolidation processes. Across two experiments, participants were tested either immediately after learning, 12 h later with or without sleep, or 24 h later. Testing involved generalization of the morphological patterns to previously unseen words (both experiments) as well as recall of the trained words (Experiment 2). In generalization, participants showed 'default' regularization across a range of novel forms, as well as irregularization for previously unseen items that were similar to unique high-frequency irregular trained forms. Both patterns of performance remained stable across the delays. Generalizations involving competing tendencies to regularize and irregularize were balanced between the two immediately after learning. Crucially, at both 12-h delays the tendency to irregularize in these cases was strengthened, with further strengthening after 24 h. Consolidated knowledge of both regular and irregular trained items contributed significantly to generalization performance, with evidence of strengthening of irregular forms and weakening of regular forms. We interpret these findings in the context of a complementary systems model, and discuss how maintenance, strengthening, and forgetting of the new memories across sleep and wake can play a role in acquiring quasi-regular systems

    How Well Can We Assess the Validity of Non-Randomised Studies of Medications? A Systematic Review of Assessment Tools

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    Objective To determine whether assessment tools for non-randomised studies (NRS) address critical elements that influence the validity of NRS findings for comparative safety and effectiveness of medications. Design Systematic review and Delphi survey. Data sources We searched PubMed, Embase, Google, bibliographies of reviews and websites of influential organisations from inception to November 2019. In parallel, we conducted a Delphi survey among the International Society for Pharmacoepidemiology Comparative Effectiveness Research Special Interest Group to identify key methodological challenges for NRS of medications. We created a framework consisting of the reported methodological challenges to evaluate the selected NRS tools. Study selection Checklists or scales assessing NRS. Data extraction Two reviewers extracted general information and content data related to the prespecified framework. Results Of 44 tools reviewed, 48% (n=21) assess multiple NRS designs, while other tools specifically addressed case–control (n=12, 27%) or cohort studies (n=11, 25%) only. Response rate to the Delphi survey was 73% (35 out of 48 content experts), and a consensus was reached in only two rounds. Most tools evaluated methods for selecting study participants (n=43, 98%), although only one addressed selection bias due to depletion of susceptibles (2%). Many tools addressed the measurement of exposure and outcome (n=40, 91%), and measurement and control for confounders (n=40, 91%). Most tools have at least one item/question on design-specific sources of bias (n=40, 91%), but only a few investigate reverse causation (n=8, 18%), detection bias (n=4, 9%), time-related bias (n=3, 7%), lack of new-user design (n=2, 5%) or active comparator design (n=0). Few tools address the appropriateness of statistical analyses (n=15, 34%), methods for assessing internal (n=15, 34%) or external validity (n=11, 25%) and statistical uncertainty in the findings (n=21, 48%). None of the reviewed tools investigated all the methodological domains and subdomains. Conclusions The acknowledgement of major design-specific sources of bias (eg, lack of new-user design, lack of active comparator design, time-related bias, depletion of susceptibles, reverse causation) and statistical assessment of internal and external validity is currently not sufficiently addressed in most of the existing tools. These critical elements should be integrated to systematically investigate the validity of NRS on comparative safety and effectiveness of medications
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