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Sample records for neuropsychological assessment battery

  1. Assessing neuropsychological impairment using Reitan and Wolfson's screening battery.

    Science.gov (United States)

    Preiss, J; Preiss, M

    2013-08-01

    The aim was to verify the applicability of Reitan and Wolfson's proposed neuropsychological screening battery for adults (2006, 2008) in the Czech population. The sample consisted of 70 participants aged 19-65 years, all of whom were examined using a screening method as well as the full Halstead-Reitan neuropsychological battery (HRNB). The correlation, logistic regression, ROC curve analysis, sensitivity and specificity, and positive and negative predictive values were all calculated. The Pearson correlation between the screening scale of neuropsychological deficit and the General Neuropsychological Deficit Scale (GNDS) from HRNB was 0.78 (p Archives of Clinical Neuropsychology, 23, 393-398, 2008, but different from Reitan, & Wolfson in The use of serial testing in evaluating the need for comprehensive neuropsychological testing of adults. Applied Neuropsychology, 15, 21-32, 2008), 78.6% of individuals were correctly classified having neuropsychological impairment or no impairment according to the GNDS. Our results confirm that this neuropsychological screening battery has good psychometric properties in the Czech population.

  2. Traditional neuropsychological correlates and reliability of the automated neuropsychological assessment metrics-4 battery for Parkinson's disease.

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    Hawkins, Keith A; Jennings, Danna; Vincent, Andrea S; Gilliland, Kirby; West, Adrienne; Marek, Kenneth

    2012-08-01

    The automated neuropsychological assessment metrics battery-4 for PD offers the promise of a computerized approach to cognitive assessment. To assess its utility, the ANAM4-PD was administered to 72 PD patients and 24 controls along with a traditional battery. Reliability was assessed by retesting 26 patients. The cognitive efficiency score (CES; a global score) exhibited high reliability (r = 0.86). Constituent variables exhibited lower reliability. The CES correlated strongly with the traditional battery global score, but displayed weaker relationships to UPDRS scores than the traditional score. Multivariate analysis of variance revealed a significant difference between the patient and control groups in ANAM4-PD performance, with three ANAM4-PD tests, math, tower, and pursuit tracking, displaying sizeable differences. In discriminant analyses these variables were as effective as the total ANAM4-PD in classifying cases designated as impaired based on traditional variables. Principal components analyses uncovered fewer factors in the ANAM4-PD relative to the traditional battery. ANAM4-PD variables correlated at higher levels with traditional motor and processing speed variables than with untimed executive, intellectual or memory variables. The ANAM4-PD displays high global reliability, but variable subtest reliability. The battery assesses a narrower range of cognitive functions than traditional tests, and discriminates between patients and controls less effectively. Three ANAM4-PD tests, pursuit tracking, math, and tower performed as well as the total ANAM4-PD in classifying patients as cognitively impaired. These findings could guide the refinement of the ANAM4-PD as an efficient method of screening for mild to moderate cognitive deficits in PD patients. Copyright © 2012 Elsevier Ltd. All rights reserved.

  3. An eye-tracking controlled neuropsychological battery for cognitive assessment in neurological diseases.

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    Poletti, Barbara; Carelli, Laura; Solca, Federica; Lafronza, Annalisa; Pedroli, Elisa; Faini, Andrea; Zago, Stefano; Ticozzi, Nicola; Ciammola, Andrea; Morelli, Claudia; Meriggi, Paolo; Cipresso, Pietro; Lulé, Dorothée; Ludolph, Albert C; Riva, Giuseppe; Silani, Vincenzo

    2017-04-01

    Traditional cognitive assessment in neurological conditions involving physical disability is often prevented by the presence of verbal-motor impairment; to date, an extensive motor-verbal-free neuropsychological battery is not available for such purposes. We adapted a set of neuropsychological tests, assessing language, attentional abilities, executive functions and social cognition, for eye-tracking (ET) control, and explored its feasibility in a sample of healthy participants. Thirty healthy subjects performed a neuropsychological assessment, using an ET-based neuropsychological battery, together with standard "paper and pencil" cognitive measures for frontal (Frontal Assessment Battery-FAB) and working memory abilities (Digit Sequencing Task) and for global cognitive efficiency (Montreal Cognitive Assessment-MoCA). Psychological measures of anxiety (State-Trait Anxiety Inventory-Y-STAI-Y) and depression (Beck Depression Inventory-BDI) were also collected, and a usability questionnaire was administered. Significant correlations were observed between the "paper and pencil" screening of working memory abilities and the ET-based neuropsychological measures. The ET-based battery also correlated with the MoCA, while poor correlations were observed with the FAB. Usability aspects were found to be influenced by both working memory abilities and psychological components. The ET-based neuropsychological battery developed could provide an extensive assessment of cognitive functions, allowing participants to perform tasks independently from the integrity of motor or verbal channels. Further studies will be aimed at investigating validity and usability components in neurological populations with motor-verbal impairments.

  4. Confirmatory factor analysis of the Neuropsychological Assessment Battery of the LADIS study

    DEFF Research Database (Denmark)

    Moleiro, Carla; Madureira, Sofia; Verdelho, Ana

    2013-01-01

    Age-related white matter changes have been associated with cognitive functioning, even though their role is not fully understood. This work aimed to test a 3-factor model of the neuropsychological assessment battery and evaluate how the model fit the data longitudinally. Confirmatory factor...... analysis (CFA) was used to investigate the dimensions of a structured set of neuropsychological tests administered to a multicenter, international sample of independent older adults (LADIS study). Six hundred and thirty-eight older adults completed baseline neuropsychological, clinical, functional...... and motor assessments, which were repeated each year for a 3-year follow-up. CFA provided support for a 3-factor model. These factors involve the dimensions of executive functions, memory functions, and speed and motor control abilities. Performance decreased in most neuropsychological measures. Results...

  5. The Luria-Nebraska Neuropsychological Battery and the WAIS-R in Assessment of Adults with Specific Learning Disabilities.

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    Katz, Lynda; Goldstein, Gerald

    1993-01-01

    Compared intellectual (Wechsler Adult Intelligence Scale for Adults-Revised) and neuropsychological (Luria-Nebraska Neuropsychological Battery) assessment as valid methods of identifying learning disabilities in adults. Findings from 155 subjects revealed that both instruments were able to distinguish adults with and without learning disabilities.…

  6. The Luria-Nebraska Neuropsychological Battery and the WAIS-R in Assessment of Adults with Specific Learning Disabilities.

    Science.gov (United States)

    Katz, Lynda; Goldstein, Gerald

    1993-01-01

    Compared intellectual (Wechsler Adult Intelligence Scale for Adults-Revised) and neuropsychological (Luria-Nebraska Neuropsychological Battery) assessment as valid methods of identifying learning disabilities in adults. Findings from 155 subjects revealed that both instruments were able to distinguish adults with and without learning disabilities.…

  7. Video Teleconference Administration of the Repeatable Battery for the Assessment of Neuropsychological Status

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    Galusha-Glasscock, Jeanine M.; Horton, Daniel K.; Weiner, Myron F.; Cullum, C. Munro

    2016-01-01

    Teleneuropsychology applications are growing, but a limited number of assessment tools have been studied in this context. The present investigation was designed to determine the feasibility and reliability of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) administration by comparing video teleconference (VTC) with face-to-face (FF) test conditions. Eighteen adult subjects over age 55 with and without cognitive impairment were administered Forms A and B of the RBANS in VTC and FF settings in counterbalanced fashion. Similar RBANS scores were obtained in both test conditions, with generally high correlations between administration methods. Results support the feasibility and reliability of remote administration of the RBANS via VTC. PMID:26446834

  8. Normative data for the repeatable battery for the assessment of neuropsychological status in elderly Chinese.

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    Collinson, Simon Lowes; Fang, Sam Hui; Lim, May-Li; Feng, Lei; Ng, Tze-Pin

    2014-08-01

    Asia will experience a surge in dementia prevalence within the next 20-40 years, but there is a dearth of well-normed neuropsychological tests that could assist with dementia diagnosis. Here, we report normative data for the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) in Elderly ethnic Chinese Singaporeans aged 55-91 years of age. A total of 1,165 male and female community-dwelling, cognitively normal elderly Chinese persons in Singapore, with varying levels of education and range of languages, were tested with the RBANS version A. The effects of age, education, language and gender on RBANS performance were examined. Negative effects of increased age and positive effects of education on the RBANS subtests, Index and Total Scale scores were found suggesting differential associations between age-related cognitive decline and education that vary according to the specific cognitive ability measured. The findings indicate that unique cultural and educational profile of elderly Chinese should be considered when applying the RBANS in this population.

  9. The Short Form Luria-Nebraska Neuropsychological Battery in Assessment of Dementia.

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    McCue, Michael; And Others

    This study sought to determine whether a short form of the Luria-Nebraska Neuropsychological Battery could discriminate between senile dementia of the Alzheimer's type and depression in a sample of elderly neuropsychiatric patients. The short form Luria-Nebraska includes 141 of the 269 items contained in the original version, with the Rhythm scale…

  10. The Luria-Nebraska Neuropsychological Battery (LNNB).

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    Barowsky, Ellis I.

    1990-01-01

    The Luria Nebraska Neuropsychological Battery identifies cognitive deficits and localizes specific brain impairment in individuals age 15 or older. The instrument uses visual stimulus cards and an audiotape to assess performance in such areas as tactile functions, speech, arithmetic, and memory. This paper examines test administration, summation…

  11. The Luria-Nebraska Neuropsychological Battery (LNNB).

    Science.gov (United States)

    Barowsky, Ellis I.

    1990-01-01

    The Luria Nebraska Neuropsychological Battery identifies cognitive deficits and localizes specific brain impairment in individuals age 15 or older. The instrument uses visual stimulus cards and an audiotape to assess performance in such areas as tactile functions, speech, arithmetic, and memory. This paper examines test administration, summation…

  12. Assessing Visuospatial Skills in Parkinson's: Comparison of Neuropsychological Assessment Battery Visual Discrimination to the Judgment of Line Orientation.

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    Renfroe, Jenna B; Turner, Travis H; Hinson, Vanessa K

    2017-02-01

    Judgment of Line Orientation (JOLO) test is widely used in assessing visuospatial deficits in Parkinson's disease (PD). The neuropsychological assessment battery (NAB) offers the Visual Discrimination test, with age and education correction, parallel forms, and co-normed standardization sample for comparisons within and between domains. However, NAB Visual Discrimination has not been validated in PD, and may not measure the same construct as JOLO. A heterogeneous sample of 47 PD patients completed the JOLO and NAB Visual Discrimination within a broader neuropsychological evaluation. Pearson correlations assessed relationships between JOLO and NAB Visual Discrimination performances. Raw and demographically corrected scores from JOLO and Visual Discrimination were only weakly correlated. NAB Visual Discrimination subtest was moderately correlated with overall cognitive functioning, whereas the JOLO was not. Despite apparent virtues, results do not support NAB Visual Discrimination as an alternative to JOLO in assessing visuospatial functioning in PD. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  13. Efficiency of the CATIE and BACS neuropsychological batteries in assessing cognitive effects of antipsychotic treatments in schizophrenia.

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    Hill, S Kristian; Sweeney, John A; Hamer, Robert M; Keefe, Richard S E; Perkins, Diana O; Gu, Hongbin; McEvoy, Joseph P; Lieberman, Jeffrey A

    2008-03-01

    Efficient and reliable assessments of cognitive treatment effects are essential for the comparative evaluation of procognitive effects of pharmacologic therapies. Yet, no studies have addressed the sensitivity and efficiency with which neurocognitive batteries evaluate cognitive abilities before and after treatment. Participants were primarily first episode schizophrenia patients who completed baseline (n = 367) and 12-week (n = 219) assessments with the BACS (Brief Assessment of Cognition in Schizophrenia) and CATIE (Clinical Antipsychotic Trials of Intervention Effectiveness) neuropsychological batteries in a clinical trial comparing olanzapine, quetiapine, and risperidone. Exploratory factor analysis revealed that performance on both batteries was characterized by a single factor of generalized cognitive deficit for both baseline performance and cognitive change after treatment. Both batteries estimated similar levels of change following treatment, although the BACS battery required half the administration time. Because a unitary factor characterized baseline cognitive abilities in early psychosis as well as cognitive change after treatment with atypical antipsychotic medications, short batteries such as the BACS may efficiently provide sufficient assessment of procognitive treatment effects with antipsychotic medications. Assessment of cognitive effects of adjunctive therapies targeting specific cognitive domains or impairments may require more extensive testing of the domains targeted to maximize sensitivity for detecting specific predicted cognitive outcomes.

  14. Cognitive change in patients with Huntington disease on the Repeatable Battery for the Assessment of Neuropsychological Status.

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    Beglinger, Leigh J; Duff, Kevin; Allison, Jessica; Theriault, Danielle; O'Rourke, Justin J F; Leserman, Anne; Paulsen, Jane S

    2010-07-01

    Huntington disease (HD) is a neurodegenerative disease associated with cognitive, motor, and psychiatric deterioration over time. Although there is currently no cure for HD, there has been a surge of clinical trials available to patients with HD over the past 5 years. However, cognitive measures have generally been lacking from these trials. A brief, repeatable neuropsychological battery is needed to assess cognitive endpoints. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) may be useful for assessing change in interventional studies or for clinical monitoring. A total of 38 patients with HD were assessed using the RBANS, other cognitive tests, and the standardized HD battery (Unified Huntington's Disease Rating Scale, UHDRS) at two clinic visits approximately 16 months apart. The RBANS Attention Index, as well as individual subtest scores on Coding, Digit Span, List Recognition, Figure Copy, and Figure Recall all declined significantly over this interval. Performance on the UHDRS cognitive tests (Symbol Digit Modalities; Stroop Color, and Stroop Word) also declined, as did functional capacity. Results suggest that cognitive changes were detected both on established cognitive tasks used in HD research and on the RBANS in patients with measurable functional decline. The RBANS provided additional information about other cognitive domains affected (e.g., memory) and may be a useful measure for tracking longitudinal change.

  15. Sociolinguistic reflection on neuropsychological assessment: an insight into selected culturally adapted battery of Lebanese Arabic cognitive testing.

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    Abou-Mrad, Fadi; Tarabey, Lubna; Zamrini, Edward; Pasquier, Florence; Chelune, Gordon; Fadel, Patricia; Hayek, Maryse

    2015-10-01

    Neuropsychological tests (NPTs) are highly dependent on education, culture differences as well as age and sex. It is therefore essential to take these factors into consideration when translating NPTs to be used in screening for cognitive impairment. Translations into Arabic must respect the principles of linguistic relativity and cultural specificity of the population under study. The objective is to assess feasibility and outcome of translating neuropsychological tests to Arabic. A team of Lebanese professionals selected a battery of screening NPTs. These tests were translated into Arabic and independently back translated by a team of sociolinguists and cultural specialists. The translations were adapted to suit the Lebanese culture. The final NPT translated versions were reached by consensus of an expert panel and tested on a group of independently living community-dwelling elderly. Translated items had to be modified when: (1) terms could not be translated using one word as required by the test; (2) Concepts were foreign to the culture; (3) Translated words carried multiple meanings; (4) Words were rarely used in Lebanon; (5) Sentences did not have an equivalent; and (6) Words had letters pronounced differently by subgroups in Lebanon. Despite all measures to maintain cultural sensitivity in translations, non-linguistic challenges remained. A battery of cognitive screening tests were translated into Arabic and adapted for the Lebanese population. These adaptations allow for a better assessment of cognitive abilities since they reflect the thought patterns of the population. The challenge is to establish local normative data.

  16. Comparison of the Repeatable Battery for the Assessment of Neuropsychological Status Effort Scale and Effort Index in a Dementia Sample†

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    Dunham, Kathryn J.; Shadi, Sarah; Sofko, Channing A.; Denney, Robert L.; Calloway, Jordan

    2014-01-01

    The aim of the current study was to compare two embedded measures of effort for the repeatable battery for the assessment of neuropsychological status (RBANS). Sensitivity and specificity of the Effort Index (EI) and Effort Scale (ES) were compared in a sample of individuals with genuine memory impairment (MI) and individuals coached to simulate MI. Overall, the EI yielded a sensitivity of 0.89 and specificity of 0.41, while the ES yielded a sensitivity of 0.88 and specificity of 0.81. When those in the MI group were separated by level of impairment, the EI was more specific when RBANS Total Scores were in the average or mildly impaired range, and the ES had greater specificity when RBANS Total Scores were in the severely impaired range. These results suggest that the embedded measure should be selected based on the level of impairment on the RBANS. PMID:25236719

  17. Regression-Based Normative Formulae for the Repeatable Battery for the Assessment of Neuropsychological Status for Older Adults.

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    Duff, Kevin; Ramezani, Amir

    2015-11-01

    The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) has become a popular cognitive screening instrument, particularly in elderly patients. Prior studies presented lookup tables for RBANS normative data based on age, gender, education, and race using a group of 718 community-dwelling older adults. However, regression-based normative formulae that simultaneously correct for all demographic variables may be more sensitive for detecting late life cognitive decline. Using data from the prior studies, linear regression was used to generate such formulae in the Indexes and subtests of the RBANS. Results indicated that ∼11% of the variance of Index scores was accounted for by these demographic variables, and 13% of variance in subtest scores. Although some differences were present between the lookup and regression-based norms, it is expected that these current results will present more accurate demographic corrections that allow clinicians and researchers to better interpret individual performances on the RBANS.

  18. A motion to exclude and the 'fixed' versus 'flexible' battery in 'forensic' neuropsychology: challenges to the practice of clinical neuropsychology.

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    Bigler, Erin D

    2007-01-01

    Two recent publications in Archives of Clinical Neuropsychology (ACN) have been used by defense attorneys as the centerpiece for an argument that only a 'fixed' battery approach, exemplified by the Halstead-Reitan battery (HRB), satisfies the Daubert criteria for admissibility; and therefore, the HRB represents the only method of forensic neuropsychological assessment that should be admitted into evidence. Since this case has important implications for the practice of clinical neuropsychology in the United States, this 'Motion to Exclude' and its rationale are presented, which demonstrates how the legal profession uses neuropsychological literature. The critical issues of this argument for clinical neuropsychological practice are reviewed.

  19. Distinguishing between autism spectrum disorder and attention deficit hyperactivity disorder by using behavioral checklists, cognitive assessments, and neuropsychological test battery.

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    Matsuura, Naomi; Ishitobi, Makoto; Arai, Sumiyoshi; Kawamura, Kaori; Asano, Mizuki; Inohara, Keisuke; Narimoto, Tadamasa; Wada, Yuji; Hiratani, Michio; Kosaka, Hirotaka

    2014-12-01

    Children with attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) share many common symptoms, including attention deficit, behavioral problems, and difficulties with social skills. The aim of this study was to distinguish between ASD and ADHD by identifying the characteristic features of both the disorders, by using multidimensional assessments, including screening behavioral checklists, cognitive assessments, and comprehensive neurological battery. After screening for comorbid disorders, we carefully selected age-, sex-, IQ-, and socio-economic status-matched children with typical development (TD). In the Wechsler Intelligence Scale for children, a lower score was observed for the ASD group than for the TD group in Picture concept, which is a subscale of perceptual reasoning. A lower score was shown by the ADHD group than by the TD group in the spatial working memory test in the Cambridge Neuropsychological Test Automated Battery (CANTAB(®)). Although ASD and ADHD have many similar symptoms, they can be differentiated by focusing on the behavioral and cognitive characteristics of executive function.

  20. Brief Report: The Temporal Stability of the Repeatable Battery for the Assessment of Neuropsychological Status Effort Index in Geriatric Samples

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    O'Mahar, Kerry M.; Duff, Kevin; Scott, James G.; Linck, John F.; Adams, Russell L.; Mold, James W.

    2012-01-01

    The Effort Index (EI) of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) was developed to identify inadequate effort. Although researchers have examined its validity, the reliability of the EI has not been evaluated. The current study examined the temporal stability of the EI across 1 year in two independent samples of older adults. One sample consisted of 445 cognitively intact older adults (mean age = 72.89; 59% having 12–15 years of education) and the second sample consisted of 51 individuals diagnosed with amnestic Mild Cognitive Impairment (mean age = 82.41; 41% having 12–15 years of education). For both samples, the EI was found to have low stability (Spearman's ρ = .32–.36). When participants were divided into those whose EI stayed stable or improved versus those whose EI worsened (i.e., declining effort) on retesting, it was observed that individuals with lower baseline RBANS Total scores tended to worsen on the EI across time. Overall, the findings suggest low temporal stability of the EI in two geriatric samples. In particular, individuals with poorer cognition at baseline could present with poorer effort across time. These findings also suggest the need to further examine the temporal stability of other effort measures. PMID:22075575

  1. The Extension of the German CERAD Neuropsychological Assessment Battery with Tests Assessing Subcortical, Executive and Frontal Functions Improves Accuracy in Dementia Diagnosis

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    Nicole S. Schmid

    2014-08-01

    Full Text Available Background/Aims: Alzheimer's disease (AD is the most common form of dementia. Neuropsychological assessment of individuals with AD primarily focuses on tests of cortical functioning. However, in clinical practice, the underlying pathologies of dementia are unknown, and a focus on cortical functioning may neglect other domains of cognition, including subcortical and executive functioning. The current study aimed to improve the diagnostic discrimination ability of the Consortium to Establish a Registry for Alzheimer's Disease - Neuropsychological Assessment Battery (CERAD-NAB by adding three tests of executive functioning and mental speed (Trail Making Tests A and B, S-Words. Methods: Logistic regression analyses of 594 normal controls (NC, 326 patients with mild AD and 224 patients with other types of dementia (OD were carried out, and the area under the curve values were compared to those of CERAD-NAB alone. Results: All comparisons except AD-OD (65.5% showed excellent classification rates (NC-AD: 92.7%; NC-OD: 89.0%; NC-all patients: 91.0% and a superior diagnostic accuracy of the extended version. Conclusion: Our findings suggest that these three tests provide a sensible addition to the CERAD-NAB and can improve neuropsychological diagnosis of dementia.

  2. Use of the Luria-Nebraska Neuropsychological Battery--Children's Revision with Learning Disabled Children.

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    Wilkening, Greta N.

    The paper examines use of a children's revision of the Luria-Nebraska Neuropsychological Battery (LNNB-CR) for three aspects of neuropsychologic assessment in children: the absence or presence of learning disability (LD), patterns in dysfunction, and rehabilitation potential and strategies. A review of research covers the use of the battery in the…

  3. A preliminary validity study of the cambridge neuropsychological test automated battery for the assessment of executive function in schizophrenia and bipolar disorder.

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    Kim, Hee Sun; An, Yong Min; Kwon, Jun Soo; Shin, Min-Sup

    2014-10-01

    Although the executive function subtests of the Cambridge Neuropsychological Test Automated Battery (CANTAB) have been used to assess cognitive function in diverse psychiatric illnesses, few studies have verified the validity of this battery for Korean psychiatric patients. Therefore, this preliminary study evaluated the construct and concurrent validity of the executive function subtests of the CANTAB for Korean psychiatric patients by comparing it with subtests of the Computerized Neuropsychological Test (CNT). Three subtests of the CANTAB and three subtests of the CNT were administered to 36 patients diagnosed with either schizophrenia or bipolar disorder. Subtests of the CANTAB included the Intra/Extra-Dimensional Set Shift (IED), Stockings of Cambridge (SOC), and Spatial Working Memory (SWM). Differences between groups on each subtest as well as correlations between the subtests of the CANTAB and the CNT were assessed. The schizophrenia group performed significantly more poorly on the IED and the Wisconsin Card Sorting Test (WCST) compared with the bipolar disorder group. Additionally, correlation analyses revealed a significant correlation between the IED and the WCST; a positive correlation between the SOC and the Trail Making Test, Part B and the Stroop test; and a significant correlation between the SWM and the Stroop test. This study verified the construct and concurrent validity of the executive function subtests of the CANTAB for Korean psychiatric patients and suggests that the subtests of this battery would be useful and appropriate for assessing deficits in executive function in Korean clinical settings.

  4. Sociocultural factors in neuropsychological assessment

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    Lozano Gutiérrez, Asucena

    2012-08-01

    Full Text Available Healthcare professionals are now faced with a growing number of patients from different ethnic groups, and from different socio-economic backgrounds. In neuropsychology there is an increasing need of reliable and culturally fair assessment measures. Knowledge about variables that affect neuropsychological functioning such as age, education and culture allows both an objective assessment and an accurate diagnosis. The purpose of this review is to analyze the main variables that affect neuropsychological assessment and to describe a series of neuropsychological tests that may minimize current weaknesses in the cognitive assessment of Spanish speakers.

  5. Neuropsychological Assessment of Adult Offenders

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    Marceau, Roger; Meghani, Rehana; Reddon, John R.

    2008-01-01

    This report is primarily concerned with reporting on the normative results obtained on a large sample of serious adult offenders. An expanded Halstead-Reitan Neuropsychological Test Battery was administered to 584 adult offenders (OF), 132 normal controls (NC), and 494 acute psychiatric patients (PP). Subjects were between 18 and 44 years of age.…

  6. Neuropsychological Assessment of Adult Offenders

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    Marceau, Roger; Meghani, Rehana; Reddon, John R.

    2008-01-01

    This report is primarily concerned with reporting on the normative results obtained on a large sample of serious adult offenders. An expanded Halstead-Reitan Neuropsychological Test Battery was administered to 584 adult offenders (OF), 132 normal controls (NC), and 494 acute psychiatric patients (PP). Subjects were between 18 and 44 years of age.…

  7. Sociocultural effects in neuropsychological assessment.

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    Ostrosky-Solis, F; Canseco, E; Quintanar, L; Navarro, E; Meneses, S; Ardila, A

    1985-07-01

    The group selected for this evaluation consisted of 109 normal people with an average age of 25, coming from two different sociocultural levels (high and low) of Mexico City. All were completely evaluated by Luria's battery for neuropsychological assessment, adapted by Ardila, Ostrosky, and Canseco, 1981. This group of tests measures nine different areas: Motor Functions, Somatosensory Knowledge, Auditory Knowledge, Visuospatial Knowledge, Cognitive Processes, Language, Reading, Writing and Basic Calculations. For all of these, the higher performance standards were achieved by the subjects from the high sociocultural level. A significant interaction between sociocultural level and sex was observed. The differences between sexes appear only in subjects from the low sociocultural level. Factor analysis of the battery revealed that the most sensitive items to sociocultural level were those related on one hand, to the handling of complex structural and conceptual aspects of language and on the other hand, to the organization of motor sequences and in general motor programming. Research related to the differences found is reviewed and implications for clinical assessment are discussed.

  8. Assessment of cognition using the Rao's Brief Repeatable Battery of Neuropsychological Tests on a group of Brazilian patients with multiple sclerosis

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    Joseph Bruno Bidin Brooks

    2011-12-01

    Full Text Available To assess the cognition of patients with multiple sclerosis (MS using the Rao's Brief Repeatable Battery of Neuropsychological Tests (BRB-N. METHOD: BRB-N was translated and adapted for control subjects. Subsequently, it was applied to a group of patients with relapsing-remitting (RR MS. RESULTS: The assessment on the healthy controls (n=47 showed that the correlation between tests on the same cognitive domain was high and that there was a five-factor solution that explained 90% of the total variance. Except for the Word List Generation subset of tests, the performance of patients with RRMS (n=39 was worse than that of the healthy controls. CONCLUSION: BRB-N is a relatively simple method to assess cognition of patients with MS in the daily clinic. It does not take long to apply and does not require special skills or equipment.

  9. [Neuropsychological assessment in conversion disorder].

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    Demır, Süleyman; Çelıkel, Feryal Çam; Taycan, Serap Erdoğan; Etıkan, İlker

    2013-01-01

    Conversion disorder is characterized by functional impairment in motor, sensory, or neurovegetative systems that cannot be explained by a general medical condition. Diagnostic systems emphasize the absence of an organic basis for the dysfunction observed in conversion disorder. Nevertheless, there is a growing body of data on the specific functional brain correlates of conversion symptoms, particularly those obtained via neuroimaging and neurophysiological assessment. The present study aimed to determine if there are differences in measures of cognitive functioning between patients with conversion disorder and healthy controls. The hypothesis of the study was that the patients with conversion disorder would have poorer neurocognitive performance than the controls. The patient group included 43 patients diagnosed as conversion disorder and other psychiatric comorbidities according to DSM-IV-TR. Control group 1 included 44 patients diagnosed with similar psychiatric comorbidities, but not conversion diosorder, and control group 2 included 43 healthy individuals. All participants completed a sociodemographic questionnaire and were administered the SCID-I and a neuropsychological test battery of 6 tests, including the Serial Digit Learning Test (SDLT), Auditory Verbal Learning Test (AVLT), Wechsler Memory Scale, Stroop Color Word Interference Test, Benton Judgment of Line Orientation Test (BJLOT), and Cancellation Test. The patient group had significantly poorer performance on the SDLT, AVLT, Stroop Color Word Interference Test, and BJLOT than both control groups. The present findings highlight the differences between the groups in learning and memory, executive and visuospatial functions, and attention, which seemed to be specific to conversion disorder.

  10. Does the Cambridge Automated Neuropsychological Test Battery (CANTAB) Distinguish Between Cognitive Domains in Healthy Older Adults?

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    Lenehan, Megan E; Summers, Mathew J; Saunders, Nichole L; Summers, Jeffery J; Vickers, James C

    2016-04-01

    The Cambridge Neuropsychological Test Automated Battery (CANTAB) is a semiautomated computer interface for assessing cognitive function. We examined whether CANTAB tests measured specific cognitive functions, using established neuropsychological tests as a reference point. A sample of 500 healthy older (M = 60.28 years, SD = 6.75) participants in the Tasmanian Healthy Brain Project completed battery of CANTAB subtests and standard paper-based neuropsychological tests. Confirmatory factor analysis identified four factors: processing speed, verbal ability, episodic memory, and working memory. However, CANTAB tests did not consistently load onto the cognitive domain factors derived from traditional measures of the same function. These results indicate that five of the six CANTAB subtests examined did not load onto single cognitive functions. These CANTAB tests may lack the sensitivity to measure discrete cognitive functions in healthy populations or may measure other cognitive domains not included in the traditional neuropsychological battery.

  11. The CERAD Neuropsychological Battery in Patients with Frontotemporal Lobar Degeneration

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    Ramona M. Haanpää

    2015-04-01

    Full Text Available Background/Aims: The diagnosis of frontotemporal lobar degeneration (FTLD is based on neuropsychological examination in addition to clinical symptoms and brain imaging. There is no simple, validated, cognitive tool available in screening for FTLD. The Consortium to Establish a Registry for Alzheimer's Disease neuropsychological battery (CERAD-NB was originally devised to identify the early cognitive changes related to Alzheimer's disease (AD. Our aim was to investigate the utility of the CERAD-NB in FTLD. Methods: Patients with FTLD (n = 95 and AD (n = 90 were assessed with the CERAD-NB, Trail Making Test parts A and B and single-letter Phonemic Fluency. Results: FTLD patients were more severely impaired in the Verbal Fluency subtest in the CERAD-NB and Trail Making Test part A compared to AD patients. In addition, AD patients were more impaired in memory subtests compared to FTLD patients. Conclusion: The CERAD-NB may be a useful tool in screening for FTLD. Impaired performance in Verbal Fluency with moderately well-preserved Delayed Recall and Memory Tests may help in identifying patients with probable FTLD and discriminating FTLD from AD. Adding the Trail Making Test to the battery might enhance its value as a screening instrument for FTLD.

  12. Ayahuasca in adolescence: a neuropsychological assessment.

    Science.gov (United States)

    Doering-Silveira, Evelyn; Lopez, Enrique; Grob, Charles S; de Rios, Marlene Dobkin; Alonso, Luisa K; Tacla, Cristiane; Shirakawa, Itiro; Bertolucci, Paulo H; Da Silveira, Dartiu X

    2005-06-01

    The purpose of the study was to evaluate neuropsychologically adolescents who use ayahuasca in a religious context. A battery of neuropsychological tests was administered to adolescents who use ayahuasca. These subjects were compared to a matched control group of adolescents who did not use ayahuasca. The controls were matched with regards to sex, age, and education. The neuropsychological battery included tests of speeded attention, visual search, sequencing, psychomotor speed, verbal and visual abilities, memory, and mental flexibility. The statistical results for subjects from matched controls on neuropsychological measures were computed using independent t-tests. Overall, statistical findings suggested that there was no significant difference between the two groups on neuropsychological measures. Even though, the data overall supports that there was not a difference between ayahuasca users and matched controls on neuropsychological measures, further studies are necessary to support these findings.

  13. An Empirical Comparison of Competing Factor Structures for the Repeatable Battery for the Assessment of Neuropsychological Status: A Project FRONTIER Study†

    Science.gov (United States)

    Torrence, Nicole D.; John, Samantha E.; Gavett, Brandon E.; O'Bryant, Sid E.

    2016-01-01

    The original factor structure of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) has received little empirical support, but at least eight alternative factor structures have been identified in the literature. The current study used confirmatory factor analysis to compare the original RBANS model with eight alternatives, which were adjusted to include a general factor. Participant data were obtained from Project FRONTIER, an epidemiological study of rural health, and comprised 341 adults (229 women, 112 men) with mean age of 61.2 years (SD = 12.1) and mean education of 12.4 years (SD = 3.3). A bifactor version of the model proposed by Duff and colleagues provided the best fit to the data (CFI = 0.98; root-mean-squared error of approximation = 0.07), but required further modification to produce appropriate factor loadings. The results support the inclusion of a general factor and provide partial replication of the Duff and colleagues RBANS model. PMID:26429558

  14. The Progression of Alzheimer's Disease Can Be Assessed with a Short Version of the CERAD Neuropsychological Battery: The Kuopio ALSOVA Study

    Directory of Open Access Journals (Sweden)

    Ilona Hallikainen

    2014-12-01

    Full Text Available Background/Aims: Measuring and predicting Alzheimer's disease (AD progression is important in order to adjust treatment and allocate care resources. We aimed to identify a combination of subtests from the Consortium to Establish a Registry for Alzheimer's Disease Neuropsychological Battery (CERAD-NB that best correlated with AD progression in follow-up as well as to predict AD progression. Method: A total of 236 participants with very mild [Clinical Dementia Rating (CDR = 0.5] or mild AD (CDR = 1.0 at baseline were followed up for 3 years. The CERAD-NB and Mini-Mental State Examination (MMSE were used to assess cognition, and the CDR scale sum of boxes (CDR-sb was employed to evaluate AD progression. Generalized estimating equations were used to develop models to predict and follow up disease progression. Results: Performance declined on all CERAD-NB subtests. The ability of the separate subtests to distinguish between groups (baseline CDR = 0.5 or 1.0 diminished during follow-up. The best combination of subtests that explained 62% of CDR-sb variance in follow-up included verbal fluency, constructional praxis, the clock drawing test, and the MMSE. Baseline values of the same combination predicted 37% of the CDR-sb change. Conclusion: A short version of the CERAD-NB subtests provides a promising and time-efficient alternative for measuring cognitive deterioration during AD follow-up. Although the initial signs of AD include memory difficulties, it may be useful to assess non-memory tasks in follow-up.

  15. Diagnostic Validity of the Luria-Nebraska Neuropsychological Battery-Children's Revision.

    Science.gov (United States)

    Carr, Margaret A.; And Others

    1986-01-01

    Results of an assessment of the diagnostic validity of the Luria-Nebraska Neuropsychological Battery-Children's Revision (LNNB-C) with the Wechsler Intelligence Scale for Children-Revised (WISC-R) for the following relevant diagnostic groups: neurological, psychiatric, and normal controls are reported. (Author/BL)

  16. Diagnostic Validity of the Luria-Nebraska Neuropsychological Battery-Children's Revision.

    Science.gov (United States)

    Carr, Margaret A.; And Others

    1986-01-01

    Results of an assessment of the diagnostic validity of the Luria-Nebraska Neuropsychological Battery-Children's Revision (LNNB-C) with the Wechsler Intelligence Scale for Children-Revised (WISC-R) for the following relevant diagnostic groups: neurological, psychiatric, and normal controls are reported. (Author/BL)

  17. Neuropsychological Assessment Following Concussion: an Evidence-Based Review of the Role of Neuropsychological Assessment Pre- and Post-Concussion.

    Science.gov (United States)

    Kontos, Anthony P; Sufrinko, Alicia; Womble, Melissa; Kegel, Nathan

    2016-06-01

    Neuropsychological evaluation is one component of a comprehensive and multifaceted assessment following concussion. Although some neuropsychologists use a "hybrid" assessment approach integrating computerized neurocognitive testing batteries with traditional paper and pencil tests, computerized neurocognitive test batteries are the predominant testing modality for assessment of athletes from the youth to professional level. This review summarizes the most recent research supporting the utility of neuropsychological evaluation and highlights the strengths and weaknesses of both computerized and traditional neuropsychological testing approaches. The most up to date research and guidelines on baseline neurocognitive testing is also discussed. This paper addresses concerns regarding reliability of neuropsychological testing while providing an overview of factors that influence test performance, both transient situational factors (e.g., pain level, anxiety) and characteristics of particular subgroups (e.g., age, preexisting learning disabilities), warranting the expertise of an experienced neuropsychologist for interpretation. Currently, research is moving forward by integrating neuropsychological evaluation with emerging assessment approaches for other domains of brain function (e.g., vestibular function) vulnerable to concussion.

  18. Performance validity test and neuropsychological assessment battery screening module performances in an active-duty sample with a history of concussion.

    Science.gov (United States)

    Grills, Chad E; Armistead-Jehle, Patrick

    2016-01-01

    The current retrospective investigation sought to replicate previous findings demonstrating the significant impact of performance validity test (PVT) performance and evaluation context on neuropsychological testing. We examined differences on performance validity testing between active-duty service members undergoing neurocognitive screening for concussion who were seen in a clinical context and those who were seen in a disability-seeking context, as well as the overall impact of PVT performance on a neurocognitive screening battery. Overall, 38.2% of the sample failed the Word Memory Test (WMT). Of those involved in a disability evaluation, the failure rate was 51.9%, which was significantly higher than the 36.8% failure rate among those evaluated in a clinical context. The effect size of WMT performance on a cognitive screening measure was also large. The current retrospective analysis served to replicate previous work.

  19. Assessment of individual cognitive changes after deep brain stimulation surgery in Parkinson's disease using the Neuropsychological Test Battery Vienna short version.

    Science.gov (United States)

    Foki, Thomas; Hitzl, Daniela; Pirker, Walter; Novak, Klaus; Pusswald, Gisela; Auff, Eduard; Lehrner, Johann

    2017-02-07

    Long-term therapy of Parkinson's disease with L‑DOPA is associated with a high risk of developing motor fluctuations and dyskinesia. Deep brain stimulation (DBS) of the subthalamic nucleus (STN) can improve these motor complications. Although the positive effect on motor symptoms has been proven, postoperative cognitive decline has been documented. To tackle the impact of DBS on cognition, 18 DBS patients were compared to 25 best medically treated Parkinson's patients, 24 patients with mild cognitive impairment (MCI) and 12 healthy controls using the Neuropsychological Test Battery Vienna short version (NTBV-short) for cognitive outcome 12 months after the first examination. Reliable change index methodology was used. Roughly 10% of DBS patients showed cognitive decline mainly affecting the domains attention and executive functioning (phonemic fluency). Further research is needed to identify the mechanisms that lead to improvement or deterioration of cognitive functions in individual cases.

  20. Assessment of fitness to drive after acquired brain injury: The role of neuropsychological tests

    DEFF Research Database (Denmark)

    Meng, Annette

    to identify a neuropsychological test battery to predict driving ability. However, there is no consensus as to which test such a test battery should consist of. The aim of this study was to explore the relationship between some neuropsychological test results and the results of an on-road test.......g. WCST will not predict the driving ability of this group. This illustrates that many things can affect the predictive value a neuropsychological test and the belief that neuropsychological testing on its own cannot predict fitness to drive. As findings in the field of driving assessment of older people...

  1. Definition and application of neuropsychological test battery to evaluate postoperative cognitive dysfunction

    National Research Council Canada - National Science Library

    Valentin, Lívia Stocco Sanches; Pietrobon, Ricardo; Aguiar Junior, Wagner de; Rios, Ruth Pinto Camarão; Stahlberg, Mariane Galzerano; Menezes, Iolanda Valois Galvão de; Osternack-Pinto, Kátia; Carmona, Maria José Carvalho

    2015-01-01

    Objective To investigate the adequacy of the neuropsychological test battery proposed by the International Study of Postoperative Cognitive Dysfunction to evaluate this disorder in Brazilian elderly...

  2. Assessing neuropsychological performance in a migrant farm working Colonia in Baja California, Mexico: a feasibility study.

    Science.gov (United States)

    Bousman, Chad A; Salgado, Hugo; Hendrix, Terence; Fraga, Miguel; Cherner, Mariana

    2011-08-01

    Neuropsychological impairments (NPI) can lead to difficulties in daily functioning and ultimately contribute to poor health outcomes. However, evidence for the feasibility of NPI assessment in resource-limited settings using tests developed in high literacy/high education cultures is sparse. The main objectives were to: (1) determine the feasibility and appropriateness of conducting neuropsychological assessments among a migrant farm worker population in Baja California, Mexico and (2) preliminary describe neuropsychological test performance in this unique population. A neuropsychological test battery was administered to 21 presumably healthy adults (8 men, 13 women) during a two-day international health services and research collaboration. All but one neuropsychological test (i.e. figure learning) was feasible and appropriate to administer to the study population. Contrary to expectations, participants performed better on verbal rather than nonverbal neuropsychological tests. Results support inclusion of neuropsychological tests into future studies among migrant farm worker populations in Baja California, Mexico.

  3. EMOTICOM: A neuropsychological test battery to evaluate emotion, motivation, impulsivity and social cognition

    Directory of Open Access Journals (Sweden)

    Amy Rachel Bland

    2016-02-01

    Full Text Available In mental health practice, both pharmacological and non-pharmacological treatments are aimed at improving neuropsychological symptoms, including cognitive and emotional impairments. However, at present there is no established neuropsychological test battery that comprehensively covers multiple affective domains relevant in a range of disorders. Our objective was to generate a standardised test battery, comprised of existing, adapted and novel tasks, to assess four core domains of affective cognition (emotion processing, motivation, impulsivity and social cognition in order to facilitate and enhance treatment development and evaluation in a broad range of neuropsychiatric disorders. The battery was administered to two hundred participants aged 18-50 years (50% female, 42 of whom were retested in order to assess reliability. An exploratory factor analysis identified eleven factors with eigenvalues greater than 1, which accounted for over 70% of the variance. Tasks showed moderate to excellent test-retest reliability and were not strongly correlated with demographic factors such as age or IQ. The EMOTICOM test battery is therefore a promising tool for the assessment of affective cognitive function in a range of contexts.

  4. Diagnostic validity of a neuropsychological test battery for Hispanic patients with epilepsy.

    Science.gov (United States)

    Barr, William B; Bender, Heidi A; Morrison, Chris; Cruz-Laureano, Daniel; Vazquez, Blanca; Kuzniecky, Ruben

    2009-11-01

    The Neuropsychological Screening Battery for Hispanics (NeSBHIS) was developed to address the growing need for linguistically appropriate Spanish-language assessment measures. Despite the potential benefits to clinical practice, no prior study has assessed its diagnostic validity in populations with epilepsy. One hundred and fifteen patients with confirmed epilepsy were evaluated via the NeSBHIS; these data were standardized according to age- and education-based norms. Performance decrements were observed in more than 40% of participants on measures of processing speed and naming. Deficits in verbal and visual recall were also exhibited by 29 and 26% of the sample, respectively. No significant differences in test performance emerged between patients with VEEG evidence of left (N=48) versus right (N=24) temporal lobe epilepsy. Although the NeSBHIS is sensitive to the cognitive impairments commonly observed in populations with epilepsy, there are limitations to its ability to identify lateralized neuropsychological impairment in patients with temporal lobe epilepsy.

  5. Cambridge Neuropsychological Test Automated Battery in assessment of cognitive parameters in patients with systemic lupus erythematosus in relation to autoantibody profile.

    Science.gov (United States)

    Bogaczewicz, Anna; Sobow, Tomasz; Kowalski, Jan; Ząbek, Jakub; Woźniacka, Anna; Bogaczewicz, Jaroslaw

    2015-01-01

    To relate the cognitive parameters of systemic lupus erythematosus (SLE) patients in remission to their profile of autoantibodies. The study included 32 patients with SLE in remission, with mild disease activity as indicated by SELENA-SLEDAI Cambridge Neuropsychological Test Automated Battery (CANTAB) was applied, using motor screening (MOT), big little circle (BLC), paired associated learning (PAL), stockings of Cambridge (SOC), and graded naming tests (GNT). Detection of autoantibodies against dsDNA, nucleosome (aNuc), Sm, and anticardiolipin (aCL: IgG and IgM) was performed with immunoassays. The SLE patients demonstrated standard scores below norms, matched according to age and gender, in the following tests: GNT (-0.87 ±0.85), SOC PSMM (-0.47 ±0.97), PAL (-1.88 ±3.58), and BLC (-0.31 ±1.90). GNT scores under -0.5 were found significantly more frequently in SLE patients, seen in roughly 66% of test subjects. Values for PAL and mean subsequent thinking time of stockings of Cambridge (SOC MSTT) were found to be lower than -0.5 in approximately half of the patients. Mean error of motor screening (MOT ME) was found to negatively correlate with mean latency of motor screening (MOT ML) (r = -0.55). PAL significantly correlated with SOC MSTT (r = 0.38) and with GNT (r = 0.36). Anti-dsDNA antibody level correlated negatively with MOT ME (r = -0.46). Anti-Nuc antibodies correlated with MOT ML (r = 0.41) but negatively correlated with MOT ME (r = -0.58). The levels of anti-Sm, anti-CL IgM and IgG did not correlate significantly with the outcomes of CANTAB. The age of the patients correlated negatively with MOT ME (r = -0.36), positively with BLC (r = 0.53) and negatively with SOC MSTT (r = -0.43). The level of anti-Nuc antibodies correlated with anti-dsDNA level (r = 0.62) and of anti-CL IgM with anti-Sm (r = 0.39) and anti-CL IgG (r = 0.87). CANTAB reveals a decrease in selected cognitive functions in patients with SLE. ACL IgG and anti-dsDNA antibodies indicated

  6. Bilingualism and performance on two widely used developmental neuropsychological test batteries.

    Directory of Open Access Journals (Sweden)

    Linda C Karlsson

    Full Text Available The present study investigated the effect of bilingualism on the two widely used developmental neuropsychological test batteries Wechsler Intelligence Scale for Children - Fourth Edition (WISC-IV and A Developmental Neuropsychological Assessment, Second Edition (NEPSY-II in children. The sample consisted of 100 Finland-Swedish children in two age groups. About half (n = 52 of the participants were early simultaneous bilinguals, and the other half (n = 48 were monolinguals. As no Finland-Swedish versions of the tests are available at the moment, both tests were translated and adapted to suit this population. The results revealed no difference in the performance between bilingual and monolingual children. This speaks against a cognitive advantage in bilingual children and indicates that development of separate norms for monolingual and bilingual children is not needed for clinical use.

  7. Bilingualism and performance on two widely used developmental neuropsychological test batteries.

    Science.gov (United States)

    Karlsson, Linda C; Soveri, Anna; Räsänen, Pekka; Kärnä, Antti; Delatte, Sonia; Lagerström, Emma; Mård, Lena; Steffansson, Mikaela; Lehtonen, Minna; Laine, Matti

    2015-01-01

    The present study investigated the effect of bilingualism on the two widely used developmental neuropsychological test batteries Wechsler Intelligence Scale for Children - Fourth Edition (WISC-IV) and A Developmental Neuropsychological Assessment, Second Edition (NEPSY-II) in children. The sample consisted of 100 Finland-Swedish children in two age groups. About half (n = 52) of the participants were early simultaneous bilinguals, and the other half (n = 48) were monolinguals. As no Finland-Swedish versions of the tests are available at the moment, both tests were translated and adapted to suit this population. The results revealed no difference in the performance between bilingual and monolingual children. This speaks against a cognitive advantage in bilingual children and indicates that development of separate norms for monolingual and bilingual children is not needed for clinical use.

  8. Factorial Structure of Cognitive Activity Using a Neuropsychological Test Battery

    Directory of Open Access Journals (Sweden)

    A. Ardila

    1994-01-01

    Full Text Available A general neuropsychological test battery was assembled and individually given to a 98-subject sample, aged 11–12 years old. The battery included some basic and common tests routinely used in the evaluation of language, memory, spatial abilities, concept formation, and praxic abilities. Twenty-five different scores were calculated. A factor analysis with varimax rotation disclosed nine different factors, accounting for about 70% of the variance. Factor I was measured by a Sequential Verbal Memory test and Verbal Fluency subtests (“verbal factor”. Factor II was measured by the Wechsler Memory Scale Visual Memory subtests (immediate and delayed reproduction, and the Rey-Osterrieth Complex Figure (copy and immediate reproduction (“non-verbal memory and constructional factor”. Factor III was measured by the WMS Logical Memory subtests (immediate and delayed; “verbal memory factor”. Factor IV was associated with fine movements (tapping subtests, right and left hand; “fine movements factor”. Factor V was specially measured by the Information subtest of the WMS and the Boston Naming Test (“verbal knowledge”. Factor VI represented a “praxic ability factor” (ideomotor praxis tests. Delayed Associative Learning subtest measured Factor VII; and Digits measured Factor VIII. Factor IX was a “mental control factor” (Mental Control subtest of the Wechsler Memory Scale. The implications of these results to theories relating to the structure of cognitive activity are discussed.

  9. Neuropsychological Test Performance and the Attention Deficit Disorders: Clinical Utility of the Luria-Nebraska Neuropsychological Battery-Children's Revision.

    Science.gov (United States)

    Schaughency, Elizabeth A.; And Others

    1989-01-01

    Administered Luria-Nebraska Neuropsychological Battery--Children's Revision (LNNB-CR) to 54 clinic-referred children aged 8-12 years. Compared children reliably diagnosed as attention deficit disorder (ADD) with hyperactivity, without hyperactivity, and control group with internalizing disorders. Findings failed to support hypothesis that ADD is…

  10. Neuropsychological Test Performance and the Attention Deficit Disorders: Clinical Utility of the Luria-Nebraska Neuropsychological Battery-Children's Revision.

    Science.gov (United States)

    Schaughency, Elizabeth A.; And Others

    1989-01-01

    Administered Luria-Nebraska Neuropsychological Battery--Children's Revision (LNNB-CR) to 54 clinic-referred children aged 8-12 years. Compared children reliably diagnosed as attention deficit disorder (ADD) with hyperactivity, without hyperactivity, and control group with internalizing disorders. Findings failed to support hypothesis that ADD is…

  11. Desenvolvimento do Instrumento de Avaliação Neuropsicológica Breve Infantil NEUPSILIN-INF Development of the Child Brief Neuropsychological Assessment Battery NEUPSILIN-INF

    Directory of Open Access Journals (Sweden)

    Jerusa Fumagalli de Salles

    2011-12-01

    Full Text Available O objetivo deste estudo é apresentar o processo de desenvolvimento e validação de conteúdo do Instrumento de Avaliação Neuropsicológica Breve Infantil NEUPSILIN-INF, que avalia, de modo breve, componentes de oito funções neuropsicológicas em crianças em idade escolar: orientação, atenção, percepção visual, memória, habilidades aritméticas, linguagem, habilidades visuoconstrutivas e funções executivas. O processo envolveu: 1 análise do instrumento original NEUPSILIN e definição das funções e tarefas a serem adaptadas para avaliação neuropsicológica infantil; 2 desenvolvimento de novas tarefas consideradas fundamentais para a avaliação na infância; 3 estudo piloto 1 com a versão preliminar do instrumento; 4 análise de juízes especialistas; 5 estudos piloto 2 e 3, nova reformulação de tarefas do instrumento e elaboração de sua versão final. O instrumento apresentou adequada validade aparente e de conteúdo.The aim of this study is to present the development process and content validation of Child Brief Neuropsychological Assessment Battery NEUPSILIN-INF, which briefly assesses the components of eight neuropsychological functions in school-aged children: orientation, attention, visual perception, memory, arithmetic abilities, language, visuoconstructive abilities and executive functions. The process comprised: 1 the analysis of the original NEUPSILIN instrument and definition of the functions and tasks to be adapted for the child neuropsychological assessment; 2 the development of new tasks considered as fundamental for the assessment in children; 3 pilot study 1 with the preliminary version of the instrument; 4 analysis by specialist judges; 5 pilot studies 2 and 3, new reformulation of the instrument's tasks and preparation of its final version. The instrument presented appropriate face and content validity.

  12. Applicability of the abbreviated neuropsychologic battery (NEUROPSI) in Alzheimer disease patients.

    Science.gov (United States)

    Abrisqueta-Gomez, Jacqueline; Ostrosky-Solis, Feggy; Bertolucci, Paulo H F; Bueno, Orlando F A

    2008-01-01

    NEUROPSI is a brief neuropsychologic battery developed to briefly assess a wide spectrum of cognitive functions. The aim of this study was to examine the applicability of a Portuguese version of this battery and verify the efficacy in detecting cognitive impairment in Alzheimer disease (AD) patients. NEUROPSI was applied to 75 elderly people, 25 patients with probable AD in mild stage (AD1), 25 patients in moderate stage (AD2), and 25 healthy elderly persons (control group), matched with the AD patients for age and schooling. Before testing all participants were applied the Mini-Mental State Examination. Results showed significant differences in total scores of the tests; NEUROPSI (PNEUROPSI is an efficient instrument for detecting AD patients in the initial stage of the disease.

  13. Neuropsychological assessment of patients with dementing illness.

    Science.gov (United States)

    Fields, Julie A; Ferman, Tanis J; Boeve, Bradley F; Smith, Glenn E

    2011-11-01

    Neuropsychological assessment has a distinct role in the detection and monitoring of cognitive and functional changes associated with dementing illness. Molecular, structural and functional neuroimaging studies have advanced our understanding of the anatomy and physiology underlying neurodegenerative disease; however, the overlap in pathological features of different dementia-associated diseases limits the information that can be obtained by these methods. Incorporation of information obtained from multiple sources can help to increase diagnostic and prognostic accuracy. Neuropsychological test findings provide unique value as biomarkers of dementia, as differentiators of disease topography and in the estimation of disease risk and trajectory. However, psychometric test properties--such as construct validity, stability and the use of appropriate norms--must be understood, because they influence both the application of neuropsychological tests and the interpretation of their results. Finally, measurement of cognitive strengths and weaknesses in patients at risk of dementia can be helpful to predict changes in functional abilities, design appropriate and effective interventions, and assist family and health-care providers in the planning of the patient's future care needs. This Review describes the key characteristics of neuropsychological testing in the assessment of patients at risk of dementia.

  14. Discriminative Effectiveness of the Luria-Nebraska Neuropsychological Battery for LD Adolescents.

    Science.gov (United States)

    Lewis, Richard D.; Lorion, Raymond P.

    1988-01-01

    Evaluation of the Luria-Nebraska Neuropsychological Battery's utility in distinguishing between 30 male adolescents diagnosed as learning disabled (LD) and 30 matched non-LD students indicated that the battery correctly classified 90 percent of the sample with 6.7 percent false positives and 13.3 percent false negatives. (Author/DB)

  15. Discriminative Effectiveness of the Luria-Nebraska Neuropsychological Battery for LD Adolescents.

    Science.gov (United States)

    Lewis, Richard D.; Lorion, Raymond P.

    1988-01-01

    Evaluation of the Luria-Nebraska Neuropsychological Battery's utility in distinguishing between 30 male adolescents diagnosed as learning disabled (LD) and 30 matched non-LD students indicated that the battery correctly classified 90 percent of the sample with 6.7 percent false positives and 13.3 percent false negatives. (Author/DB)

  16. The use of neuropsychological tests to assess intelligence.

    Science.gov (United States)

    Gansler, David A; Varvaris, Mark; Schretlen, David J

    2017-05-30

    We sought to derive a 'neuropsychological intelligence quotient' (NIQ) to replace IQ testing in some routine assessments. We administered neuropsychological testing and a seven-subtest short form of the Wechsler Adult Intelligence Scale to a community sample of 394 adults aged 18-96 years. We regressed Wechsler Full Scale IQs (W-FSIQ) on 23 neuropsychological scores and derived an NIQ from 9 measures that explained significant variance in W-FSIQ. We then compared subgroups of 284 healthy and 108 unhealthy participants in NIQ and W-FSIQ to assess criterion validity, correlated NIQ and W-FSIQ scores with education level and independence for activities of daily living to assess convergent validity, and compared validity coefficients for the NIQ with those of 'hold' and 'no-hold' indices. By design, NIQ and W-FSIQ scores correlated highly (r = .84), and both were higher in healthy participants. The difference was larger for NIQ, which accounted for more variability in activities of daily living. The NIQ and 'no-hold' index were better predicted by health status and less predicted by educational status than the 'hold' index. We constructed an NIQ that correlates highly with Wechsler FSIQ. Tests required to obtain NIQ are commonly used and can be administered in about 45 min. Validity properties of NIQ and W-FSIQ are similar. The NIQ bore greater resemblance to a 'no-hold' than 'hold' index. One can obtain a reasonably accurate estimate of current Full Scale IQ without formal intelligence testing from a brief neuropsychological battery.

  17. Teleneuropsychology: evidence for video teleconference-based neuropsychological assessment.

    Science.gov (United States)

    Munro Cullum, C; Hynan, L S; Grosch, M; Parikh, M; Weiner, M F

    2014-11-01

    The use of videoconference technology to deliver health care diagnostics and treatment continues to grow at a rapid pace. Telepsychiatry and telepsychology applications are well-accepted by patients and providers, and both diagnostic and treatment outcomes have generally been similar to traditional face-to-face interactions. Preliminary applications of videoconference-based neuropsychological assessment (teleneuropsychology) have yielded promising results in the feasibility and reliability of several standard tests, although large-scale studies are lacking. This investigation was conducted to determine the reliability of video teleconference (VTC) - based neuropsychological assessment using a brief battery of standard neuropsychological tests commonly used in the evaluation of known or suspected dementia. Tests included the Mini-Mental State Examination (MMSE), Hopkins Verbal Learning Test-Revised, Digit Span forward and backward, short form Boston Naming Test, Letter and Category Fluency, and Clock Drawing. Tests were administered via VTC and in-person to subjects, counterbalanced using alternate test forms and standard instructions. Two hundred two adult subjects were tested in both rural and urban settings, including 83 with cognitive impairment and 119 healthy controls. We found highly similar results across VTC and in-person conditions, with significant intraclass correlations (mean=.74; range: 0.55-0.91) between test scores. Findings remained consistent in subjects with or without cognitive impairment and in persons with MMSE scores as low as 15. VTC-based neuropsychological testing is a valid and reliable alternative to traditional face-to-face assessment using selected measures. More VTC-based studies using additional tests in different populations are needed to fully explore the utility of this new testing medium.

  18. NEUROPSI ATTENTION AND MEMORY: a neuropsychological test battery in Spanish with norms by age and educational level.

    Science.gov (United States)

    Ostrosky-Solis, Feggy; Esther Gomez-Perez, Ma; Matute, Esmeralda; Rosselli, Monica; Ardila, Alfredo; Pineda, David

    2007-01-01

    Health care professionals are now faced with a growing number of patients from different ethnic groups, and from different socioeconomical backgrounds. In the field of neuropsychology there is an increasing need of reliable and culturally fair assessment measures. Spanish is the official language in more than 20 countries and the second most spoken language in the world. The purpose of this research was to develop and standardize the neuropsychological battery NEUROPSI ATTENTION AND MEMORY, designed to assess orientation, attention and concentration, executive functions, working memory and immediate and delayed verbal and visual memory. The developmental sequences of attention and memory as well as the educational effects were analyzed in a sample of 521 monolingual Spanish Speaking subjects, aged 6 to 85 years. Educational level ranged from 0 to 22 years of education. The consideration of the developmental sequence, and the effects of education, can improve the sensitivity and specificity of neuropsychological measures.

  19. NEUROPSI: a brief neuropsychological test battery in Spanish with norms by age and educational level.

    Science.gov (United States)

    Ostrosky-Solís, F; Ardila, A; Rosselli, M

    1999-07-01

    The purpose of this research was to develop, standardize, and test the reliability of a short neuropsychological test battery in the Spanish language. This neuropsychological battery was named "NEUROPSI," and was developed to assess briefly a wide spectrum of cognitive functions, including orientation, attention, memory, language, visuoperceptual abilities, and executive functions. The NEUROPSI includes items that are relevant for Spanish-speaking communities. It can be applied to illiterates and low educational groups. Administration time is 25 to 30 min. Normative data were collected from 800 monolingual Spanish-speaking individuals, ages 16 to 85 years. Four age groups were used: (1) 16 to 30 years, (2) 31 to 50 years, (3) 51 to 65 years, and (4) 66 to 85 years. Data also are analyzed and presented within 4 different educational levels that were represented in this sample; (1) illiterates (zero years of school); (2) 1 to 4 years of school; (2) 5 to 9 years of school; and (3) 10 or more years of formal education. The effects of age and education, as well as the factor structure of the NEUROPSI are analyzed. The NEUROPSI may fulfill the need for brief, reliable, and objective evaluation of a broad range of cognitive functions in Spanish-speaking populations.

  20. Symptom validity testing, effort, and neuropsychological assessment.

    Science.gov (United States)

    Bigler, Erin D

    2012-07-01

    Symptom validity testing (SVT) has become a major theme of contemporary neuropsychological research. However, many issues about the meaning and interpretation of SVT findings will require the best in research design and methods to more precisely characterize what SVT tasks measure and how SVT test findings are to be used in neuropsychological assessment. Major clinical and research issues are overviewed including the use of the “effort” term to connote validity of SVT performance, the use of cut-scores, the absence of lesion-localization studies in SVT research, neuropsychiatric status and SVT performance and the rigor of SVT research designs. Case studies that demonstrate critical issues involving SVT interpretation are presented.

  1. Cognitive Assessment of OCD Patients: NeuroVR vs Neuropsychological Test.

    Science.gov (United States)

    La Paglia, Filippo; La Cascia, Caterina; Rizzo, Rosalinda; Cangialosi, Flavia; Sanna, Margherita; Riva, Giuseppe; La Barbera, Daniele

    2014-01-01

    This study aimed to evaluate the reliability and validity of the Neuro-Virtual Reality as tool for the neuropsychological assessment in OCD patients. We used the neuropsychological battery and a virtual version of the Multiple Errand Test (V-MET), developed using the NeuroVR software, in order to evaluate the executive functions, the ability to plan ahead on complex problem solving tasks in daily life in 30 obsessive compulsive disorder (OCD) patients and 30 healthy controls. The results showed the presence of difficulties of OCD patients: lower levels of divided attention and higher levels of errors; higher mean rank of inefficiencies, interpretation failures and rule breaks and longer time of execution of the whole task. By contrast, controls have higher level of efficiency and better performance. In addition, a significant correlation was found between the V-MET and the neuropsychological battery which confirms and supports the ecological validity of neurocognitive assessment through NeuroVirtual Reality.

  2. Detection of brain damage: neuropsychological assessment in a Spanish speaking population.

    Science.gov (United States)

    Ostrosky-Solis, F; Quintanar, L; Ardila, A

    1989-12-01

    We developed a neuropsychological battery for assessment of cognitive processes that was standardized in 150 neurologically intact subjects from different socioeducational levels in Mexico City (Ostrosky et al., 1985, 1986). The present study was designed to explore the capacity of this neuropsychological battery to discriminate a brain-injured population from a normal one. Thirty-four patients attending the neurological service of two hospitals institutions in Mexico City were studied. The reasons for going to the hospital included both neurological and neuropsychological symptoms. The group was divided into two subgroups: twenty-four patients who showed brain damage confirmed by brain scans, and ten patients with a normal brain scan. A control group of 19 normal subjects was also studied and paired with the other groups by sex, age and sociocultural level. The results show that the neuropsychological battery was able to recognize 83.3% of the patients with scanographically confirmed brain damage: the total percentage of successful diagnosis was 88.2% and there were no false positives. These results indicate that neuropsychological assessment is a powerful diagnostic procedure that also evaluates the patient's cognitive-behavioral activity and can help to predict the possibilities for rehabilitation and return to work.

  3. Diagnostic Accuracy of the Halstead-Reitan and Luria-Nebraska Neuropsychological Batteries: Performance of Clinical Raters.

    Science.gov (United States)

    Kane, Robert L.; And Others

    1987-01-01

    Three experienced neuropsychologists rated brain damaged and control subjects for brain damage using the Halstead-Reitan Battery and the Luria-Nebraska Neuropsychological Battery. Using either battery, raters were accurate in judging the presence of brain damage. There was a high degree of consistency between raters and test batteries when both…

  4. Diagnostic Accuracy of the Halstead-Reitan and Luria-Nebraska Neuropsychological Batteries: Performance of Clinical Raters.

    Science.gov (United States)

    Kane, Robert L.; And Others

    1987-01-01

    Three experienced neuropsychologists rated brain damaged and control subjects for brain damage using the Halstead-Reitan Battery and the Luria-Nebraska Neuropsychological Battery. Using either battery, raters were accurate in judging the presence of brain damage. There was a high degree of consistency between raters and test batteries when both…

  5. Cluster Analysis of the Luria-Nebraska Neuropsychological Battery with Learning Disabled Adults.

    Science.gov (United States)

    McCue, Michael; And Others

    The study reports a cluster analysis of Luria-Nebraska Neuropsychological Battery sources of 25 learning disabled adults. The cluster analysis suggested the presence of three subgroups within this sample, one having high elevations on the Rhythm, Writing, Reading, and Arithmetic Rhythm scales, the second having an extremely high evelation on the…

  6. Investigation of the Luria-Nebraska Neuropsychological Battery--Children's Revision with Learning Disabled Children.

    Science.gov (United States)

    Boliek-Uphoff, Carol; Obrzut, John E.

    Twenty-three learning disabled (LD) children (age 8-12 years) and 15 nondisabled children (age 8-12 years) were individually administered the Luria-Nebraska Neuropsychological Battery-Children's Revision (LNNB). Means and standard deviations for each of the test's scales were computed by group, and individual T-tests were calculated for…

  7. Luria-Nebraska Neuropsychological Battery-Children's Revision: Concurrent Validity With Three Learning Disability Subtypes.

    Science.gov (United States)

    Morgan, Sam B.; Brown, Tina L.

    1988-01-01

    Studied concurrent validity of the Luria-Nebraska Neuropsychological Battery-Children's Revision (LNNB-C) in learning disabled children categorized according to Verbal and Performance IQ differences. Found no significant differences between the three groups, thus failing to support the validity of the LNNB-C in discriminating between learning…

  8. Investigation of the Luria-Nebraska Neuropsychological Battery--Children's Revision with Learning Disabled Children.

    Science.gov (United States)

    Boliek-Uphoff, Carol; Obrzut, John E.

    Twenty-three learning disabled (LD) children (age 8-12 years) and 15 nondisabled children (age 8-12 years) were individually administered the Luria-Nebraska Neuropsychological Battery-Children's Revision (LNNB). Means and standard deviations for each of the test's scales were computed by group, and individual T-tests were calculated for…

  9. Luria-Nebraska Neuropsychological Battery-Children's Revision: Concurrent Validity With Three Learning Disability Subtypes.

    Science.gov (United States)

    Morgan, Sam B.; Brown, Tina L.

    1988-01-01

    Studied concurrent validity of the Luria-Nebraska Neuropsychological Battery-Children's Revision (LNNB-C) in learning disabled children categorized according to Verbal and Performance IQ differences. Found no significant differences between the three groups, thus failing to support the validity of the LNNB-C in discriminating between learning…

  10. Factor analysis of the Neuropsychological Screening Battery for Hispanics (NeSBHIS).

    Science.gov (United States)

    Pontón, M O; Gonzalez, J J; Hernandez, I; Herrera, L; Higareda, I

    2000-01-01

    The Neuropsychological Screening Battery for Hispanics (NeSBHIS; Pontón et al., 1996) was developed to provide clinicians and researchers with appropriate tests and norms to assess the Latino population. However, the construct validity of the NeSBHIS is unclear, and its clinical utility is untested. This study provides data on the construct validity of this battery via factor analytic methodology. Five factors were identified: (a) a language factor, which included the Controlled Oral Word Association Test, the Pontón-Satz Boston Naming Test, and the Escala de Inteligencia Wechsler para Adultos (EIWA; Wechsler, Green, & Martinez, 1968) Digit Span; (b) a verbal learning factor, which included all the World Health Organization--University of California, Los Angeles Auditory Verbal Learning Test scores (Trials V, VII, and VIII); (c) an attentional-mental control factor, which included the EIWA Digit Symbol, Color Trails 1 and 2, and the EIWA Block Design; (d) a visuospatial factor, made up of the Rey-Osterrieth Complex Figure Test Copy and Memory and the Raven's Standard Progressive Matrices total score; and (e) a psychomotor factor, the Pin Test. This was a stable factor structure, suggesting that the NeSBHIS has a robust construct validity.

  11. Performance of Spanish/English bilingual children on a spanish-language neuropsychological battery: preliminary normative data.

    Science.gov (United States)

    Rosselli, Mónica; Ardila, Alfredo; Navarrete, M Gina; Matute, Esmeralda

    2010-05-01

    Despite a population of close to 40 million Hispanics/Latinos in the USA who have at least some level of Spanish/English bilingualism, there are few neuropsychological tests and norms available for this group, especially when assessing Spanish/English bilingual children. The purpose of the present research was to provide preliminary normative data for a bilingual population on a comprehensive neuropsychological battery developed for Spanish-speaking children (Evaluación Neuropsicológica Infantil). Norms by age are presented on the performance of 108 Spanish/English bilingual children (ages 5-14 years) and are expected to be useful when testing other Spanish/English bilingual children in the USA.

  12. Rasmussen's encephalitis: the relevance of neuropsychological assessment in patient's treatment and follow up

    Directory of Open Access Journals (Sweden)

    Guimarães Catarina Abraão

    2002-01-01

    Full Text Available Rasmussen's encephalitis is characterized by refractory epilepsy, neurological deterioration and progressive atrophy of one cerebral hemisphere. The objective of this study is to describe the importance of neuropsychological evaluation in the treatment decision and follow-up of patients with Rasmussen´s encephalitis. Neuropsychological assessment was performed in two steps. Firstly, the clinical history was obtained and the Vineland adaptative behavior scale (VABS was applied. After this first step, the patients with social maturity level equal or higher than the inferior limit underwent a battery of neuropsychological assessment. We evaluated three patients before any specific treatment was started, and six months after the intervention (surgery or plasmapheresis. Patient 1 underwent left hemispherectomy and had global improvement on second neuropsychological assessment. This suggests that the decision of performing surgery was adequate. Patients 2 and 3 underwent plasmapheresis. They did not present cognitive decline between both evaluations which suggest that our decision of postponing surgery was adequate as well. We conclude that neuropsychological assessment is important when evaluating patients with Rasmussen´s encephalitis. That is especially true for patients in whom disease progression is slow, and surgery timing has to be carefully planned.

  13. Assessment Battery for Communication: Development of Two Equivalent Forms

    Science.gov (United States)

    Bosco, Francesca M.; Angeleri, Romina; Zuffranieri, Marco; Bara, Bruno G.; Sacco, Katiuscia

    2012-01-01

    The aim of this paper was to develop and test two equivalent forms of the Assessment Battery for Communication (ABaCo), a tool for evaluating pragmatic abilities in patients with neuropsychological and psychiatric disorders. The equivalent forms were created using the data from a sample of 390 children, then tested in a sample of 30 patients with…

  14. Computerized neuropsychological assessment devices: joint position paper of the American Academy of Clinical Neuropsychology and the National Academy of Neuropsychology.

    Science.gov (United States)

    Bauer, Russell M; Iverson, Grant L; Cernich, Alison N; Binder, Laurence M; Ruff, Ronald M; Naugle, Richard I

    2012-05-01

    This joint position paper of the American Academy of Clinical Neuropsychology and the National Academy of Neuropsychology sets forth our position on appropriate standards and conventions for computerized neuropsychological assessment devices (CNADs). In this paper, we first define CNADs and distinguish them from examiner-administered neuropsychological instruments. We then set forth position statements on eight key issues relevant to the development and use of CNADs in the healthcare setting. These statements address (a) device marketing and performance claims made by developers of CNADs; (b) issues involved in appropriate end-users for administration and interpretation of CNADs; (c) technical (hardware/software/firmware) issues; (d) privacy, data security, identity verification, and testing environment; (e) psychometric development issues, especially reliability, and validity; (f) cultural, experiential, and disability factors affecting examinee interaction with CNADs; (g) use of computerized testing and reporting services; and (h) the need for checks on response validity and effort in the CNAD environment. This paper is intended to provide guidance for test developers and users of CNADs that will promote accurate and appropriate use of computerized tests in a way that maximizes clinical utility and minimizes risks of misuse. The positions taken in this paper are put forth with an eye toward balancing the need to make validated CNADs accessible to otherwise underserved patients with the need to ensure that such tests are developed and utilized competently, appropriately, and with due concern for patient welfare and quality of care.

  15. Advances in neuropsychological assessment of sport-related concussion.

    Science.gov (United States)

    Echemendia, Ruben J; Iverson, Grant L; McCrea, Michael; Macciocchi, Stephen N; Gioia, Gerard A; Putukian, Margot; Comper, Paul

    2013-04-01

    To critically review the literature from the past 12 years regarding the following key issues in sports-related neuropsychological assessment: (1) the advantages and disadvantages of different neuropsychological assessment modalities; (2) the evidence for and against the current paradigm of baseline/postinjury testing; (3) the role of psychological factors in the evaluation and management of concussion; (4) advances in the neuropsychological assessment of children; (5) multi-modal assessment paradigms; (6) the role of the neuropsychologist as part of the sports healthcare team and (6) the appropriate administration and interpretation of neuropsychological tests. Targeted computerised literature review (MEDLINE, PubMed, CINAHL and PsychInfo) from 2000 to the present using key words: neuropsychological, neurocognitive, assessment, testing, concussion and sports. More than 2600 articles were identified using key word searches of the databases, including many duplicates. Several books were also reviewed. The articles were pared down for review if they specifically addressed the key areas noted above. Traditional and computerised neuropsychological tests are useful in the evaluation and management of concussion. Brief cognitive evaluation tools are not substitutes for formal neuropsychological assessment. At present, there is insufficient evidence to recommend the widespread routine use of baseline neuropsychological testing. Although scant, research suggests that psychological factors may complicate and prolong recovery from concussion in some athletes. Age-appropriate symptom scales for children have been developed but research into age-appropriate tests of cognitive functions lags behind. Neuropsychologists are uniquely qualified to interpret neuropsychological tests and can play an important role within the context of a multifaceted-multimodal approach to manage sports-related concussions.

  16. State of multicultural neuropsychological assessment in children: current research issues.

    Science.gov (United States)

    Byrd, Desiree; Arentoft, Alyssa; Scheiner, Diane; Westerveld, Michael; Baron, Ida Sue

    2008-09-01

    Scientific attention to cultural considerations in child neuropsychological assessment has not developed parallel to the focus these issues have received in adult and elderly neuropsychological assessment. There are limited data on the presence, magnitude, etiology, and implications of culture-related differences in cognitive test performance among children. This preliminary report reviews the available empirical literature on the current state of multicultural neuropsychological assessment in children. The review identified articles by searching PubMed and PsycINFO databases, and the tables of contents of Developmental Neuropsychology and Child Neuropsychology from 2003-2008. Of the 1,834 abstracts reviewed, ten papers met inclusion criteria for the review. Five studies were completed in America; four of these compared performance between ethnic groups while the fifth examined neighborhood level poverty indicators exclusively within African-American children. Of the five international studies, all established local normative data and/or were exploratory investigations of neuropsychological functions in specific cultural groups, including Taiwanese infants, South African youth, and bilingual British children. Taken together, the results yield important clinical and research data that begin to inform many of the complex and fascinating mechanisms by which ethnic identity and culture impact cognitive development and the neuropsychological assessment of children. A critique of the existing literature and directions for future research are provided.

  17. Mayo Older Americans Normative Studies: Factor Analysis of an Expanded Neuropsychological Battery

    OpenAIRE

    Greenaway, Melanie C.; Smith, Glenn E.; Tangalos, Eric G.; Geda, Yonas E.; Ivnik, Robert J.

    2008-01-01

    The Mayo Cognitive Factor Scores were derived from a “core battery” consisting of the WAIS-R, WMS-R, and Auditory Verbal Learning Test. The present study sought to clarify the factor structure of an expanded neuropsychological battery in normal elderly controls. Confirmatory factor analysis was performed on the WAIS-III, WRAT-3 Reading, Boston Naming Test, Controlled Oral Word Association Test, Category Fluency, Rey-Osterrieth Complex Figure, Visual Form Discrimination, and Trail Making Test ...

  18. Lifting the veil: how to use clinical neuropsychology to assess dementia

    National Research Council Canada - National Science Library

    Burrell, James R; Piguet, Olivier

    2015-01-01

    .... This article reviews the principles underlying clinical neuropsychology, background on common neuropsychological tests, and tips on how to interpret the results when assessing patients with dementia...

  19. Performance on Cambridge Neuropsychological Test Automated Battery Subtests Sensitive to Frontal Lobe Function in People with Autistic Disorder: Evidence from the Collaborative Programs of Excellence in Autism Network

    Science.gov (United States)

    Ozonoff, Sally; Cook, Ian; Coon, Hilary; Dawson, Geraldine; Joseph, Robert M.; Klin, Ami; McMahon, William M.; Minshew, Nancy; Munson, Jeffrey A.

    2004-01-01

    Recent structural and functional imaging work, as well as neuropathology and neuropsychology studies, provide strong empirical support for the involvement of frontal cortex in autism. The Cambridge Neuropsychological Test Automated Battery (CANTAB) is a computer-administered set of neuropsychological tests developed to examine specific components…

  20. Clinical applicability and cutoff values for an unstructured neuropsychological assessment protocol for older adults with low formal education.

    Science.gov (United States)

    de Paula, Jonas Jardim; Bertola, Laiss; Ávila, Rafaela Teixeira; Moreira, Lafaiete; Coutinho, Gabriel; de Moraes, Edgar Nunes; Bicalho, Maria Aparecida Camargos; Nicolato, Rodrigo; Diniz, Breno Satler; Malloy-Diniz, Leandro Fernandes

    2013-01-01

    The neuropsychological exam plays a central role in the assessment of elderly patients with cognitive complaints. It is particularly relevant to differentiate patients with mild dementia from those subjects with mild cognitive impairment. Formal education is a critical factor in neuropsychological performance; however, there are few studies that evaluated the psychometric properties, especially criterion related validity, neuropsychological tests for patients with low formal education. The present study aims to investigate the validity of an unstructured neuropsychological assessment protocol for this population and develop cutoff values for clinical use. A protocol composed by the Rey-Auditory Verbal Learning Test, Frontal Assessment Battery, Category and Letter Fluency, Stick Design Test, Clock Drawing Test, Digit Span, Token Test and TN-LIN was administered to 274 older adults (96 normal aging, 85 mild cognitive impairment and 93 mild Alzheimer`s disease) with predominantly low formal education. Factor analysis showed a four factor structure related to Executive Functions, Language/Semantic Memory, Episodic Memory and Visuospatial Abilities, accounting for 65% of explained variance. Most of the tests showed a good sensitivity and specificity to differentiate the diagnostic groups. The neuropsychological protocol showed a significant ecological validity as 3 of the cognitive factors explained 31% of the variance on Instrumental Activities of Daily Living. The study presents evidence of the construct, criteria and ecological validity for this protocol. The neuropsychological tests and the proposed cutoff values might be used for the clinical assessment of older adults with low formal education.

  1. Do the Cambridge Neuropsychological Test Automated Battery episodic memory measures discriminate amnestic mild cognitive impairment?

    Science.gov (United States)

    Juncos-Rabadán, Onésimo; Pereiro, Arturo X; Facal, David; Reboredo, Alba; Lojo-Seoane, Cristina

    2014-06-01

    Although visual recognition memory and visuospatial paired associates learning has been shown to be impaired in amnestic mild cognitive impairment (aMCI), the sensitivity and specificity of the visual memory tests used to identify aMCI are not well defined. The current study attempted to analyze the sensitivity and specificity of three visual episodic memory tests (Pattern Recognition Memory [PRM], Delayed Matching to Sample [DMS], and Paired Associated Learning [PAL]) from the CANTAB, in differentiating aMCI patients from control healthy participants. Seventy seven aMCI patients and 85 cognitive normal controls aged over 50 years performed the PRM, DMS, and PAL tests. Univariate and multivariate logistic regression and receiver operating characteristic curve analyses were used to study the relationships between aMCI and visual memory measures. The three Cambridge Neuropsychological Test Automated Battery measures significantly predicted aMCI. The optimal predictive model combined the total percent correct responses for PRM and DMS with the PAL total errors (six shapes adjusted), with a sensitivity of 72%, specificity of 83%, and achieved predictive accuracy of 80%. Visual episodic memory tasks such as those involved in the PRM, DMS, and PAL tests (included in the Cambridge Neuropsychological Test Automated Battery) may sensitively discriminate aMCI patients from normal controls. These tests may be useful for correct diagnosis of aMCI. Copyright © 2013 John Wiley & Sons, Ltd.

  2. Performance of juvenile baboons on neuropsychological tests assessing associative learning, motivation and attention.

    Science.gov (United States)

    Zürcher, Nicole R; Rodriguez, Jesse S; Jenkins, Sue L; Keenan, Kate; Bartlett, Thad Q; McDonald, Thomas J; Nathanielsz, Peter W; Nijland, Mark J

    2010-05-15

    The CANTAB (Cambridge Neuropsychological Test Automated Battery), a system developed for human neuropsychological testing, has previously been used to assess cognitive function in two species of nonhuman primates, common marmoset monkeys and rhesus macaques. We describe the application of the system to the juvenile baboon, a nonhuman primate species offering specific investigative advantages. Juvenile baboons were trained and tested on a progressive ratio task to assess motivation, simple discrimination and simple reversal tasks to assess associative learning, and intra- and extra-dimensional set-shifting tasks to assess selective attention and attentional set-shifting, respectively. Study subjects were 8 juvenile baboons (Papio sp.), 4 females and 4 males aged 3.0+/-0.1 (mean+SEM) years and weight 8.2+/-0.4 kg. All baboons were easily trained, readily learned the neuropsychological tests and exhibited a stable performance. Applying a method such as the CANTAB has significant implications for expanding on the translational utility of the baboon in studies of neurodevelopment.

  3. Factor Structure of the Luria-Nebraska Neuropsychological Battery-Children's Revision with Learning-Disabled Children.

    Science.gov (United States)

    Snow, Jeffrey; Hynd, George W.

    1985-01-01

    Examined the factor structure of the Luria-Nebraska Neuropsychological Battery-Children's Revision in a population of learning-disabled children (N=100). Factor analysis and varimax rotation revealed three factors: a language-general intellectual factor, a reading-written expression factor, and a sensory-motor factor. (Author/MCF)

  4. Peabody Picture Vocabulary Test-Revised and Luria-Nebraska Neuropsychological Battery for Children: Intercorrelations for Normal Youngsters.

    Science.gov (United States)

    Quattrocchi, Mary M.; Golden, Charles J.

    1983-01-01

    The relationship between scores on the Peabody Picture Vocabulary Test-Revised (PPVT-R) and Luria-Nebraska Neuropsychological Battery for Children was examined utilizing 86 normal children, including 55 females and 31 males from middle-class families. Significant relationships were predicted between the PPVT-R and the receptive scale on the…

  5. Peabody Picture Vocabulary Test-Revised and Luria-Nebraska Neuropsychological Battery for Children: Intercorrelations for Normal Youngsters.

    Science.gov (United States)

    Quattrocchi, Mary M.; Golden, Charles J.

    1983-01-01

    The relationship between scores on the Peabody Picture Vocabulary Test-Revised (PPVT-R) and Luria-Nebraska Neuropsychological Battery for Children was examined utilizing 86 normal children, including 55 females and 31 males from middle-class families. Significant relationships were predicted between the PPVT-R and the receptive scale on the…

  6. Factor Structure of the Luria-Nebraska Neuropsychological Battery-Children's Revision with Learning-Disabled Children.

    Science.gov (United States)

    Snow, Jeffrey; Hynd, George W.

    1985-01-01

    Examined the factor structure of the Luria-Nebraska Neuropsychological Battery-Children's Revision in a population of learning-disabled children (N=100). Factor analysis and varimax rotation revealed three factors: a language-general intellectual factor, a reading-written expression factor, and a sensory-motor factor. (Author/MCF)

  7. Neuropsychological assessment of the severely impaired elderly patient: validation of the Italian short version of the Severe Impairment Battery (SIB). Gruppo di Studio sull'Invecchiamento Cerebrale della Società Italiana di Gerontologia e Geriatria.

    Science.gov (United States)

    Pippi, M; Mecocci, P; Saxton, J; Bartorelli, L; Pettenati, C; Bonaiuto, S; Cucinotta, D; Masaraki, G; Neri, M; Tammaro, A E; Vergani, C; Chionne, F; Senin, U

    1999-08-01

    One hundred and sixty-nine severely demented patients were tested in a multicenter study with the short version of the Severe Impairment Battery which was translated into Italian with the purpose of adapting and validating it for an Italian population. Patients were enrolled in Italian geriatric centers participating in the Study Group on Aging Brain of the Italian Society of Gerontology and Geriatrics. Following thorough clinical and instrumental examinations, they were evaluated with the Mini Mental State Examination, the Clinical Dementia Rating, the Severe Impairment Battery (SIB), the Gottfries-Bråne-Steen Rating Scale for Dementia, the Activity of Daily Living index, and the Bedford Alzheimer Nursing Severity scale (BANS.s). The inter-rater reliability of the SIB was highly significant for the total score and its subtests; test-retest reliability showed the same significance in all items. Also concurrent validity, performed comparing the total SIB score with the total BANS.s score, was significant. The short Italian version of the SIB proved to be a very reliable tool for the evaluation of severely demented patients; it has the advantage of being easy to administer, it evaluates more cognitive domains that, are typically assessed in dementia, and has a wide enough range of scores to detect even small differences in the examined abilities.

  8. Neuropsychological assessment of children with epilepsy and average intelligence using NEPSY II.

    Science.gov (United States)

    Zilli, Tiziana; Zanini, Sergio; Conte, Stefania; Borgatti, Renato; Urgesi, Cosimo

    2015-01-01

    Many studies have shown altered neuropsychological functioning of children with epilepsy even in the absence of intellectual disability, with notable concerns for both patients and their families. Although studies have described the cognitive profiles associated with specific epilepsy syndromes, there is incomplete agreement on the relation between spared and impaired abilities in different cognitive domains and on how deficits in one neuropsychological ability can secondarily affect performance in other cognitive domains. The aim of this study was to investigate the neuropsychological profile and vulnerabilities of children with epilepsy without intellectual disability or borderline intellectual functioning. 23 children aged 7-15 years, with a diagnosis of epilepsy of genetic or unknown cause and average intellectual functioning (IQ >85), were administered all age-appropriate tests of the Italian-language version (Urgesi, Campanella, & Fabbro, 2011) of a comprehensive neuropsychological battery (NEPSY-II: A Developmental Neuropsychological Assessment, Second Edition; Korkman, Kirk, & Kemp, 2007). Their performance was compared with that of a control group matched for gender, age, handedness and education. Children with epilepsy showed significant impairments as compared to the control group in tests of attention and executive functions and sensorimotor skills. Notably, particular difficulties were observed also in social perception tasks that require affect recognition, an ability that has been so far poorly considered in children with epilepsy. The results highlight the importance of performing extensive evaluation of cognitive functions, including social cognition processes, in children with epilepsy with average intelligence in order to design appropriate interventions aimed at minimizing long-term consequences on educational and behavioral outcome.

  9. Reliability and validity of the NeuroCognitive Performance Test, a web-based neuropsychological assessment.

    Science.gov (United States)

    Morrison, Glenn E; Simone, Christa M; Ng, Nicole F; Hardy, Joseph L

    2015-01-01

    The NeuroCognitive Performance Test (NCPT) is a brief, repeatable, web-based cognitive assessment platform that measures performance across several cognitive domains. The NCPT platform is modular and includes 18 subtests that can be arranged into customized batteries. Here we present normative data from a sample of 130,140 healthy volunteers for an NCPT battery consisting of 8 subtests. Participants took the NCPT remotely and without supervision. Factor structure and effects of age, education, and gender were evaluated with this normative dataset. Test-retest reliability was evaluated in a subset of participants who took the battery again an average of 78.8 days later. The eight NCPT subtests group into 4 putative cognitive domains, have adequate to good test-retest reliability, and are sensitive to expected age- and education-related cognitive effects. Concurrent validity to standard neuropsychological tests was demonstrated in 73 healthy volunteers. In an exploratory analysis the NCPT battery could differentiate those who self-reported Mild Cognitive Impairment or Alzheimer's disease from matched healthy controls. Overall these results demonstrate the reliability and validity of the NCPT battery as a measure of cognitive performance and support the feasibility of web-based, unsupervised testing, with potential utility in clinical and research settings.

  10. Affective state and cognitive functioning in patients with intracranial tumors: validity of the neuropsychological baseline assessment.

    Science.gov (United States)

    Goebel, Simone; Kaup, Lea; Wiesner, Christian D; Mehdorn, H Maximilian

    2013-06-01

    The aim of this paper is to investigate the relationship between the affective and cognitive states of neurooncological patients prior to the neurosurgical treatment to assess associations between distress levels and neuropsychological test performance in this sample and setting. The prospective study population consists of 172 patients. Patients were studied preoperatively with a comprehensive test battery consisting of a variety of affective and cognitive measures. Psychological instruments included the Hospital Anxiety and Depression Scale, the Amsterdam Preoperative Anxiety and Information Scale, and the Acute Stress Disorder Scale. Factor analysis revealed two factors representing subjective affective functioning: whereas one reflects the patients' more general emotional state (Hospital Anxiety and Depression Scale, Acute Stress Disorder Scale), the second reflects anxiety specifically related to the neurosurgical procedure (Amsterdam Preoperative Anxiety and Information Scale). After age and education have been accounted for via linear regression analyses, affect did not contribute to cognitive performance in any of the cognitive domains in the whole patient sample. However, in patients with extreme levels of psychiatric morbidity, there was evidence for distinct cognitive morbidity consistent with previous research. Our results suggest that, for a large variety of widely used neuropsychological measures and for most neurooncological patients, the preoperative neuropsychological baseline assessment can be considered valid and dependable. In patients with extreme levels of distress, however, distinct cognitive domains might be differentially affected. Copyright © 2012 John Wiley & Sons, Ltd.

  11. Motor assessment in pediatric neuropsychology: relationships to executive function.

    Science.gov (United States)

    Shaheen, Sandra

    2013-01-01

    Executive function often refers to control behaviors such as "initiating," "sustaining," "inhibiting," and "switching." These mechanisms contribute to regulation of thinking and emotion but can be observed most clearly in the motor system. Neuropsychology has been influenced by "top-down" models of cognitive control that emerged from information-processing theories of cognition. In fact, neural models provide evidence that control processes are highly interactive within the cortico-striatal-cerebellar circuits. Cognition unfolds in response to motor-driven adaptation, and evidence exists for similar firing of brain cells and circuits during "imagined action" as in actual motor behavior. The motor system develops early and yet is not routinely assessed in neuropsychological evaluation of children with neurodevelopmental disorders. This article reviews some of the approaches to motor assessment that have sensitivity to neurodevelopmental disorders, and advocates for inclusion of motor assessment, particularly in evaluating control processes independent of culture, language, and other confounders.

  12. Current standards of neuropsychological assessment in epilepsy surgery centers across Europe.

    Science.gov (United States)

    Vogt, Viola Lara; Äikiä, Marja; Del Barrio, Antonio; Boon, Paul; Borbély, Csaba; Bran, Ema; Braun, Kees; Carette, Evelien; Clark, Maria; Cross, Judith Helen; Dimova, Petia; Fabo, Daniel; Foroglou, Nikolaos; Francione, Stefano; Gersamia, Anna; Gil-Nagel, Antonio; Guekht, Alla; Harrison, Sue; Hecimovic, Hrvoje; Heminghyt, Einar; Hirsch, Edouard; Javurkova, Alena; Kälviäinen, Reetta; Kavan, Nicole; Kelemen, Anna; Kimiskidis, Vasilios K; Kirschner, Margarita; Kleitz, Catherine; Kobulashvili, Teia; Kosmidis, Mary H; Kurtish, Selin Yagci; Lesourd, Mathieu; Ljunggren, Sofia; Lossius, Morten Ingvar; Malmgren, Kristina; Mameniskiené, Ruta; Martin-Sanfilippo, Patricia; Marusic, Petr; Miatton, Marijke; Özkara, Çiğdem; Pelle, Federica; Rubboli, Guido; Rudebeck, Sarah; Ryvlin, Philippe; van Schooneveld, Monique; Schmid, Elisabeth; Schmidt, Pia-Magdalena; Seeck, Margitta; Steinhoff, Bernhard J; Shavel-Jessop, Sara; Tarta-Arsene, Oana; Trinka, Eugen; Viggedal, Gerd; Wendling, Anne-Sophie; Witt, Juri-Alexander; Helmstaedter, Christoph

    2017-03-01

    We explored the current practice with respect to the neuropsychological assessment of surgical epilepsy patients in European epilepsy centers, with the aim of harmonizing and establishing common standards. Twenty-six epilepsy centers and members of "E-PILEPSY" (a European pilot network of reference centers in refractory epilepsy and epilepsy surgery), were asked to report the status of neuropsychological assessment in adults and children via two different surveys. There was a consensus among these centers regarding the role of neuropsychology in the presurgical workup. Strong agreement was found on indications (localization, epileptic dysfunctions, adverse drugs effects, and postoperative monitoring) and the domains to be evaluated (memory, attention, executive functions, language, visuospatial skills, intelligence, depression, anxiety, and quality of life). Although 186 different tests are in use throughout these European centers, a core group of tests reflecting a moderate level of agreement could be discerned. Variability exists with regard to indications, protocols, and paradigms for the assessment of hemispheric language dominance. For the tests in use, little published evidence of clinical validity in epilepsy was provided. Participants in the survey reported a need for improvement concerning the validity of the tests, tools for the assessment of everyday functioning and accelerated forgetting, national norms, and test co-normalization. Based on the present survey, we documented a consensus regarding the indications and principles of neuropsychological testing. Despite the variety of tests in use, the survey indicated that there may be a core set of tests chosen based on experience, as well as on published evidence. By combining these findings with the results of an ongoing systematic literature review, we aim for a battery that can be recommended for the use across epilepsy surgical centers in Europe. Wiley Periodicals, Inc. © 2017 International League

  13. Forensic neuropsychological assessment: a review of its scope

    Directory of Open Access Journals (Sweden)

    Antonio De Pádua Serafim

    2015-04-01

    Full Text Available Background Issues related to the field of mental health and justice require a multifactorial understanding of the possible causes of such issues. Objective To conduct an integrative literature review of controlled studies describing forensic neuropsychological assessment. Methods The articles were compiled and analyzed in two phases: 1 first, we retrieved all papers in PubMed by the keywords “Forensic Neuropsychology” and generated a growth curve for the subject and a cluster-based thematic distribution of publications. 2 We then conducted a curated analysis of all relevant papers indexed in Medline, PubMed and ISI, between 2000 and 2012. Results The evolution of the field during the last 15 years reveals an unstable growth pattern and three main thematic clusters. In terms of our curated analysis, a total of 390 articles were pre-selected, resulting in the selection of 44 fully-relevant studies, which comprise four main categories: cognitive damage in forensic psychiatric patients; imitation of cognitive damage; civil capacity, penal liability and violence risk; and validation of neuropsychological assessment tools. Discussion Two aspects appeared as the most relevant in this study: growth in the use of neuropsychological assessment as a diagnostic tool in the forensic context; and the necessity to enhance conformity in assessments.

  14. Verbal fluency tests – application in neuropsychological assessment

    OpenAIRE

    2013-01-01

    Verbal fluency tests (VFT) have established position in methodology of cognitive functions research. They are used in neuropsychological assessment of neurological and psychiatric diseases. This article’s aim is to present current knowledge of the VFT both to clinicians and researchers. It describes models of cognitive processes involved in task performance mainly: semantic memory access and executive functions. and. It describes studies on verbal fluency both in healthy and impaired subjects...

  15. Circadian rhythms in cognitive performance: implications for neuropsychological assessment

    Directory of Open Access Journals (Sweden)

    Valdez P

    2012-12-01

    Full Text Available Pablo Valdez, Candelaria Ramírez, Aída GarcíaLaboratory of Psychophysiology, School of Psychology, University of Nuevo León, Monterrey, Nuevo León, MéxicoAbstract: Circadian variations have been found in human performance, including the efficiency to execute many tasks, such as sensory, motor, reaction time, time estimation, memory, verbal, arithmetic calculations, and simulated driving tasks. Performance increases during the day and decreases during the night. Circadian rhythms have been found in three basic neuropsychological processes (attention, working memory, and executive functions, which may explain oscillations in the performance of many tasks. The time course of circadian rhythms in cognitive performance may be modified significantly in patients with brain disorders, due to chronotype, age, alterations of the circadian rhythm, sleep deprivation, type of disorder, and medication. This review analyzes the recent results on circadian rhythms in cognitive performance, as well as the implications of these rhythms for the neuropsychological assessment of patients with brain disorders such as traumatic head injury, stroke, dementia, developmental disorders, and psychiatric disorders.Keywords: human circadian rhythms, cognitive performance, neuropsychological assessment, attention, working memory, executive functions

  16. Developmental neuropsychological assessment of 4- to 5-year-old children born following Preimplantation Genetic Diagnosis (PGD): A pilot study.

    Science.gov (United States)

    Sacks, Gilat Chaya; Altarescu, Gheona; Guedalia, Judith; Varshaver, Irit; Gilboa, Tal; Levy-Lahad, Ephrat; Eldar-Geva, Talia

    2016-01-01

    The purpose of this pilot study was to evaluate developmental neuropsychological profiles of 4- to 5-year-old children born after Preimplantation Genetic Diagnosis (PGD). Twenty-seven participants received a neurological examination and a battery of neuropsychological assessments including Wechsler Preschool & Primary Scale of Intelligence - Third Edition (WPPSI-III; cognitive development), Preschool Language Scale, Fourth Edition (PLS-4; language development), Wide Range Assessment of Visual Motor Abilities (visual motor abilities), Childhood Autism Rating Scales II (a screening test for autistic spectrum disorders), and the Miles ABC Test (ocular dominance). Parental questionnaires included the Behavior Rating Inventory of Executive Function Preschool Version (BRIEF-P; executive function), Child Behavior Checklist (CBCL) and the Carey Temperament Scales Behavioral Style Questionnaire (socioemotional development and temperament), and the Vineland Adaptive Behavior Scales, Interview Edition, Second Edition (general adaptive behavior). Subjects' tests results were compared to each test's norms. Children born after PGD demonstrated scores within the normal or above-normal ranges for all developmental outcomes (mean ± SD): WPPSI-III-VIQ 107.4 ± 14.4 (p = .013), PLS-4-Total 113.2 ± 12.4, p family history of autism was noted. In conclusion, in this pilot study, children assessed at age 4-5 years and conceived after PGD displayed developmental neuropsychological outcomes within normal limits as compared to their chronologic peers. A larger study is needed to evaluate and follow the neuropsychological development of children born after PGD.

  17. Embedded performance validity testing in neuropsychological assessment: Potential clinical tools.

    Science.gov (United States)

    Rickards, Tyler A; Cranston, Christopher C; Touradji, Pegah; Bechtold, Kathleen T

    2017-01-31

    The article aims to suggest clinically-useful tools in neuropsychological assessment for efficient use of embedded measures of performance validity. To accomplish this, we integrated available validity-related and statistical research from the literature, consensus statements, and survey-based data from practicing neuropsychologists. We provide recommendations for use of 1) Cutoffs for embedded performance validity tests including Reliable Digit Span, California Verbal Learning Test (Second Edition) Forced Choice Recognition, Rey-Osterrieth Complex Figure Test Combination Score, Wisconsin Card Sorting Test Failure to Maintain Set, and the Finger Tapping Test; 2) Selecting number of performance validity measures to administer in an assessment; and 3) Hypothetical clinical decision-making models for use of performance validity testing in a neuropsychological assessment collectively considering behavior, patient reporting, and data indicating invalid or noncredible performance. Performance validity testing helps inform the clinician about an individual's general approach to tasks: response to failure, task engagement and persistence, compliance with task demands. Data-driven clinical suggestions provide a resource to clinicians and to instigate conversation within the field to make more uniform, testable decisions to further the discussion, and guide future research in this area.

  18. Developmental norms for eight instruments used in the neuropsychological assessment of children: studies in Brazil

    Directory of Open Access Journals (Sweden)

    Brito G.N.O.

    1998-01-01

    Full Text Available Norms for a battery of instruments, including Denckla's and Garfield's tests of Motor Persistence, Benton's Right-Left Discrimination, two recall modalities (Immediate and Delayed of the Bender Test, Wechsler's Digit Span, the Color Span Test and the Human Figure Drawing Test, were developed for the neuropsychological assessment of children in the greater Rio de Janeiro area. Additionally, the behavior of each child was assessed with the Composite Teacher Rating Scale (Brito GNO and Pinto RCA (1991 Journal of Clinical and Experimental Neuropsychology, 13: 417-418. A total of 398 children (199 boys and 199 girls balanced for age with a mean age of 9.3 years (SD = 2.8, who were attending a public school in Niterói, were the subjects of this study. Gender and age had significant effects on performance which depended on the instrument. Nonachievers performed worse than achievers in most neuropsychological tests. Comparison of our data to the available counterparts in the United States revealed that American children outperformed Brazilian children on the Right-Left Discrimination, Forward Digit Span, Color Span and Human Figure Drawing Tests. Further analysis showed that the neurobehavioral data consist of different factorial dimensions, including Human Body Representation, Motor Persistence of the Legs, Orbito-Orobuccal Motor Persistence, Attention-Memory, Visuospatial Memory, Neuropsychomotor Speed, Hyperactivity-Inattention, and Anxiety-Negative Socialization. We conclude that gender and age should be taken into account when using the normative data for most of the instruments studied in the present report. Furthermore, we stress the need for major changes in the Brazilian public school system in order to foster the development of secondary cognitive abilities in our children

  19. Ecological validity of neuropsychological assessment and perceived employability.

    Science.gov (United States)

    Wen, Johnny H; Boone, Kyle; Kim, Kevin

    2006-11-01

    Ecological validity studies that have examined the relationship between cognitive abilities and employment in psychiatric and medical populations have found that a wide range of cognitive domains predict employability, although memory and executive skills appear to be the most important. However, no information is available regarding a patient's self-perceived work attributes and objective neuropsychological performance, and whether the same cognitive domains associated with successful employment are also related to a patient's self-perception of work competence. In the present study, 73 medical and psychiatric patients underwent comprehensive neuropsychological assessment. Step-wise multiple regression analyses revealed that the visual-spatial domain was the only significant predictor of self-perceived work attributes and work competence as measured by the Working Inventory (WI) and the Work Adjustment Inventory (WAI), accounting for 7% to 10% of inventory score variability. The results raise the intriguing possibility that targeting of visual spatial skills for remediation and development might play a separate and unique role in the vocational rehabilitation of a lower SES population, specifically, by leading to enhanced self-perception of work competence as these individuals attempt to enter the job market.

  20. Reversible dyscognition in patients with a unilateral, middle fossa arachnoid cyst revealed by using a laptop based neuropsychological test battery (CANTAB).

    Science.gov (United States)

    Torgersen, Johan; Helland, Christian; Flaatten, Hans; Wester, Knut

    2010-11-01

    The aim of this study was to evaluate and validate the Cambridge Neuropsychological Test Automated Battery (CANTAB) in a Norwegian group of patients undergoing surgery for middle fossa arachnoid cysts (AC). We also wanted to assess health related quality of life (HRQOL) in these patients to see if it could be improved by decompression of the AC. Adult patients (>18 years) with unilateral middle fossa AC and no previous history of neurological disease, head injury, or a psychiatric disorder were eligible for inclusion. We used four tests from CANTAB to assess the level of neuropsychological performance: paired associate learning (PAL) and delayed matching to sample (DMS) assessed temporal lobe functions, while Stockings of Cambridge (SOC) and intra-extra dimensional (IED) shift focused on frontal lobe functions. Patients with postoperative cerebral complications were reported, but excluded from neuropsychological follow-up. In addition to the CANTAB data, pre- and postoperative clinical and radiological data were collected. HRQOL was assessed using Short Form 36 (SF-36) pre- and postoperatively. We found significant improvement in the two temporal tests assessing memory, but no improvement in the two frontal tests assessing executive function. HRQOL was significantly reduced preoperatively in two of eight SF-36 domains and improved significantly in four domains postoperatively. CANTAB facilitates detection of cognitive improvements after decompression of the cyst in patients with AC in the middle fossa. The improvements were detected on the tests sensitive to temporal lobe problems only, not on the tests more sensitive to frontal lobe affection. This establishes construct validity for CANTAB for the first time in this population.

  1. Neuropsychological assessment of a new computerized cognitive task that developed for training several cognitive functions simultaneously.

    Directory of Open Access Journals (Sweden)

    Satoe eIchihara-Takeda

    2016-04-01

    Full Text Available Recent studies have indicated that computerized cognitive training is effective as therapy for reducing the cognitive decline with aging and the dysfunction associated with neuropsychiatric illness. Although cognitive trainings that targets a specific function and multi-domain cognitive training have both been shown to have significant effects, we need one simple behavioral training paradigm to improve multiple domains of cognitive functions easily and simultaneously. We had developed a new computerized task that seeks to engage the cognitive functions of planning, mental calculation, and divergent thinking based on a working memory task in a single task. The purpose of this study was to assess the cognitive features of our new task by comparing the scores of seven known neuropsychological batteries in healthy elderly subjects. The relationships between performance in our task and the scores obtained by the neuropsychological batteries were examined. The percentage of correct performance on our task was correlated with the scores on the category fluency test, the digit span backward task, and the Trail making test B. Stepwise multiple regression analyses revealed that the scores on the category fluency test and the Trail making test B showed significant positive correlations with the percentage of correct performance on our task. Although the present study did not show high correlations between the percentage of correct performance on our task and working memory functions as a primary target, we did observe mid-level correlations between the percentage of correct performance on our task and functions for divided attention and word fluency. Our new task could not measure subject’s working memory capacity specifically, but could measure the abilities of attention and divergent thinking. Thus, this task might be a useful tool for training multiple cognitive functions simultaneously.

  2. Monitoring cognitive function and need with the automated neuropsychological assessment metrics in Decompression Sickness (DCS) research

    Science.gov (United States)

    Nesthus, Thomas E.; Schiflett, Sammuel G.

    1993-01-01

    Hypobaric decompression sickness (DCS) research presents the medical monitor with the difficult task of assessing the onset and progression of DCS largely on the basis of subjective symptoms. Even with the introduction of precordial Doppler ultrasound techniques for the detection of venous gas emboli (VGE), correct prediction of DCS can be made only about 65 percent of the time according to data from the Armstrong Laboratory's (AL's) hypobaric DCS database. An AL research protocol concerned with exercise and its effects on denitrogenation efficiency includes implementation of a performance assessment test battery to evaluate cognitive functioning during a 4-h simulated 30,000 ft (9144 m) exposure. Information gained from such a test battery may assist the medical monitor in identifying early signs of DCS and subtle neurologic dysfunction related to cases of asymptomatic, but advanced, DCS. This presentation concerns the selection and integration of a test battery and the timely graphic display of subject test results for the principal investigator and medical monitor. A subset of the Automated Neuropsychological Assessment Metrics (ANAM) developed through the Office of Military Performance Assessment Technology (OMPAT) was selected. The ANAM software provides a library of simple tests designed for precise measurement of processing efficiency in a variety of cognitive domains. For our application and time constraints, two tests requiring high levels of cognitive processing and memory were chosen along with one test requiring fine psychomotor performance. Accuracy, speed, and processing throughout variables as well as RMS error were collected. An automated mood survey provided 'state' information on six scales including anger, happiness, fear, depression, activity, and fatigue. An integrated and interactive LOTUS 1-2-3 macro was developed to import and display past and present task performance and mood-change information.

  3. Development of a test battery (NPM-X) for neuropsychological and neuromotor examination of children with developmental disabilities or mental retardation. A theoretical and clinical study.

    Science.gov (United States)

    Gjaerum, B

    1997-01-01

    Biological and behavioural diagnosis often do not provide information on functional competence. This is, however, of utmost importance in planning services as well as in research on treatment effects for children with developmental disorders. For school-aged children neuropsychological assessment has proved its value in this respect. For children of chronological age (CA) below 5-7 with specific developmental disabilities, and for children with severe mental retardation there has been a lack of applicable test batteries. This thesis presents a new test battery for neuropsychological and neuromotor examination, NPM-X, for these two groups of children. The first part of the thesis reviews available medical and psychological tests and assessment procedures with respect to applicability and relevance for neuropsychological assessment to children with mental retardation and mental age (MA) below 7. The second part describes the theoretical background and the content of the new test battery. The methodology for testing these children, who due to their age and/or their developmental disabilities often co-operate poorly, is described. Scoring categories, specifically developed to enable a detailed and differentiated description of the child, are presented. Because of the instability of the behavioural function in early age as well as in cases of severe disability, the scoring system records both the child's optimal functional capacity and inconsistencies in behaviour. For the purpose of planning treatment and training according to the child's resources as well as dysfunctions, two different functional profiles are provided. In the normative functional profile the child's functional level is compared to normal expectations for the child's CA, and in the ideographic functional profile the child's function in each area is compared to the child's average functional level. In the third part of the thesis the reliability results are presented and discussed. A pair of trained M

  4. Neuropsychological assessment of a preteen with conduct disorder

    National Research Council Canada - National Science Library

    Acosta, María Rocío; Triana, Juliana; Chipatecua, Alexandra Gaitán; Fonseca, Luisa; Alonso, Diana

    2012-01-01

    .... These results are consistent with studies of patients with frontal lobe dysfunction in which females with conduct disorder present a neuropsychological profile with greater compromises in cognitive processes...

  5. Verbal fluency tests – application in neuropsychological assessment

    Directory of Open Access Journals (Sweden)

    Piskunowicz, Małgorzata

    2013-06-01

    Full Text Available Verbal fluency tests (VFT have established position in methodology of cognitive functions research. They are used in neuropsychological assessment of neurological and psychiatric diseases. This article’s aim is to present current knowledge of the VFT both to clinicians and researchers. It describes models of cognitive processes involved in task performance mainly: semantic memory access and executive functions. and. It describes studies on verbal fluency both in healthy and impaired subjects involving neuroimaging discussing neuroanatomical structures involved in task performance. Authors are quite unanimous as to connection between frontal and temporal lobes condition and task performance, but also other cortical and subcortical structures seem to be involved. Methods of qualitative performance analysis and studies applying them are further described. This article brings up also important questions of psychometric and demographic characteristics of the task and limitations arising from the lack of Polish norms of the tool.

  6. Computerized Neuropsychological Assessment Devices: Joint Position Paper of the American Academy of Clinical Neuropsychology and the National Academy of Neuropsychology†

    Science.gov (United States)

    Bauer, Russell M.; Iverson, Grant L.; Cernich, Alison N.; Binder, Laurence M.; Ruff, Ronald M.; Naugle, Richard I.

    2012-01-01

    This joint position paper of the American Academy of Clinical Neuropsychology and the National Academy of Neuropsychology sets forth our position on appropriate standards and conventions for computerized neuropsychological assessment devices (CNADs). In this paper, we first define CNADs and distinguish them from examiner-administered neuropsychological instruments. We then set forth position statements on eight key issues relevant to the development and use of CNADs in the healthcare setting. These statements address (a) device marketing and performance claims made by developers of CNADs; (b) issues involved in appropriate end-users for administration and interpretation of CNADs; (c) technical (hardware/software/firmware) issues; (d) privacy, data security, identity verification, and testing environment; (e) psychometric development issues, especially reliability, and validity; (f) cultural, experiential, and disability factors affecting examinee interaction with CNADs; (g) use of computerized testing and reporting services; and (h) the need for checks on response validity and effort in the CNAD environment. This paper is intended to provide guidance for test developers and users of CNADs that will promote accurate and appropriate use of computerized tests in a way that maximizes clinical utility and minimizes risks of misuse. The positions taken in this paper are put forth with an eye toward balancing the need to make validated CNADs accessible to otherwise underserved patients with the need to ensure that such tests are developed and utilized competently, appropriately, and with due concern for patient welfare and quality of care. PMID:22382386

  7. Utility of cognitive neuropsychological assessment in attention-deficit/hyperactivity disorder.

    Science.gov (United States)

    Lange, Klaus W; Hauser, Joachim; Lange, Katharina M; Makulska-Gertruda, Ewelina; Takano, Tomoyuki; Takeuchi, Yoshihiro; Tucha, Lara; Tucha, Oliver

    2014-12-01

    The present review addresses the question of whether and how neuropsychological tests assessing cognition in attention-deficit/hyperactivity disorder (ADHD) can contribute to clinical and scientific issues concerning ADHD. Neuropsychological studies have shown various though inconsistent cognitive deficits in patients with ADHD. While patients with ADHD, at group level, may differ from healthy participants in regard to cognitive functioning, there is no distinct psychometric cognitive test or profile allowing an individual diagnosis of ADHD or the identification of subtypes according to DSM. Psychometric neuropsychological tests may provide a precise description of the cognitive problems in individual patients and offer specific information for individualized treatment planning. In addition, neuropsychological assessment may contribute to neuroscientific research by providing endophenotypes or biological markers of ADHD. Cognitive neuropsychological assessment appears to be at present of limited clinical use and confined to individual descriptions.

  8. NEUROPSYCHOLOGICAL ASSESSMENT IN THE ALZHEIMER DISEASE: EPISODIC AND SEMANTIC MEMORY

    OpenAIRE

    2009-01-01

    This paper aims to review the neuropsychological evaluation process in Alzheimer (AD) patients, specifically that related to episodic and semantic memory. Alzheimer-style dementia is the main form of dementia, and is nowadays one of the most important social, cultural and health-related problems. Diagnosis and differentiation from normal aging are difficult in the initial stages, and so neuropsychological evaluation is key. The criteria currently utilized are those of the DSM IV (American Psy...

  9. Indications and expectations for neuropsychological assessment in routine epilepsy care: Report of the ILAE Neuropsychology Task Force, Diagnostic Methods Commission, 2013-2017.

    Science.gov (United States)

    Wilson, Sarah J; Baxendale, Sallie; Barr, William; Hamed, Sherifa; Langfitt, John; Samson, Séverine; Watanabe, Masako; Baker, Gus A; Helmstaedter, Christoph; Hermann, Bruce P; Smith, Mary-Lou

    2015-05-01

    The International League Against Epilepsy (ILAE) Diagnostic Methods Commission charged the Neuropsychology Task Force with the job of developing a set of recommendations to address the following questions: (1) What is the role of a neuropsychological assessment? (2) Who should do a neuropsychological assessment? (3) When should people with epilepsy be referred for a neuropsychological assessment? and (4) What should be expected from a neuropsychological assessment? The recommendations have been broadly written for health care clinicians in established epilepsy settings as well as those setting up new services. They are based on a detailed survey of neuropsychological assessment practices across international epilepsy centers, and formal ranking of specific recommendations for advancing clinical epilepsy care generated by specialist epilepsy neuropsychologists from around the world. They also incorporate the latest research findings to establish minimum standards for training and practice, reflecting the many roles of neuropsychological assessment in the routine care of children and adults with epilepsy. The recommendations endorse routine screening of cognition, mood, and behavior in new-onset epilepsy, and describe the range of situations when more detailed, formal neuropsychological assessment is indicated. They identify a core set of cognitive and psychological domains that should be assessed to provide an objective account of an individual's cognitive, emotional, and psychosocial functioning, including factors likely contributing to deficits identified on qualitative and quantitative examination. The recommendations also endorse routine provision of feedback to patients, families, and clinicians about the implications of the assessment results, including specific clinical recommendations of what can be done to improve a patient's cognitive or psychosocial functioning and alleviate the distress of any difficulties identified. By canvassing the breadth and depth

  10. Webinar Presentation: Epidemiologic Studies of the Effects of Toxic Exposures on Brain and Behavior: Neuropsychological Assessment

    Science.gov (United States)

    This presentation, Epidemiologic Studies of the Effects of Toxic Exposures on Brain and Behavior: Neuropsychological Assessment, was given at the NIEHS/EPA Children's Centers 2015 Webinar Series: Interdisciplinary Approaches to Neurodevelopment.

  11. Decline of Executive Function in a Clinical Population: Age, Psychopathology, and Test Performance on the Cambridge Neuropsychological Test Automated Battery (CANTAB)

    NARCIS (Netherlands)

    Janssen, G.T.L.; Aken, L. van; Mey, H.R.A. De; Witteman, C.L.M.; Egger, J.I.M.

    2014-01-01

    This study presents a cross-sectional examination of the age-related executive changes in a sample of adults with a history of psychiatric illness using the Cambridge Neuropsychological Test Automated Battery. A total of 406 patients, aged 18 to 72 years old, completed executive function tests of wo

  12. The Diagnostic Accuracy of the Luria-Nebraska Neuropsychological Battery-Children's Revision for 9- to 12-Year-Old Learning Disabled Children.

    Science.gov (United States)

    Gerry, David C.; And Others

    1984-01-01

    Two groups (learning disabled and normal) of 15 children were administered the Luria-Nebraska Neuropsychological Battery-Children's Revision and the Wechsler Intelligence Scale for Children-Revised. Considering abnormal or borderline profiles as indicative of learning disability was 93.3 percent accurate in discriminating between groups.…

  13. The Relationship between the Luria-Nebraska Neuropsychological Battery-Children's Revision and The Minnesota Percepto-Diagnostic Test With Learning Disabled Students.

    Science.gov (United States)

    Snow, Jeffrey H.; And Others

    1983-01-01

    Administered the Luria-Nebraska Neuropsychological Battery-Children's Revision (LNNB-Children's Revision) and The Minnesota Percepto-Diagnostic Test (MPD) to 40 learning disabled students. Low correlations were found between MPD T scores and the LNNB-Children's Revision Scales, but raw scores from the MPD had somewhat higher correlations with the…

  14. Performance on the Luria-Nebraska Neuropsychological Test Battery-Children's Revision: A Comparison of Children with and without Significant WISC-R VIQ-PIQ Discrepancies.

    Science.gov (United States)

    Gilger, J. W.; Geary, D. C.

    1985-01-01

    Compared the performance of 56 children on the 11 subscales of the Luria-Nebraska Neuropsychological Battery-Children's Revision. Results revealed significant differences on Receptive Speech and Expressive Language subscales, suggesting a possible differential sensitivity of the children's Luria-Nebraska to verbal and nonverbal cognitive deficits.…

  15. The Relationship between the Luria-Nebraska Neuropsychological Battery-Children's Revision and The Minnesota Percepto-Diagnostic Test With Learning Disabled Students.

    Science.gov (United States)

    Snow, Jeffrey H.; And Others

    1983-01-01

    Administered the Luria-Nebraska Neuropsychological Battery-Children's Revision (LNNB-Children's Revision) and The Minnesota Percepto-Diagnostic Test (MPD) to 40 learning disabled students. Low correlations were found between MPD T scores and the LNNB-Children's Revision Scales, but raw scores from the MPD had somewhat higher correlations with the…

  16. Performance on the Luria-Nebraska Neuropsychological Test Battery-Children's Revision: A Comparison of Children with and without Significant WISC-R VIQ-PIQ Discrepancies.

    Science.gov (United States)

    Gilger, J. W.; Geary, D. C.

    1985-01-01

    Compared the performance of 56 children on the 11 subscales of the Luria-Nebraska Neuropsychological Battery-Children's Revision. Results revealed significant differences on Receptive Speech and Expressive Language subscales, suggesting a possible differential sensitivity of the children's Luria-Nebraska to verbal and nonverbal cognitive deficits.…

  17. The Diagnostic Accuracy of the Luria-Nebraska Neuropsychological Battery-Children's Revision for 9- to 12-Year-Old Learning Disabled Children.

    Science.gov (United States)

    Gerry, David C.; And Others

    1984-01-01

    Two groups (learning disabled and normal) of 15 children were administered the Luria-Nebraska Neuropsychological Battery-Children's Revision and the Wechsler Intelligence Scale for Children-Revised. Considering abnormal or borderline profiles as indicative of learning disability was 93.3 percent accurate in discriminating between groups.…

  18. Correlation with neuropsychological assessment and SPM analysis of brain perfusion SPECT in patients with progressive supranuclear palsy

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Young Jin; Kang, Do Young; Park, Kyung Won; Kim, Jae Woo [School of Medicine, Dong-A University, Busan (Korea, Republic of)

    2004-07-01

    Progressive supranuclear palsy (PSP) is a degenerative condition of unknown aetiology that produces an akinetic-rigid form of parkinsonism characterised by early falls, dementia and abnormalities of extraocular movements. The patterns of decreased regional cerebral blood flow and cognitive impairment in PSP compared with normal control have been insufficiently investigated and a limited number of studies have been performed. We evaluated clinical symptoms, functional neuroimaging study using Tc-99m HMPAO SPECT and neuropsychological profiles in patients with PSP. Eleven patients with PSP diagnosed by the clinical criteria of National Institute of Neurological Disorders and Stroke and the Society for PSP (NINDS-SPSP) (mean age: 70.5{+-}5.6 years, educational period: 4.5{+-}4.7 years) and age-matched 10 healthy control subjects (mean age: 68.1{+-}4.5 years, educational period: 6.5{+-}4.1 years) participated in this study were participated. All patients were given a neurologic examination, brain MRI and cerebral perfusion SPECT using Tc-99m HMPAO. We concomittently evaluated several cognitive profiles using the Seoul Neuropsychological Screening Battery. SPM analysis of the SPECT image showed significant perfusion deficits in the left inferior frontal gyrus, left caudate nucleus, left middle frontal gyrus and cingulate gyrus in the patients with PSP compared with age-matched healthy control (uncorrected p<0.01). On neuropsychological assessment, cognitive deficits on verbal and visual memory, word fluency and frontal executive functions were prominent in most patients with PSP compared with healthy control subjects. Our findings suggest that measurement of regional cerebral blood flow by perfusion SPECT and voxel-based SPM analysis with neuropsychological assessment are useful to understanding the correlation between perfusion deficits and abnormal cognitive profiles in patients with PSP.

  19. Automated Neuropsychological Assessment Metrics, Version 4 (ANAM4): Examination of Select Psychometric Properties and Administration Procedures

    Science.gov (United States)

    2016-12-01

    1 Award Number: W81XWH-08-1-0021 TITLE: Automated Neuropsychological Assessment Metrics, Version 4 (ANAM4): Examination of Select Psychometric ...NUMBER W81XWH-08-1-0021 Automated Neuropsychological Assessment Metrics, Version 4 (ANAM4): Examination of Select Psychometric Properties and...testing scenarios. The primary objective of this project is to examine select psychometric and administration properties of the ANAM4. Four studies were

  20. Case illustration of a boy with nonverbal learning disorder and Asperger's features: neuropsychological and personality assessment.

    Science.gov (United States)

    Yalof, Jed

    2006-08-01

    I present a case study of a latency-age boy referred for assessment of a nonverbal learning disability/disorder (NLD) who also had features of Asperger's syndrome (AS). I review NLD terminology, presumed brain-behavior relationship, neuropsychological profile, and diagnosis/classification issues. I discuss the challenge of differentiating NLD from AS in relation to the client's pattern of visual-spatial, communication, social-emotional, and behavioral NLD correlates. I integrate neuropsychological and personality assessment data with interviews, observations, prior testing, and input from teacher and therapist in formulating a diagnostic impression. I discuss Rorschach (Exner, 2003) and neuropsychological consultations in relation to subtle language and interpersonal features of the client's communication style. I provide parent feedback at 18 and 24 months posttesting. I discuss implications relative to a model of school neuropsychological assessment that includes the Rorschach test.

  1. Assessment Battery for Communication: development of two equivalent forms.

    Science.gov (United States)

    Bosco, Francesca M; Angeleri, Romina; Zuffranieri, Marco; Bara, Bruno G; Sacco, Katiuscia

    2012-01-01

    The aim of this paper was to develop and test two equivalent forms of the Assessment Battery for Communication (ABaCo), a tool for evaluating pragmatic abilities in patients with neuropsychological and psychiatric disorders. The equivalent forms were created using the data from a sample of 390 children, then tested in a sample of 30 patients with traumatic brain injury. Equivalent forms of the same test are useful in clinical practice and intervention research, when performance needs to be tested on two separate occasions, for example before and after a rehabilitation program. The present results provide additional evidence on the psychometric functioning of the equivalent forms of the ABaCo and their usability in a clinical context. The reader will be able to discuss the evidence of the psychometric propriety of the equivalent forms of the ABaCo and describe its potential usefulness. Copyright © 2012 Elsevier Inc. All rights reserved.

  2. NEUROPSYCHOLOGICAL ASSESSMENT IN THE ALZHEIMER DISEASE: EPISODIC AND SEMANTIC MEMORY

    Directory of Open Access Journals (Sweden)

    Ana Comesaña

    2009-12-01

    Full Text Available This paper aims to review the neuropsychological evaluation process in Alzheimer (AD patients, specifically that related to episodic and semantic memory. Alzheimer-style dementia is the main form of dementia, and is nowadays one of the most important social, cultural and health-related problems. Diagnosis and differentiation from normal aging are difficult in the initial stages, and so neuropsychological evaluation is key. The criteria currently utilized are those of the DSM IV (American Psychiatric Association, 1994 and of the NINCDS-ADRDA (Instituto Nacional para los Desórdenes Neurológicos, de la Comunicación y el Accidente Cerebro Vascular y la Asociación para la Enfermedad de Alzheimer y Desórdenes Relacionados (McKhann G, Drachman D, Folstein M, y col., 1984, and they require that the diagnosis of probable AD be confirmed by neuropsychological evaluation in addition to clinical evaluation and other studies. After the division of long term memory into semantic and episodic memory was made, specific tests were created for their neuropsychological evaluation in different pathologies, including AD. An important contribution to the early detection of memory deterioration typical of such illness was thus made.

  3. Evaluation of Consumer Satisfaction with Information Derived from Neuropsychological Assessment.

    Science.gov (United States)

    Benedict, Ralph H. B.; Horton, Arthur MacNeill, Jr.

    1991-01-01

    The utility of information derived from a consumer satisfaction questionnaire was demonstrated via an analysis of feedback from 22 referring health professionals (21 physicians and 1 clinical psychologist) who replied to questions about their satisfaction with neuropsychological evaluation reports. The questionnaire used was the Neuropsychology…

  4. Assessing Medication Effects in the MTA Study Using Neuropsychological Outcomes

    Science.gov (United States)

    Epstein, Jeffery N.; Conners, C. Keith; Hervey, Aaron S.; Tonev, Simon T.; Arnold, L. Eugene; Abikoff, Howard B.; Elliott, Glen; Greenhill, Laurence L.; Hechtman, Lily; Hoagwood, Kimberly; Hinshaw, Stephen P.; Hoza, Betsy; Jensen, Peter S.; March, John S.; Newcorn, Jeffrey H.; Pelham, William E.; Severe, Joanne B.; Swanson, James M.; Wells, Karen; Vitiello, Benedetto; Wigal, Timothy

    2006-01-01

    Background: While studies have increasingly investigated deficits in reaction time (RT) and RT variability in children with attention deficit/hyperactivity disorder (ADHD), few studies have examined the effects of stimulant medication on these important neuropsychological outcome measures. Methods: 316 children who participated in the Multimodal…

  5. Brief neuropsychological assessment of adults post-stroke in the left hemisphere

    OpenAIRE

    Pawlowski, Josiane; Rodrigues, Jaqueline de Carvalho; Martins,Sheila Cristina Ouriques; Brondani, Rosane; Chaves, Márcia Lorena Fagundes; Fonseca,Rochele Paz; Bandeira, Denise Ruschel

    2013-01-01

    The neuropsychological assessment investigates cognitive deficits to improve the diagnosis, the prognosis and the rehabilitation of patients. In Brazil, stroke is a major cause of hospitalization and the leading cause of mortality and disability. The stroke in the left hemisphere (LH) is associated with different degrees of loss of language and other cognitive impairments, for example, in the memory. We compared the performance in brief neuropsychological tasks of the left hemisphere poststro...

  6. Analysis of repeatable battery for the assessment of neuropsychological status in major depression patients with suicide ideation%伴自杀意念重性抑郁障碍患者重复性成套神经心理状态测验分析

    Institute of Scientific and Technical Information of China (English)

    任燕; 杨红; 孙宁; 周子璇; 张克让; 黄悦勤

    2012-01-01

    Objective To analyze of the characteristics of cognitive function in major depressive disorder patients with suicidal ideation using repeatable battery for the assessment of neuropsychological status ( RBANS),and to explore the risk factors of suicidal ideation Methods 132 depressive patients with suicidal ideation and 162 depressive patients without suicidal ideation were evaluated by RBANS,Using SPSS13.0 to statistic the results,including t test,chi-square test and multiple logistic analysis.Results 1.There were no significant differences in age,gender,education level,marital status,total disease duration,whether for the first time episodes of depression,whether a positive family history of depression between the two groups (P > 0.05 ).The HAMD and HAMA total score were greater in patients with suicide ideation than that without suicidal ideation(P < 0.01 ).2.The score of attention was lower in patients with suicide ideation (98.56 ± 17.80) than in patients without suicide ideation (105.06 ± 14.34) (P =0.001 ).The score of delay memory was lower in patients with suicide ideation (80.39 ± 15.36) than in patients without suicide ideation (85.96 ± 12.55) (P=0.001 ).3.Logistic regression analysis showed that attention deficit and HAMD total score were the risk factor of suicide ideation in major depressive patients.Conclusion Attention deficit may exist in major depressive patients with suicide ideation,and attention deficit maybe one of the risk factor of suicide ideation.%目的 用重复性成套神经心理状态测验(RBANS)分析伴自杀意念重性抑郁障碍患者认知功能损害特点,探讨自杀意念影响因素.方法 对132例伴自杀意念的重性抑郁障碍患者和162例不伴自杀意念的重性抑郁障碍患者用RBANS进行检测.结果 1.有无自杀意念重性抑郁障碍患者两组间一般资料比较差异无统计学意义(P>0.05),伴自杀意念组汉密顿抑郁量表( HAMD)、汉密顿焦虑量表HAMA总分均大于

  7. MENTAL AND PSYCHOMOTOR RETARDATION IN EARLY CHILDHOOD: Overview and development of a protocol for neuropsychological assessment.

    Directory of Open Access Journals (Sweden)

    María del Mar Sánchez-Joya

    2010-12-01

    Full Text Available Introduction: The last decades have brought great advances in the understanding of child neurodevelopment and knowledge of cognitive processes that occur in the brain from an early age. As a result and thanks to the large number of standardized and scientifically guaranteed neuropsychological tests that are available today, we can assess and diagnose with high specificity, deficits or delays in the acquisition of cognitive functions. Besides, it allows knowing the strengths or normality points of children with various pathologies. Objective: To present the concepts and a neuropsychological assessment protocol for mental retardation, pervasive developmental disorder and psychomotor retardation. Development: First, the authors present a general model of neuropsychological assessment in childhood. Second, he concept, classification and aetiology of mental retardation is revised and it is proposed a neuropsychological profile. Finally, the paradigms of pervasive developmental disorder and psychomotor retardation are shown. Conclusion: Based on standardized and validated test for child neuropsychological assessment, children cognitive disorders can be accurately identified to plan each child's cognitive stimulation, and thus optimize the results of the therapy.

  8. Assessment of high-temperature battery systems

    Energy Technology Data Exchange (ETDEWEB)

    Sen, R K

    1989-02-01

    Three classes of high-temperature batteries are being developed internationally with transportation and stationary energy storage applications in mind: sodium/sulfur, lithium/metal sulfide, and sodium/metal chloride. Most attention is being given to the sodium/sulfur system. The Office of Energy Storage and Distribution (OESD) and the Office of Transportation Systems (OTS) of the US Department of Energy (DOE) are actively supporting the development of this battery system. It is anticipated that pilot-scale production facilities for sodium/sulfur batteries will be in operation in the next couple of years. The lithium/metal sulfide and the sodium/metal chloride systems are not receiving the same level of attention as the sodium/sulfur battery. Both of these systems are in an earlier stage of development than sodium/sulfur. OTS and OESD are supporting work on the lithium/iron sulfide battery in collaboration with the Electric Power Research Institute (EPRI); the work is being carried out at Argonne National Laboratory (ANL). The sodium/metal chloride battery, the newest member of the group, is being developed by a Consortium of South African and British companies. Very little DOE funds are presently allocated for research on this battery. The purpose of this assessment is to evaluate the present status of the three technologies and to identify for each technology a prioritized list of R and D issues. Finally, the assessment includes recommendations to DOE for a proposed high-temperature battery research and development program. 18 figs., 21 tabs.

  9. Lifting the veil: how to use clinical neuropsychology to assess dementia.

    Science.gov (United States)

    Burrell, James R; Piguet, Olivier

    2015-11-01

    Neurologists often struggle to interpret the results of neuropsychological testing, even though cognitive assessments are an integral component of the diagnostic process in dementia syndromes. This article reviews the principles underlying clinical neuropsychology, background on common neuropsychological tests, and tips on how to interpret the results when assessing patients with dementia. General cognitive screening tools, appropriate for use by general neurologists and psychiatrists, as well as specific cognitive tests examining the main cognitive domains (attention and orientation, memory, visuospatial function, language and executive function) in patients with dementia are considered. Finally, the pattern of deficits, helpful in defining clinical dementia phenotypes and sometimes in predicting the underlying molecular pathology, are outlined. Such clinicopathological associations will become invaluable as disease-modifying treatments for dementia are developed and implemented.

  10. Life cycle assessment of sodium-ion batteries

    OpenAIRE

    2016-01-01

    Sodium-ion batteries are emerging as potential alternatives to lithium-ion batteries. This study presents a prospective life cycle assessment for the production of a sodium-ion battery with a layered transition metal oxide as a positive electrode material and hard carbon as a negative electrode material on the battery component level. The complete and transparent inventory data are disclosed, which can easily be used as a basis for future environmental assessments. Na-ion batteries are found ...

  11. Who should conduct and interpret the neuropsychological assessment in sports-related concussion?

    Science.gov (United States)

    Echemendia, R J; Herring, S; Bailes, J

    2009-05-01

    This paper seeks to (i) describe the education and training of clinical neuropsychologists, (ii) discuss the significant differences between test administration and clinical assessment, (iii) outline the complex factors involved in psychometric test theory and test interpretation, and (iv) provide a framework for the role of clinical neuropsychologists in the interpretation and administration of neuropsychological instruments within the sports context. Review of pertinent professional practice, empirical and theoretical literature. Pubmed, Medline and Psych Info databases were reviewed. In total, 35 articles and 2 books were reviewed. The decision to return an athlete to play following sports-related brain injury is complex and requires the analysis of several sources of data. The decision is determined by a team physician; ideally within the context of a multidisciplinary team that employs comprehensive concussion surveillance and management, including baseline and post-injury neuropsychological assessment. Neuropsychologists possess the training and skill sets necessary to provide unique expertise in the assessment of cognitive functioning and post-injury neurocognitive and psychological assessment. Baseline neuropsychological testing is a technical procedure that can be conducted by technicians under the supervision/guidance of a neuropsychologist. Post-injury assessment requires advanced neuropsychological expertise that is best provided by a clinical neuropsychologist. Significant international differences exist with respect to the training and availability of clinical neuropsychologists, which require modification of these views on a country by country basis.

  12. Nuclear Energy Assessment Battery. Form C.

    Science.gov (United States)

    Showers, Dennis Edward

    This publication consists of a nuclear energy assessment battery for secondary level students. The test contains 44 multiple choice items and is organized into four major sections. Parts include: (1) a knowledge scale; (2) attitudes toward nuclear energy; (3) a behaviors and intentions scale; and (4) an anxiety scale. Directions are provided for…

  13. The Telephone Interview for Cognitive Status (Modified) : Relation with a comprehensive neuropsychological assessment

    NARCIS (Netherlands)

    van den Berg, Esther; Ruis, Carla; Biessels, Geert Jan; Kappelle, L. Jaap; van Zandvoort, Martine J. E.

    2012-01-01

    The modified Telephone Interview for Cognitive Status (TICS-m) is a widely used screening instrument for (Alzheimer's) dementia. Psychometric evaluation of the TICS-m is limited. This study examined the relation between the TICS-m and a comprehensive neuropsychological assessment in older persons (n

  14. Role of neuropsychological assessment in the differential diagnosis of Alzheimer's disease and vascular dementia

    Directory of Open Access Journals (Sweden)

    Érica Maria Lima Pimentel

    Full Text Available Abstract The prevalence of dementia increases significantly from the age of 65 years, doubling every five years thereafter. Alzheimer's disease (AD and vascular dementia (VaD constitute the two main dementia types. Differentiating them encompasses anamnesis, neurological examination, laboratory and neuroimaging exams and neuropsychological assessment. Neuropsychological assessment produces different findings for each dementia type, and reveals those areas most impaired as well as those most preserved. The aim of the present article was to describe the role of neuropsychology in diagnosing dementia and achieving a differential diagnosis between AD and VaD. A general overview follows of the most widely known instruments used to assess cognitive function in dementia, and the cognitive changes seen in AD and VaD. The conclusion drawn was that there is significant overlap in cognitive changes between both these dementia types, while each type has its own specific characteristics which are identifiable and quantifiable on neuropsychological assessments and provide the basis for reaching a differential diagnosis.

  15. How to assess abstract conceptual knowledge: construction, standardization and validation of a new battery of semantic memory tests.

    Science.gov (United States)

    Della Rosa, Pasquale Anthony; Catricalà, Eleonora; De Battisti, Silvia; Vinson, David; Vigliocco, Gabriela; Cappa, Stefano F

    2014-01-01

    The neuropsychological investigation of semantic memory has mainly focused on concrete concepts, while abstract concepts have been relatively neglected. We describe a new battery for assessing abstract concepts in brain-damaged patients. The battery includes three different tests: an association task, a multiplechoice naming-to-description task and a sentence completion task. The three tasks are based on the same 40 stimuli belonging to different categories of abstract concepts and they are tightly controlled for variables that can account for quantitative differences between abstract concepts (i.e. concreteness, imageability, context availability, familiarity, age of acquisition, mode of acquisition, emotional valence and arousal). The three tasks showed high reliability. Normative data were collected from 108 healthy Italian adults. To assess its sensitivity, the battery was administered to 13 patients with probable Alzheimer's disease who performed worse than matched controls. Significant correlations were also found between the tests and other semantic memory tests, supporting the validity of the battery.

  16. Accounting for ethnic-cultural and linguistic diversity in neuropsychological assessment of patients with drug-resistant epilepsy: A retrospective study.

    Science.gov (United States)

    Peviani, Valeria; Scarpa, Pina; Toraldo, Alessio; Bottini, Gabriella

    2016-11-01

    Neuropsychological assessment is critical in both diagnosis and prognosis of patients with epilepsy. Beyond electrophysiological and anatomical alterations, other factors including different ethnic-cultural and linguistic backgrounds might affect neuropsychological performance. Only a few studies considered migration and acculturation effects and they typically concerned nonclinical samples. The current study aimed at investigating the influence of ethnic background and time spent in Italy on a full neuropsychological battery administered to both Italian and foreign-born patients and at providing a brief interview for obtaining relevant information on each patient's transcultural and language-related history. Clinical reports from 43 foreign-born patients with drug-resistant epilepsy were collected from the archives of Milan Niguarda Hospital. Epileptogenic zone, age, education, profession, illness duration, seizure frequency, handedness, and gender were considered in selecting 43 Italian controls. Ethnicity (Italian/foreign-born) and years spent in Italy were analyzed as main predictors on 21 neuropsychological scales by means of General(ized) Linear Models. An additional analysis studied two composite scores of overall verbal and nonverbal abilities. Ethnicity significantly affected the following: the verbal overall score, Verbal Fluency, Naming, Token-test, Digit Span, Attentional Matrices, Trail-Making-Test, Line-Orientation-Test, and Raven matrices; no effects were found on the nonverbal overall score, Word Pairs Learning, Episodic Memory, reading accuracy, visual span, Bells test, Rey Figure, and face memory and recognition. No significant effects of years spent in Italy emerged. While years spent in Italy does not predict neuropsychological performance, linguistic background had a strong impact on it. With respect to Italian-speaking patients, those who were foreign-born showed large task-related variability, with an especially low performance on language

  17. Assessment and reuse of secondary batteries cells

    Science.gov (United States)

    Schneider, E. L.; Kindlein, W.; Souza, S.; Malfatti, C. F.

    The popularity of portable electronic devices and the ever-growing production of the same have led to an increase in the use of rechargeable batteries. These are often discarded even before the end of their useful life. This, in turn, leads to great waste in material and natural resources and to contamination of the environment. The objective of this study was thus to develop a methodology to assess and reuse NiMH battery cells that have been disposed of before the end of their life cycle, when they can still be used. For such, the capacity of these cells, which were still in good operating conditions when the batteries were discarded, was assessed, and the percentage was estimated. The results reveal that at the end of the assessment process, a considerable number of these cells still had reuse potential, with approximately 37% of all discarded and tested cells being approved for reuse. The methodology introduced in this study showed it is possible to establish an environmentally correct alternative to reduce the amount of this sort of electronic trash.

  18. Life cycle assessment of lithium sulfur battery for electric vehicles

    Science.gov (United States)

    Deng, Yelin; Li, Jianyang; Li, Tonghui; Gao, Xianfeng; Yuan, Chris

    2017-03-01

    Lithium-sulfur (Li-S) battery is widely recognized as the most promising battery technology for future electric vehicles (EV). To understand the environmental sustainability performance of Li-S battery on future EVs, here a novel life cycle assessment (LCA) model is developed for comprehensive environmental impact assessment of a Li-S battery pack using a graphene sulfur composite cathode and a lithium metal anode protected by a lithium-ion conductive layer, for actual EV applications. The Li-S battery pack is configured with a 61.3 kWh capacity to power a mid-size EV for 320 km range. The life cycle inventory model is developed with a hybrid approach, based on our lab-scale synthesis of the graphene sulfur composite, our lab fabrication of Li-S battery cell, and our industrial partner's battery production processes. The impacts of the Li-S battery are assessed using the ReCiPe method and benchmarked with those of a conventional Nickle-Cobalt-Manganese (NCM)-Graphite battery pack under the same driving distance per charge. The environmental impact assessment results illustrate that Li-S battery is more environmentally friendly than conventional NCM-Graphite battery, with 9%-90% lower impact. Finally, the improvement pathways for the Li-S battery to meet the USABC (U.S. Advanced Battery Consortium) targets are presented with the corresponding environmental impact changes.

  19. EPA-0533 - Psychopathology and aging: executive function performance on the cambridge neuropsychological test automated battery (CANTAB)

    NARCIS (Netherlands)

    Egger, J.I.M.; Janssen, G.T.L.; Aken, L. van

    2014-01-01

    Introduction Early detection of cognitive change is essential for the diagnosis and timely onset of treatment in a variety of neuropsychiatric disorders. Since changes in executive function (EF) are contingent upon age and may compromise assessment accuracy, psychiatric patients and normal controls

  20. EPA-0533 - Psychopathology and aging: executive function performance on the cambridge neuropsychological test automated battery (CANTAB)

    NARCIS (Netherlands)

    Egger, J.I.M.; Janssen, G.T.L.; Aken, L. van

    2014-01-01

    Introduction Early detection of cognitive change is essential for the diagnosis and timely onset of treatment in a variety of neuropsychiatric disorders. Since changes in executive function (EF) are contingent upon age and may compromise assessment accuracy, psychiatric patients and normal controls

  1. The WAIS-R factors: usefulness and construct validity in neuropsychological assessments.

    Science.gov (United States)

    Berger, S

    1998-01-01

    One-hundred and twelve patients were administered the Wechsler Adult Intelligence Scale-Revised (WAIS-R), an abbreviated Wechsler Memory Scale-Revised, and the Halstead-Reitan Neuropsychological Test Battery. In order to replicate an earlier study (Sherman, Strauss, Spellacy, & Hunter, 1995), correlations were generated between the WAIS-R factor scores and neuropsychological and memory tests. The Verbal Comprehension factor (Factor 1) correlated with Speech Sounds Perception Test (SSPT), the Seashore Rhythm Test (SSRT), the Category Test, and memory indices. The Perceptual Organizational factor (Factor 2) correlated with the time, memory, and location scores of the Tactual Performance Test, the SSPT, SSRT, the Category Test, Trails A, Trails B, memory indices, and finger tapping. The Freedom From Distractibility factor (Factor 3) was correlated with the Category Test, the SSPT, the SSRT, Trails A, Trails B, immediate Logical Memory, and Visual Reproduction. Modest correlations suggest that the WAIS-R factors may be useful for understanding underlying cognitive performance and can be functional for generating hypotheses, but should not be utilized exclusively to make clinical inferences.

  2. Neuropsychological Assessment of Testamentary Capacity and Undue Influence.

    Science.gov (United States)

    Mart, Eric G

    2016-09-01

    Neuropsychologists are increasingly requested to perform assessments of testamentary capacity. This article provides an overview of the psycho-legal context in which such assessments are performed. Suggestions for an evaluative methodology for performing these evaluations with both living and deceased testators are provided. © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  3. Advanced magnetic resonance imaging and neuropsychological assessment for detecting brain injury in a prospective cohort of university amateur boxers

    Directory of Open Access Journals (Sweden)

    M.G. Hart

    2017-01-01

    Conclusion: While this neuroimaging and neuropsychological assessment protocol could not detect any evidence of brain injury, one boxer developed seizures and another developed a chronic sub-dural haematoma.

  4. Optimizing Neuropsychological Assessments for Cognitive, Behavioral, and Functional Impairment Classification: A Machine Learning Study.

    Science.gov (United States)

    Battista, Petronilla; Salvatore, Christian; Castiglioni, Isabella

    2017-01-01

    Subjects with Alzheimer's disease (AD) show loss of cognitive functions and change in behavioral and functional state affecting the quality of their daily life and that of their families and caregivers. A neuropsychological assessment plays a crucial role in detecting such changes from normal conditions. However, despite the existence of clinical measures that are used to classify and diagnose AD, a large amount of subjectivity continues to exist. Our aim was to assess the potential of machine learning in quantifying this process and optimizing or even reducing the amount of neuropsychological tests used to classify AD patients, also at an early stage of impairment. We investigated the role of twelve state-of-the-art neuropsychological tests in the automatic classification of subjects with none, mild, or severe impairment as measured by the clinical dementia rating (CDR). Data were obtained from the ADNI database. In the groups of measures used as features, we included measures of both cognitive domains and subdomains. Our findings show that some tests are more frequently best predictors for the automatic classification, namely, LM, ADAS-Cog, AVLT, and FAQ, with a major role of the ADAS-Cog measures of delayed and immediate memory and the FAQ measure of financial competency.

  5. Optimizing Neuropsychological Assessments for Cognitive, Behavioral, and Functional Impairment Classification: A Machine Learning Study

    Directory of Open Access Journals (Sweden)

    Petronilla Battista

    2017-01-01

    Full Text Available Subjects with Alzheimer’s disease (AD show loss of cognitive functions and change in behavioral and functional state affecting the quality of their daily life and that of their families and caregivers. A neuropsychological assessment plays a crucial role in detecting such changes from normal conditions. However, despite the existence of clinical measures that are used to classify and diagnose AD, a large amount of subjectivity continues to exist. Our aim was to assess the potential of machine learning in quantifying this process and optimizing or even reducing the amount of neuropsychological tests used to classify AD patients, also at an early stage of impairment. We investigated the role of twelve state-of-the-art neuropsychological tests in the automatic classification of subjects with none, mild, or severe impairment as measured by the clinical dementia rating (CDR. Data were obtained from the ADNI database. In the groups of measures used as features, we included measures of both cognitive domains and subdomains. Our findings show that some tests are more frequently best predictors for the automatic classification, namely, LM, ADAS-Cog, AVLT, and FAQ, with a major role of the ADAS-Cog measures of delayed and immediate memory and the FAQ measure of financial competency.

  6. Affective and Neuropsychological Correlates of Children's Rituals and Compulsive-Like Behaviors: Continuities and Discontinuities with Obsessive-Compulsive Disorder

    Science.gov (United States)

    Pietrefesa, Ashley S.; Evans, David W.

    2007-01-01

    This study explored the relations among ritualistic and compulsive-like behavior, fears, and neuropsychological performance in typically developing children between the ages of four and eight years. Forty-two children were administered a battery of neuropsychological tasks assessing response inhibition and set-shifting. Two parent-report…

  7. Computerized Neuropsychological Assessment in Aging: Testing Efficacy and Clinical Ecology of Different Interfaces

    Directory of Open Access Journals (Sweden)

    Matteo Canini

    2014-01-01

    Full Text Available Digital technologies have opened new opportunities for psychological testing, allowing new computerized testing tools to be developed and/or paper and pencil testing tools to be translated to new computerized devices. The question that rises is whether these implementations may introduce some technology-specific effects to be considered in neuropsychological evaluations. Two core aspects have been investigated in this work: the efficacy of tests and the clinical ecology of their administration (the ability to measure real-world test performance, specifically (1 the testing efficacy of a computerized test when response to stimuli is measured using a touch-screen compared to a conventional mouse-control response device; (2 the testing efficacy of a computerized test with respect to different input modalities (visual versus verbal; and (3 the ecology of two computerized assessment modalities (touch-screen and mouse-control, including preference measurements of participants. Our results suggest that (1 touch-screen devices are suitable for administering experimental tasks requiring precise timings for detection, (2 intrinsic nature of neuropsychological tests should always be respected in terms of stimuli presentation when translated to new digitalized environment, and (3 touch-screen devices result in ecological instruments being proposed for the computerized administration of neuropsychological tests with a high level of preference from elderly people.

  8. Three trail making tests for use in neuropsychological assessments with brief intertest intervals.

    Science.gov (United States)

    Atkinson, Thomas M; Ryan, Jeanne P; Lent, Allyson; Wallis, Ashley; Schachter, Harris; Coder, Robert

    2010-02-01

    Practice effects in serial neuropsychological assessment have led to the use of alternate forms to measure change in cognitive functioning. The construct validity of three variants of the Trail Making Test was explored over a 3-week period in a sample of 158 undergraduate students. Using confirmatory factor analysis, a two-factor (sequencing-shifting) model was identified to best represent the data. Latent means structural analysis indicated the absence of order effects, lending support for the construct validity of the three tests. The study provides evidence that the three tests can be offered as potential alternative instruments in serial assessment.

  9. Brief assessment of executive impairment in elderly with stroke: Validation of Frontal Assessment Battery

    Directory of Open Access Journals (Sweden)

    Helena Espirito-Santo

    2016-09-01

    Full Text Available Goals: Stroke potentiates the development of executive dysfunction, leading to impairment in performance of daily activities. The neuropsychological assessment of executive functions is important to develop adequate rehabilitation strategies. Thus, describing the normative data, diagnostic accuracy, psychometric properties and factor analysis of the Frontal Assessment Battery (FAB, a brief and easy to administer instrument, in a clinical sample with stroke are objectives of this study. Methods: Being part of the Aging Trajectories of Institutionalized Elderly, this research has a sample 112 elderly people with a medical diagnosis of stroke and a control subgroup of 157 elderly people. The subjects have ages between 60 and 100 years old (M = 78.20, SD = 7.57, mostly females (n = 194. The measurements used include interviews and neuropsychological tests grouped in executive functioning measures, cognitive measures of reference and clinical measures of control. Results: The variables age and education affect the scores obtained in the clinical subgroup, having the variable gender no impact on these. Using a cutoff score of 7, the FAB had a sensitivity of 83.4% and a specificity of 66.1% for screening stroke (AUC = 0.64; showed a Cronbach's α of 0.79, and strong correlations with executive tests (Stroop test, Rey Complex Figure, Attentional-Executive factor of Montreal Cognitive Assessment and Switching in the verbal fluency tests. The confirmatory factor analysis supported a one-factor structure. Conclusions: The FAB presents good internal consistency, convergent, and construct when used for elderly with stroke. Due to some limitations of the study, which may explain the weak discriminant validity, further investigations are encouraged because FAB has showed promising psychometric properties.

  10. Using the virtual reality device Oculus Rift for neuropsychological assessment of visual processing capabilities

    Science.gov (United States)

    Foerster, Rebecca M.; Poth, Christian H.; Behler, Christian; Botsch, Mario; Schneider, Werner X.

    2016-01-01

    Neuropsychological assessment of human visual processing capabilities strongly depends on visual testing conditions including room lighting, stimuli, and viewing-distance. This limits standardization, threatens reliability, and prevents the assessment of core visual functions such as visual processing speed. Increasingly available virtual reality devices allow to address these problems. One such device is the portable, light-weight, and easy-to-use Oculus Rift. It is head-mounted and covers the entire visual field, thereby shielding and standardizing the visual stimulation. A fundamental prerequisite to use Oculus Rift for neuropsychological assessment is sufficient test-retest reliability. Here, we compare the test-retest reliabilities of Bundesen’s visual processing components (visual processing speed, threshold of conscious perception, capacity of visual working memory) as measured with Oculus Rift and a standard CRT computer screen. Our results show that Oculus Rift allows to measure the processing components as reliably as the standard CRT. This means that Oculus Rift is applicable for standardized and reliable assessment and diagnosis of elementary cognitive functions in laboratory and clinical settings. Oculus Rift thus provides the opportunity to compare visual processing components between individuals and institutions and to establish statistical norm distributions. PMID:27869220

  11. Soccer heading frequency predicts neuropsychological deficits.

    Science.gov (United States)

    Witol, Adrienne D; Webbe, Frank M

    2003-05-01

    This study investigated the presence of neuropsychological deficits associated with hitting the ball with one's head (heading) during soccer play. A neuro-cognitive test battery was administered to 60 male soccer players, high school, amateur and professional level, and 12 nonplaying control participants. The effects of currently reported heading behavior as well as that of estimated lifetime heading experience on neuropsychological test performance were examined. Players with the highest lifetime estimates of heading had poorer scores on scales measuring attention, concentration, cognitive flexibility and general intellectual functioning. Players' current level of heading was less predictive of neuro-cognitive level. Comparison of individual scores to age-appropriate norms revealed higher probabilities of clinical levels of impairment in players who reported greater lifetime frequencies of heading. Because of the worldwide popularity of the game, continued research is needed to assess the interaction between heading and soccer experience in the development of neuropsychological deficits associated with soccer play.

  12. Concussion in professional football: recovery of NFL and high school athletes assessed by computerized neuropsychological testing--Part 12.

    Science.gov (United States)

    Pellman, Elliot J; Lovell, Mark R; Viano, David C; Casson, Ira R

    2006-02-01

    Acute recovery from concussion (mild traumatic brain injury) is assessed in samples of NFL and high school athletes evaluated within days of injury. All athletes were evaluated within days of injury using a computer-based neuropsychological test and symptom inventory protocol. Test performance was compared to preinjury baseline levels of a similar but not identical group of athletes who had undergone preseason testing. Statistical analyses were completed using Multivariate Analysis of Variance (MANOVA). NFL athletes demonstrated a rapid neuropsychological recovery. As a group, NFL athletes returned to baseline performance in a week with the majority of athletes having normal performance two days after injury. High school athletes demonstrated a slower recovery than NFL athletes. Computer-based neuropsychological testing was used within the overall medical evaluation and care of NFL athletes. As found in a prior study using more traditional neuropsychological testing, NFL players did not demonstrate decrements in neuropsychological performance beyond one week of injury. High school players demonstrated more prolonged neuropsychological effects of concussion.

  13. Psychological, neuropsychological, and medical considerations in assessment and management of pain.

    Science.gov (United States)

    Martelli, Michael F; Zasler, Nathan D; Bender, Mark C; Nicholson, Keith

    2004-01-01

    Pain is a common yet challenging problem, particularly following traumatic injuries to the head or neck. It is a complex, multidimensional subjective experience with no clear or objective measures; yet it can have a significantly disabling effect across a wide range of functions. Persisting misconceptions owing to mind-body dualism have hampered advances in its understanding and treatment. In this article, a conceptualization of pain informed by recent research and derived from a more useful biopsychosocial model guides discussion of relevant medical, psychological, and neuropsychological considerations. This pain process model explains chronicity in terms of hyperresponsiveness and dysregulation of inhibitory or excitatory pain modulation mechanisms. Related neurocognitive effects of chronic pain are examined and recommendations for minimizing its confounding effects in neuropsychological evaluations are offered. A biopsychosocial assessment model is presented to guide understanding of the myriad of factors that contribute to chronicity. A brief survey of general classes and samples of the more useful pain assessment instruments is included. Finally, this model offers a rational means of organizing and planning individually tailored pain interventions, and some of the most useful pharmacologic, physical, and behavioral strategies are reviewed.

  14. Development of normative neuropsychological performance in Thailand for the assessment of HIV-associated neurocognitive disorders.

    Science.gov (United States)

    Heaps, Jodi; Valcour, Victor; Chalermchai, Thep; Paul, Robert; Rattanamanee, Somprartthana; Siangphoe, Umaporn; Sithinamsuwan, Pasiri; Chairangsaris, Parnsiri; Nidhinandana, Samart; Tipsuk, Somporn; Suttichom, Duanghathai; Fletcher, James; Shikuma, Cecilia; Ananworanich, Jintanat

    2013-01-01

    International studies of HIV-associated neurocognitive disorder (HAND) are needed to determine the viral and host factors associated with cognitive impairment particularly as more than 80% of HIV+ subjects reside in resource-limited settings. Recent diagnostic nomenclature of HAND requires comparison of cognitive performance specifically to local normative data. To evaluate this need for local norms, we compared normative data obtained locally in Thailand to Western norms. The current study examined cognitive performance in 477 seronegative Thai participants (male = 211, female = 266) who completed a battery of tests sensitive to cognitive changes in HIV. The cohort was divided into three age brackets (20-34; 35-49; 50-65 years) and four educational levels (no education or primary education, less than secondary certificate, high-school/associates degree, bachelor's degree or greater). The Thai cohort was compared (using analysis of covariance, ANCOVA) on a number of measures to a seronegative US cohort (n = 236; male = 198, female = 38) to examine cultural differences in performance. Normative data are provided with age and education stratification. The Thai and US groups performed significantly differently on all neuropsychological measures with the exception of verbal fluency. The Thai group performed better on measures of verbal learning (p normative data within local populations. The use of Western norms as a comparison group could lead to inaccurate identification of HAND in culturally distinct groups.

  15. A new test battery to assess aphasic disturbances and associated cognitive dysfunctions -- German normative data on the aphasia check list.

    Science.gov (United States)

    Kalbe, Elke; Reinhold, Nadine; Brand, Matthias; Markowitsch, Hans J; Kessler, Josef

    2005-10-01

    Aphasia, defined as an acquired impairment of linguistic abilities, can be accompanied by a diversity of neuropsychological dysfunction. Accordingly, the necessity to include cognitive testing in the diagnosis of aphasia is increasingly recognized. Here we present the Aphasia Check List (ACL), a new test battery for the assessment of aphasic and associated cognitive disorders. The language part of the battery provides a differentiated profile of important linguistic abilities. In addition, the ACL includes nonverbal screening tests for three neuropsychological domains: memory, attention, and reasoning. Dysfunctions in these domains have been observed in aphasic patients and can have an impact on language function. The ACL is applicable to patients with language disturbances of different etiologies, different stages of disease, and to patients with mild to severe aphasia. As the entire test duration is only about 30 minutes, the ACL is also economically valuable. It thus presents an adequate starting point in aphasia diagnosis for a wide range of patients. Here we describe the construction of the ACL, and the normative study of its original German version with 154 aphasic patients and 106 healthy comparison subjects. The ACL cognition part revealed additional neuropsychological dysfunction in the aphasia group. We present the patterns of these dysfunctions and their correlations with language deficits.

  16. LORETA current source density for duration mismatch negativity and neuropsychological assessment in early schizophrenia.

    Directory of Open Access Journals (Sweden)

    Tomohiro Miyanishi

    Full Text Available INTRODUCTION: Patients with schizophrenia elicit cognitive decline from the early phase of the illness. Mismatch negativity (MMN has been shown to be associated with cognitive function. We investigated the current source density of duration mismatch negativity (dMMN, by using low-resolution brain electromagnetic tomography (LORETA, and neuropsychological performance in subjects with early schizophrenia. METHODS: Data were obtained from 20 patients meeting DSM-IV criteria for schizophrenia or schizophreniform disorder, and 20 healthy control (HC subjects. An auditory odd-ball paradigm was used to measure dMMN. Neuropsychological performance was evaluated by the brief assessment of cognition in schizophrenia Japanese version (BACS-J. RESULTS: Patients showed smaller dMMN amplitudes than those in the HC subjects. LORETA current density for dMMN was significantly lower in patients compared to HC subjects, especially in the temporal lobes. dMMN current density in the frontal lobe was positively correlated with working memory performance in patients. CONCLUSIONS: This is the first study to identify brain regions showing smaller dMMN current density in early schizophrenia. Further, poor working memory was associated with decreased dMMN current density in patients. These results are likely to help understand the neural basis for cognitive impairment of schizophrenia.

  17. Neuropsychological and behavioral assessment of impulsivity in adolescents: a systematic review.

    Science.gov (United States)

    Willhelm, Alice Rodrigues; Fortes, Paula Madeira; Czermainski, Fernanda Rasch; Rates, Aline Schwalm Andrade; Almeida, Rosa Maria Martins de

    2016-01-01

    The aim of neuropsychological assessment is to understand the multifaceted relationship between behavior, cognition and brain organization. The main objective of this study was to conduct a systematic review of the literature on impulsivity and inhibitory control in healthy adolescents and preadolescents. Three researchers conducted a systematic review on November 25, 2014. The first step was to conduct searches on the Web of Knowledge and PubMed databases for articles in English using the following keywords: child; adolescents; impulsivity; inhibition; inhibitory control; and neuropsychology. The second step was to analyze all the references cited in the articles selected from the search results in order to identify further literature. Just 13 articles met all the inclusion criteria. There was no consistency in the aims of these studies, or in the instruments or procedures employed. There was no uniformity among the articles that met all the criteria in terms of any of the items analyzed. There was considerable heterogeneity in these studies of impulsivity and inhibitory control, and few of them evaluated healthy samples.

  18. Neuropsychological and behavioral assessment of impulsivity in adolescents: a systematic review

    Directory of Open Access Journals (Sweden)

    Alice Rodrigues Willhelm

    Full Text Available Abstract Introduction: The aim of neuropsychological assessment is to understand the multifaceted relationship between behavior, cognition and brain organization. The main objective of this study was to conduct a systematic review of the literature on impulsivity and inhibitory control in healthy adolescents and preadolescents. Method: Three researchers conducted a systematic review on November 25, 2014. The first step was to conduct searches on the Web of Knowledge and PubMed databases for articles in English using the following keywords: child; adolescents; impulsivity; inhibition; inhibitory control; and neuropsychology. The second step was to analyze all the references cited in the articles selected from the search results in order to identify further literature. Results: Just 13 articles met all the inclusion criteria. There was no consistency in the aims of these studies, or in the instruments or procedures employed. Conclusion: There was no uniformity among the articles that met all the criteria in terms of any of the items analyzed. There was considerable heterogeneity in these studies of impulsivity and inhibitory control, and few of them evaluated healthy samples.

  19. Some supplementary methods for the analysis of WAIS-IV index scores in neuropsychological assessment.

    Science.gov (United States)

    Crawford, John R; Garthwaite, Paul H; Longman, R Stewart; Batty, Abigail M

    2012-09-01

    To develop supplementary methods for the analysis of the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV) in neuropsychological assessment. Psychometric. The following methods are made available: (a) provision of traditional confidence intervals (CIs) on index scores, (b) expression of the endpoints of CIs as percentile ranks; (c) quantification of the number of abnormally low index scores exhibited by a case and accompanying estimate of the percentage of the normative population expected to exhibit at least this number of low scores; (d) quantification of the reliability and abnormality of index score deviations from an individual's index score mean (thereby offering an alternative to the pairwise approach to index score comparisons available in the WAIS-IV manual); (e) provision of CIs on an individual's deviation scores or pairwise difference scores, (f) estimation of the percentage of the normative population expected to exhibit at least as many abnormal deviations or abnormal pairwise differences as a case; and (g) calculation of a case's Mahalanobis distance index (MDI), thereby providing a multivariate estimate of the overall abnormality of an index score profile. With the exception of the MDI, all the methods can be applied using tables provided in this paper. However, for ease and speed of application, and to reduce the possibility of clerical error, all the methods have also been implemented in a computer program. The methods are useful for neuropsychological interpretation of the WAIS-IV. ©2011 The British Psychological Society.

  20. Subjective Memory Ability and Long-Term Forgetting in Patients Referred for Neuropsychological Assessment.

    Science.gov (United States)

    van der Werf, Sieberen P; Geurts, Sofie; de Werd, Maartje M E

    2016-01-01

    It has been suggested that the memory complaints of patients who are not impaired on formal memory tests may reflect accelerated forgetting. We examined this hypothesis by comparing the 1-week delayed recall and recognition test performance of outpatients who were referred for neuropsychological assessment and who had normal memory performance during standard memory assessment with that of a non-patient control group. Both groups performed equally in verbal learning and delayed recall. However, after 1 week, the patients performed worse than controls on both recall and recognition tests. Although subjective memory ability predicted short-term memory function in patients, it did not predict long-term delayed forgetting rates in either the patients or controls. Thus, long-term delayed recall and recognition intervals provided no additional value to explain poor subjective memory ability in the absence of objective memory deficits.

  1. Pediatric neuropsychology: toward subspecialty designation.

    Science.gov (United States)

    Baron, Ida Sue; Wills, Karen; Rey-Casserly, Celiane; Armstrong, Kira; Westerveld, Michael

    2011-08-01

    Clinical neuropsychology is a rapidly expanding field of study in the psychological sciences whose practitioners are expert in the assessment, treatment, and research of individuals with known or suspected central nervous system disease or disorder. Pediatric neuropsychology has emerged as a distinct subspecialty area with related education, training, and clinical expertise for a growing number of neuropsychologists. This paper details the numerous steps taken by two affiliated organizations, the American Board of Clinical Neuropsychology and its membership organization, the American Academy of Clinical Neuropsychology, in the interest of the larger pediatric neuropsychology community and in pediatric neuropsychology subspecialty development.

  2. Neuropsychological issues in the assessment of refugees and victims of mass violence.

    Science.gov (United States)

    Weinstein, C S; Fucetola, R; Mollica, R

    2001-09-01

    Brain injury, stressor severity, depression, premorbid vulnerabilities, and PTSD are frequently intertwined in trauma populations. This interaction is further complicated when the neuropsychologist evaluates refugees from other cultures. In addition, the observed psychiatric symptoms reported in refugees and victims of mass violence may in fact not be the primary features of PTSD and depression but psychiatric symptoms secondary to the effects of traumatic brain injury. This paper reviews the occurrence of starvation, torture, beatings, imprisonment, and other head injury experiences in refugee and POW populations to alert treators to the presence of chronic and persistent neuropsychiatric morbidity, with implications for psychosocial adjustment. The concept of fixed neural loss may also interact with environmental and emotional stresses, and a model of neuropsychological abnormalities triggered by traumatic events and influenced by subsequent stress will also be considered. Neuropsychologists working with refugees play an important role in assessing the possibility of traumatic brain injury with tools that are relatively culture-fair.

  3. The importance of assessing for abuse and neglect in children with chronic health conditions referred for neuropsychological evaluation.

    Science.gov (United States)

    Olson, Katie; Jacobson, Kristin K

    2014-01-01

    Chronic childhood illnesses have been demonstrated to negatively impact family functioning by introducing new or additive stress on all members of the family system, as well as by increasing financial burden and social isolation. Although these factors have not necessarily been shown to have a direct causal effect on increased rates of abuse in children with chronic illnesses, these children have nonetheless been demonstrated to be at greater risk for neglect and physical and sexual abuse. Children with chronic health care needs are increasingly likely to be referred for neuropsychological evaluation. Thorough assessment of maltreatment would be a valuable addition to all neuropsychological evaluations of children presenting with chronic health conditions.

  4. Neuropsychological performance, impulsivity, ADHD symptoms, and novelty seeking in compulsive buying disorder

    OpenAIRE

    Black, Donald Wayne; Shaw, Martha; McCormick, Brett; Bayless, John David; Allen, Jeff

    2012-01-01

    We examined the neuropsychological performance of people with compulsive buying disorder (CBD) and control subjects, along with trait impulsivity, symptoms of attention deficit hyperactivity disorder (ADHD), and selected personality characteristics. Subjects received a comprehensive neuropsychological test battery, depression and ADHD symptom assessment, the Barratt Impulsiveness Scale, and a version of the Temperament and Character Inventory. Persons with CBD (n=26) and controls (n=32) were ...

  5. Binaural beat technology in humans: a pilot study to assess neuropsychologic, physiologic, and electroencephalographic effects.

    Science.gov (United States)

    Wahbeh, Helané; Calabrese, Carlo; Zwickey, Heather; Zajdel, Dan

    2007-03-01

    When two auditory stimuli of different frequency are presented to each ear, binaural beats are perceived by the listener. The binaural beat frequency is equal to the difference between the frequencies applied to each ear. Our primary objective was to assess whether steady-state entrainment of electroencephalographic activity to the binaural beat occurs when exposed to a specific binaural beat frequency as has been hypothesized. Our secondary objective was to gather preliminary data on neuropsychologic and physiologic effects of binaural beat technology. A randomized, blinded, placebo-controlled crossover experiment in 4 healthy adult subjects. Subjects were randomized to experimental auditory stimulus of 30 minutes of binaural beat at 7 Hz (carrier frequencies: 133 Hz L; 140 Hz R) with an overlay of pink noise resembling the sound of rain on one session and control stimuli of the same overlay without the binaural beat carrier frequencies on the other session. Data were collected during two separate sessions 1 week apart. Neuropsychologic and blood pressure data were collected before and after the intervention; electroencephalographic data were collected before, during, and after listening to either binaural beats or control. Neuropsychologic measures included State Trait Anxiety Inventory, Profile of Mood States, Rey Auditory Verbal List Test, Stroop Test, and Controlled Oral Word Association Test. Spectral and coherence analysis was performed on the electroencephalogram (EEG), and all measures were analyzed for changes between sessions with and without binaural beat stimuli. There were no significant differences between the experimental and control conditions in any of the EEG measures. There was an increase of the Profile of Mood States depression subscale in the experimental condition relative to the control condition (p = 0.02). There was also a significant decrease in immediate verbal memory recall (p = 0.03) in the experimental condition compared to control

  6. An evidence-based checklist to assess neuropsychological outcomes of epilepsy surgery: how good is the evidence?

    Science.gov (United States)

    Hrabok, M; Dykeman, J; Sherman, E M S; Wiebe, S

    2013-12-01

    We aimed to assess the quality of evidence on neuropsychological outcomes after epilepsy surgery (ES). Accordingly, we created an evidence-based neuropsychology (EBNP) checklist to assess neuropsychological outcomes and applied this tool to studies from a systematic review. The EBNP checklist was created using clinical expert input, scale development methodology for item generation and reduction and inter-rater reliability, and critical appraisal guidelines for studies about treatment. The checklist was applied to articles obtained through a systematic review of resective ES neuropsychological outcomes. The proportion of studies fulfilling the quality criteria and the total quality score were used to assess the quality of the evidence. An initial 45-item checklist was applied to 147 articles, with excellent inter-rater agreement (kappa=0.80). The mean quality score was 23 (SD: 4, range: 12-33). There was substantial variability in the percentage of studies meeting the criteria for specific items (0-99%). The median proportion of papers fulfilling various quality criteria was 1.4% for items related to group comparisons, 37% for clinical applicability, 67% for patient description, 78% for outcome assessment, and 91% for interventions. Higher quality correlated with longitudinal design, reporting presurgical IQ, seizure frequency and antiepileptic drugs, and using validated measures of change in individual patients. The final EBNP checklist consisted of 19 items. The EBNP checklist reliably identified quality strengths and threats to validity of neuropsychological outcome studies in ES. Studies would be most improved by the inclusion of random allocation to interventions or at minimum blinded outcome assessment, empirically based measures of reliable change and completeness of reporting of follow-up. © 2013.

  7. Neuropsychological assessment, neuroimaging, and neuropsychiatric evaluation in pediatric and adult patients with sickle cell disease (SCD

    Directory of Open Access Journals (Sweden)

    Christopher L Edwards

    2007-01-01

    Full Text Available Christopher L Edwards1, Renee Dunn Raynor1, Miriam Feliu1, Camela McDougald1, Stephanie Johnson2, Donald Schmechel3, Mary Wood1, Gary G Bennett4, Patrick Saurona5, Melanie Bonner1, Chante’ Wellington1, Laura M DeCastro6, Elaine Whitworth6, Mary Abrams6, Patrick Logue1, Lekisha Edwards1, Salutario Martinez7, Keith E Whitfield81Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA; 2American Psychological Association, Science Directorate, Washington, DC, USA; 3Department of Medicine, Division of Neurology, Duke University Medical Center, Durham, NC, USA; 4Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA, USA; 5Taub Institute For Research on Alzheimer’s Disease and The Aging Brain, Columbia University, New York, NY, USA; 6Department of Medicine, Division of Hematology, Duke University Medical Center, Durham, NC, USA; 7Department of Radiology, Duke University Medical Center, Durham, NC, USA; 8Duke University, Durham, NC, USAAbstract: Traditionally, neuropsychological deficits due to Sickle Cell Disease (SCD have been understudied in adults. We have begun to suspect, however, that symptomatic and asymptomatic Cerebrovascular Events (CVE may account for an alarming number of deficits in this population. In the current brief review, we critically evaluated the pediatric and adult literatures on the neurocognitive effects of SCD. We highlighted the studies that have been published on this topic and posit that early detection of CVE via neurocognitive testing, neuropsychiatric evaluations, and neuroimaging may significantly reduce adult cognitive and functional morbidities.Keywords: cerebral vascular event, neuropsychological assessment, sickle cell disease, neuroimaging

  8. Neuropsychological Construct Structure of a Brief Computerized Neuropsychological Battery: Windows Spaceflight Cognitive Assessment Tool (WinSCAT)

    Science.gov (United States)

    2005-09-08

    approved for use is attached . Please use photocopies of the stamped and approved informed consent document when obtaining consent from subjects being...with diabetes, chronic fatigue syndrome, or fibromyalgia , any history of clinical depression, thyroid and other endocrine diseases, bulimia or... attached . Please use photocopies of the stamped and approved informed consent document when obtaining consent from subjects being enrolled. It is your

  9. The RAPID-II Neuropsychological Test battery for subjects aged 20 to 49 years: Norms and cognitive profile.

    Science.gov (United States)

    Binetruy, M; Mauny, F; Lavaux, M; Meyer, A; Sylvestre, G; Puyraveau, M; Berger, E; Magnin, E; Vandel, P; Galmiche, J; Chopard, G

    2017-06-30

    Cognitive evaluation of young subjects is now widely carried out for non-traumatic diseases such as multiple sclerosis, HIV, or sleep disorders. This evaluation requires normative data based on healthy adult samples. However, most clinicians use a set of tests that were normed in an isolated manner from different samples using different cutoff criteria. Thus, the score of an individual may be considered either normal or impaired according to the norms used. It is well established that healthy adults obtained low-test scores when a battery of tests is administered. Thus, the knowledge of low base rates is required so as to minimize false diagnosis of cognitive impairment. The aim of this study was twofold (1) to provide normative data for RAPID-II battery in healthy adults, and (2) estimate the proportion of healthy adults having low scores across this battery. Norms for the 44 test scores of the RAPID-II test battery were developed using the overall sample of 335 individuals based on three categories of age (20 to 29, 30 to 39, and 40 to 49 years) and two educational levels: Baccalaureate or higher educational degree (high educational level), lower than baccalaureate (low educational level). The 5th, 25th, 50th, and 75th percentiles were calculated from the six age and education subsamples and used to define norms. The frequency of low scores on the RAPID-II battery was calculated by simultaneously examining the performance of 33 primary scores. A low score was defined as less than or equal to the 5th percentile drawn from the six age and education normative subsamples. In addition, the percentages of low scores were also determined when all possible combinations of two-test scores across the RAPID-II were considered in the overall normative sample. Our data showed that 59.4% subjects of the normative sample obtained at least one or more low score. With more than 9 test scores, this percentage was equal to 0% in the normative sample. Among all combinations of two

  10. Decline of executive function in a clinical population: age, psychopathology, and test performance on the Cambridge Neuropsychological Test Automated Battery (CANTAB).

    Science.gov (United States)

    Janssen, Gwenny; van Aken, Loes; De Mey, Hubert; Witteman, Cilia; Egger, Jos

    2014-01-01

    This study presents a cross-sectional examination of the age-related executive changes in a sample of adults with a history of psychiatric illness using the Cambridge Neuropsychological Test Automated Battery. A total of 406 patients, aged 18 to 72 years old, completed executive function tests of working memory, strategic planning, and set shifting. Using current Diagnostic and Statistical Manual for Mental Disorders-Fourth Edition criteria, patients were diagnosed with: (a) affective disorders (N = 153), (b) substance-related disorders (N = 112), (c) personality disorders (N = 82), or (d) pervasive developmental disorders (N = 59). Test performances were compared to those of 52 healthy adults. Similar rates of age-related executive decline were found for patients and healthy participants. However, as adults with a history of psychiatric illness started out with significantly lower baseline levels of executive functioning, they may require less time before reaching a critical threshold where functional deficits emerge. Limitations as well as implications for future research were discussed.

  11. Neuropsychological Test Battery for the Elderly (NTBE) and Dementia%老年成套神经心理测验与痴呆

    Institute of Scientific and Technical Information of China (English)

    薛海波; 肖世富; 李春波; 何燕玲; 张明园

    2003-01-01

    目的: 探讨老年成套神经心理测验(NTBE, Neuropsychological Test Battery for Elderly)在痴呆诊断中的参考价值.方法:1.横断面研究,在国内15个省市中取样,根据DSM-Ⅳ标准将受试者分为痴呆组与正常老人两组,全部被试接受简易智力状态检查(MMSE),日常生活能力量表(ADL),总体退化量表(GDS)和NTBE测评.结果:共纳入正常组919例,痴呆组69例.NTBE诊断痴呆的敏感性为85.71%,特异性为92.82%.结论:NTBE用于辅助诊断痴呆效果良好.

  12. Discriminating cognitive screening and cognitive testing from neuropsychological assessment: implications for professional practice.

    Science.gov (United States)

    Block, Cady K; Johnson-Greene, Doug; Pliskin, Neil; Boake, Corwin

    2017-04-01

    To provide clarification on the distinction between cognitive screening, cognitive testing, and neuropsychological assessment and highlight practical implications. Non-systematic brief clinical review. There is a present lack of explicit distinction between the various levels of measurement of cognitive functioning with regard to goals, indications for use, levels of complexity, and outcome. There is also a lack of guidance regarding the identification of who should be responsible for the administration and interpretation at each level. There is a growing awareness of the importance of cognitive health and disability, and of the importance of measurement of cognitive functions across the lifespan. For example, cognitive screening has been mandated by the Patient Protection and Affordable Care Act of 2010, and language contained within new psychiatric diagnostic criteria and healthcare regulatory changes reflect increased consideration of the importance of measurement of cognition. Changes such as these necessitate greater clarity on this important issue as it bears implications for professional practice, which ranges from education and training competencies, practice standards, and the way that neuropsychologists clarify and advocate for the value of specialty referrals for comprehensive assessment in a competitive and ever-changing healthcare market.

  13. Neuropsychological and psychiatric assessments following bilateral deep brain stimulation of the subthalamic nucleus in Japanese patients with Parkinson's disease.

    Science.gov (United States)

    Aono, Michitaka; Iga, Jun-Ichi; Ueno, Shu-Ichi; Agawa, Masahito; Tsuda, Toshio; Ohmori, Tetsuro

    2014-09-01

    The physical benefits of subthalamic nucleus deep brain stimulation (STN-DBS) in Parkinson's disease (PD) patients are well documented, but the mental benefits are uncertain, particularly in Japanese patients. This study evaluated the clinical and neuropsychological characteristics before and after STN-DBS surgery in Japanese PD patients. PD patients (n=13, age 67.0 ± 7.8 years) were evaluated pre-surgery (baseline) and at 1 and 6 months post-surgery by two trained psychiatrists. The motor symptoms were assessed by the Unified Parkinson's Disease Rating Scale (UPDRS) motor score. The neuropsychological and psychiatric tests performed were the Mini-Mental State Examination, the Wisconsin Card Sorting Test (WCST), the Verbal Fluency Test (VFT), the Hamilton Depression Rating Scale and the Hamilton Anxiety Rating Scale (HAM-A). The UPDRS motor score (pscore (p=0.004) showed significant improvement at 1 month post-surgery, but a significant decline was observed in the WCST total error (p=0.005) and the semantic VFT score (pscore was maintained, and the scores on the neuropsychological and psychiatric tests had returned to baseline. Although bilateral STN-DBS did not appear to have long-term effects on neuropsychological and psychiatric outcomes, the microlesion effects associated with STN-DBS appear to increase the risk of transient cognitive and psychiatric complications. These complications should be monitored by careful observation of neurological and psychiatric symptoms.

  14. Is the Frontal Assessment Battery reliable in ALS patients?

    NARCIS (Netherlands)

    J. Raaphorst; E. Beeldman; B. Jaeger; B. Schmand; L.H. van den Berg; J.G. Weikamp; H.J. Schelhaas; M. de Visser; R.J. de Haan

    2013-01-01

    The assessment of frontal functions in ALS patients is important because of the overlap with the behavioural variant of frontotemporal dementia (bvFTD). We investigated the applicability and reliability of the Frontal Assessment Battery (FAB) within a cohort of predominantly prevalent ALS patients.

  15. An evidence-based approach to the creation of normative data: base rates of impaired scores within a brief neuropsychological battery argue for age corrections, but against corrections for medical conditions.

    Science.gov (United States)

    O'Connell, Megan E; Tuokko, Holly; Voll, Stacey; Simard, Martine; Griffith, Lauren E; Taler, Vanessa; Wolfson, Christina; Kirkland, Susan; Raina, Parminder

    We detail a new approach to the creation of normative data for neuropsychological tests. The traditional approach to normative data creation is to make demographic adjustments based on observations of correlations between single neuropsychological tests and selected demographic variables. We argue, however, that this does not describe the implications for clinical practice, such as increased likelihood of misclassification of cognitive impairment, nor does it elucidate the impact on decision-making with a neuropsychological battery. We propose base rate analyses; specifically, differential base rates of impaired scores between theoretical and actual base rates as the basis for decisions to create demographic adjustments within normative data. Differential base rates empirically describe the potential clinical implications of failing to create an appropriate normative group. We demonstrate this approach with data from a short telephone-administered neuropsychological battery given to a large, neurologically healthy sample aged 45-85 years old. We explored whether adjustments for age and medical conditions were warranted based on differential base rates of spuriously impaired scores. Theoretical base rates underestimated the frequency of impaired scores in older adults and overestimated the frequency of impaired scores in younger adults, providing an evidence base for the creation of age-corrected normative data. In contrast, the number of medical conditions (numerous cardiovascular, hormonal, and metabolic conditions) was not related to differential base rates of impaired scores. Despite a small correlation between number of medical conditions and each neuropsychological variable, normative adjustments for number of medical conditions does not appear warranted. Implications for creation of normative data are discussed.

  16. Neuropsychology in India.

    Science.gov (United States)

    Kumar, J Keshav; Sadasivan, Akila

    2016-11-01

    This is an invited paper for a special issue with the objective to provide information on neuropsychology in India. Information was gathered from a literature search and personal communication with professionals working in the field of neuropsychology. Neuropsychology as a specialization started in India approximately 40 years ago. The early years witnessed the use of Western tools for assessing patients with organic brain damage. Subsequent years saw the development of indigenous tools for use with the vast majority of the Indian population and also a few Western tests adapted to suit the needs of the unique Indian clientele. The starting of the Neuropsychology unit at the National Institute of Mental Health and Neurosciences (NIMHANS) in Bangalore in 1975 resulted in changing of the course of training and practice of Neuropsychology. The field of assessments has witnessed indigenous tests being developed, while rehabilitation programs have brought about a decline in cognitive deficits in several clinical conditions. Currently, work within the field of neuropsychology has focused on child, geriatric, acquired brain injury, and forensic populations with a development of unique rehabilitations to suit needs of several clinical conditions. However, there are very few neuropsychologists in the country, and only one nodal training center, which limits the availability of training to the large population of the country. Despite the shortcomings, the field of neuropsychology has received much attention in the recent years with the number of referrals and professionals increasing.

  17. Cognitive Deficits in Chronic Stroke Patients: Neuropsychological Assessment, Depression, and Self-Reports

    Directory of Open Access Journals (Sweden)

    Arne E. Nakling

    2017-08-01

    Full Text Available Background: Following stroke, clinicians are challenged to detect and untangle symptoms of cognitive dysfunction and mood disorders. Additionally, they need to evaluate the informative value of self-reports to identify patients in need of further attendance. Aims: To examine the association between neuropsychological measures, symptoms of depression, and self-reported cognitive function. Methods: One-hundred and five chronic stroke patients underwent assessment covering 6 cognitive domains and answered the Hospital Anxiety and Depression Scale and the Memory and Thinking Scale from the Stroke Impact Scale 1 year after stroke. Age and gender difference in cognitive impairment were examined; linear regression was used to predict depression scores. Sensitivity and specificity analyses were used to validate self-reported functioning against performance on cognitive tests. Results: Cognitive impairment was observed in 60% of the patients in at least 1 cognitive domain. Cognitive performance was associated with symptoms of depression as well as with self-reported cognitive function. The final analyses revealed low sensitivity and specificity for the Memory and Thinking subscale from the Stroke Impact Scale. Conclusion: Cognitive impairment occurs frequently even in patients in a chronic phase after stroke and predicts symptoms of depression. Using the Stroke Impact Scale, clinicians should be aware of low sensitivity of self-reported cognitive function.

  18. Test validity and performance validity: considerations in providing a framework for development of an ability-focused neuropsychological test battery.

    Science.gov (United States)

    Larrabee, Glenn J

    2014-11-01

    Literature on test validity and performance validity is reviewed to propose a framework for specification of an ability-focused battery (AFB). Factor analysis supports six domains of ability: first, verbal symbolic; secondly, visuoperceptual and visuospatial judgment and problem solving; thirdly, sensorimotor skills; fourthly, attention/working memory; fifthly, processing speed; finally, learning and memory (which can be divided into verbal and visual subdomains). The AFB should include at least three measures for each of the six domains, selected based on various criteria for validity including sensitivity to presence of disorder, sensitivity to severity of disorder, correlation with important activities of daily living, and containing embedded/derived measures of performance validity. Criterion groups should include moderate and severe traumatic brain injury, and Alzheimer's disease. Validation groups should also include patients with left and right hemisphere stroke, to determine measures sensitive to lateralized cognitive impairment and so that the moderating effects of auditory comprehension impairment and neglect can be analyzed on AFB measures.

  19. Neuropsychological profile of parkin mutation carriers with and without Parkinson disease: the CORE-PD study

    Science.gov (United States)

    Caccappolo, Elise; Alcalay, Roy N.; Mejia-Santana, Helen; Tang, Ming-X.; Rakitin, Brian; Rosado, Llency; Louis, Elan D.; Comella, Cynthia L.; Colcher, Amy; Jennings, Danna; Nance, Martha A.; Bressman, Susan; Scott, William K.; Tanner, Caroline M.; Mickel, Susan F.; Andrews, Howard F.; Waters, Cheryl; Fahn, Stanley; Cote, Lucien J.; Frucht, Steven; Ford, Blair; Rezak, Michael; Novak, Kevin; Friedman, Joseph H.; Pfeiffer, Ronald F.; Marsh, Laura; Hiner, Brad; Siderowf, Andrew D.; Ross, Barbara M.; Verbitsky, Miguel; Kisselev, Sergey; Ottman, Ruth; Clark, Lorraine N.; Marder, Karen S.

    2012-01-01

    Background The cognitive profile of early onset Parkinson’s disease (EOPD) has not been clearly defined. Mutations in the parkin gene are the most common genetic risk factor for EOPD and may offer information about the neuropsychological pattern of performance in both symptomatic and asymptomatic mutation carriers. Methods EOPD probands and their first-degree relatives who did not have Parkinson’s disease (PD) were genotyped for mutations in the parkin gene and administered a comprehensive neuropsychological battery. Performance was compared between EOPD probands with (N=43) and without (N=52) parkin mutations. The same neuropsychological battery was administered to 217 first-degree relatives to assess neuropsychological function in individuals who carry parkin mutations but do not have PD. Results No significant differences in neuropsychological test performance were found between parkin carrier and non-carrier probands. Performance also did not differ between EOPD non-carriers and carrier subgroups (i.e. heterozygotes, compound heterozygotes/homozygotes). Similarly, no differences were found among unaffected family members across genotypes. Mean neuropsychological test performance was within normal range in all probands and relatives. Conclusions Carriers of parkin mutations, whether or not they have PD, do not perform differently on neuropsychological measures as compared to non-carriers. The cognitive functioning of parkin carriers over time warrants further study. PMID:21092386

  20. Supervision in neuropsychological assessment: a survey of training, practices, and perspectives of supervisors.

    Science.gov (United States)

    Shultz, Laura A Schwent; Pedersen, Heather A; Roper, Brad L; Rey-Casserly, Celiane

    2014-01-01

    Within the psychology supervision literature, most theoretical models and practices pertain to general clinical or counseling psychology. Supervision specific to clinical neuropsychology has garnered little attention. This survey study explores supervision training, practices, and perspectives of neuropsychology supervisors. Practicing neuropsychologists were invited to participate in an online survey via listservs and email lists. Of 451 respondents, 382 provided supervision to students, interns, and/or fellows in settings such as VA medical centers (37%), university medical centers (35%), and private practice (15%). Most supervisors (84%) reported supervision was discussed in graduate school "minimally" or "not at all." Although 67% completed informal didactics or received continuing education in supervision, only 27% reported receiving training specific to neuropsychology supervision. Notably, only 39% were satisfied with their training in providing supervision and 77% indicated they would likely participate in training in providing supervision, if available at professional conferences. Results indicate that clinical neuropsychology as a specialty has paid scant attention to developing supervision models and explicit training in supervision skills. We recommend that the specialty develop models of supervision for neuropsychological practice, supervision standards and competencies, training methods in provision of supervision, and benchmark measures for supervision competencies.

  1. Test Validity and Performance Validity: Considerations in Providing a Framework for Development of an Ability-Focused Neuropsychological Test Battery

    Science.gov (United States)

    Larrabee, Glenn J.

    2014-01-01

    Literature on test validity and performance validity is reviewed to propose a framework for specification of an ability-focused battery (AFB). Factor analysis supports six domains of ability: first, verbal symbolic; secondly, visuoperceptual and visuospatial judgment and problem solving; thirdly, sensorimotor skills; fourthly, attention/working memory; fifthly, processing speed; finally, learning and memory (which can be divided into verbal and visual subdomains). The AFB should include at least three measures for each of the six domains, selected based on various criteria for validity including sensitivity to presence of disorder, sensitivity to severity of disorder, correlation with important activities of daily living, and containing embedded/derived measures of performance validity. Criterion groups should include moderate and severe traumatic brain injury, and Alzheimer's disease. Validation groups should also include patients with left and right hemisphere stroke, to determine measures sensitive to lateralized cognitive impairment and so that the moderating effects of auditory comprehension impairment and neglect can be analyzed on AFB measures. PMID:25280794

  2. Clinical neuropsychology in South Korea.

    Science.gov (United States)

    Kim, Myung-Sun; Chey, Jeanyung

    2016-11-01

    Clinical neuropsychology in South Korea, albeit its relatively short history, has advanced dramatically. We review a brief history and current status of clinical neuropsychology in South Korea. The history, the educational pathway, the training pathway, the certification process, and careers in clinical neuropsychology in South Korea are reviewed. We have reviewed the neuropsychological services, including assessment and treatment, research on neurological and psychiatric populations, and neuropsychology education and the requirements related to education, training, and board examinations of those providing neuropsychological services in South Korea. We also describe how the Korean Society for Neuropsychology Research, the first and only meeting for neuropsychologists in the country established in 1999, has played a major role in how clinical neuropsychology is practiced and developed as a professional field in South Korea. Clinical neuropsychology in South Korea has achieved major progress over just a quarter of a century, and its future is promising in light of the increasing demand for neuropsychological services and advances in neuroscience in the country. Challenges that the community of clinical neuropsychologists are currently facing in South Korea, including formalizing neuropsychological curriculum and training programs and developing advanced credentialing procedures, are discussed.

  3. Accuracy of a Brief Neuropsychological Battery for the Diagnosis of Dementia and Mild Cognitive Impairment: An Analysis of the NEDICES Cohort.

    Science.gov (United States)

    Serna, Adriana; Contador, Israel; Bermejo-Pareja, Félix; Mitchell, Alex J; Fernández-Calvo, Bernardino; Ramos, Francisco; Villarejo, Alberto; Benito-León, Julián

    2015-01-01

    Early separation of mild cognitive impairment (MCI) from normal aging and mild cases of dementia remains a challenge, especially in the general population. We aimed to analyze the diagnostic accuracy of a brief neuropsychological battery (BNB) in dementia and MCI cases from the Neurological Disorders in Central Spain (NEDICES) population-based cohort study. We screened 3,891 participants into dementia and non-dementia groups using a two-phase procedure: screening (MMSE-37 and Pfeffer-11) and clinical diagnosis by specialists (DSM-IV criteria). We selected subsequently a subsample of dementia (n = 98), MCI (n = 71), and cognitively healthy (n = 123) participants matched in socio-demographic characteristics. The clinical validity of each test of the BNB was determined by the area under the ROC curve. We determined the best combination of tests to classify individuals into the diagnostic groups by logistic regression analyses. The results indicated that dementia and MCI groups could be best discriminated from the healthy control group on the basis of their scores on the semantic verbal fluency and delayed recall subtests of the BNB. As for discriminating the MCI group from the dementia group, immediate recall tasks (stories and pictures) yielded the highest level of accuracy. Probably the most interesting finding is that the verbal fluency task consistently allowed discrimination among the diagnostic groups. Overall, subtests of the BNB are more accurate in differentiating dementia patients than MCI patients from healthy controls. In this population-based sample, a more fine-grained discrimination that includes MCI patients should follow a systematic subtest-wise analysis and decision.

  4. Development of a unidimensional composite measure of neuropsychological functioning in older cardiac surgery patients with good measurement precision.

    Science.gov (United States)

    Jones, Richard N; Rudolph, James L; Inouye, Sharon K; Yang, Frances M; Fong, Tamara G; Milberg, William P; Tommet, Douglas; Metzger, Eran D; Cupples, L Adrienne; Marcantonio, Edward R

    2010-12-01

    The objective of this analysis was to develop a measure of neuropsychological performance for cardiac surgery and to assess its psychometric properties. Older patients (n = 210) underwent a neuropsychological battery using nine assessments. The number of factors was identified with variable reduction methods. Factor analysis methods based on item response theory were used to evaluate the measure. Modified parallel analysis supported a single factor, and the battery formed an internally consistent set (coefficient alpha = .82). The developed measure provided a reliable, continuous measure (reliability > .90) across a broad range of performance (-1.5 SDs to +1.0 SDs) with minimal ceiling and floor effects.

  5. Neuropsychological profile of patients with primary systemic hypertension.

    Science.gov (United States)

    Ostrosky-Solis, F; Mendoza, V U; Ardila, A

    2001-01-01

    Arterial hypertension represents a risk factor for cerebrovascular disease. It has been hypothesized that chronic hypertension may eventually result in small subcortical infarcts associated with some cognitive impairments. One hundred fourteen patients with primary systemic hypertension (PSH) and 114 matched subjects were selected. PSH patients were further divided in four groups depending upon the hypertension severity. In addition to the medical and laboratory exams, a neuropsychological evaluation was administered. The NEUROPSI neuropsychological test battery was used. An association between level of hypertension and cognitive impairment was observed. Most significant differences were observed in the following domains: Reading, executive functioning, constructional, and memory-recall. No differences were observed in orientation, memory-recognition, and language. Some neuropsychological functions appeared impaired even in the PSH group with the least risk factors. Cognitive evaluation may be important in cases of PSH not only to determine early subtle cognitive changes, but also for follow-up purposes, and to assess the efficacy of different therapeutic procedures.

  6. Subjective memory ability and long-term forgetting in patients referred for neuropsychological assessment

    NARCIS (Netherlands)

    Werf, S.P. van der; Geurts, S.; Werd, M.M.E. de

    2016-01-01

    It has been suggested that the memory complaints of patients who are not impaired on formal memory tests may reflect accelerated forgetting. We examined this hypothesis by comparing the 1-week delayed recall and recognition test performance of outpatients who were referred for neuropsychological ass

  7. The modified Location Learning Test: norms for the assessment of spatial memory function in neuropsychological patients.

    NARCIS (Netherlands)

    Kessels, R.P.C.; Nys, G.M.S.; Brands, A.M.; Berg, E. van den; Zandvoort, M.J. Van

    2006-01-01

    This study examines the applicability of the modified Location Learning Test (mLLT) as a test of spatial memory in neuropsychological patients. Three groups of participants were examined: stroke patients, patients with diabetes mellitus and healthy participants (N=411). Three error measures were com

  8. Subjective memory ability and long-term forgetting in patients referred for neuropsychological assessment

    NARCIS (Netherlands)

    Werf, S.P. van der; Geurts, S.; Werd, M.M.E. de

    2016-01-01

    It has been suggested that the memory complaints of patients who are not impaired on formal memory tests may reflect accelerated forgetting. We examined this hypothesis by comparing the 1-week delayed recall and recognition test performance of outpatients who were referred for neuropsychological

  9. Subjective Memory Ability and Long-Term Forgetting in Patients Referred for Neuropsychological Assessment

    NARCIS (Netherlands)

    Werf, S.P. van der; Geurts, S.; Werd, M.M. de

    2016-01-01

    It has been suggested that the memory complaints of patients who are not impaired on formal memory tests may reflect accelerated forgetting. We examined this hypothesis by comparing the 1-week delayed recall and recognition test performance of outpatients who were referred for neuropsychological

  10. Detection and assessment of stroke in patients with sickle cell disease: neuropsychological functioning and magnetic resonance imaging.

    Science.gov (United States)

    Gold, Jeffrey I; Johnson, Caroline B; Treadwell, Marsha J; Hans, Nitu; Vichinsky, Elliott

    2008-06-01

    Sickle cell disease (SCD) is associated with increased risk of stroke and cognitive impairment. This study describes a retrospective review of 65 patients who underwent routine neuropsychological testing and MRI during treatment at a comprehensive sickle cell center. It was hypothesized that (1) children with no evidence of CVA would perform lower than expected on cognitive tasks compared to population-based normative data, (2) children with strokes and children with silent infarcts would perform lower on cognitive tasks and motor skills as compared to patients with no evidence of CVA, and (3) children with evidence of silent infarcts would perform better than children with known overt strokes. This final hypothesis has not been studied previously, as children with known overt stroke and silent infarct were grouped together. Sixty-five children with SCD who were sent for routine neuropsychological testing and brain MRI were identified via retrospective chart review. Patients had been administered neuropsychological tests to assess cognitive, executive and motor function. Brain MRI was obtained from each patient and was analyzed for evidence of cerebrovascular accident (CVA). Based on MRI analysis, 27% of patients with SCD had experienced a stroke and 13% a silent infarct. The majority (59%) of patients diagnosed with stroke or infarct sustained cortical damage to the frontal lobe. Patients with SCD and no evidence of CVA functioned normally on tests of cognitive ability and achievement, but patients with CVA displayed impairments in cognitive function and comparatively lower scores on verbal and performance scales. Neuropsychological testing can identify impairments in patients with SCD with no known cerebrovascular accident. Investigations of neurocognitive functioning will help characterize patterns of deficits and can inform the ability to implement comprehensive care strategies for patients with SCD and cognitive impairment.

  11. The acute neuropsychological effects of heading in soccer: a pilot study.

    Science.gov (United States)

    Putukian, M; Echemendia, R J; Mackin, S

    2000-04-01

    The main objective of this study was to prospectively examine the acute effects of heading in soccer on cognitive function. This was a prospective cross-over study using a brief neuropsychological battery to assess cognitive function. The tests were performed before and after two separate practice sessions, with athletes serving as their own controls. Male and female Division I college athletes. Members of the men's and women's varsity collegiate Penn State University soccer teams. Forty-four males and 56 females entered and finished the study. All athletes had a normal physical examination. Before and after both practice sessions, all athletes had a brief battery of neuropsychological tests and a symptom checklist. Neuropsychological tests symptom checklist compared at baseline with those after the practice sessions. There were no significant differences in pretest scores between groups and no difference on posttest scores between heading and nonheading groups. A significant difference was detected using MANOVA (p = heading as compared with exertional controls. In this study, soccer players heading the ball does not appear to lead to acute changes in cognitive function as assessed by a brief neuropsychological battery. There are practice effects that occur with repetitive neuropsychological testing and gender differences with certain tests.

  12. Neuropsychological Evaluation in the Diagnosis and Treatment of Tourette's Syndrome

    Science.gov (United States)

    Osmon, David C.; Smerz, Jessica M.

    2005-01-01

    The neurobiological basis of Tourettes syndrome is reviewed for the purpose of presenting a clinically relevant account of the neuropsychology of the disorder for the clinician who is behaviorally oriented. The neuropathology and neuropsychological deficits typically found in Tourettes are reviewed, and a neuropsychological test battery is…

  13. Avaliação neuropsicológica da criança Neuropsychological assessment in children

    Directory of Open Access Journals (Sweden)

    Danielle I. Costa

    2004-04-01

    Full Text Available OBJETIVO: O objetivo deste trabalho é descrever a metodologia empregada na avaliação neuropsicológica de crianças e suas contribuições, priorizando aqueles aspectos de interesse dos profissionais da área da saúde, em especial pediatras, psicólogos, psiquiatras, neurologistas. FONTE DOS DADOS: Revisão da literatura sobre o tema proposto nos últimos anos e incluídas referências de livros texto e manuais dos testes imprescindíveis para a compreensão do exame neuropsicológico e aporte da experiência da Unidade de Neuropsicologia do HSL - PUCRS. SÍNTESE DOS DADOS: A avaliação neuropsicológica não se limita a aplicação de testes psicométricos e neuropsicológicos organizados em baterias, mas objetiva, também, avaliar a relação destes achados com a patologia neurológica e/ou comportamental e em estabelecer a possível área cerebral envolvida. Adicionalmente, a interpretação cuidadosa destes resultados deve ser associada à análise da situação atual do sujeito e do contexto onde vive. CONCLUSÃO: O resultado final deve fornecer um perfil neuropsicológico do paciente que, combinado à avaliação dos aspectos neurológicos/clínicos, psicológicos e sociais, permitirá auxiliar no seu diagnóstico e/ou orientar sobre o melhor aproveitamento de suas potencialidades.OBJECTIVE: To describe the methods used for neuropsychological assessment in children, emphasizing aspects of interest to pediatricians, psychologists and neurologists. SOURCES OF DATA: Review of the published literature concerning neuropsychological assessment, including textbooks and reference manuals. The experience of the Neuropsychology Unit at Hospital São Lucas, Brazil, is described. SUMMARY OF THE FINDINGS: Neuropsychological assessment should not be limited to the application of psychometric and neuropsychological tests; it should also correlate test findings with the neurological/behavioral disorder and establish which part of the brain is likely

  14. Test-retest reliability analysis of the Cambridge Neuropsychological Automated Tests for the assessment of dementia in older people living in retirement homes.

    Science.gov (United States)

    Gonçalves, Marta Matos; Pinho, Maria Salomé; Simões, Mário R

    2016-01-01

    The validity of the Cambridge Neuropsychological Automated Tests has been widely studied, but their reliability has not. This study aimed to estimate the test-retest reliability of these tests in a sample of 34 older adults, aged 69 to 90 years old, without neuropsychiatric diagnoses and living in retirement homes in the district of Lisbon, Portugal. The battery was administered twice, with a 4-week interval between sessions. The Paired Associates Learning (PAL), Spatial Working Memory (SWM), Rapid Visual Information Processing, and Reaction Time tests revealed measures with high-to-adequate test-retest correlations (.71-.89), although several PAL and SWM measures showed susceptibility to practice effects. Two estimated standardized regression-based methods were found to be more efficient at correcting for practice effects than a method of fixed correction. We also found weak test-retest correlations (.56-.68) for several measures. These results suggest that some, but not all, measures are suitable for cognitive assessment and monitoring in this population.

  15. Componentes atencionais e de funções executivas em meninos com TDAH: dados de uma bateria neuropsicológica flexível Attentional components and executive functions in children with ADHD: data of a flexible neuropsychological battery

    Directory of Open Access Journals (Sweden)

    Hosana Alves Gonçalves

    2013-01-01

    Full Text Available OBJETIVO: Comparar o desempenho de sete meninos com diagnóstico comprovado de TDAH (G1 e 14 controles saudáveis (G2 em tarefas neuropsicológicas. MÉTODO: G1 e G2 foram pareados por sexo, idade e escolaridade em tarefas atencionais e executivas (Fluência Verbal e Discurso Narrativo da Bateria MAC, Teste de Cancelamento dos Sinos - versão infantil, Geração Aleatória de Números, Go-no Go do NEUPSILIN-Inf e N-Back auditivo. RESULTADOS: Destacaram-se diferenças entre os grupos quanto à atenção concentrada seletiva, à memória de trabalho, ao automonitoramento, à iniciação e à inibição. CONCLUSÃO: Foi possível verificar contribuições incipientes para um raciocínio de relações intercomponentes das FE e atencionais em pacientes com TDAH.OBJECTIVE: To compare the performance of seven boys with a confirmed diagnosis of ADHD (G1 and 14 healthy controls (G2 in neuropsychological tasks. METHOD: G1 and G2 were matched by gender, age and educational level. They were assessed through attentional and executive tasks (verbal fluency and narrative discourse from MAC Battery, Bells Test - children's version, Number Random Generation, Go-no Go and auditory N-Back. RESULTS: There were remarkable differences between groups for sustained focused attention, working memory, self-monitoring, initiation and inhibition. CONCLUSION: Contributions for incipient comprehension of relationships among cognitive components in ADHD patients could be identified.

  16. THE METHODOLOGICAL PROBLEMS OF CORRELATION (OR COMPLIANCE) AND QUALITY METRIC ASSESSMENTS IN NEUROPSYCHOLOGY

    OpenAIRE

    2013-01-01

    This article highlights the strengths and weaknesses of to two research directions neuropsychology of domestic and foreign, as well as identifying possible areas of integration. One of the most acute problems is the development of experimental psychological methods to determine the quantitative and expressed characteristics of the psychic phenomena by flexibly combining qualitative and quantitative approaches, with a view to putting into practice foreign neuroscience principles and standards ...

  17. Language lateralization of a bilingual person with epilepsy using a combination of fMRI and neuropsychological assessment findings.

    Science.gov (United States)

    O'Grady, Christopher; Omisade, Antonina; Sadler, R Mark

    2016-10-01

    This report describes the findings of language functional magnetic resonance imaging (fMRI) in a left-handed Urdu and English speaker with right hemisphere-originating epilepsy and unclear language dominance. fMRI is a reliable method for determining hemispheric language dominance in presurgical planning. However, the effects of bilingualism on language activation depend on many factors including age of acquisition and proficiency in the tested language, and morphological properties of the language itself. This case demonstrates that completing fMRI in both spoken languages and interpreting the results within the context of a neuropsychological assessment are essential in arriving at accurate conclusions about language distribution in bilingual patients.

  18. Mild cognitive impairment: cognitive screening or neuropsychological assessment? Comprometimento cognitivo leve: rastreio cognitivo ou avaliação neuropsicológica?

    Directory of Open Access Journals (Sweden)

    Breno Satler Diniz

    2008-12-01

    Full Text Available OBJECTIVE: To describe the neuropsychological profile of mild cognitive impairment subtypes (amnestic, non-amnestic and multiple-domain of a clinical sample. We further address the diagnostic properties of the Mini-Mental State Examination and the Cambridge Cognitive Examination for the identification of the different mild cognitive impairment subtypes in clinical practice. METHOD: Cross-sectional clinical and neuropsychological evaluation of 249 elderly patients attending a memory clinic at a university hospital in Sao Paulo, Brazil. RESULTS: The performance of patients with mild cognitive impairment was heterogeneous across the different subtests of the neuropsychological battery, with a trend towards an overall worse performance for amnestic (particularly multiple domain mild cognitive impairment as compared to non-amnestic subtypes. Screening tests for dementia (Mini-Mental State Examination and Cambridge Cognitive Examination adequately discriminated cases of mild Alzheimer's disease from controls, but they were not accurate to discriminate patients with mild cognitive impairment (all subtypes from control subjects. CONCLUSIONS: The discrimination of mild cognitive impairment subtypes was possible only with the aid of a comprehensive neuropsychological assessment. It is necessary to develop new strategies for mild cognitive impairment screening in clinical practice.OBJETIVO: Descrever o perfil neuropsicológico dos subtipos de comprometimento cognitivo leve, amnéstico, não-amnéstico e múltiplos domínios, de uma amostra clínica. Além disto, avaliou-se as propriedades diagnósticas do Mini-exame do Estado Mental e do Cambridge Cognitive Examination na identificação dos diferentes subtipos de comprometimento cognitivo leve na prática clínica. MÉTODO: Avaliação clínica e neuropsicológica transversal de 249 idosos em uma clínica de memória de um hospital universitário em São Paulo, Brasil. RESULTADOS: Testes de rastreio para

  19. Cognitive Neuropsychology

    DEFF Research Database (Denmark)

    Starrfelt, Randi

    2012-01-01

    Traditionally, studies in cognitive neuropsychology have reported single cases or small groups of patients with seemingly selective impairments of specific cognitive processes or modules. Many studies, particularly older ones, have used simple and coarse tasks to show that patients are disproport......Traditionally, studies in cognitive neuropsychology have reported single cases or small groups of patients with seemingly selective impairments of specific cognitive processes or modules. Many studies, particularly older ones, have used simple and coarse tasks to show that patients...... for cognitive neuropsychology are opened up. The questions addressed in this symposium is whether the questions posed by cognitive neuropsychology are still relevant, and whether new methods can spark a new interest in the field, or if the time has passed when the observation of single and double dissociations...... in patients’ test performance can inform theories of (normal) cognitive function. In four talks, this symposium will present and discuss methods for investigating impairment patterns in neuropsychological patients: 1) a talk on basic assumptions and statistical methods in single case methodology; 2) a talk...

  20. Age- and education-matched comparison of aging HIV+ men who have sex with men to general population on common neuropsychological assessments.

    Science.gov (United States)

    Kupprat, Sandra Anne; Halkitis, Perry N; Pérez-Figueroa, Rafael; Solomon, Todd M; Ashman, Teresa; Kingdon, Molly J; Levy, Michael David

    2015-09-01

    Little is known about the impact of HIV and aging on cognitive functioning. This New York City cross-sectional study of aging HIV-positive gay and bisexual men assessed their neuropsychological state. Working memory and verbal abstract reasoning were relatively intact. After 55 years of age, attention abilities were impaired. Executive function impairment was present regardless of age and education. Results suggest the need for HIV-specific norms, and the use of neuropsychological assessments (i.e. baseline and over time) as a cost-effective way to assess HIV-related cognitive decline in developed and under-developed countries.

  1. Assessment battery for communication (ABaCo): normative data.

    Science.gov (United States)

    Angeleri, Romina; Bosco, Francesca M; Gabbatore, Ilaria; Bara, Bruno G; Sacco, Katiuscia

    2012-09-01

    The Assessment Battery for Communication (ABaCo) was introduced to evaluate pragmatic abilities in patients with cerebral lesions. The battery is organized into five evaluation scales focusing on separate components of pragmatic competence. In the present study, we present normative data for individuals 15-75 years of age (N = 300). The sample was stratified by age, sex, and years of education, according to Italian National Institute of Statistics indications in order to be representative of the general national population. Since performance on the ABaCo decreases with age and lower years of education, the norms were stratified for both age and education. The ABaCo is a valuable tool in clinical practice; the normative data provided here will enable clinicians to determine different kinds and specific levels of communicative impairments more precisely.

  2. The influence of age, gender and education on the performance of healthy individuals on a battery for assessing limb apraxia

    Directory of Open Access Journals (Sweden)

    Joana Mantovani-Nagaoka

    Full Text Available ABSTRACT Introduction: Apraxia is defined as a disorder of learned skilled movements, in the absence of elementary motor or sensory deficits and general cognitive impairment, such as inattention to commands, object-recognition deficits or poor oral comprehension. Limb apraxia has long been a challenge for clinical assessment and understanding and covers a wide spectrum of disorders, all involving motor cognition and the inability to perform previously learned actions. Demographic variables such as gender, age, and education can influence the performance of individuals on different neuropsychological tests. Objective: The present study aimed to evaluate the performance of healthy subjects on a limb apraxia battery and to determine the influence of gender, age, and education on the praxis skills assessed. Methods: Forty-four subjects underwent a limb apraxia battery, which was composed of numerous subtests for assessing both the semantic aspects of gestural production as well as motor performance itself. The tasks encompassed lexical-semantic aspects related to gestural production and motor activity in response to verbal commands and imitation. Results: We observed no gender effects on any of the subtests. Only the subtest involving visual recognition of transitive gestures showed a correlation between performance and age. However, we observed that education level influenced subject performance for all sub tests involving motor actions, and for most of these, moderate correlations were observed between education level and performance of the praxis tasks. Conclusion: We conclude that the education level of participants can have an important influence on the outcome of limb apraxia tests.

  3. Neuropsychological assessment with the Visual Gestalt Test: psychometric properties and differential diagnostic probabilities.

    Science.gov (United States)

    la Cour, Peter; Andersen, Ruth

    2006-02-01

    The Visual Gestalt Test is a neuropsychological instrument developed for evaluation of learning and memory of visuo-spatial material. A revised strategy of scoring has motivated the present study, where data from 153 normal persons, 99 epilepsy patients, and 24 depressed patients are presented and compared. The Visual Gestalt Test is observed to discriminate between normal and diagnosed groups in several ways. Additionally it is found to discriminate between depressed and brain damage subgroups of patients. Data are presented in order to supplement previously published ways of scoring and norms. Practical guidelines for the clinical applications of the test are suggested as perspectives.

  4. Vision-fair neuropsychological assessment in normal aging, Parkinson's disease and Alzheimer's disease.

    Science.gov (United States)

    Toner, Chelsea K; Reese, Bruce E; Neargarder, Sandy; Riedel, Tatiana M; Gilmore, Grover C; Cronin-Golomb, Alice

    2012-09-01

    We examined performance of healthy older and younger adults and individuals with Alzheimer's disease (AD) and Parkinson's disease (PD) on digit cancellation, a task putatively sensitive to cognitive impairment, but possibly affected by visual impairment, particularly in contrast sensitivity. Critical contrast thresholds were established to create custom stimulus arrays that were proximally matched across individuals. Age- and PD-related differences in search were fully accounted for by the sensory deficit. Increased contrast benefited AD patients, but could not override cognitive impairment. We conclude that visually fair neuropsychological testing can effectively compensate for normal age- and PD-related visual changes that affect cognitive performance.

  5. Assessing electric vehicles battery second life remanufacture and management

    OpenAIRE

    Canals Casals, Lluc; Amante García, Beatriz

    2016-01-01

    Electric cars are entering into the automotive market. However, their prices are still expensive mostly due to the battery cost. Additionally, electric vehicle batteries are considered not useful for traction purposes after they have lost a 20% of its capacity. Having still an 80% of its capacity, these batteries may work on stationary applications with lower requirements than electric mobility. In order to recover part of the battery costs came out the idea of giving batteries a second l...

  6. Neuropsychological Impairment and Its Association with Violence Risk in Japanese Forensic Psychiatric Patients: A Case-Control Study.

    Directory of Open Access Journals (Sweden)

    Hirofumi Nishinaka

    Full Text Available In Japan, the legislation directing treatment of offenders with psychiatric disorders was enacted in 2005. Neuropsychological impairment is highly related to functional outcomes in patients with psychiatric disorders, and several studies have suggested an association between neuropsychological impairment and violent behaviors. However, there have been no studies of neuropsychological impairment in forensic patients covered by the Japanese legislation. This study is designed to examine the neuropsychological characteristics of forensic patients in comparison to healthy controls and to assess the relationship between neuropsychological impairment and violence risk.Seventy-one forensic patients with psychiatric disorders and 54 healthy controls (matched by age, gender, and education were enrolled. The CogState Battery (CSB consisting of eight cognitive domains, the Iowa Gambling Task (IGT to test emotion-based decision making, and psychological measures of violence risk including psychopathy were used.Forensic patients exhibited poorer performances on all CSB subtests and the IGT than controls. For each group, partial correlational analyses indicated that poor IGT performance was related to psychopathy, especially antisocial behavior. In forensic patients, the CSB composite score was associated with risk factors for future violent behavior, including stress and noncompliance with remediation attempts.Forensic patients with psychiatric disorders exhibit a wide range of neuropsychological impairments, and these findings suggest that neuropsychological impairment may increase the risk of violent behavior. Therefore, the treatment of neuropsychological impairment in forensic patients with psychiatric disorders is necessary to improve functional outcomes as well as to prevent violence.

  7. Neuropsychological Impairment and Its Association with Violence Risk in Japanese Forensic Psychiatric Patients: A Case-Control Study

    Science.gov (United States)

    Nishinaka, Hirofumi; Nakane, Jun; Nagata, Takako; Imai, Atsushi; Kuroki, Noriomi; Sakikawa, Noriko; Omori, Mayu; Kuroda, Osamu; Hirabayashi, Naotsugu; Igarashi, Yoshito; Hashimoto, Kenji

    2016-01-01

    Background In Japan, the legislation directing treatment of offenders with psychiatric disorders was enacted in 2005. Neuropsychological impairment is highly related to functional outcomes in patients with psychiatric disorders, and several studies have suggested an association between neuropsychological impairment and violent behaviors. However, there have been no studies of neuropsychological impairment in forensic patients covered by the Japanese legislation. This study is designed to examine the neuropsychological characteristics of forensic patients in comparison to healthy controls and to assess the relationship between neuropsychological impairment and violence risk. Methods Seventy-one forensic patients with psychiatric disorders and 54 healthy controls (matched by age, gender, and education) were enrolled. The CogState Battery (CSB) consisting of eight cognitive domains, the Iowa Gambling Task (IGT) to test emotion-based decision making, and psychological measures of violence risk including psychopathy were used. Results Forensic patients exhibited poorer performances on all CSB subtests and the IGT than controls. For each group, partial correlational analyses indicated that poor IGT performance was related to psychopathy, especially antisocial behavior. In forensic patients, the CSB composite score was associated with risk factors for future violent behavior, including stress and noncompliance with remediation attempts. Conclusion Forensic patients with psychiatric disorders exhibit a wide range of neuropsychological impairments, and these findings suggest that neuropsychological impairment may increase the risk of violent behavior. Therefore, the treatment of neuropsychological impairment in forensic patients with psychiatric disorders is necessary to improve functional outcomes as well as to prevent violence. PMID:26824701

  8. Trends in the neuropsychological assessment of ethnic/racial minorities: a survey of clinical neuropsychologists in the United States and Canada.

    Science.gov (United States)

    Elbulok-Charcape, Milushka M; Rabin, Laura A; Spadaccini, Amanda T; Barr, William B

    2014-07-01

    Despite the importance of diversity variables to the clinical practice of neuropsychology, little is known about neuropsychologists' multicultural assessment practices and perspectives. The current study was the first to survey issues related to neuropsychologists' assessment of minority populations, proficiency in languages other than English, approaches to interpreting the cognitive scores of minorities, and perceived challenges associated with assessing ethnic/racial minority patients. We also surveyed respondents with regard to their own demographic backgrounds, as neuropsychologists who identify as ethnic/racial minorities are reportedly underrepresented in the field. Respondents were 512 (26% usable response rate; 54% female) doctorate-level psychologists affiliated with the International Neuropsychology Society or the National Academy of Neuropsychology who resided in the United States or Canada. Overall, results suggest that lack of appropriate norms, tests, and referral sources are perceived as the greatest challenges associated with assessment of ethnic/racial minorities, that multicultural training is not occurring for some practitioners, and that some are conducting assessments in foreign languages despite limited proficiency. In addition, ethnic/racial minorities appear to be grossly underrepresented in the field of neuropsychology. Findings are discussed in relation to the need for appropriate education and training of neuropsychologists in multicultural issues and the provision of more valid assessments for ethnic/racial minority individuals.

  9. Preliminary adaptation into Portuguese of a standardised picture set for the use in research and neuropsychological assessment

    Directory of Open Access Journals (Sweden)

    POMPÉIA SABINE

    1998-01-01

    Full Text Available Pictorial stimuli and words have been widely used to evaluate mnemonic processes in clinical settings, neuropsychological investigations, as well as in studies on the mechanisms underlying the phenomena of memory. However, there seem to be few studies of standardisation of pictures for research in this field. The present paper aimed at adapting the use of a set of pictures standardised for English speaking subjects for Portuguese speakers. Name agreement of 150 pictures was assessed in 100 high-school students. Ninety pictures were found to present the same name for over 90 subjects. Results yield data that may help create more controlled tests for the study of memory for pictorial stimuli in Brazil.

  10. Mild cognitive impairment: a concept and diagnostic entity in need of input from neuropsychology.

    Science.gov (United States)

    Bondi, Mark W; Smith, Glenn E

    2014-02-01

    This virtual issue consists of studies previously published in the Journal of the International Neuropsychological Society and selected on the basis of their content related to one of the most highly researched concepts in behavioral neurology and neuropsychology over the past decade: mild cognitive impairment (MCI). The reliance on cognitive screening measures, staging-based rating scales, and limited neuropsychological testing in diagnosing MCI across most research studies may miss individuals with subtle cognitive declines or mis-diagnose MCI in those who are otherwise cognitively normal on a broader neuropsychological battery of tests. The assembled articles highlight the perils of relying on these conventional criteria for MCI diagnosis and reveal how the reliability of diagnosis is improved when sound neuropsychological approaches are adopted. When these requirements are met, we illustrate with a second series of articles that neuropsychological measures associate strongly with biomarkers and often reflect pathology beyond or instead of typical AD distributions. The final set of articles reveal that people with MCI demonstrate mild but identifiable functional difficulties, and a challenge for neuropsychology is how to incorporate this information to better define MCI and distinguish it from early dementia. Neuropsychology is uniquely positioned to improve upon the state of the science in MCI research and practice by providing critically important empirical information on the specific cognitive domains affected by the predominant neurodegenerative disorders of late life as well as on the diagnostic decision-making strategies used in studies. When such efforts to more comprehensively assess neuropsychological functions are undertaken, better characterizations of spared and impaired cognitive and functional abilities result and lead to more convincing associations with other biomarkers as well as to prediction of clinical outcomes.

  11. Environmental impact assessment and end-of-life treatment policy analysis for Li-ion batteries and Ni-MH batteries.

    Science.gov (United States)

    Yu, Yajuan; Chen, Bo; Huang, Kai; Wang, Xiang; Wang, Dong

    2014-03-18

    Based on Life Cycle Assessment (LCA) and Eco-indicator 99 method, a LCA model was applied to conduct environmental impact and end-of-life treatment policy analysis for secondary batteries. This model evaluated the cycle, recycle and waste treatment stages of secondary batteries. Nickel-Metal Hydride (Ni-MH) batteries and Lithium ion (Li-ion) batteries were chosen as the typical secondary batteries in this study. Through this research, the following results were found: (1) A basic number of cycles should be defined. A minimum cycle number of 200 would result in an obvious decline of environmental loads for both battery types. Batteries with high energy density and long life expectancy have small environmental loads. Products and technology that help increase energy density and life expectancy should be encouraged. (2) Secondary batteries should be sorted out from municipal garbage. Meanwhile, different types of discarded batteries should be treated separately under policies and regulations. (3) The incineration rate has obvious impact on the Eco-indicator points of Nickel-Metal Hydride (Ni-MH) batteries. The influence of recycle rate on Lithium ion (Li-ion) batteries is more obvious. These findings indicate that recycling is the most promising direction for reducing secondary batteries' environmental loads. The model proposed here can be used to evaluate environmental loads of other secondary batteries and it can be useful for proposing policies and countermeasures to reduce the environmental impact of secondary batteries.

  12. Integrated analysis environment for the Movement Assessment Battery for Children

    Directory of Open Access Journals (Sweden)

    Carlos Norberto Fischer

    2013-12-01

    Full Text Available Developmental Coordination Disorder (DCD, a chronic and usually permanent condition found in children, is characterized by motor impairment that interferes with a child's activities of daily living and with academic achievement. One of the most popular tests for the quantitative diagnosis of DCD is the Movement Assessment Battery for Children (MABC. Based on the Battery's standardized scores, it is possible to identify children with typical development, children at risk of developing DCD, and children with DCD. This article describes a computational system we developed to assist with the analysis of results obtained in the MABC test. The tool was developed for the web environment and its database provides integration of MABC data. Thus, researchers around the world can share data and develop collaborative work in the DCD field. In order to help analysis processes, our system provides services for filtering data to show more specific sets of information and present the results in textual, table, and graphic formats, allowing easier and more comprehensive evaluation of the results.

  13. Sensitivity and specificity of WAIS-III/WMS-III demographically corrected factor scores in neuropsychological assessment.

    Science.gov (United States)

    Taylor, M J; Heaton, R K

    2001-11-01

    This study explored the neurodiagnostic utility of 6 factor scores identified by recent exploratory and confirmatory factor analyses of the WAIS-III and WMS-III: Verbal Comprehension, Perceptual Organization, Processing Speed, Working Memory, Auditory Memory and Visual Memory. Factor scores were corrected for age. education, sex and ethnicity to minimize their influences on diagnostic accuracy. Cut-offs at 1, 1.5 and 2 standard deviations (SDs) below the standardization sample mean were applied to data from the overlapping test normative samples (N = 1073) and 6 clinical samples described in the WAIS-III/WMS-III Technical Manual (N = 126). The analyses suggest that a I SD cut-off yields the most balanced levels of sensitivity and specificity; more strict (1.5 or 2 SD) cut-offs generally result in trading modest gains in specificity for larger losses in sensitivity. Finally, using combinations of WAIS-III/WMS-III factors together as test batteries, we explored the sensitivity and specificity implications of varying diagnostic decision rules (e.g.,1 vs. 2 impaired factors = "impairment"). For most of the disorders considered here, even a small (e.g., 3 factor) WAIS-III/WMS-III battery provides quite good overall diagnostic accuracy.

  14. Neuropsychological and MMPI correlates of patients' future employment characteristics.

    Science.gov (United States)

    Newnan, O S; Heaton, R K; Lehman, R A

    1978-04-01

    Previous research has suggested that patients' neuropsychological test scores correlate not only with neurologic status but also with their success in coping with some of the demands of daily living. This study investigated the utility of such laboratory test scores in predicting several vocational variables. Patients who had recieved neuropsychological evaluations were recontacted and questioned about their employment over the previous 6 mo. Of the 78 individuals who participated, 25 had been chronically unemployed. The remaining 53 were asked about job stability, hours worked, and wages earned, and were administered the Minnsota Job Requirements Questionnaire. Patients' scores on the Halstead-Reitan Battery, the WAIS and the MMPI were highly correlated with employment status (employed or chronically unemployed), income, and skills required on the jobs held. The results suggest that these tests may have clinical utility in assessing patients' employability, as well as the types of jobs for which they are suited.

  15. Neuropsychological performance of sexual assaulters and pedophiles.

    Science.gov (United States)

    Scott, M L; Cole, J K; McKay, S E; Golden, C J; Liggett, K R

    1984-10-01

    Persons who had been arrested for sexual assault were administered the Luria-Nebraska Neuropsychological Battery and the results compared to a group of normal controls. The sexual assaulters performed significantly worse on 7 of the 14 scales of the battery. The data were then broken down into three groups: (1) those who had forcibly assaulted postpubescent victims, (2) those subjects who had sexually molested a prepubescent child, and (3) normal controls. A discriminant analysis correctly classified 68% of the subjects on the basis of their neuropsychological performance alone.

  16. Environmental Impact Assessment and End-of-Life Treatment Policy Analysis for Li-Ion Batteries and Ni-MH Batteries

    Directory of Open Access Journals (Sweden)

    Yajuan Yu

    2014-03-01

    Full Text Available Based on Life Cycle Assessment (LCA and Eco-indicator 99 method, a LCA model was applied to conduct environmental impact and end-of-life treatment policy analysis for secondary batteries. This model evaluated the cycle, recycle and waste treatment stages of secondary batteries. Nickel-Metal Hydride (Ni-MH batteries and Lithium ion (Li-ion batteries were chosen as the typical secondary batteries in this study. Through this research, the following results were found: (1 A basic number of cycles should be defined. A minimum cycle number of 200 would result in an obvious decline of environmental loads for both battery types. Batteries with high energy density and long life expectancy have small environmental loads. Products and technology that help increase energy density and life expectancy should be encouraged. (2 Secondary batteries should be sorted out from municipal garbage. Meanwhile, different types of discarded batteries should be treated separately under policies and regulations. (3 The incineration rate has obvious impact on the Eco-indicator points of Nickel-Metal Hydride (Ni-MH batteries. The influence of recycle rate on Lithium ion (Li-ion batteries is more obvious. These findings indicate that recycling is the most promising direction for reducing secondary batteries’ environmental loads. The model proposed here can be used to evaluate environmental loads of other secondary batteries and it can be useful for proposing policies and countermeasures to reduce the environmental impact of secondary batteries.

  17. Environmental Impact Assessment and End-of-Life Treatment Policy Analysis for Li-Ion Batteries and Ni-MH Batteries

    Science.gov (United States)

    Yu, Yajuan; Chen, Bo; Huang, Kai; Wang, Xiang; Wang, Dong

    2014-01-01

    Based on Life Cycle Assessment (LCA) and Eco-indicator 99 method, a LCA model was applied to conduct environmental impact and end-of-life treatment policy analysis for secondary batteries. This model evaluated the cycle, recycle and waste treatment stages of secondary batteries. Nickel-Metal Hydride (Ni-MH) batteries and Lithium ion (Li-ion) batteries were chosen as the typical secondary batteries in this study. Through this research, the following results were found: (1) A basic number of cycles should be defined. A minimum cycle number of 200 would result in an obvious decline of environmental loads for both battery types. Batteries with high energy density and long life expectancy have small environmental loads. Products and technology that help increase energy density and life expectancy should be encouraged. (2) Secondary batteries should be sorted out from municipal garbage. Meanwhile, different types of discarded batteries should be treated separately under policies and regulations. (3) The incineration rate has obvious impact on the Eco-indicator points of Nickel-Metal Hydride (Ni-MH) batteries. The influence of recycle rate on Lithium ion (Li-ion) batteries is more obvious. These findings indicate that recycling is the most promising direction for reducing secondary batteries’ environmental loads. The model proposed here can be used to evaluate environmental loads of other secondary batteries and it can be useful for proposing policies and countermeasures to reduce the environmental impact of secondary batteries. PMID:24646862

  18. Neuropsychological impairment among former microelectronics workers.

    Science.gov (United States)

    Bowler, R M; Mergler, D; Huel, G; Harrison, R; Cone, J

    1991-01-01

    Although chemicals posing potential neurotoxic hazards are commonly used in the microelectronics industry, there has been no systematic study of possible chronic nervous system effects in microelectronics workers. The objective of the present study was to assess neuropsychological functions of a group of former microelectronics plant assembly workers and a group of referents, using a matched pair design. During employment, the former microelectronics workers had been exposed to multiple organic solvents, including trichloroethylene, xylene, chlorofluorocarbons and trichloroethane. Referents were recruited from the same geographic region. From a pool of 180 former workers and 157 referents, 67 pairs were matched on the basis of age, sex, ethnicity, educational level, sex and number of children. Comparison of results on the subtests of the California Neuropsychological Screening Battery-Revised (CNS-R) revealed significantly lower performance by the former microelectronics workers on tests of attention/concentration, verbal ability, memory functions, visuospatial functions, visuomotor speed, cognitive flexibility, psychomotor speed, and reaction time (t-test for pairs or Wilcoxon Signed Rank p less than 0.05). No significant differences were observed for performance on tests assessing mental status, visual recall, tactile function and learning. This overall pattern of impairment is consistent with organic solvent-related chronic toxic encephalopathy, and possible early stages of dementia. These findings underline the need for more studies among workers currently or previously employed in microelectronics industries.

  19. Comparison of neuropsychological performance between students from public and private Brazilian schools.

    Science.gov (United States)

    Casarin, Fabíola Schwengber; Wong, Cristina Elizabeth Izábal; Parente, Maria Alice de Mattos Pimenta; de Salles, Jerusa Fumagalli; Fonseca, Rochele Paz

    2012-11-01

    Neuropsychological assessment reveals that certain cognitive changes that take place during the neural development process may be associated with biopsychosocial issues. A substantial body of research has focused on cognitive development in children and adults, but few such studies have been carried out on adolescents. Therefore, research into the processing of neuropsychological functions in adolescents, taking into account the role of major socio-cultural factors such as school type (public vs. private), is highly relevant. The present study sought to assess whether differences in neuropsychological development exist between adolescent students of public (government-funded) and private schools. A total of 373 grade-matched students between the ages of 12 and 18, 190 from public schools and 183 from private schools, took part in the study. All subjects had no self-reported neurologic or psychiatric conditions and sensory disorders. The NEUPSILIN Brazilian Brief Neuropsychological Assessment Battery was administered to this sample. Comparison of mean scores (one-way ANCOVA with socioeconomic score and age as covariates) showed that adolescents attending private schools generally outperformed their public-school peers in tasks involving sustained attention, memory (working and visual), dictated writing, and constructional and reflective abilities. We conclude that school type should be taken into account during standardization of neuropsychological assessment instruments for adolescent and, probably, child populations.

  20. A Critical Assessment of the Resource Depletion Potential of Current and Future Lithium-Ion Batteries

    Directory of Open Access Journals (Sweden)

    Jens F. Peters

    2016-12-01

    Full Text Available Resource depletion aspects are repeatedly used as an argument for a shift towards new battery technologies. However, whether serious shortages due to the increased demand for traction and stationary batteries can actually be expected is subject to an ongoing discussion. In order to identify the principal drivers of resource depletion for battery production, we assess different lithium-ion battery types and a new lithium-free battery technology (sodium-ion under this aspect, applying different assessment methodologies. The findings show that very different results are obtained with existing impact assessment methodologies, which hinders clear interpretation. While cobalt, nickel and copper can generally be considered as critical metals, the magnitude of their depletion impacts in comparison with that of other battery materials like lithium, aluminum or manganese differs substantially. A high importance is also found for indirect resource depletion effects caused by the co-extraction of metals from mixed ores. Remarkably, the resource depletion potential per kg of produced battery is driven only partially by the electrode materials and thus depends comparably little on the battery chemistry itself. One of the key drivers for resource depletion seems to be the metals (and co-products in electronic parts required for the battery management system, a component rather independent from the actual battery chemistry. However, when assessing the batteries on a capacity basis (per kWh storage capacity, a high-energy density also turns out to be relevant, since it reduces the mass of battery required for providing one kWh, and thus the associated resource depletion impacts.

  1. Sensitivity and specificity of neuropsychological tests for dementia ...

    African Journals Online (AJOL)

    specificity of a battery of neuropsychological tests in a sample of .... psychological scores and 95% confidence intervals .... psychological tests in elderly participants ..... verbal fluency tasks in the detection of dementia of the Alzheimer type.

  2. Longitudinal Neuropsychological Changes in a "Normal" Elderly Group.

    Science.gov (United States)

    MacInnes, William D.; And Others

    Given the methodological problems with generating and using normative data with the elderly, the need for age-related norms on neuropsychological tests is clearly important. A study was conducted to examine a normal elderly group's performance on the Luria-Nebraska Neuropsychological Battery (LNNB) over time. Subjects were 57 elderly volunteers…

  3. Neuropsychological relationships in paranoid schizophrenia with and without delusional misidentification syndromes. A comparative study.

    Science.gov (United States)

    Lykouras, L; Typaldou, M; Mourtzouchou, P; Oulis, P; Koutsaftis, C; Dokianaki, F; Michalopoulou, P G; Havaki-Kontaxaki, M; Christodoulou, C

    2008-08-01

    Delusional misidentification syndromes (DMSs) and schizophrenia are strongly associated, since the former occur predominantly in the context of paranoid schizophrenia. However, the possible underlying neuropsychological relationships between DMSs and paranoid schizophrenia have not been thoroughly investigated. The aim of the present study was to investigate whether DMSs in paranoid schizophrenia are associated with a distinct neuropsychological substrate indicative of differential bilateral frontal and right hemisphere dysfunction. We compared two matched groups of paranoid schizophrenic patients with (N=22) and without (N=22) DMS(s) on a battery of neuropsychological tests assessing mainly frontal and right hemisphere functions. No statistically significant differences were detected between the two groups. Our findings are indicative of a bilateral frontal and right hemisphere dysfunction of equal severity in both DMS and non-DMS patients with paranoid schizophrenia.

  4. Neuropsychological presentation and adaptive skills in high-functioning adolescents with visual impairment: A preliminary investigation.

    Science.gov (United States)

    Greenaway, R; Pring, L; Schepers, A; Isaacs, D P; Dale, N J

    2017-01-01

    Studies in infants and young children with congenital visual impairment (VI) have indicated early developmental vulnerabilities, conversely research with older children and adults have highlighted areas of cognitive strength. A minimal amount is known, however, about the possible combination of strengths and weaknesses in adolescence, and this present study therefore aims to explore the neuropsychological presentation and adaptive behavior profile in high-functioning adolescents with congenital VI. Participants completed a battery of commonly used neuropsychological measures assessing memory, executive function, and attention. The measures utilized focused on auditory neuropsychological function, because only subtests that could be completed with auditory administration were suitable for this sample. Parents completed standardized measures of adaptive behavior, executive function, and social communication. Compared to aged-based norms for normal sight, adolescents with VI demonstrated strengths in aspects of working memory and verbal memory. Furthermore, performance across the neuropsychological battery was within or above the average range for the majority of the sample. In contrast, parent-report measures indicated areas of weakness in adaptive functioning, social communication, and behavioral executive functioning. Overall, this study provides preliminary evidence that relative to fully sighted peers, high-functioning adolescents with VI present with an uneven profile of cognitive and adaptive skills, which has important implications for assessment and intervention.

  5. 神经心理学评估在阿尔茨海默病诊疗中的应用%Application of Neuropsychological Assessment in Alzheimer Disease

    Institute of Scientific and Technical Information of China (English)

    李丹丹; 姜红燕

    2013-01-01

    Alzheimer disease(AD ) is currently the most common senile dementia, which is a kind of a group of neurodegenerative disorders with clinical manifestations of cognitive impairment.In recent years, neuropsychological assessment for AD diagnosis has become the research focus.A comprehensive neuropsychological assessment scales not only can help us to conduct AD screening, but also is helpful in early and differential diagnosis of AD,therefore early intervention could be applied if needed.However, by now there have been a lot of controversies for neuropsychological assessment scales.Here is to make a review of the application of several currently commonly used neuropsychological assessments in AD diagnosis and assessment.%阿尔茨海默病(AD)是目前最常见的老年性疾病,是以认知功能缺损为主要临床表现的一组神经退行性疾病.神经心理学评估用于AD诊断是近年来的研究热点,全面的神经心理学评估量表不仅有利于筛查AD,同时还有助于实现对AD的早期诊断和鉴别诊断,并进行早期干预.但是关于神经心理学评估量表至今还存在很多争议.该文就常用的神经心理学评估量表在AD诊疗中的应用予以综述.

  6. Cross-cultural assessment of HIV-associated cognitive impairment using the Kaufman assessment battery for children: a systematic review.

    Science.gov (United States)

    van Wyhe, Kaylee S; van de Water, Tanya; Boivin, Michael J; Cotton, Mark F; Thomas, Kevin Gf

    2017-06-14

    Despite improved efficacy of, and access to, combination antiretroviral therapy (cART), HIV-associated cognitive impairments remain prevalent in both children and adults. Neuropsychological tests that detect such impairment can help clinicians formulate effective treatment plans. The Kaufman Assessment Battery for Children (KABC), although developed and standardized in the United States, is used frequently in many different countries and cultural contexts to assess paediatric performance across various cognitive domains. This systematic review investigated the cross-cultural utility of the original KABC, and its 2nd edition (KABC-II), in detecting HIV-associated cognitive impairment in children and adolescents. We entered relevant keywords and MeSH terms into the PubMed, PsycInfo, EBSCOHost, ProQuest, and Scopus databases, with search limits set from 1983-2017. Two independent reviewers evaluated the retrieved abstracts and manuscripts. Studies eligible for inclusion in the review were those that (a) used the KABC/KABC-II to assess cognitive function in children/adolescents aged 2-18 years, (b) featured a definition of cognitive impairment (e.g. >2 SD below the mean) or compared the performance of HIV-infected and uninfected control groups, and (c) used a sample excluded from population on which the instruments were normed. We identified nine studies (eight conducted in African countries, and one in the United Kingdom) to comprise the review's sample. All studies detected cognitive impairment in HIV-infected children, including those who were cART-naïve or who were cART treated and clinically stable. KABC/KABC-II subtests assessing simultaneous processing appeared most sensitive. Evaluation of the methodological quality of the selected studies by two independent reviews suggested that shortcomings included reporting and selection biases. This systematic review provides evidence for the cross-cultural utility of the KABC/KABC-II, particularly the simultaneous

  7. 中文版成套神经心理测验的信度和效度研究%Reliability and validity of the Chinese version of neuropsychological test battery

    Institute of Scientific and Technical Information of China (English)

    刘园园; 王涛; 李霞; 李冠军; 苏宁; 肖世富

    2011-01-01

    Objective To assess the reliability and validity of the Chinese version of neuropsychological test battery ( NTB).Methods MMSE, ADAS-cog and NTB were administered to 118 subjects. Among of them, 30 were retested after 4 weeks. The internal consistency reliability and test -retest reliability were evaluated. The criterion related validity was evaluated via the correlation between NTB z scores and MMSE , ADAS-cog. Results The Cronbach α coefficients of NTB was 0. 824. The test-retest coefficients ranged from 0. 504 to 0. 856 (P < 0. 001 ) . The Pearson's correlation coeficient among the NTB suhtests and NTB z score ranged from 0. 693 to 0. 872 . and 0. 297 to 0. 848 of the subtests. Principal axis factoring analysis of NTB yielded two factors which contributed to 71. 198% of the cumulative variance. Significant correlations were found hetween NTB z score and MMSE , ADAS-cog. The Pearson's correlation coeficient were 0. 874 and - 0. 799. Conclusions The NTB demonstrates good psychometric. properties and meets with psychometric. demand.%目的 评估中文版成套神经心理测验(NTB)的信度和效度.方法 为横断面研究,对118 例被试者进行简易智力状况检查(MMSE)、阿尔茨海默病评定量表认知分量表(ADAS-cog)与NTB 测验,其中30 例在4 周后进行NTB 重测.从同质信度、重测信度和分测验内部一致性进行信度检验;从结构效度和效标关联效度进行效度检验,结构效度包括因素分析和因素结构,效标关联效度包括基线MMSE、ADAS-cog 与NTB z 分的相关性.结果 NTB 测验的Cronbach α系数为0.824.除分类流.性测验的重测相关系数为0.504 外,其余各分测验的重测相关系数为0.590 ~0.856.NTB 各分测验z 分与合成z分的相关系数为0.693 ~0.872;各分测验之间的相关系数为0.297 ~0.848.主成分分析显示2 个特征根≥1 的因子可解释方差的71.198%.NTB z 分与MMSE、ADAS-cog 总分之间的相关系数分别为0.874、-0.799.

  8. Neuropsychological Profiles Correlated with Clinical and Behavioral Impairments in a Sample of Brazilian Children with Attention-Deficit Hyperactivity Disorder.

    Science.gov (United States)

    Rizzutti, Sueli; Schuch, Viviane; Augusto, Bruno Muszkat; Coimbra, Caio Colturato; Pereira, João Pedro Cabrera; Bueno, Orlando Francisco Amodeo

    2015-01-01

    Attention-deficit hyperactivity disorder (ADHD) is a complex neurodevelopmental disorder that implies several-step process, and there is no single test to diagnose both ADHD and associated comorbidities, such as oppositional-defiant disorder (ODD), anxiety disorder, depression, and certain types of learning disabilities. The purpose of the present study was to examine correlations between behavioral and clinical symptoms by administering an extensive neuropsychological battery to a sample of children and adolescents from a developing country. The sample was divided into three groups: non-ADHD, ADHD-non-comorbid, and ADHD + comorbidity. A full neuropsychological battery and clinical assessment found that 105 children met DSM-5 criteria, of whom 46.6% had the predominantly inattentive presentation, 37.3% had combined presentation, and 16% were predominantly hyperactive/impulsive presentation. The internal correlation between neuropsychological tests did not reach statistical significance in the comparison between ADHD and non-ADHD cases (p disorder showed close correlations between clinical CBCL profiles and externalized symptoms. Our findings suggest that ADHD + comorbidity and ADHD non-comorbid cases may be differentiated by a number of neuropsychological measures, such as processing speed, inhibitory control, and working memory, that may reflect different levels of involvement of the hot and cool executive domains, which are more impaired in cases of severe symptomatic-externalized behavior and emotional regulation problems. Therefore, profiles based on clinical and behavioral findings can help clinicians select better strategies for detecting neuropsychological impairment in Brazilian children with ADHD.

  9. Neuropsychology in Japan: history, current challenges, and future prospects.

    Science.gov (United States)

    Sakamoto, Maiko

    2016-11-01

    The purpose of this special issue was to describe the cross-cultural differences in neuropsychology throughout the world. The current state of neuropsychology in Japan is discussed in this manuscript. Information on six topics, including (1) the history of Japanese neuropsychology, (2) licensure system, (3) job opportunities, (4) neuropsychological clinical services, (5) neuropsychological tests, and (6) neuropsychological research, was gathered via literature searches, official organization websites, and personal communication with clinical psychologists and other professionals in Japan. Neuropsychology reached Japan from the west in the late 1800s, a period of rapid political and social modernization. Professional associations were founded in the 1960s and 1970s and continued to grow. The need for neuropsychological assessment in Japan is growing; however, credential requirements for neuropsychologists have not yet been established. To practice clinical psychology in Japan, one must obtain a Master's degree and pass a licensure examination that is administered by a private professional foundation. Clinical psychologists often conduct neuropsychological tests; however, they have little training in neuropsychological assessment. While many western neuropsychological tests have been translated into Japanese and are used in clinical settings, the majority of translated tests have not been standardized and their psychometric properties remain poorly understood. Standardization and development of normative data in Japan is warranted. Given that needs for neuropsychological services are increasing, it is essential for clinical psychologists in Japan to improve their skills in neuropsychological evaluations. Japanese graduate schools must work to establish neuropsychology programs to educate and train clinical neuropsychologists.

  10. Neuropsychological functioning and recovery after mild head injury in collegiate athletes.

    Science.gov (United States)

    Macciocchi, S N; Barth, J T; Alves, W; Rimel, R W; Jane, J A

    1996-09-01

    This study prospectively examined neuropsychological functioning in 2300 collegiate football players from 10 National Collegiate Athletic Association Division A universities. The study was designed to determine the presence and duration of neuropsychological symptoms after mild head injury. A nonequivalent repeated measures control group design was used to compare the neuropsychological test scores and symptoms of injured players (n = 183) with those of gender, age, and education matched controls. A number of neuropsychological tests, including the Paced Auditory Serial Addition Test, the Digit Symbol Test, and the Trail Making Test, as well as a symptom checklist were used. Players and controls were assessed before engaging in game activity and 24 hours, 5 days, and 10 days after injury, using the standardized test battery and symptom checklist. Players with head injuries displayed impaired performance and increased symptoms in comparison to controls, but this impairment resolved within 5 days in most players. Players with head injuries showed significant improvement between 24 hours and 5 days, as well as between 5 and 10 days. Although single, uncomplicated mild head injuries do cause limited neuropsychological impairment, injured players generally experience rapid resolution of symptoms with minimal prolonged sequelae.

  11. Life cycle assessment of five batteries for electric vehicles under different charging regimes

    Energy Technology Data Exchange (ETDEWEB)

    Rantik, M. [Chalmers Univ. of Technology, Goeteborg (Sweden). Dept. of Transportation and Logistics

    1999-12-01

    Life Cycle Assessment (LCA) methodology is used in this study to assess the environmental impact of five candidate batteries for electric vehicles under different conditions of charging. The entire lifetime of a passenger electric vehicle is considered as the basis for all batteries. Five different battery systems are considered. The four of them are electrically recharged - Lead-Acid, Nickel-Cadmium, Nickel-Metal hydride and Sodium-Nickel chloride whereas one system comprises batteries that are recharged mechanically (Zinc-Air). One specific battery from these five systems is selected. The results are representative of these particular batteries and not of the battery systems to which they belong. The study includes three scenarios, the basic scenario and two fast charging scenarios. The difference between the scenarios is in the phase of the battery's use and involves the charging regimes. Consequently, the other stages of the battery's life are identical in all three scenarios. The basic scenario implies normal overnight charging is used during the entire lifetime of an electric vehicle. In the first fast charging scenario, fast charging is combined with normal charging. The second fast charging scenario involves the exclusive use of fast charging. In both fast charging scenarios the user's behaviour is considered. In this study, it is believed that it is the violation of fast charging rules, set by the battery manufacturer rather than the fast charging technique, that will be critical for the cycle life of the battery. Due to low energy efficiency of the batteries and losses in the charging procedure, the use of energy for operating the electric vehicle seems to be a major contributor to the total environmental impact of the system. Significant resource constraints may prevent mass production of certain batteries or lead to increased prices of others. Use of fast charging increases the number of batteries used during the lifetime of the electric

  12. Neuropsychological impairment in auto-immune disease.

    Science.gov (United States)

    Ferstl, R; Niemann, T; Biehl, G; Hinrichsen, H; Kirch, W

    1992-10-01

    Estimations of the prevalence of central nervous system involvement in patients with systemic lupus erythematosus (SLE) vary from 25 to 75%. In order to assess possible deficits in memory, attention, and/or reaction time, a battery of neuropsychological tests was administered to 15 patients with SLE and to two matched groups of control subjects; eight patients on corticosteroids and 15 healthy controls. The test battery included the Multiple Choice Word Fluency Test (MWT-B), Benton Visual Memory Scale, Syndrome Short Test (SKT; attention and memory), Attention and Concentration Test (d2), Wechsler Adult Intelligence Scale (WAIS) subtests for Comprehension, Digit Span, Block Design, a Computer Controlled Reaction Time task (CCRT), and a Learning and Memory Test (LGT-3). Results revealed a statistically significant short-term memory deficit (for all six relevant subtests used) and a marked delayed simple reaction time in SLE patients as compared with scores in healthy subjects. An attention deficit as well as the expected difference between the estimated premorbid and actual level of intelligence could not be demonstrated. With three exceptions (SKT-9 figural recognition, Benton Visual Memory, and LGT-3 figural recognition), patients treated with corticosteroids did not differ from healthy controls. They also did not differ from SLE patients in any of the parameters tested. It therefore appears that the demonstrated deficit in short-term memory and reaction time in SLE patients may not only be due to the neuropsychiatric manifestation of SLE but possibly also result from medication side-effects.

  13. Vygotsky in applied neuropsychology

    Directory of Open Access Journals (Sweden)

    Glozman J. M.

    2016-12-01

    Full Text Available The aims of this paper are: 1 to show the role of clinical experience for the theoretical contributions of L.S. Vygotsky, and 2 to analyze the development of these theories in contemporary applied neuropsychology. An analysis of disturbances of mental functioning is impossible without a systemic approach to the evidence observed. Therefore, medical psychology is fundamental for forming a systemic approach to psychology. The assessment of neurological patients at the neurological hospital of Moscow University permitted L.S. Vygotsky to create, in collaboration with A.R. Luria, the theory of systemic dynamic localization of higher mental functions and their relationship to cultural conditions. In his studies of patients with Parkinson’s disease, Vygotsky also set out 3 steps of systemic development: interpsychological, then extrapsychological, then intrapsychological. L.S. Vygotsky and A.R. Luria in the late 1920s created a program to compensate for the motor subcortical disturbances in Parkinson’s disease (PD through a cortical (visual mediation of movements. We propose to distinguish the objective mediating factors — like teaching techniques and modalities — from subjective mediating factors, like the individual’s internal representation of his/her own disease. The cultural-historical approach in contemporary neuropsychology forces neuropsychologists to re-analyze and re-interpret the classic neuropsychological syndromes; to develop new assessment procedures more in accordance with the patient’s conditions of life; and to reconsider the concept of the social brain as a social and cultural determinant and regulator of brain functioning. L.S. Vygotsky and A.R. Luria proved that a defect interferes with a child’s appropriation of his/her culture, but cultural means can help the child overcome the defect. In this way, the cultural-historical approach became, and still is, a methodological basis for remedial education.

  14. Cyber-Neuropsychology: application of new technologies in neuropsychological evaluation.

    Science.gov (United States)

    Bernardo-Ramos, Mercedes; Franco-Martín, Manuel A; Soto-Pérez, Felipe

    2012-01-01

    Neuropsychological evaluation deals with the study of cerebral functioning through the persons' performance. It makes it possible to collaborate the clinical diagnosis and to provide information on deficit and skills. Specialized care in rural environments is uncommon, and often means impossibility to access some services. This study has aimed to evaluate the possibility of using neuropsychological evaluation by internet videoconferences. Our research was based on the traditional and online application of the SCIP-S to 30 subjects who were diagnosed with schizophrenia. The 30 subjects were randomly divided into two groups (Group A and B). Both groups underwent the two conditions inversely. The results show some differences and similarities when the results in both types of applications SCIP-S are compared. In conclusion, cyber-neuropsychology is possible and may be a complement and alternative to traditional assessment when they cannot develop.

  15. Music Therapy Using Singing Training Improves Psychomotor Speed in Patients with Alzheimer's Disease: A Neuropsychological and fMRI Study

    OpenAIRE

    Masayuki Satoh; Toru Yuba; Ken-ichi Tabei; Yukari Okubo; Hirotaka Kida; Hajime Sakuma; Hidekazu Tomimoto

    2015-01-01

    Background/Aims: To investigate the effect of singing training on the cognitive function in Alzheimer's disease (AD) patients. Methods: Ten AD patients (mean age 78.1 years) participated in music therapy using singing training once a week for 6 months (music therapy group). Each session was performed with professional musicians using karaoke and a unique voice training method (the YUBA Method). Before and after the intervention period, each patient was assessed by neuropsychological batteries...

  16. The Testing Phase for the Small Unit Decision Making (SUDM) Assessment Battery

    Science.gov (United States)

    2014-07-28

    is a broad and unwieldy concept that cannot be defined as a discrete cognitive activity. While the work of Klein (1989) describes the Recognition...and (10) emotion (devise and select courses of action under stress). What the Battery Can Provide to the Marine Corps The battery assesses...2014, March). The Basic School. Marine Corps Gazette, 98(3), 8-20. Quantico, VA: Marine Corps Association and Foundation. Klein , G.A. (1989

  17. Malpractice in Counseling Neuropsychology.

    Science.gov (United States)

    Woody, Robert Henley

    1992-01-01

    Responds to earlier four articles on integration of counseling psychology and neuropsychology by noting that neuropsychology occurs in settings with high risk of legal complaints. Contends that aspiration to press counseling psychology toward clinical neuropsychology should be filtered through consideration for legal risk. Explores legal…

  18. Contributions to Clinical Neuropsychology.

    Science.gov (United States)

    Benton, Arthur L., Ed.

    Seven aspects of neuropsychology are discussed including modern trends in neuropsychology by Klaus Poeck, the behavioral effect s of commissural section by George Ettlinger and Colin B. Blakemore, neuropsychological studies of phantom limbs by Sidney Weinstein, and problems in the anatomical understanding of aphasias by Norman Geschwind. Also…

  19. Malpractice in Counseling Neuropsychology.

    Science.gov (United States)

    Woody, Robert Henley

    1992-01-01

    Responds to earlier four articles on integration of counseling psychology and neuropsychology by noting that neuropsychology occurs in settings with high risk of legal complaints. Contends that aspiration to press counseling psychology toward clinical neuropsychology should be filtered through consideration for legal risk. Explores legal…

  20. Neuropsychological assessment in HTLV-1 infection: a comparative study among TSP/HAM, asymptomatic carriers, and healthy controls.

    Science.gov (United States)

    Silva, M T T; Mattos, P; Alfano, A; Araújo, A Q-C

    2003-08-01

    Human T cell lymphotropic virus type 1 (HTLV-I) can cause tropical spastic paraparesis/HTLV-1 associated myelopathy (TSP/HAM) and adult T cell leukaemia/lymphoma. More recently other diseases such as isolated peripheral polyneuropathy, myopathy, artropathy, and uveitis have been associated with this retrovirus. Only a few uncontrolled studies, without necessary exclusion criteria, have described mild cognitive deficits among TSP/HAM patients. To further clarify this the authors evaluated, through neuropsychological testing patients with TSP/HAM and asymptomatic infected carriers, comparing both groups with healthy controls. To verify the presence of cognitive deficits among TSP/HAM patients and asymptomatic HTLV-1 infected carriers. In addition, the authors aimed to investigate if these deficits correlated with the degree of motor impairment in TSP/HAM patients. From a cohort of 501 HTLV-1 infected people the authors selected, according to predefined inclusion and exclusion criteria, 40 asymptomatic HTLV-1 carriers and 37 TSP/HAM patients. Neuropsychological testing was blindly performed in both groups and their scores were compared with those obtained from controls. Both the HTLV-1 carrier group and the group of patients with TSP/HAM exhibited a lower performance in neuropsychological tests when compared with controls. Asymptomatic infected carriers and TSP/HAM patients did not differ in their cognitive results. Also, there was no relation between the degree of motor disability and cognitive deficits in the TSP/HAM group. Psychomotor slowing and deficits in the some domains characterised the neuropsychological impairment in HTLV-1 infection: verbal and visual memory, attention and visuomotor abilities. TSP/HAM as well as asymptomatic infection can be associated with mild cognitive deficits. This finding, if confirmed by further studies, will permit the inclusion of cognitive impairment among the neurological manifestations of HTLV-1.

  1. A Mobility Performance Assessment on Plug-in EV Battery

    Directory of Open Access Journals (Sweden)

    Jay Lee

    2012-12-01

    Full Text Available This paper deals with mobility prediction of LiFeMnPO_4 batteries for an emission-free Electric Vehicle. The data-driven model has been developed based on empirical data from two different road types –highway and local streets –and two different driving modes – aggressive and moderate. Battery State of Charge (SoC can be predicted on any new roads based on the trained model by selecting the drving mode. In this paper, the performance of Adaptive Recurrent Neural Network (ARNN and regression is evaluated using two benchmark data sets. The ARNN model at first estimates the speed profile of the new road based on slope and then both slope and speed is going to be used as the input to estimate battery current and SoC. Through comparison it is found that if ARNN system is appropriately trained, it performs with better accuracy than Regression in both two road types and driving modes. The results show that prediction SoC model follows the Columb-counting SoC according to the road slope.

  2. Diagnosing PD-MCI by MDS Task Force criteria: how many and which neuropsychological tests?

    Science.gov (United States)

    Goldman, Jennifer G; Holden, Samantha; Ouyang, Bichun; Bernard, Bryan; Goetz, Christopher G; Stebbins, Glenn T

    2015-03-01

    The optimal properties of a comprehensive (level II) neuropsychological battery for determining Parkinson's disease mild cognitive impairment (PD-MCI) by Movement Disorder Society (MDS) Task Force criteria remain unresolved. Seventy-six nondemented PD patients underwent PD-MCI classification using a consensus diagnosis and level II criteria. We examined the optimal number of tests in each of the five designated cognitive domains, identified the best tests within each domain, and determined the best overall battery for PD-MCI level II diagnosis. A battery with two tests per domain provided a highly practical, robust diagnostic assessment. Level II testing with the two best tests and impairment defined as 2 standard deviations below norms was highly sensitive and specific for PD-MCI diagnosis. Our findings strongly support the MDS Task Force Level II testing recommendations, provide a framework for creating an optimal, efficient neuropsychological test battery for PD-MCI diagnosis, and offer specific test recommendations. © 2014 International Parkinson and Movement Disorder Society.

  3. BAASTA : Battery for the Assessment of Auditory Sensorimotor and Timing Abilities

    NARCIS (Netherlands)

    Dalla Bella, Simone; Farrugia, Nicolas; Benoit, Charles-Etienne; Begel, Valentin; Verga, Laura; Harding, Eleanor; Kotz, Sonja A

    2016-01-01

    The Battery for the Assessment of Auditory Sensorimotor and Timing Abilities (BAASTA) is a new tool for the systematic assessment of perceptual and sensorimotor timing skills. It spans a broad range of timing skills aimed at differentiating individual timing profiles. BAASTA consists of sensitive ti

  4. Neuropsychological functioning in posttraumatic stress disorder following forced displacement in older adults and their offspring.

    Science.gov (United States)

    Jelinek, Lena; Wittekind, Charlotte E; Moritz, Steffen; Kellner, Michael; Muhtz, Christoph

    2013-12-15

    The aim of the present study was to investigate neuropsychological performance in an untried trauma sample of older adults displaced during childhood at the end of World War II (WWII) with and without posttraumatic stress disorder (PTSD) as well as transgenerational effects of trauma and PTSD on their offspring. Displaced older adults with (n=20) and without PTSD (n=24) and nondisplaced healthy individuals (n=11) as well as one of their respective offspring were assessed with a large battery of cognitive tests (primarily targeting memory functioning). No evidence for deficits in neuropsychological performance was found in the aging group of displaced people with PTSD. Moreover, no group difference emerged in the offspring groups. Findings may be interpreted as first evidence for a rather resilient PTSD group of older adults that is available for assessment 60 years after displacement.

  5. Distinct Neuropsychological Correlates in Positive and Negative Formal Thought Disorder Syndromes: The Thought and Language Disorder Scale in Endogenous Psychoses.

    Science.gov (United States)

    Nagels, Arne; Fährmann, Paul; Stratmann, Mirjam; Ghazi, Sayed; Schales, Christian; Frauenheim, Michael; Turner, Lena; Hornig, Tobias; Katzev, Michael; Müller-Isberner, Rüdiger; Grosvald, Michael; Krug, Axel; Kircher, Tilo

    2016-01-01

    The correlation of formal thought disorder (FTD) symptoms and subsyndromes with neuropsychological dimensions is as yet unclear. Evidence for a dysexecutive syndrome and semantic access impairments has been discussed in positive FTD, albeit focusing mostly on patients with schizophrenia. We investigated the correlation of the full range of positive and negative as well as subjective and objective FTD with neuropsychological domains in different patient groups. Patients with ICD-10 schizophrenia (n = 51), depression (n = 51), and bipolar mania (n = 18), as well as healthy subjects (n = 60), were interviewed with the Rating Scale for the Assessment of Objective and Subjective Formal Thought and Language Disorder (TALD) and assessed using a multidimensional neuropsychological test battery (executive function, semantic and lexical verbal fluency, attention, working memory, and abstract thinking). Partial correlation analysis, controlling for age and word knowledge, revealed significant results for the objective positive FTD dimension and executive dysfunctions. Objective negative FTD was associated with deficits in lexico-semantic retrieval, as well as attention and working memory dysfunctions. The results suggest that different neuropsychological substrates correlate with the multidimensional and phenomenologically different FTD syndromes. FTD is a complex, multidimensional syndrome with a variety of neuropsychological impairments, which should be accounted for in future studies investigating the pathogenesis of FTD.

  6. Neuropsychological functioning in youth with obsessive compulsive disorder: an examination of executive function and memory impairment.

    Science.gov (United States)

    Lewin, Adam B; Larson, Michael J; Park, Jennifer M; McGuire, Joseph F; Murphy, Tanya K; Storch, Eric A

    2014-04-30

    Preliminary research suggests neuropsychological deficits in youth with obsessive-compulsive disorder (OCD) similar to those in adults; however, small samples and methodological confounds limit interpretation. We aimed to examine the rates and clinical correlates of cognitive sequelae in youth with OCD, focusing on executive functioning and memory abilities. Youth ages 7-17 years with OCD (N=96) completed a hypothesis-driven neuropsychological battery (including the Rey-Osterreith Complex Figure, California Verbal Learning Test, and subtests of the Delis-Kaplan Executive Function System and Wide Range Assessment of Memory and Learning) that primarily assessed executive functioning, memory and processing speed. Cognitive sequelae were identified in 65% of youth (37% using a more stringent definition of impairment). Magnitude of cognitive sequelae was not associated with OCD severity or age; however, greater neuropsychological impairments were found amongst youth prescribed atypical neuroleptics and those diagnosed with comorbid tic disorders. Comorbidity burden was associated with presence of neuropsychological impairment, but was not specific to any single test. Findings suggest that the presence of cognitive sequelae is prevalent amongst treatment-seeking youth with OCD. Deficits were found in executive functioning and non-verbal memory performance but these impairments were not associated with OCD severity.

  7. Stress and Cognitive Reserve as independent factors of neuropsychological performance in healthy elderly

    Directory of Open Access Journals (Sweden)

    João Carlos Centurion Cabral

    Full Text Available Abstract Exposure to high levels of cortisol and self-reported stress, as well as cognitive reserve, have been linked to Alzheimer’s disease pathology. However, there are no studies on the interaction of these variables. The present study aims to assess the associations of measures of cortisol, self-reported stress, and cognitive reserve with neuropsychological performance in healthy elderly people; besides, to test the interactions between these variables. Cross-sectional analyzes were conducted using data on stress, cognitive reserve and clinical conditions in 145 healthy elderly adults. A neuropsychological battery was used to assess executive functions, verbal memory and processing speed. Measurement of salivary cortisol at the circadian nadir was taken. A negative association between different stress measures and performance on tasks of memory, executive functions and processing speed was observed. Elderly people with higher cognitive reserve showed superior performance on all neuropsychological measures. No significant interaction between stress and cognitive reserve to neuropsychological performance was observed. These results indicate that older adults with high levels of stress and reduced cognitive reserve may be more susceptible to cognitive impairment.

  8. The effects of energy drinks alone and with alcohol on neuropsychological functioning.

    Science.gov (United States)

    Curry, Kim; Stasio, Michael J

    2009-08-01

    Caffeinated energy drinks-alone or with alcohol-are heavily marketed to young adults, many of whom believe that caffeine counteracts some negative effects of alcohol intoxication. While the effects of caffeine and alcohol have been widely investigated, few studies have examined neuropsychological performance after consumption of a beverage containing both ingredients. In a double-blind, placebo-controlled design, 27 non-caffeine-deprived female participants were randomly assigned to consume a caffeinated energy drink alone, one containing alcohol, or a non-alcoholic, non-caffeinated control beverage. Pre- and post-test assessments were conducted using alternate forms of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Participants who consumed the energy drink plus alcohol evidenced significantly lower post-test performance on a global score of neuropsychological status. Specifically, deficits were found in both visuospatial/constructional and language performance scores. While participants who consumed the caffeinated beverage alone trended toward improved attention scores, neuropsychological status did not show meaningful changes from the pre- to post-test. Consumption of an energy drink containing 6% alcohol by volume negatively influenced performance on a global measure of cognitive functioning. 2009 John Wiley & Sons, Ltd.

  9. Reflections on clinical neuropsychology: a multifaceted approach

    NARCIS (Netherlands)

    Ruis, C.

    2014-01-01

    Neuropsychology is a rapidly growing, independent discipline with a broad work field. Neuropsychologists are working in hospitals, rehabilitation centres, nursing homes, forensic organisations and research institutes. One of the most important instruments of a neuropsychologist in assessing the beha

  10. Reflections on clinical neuropsychology: a multifaceted approach

    NARCIS (Netherlands)

    Ruis, C.

    2014-01-01

    Neuropsychology is a rapidly growing, independent discipline with a broad work field. Neuropsychologists are working in hospitals, rehabilitation centres, nursing homes, forensic organisations and research institutes. One of the most important instruments of a neuropsychologist in assessing the beha

  11. Work-related stress is associated with impaired neuropsychological test performance: a clinical cross-sectional study.

    Science.gov (United States)

    Eskildsen, Anita; Andersen, Lars Peter; Pedersen, Anders Degn; Vandborg, Sanne Kjær; Andersen, Johan Hviid

    2015-01-01

    Patients on sick leave due to work-related stress often complain about impaired concentration and memory. However, it is undetermined how widespread these impairments are, and which cognitive domains are most long-term stress sensitive. Previous studies show inconsistent results and are difficult to synthesize. The primary aim of this study was to examine whether patients with work-related stress complaints have cognitive impairments compared to a matched control group without stress. Our secondary aim was to examine whether the level of self-reported perceived stress is associated with neuropsychological test performance. We used a broad neuropsychological test battery to assess 59 outpatients with work-related stress complaints (without major depression) and 59 healthy controls. We matched the patients and controls pairwise by sex, age and educational level. Compared to controls, patients generally showed mildly reduced performance across all the measured domains of the neuropsychological test battery. However, only three comparisons reached statistical significance (p tests of prospective memory, speed and complex working memory. There were no statistical significant associations between self-reported perceived stress level and neuropsychological test performance. In conclusion, we recommend that cognitive functions should be considered when evaluating patients with work-related stress complaints, especially when given advice regarding return to work. Since this study had a cross-sectional design, it is still uncertain whether the impairments are permanent. Further study is required to establish causal links between work-related stress and cognitive deficits.

  12. Neuropsychological factors related to college ice hockey concussions.

    Science.gov (United States)

    Pedersen, Heather A; Ferraro, F Richard; Himle, Michael; Schultz, Caitlin; Poolman, Mark

    2014-05-01

    We analyzed data from 74 male collegiate hockey players. Each athlete's season began with a baseline administration of the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) neuropsychology test battery. Fourteen athletes sustained a sport-related head injury and were readministered the test to assess the impact of the injury. A significant decrease in performance (compared to baseline) on immediate and delayed word recall and designs followed the first concussion. Following a second sport-related concussion, the 4 affected athletes showed significant decrease in visual motor speed. Performance improved on 2 response speed measures (Ps life concussions and head injury on late-life consequences, such as chronic traumatic encephalopathy, and more immediate issues such as return-to-play decisions for athletes.

  13. Neuropsychological deficits in patients with chronic hypertension

    OpenAIRE

    2014-01-01

    D.Litt. et Phil. (Psychology) The aim of this study was to investigate the effect that hypertension has on brain function. A neuropsychological test battery comprising of the following tests was employed as a multivariate measure of brain dysfunction in a quasiexperimental, matched group design: a) The Complex Figure Test of Rey (copy, immediate recall and delayed recall), b) the Logical Memory Test, c) the Digits Span Test, d) the Verbal Paired Associate Learning Subtest, e) the Controlle...

  14. Battery. Batterie

    Energy Technology Data Exchange (ETDEWEB)

    Thiem, U.; Thielen, C.

    1992-03-19

    The invention concerns a battery consisting of at least one battery trough, which surrounds individual cells and has a lower inlet opening to connect to a pressurized pipe for a gaseous cooling medium; in its inside it has a lower distribution device for the cooling medium connected to the inlet opening and connected guide ducts taken through the internal space, and at least one upper outlet opening for the cooling medium. To achieve a better cooling system, it is proposed that the battery trough should surround several trough modules, which consist of a module container, whose floor has floor openings flush with the flow ducts between the individual cells and that the distribution device should have vertical separating bars, to the top edge of which the floor of the module container concerned is sealed.

  15. Comparative life cycle assessment of battery storage systems for stationary applications.

    Science.gov (United States)

    Hiremath, Mitavachan; Derendorf, Karen; Vogt, Thomas

    2015-04-21

    This paper presents a comparative life cycle assessment of cumulative energy demand (CED) and global warming potential (GWP) of four stationary battery technologies: lithium-ion, lead-acid, sodium-sulfur, and vanadium-redox-flow. The analyses were carried out for a complete utilization of their cycle life and for six different stationary applications. Due to its lower CED and GWP impacts, a qualitative analysis of lithium-ion was carried out to assess the impacts of its process chains on 17 midpoint impact categories using ReCiPe-2008 methodology. It was found that in general the use stage of batteries dominates their life cycle impacts significantly. It is therefore misleading to compare the environmental performance of batteries only on a mass or capacity basis at the manufacturing outlet ("cradle-to-gate analyses") while neglecting their use stage impacts, especially when they have different characteristic parameters. Furthermore, the relative ranking of batteries does not show a significant dependency on the investigated stationary application scenarios in most cases. Based on the results obtained, the authors go on to recommend the deployment of batteries with higher round-trip efficiency, such as lithium-ion, for stationary grid operation in the first instance.

  16. Vygotsky in applied neuropsychology

    National Research Council Canada - National Science Library

    Glozman, Janna M

    2016-01-01

    ...) to analyze the development of these theories in contemporary applied neuropsychology. An analysis of disturbances of mental functioning is impossible without a systemic approach to the evidence observed...

  17. Pre- and Perinatal Risk for Attention-Deficit Hyperactivity Disorder: Does Neuropsychological Weakness Explain the Link?

    Science.gov (United States)

    Wiggs, Kelsey; Elmore, Alexis L; Nigg, Joel T; Nikolas, Molly A

    2016-11-01

    Etiological investigations of attention-deficit hyperactivity disorder (ADHD) and disruptive behavior problems support multiple causal pathways, including involvement of pre- and perinatal risk factors. Because these risks occur early in life, well before observable ADHD and externalizing symptoms emerge, the relation between risk and symptoms may be mediated by neurodevelopmental effects that manifest later in neuropsychological functioning. However, potential dissociable effects of pre/perinatal risk elements on ADHD and familial confounds must also be considered to test alternative hypotheses. 498 youth aged 6-17 years (55.0 % male) completed a multi-stage, multi-informant assessment including parent and teacher symptom reports of symptoms and parent ratings of pre/perinatal health risk indicators. Youth completed a neuropsychological testing battery. Multiple mediation models examined direct effects of pre- and perinatal health risk on ADHD and other disruptive behavior disorder symptoms and indirect effects via neuropsychological functioning. Parental ADHD symptoms and externalizing status was covaried to control for potential familial effects. Effects of prenatal substance exposure on inattention were mediated by memory span and temporal processing deficits. Further, effects of perinatal health risk on inattention, hyperactivity-impulsivity, and ODD were mediated by deficits in response variability and temporal processing. Further, maternal health risks during pregnancy appeared to exert direct rather than indirect effects on outcomes. Results suggest that after controlling for familial relatedness of ADHD between parent and child, early developmental health risks may influence ADHD via effects on neuropsychological processes underpinning the disorder.

  18. Intraindividual neuropsychological test variability in healthy individuals with high average intelligence and educational attainment.

    Science.gov (United States)

    Heyanka, Daniel J; Holster, Jessica L; Golden, Charles J

    2013-08-01

    Knowledge of patterns of neuropsychological performance among normal, healthy individuals is integral to the practice of clinical neuropsychology, because clinicians may not always account for intraindividual variability (IIV) before coming to diagnostic conclusions. The IIV was assessed among a sample of 46 healthy individuals with high average intelligence and educational attainment, utilizing a battery of neuropsychological tests, including the Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) and Wechsler Memory Scale, Fourth Edition (WMS-IV). The data indicated substantial variability in neurocognitive abilities. All participants were found to demonstrate scores considered impaired by at least 2 standard deviations (SDs). Despite adjusting for outliers, no participant produced a "normal" testing profile with an intraindividual maximum discrepancy (MD) of less than 1 SD in either direction. When WAIS-IV Full Scale IQ (FSIQ) was considered, participants generally demonstrated cognitive test scores ranging from 2 SDs less than to 1.5 SDs greater than their FSIQ. Furthermore, after demographic corrections, the majority (59%) of participants demonstrated at least 1 impaired cognitive test score, as defined by being 1 to 1.5 SDs below the mean. Overall, results substantiate the need for clinicians to consider FSIQ and educational attainment in interpretation of neuropsychological testing results, given the relevant commonality of "abnormal" test scores within this population. This may ultimately reduce the likelihood of making false-positive conclusions of impairment when educational attainment and intelligence are high, thus improving diagnostic accuracy.

  19. Neuropsychological performance, impulsivity, ADHD symptoms, and novelty seeking in compulsive buying disorder.

    Science.gov (United States)

    Black, Donald Wayne; Shaw, Martha; McCormick, Brett; Bayless, John David; Allen, Jeff

    2012-12-30

    We examined the neuropsychological performance of people with compulsive buying disorder (CBD) and control subjects, along with trait impulsivity, symptoms of attention deficit hyperactivity disorder (ADHD), and selected personality characteristics. Subjects received a comprehensive neuropsychological test battery, depression and ADHD symptom assessment, the Barratt Impulsiveness Scale, and a version of the Temperament and Character Inventory. Persons with CBD (n=26) and controls (n=32) were comparable in terms of age, sex, and years of education. Subjects with CBD had a mean age of 36.3 years (S.D.=15.7) and an age at onset of 19.7 years (S.D.=7.0). Compulsive buyers had more lifetime mood, anxiety, and impulse control disorders. People with Compulsive buying performed significantly better on the Wechsler Abbreviated Scale of Intelligence Picture Completion task, a test of visual perception; otherwise, there were no consistent differences in neuropsychological measures. They also had elevated levels of self-reported depression, ADHD symptoms, trait impulsivity, and novelty seeking. In conclusion, compulsive buyers have greater lifetime psychiatric comorbidity than controls, and higher levels of self-rated depression, ADHD symptoms, trait impulsivity, and novelty seeking. The present study does not support the notion that there is a pattern of neuropsychological deficits associated with CBD. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  20. Feasibility assessment of remanufacturing, repurposing, and recycling of end of vehicle application lithium-ion batteries

    Directory of Open Access Journals (Sweden)

    Meaghan Foster

    2014-06-01

    Full Text Available Purpose: Lithium-ion batteries that are commonly used in electric vehicles and plug-in electric hybrid vehicles cannot be simply discarded at the end of vehicle application due to the materials of which they are composed. In addition the US Department of Energy has estimated that the cost per kWh of new lithium-ion batteries for vehicle applications is four times too high, creating an economic barrier to the widespread commercialization of plug-in electric vehicles. (USDOE 2014. Thus, reducing this cost by extending the application life of these batteries appears to be necessary. Even with an extension of application life, all batteries will eventually fail to hold a charge and thus become unusable. Thus environmentally safe disposition must be accomplished. Addressing these cost and environmental issues can be accomplished by remanufacturing end of vehicle life lithium ion batteries for return to vehicle applications as well as repurposing them for stationary applications such as energy storage systems supporting the electric grid. In addition, environmental safe, “green” disposal processes are required that include disassembly of batteries into component materials for recycling. The hypotheses that end of vehicle application remanufacturing, repurposing, and recycling are each economic are examined. This assessment includes a forecast of the number of such batteries to ensure sufficient volume for conducting these activities.Design/methodology/approach: The hypotheses that end of vehicle application remanufacturing, repurposing, and recycling are economic are addressed using cost-benefit analysis applied independently to each. Uncertainty is associated with all future costs and benefits. Data from a variety of sources are combined and reasonable assumptions are made. The robustness of the results is confirmed by sensitivity analysis regarding each key parameter. Determining that a sufficient volume of end of vehicle application lithium

  1. Neuropsychological Patterns Differ by Type of Left Ventricle Dysfunction in Heart Failure

    Science.gov (United States)

    Bratzke-Bauer, Lisa C.; Pozehl, Bunny J.; Paul, Steven M.; Johnson, Julene K.

    2013-01-01

    Cognitive impairment is common among individuals with heart failure. The purpose of this study was to compare cognitive profiles of individuals with systolic and diastolic dysfunction. Eighty individuals with heart failure completed the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), Mini-Mental State Examination, Trail Making Test, and letter fluency. Approximately 25% of individuals with systolic dysfunction were impaired on the RBANS Total Scale score, compared with only 3% in the diastolic group. Additionally, individuals with systolic dysfunction scored lower than those with diastolic dysfunction on tests of immediate and delayed memory. The groups did not differ on tests of visuospatial skills, but there were mixed results on the RBANS Attention and Language subtests. Overall, the results of this study suggest that individuals with different types of cardiac dysfunction (systolic and diastolic dysfunction) demonstrate differential patterns of performance on neuropsychological tests. These findings have important clinical implications. PMID:23257366

  2. Use of the Kaufman-Assessment Battery for Children with the Hearing Impaired.

    Science.gov (United States)

    Ulissi, Stephen Mark; And Others

    1989-01-01

    Fifty hearing-impaired elementary-school students completed the Kaufman-Assessment Battery for Children; scores correlated highly with scores from the Wechsler Intelligence Scale for Children-Revised and with school achievement. The Simultaneous Processing Scale and the Nonverbal Scale seemed appropriate for hearing-impaired children while the…

  3. Nebraska--Assessment Battery of Essential Learning Skills (N-ABELS). Administrative Manual.

    Science.gov (United States)

    Harlan, Hugh A.; And Others

    The Nebraska Assessment Battery of Essential Learning Skills (N-ABELS) is a goal-oriented instrument with an evaluation component providing a basis for determining acquisition of twelve skills defined as learning goals. Each goal is stated in terms of an acceptable performance standard which clearly describes what the student must do. The skills…

  4. Establishing the Psychometric Properties of an Interactive, Self-Regulation Assessment Battery for Young Offenders

    Science.gov (United States)

    Carroll, Annemaree; Hemingway, Francene; Ashman, Adrian; Bower, Julie

    2012-01-01

    This research investigated the reliability and validity of the Mindfields Assessment Battery (MAB), measuring three components of self-regulation (forethought, performance control, self-reflection) of young offenders. Participants were 57 12- to 18-year-olds from youth justice service centres, alternative education schools, and a youth…

  5. Using Diagnostic Assessment to Help Teachers Understand the Chemistry of the Lead-Acid Battery

    Science.gov (United States)

    Cheung, Derek

    2011-01-01

    Nineteen pre-service and in-service teachers taking a chemistry teaching methods course at a university in Hong Kong were asked to take a diagnostic assessment. It consisted of seven multiple-choice questions about the chemistry of the lead-acid battery. Analysis of the teachers' responses to the questions indicated that they had difficulty in…

  6. Towards Identifying Dyslexia in Standard Indonesian: The Development of a Reading Assessment Battery

    Science.gov (United States)

    Jap, Bernard A. J.; Borleffs, Elisabeth; Maassen, Ben A. M.

    2017-01-01

    With its transparent orthography, Standard Indonesian is spoken by over 160 million inhabitants and is the primary language of instruction in education and the government in Indonesia. An assessment battery of reading and reading-related skills was developed as a starting point for the diagnosis of dyslexia in beginner learners. Founded on the…

  7. Using Diagnostic Assessment to Help Teachers Understand the Chemistry of the Lead-Acid Battery

    Science.gov (United States)

    Cheung, Derek

    2011-01-01

    Nineteen pre-service and in-service teachers taking a chemistry teaching methods course at a university in Hong Kong were asked to take a diagnostic assessment. It consisted of seven multiple-choice questions about the chemistry of the lead-acid battery. Analysis of the teachers' responses to the questions indicated that they had difficulty in…

  8. Recent and Long-Term Soccer Heading Exposure Is Differentially Associated With Neuropsychological Function in Amateur Players.

    Science.gov (United States)

    Levitch, Cara F; Zimmerman, Molly E; Lubin, Naomi; Kim, Namhee; Lipton, Richard B; Stewart, Walter F; Kim, Mimi; Lipton, Michael L

    2017-08-22

    The present study examined the relative contribution of recent or long-term heading to neuropsychological function in amateur adult soccer players. Soccer players completed a baseline questionnaire (HeadCount-12m) to ascertain heading during the prior 12 months (long-term heading, LTH) and an online questionnaire (HeadCount-2w) every 3 months to ascertain heading during the prior 2 weeks (recent heading, RH). Cogstate, a battery of six neuropsychological tests, was administered to assess neuropsychological function. Generalized estimating equations were used to test if LTH or RH was associated with neuropsychological function while accounting for the role of recognized concussion. A total of 311 soccer players completed 630 HeadCount-2w. Participants had an average age of 26 years. Participants headed the ball a median of 611 times/year (mean=1,384.03) and 9.50 times/2 weeks (mean=34.17). High levels of RH were significantly associated with reduced performance on a task of psychomotor speed (p=.02), while high levels of LTH were significantly associated with poorer performance on tasks of verbal learning (p=.03) and verbal memory (p=.04). Significantly better attention (p=.02) was detectable at moderately high levels of RH, but not at the highest level of RH. One hundred and seven (34.4%) participants reported a lifetime history of concussion, but this was not related to neuropsychological function and did not modify the association of RH or LTH with neuropsychological function. High levels of both RH and LTH were associated with poorer neuropsychological function, but on different domains. The clinical manifestations following repetitive exposure to heading could change with chronicity of exposure. (JINS, 2017, 23, 1-9).

  9. Clinical and neuropsychological assessment of attention and ADHD comorbidity in a sample of children and adolescents with idiopathic epilepsy

    Directory of Open Access Journals (Sweden)

    Celia Regina Carvalho Machado da Costa

    2015-02-01

    Full Text Available Children with epilepsy present significant problems concerning attention and comorbidity with attention deficit hyperactivity disorder (ADHD. Objective To determine the prevalence of attention complaints, ADHD diagnosis and attention profile in a sample of children and adolescents with idiopathic epilepsy. Method 36 children and adolescents with idiopathic epilepsy and 37 genre and age matched healthy controls underwent several procedures to diagnose their neuropsychological profile and comorbidity with ADHD. Results The prevalence of ADHD was higher in patients with epilepsy [χ2= 4.1, p = 0.043, 6 (16.7% vs 1 (2.7%], with worse results in attention related WISC items and factors in patients with epilepsy comparing to the controls, but not between patients with and without ADHD. Clinical characteristics did not influence those results. Conclusion This study found a greater prevalence of problems wih attention in pediatric patients with idiopathic epilepsy, but not a distinct profile between those with or without ADHD.

  10. Comparing neuropsychological function before and during haemodialysis: a habituating selective deficit for prose recall.

    Science.gov (United States)

    Oaksford, Karen; Oaksford, Mike; Ashraf, Mohammad; Fitzgibbon, Gillian

    2008-05-01

    This study was based on the clinical observation that patients receiving haemodialysis(HD) showed poor retention for complex verbal information. To investigate this hypothesis, 45 patients with endstage renal disease were administered a neuropsychological (NP) test battery, including a test of prose recall on two occasions, 7 days apart (pre-dialysis and whilst dialysing). A range of demographic, biochemical and mood variables were also assessed. Results revealed a selective deficit for prose recall whilst dialysing compared to pre-dialysis performance, which habituated in the long-term. Possible physiological and psychological bases of these effects in HD patients are discussed.

  11. Assessment of acrylamide toxicity using a battery of standardised bioassays.

    Science.gov (United States)

    Zovko, Mira; Vidaković-Cifrek, Željka; Cvetković, Želimira; Bošnir, Jasna; Šikić, Sandra

    2015-12-01

    Acrylamide is a monomer widely used as an intermediate in the production of organic chemicals, e.g. polyacrylamides (PAMs). Since PAMs are low cost chemicals with applications in various industries and waste- and drinking water treatment, a certain amount of non-polymerised acrylamide is expected to end up in waterways. PAMs are non-toxic but acrylamide induces neurotoxic effects in humans and genotoxic, reproductive, and carcinogenic effects in laboratory animals. In order to evaluate the effect of acrylamide on freshwater organisms, bioassays were conducted on four species: algae Desmodesmus subspicatus and Pseudokirchneriella subcapitata, duckweed Lemna minor and water flea Daphnia magna according to ISO (International Organization for Standardisation) standardised methods. This approach ensures the evaluation of acrylamide toxicity on organisms with different levels of organisation and the comparability of results, and it examines the value of using a battery of low-cost standardised bioassays in the monitoring of pollution and contamination of aquatic ecosystems. These results showed that EC50 values were lower for Desmodesmus subspicatus and Pseudokirchneriella subcapitata than for Daphnia magna and Lemna minor, which suggests an increased sensitivity of algae to acrylamide. According to the toxic unit approach, the values estimated by the Lemna minor and Daphnia magna bioassays, classify acrylamide as slightly toxic (TU=0-1; Class 1). The results obtained from algal bioassays (Desmodesmus subspicatus and Pseudokirchneriella subcapitata) revealed the toxic effect of acrylamide (TU=1-10; Class 2) on these organisms.

  12. Advances and critical aspects in the life-cycle assessment of battery electric cars

    OpenAIRE

    HELMERS Eckard; WEISS MARTIN

    2016-01-01

    Concerns over climate change, air pollution, and oil supply have stimulated the market for battery electric vehicles (BEVs). The environmental impacts of BEVs are typically evaluated through a standardized life-cycle assessment (LCA) methodology. Here, the LCA literature was surveyed with the objective to sketch the major trends and challenges in the impact assessment of BEVs. It was found that BEVs tend to be more energy efficient and less polluting than conventional cars. BEVs decrease expo...

  13. Platform Li-Ion Battery Risk Assessment Tool: Cooperative Research and Development Final Report, CRADA Number CRD-10-407

    Energy Technology Data Exchange (ETDEWEB)

    Smith, K.

    2012-01-01

    Creare was awarded a Phase 1 STTR contract from the US Office of Naval Research, with a seven month period of performance from 6/28/2010 to 1/28/2011. The objectives of the STTR were to determine the feasibility of developing a software package for estimating reliability of battery packs, and develop a user interface to allow the designer to assess the overall impact on battery packs and host platforms for cell-level faults. NREL served as sub-tier partner to Creare, providing battery modeling and battery thermal safety expertise.

  14. Dissociative symptoms are associated with reduced neuropsychological performance in patients with recurrent depression and a history of trauma exposure

    Directory of Open Access Journals (Sweden)

    Melissa Parlar

    2016-02-01

    Full Text Available Background: Although preliminary work suggests that dissociative symptoms may impact neuropsychological performance in trauma-exposed populations, the relation between dissociation and cognitive performance has not been explored in patients with depression. Objective: The present study examined dissociative symptoms in relation to neuropsychological performance in participants with a primary diagnosis of recurrent major depressive disorder (MDD and a history of trauma exposure. Method: Twenty-three participants with MDD and 20 healthy controls who did not differ in age, sex, education, or IQ were assessed. In addition to a standardized neuropsychological battery assessing frontotemporally mediated cognitive processes, participants completed clinical measures assessing dissociative symptoms, illness severity, and past history of trauma exposure. Results: Among participants with MDD, greater severity of derealization was associated with reduced performance on measures of delayed visuospatial recall and recognition on a task of verbal memory recognition. In addition, more severe depersonalization was associated with slower processing speed and a response style lending itself toward better performance in a less active environment. Conclusions: These findings point toward dissociative symptoms as a transdiagnostic factor associated with neuropsychological dysfunction in patients with depression and a history of trauma. Limitations and recommendations for future research are discussed.

  15. Lithium: Thionyl chloride battery state-of-the-art assessment

    Energy Technology Data Exchange (ETDEWEB)

    Eisenmann, E.T.

    1996-03-01

    Models of the performance of primary Li/SOCl{sub 2} cells can provide for realistic comparisons between technical information from different sources, and set standards that electronic circuit designers may refer to in the generation of high-quality products. Data from various investigators were used to derive mathematical- statistical relationships with physical design features (e.g. size and materials), operating parameters (e.g. current and temperature) and storage conditions (time and temperature). These efforts were substantially promoted by normalization procedures. For example, current loads were converted into current densities, or if appropriate, into current per unit cathode volume. Similarly, cell capacities were standardized with the maximum values observed at low current and also with respect to the cathode volume. Particular emphasis was placed on evaluations of voltage-delay, cell capacity and self-discharge, for which several equations were established. In spite of a considerable expenditure in time to find high-quality datasets, the reality is that all of the reviewed studies are flawed in one way or another. Specifically, all datasets are afflicted with sizable experimental errors and the precision of the regression equations is much lower than is deemed necessary for a universal model of the lithium thionyl chloride cell. Each of the equations has some definite truth content, but is generally incapable of bridging the gap between different studies. The basic failure to come up with a unifying model for Li/SOCl{sub 2} batteries leaves only one benefit of the present analysis, namely to provide guidance for future investigations. Several recommendations are made based on the insight gained during the search for good data in the relevant literature.

  16. Assessment of lnternational Space Station (ISS) Lithium-ion Battery Thermal Runaway (TR)

    Science.gov (United States)

    Graika, Jason

    2017-01-01

    This task was developed in the wake of the Boeing 787 Dreamliner lithium-ion battery TR incidents of January 2013 and January 2014. The Electrical Power Technical Discipline Team supported the Dreamliner investigations and has followed up by applying lessons learned to conduct an introspective evaluation of NASA's risk of similar incidents in its own lithium-ion battery deployments. This activity has demonstrated that historically NASA, like Boeing and others in the aerospace industry, has emphasized the prevention of TR in a single cell within the battery (e.g., cell screening) but has not considered TR severity-reducing measures in the event of a single-cell TR event. center dotIn the recent update of the battery safety standard (JSC 20793) to address this paradigm shift, the NASA community included requirements for assessing TR severity and identifying simple, low-cost severity reduction measures. This task will serve as a pathfinder for meeting those requirements and will specifically look at a number of different lithium-ion batteries currently in the design pipeline within the ISS Program batteries that, should they fail in a Dreamliner-like incident, could result in catastrophic consequences. This test is an abuse test to understand the heat transfer properties of the cell and ORU in thermal runaway, with radiant barriers in place in a flight like test in on orbit conditions. This includes studying the heat flow and distribution in the ORU. This data will be used to validate the thermal runaway analysis. This test does not cover the ambient pressure case. center dotThere is no pass/ fail criteria for this test.

  17. A new neuropsychology for the XXI century.

    Science.gov (United States)

    Ardila, Alfredo

    2013-12-01

    Regardless of the significant interest in comparing neuropsychological syndromes across cultures, little interest is observed in comparing these syndromes across time. Most of the neuropsychological syndromes were described during the late nineteenth and early twentieth century (e.g., aphasia, alexia, agraphia, acalculia, etc.). However, living conditions have so dramatically changed during the last 100 years that those classical neuropsychological syndromes have to be re-stated and reconsidered; eventually, new syndromes could be proposed. In this paper, an analysis of the impact of the new living conditions in spoken language, written language, numerical abilities, memory, spatial orientation, people recognition, and executive functions is presented. It is concluded that it is time to re-analyze and re-interpret the classical neuropsychological syndromes; and develop new assessment procedures, more in accordance with the twenty-first century living conditions.

  18. Estimación de la prevalencia puntual de alteraciones neuropsicológicas asociadas al trastorno depresivo mayor (Estimated point prevalence of neuropsychological disorders associated with major depressive disorder

    Directory of Open Access Journals (Sweden)

    Esteve Gudayol-Ferre

    2010-12-01

    Full Text Available Major Depressive Disorder (MDD is a chronic affective disorder associated with cognitive impairment. The aim of this study was to estimate the prevalence of neuropsychological deficit in patients with MDD who were not receiving pharmacotherapy. The results obtained from a neuropsychological assessment battery were compared to the normative data. We also investigated whether specific cognitive functions change more frequently than others in MDD and determined whether there were any associations between the neuropsychological deficits in MDD and various clinical and socio-demographic variables. A total of 174 subjects who met DSM-IV criteria for diagnosis of MDD without major medical comorbidities (psychopathology or physical illness and who were not receiving pharmacotherapy were assessed using the Mini International Neuropsychiatric Interview, the Hamilton Depression Rating Scale and the Cambridge Neuropsychological Test Automated Battery (CANTAB. CANTAB was used to determine the prevalence of neuropsychological deficit and studied its association with the variables age, years of education, WAIS vocabulary, age at first episode and comorbidity estimated by Odds Ratios. Our data suggest that cognitive impairment in patients with MDD has a very high prevalence and is relatively independent of socio-demographic and clinical variables.

  19. Neuropsychological correlates of theory of mind in patients with early Parkinson's disease.

    Science.gov (United States)

    Santangelo, Gabriella; Vitale, Carmine; Trojano, Luigi; Errico, Domenico; Amboni, Marianna; Barbarulo, Anna Maria; Grossi, Dario; Barone, Paolo

    2012-01-01

    The theory of mind is the ability to attribute mental states to oneself and others and to understand that others have beliefs, desires and intentions different from one's own. The aim of the study was to explore the neuropsychological correlates of theory of mind in patients affected by early Parkinson's disease (PD). Thirty-three PD patients and 33 age-, sex-, and education-matched control subjects underwent the Frontal Assessment Battery, as well as tasks assessing "cognitive" and "affective" theory of mind, and memory abilities; questionnaires evaluating behavioral disorders and quality of life were also administrated. Although the 2 groups did not differ on neuropsychological tasks, PD patients' performance on tasks assessing cognitive and affective theory of mind was significantly worse than controls. Moreover, PD patients had more behavioral disorders and worse quality of life than controls. After covarying for behavioral and quality of life scores, the differences between patients and controls on theory of mind tasks remained significant. "Cognitive" theory of mind was associated with Frontal Assessment Battery score and 2 domains of quality of life scale, whereas "affective" theory of mind scores correlated only with behavioral scales such as the Frontal Behavioral Inventory and Apathy Evaluation Scale. The results demonstrate that both affective and cognitive aspects of theory of mind are simultaneously impaired in early PD and suggest that deficits in the 2 subcomponents of theory of mind may be linked to dysfunction of different frontosubcortical circuitries in early PD. Copyright © 2011 Movement Disorder Society.

  20. Batteries 2020 – Lithium - ion battery first and second life ageing, validated battery models, lifetime modelling and ageing assessment of thermal parameters

    DEFF Research Database (Denmark)

    Timmermans, Jean-Marc; Nikolian, Alexandros; De Hoog, Joris

    2016-01-01

    The European Project “Batteries 2020” unites nine partners jointly working on research and the development of competitive European automotive batteries. The project aims at increasing both the energy density and lifetime of large format pouch lithium-ion batteries towards the goals targeted...... for automotive batteries (250 Wh/kg at cell level, over 4000 cycles at 80% depth of discharge). Three parallel strategies are followed in order to achieve those targets: (i) Highly focused materials development; two improved generations of NMC cathode materials allows to improve the performance, stability...... and cyclability of state of the art battery cells. (ii) Better understanding of the ageing phenomena; a robust and realistic testing methodology has been developed and was carried out. Combined accelerated, real driving cycle tests, real field data, post - mortem analysis, modelling and validation with real...

  1. Neuropsychological Findings in Subclinical Hypothyroidism: A Case Report

    Directory of Open Access Journals (Sweden)

    Selma Tural Hesapçıoğlu

    2013-12-01

    Full Text Available There are structural and functional associations between hormone systems and central nervous system. Disturbances of thyroid hormone should cause neuropsychiatric symptoms. It is seen that there might be indistinct brain dysfunction symptoms in patients with euthyroid Hashimato disease. His neuropsychiatric profile assessed by examination and a battery included neuropsychiatric tests. Cancellation Test, Stroop Test TBAG form, Auditory Verbal Learning Test, Bender Gestalt Visual Motor Test and WISC-R tests were carried to patient. Failure in executive functioning and complex attention was determined in patient. In Bender Gestalt Visual Motor Test, perceiving of visual stimulus, visual motor coordination and predicating of perceived stimulus with motor functioning were significantly disordered. WISC-R subtests were also supporting these findings. Thyroid hormones and the problems with thyroid gland may cause some disturbances in neuropsychological profile. It should be helpful to see thyroid functioning tests in patients which referred with neuropsychological symptoms. (Jo­ur­nal of Cur­rent Pe­di­at­rics 2013; 11: 146-9

  2. Selection criteria for internships in clinical neuropsychology.

    Science.gov (United States)

    Ritchie, David; Odland, Anthony P; Ritchie, Abigail S; Mittenberg, Wiley

    2012-01-01

    Criteria used in the evaluation and selection of applicants for clinical neuropsychology internships were identified by a survey of programs that met guidelines for specialty training. The number of internships that offer training with specialization in clinical neuropsychology has more than doubled during the past 10 years. Supervising neuropsychologists from 75 programs replied to the survey, yielding a 72.8% response rate. Clinical experience in neuropsychological assessment, specialization in clinical neuropsychology during graduate education, personal interview, and letters of recommendation were reported to be the most salient selection criteria. Practica that provide experience with flexible or functional systems assessment approaches at university-affiliated or VA (U.S. Department of Veterans Affairs) medical centers and doctoral curricula that follow International Neuropsychological Society/Division 40 course guidelines, with teaching and supervision provided by neuropsychologists, were preferred prerequisites to internship. These results are consistent with selection criteria reported over a decade ago and indicate continued endorsement of the vertically integrated model of education and training outlined by the Houston Conference on Specialty Education and Training in Clinical Neuropsychology.

  3. Hemispheric specialization in partial epilepsy role of dichotic listening cv task and central audiological evaluation in the neuropsychological assessment

    Directory of Open Access Journals (Sweden)

    Mauro Muszkat

    1991-12-01

    Full Text Available We studied 49 patients with partial epilepsy divided into lesional cases (i.e. with lesions on CT scan and non-lesional cases (i.e. without CT scan lesions, in relation to the Wechsler Intelligence Scale subtests (Coding, Digit span, dichotic listening CV task and Central Auditory Test (SSI, PSI. The aim of this paper was to study the hemispheric prevalence in dichotic listening task with regard to cognitive perforamance, as well as the presence or absence of central auditory dysfunction. Lesional cases presented a hemisphere prevalence in dichotic listening task with regard to cognitive performance, as well as the non-lesional cases tend to report the stimuli in the same side of EEC focus. Significant differences were found among the lesional and non lesional cases in relation to the digit span score and Coding subtest in right lesional cases versus right non-lesional cases. Both lesional and non-lesional group showed signs of central auditory dysfunction. We suggest that the dichotic listening and SSI and PSI test can be useful for a best comprehension of asymmetric neuropsychological performance in partial epilepsy.

  4. Online cognition: factors facilitating reliable online neuropsychological test results.

    Science.gov (United States)

    Feenstra, Heleen E M; Vermeulen, Ivar E; Murre, Jaap M J; Schagen, Sanne B

    2017-01-01

    Online neuropsychological test batteries could allow for large-scale cognitive data collection in clinical studies. However, the few online neuropsychological test batteries that are currently available often still require supervision or lack proper psychometric evaluation. In this paper, we have outlined prerequisites for proper development and use of online neuropsychological tests, with the focus on reliable measurement of cognitive function in an unmonitored setting. First, we identified several technical, contextual, and psychological factors that should be taken into account in order to facilitate reliable test results of online tests in the unmonitored setting. Second, we outlined a methodology of quality assurance needed in order to obtain reliable cognitive data in the long run. Based on factors that distinguish the online unmonitored test setting from the traditional face-to-face setting, we provide a set of basic requirements and suggestions for optimal development and use of unmonitored online neuropsychological tests, including suggestions on acquiring reliability, validity, and norm scores. When properly addressing factors that could hamper reliable test results during development and use, online neuropsychological tests could aid large-scale data collection for clinical studies in the future. Investment in both proper development of online neuropsychological test platforms and the performance of accompanying psychometric studies is currently required.

  5. Neuropsychology 3.0: Evidence-Based Science and Practice

    Science.gov (United States)

    Bilder, Robert M.

    2011-01-01

    Neuropsychology is poised for transformations of its concepts and methods, leveraging advances in neuroimaging, the human genome project, psychometric theory, and information technologies. It is argued that a paradigm shift towards evidence-based science and practice can be enabled by innovations, including: (1) formal definition of neuropsychological concepts and tasks in cognitive ontologies; (2) creation of collaborative neuropsychological knowledgebases; and (3) design of web-based assessment methods that permit free development, large-sample implementation, and dynamic refinement of neuropsychological tests and the constructs these aim to assess. This article considers these opportunities, highlights selected obstacles, and offers suggestions for stepwise progress towards these goals. PMID:21092355

  6. Neuropsychology 3.0: evidence-based science and practice.

    Science.gov (United States)

    Bilder, Robert M

    2011-01-01

    Neuropsychology is poised for transformations of its concepts and methods, leveraging advances in neuroimaging, the human genome project, psychometric theory, and information technologies. It is argued that a paradigm shift toward evidence-based science and practice can be enabled by innovations, including (1) formal definition of neuropsychological concepts and tasks in cognitive ontologies; (2) creation of collaborative neuropsychological knowledgebases; and (3) design of Web-based assessment methods that permit free development, large-sample implementation, and dynamic refinement of neuropsychological tests and the constructs these aim to assess. This article considers these opportunities, highlights selected obstacles, and offers suggestions for stepwise progress toward these goals.

  7. [ALPHA-fitness test battery: health-related field-based fitness tests assessment in children and adolescents].

    Science.gov (United States)

    Ruiz, J R; España Romero, V; Castro Piñero, J; Artero, E G; Ortega, F B; Cuenca García, M; Jiménez Pavón, D; Chillón, P; Girela Rejón, Ma J; Mora, J; Gutiérrez, A; Suni, J; Sjöstrom, M; Castillo, M J

    2011-01-01

    Hereby we summarize the work developed by the ALPHA (Assessing Levels of Physical Activity) Study and describe the tests included in the ALPHA health-related fitness test battery for children and adolescents. The evidence-based ALPHA-Fitness test battery include the following tests: 1) the 20 m shuttle run test to assess cardiorespiratory fitness; 2) the handgrip strength and 3) standing broad jump to assess musculoskeletal fitness, and 4) body mass index, 5) waist circumference; and 6) skinfold thickness (triceps and subscapular) to assess body composition. Furthermore, we include two versions: 1) the high priority ALPHA health-related fitness test battery, which comprises all the evidence-based fitness tests except the measurement of the skinfold thickness; and 2) the extended ALPHA health-related fitness tests battery for children and adolescents, which includes all the evidence-based fitness tests plus the 4 x 10 m shuttle run test to assess motor fitness.

  8. Triagem diagnóstica no processo de avaliação neuropsicológica interdisciplinar Diagnosis screening in the interdisciplinary neuropsychological assessment process

    Directory of Open Access Journals (Sweden)

    Anna Carolina Rufino Navatta

    2009-01-01

    Full Text Available O presente artigo apresenta o modelo de triagem diagnóstica interdisciplinar de um núcleo assistencial neuropsicológico infantil. O modelo de triagem está fundamentado numa perspectiva bio-psico-social, que consiste na entrevista inicial com as crianças em grupo realizado uma equipe interdisciplinar. O modelo se justifica pelo fato de que essa percepção inicial do neuropsicólogo, através do modelo tradicional, é demorado, caro, e às vezes ineficiente para determinados pacientes neurológicos. A proposta de que possa direcionar o processo, gerando um ponto de partida para a avaliação neuropsicológica da criança. A implementação deste procedimento em serviços ambulatoriais propicia benefícios amplos que envolvem não só a redução de custos, como também a humanização do atendimento ao paciente.This article aims at presenting a model of interdisciplinary diagnosis screening in a child care neuropsychological group. The biopsychosocial perspective is the base of the diagnosis screening, which consists of an initial interview with the children in groups carried by an interdisciplinary staff. The model is justified for the fact that this initial perception of the neuropsychologist, through the traditional model, is time-consuming, costly and, inefficient for most neurology patients. The proposal is that this can direct the assessment, generating a starting point for the neuropsychology evaluation. Considering the patient's decrease of emotional loses, the integrated diagnosis, and the financial aspect, we conclude that the implementation of this procedure in clinic services promotes benefits which involve not only the reduction of costs, but also the humanization of the patient's care.

  9. Neuropsychological test performance in illiterate subjects.

    Science.gov (United States)

    Ostrosky-Solis, F; Ardila, A; Rosselli, M; Lopez-Arango, G; Uriel-Mendoza, V

    1998-10-01

    The purpose of this study was to further analyze the effects of education across different age ranges on neuropsychological test performance. Two different analyses were performed. The first analysis was conducted in order to pinpoint the impact of school attendance on neuropsychological testing. A group of 64 illiterate normal subjects was selected in the Mexican Republic. Their performance was compared with two barely schooled control groups (1-2 and 3-4 years of schooling). The subjects' ages ranged from 16 to 85 years. In the second analysis, the illiterate subjects were further matched by age and sex with individuals with 1 to 4, 5 to 9, and 10 to 19 years of formal education. The Spanish version of the NEUROPSI neuropsychological test battery (Ostrosky, Ardila, & Rosselli, 1997) was used. Results indicated a significant educational effect on most of the tests. Largest educational effect was noted in constructional abilities (copying of a figure), language (comprehension), phonological verbal fluency, and conceptual functions (similarities, calculation abilities, and sequences). Aging effect was noted in visuoperceptual (visual detection) and memory scores. In the first subject sample, it was evident that, despite using such limited educational range (from 0-4 years of formal education), and such a wide age range (from 16-85 years), schooling represented a stronger variable than age. It is proposed that education effect on neuropsychological test performance represents a negatively accelerated curve, tending to a plateau.

  10. The Neuropsychological Profile of Comorbid Post-Traumatic Stress Disorder in Adult ADHD.

    Science.gov (United States)

    Antshel, Kevin M; Biederman, Joseph; Spencer, Thomas J; Faraone, Stephen V

    2016-12-01

    ADHD and post-traumatic stress disorder (PTSD) are often comorbid yet despite the increased comorbidity between the two disorders, to our knowledge, no data have been published regarding the neuropsychological profile of adults with comorbid ADHD and PTSD. Likewise, previous empirical studies of the neuropsychology of PTSD did not control for ADHD status. We sought to fill this gap in the literature and to assess the extent to which neuropsychological test performance predicted psychosocial functioning, and perceived quality of life. Participants were 201 adults with ADHD attending an outpatient mental health clinic between 1998 and 2003 and 123 controls without ADHD. Participants completed a large battery of self-report measures and psychological tests. Diagnoses were made using data obtained from structured psychiatric interviews (i.e., Structured Clinical Interview for DSM-IV, Schedule for Affective Disorders and Schizophrenia for School-Age Children Epidemiologic Version). Differences emerged between control participants and participants with ADHD on multiple neuropsychological tests. Across all tests, control participants outperformed participants with ADHD. Differences between the two ADHD groups emerged on seven psychological subtests including multiple Wechsler Adult Intelligence Scale-Third edition and Rey-Osterrieth Complex Figure Test measures. These test differences did not account for self-reported quality of life differences between groups. The comorbidity with PTSD in adults with ADHD is associated with weaker cognitive performance on several tasks that appear related to spatial/perceptual abilities and fluency. Neuropsychological test performances may share variance with the quality of life variables yet are not mediators of the quality of life ratings. © The Author(s) 2014.

  11. Neuropsychological functions and visual contrast sensitivity in schizophrenia: the potential impact of comorbid posttraumatic stress disorder (PTSD

    Directory of Open Access Journals (Sweden)

    Ibolya eHalasz

    2013-03-01

    Full Text Available Previous studies have revealed a high prevalence of posttraumatic stress disorder (PTSD in patients with other severe mental disorders, including schizophrenia. However, the neuropsychological and psychophysical correlates of comorbid PTSD are less exactly defined. The purpose of the present study was to assess immediate and delayed memory, attention, visuospatial skills, language, and basic visual information processing in patients with schizophrenia with or without PTSD. We recruited 125 patients with schizophrenia and 70 healthy controls matched for visual acuity, age, gender, education, and socioeconomic status. Twenty-one of patients with schizophrenia exhibited comorbid PTSD. We administered the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS and visual contrast sensitivity tasks for low spatial/high temporal frequency (0.3 cycle/degree and 18 Hz and high spatial/low temporal frequency (10 cycles/degree and 1Hz sinusoidal gratings. All patients were clinically stable and received antipsychotic medications. Results revealed that relative to healthy controls, patients with schizophrenia exhibited significant and generalized neuropsychological dysfunctions and reduced visual contrast sensitivity, which was more pronounced at low spatial/high temporal frequency. When we compared schizophrenia patients with and without PTSD, we found that patients with comorbid PTSD displayed lower scores for RBANS attention, immediate and delayed memory, and visuospatial scores. Schizophrenia patients with or without PTSD displayed similar visual contrast sensitivity. In conclusion, comorbid PTSD in schizophrenia may be associated with worse neuropsychological functions, whereas it does not affect basic visual information processing.

  12. Neuropsychology in Mexico.

    Science.gov (United States)

    Ostrosky Shejet, Feggy; Velez Garcia, Alicia

    2016-11-01

    This invited paper explores the diverse pathways that have led to the development of neuropsychology in Mexico. The authors conducted a review of the literature and their own experiences to describe the seminal events and people relevant to the development of this area of research and practice. The master's degree is the usual level of educational attainment for those who wish to practice clinical neuropsychology. As of now, there is not a board certification process in neuropsychology, although there is one in clinical psychology. Neuropsychology and other mental health disciplines in Mexico and Latin America have historically been poorly funded, and have lacked optimal means of communication as to research findings and clinical initiatives and standards. However, there is reason to think that this will be improved upon in coming years.

  13. [Autism and neuropsychology].

    Science.gov (United States)

    Labruyère, Nelly; Sonie, Sandrine

    2014-01-01

    In neuropsychology, the deficiencies associated with autism are generally classed into three areas: social cognition, executive functioning and central coherence. Autistic people however have singular capacities, notably with regard to their perceptual processing focused on details.

  14. Literacy Independent Cognitive Assessment: Assessing Mild Cognitive Impairment in Older Adults with Low Literacy Skills

    Science.gov (United States)

    Shim, YongSoo; Ryu, Hui Jin; Lee, Dong Woo; Lee, Jun-Young; Jeong, Jee Hyang; Choi, Seong Hye; Han, Seol-Heui

    2015-01-01

    Objective Comprehensive neuropsychological tests are important in the diagnosis and follow-up of patients with MCI; however, most were developed without consideration of illiteracy. We developed the Literacy Independent Cognitive Assessment (LICA) as a comprehensive neuropsychological assessment battery applicable to older adults who are either literate or illiterate. This study aimed to assess the reliability and validity of the LICA for diagnosis of MCI. Methods Normal controls (n=634) and patients with MCI (n=128) were recruited from 13 centers were included in this study. Participants were divided into illiterate or literate groups, based on their performance on a brief reading and writing test. The LICA, Korean Mini-Mental State Examination (K-MMSE), and Seoul Neuropsychological Screening Battery (SNSB) were administered. Results Total LICA scores distinguished MCI patients from controls (pilliteracy. PMID:26207127

  15. Literacy Independent Cognitive Assessment: Assessing Mild Cognitive Impairment in Older Adults with Low Literacy Skills.

    Science.gov (United States)

    Shim, YongSoo; Ryu, Hui Jin; Lee, Dong Woo; Lee, Jun-Young; Jeong, Jee Hyang; Choi, Seong Hye; Han, Seol-Heui; Ryu, Seung-Ho

    2015-07-01

    Comprehensive neuropsychological tests are important in the diagnosis and follow-up of patients with MCI; however, most were developed without consideration of illiteracy. We developed the Literacy Independent Cognitive Assessment (LICA) as a comprehensive neuropsychological assessment battery applicable to older adults who are either literate or illiterate. This study aimed to assess the reliability and validity of the LICA for diagnosis of MCI. Normal controls (n=634) and patients with MCI (n=128) were recruited from 13 centers were included in this study. Participants were divided into illiterate or literate groups, based on their performance on a brief reading and writing test. The LICA, Korean Mini-Mental State Examination (K-MMSE), and Seoul Neuropsychological Screening Battery (SNSB) were administered. Total LICA scores distinguished MCI patients from controls (padults, to identify MCI subtypes and monitor progression toward dementia, regardless of illiteracy.

  16. Neuropsychological Divergence of High-Level Autism and Severe Dyslexia.

    Science.gov (United States)

    Rumsey, Judith M.; Hamburger, Susan D.

    1990-01-01

    To determine variations in cognitive characteristics, 10 nonretarded men with infantile autism, residual state, were compared with 15 severely dyslexic men and 25 controls on a neuropsychological test battery. The dyslexics showed a reduced digit span and the autistic group exhibited impaired problem-solving skills. (Author/JDD)

  17. Life Cycle Assessment of Li-ion Batteries for Electric Vehicles

    OpenAIRE

    2014-01-01

    Batteries for electrical power storage is emerging as a significant industry branch, as we search for technologies to mitigate anthropogenic global warming. Whether as part of a realistic solution, or just as a superficial consumerist trend that shifts emissions elsewhere, electric vehicle production and use is on the rise. As such, the scrutiny of life cycle assessment needs to be applied to this field as well, and here my work begins. This master's thesis is the creation of life cycle i...

  18. Neuropsychology of prefrontal cortex

    OpenAIRE

    2008-01-01

    The history of clinical frontal lobe study is long and rich which provides valuable insights into neuropsychologic determinants of functions of prefrontal cortex (PFC). PFC is often classified as multimodal association cortex as extremely processed information from various sensory modalities is integrated here in a precise fashion to form the physiologic constructs of memory, perception, and diverse cognitive processes. Human neuropsychologic studies also support the notion of different funct...

  19. Clinical neuropsychology practice and training in Canada.

    Science.gov (United States)

    Janzen, Laura A; Guger, Sharon

    2016-11-01

    This invited paper provides information about professional neuropsychology issues in Canada and is part of a special issue addressing international perspectives on education, training, and practice in clinical neuropsychology. Information was gathered from literature searches and personal communication with other neuropsychologists in Canada. Canada has a rich neuropsychological history. Neuropsychologists typically have doctoral-level education including relevant coursework and supervised practical experience. Licensure requirements vary across the 10 provinces and there are regional differences in salary. While training at the graduate and internship level mirrors that of our American colleagues, completion of a two-year postdoctoral fellowship in neuropsychology is not required to obtain employment in many settings and there are few postdoctoral training programs in this country. The majority of neuropsychologists are employed in institutional settings (e.g. hospitals, universities, rehabilitation facilities), with a growing number entering private practice or other settings. There are challenges in providing neuropsychological services to the diverse Canadian population and a need for assessment measures and normative data in multiple languages. Canadian neuropsychologists face important challenges in defining ourselves as distinct from other professions and other psychologists, in maintaining funding for high-quality training and research, in establishing neuropsychology-specific training and practice standards at the provincial or national level, and ensuring the clinical care that we provide is efficient and effective in meeting the needs of our patient populations and consumers, both within and outside of the publically funded health care system.

  20. Providing effective supervision in clinical neuropsychology.

    Science.gov (United States)

    Stucky, Kirk J; Bush, Shane; Donders, Jacobus

    2010-01-01

    A specialty like clinical neuropsychology is shaped by its selection of trainees, educational standards, expected competencies, and the structure of its training programs. The development of individual competency in this specialty is dependent to a considerable degree on the provision of competent supervision to its trainees. In clinical neuropsychology, as in other areas of professional health-service psychology, supervision is the most frequently used method for teaching a variety of skills, including assessment, report writing, differential diagnosis, and treatment. Although much has been written about the provision of quality supervision in clinical and counseling psychology, very little published guidance is available regarding the teaching and provision of supervision in clinical neuropsychology. The primary focus of this article is to provide a framework and guidance for the development of suggested competency standards for training of neuropsychological supervisors, particularly at the residency level. In this paper we outline important components of supervision for neuropsychology trainees and suggest ways in which clinicians can prepare for supervisory roles. Similar to Falender and Shafranske (2004), we propose a competency-based approach to supervision that advocates for a science-informed, formalized, and objective process that clearly delineates the competencies required for good supervisory practice. As much as possible, supervisory competencies are related to foundational and functional competencies in professional psychology, as well as recent legislative initiatives mandating training in supervision. It is our hope that this article will foster further discussion regarding this complex topic, and eventually enhance training in clinical neuropsychology.

  1. Accurate state of charge assessment of lithium-manganese dioxide primary batteries

    Science.gov (United States)

    Manane, Yassine; Yazami, Rachid

    2017-08-01

    A new method for state of charge (SOC) assessment of Li/MnO2 primary batteries is disclosed. The method is based on thermodynamics data measurements and processing. Entropy 'ΔS' and enthalpy 'ΔH' data are collected during intermittent discharge process and tentatively linked to SOC. Using Li/MnO2 cell sets from two different manufacturers, we found a linear relationship between SOC, ΔS and ΔH; i. e. SOC = α+βΔS+λΔH. In the equation α, β and λ coefficients are manufacturer dependent. This result has been assigned to the physical chemical characteristics MnO2, which vary according the cathode material synthesis conditions specific to each manufacturer. The SOC assessment method was initially developed by us for rechargeable lithium ion battery systems. It surprisingly applies to primary batteries too despite cathode processes are irreversible in nature. It is suggested the method may extend to online SOC assessment owing to an imbedded chip, which collects and processes voltage and temperature data to convert them into thermodynamics data. The method can also be used to characterize MnO2 materials from the thermodynamics properties perspective and to trace Li/MnO2 cell manufacturer.

  2. Molecular neuropsychology: creation of test-specific blood biomarker algorithms.

    Science.gov (United States)

    O'Bryant, Sid E; Xiao, Guanghua; Barber, Robert; Cullum, C Munro; Weiner, Myron; Hall, James; Edwards, Melissa; Grammas, Paula; Wilhelmsen, Kirk; Doody, Rachelle; Diaz-Arrastia, Ramon

    2014-01-01

    Prior work on the link between blood-based biomarkers and cognitive status has largely been based on dichotomous classifications rather than detailed neuropsychological functioning. The current project was designed to create serum-based biomarker algorithms that predict neuropsychological test performance. A battery of neuropsychological measures was administered. Random forest analyses were utilized to create neuropsychological test-specific biomarker risk scores in a training set that were entered into linear regression models predicting the respective test scores in the test set. Serum multiplex biomarker data were analyzed on 108 proteins from 395 participants (197 Alzheimer patients and 198 controls) from the Texas Alzheimer's Research and Care Consortium. The biomarker risk scores were significant predictors (p neuropsychological tests. With the exception of premorbid intellectual status (6.6%), the biomarker risk scores alone accounted for a minimum of 12.9% of the variance in neuropsychological scores. Biomarker algorithms (biomarker risk scores and demographics) accounted for substantially more variance in scores. Review of the variable importance plots indicated differential patterns of biomarker significance for each test, suggesting the possibility of domain-specific biomarker algorithms. Our findings provide proof of concept for a novel area of scientific discovery, which we term 'molecular neuropsychology'. Copyright © 2013 S. Karger AG, Basel.

  3. The Neuropsychological Course of Acute Delirium in Adult Hematopoietic Stem Cell Transplantation Patients

    Science.gov (United States)

    Beglinger, Leigh J.; Mills, James A.; Vik, Stacie M.; Duff, Kevin; Denburg, Natalie L.; Weckmann, Michelle T.; Paulsen, Jane S.; Gingrich, Roger

    2011-01-01

    Although delirium is a common medical comorbidity with altered cognition as its defining feature, few publications have addressed the neuropsychological prodrome, profile, and recovery of patients tested during delirium. We characterize neuropsychological performance in 54 hemapoietic stem cell/bone marrow transplantation (BMT) patients shortly before, during, and after delirium and in BMT patients without delirium and 10 healthy adults. Patients were assessed prospectively before and after transplantation using a brief battery. BMT patients with delirium performed more poorly than comparisons and those without delirium on cross-sectional and trend analyses. Deficits were in expected areas of attention and memory, but also in psychomotor speed and learning. The patients with delirium did not return to normative “average” on any test during observation. Most tests showed a mild decline in the visit before delirium, a sharp decline with delirium onset, and variable performance in the following days. This study adds to the few investigations of neuropsychological performance surrounding delirium and provides targets for monitoring and early detection; Trails A and B, RBANS Coding, and List Recall may be useful for delirium assessment. PMID:21183605

  4. Relationship jump-landing technique and neuropsychological characteristics, implications for acl injury prevention

    NARCIS (Netherlands)

    Benjaminse, A.; Meijer, M.; Cortes, N.; Gokeler, A.

    2014-01-01

    BACKGROUND: Neuropsychological capabilities in athletes may be associated with a predisposition to anterior cruciate ligament (ACL) injuries. OBJECTIVE: Assess differences between male and female athletes in jump-landing technique in relation to their neuropsychological capabilities. DESIGN:

  5. Relationship jump-landing technique and neuropsychological characteristics, implications for acl injury prevention

    NARCIS (Netherlands)

    Benjaminse, A.; Meijer, M.; Cortes, N.; Gokeler, A.

    2014-01-01

    BACKGROUND: Neuropsychological capabilities in athletes may be associated with a predisposition to anterior cruciate ligament (ACL) injuries. OBJECTIVE: Assess differences between male and female athletes in jump-landing technique in relation to their neuropsychological capabilities. DESIGN: Experim

  6. Relationship jump-landing technique and neuropsychological characteristics, implications for acl injury prevention

    NARCIS (Netherlands)

    Benjaminse, A.; Meijer, M.; Cortes, N.; Gokeler, A.

    2014-01-01

    BACKGROUND: Neuropsychological capabilities in athletes may be associated with a predisposition to anterior cruciate ligament (ACL) injuries. OBJECTIVE: Assess differences between male and female athletes in jump-landing technique in relation to their neuropsychological capabilities. DESIGN: Experim

  7. Brief cognitive assessment of Alzheimer's disease in advanced stages: Proposal for a Brazilian version of the Short Battery for Severe Impairment (SIB-8

    Directory of Open Access Journals (Sweden)

    José Roberto Wajman

    Full Text Available ABSTRACT The measurement of cognitive abilities of patients with severe dementia can serve a wide range of methodological and clinical needs. Objective: To validate a proposed severe impairment battery SIB-8 for a Brazilian population sample as part of the neuropsychological assessment of patients with Alzheimer's disease (AD in advanced stages. Methods: After a systematic process of translation and back-translation, the SIB-8 was applied to 95 patients with AD at different stages; moderate, moderately severe and severe according to FAST subdivisions (5, 6 and 7, with scores on the Mini-Mental State Examination (MMSE of between 5 and 15 and followed by the Division of Behavioral Neurology and the Center for Aging Brain of the Federal University of São Paulo - UNIFESP. Results: Inferential data revealed that the SIB-8 instrument behaved differently at each stage of the disease with a statistical value of sensitivity p<0.001, gradually reflecting the expected course of the dementia, inherent with the decline of cognitive functions. Conclusion: Findings indicated that the SIB-8 is a useful tool for the evaluation and prospective comparison of AD patients in advanced stages, retaining its original characteristics in our population.

  8. BAASTA: Battery for the Assessment of Auditory Sensorimotor and Timing Abilities.

    Science.gov (United States)

    Dalla Bella, Simone; Farrugia, Nicolas; Benoit, Charles-Etienne; Begel, Valentin; Verga, Laura; Harding, Eleanor; Kotz, Sonja A

    2017-06-01

    The Battery for the Assessment of Auditory Sensorimotor and Timing Abilities (BAASTA) is a new tool for the systematic assessment of perceptual and sensorimotor timing skills. It spans a broad range of timing skills aimed at differentiating individual timing profiles. BAASTA consists of sensitive time perception and production tasks. Perceptual tasks include duration discrimination, anisochrony detection (with tones and music), and a version of the Beat Alignment Task. Perceptual thresholds for duration discrimination and anisochrony detection are estimated with a maximum likelihood procedure (MLP) algorithm. Production tasks use finger tapping and include unpaced and paced tapping (with tones and music), synchronization-continuation, and adaptive tapping to a sequence with a tempo change. BAASTA was tested in a proof-of-concept study with 20 non-musicians (Experiment 1). To validate the results of the MLP procedure, less widespread than standard staircase methods, three perceptual tasks of the battery (duration discrimination, anisochrony detection with tones, and with music) were further tested in a second group of non-musicians using 2 down / 1 up and 3 down / 1 up staircase paradigms (n = 24) (Experiment 2). The results show that the timing profiles provided by BAASTA allow to detect cases of timing/rhythm disorders. In addition, perceptual thresholds yielded by the MLP algorithm, although generally comparable to the results provided by standard staircase, tend to be slightly lower. In sum, BAASTA provides a comprehensive battery to test perceptual and sensorimotor timing skills, and to detect timing/rhythm deficits.

  9. Working memory test battery for young adults: Computerized working memory assessment

    Science.gov (United States)

    Ma, Liang; Chang, Lei; Chen, Xiaoying

    2017-01-01

    This study developed a battery of computerized working memory (WM) tests and a scoring system suitable for young adult users. The tests comprised five classic tasks derived from Baddeley’s model of WM, reflecting each of the five WM functions. We recruited 115 undergraduate and graduate students from various academic fields and constructed a preliminary WM scoring norm for young adults. The scoring norm was used as a basis for developing a computerized assessment system. The results of correlation analysis show that the fluid intelligence of young adults is related to the memory function of WM, but not to the central executive system. The proposed working memory test battery for young adults comprehensively reflects the WM capacity of adults. PMID:28362867

  10. Developing a Test Battery to assess Determinants of Marital Relationship Satisfaction in Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Nadia Al Tamimi

    2009-12-01

    Full Text Available A sample of 50 wives and 50 husbands from Saudi Arabia completed a battery of scales assessing different aspects of couple relationship functioning which had been translated from English to Arabic. The selection of measures was based on the Vulnerability-Stress-Adaptation Model (VSA, Karney & Bradbury, 1995 and included measures of partner attachment, conflict behaviour, and relationship with members of the family-in-law as predictors and marital satisfaction as criterion variable. All scales of the test battery showed acceptable reliability. The newly developed conflict behaviour scale consisted of three theoretically meaningful factors (Positive behaviour, Negative behaviour, and Abuse. All instruments showed evidence for convergent validity and contributed significantly to the prediction of relationship satisfaction. The results showed in general a similar pattern of correlations in Saudi Arabia as previous studies in Western countries.

  11. Life cycle environmental assessment of lithium-ion and nickel metal hydride batteries for plug-in hybrid and battery electric vehicles.

    Science.gov (United States)

    Majeau-Bettez, Guillaume; Hawkins, Troy R; Strømman, Anders Hammer

    2011-05-15

    This study presents the life cycle assessment (LCA) of three batteries for plug-in hybrid and full performance battery electric vehicles. A transparent life cycle inventory (LCI) was compiled in a component-wise manner for nickel metal hydride (NiMH), nickel cobalt manganese lithium-ion (NCM), and iron phosphate lithium-ion (LFP) batteries. The battery systems were investigated with a functional unit based on energy storage, and environmental impacts were analyzed using midpoint indicators. On a per-storage basis, the NiMH technology was found to have the highest environmental impact, followed by NCM and then LFP, for all categories considered except ozone depletion potential. We found higher life cycle global warming emissions than have been previously reported. Detailed contribution and structural path analyses allowed for the identification of the different processes and value-chains most directly responsible for these emissions. This article contributes a public and detailed inventory, which can be easily be adapted to any powertrain, along with readily usable environmental performance assessments.

  12. A meta-analysis of the neuropsychological sequelae of chemotherapy-only treatment for pediatric acute lymphoblastic leukemia.

    Science.gov (United States)

    Peterson, Catherine C; Johnson, Courtney E; Ramirez, Lisa Y; Huestis, Samantha; Pai, Ahna L H; Demaree, Heath A; Drotar, Dennis

    2008-07-01

    Mixed findings on the neuropsychological sequelae of chemotherapy-only treatment for pediatric acute lymphoblastic leukemia (ALL), without radiation, indicate the need for a comprehensive meta-analytic review. The purpose of the current study was to conduct a meta-analysis assessing neuropsychological and academic functioning differences between children with ALL treated solely with chemotherapy and comparison groups. Thirteen articles met inclusion criteria for the meta-analysis and were analyzed using a random effects model, weighted least squares methods. Mean effect sizes were significantly different from zero for multiple domains of intelligence and academic achievement; processing speed; verbal memory; and some aspects of executive functioning and fine motor skills, indicating worse functioning in ALL survivors. Effect sizes for visual-motor skills and visual memory were not significantly different from zero. Results support the presence of neuropsychological and academic sequelae for ALL survivors treated solely with chemotherapy and highlight the need for ongoing follow-up of children with ALL using a standardized neuropsychological test battery and research methodology. (c) 2008 Wiley-Liss, Inc.

  13. Neuropsychological and quality of life assessment in patients with Parkinson's disease submitted to bilateral deep brain stimulation in the subthalamic nucleus

    Directory of Open Access Journals (Sweden)

    Alessandra Shenandoa Heluani

    Full Text Available ABSTRACT Deep brain stimulation (DBS has been widely used to control motor symptoms and improve quality of life in patients with Parkinsons disease (PD. Recently, DBS in the subthalamic nucleus (STN has become the preferred target for patients with mixed motor symptoms. Despite resultant motor and quality of life improvements, the procedure has been associated with cognitive decline, mainly in language skills, and also with psychiatric symptoms. Objective: To evaluate the influence of DBS in the STN on cognition, mood and quality of life. Methods: We studied 20 patients with PD submitted to DBS in the STN from May 2008 to June 2012 with an extensive battery of cognitive tests including memory, language, praxis, executive functions and attention assessments; the Parkinson's Disease Quality of Life Questionnaire (PDQ-39; and the Hospital Anxiety and Depression Scale (HAD, were applied both before and after the surgery. Data was analyzed using SPSS version 17.0 and results compared using the paired Student's t test. Results: A total of 20 patients with pre and post-operative assessments were included. A statistically significant improvement was found in total score and on subscales of mobility, activities of daily living and emotional well-being from the PDQ-39 (P=0.009, 0.025, 0.001 and 0.034, respectively. No significant difference was found on the cognitive battery or mood scale. Conclusion: DBS in the SNT improved quality of life in PD with no negative impact on cognitive skills and mood.

  14. Arithmetical Calculation and Related Neuropsychological Skills in Subjects With Isolated Oral Clefts.

    Science.gov (United States)

    Goodwin, Jon W; Conrad, Amy L; Ansley, Timothy; Nopoulos, Peg

    2017-05-04

    The current study examined whether the arithmetical calculation skills of children, adolescents, and young adults with isolated cleft of the lip and/or palate (iCL/P) differ significantly from unaffected control participants. Comparisons of potential neuropsychological predictors of arithmetical calculation were also conducted to determine whether these variables differ significantly for participants with iCL/P. Participants (N = 176; 93 iCL/P and 83 Control) ranged in age from 7 to 26 years old. A standardized battery of achievement and neuropsychological skills was administered. Between group differences on math achievement was assessed through a univariate analysis of covariance. Relationships between neuropsychological measures and math achievement were analyzed separately for participants with iCL/P and controls through hierarchical linear regressions. Arithmetical calculation was significantly lower for the iCL/P group. Rapid naming, sustained attention, and visual-spatial organization were significant predictors for the iCL/P group; rapid naming was the lone variable that was significantly more predictive of arithmetical calculation for the iCL/P group than for control participants. These results suggest that inefficient verbal label retrieval related to short-term memory (STM) deficits underlie the calculation difficulties of individuals with iCL/P. These findings have implications for approaches to remediation, as well as future research. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  15. Neuropsychological functioning in young subjects with generalized anxiety disorder with and without pharmacotherapy.

    Science.gov (United States)

    Tempesta, D; Mazza, M; Serroni, N; Moschetta, F S; Di Giannantonio, M; Ferrara, M; De Berardis, D

    2013-08-01

    The purpose of this study was to investigate the neuropsychological functioning and the effect of antidepressant drug intake on cognitive performance in a group of relatively young generalized anxiety disorder (GAD) patients. Forty patients with a DSM-IV diagnosis of GAD and 31 healthy subjects participated in the study (Control group, CON). None of the selected subjects had comorbid depression. GAD subjects were divided into two different subgroups: 18 were taking antidepressants [GAD-pharmacotherapy (GAD-p group)] and 22 were treatment-naïve (GAD group). Each group was administered with a comprehensive neuropsychological battery to assess attention, memory and executive functions. Performance on executive and non-verbal memory tasks of both GAD groups was largely worse than the CON group. However, these deficits seem to be more marked in patients taking antidepressants, especially in the domains of attention, non-verbal memory and executive functions. The present study indicates that GAD is associated with cognitive impairments among young adults. However, the observed association of neuropsychological deficits and the use of pharmacotherapy suggest a possible effect of antidepressant treatment on attention, executive functioning and non-verbal memory.

  16. Obsessive compulsive disorder networks: positron emission tomography and neuropsychology provide new insights.

    Directory of Open Access Journals (Sweden)

    Bruno Millet

    Full Text Available BACKGROUND: Deep brain stimulation has shed new light on the central role of the prefrontal cortex (PFC in obsessive compulsive disorder (OCD. We explored this structure from a functional perspective, synchronizing neuroimaging and cognitive measures. METHODS AND FINDINGS: This case-control cross-sectional study compared 15 OCD patients without comorbidities and not currently on serotonin reuptake inhibitors or cognitive behavioural therapy with 15 healthy controls (matched for age, sex and education level on resting-state (18FDG-PET scans and a neuropsychological battery assessing executive functions. We looked for correlations between metabolic modifications and impaired neuropsychological scores. Modifications in glucose metabolism were found in frontal regions (orbitofrontal cortex and dorsolateral cortices, the cingulate gyrus, insula and parietal gyrus. Neuropsychological differences between patients and controls, which were subtle, were correlated with the metabolism of the prefrontal, parietal, and temporal cortices. CONCLUSION: As expected, we confirmed previous reports of a PFC dysfunction in OCD patients, and established a correlation with cognitive deficits. Other regions outside the prefrontal cortex, including the dorsoparietal cortex and the insula, also appeared to be implicated in the pathophysiology of OCD, providing fresh insights on the complexity of OCD syndromes.

  17. Life cycle assessment of three different management options for spent alkaline batteries.

    Science.gov (United States)

    Xará, Susana; Almeida, Manuel Fonseca; Costa, Carlos

    2015-09-01

    The potential environmental impact of Landfilling, Incineration and Recycling of spent household alkaline batteries collected in continental Portugal was compared using LCA methodology and the Recipe Impact Assessment method. Major contributors and improvement opportunities for each system were identified and scenarios for 2012 and 2016 legislation targets were evaluated. For 13 out of the 18 impact categories, the Recycling system is the worst alternative, Incineration is the worst option for 4 and Landfill is the worst option only for one impact category. However if additionally in each system the recovery of materials and energy is taken into account there is a noticeable advantage of the Recycling system for all the impact categories. The environmental profiles for 2012 and 2016 scenarios (25% and 45% recycling rates, respectively) show the dominance of the Recycling system for most of the impact categories. Based on the results of this study, it is questioned whether there are environmental benefits of recycling abroad the household alkaline batteries collected in continental Portugal and, since the low environmental performance of the Recycling system is particularly due to the international transport of the batteries to the recycling plant, is foreseen that a recycling facility located in Portugal, could bring a positive contribution to the environmental impact of the legislation compliance. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. Assessing the detoxication efficiencies of wastewater treatment processes using a battery of bioassays/biomarkers.

    Science.gov (United States)

    Ma, Mei; Li, Jian; Wang, Zijian

    2005-11-01

    A battery of in vitro bioassays, including a Neutral Red (NR) assay using MCF-7 cells for predicting cytotoxic chemicals, an ethoxy resorufin-O-deethylase (EROD) activity assay using H4IIE cells to check for dioxin-like chemicals, and a recombinant gene yeast assay for screening estrogenic chemicals, was conducted to assess the removal efficiencies of trace toxic chemicals by different treatment processes in the waste water treatment plant (WWTP). The effluents were extracted by solid phase extraction (SPE) and were fractionated into three fractions based on polarities. The battery of bioassays was performed for each fraction. In the battery, the toxicities of the effluents were described according to their modes of actions (MOA) or biomarkers and the properties of the toxic chemicals were categorized by their polarities and MOAs. The proposed procedure could be used as a tool to diagnose the toxic characteristics of the complicate mixture. The results showed that cytotoxic, dioxin-like and estrogenic chemicals could be detected in all samples. In the influent, cytotoxic and dioxin-like chemicals were mainly in polar fraction and estrogenic chemicals were in non-polar and moderate-polar fractions. The secondary treatment (active sludge) could remove a small amount of these toxicants. Among different types of advanced treatments, flocculation was good enough to remove most of the cytotoxic chemicals and a combination of flocculation, ozone oxidation, and post-biological treatment could eliminate most of the dioxin-like and estrogenic chemicals.

  19. The culture of time in neuropsychological assessment: exploring the effects of culture-specific time attitudes on timed test performance in Russian and American samples.

    Science.gov (United States)

    Agranovich, Anna V; Panter, A T; Puente, Antonio E; Touradji, Pegah

    2011-07-01

    Cultural differences in time attitudes and their effect on timed neuropsychological test performance were examined in matched non-clinical samples of 100 Russian and American adult volunteers using 8 tests that were previously reported to be relatively free of cultural bias: Color Trails Test (CTT); Ruff Figural Fluency Test (RFFT); Symbol Digit Modalities Test (SDMT); and Tower of London-Drexel Edition (ToL(Dx)). A measure of time attitudes, the Culture of Time Inventory (COTI-33) was used to assess time attitudes potentially affecting time-limited testing. Americans significantly outscored Russians on CTT, SDMT, and ToL(Dx) (p,.05) while differences in RFFT scores only approached statistical significance. Group differences also emerged in COTI-33 factor scores, which partially mediated differences in performance on CTT-1, SDMT, and ToL(Dx) initiation time, but did not account for the effect of culture on CTT-2. Significant effect of culture was revealed in ratings of familiarity with testing procedures that was negatively related to CTT, ToL(Dx), and SDMT scores. Current findings indicated that attitudes toward time may influence results of time limited testing and suggested that individuals who lack familiarity with timed testing procedures tend to obtain lower scores on timed tests.

  20. Cognitive and other neuropsychological profiles in children with newly diagnosed benign rolandic epilepsy

    Directory of Open Access Journals (Sweden)

    Soonhak Kwon

    2012-10-01

    Full Text Available &lt;B&gt;Purpose:&lt;/B&gt; Although benign rolandic epilepsy (BRE is a benign condition, it may be associated with a spectrum of behavioral, psychiatric, and cognitive disorders. This study aimed to assess the cognitive and other neuropsychological profiles of children with BRE. &lt;B&gt;Methods:&lt;/B&gt; In total, 23 children with BRE were consecutively recruited. All children underwent sleep electroencephalography (EEG and were assessed on a battery of comprehensive neuropsychological tests including the Korean versions of the Wechsler intelligence scale for children III, frontal executive neuropsychological test, rey complex figure test, Wisconsin card sorting test, attention deficit diagnostic scale, and child behavior checklist scale. &lt;B&gt;Results:&lt;/B&gt; The study subjects included 13 boys and 10 girls aged 9.0±1.6 years. Our subjects showed an average monthly seizure frequency of 0.9±0.7, and a majority of them had focal seizures (70%. The spike index (frequency/min was 4.1±5.3 (right and 13.1±15.9 (left. Of the 23 subjects, 9 showed frequent spikes (&gt;10/min on the EEG. The subjects had normal cognitive and frontal executive functions, memory, and other neuropsychological sub-domain scores, even though 8 children (35% showed some evidence of learning difficulties, attention deficits, and aggressive behavior. &lt;B&gt;Conclusion:&lt;/B&gt; Our data have limited predictive value; however, these data demonstrate that although BRE appears to be benign at the onset, children with BRE might develop cognitive, behavioral, and other psychiatric disorders during the active phase of epilepsy, and these problems may even outlast the BRE. Therefore, we recommend scrupulous follow-up for children with BRE.

  1. Neurological and neuropsychological functions in adults with a history of developmental arsenic poisoning from contaminated milk powder

    DEFF Research Database (Denmark)

    Yorifuji, Takashi; Kato, Tsuguhiko; Ohta, Hitoshi

    2016-01-01

    to neurological examination, we adapted a battery of neurophysiological and neuropsychological tests to identify the types of brain functions affected by early-life arsenic exposure. While limited abnormalities were found in the neurophysiological tests, neuropsychological deficits were observed. Except...... infancy revealed neuropsychological dysfunctions, even among those subjects not recognized as having disabilities. Developmental neurotoxicity due to arsenic likely results in permanent changes in brain functions....

  2. Assessment of high power HEV lead-acid battery advancements by comparative benchmarking with a European test procedure

    Science.gov (United States)

    Conte, Mario; Pede, Giovanni; Sglavo, Vincenzo; Macerata, Diego

    The technical and practical suitability of lead-acid batteries for applications in vehicles with electrical drivetrains (battery-powered or hybrid electric) has been experimentally investigated in a variety of testing programmes. Under the direction and funding support of the Commission of the European Community, since early 1990s, the R&D Organisation EUCAR, a collaborative partnership of most European car manufacturers, has been conducting battery technological assessment projects, through bench tests carried out by different independent laboratories throughout Europe, using agreed test procedures. In this framework, ENEA acted as independent testing institute and tested, among others, three high power lead-acid batteries of various technologies (flat plate electrodes and spiral wound) for EV and HEV applications. In addition, different battery sizes and operating conditions have been tested at ENEA in a separate collaboration with ALTRA-IRISBUS. This paper intends to trace technological and performance improvements of high power lead-acid battery technology through the analysis of experimental data during parameter and life cycle tests, including the effects of battery sizes, charge/discharge profiles and testing procedures, with special emphasis on the reduction of the internal resistance and the variation of peak power and cycle life.

  3. STUDY REGARDING THE CORRELATION BETWEEN NEUROPSYCHOLOGICAL TESTS AND WEIGHT IN NORMAL PSYCHOMOTOR DEVELOPING OF THE PREMATURE BABIES

    Directory of Open Access Journals (Sweden)

    Hodorca Raluca

    2014-12-01

    Full Text Available Premature is a newborn alive whose birth weight is equal to or less than 2500 grams, regardless of the duration of gestation. Prematurity have sometimes negative effects on child development by slowing the psychomotor development (child goes to talk later, you can recover delay until the age of 3-5 years. Some of these older children, will be clumsy. PURPOSE: To verify the importance of the adapted recovery program making a correlation between neuro-psychological assessment tests and weight of children born prematurely. HYPOTHESIS: Early systematic and continuous intervention, using adapted physical therapy methods lead to a improved neuromotor development of the premature by reaching the normal range. MATERIAL AND METHODS The study included 10 children, 6 boys and 4 girls, born prematurely. They were subjected to the test "assessment of neuro-psychological development in children 0-36 months" (it is a battery of tests that help to evaluate their development monthly and test weight. Applied therapeutic program included: exercise (performed by the game, massage, neuromotor rehabilitation methods (Bobath, Vojta, Kabat, hydrotherapy and music therapy. RESULTS AND DISCUSSION: If neuro-psychological tests, we proceeded to calculate averages scores for the 3 test, which is further correlated with children's weight. Average scores range between 7 and 10. 333, with an overall average of 9.371. In all 3 tests averages ranging from 8,575 in the initial stage, in 9386, and 10,152 in the midway point in the final stage. CONCLUSIONS: Weight, explain in smaller proportions, and other parameters and results of neuro-psychological tests children (65.6%. ANOVA models indicate statistically significant relationships between parameters and neuro-psychological testing stages, showing progressive improvement of children's performance. Following statistical interpretation can confirm the effectiveness of the recovery program implemented so we suggest to the parents

  4. The predictive value of measures of social cognition for community functioning in schizophrenia : Implications for neuropsychological assessment

    NARCIS (Netherlands)

    Pijnenborg, G. H. M.; Withaar, F. K.; Evans, J. J.; van den Bosch, R. J.; Timmerman, M. E.; Brouwer, W. H.

    2009-01-01

    The objective of this study was to examine the unique contribution of social cognition to the prediction of community functioning and to explore the relevance of social cognition for clinical practice. Forty-six schizophrenia patients and 53 healthy controls were assessed with tests of social cognit

  5. The predictive value of measures of social cognition for community functioning in schizophrenia : Implications for neuropsychological assessment

    NARCIS (Netherlands)

    Pijnenborg, G.H M; Withaar, F.K.; Evans, J.J; van den Bosch, R.J.; Timmerman, M.E.; Brouwer, W.H.

    The objective of this study was to examine the unique contribution of social cognition to the prediction of community functioning and to explore the relevance of social cognition for clinical practice. Forty-six schizophrenia patients and 53 healthy controls were assessed with tests of social

  6. Neuropsychological and behavioural correlates of CSF biomarkers in dementia.

    Science.gov (United States)

    Engelborghs, Sebastiaan; Maertens, Karen; Vloeberghs, Ellen; Aerts, Tony; Somers, Nore; Mariën, Peter; De Deyn, Peter P

    2006-03-01

    To improve clinical, neuropsychological and behavioural characterisation of the cerebrospinal fluid (CSF) biomarkers beta-amyloid((1-42)) protein (Abeta42), protein tau (tau) and tau phosphorylated at threonine 181 (P-tau181) across diagnostic dementia categories, a prospective study was set up. Patients with probable Alzheimer's disease (AD) (n=201), AD with cerebrovascular disease (CVD) (AD+CVD) (n=33), frontotemporal dementia (FTD) (n=27), dementia with Lewy bodies (DLB) (n=22) and healthy controls (n=148) were included. All patients underwent neuropsychological examination and behavioural assessment by means of a battery of behavioural assessment scales. CSF was obtained by lumbar puncture and levels of Abeta42, tau and P-tau181 were determined with commercially available ELISA kits. Negative correlations between CSF Abeta42 levels and aggressiveness (Spearman: r=-0.223; p=0.002) and positive correlations with age at inclusion (r=0.195; p=0.006), age at onset (r=0.205; p=0.003) and MMSE scores (r=0.198; p=0.005) were found in AD. In AD+CVD, CSF Abeta42 levels were correlated with MMSE (r=0.482; p=0.006), Hierarchic Dementia Scale (r=0.503; p=0.017) and Boston Naming Test (r=0.516; p=0.012) scores. In controls, age was positively correlated with CSF tau (r=0.465; pbiomarker levels were obtained in healthy controls compared to AD patients, indicating that AD-induced pathophysiological processes change age-dependent regulation of CSF biomarker levels.

  7. School Neuropsychology Consultation in Neurodevelopmental Disorders

    Science.gov (United States)

    Decker, Scott L.

    2008-01-01

    The role of school psychologists with training in neuropsychology is examined within the context of multitiered models of service delivery and educational reform policies. An expanded role is suggested that builds on expertise in the assessment of neurodevelopmental disorders and extends to broader tiers through consultation practice. Changes in…

  8. Neuropsychological and Behavioral Aspects of Noonan Syndrome

    NARCIS (Netherlands)

    P.A.M. Wingbermühle (Ellen); J.I.M. Egger (Jos); I. van der Burgt (Ineke); W.M.A. Verhoeven (Wim)

    2009-01-01

    textabstractAbstract: The current paper introduces concise neuropsychological assessment as an essential tool for studying the contribution of cognition and behavior in the expression of genetic syndromes, like Noonan syndrome (NS). Cognitive and behavioral findings in NS show intelligence scores

  9. Neuropsychological and behavioural aspects of Noonan syndrome

    NARCIS (Netherlands)

    Wingbermühle, P.A.M.; Egger, J.I.M.; Burgt, C.J.A.M. van der; Verhoeven, W.M.A.

    2009-01-01

    The current paper introduces concise neuropsychological assessment as an essential tool for studying the contribution of cognition and behavior in the expression of genetic syndromes, like Noonan syndrome (NS). Cognitive and behavioral findings in NS show intelligence scores across a wide range,

  10. Neuropsychological Correlates of Early Symptoms of Autism.

    Science.gov (United States)

    Dawson, Geraldine; Meltzoff, Andrew N.; Osterling, Julie; Rinaldi, Julie

    1998-01-01

    Examined performance on neuropsychological tests (tapping the medial temporal lobe and related limbic structures, and the dorsolateral prefrontal cortex, respectively) in relation to performance on tasks assessing autistic symptoms in young children with autism, and developmentally matched children with Down syndrome or typical development.…

  11. Neuropsychological and Behavioral Aspects of Noonan Syndrome

    NARCIS (Netherlands)

    P.A.M. Wingbermühle (Ellen); J.I.M. Egger (Jos); I. van der Burgt (Ineke); W.M.A. Verhoeven (Wim)

    2009-01-01

    textabstractAbstract: The current paper introduces concise neuropsychological assessment as an essential tool for studying the contribution of cognition and behavior in the expression of genetic syndromes, like Noonan syndrome (NS). Cognitive and behavioral findings in NS show intelligence scores ac

  12. School Neuropsychology Consultation in Neurodevelopmental Disorders

    Science.gov (United States)

    Decker, Scott L.

    2008-01-01

    The role of school psychologists with training in neuropsychology is examined within the context of multitiered models of service delivery and educational reform policies. An expanded role is suggested that builds on expertise in the assessment of neurodevelopmental disorders and extends to broader tiers through consultation practice. Changes in…

  13. Differences between early and late-onset Alzheimer's disease in neuropsychological tests.

    Directory of Open Access Journals (Sweden)

    Francisca eSá

    2012-05-01

    Full Text Available Although patients with Alzheimer disease (AD share clinical and histological features regardless of age of onset, the hypothesis that early-onset AD constitutes a distinct subgroup prevails. Some authors suggest that early attention or language impairment constitute patterns of differentiation in terms of neuropsychological profile. However, investigations are not consensual in terms of cognitive domains affected in each group.Aim: To investigate whether there is early neuropsychological difference between two types of AD using the conventional dividing line of 65 years.Methods: We evaluated the results obtained in the Mini-Mental State Examination (MMSE and in a comprehensive neuropsychological batteryBattery of Lisbon for the Assessment of Dementia (BLAD, at a Dementia clinic in the University Hospital of Coimbra and a Memory Clinic. Consecutive patients with a clinical probable diagnosis of mild to moderate AD, using standard criteria (DSMIV and NINCDS-ADRDA, were selected. Statistical analysis was performed using Qui-square and U-Mann-Whitney, for categorical and non-categorical variables.Results: The sample included 280 patients: 109 with early-onset AD and 171 with a late-onset form. Groups were comparable in gender, education, severity of disease and MMSE. In BLAD, the early onset group had lower scores in Naming (p=0,025, Right-Left Orientation (p=0,029 and Praxis (p=0,001, and better performances in Orientation (p=0,001 and Visual Memory (p=0,022. After application of Bonferroni correction for multiple comparisons only Praxis and Orientation could differentiate the two groups.Discussion: The results are suggestive of dissociated profiles between early and late-onset AD. Younger patients have a major impairment in Praxis and a tendency for a great impairment in neocortical temporal functions. Late-onset form had a tendency for worse performances in Visual Memory and Orientation, suggesting a more localized disease to the limbic

  14. Neuropsychological Testing and Machine Learning Distinguish Alzheimer’s Disease from Other Causes for Cognitive Impairment

    Directory of Open Access Journals (Sweden)

    Helmut Hildebrandt

    2017-04-01

    Full Text Available With promising results in recent treatment trials for Alzheimer’s disease (AD, it becomes increasingly important to distinguish AD at early stages from other causes for cognitive impairment. However, existing diagnostic methods are either invasive (lumbar punctures, PET or inaccurate Magnetic Resonance Imaging (MRI. This study investigates the potential of neuropsychological testing (NPT to specifically identify those patients with possible AD among a sample of 158 patients with Mild Cognitive Impairment (MCI or dementia for various causes. Patients were divided into an early stage and a late stage group according to their Mini Mental State Examination (MMSE score and labeled as AD or non-AD patients based on a post-mortem validated threshold of the ratio between total tau and beta amyloid in the cerebrospinal fluid (CSF; Total tau/Aβ(1–42 ratio, TB ratio. All patients completed the established Consortium to Establish a Registry for Alzheimer’s Disease—Neuropsychological Assessment Battery (CERAD-NAB test battery and two additional newly-developed neuropsychological tests (recollection and verbal comprehension that aimed at carving out specific Alzheimer-typical deficits. Based on these test results, an underlying AD (pathologically increased TB ratio was predicted with a machine learning algorithm. To this end, the algorithm was trained in each case on all patients except the one to predict (leave-one-out validation. In the total group, 82% of the patients could be correctly identified as AD or non-AD. In the early group with small general cognitive impairment, classification accuracy was increased to 89%. NPT thus seems to be capable of discriminating between AD patients and patients with cognitive impairment due to other neurodegenerative or vascular causes with a high accuracy, and may be used for screening in clinical routine and drug studies, especially in the early course of this disease.

  15. Neuropsychological Testing and Machine Learning Distinguish Alzheimer's Disease from Other Causes for Cognitive Impairment.

    Science.gov (United States)

    Gurevich, Pavel; Stuke, Hannes; Kastrup, Andreas; Stuke, Heiner; Hildebrandt, Helmut

    2017-01-01

    With promising results in recent treatment trials for Alzheimer's disease (AD), it becomes increasingly important to distinguish AD at early stages from other causes for cognitive impairment. However, existing diagnostic methods are either invasive (lumbar punctures, PET) or inaccurate Magnetic Resonance Imaging (MRI). This study investigates the potential of neuropsychological testing (NPT) to specifically identify those patients with possible AD among a sample of 158 patients with Mild Cognitive Impairment (MCI) or dementia for various causes. Patients were divided into an early stage and a late stage group according to their Mini Mental State Examination (MMSE) score and labeled as AD or non-AD patients based on a post-mortem validated threshold of the ratio between total tau and beta amyloid in the cerebrospinal fluid (CSF; Total tau/Aβ(1-42) ratio, TB ratio). All patients completed the established Consortium to Establish a Registry for Alzheimer's Disease-Neuropsychological Assessment Battery (CERAD-NAB) test battery and two additional newly-developed neuropsychological tests (recollection and verbal comprehension) that aimed at carving out specific Alzheimer-typical deficits. Based on these test results, an underlying AD (pathologically increased TB ratio) was predicted with a machine learning algorithm. To this end, the algorithm was trained in each case on all patients except the one to predict (leave-one-out validation). In the total group, 82% of the patients could be correctly identified as AD or non-AD. In the early group with small general cognitive impairment, classification accuracy was increased to 89%. NPT thus seems to be capable of discriminating between AD patients and patients with cognitive impairment due to other neurodegenerative or vascular causes with a high accuracy, and may be used for screening in clinical routine and drug studies, especially in the early course of this disease.

  16. Developing a Reliable Core Stability Assessment Battery for Patients with Nonspecific Low Back Pain.

    Science.gov (United States)

    Ozcan Kahraman, Buse; Salik Sengul, Yesim; Kahraman, Turhan; Kalemci, Orhan

    2016-07-15

    Test-retest design. The objective was to examine the intrarater (test-retest) reliability of the core stability related tests and to develop a reliable core stability assessment battery. Studies suggest that core stability exercises may improve function and decrease pain in patients with nonspecific low back pain (LBP). Reliable clinical tests are required to implement adequate rehabilitation and to evaluate results of these interventions. The study had a test-retest design. Thirty-three different tests that might relate to core stability were identified with their mostly used protocols. Five different components of core stability including endurance, flexibility, strength, functional performance, and motor control were assessed in 38 patients with nonspecific LBP. The same testing procedure was performed again after 48 to 72 hours. Intraclass correlation coefficients (ICCs), standard error of measurement, and minimal detectable change were calculated to assess the intrarater reliability. The intrarater reliability of the tests ranged from little to very high (ICC = 0.08-0.98). Partial curl-up (ICC = 0.90), lateral bridge (ICC = 0.95-0.96), trunk flexor endurance (ICC = 0.97), sit and reach (ICC = 0.98), single-legged hop (ICC = 0.98-0.97), lateral step-down (ICC = 0.93-0.92), eyes open right and left leg unilateral stance (ICC = 0.97 and 0.91) tests had the highest intrarater reliability for each core stability component. The results indicated that the partial curl-up test (strength), side bridge and trunk flexor tests (endurance), sit-and-reach test (flexibility), single-legged hop, and lateral step-down (functional), unilateral stance test with eyes open (motor control) had very high intrarater reliability. A core stability assessment battery involving these tests can be used in patients with nonspecific LBP to assess all components of core stability. 3.

  17. Lack of neuropsychological deficits in generalized social phobia.

    Directory of Open Access Journals (Sweden)

    Scott R Sutterby

    Full Text Available There are relatively few existing studies examining neuropsychological functioning in social phobia (SP, which collectively yield mixed results. Interpretation of results is further complicated by a number of methodological inconsistencies across studies, including the examination of neuropsychological domains in relative isolation from one another. The present study utilized a broader collection of neuropsychological tests to assess nine domains of functioning in 25 individuals diagnosed with generalized SP and 25 nonpsychiatric controls (NC. A mixed ANOVA revealed neither a significant group by domain interaction, nor a significant main effect of group. Furthermore, no significant group differences emerged between the SP and NC groups within each specific neuropsychological domain. These findings suggest that underlying neuropsychological deficits are not likely to account for the information processing biases observed in the empirical literature, and appear to be consistent with current theoretical models which argue for the specificity of these biases to social information.

  18. Introduction to special issue: moving forward in pediatric neuropsychology.

    Science.gov (United States)

    Daly, Brian P; Giovannetti, Tania; Zabel, T Andrew; Chute, Douglas L

    2011-08-01

    This special issue of The Clinical Neuropsychologist focuses on advances in the emerging subspecialty of pediatric neuropsychology. The national and international contributions in this issue cover a range of key clinical, research, training, and professional issues specific to pediatric neuropsychology. The genesis for this project developed out of a series of talks at the Philadelphia Pediatric Neuropsychology Symposium in 2010, hosted by the Stein Family Fellow, the Department of Psychology of the College of Arts and Sciences at Drexel University, and the Philadelphia Neuropsychology Society. Articles that explore clinical practice issue focus on the assessment of special medical populations with congenital and/or acquired central nervous system insults. Research articles investigate the core features of developmental conditions, the use of technology in neuropsychological research studies, and large sample size genomic, neuropsychological, and imaging studies of under-represented populations. The final series of articles examine new considerations in training, advocacy, and subspecialty board certification that have emerged in pediatric neuropsychology. This introductory article provides an overview of the articles in this special issue and concluding thoughts about the future of pediatric neuropsychology.

  19. The neuropsychology of autism.

    Science.gov (United States)

    Happé, F; Frith, U

    1996-08-01

    In this review, we aim to bring together major trends in autism research at three levels: biology, behaviour and cognition. We propose that cognitive theories are vital in neuropsychology, which seeks to make connections between brain abnormality and behavioural symptoms. Research at each of the three levels is incomplete, but important advances have been made. At the biological level, there is strong evidence for genetic factors, although the mechanism is, as yet, unknown. At the behavioural level, diagnosis and education are becoming more coherent and less controversial, although the possibility of autism subtypes has provoked new debate. At the cognitive level, three major theories are proving fruitful (mentalizing impairment, executive dysfunction and weak central coherence), although the relation and overlap between these is uncertain. Rapidly advancing technology and methodology (e.g. brain imaging, gene mapping), as tools of cognitive theory, may help to make autism one of the first developmental disorders to be understood at the neuropsychological level.

  20. NEUROPSYCHOLOGY OF SCHIZOPHRENIA

    Directory of Open Access Journals (Sweden)

    Hugo Selma Sánchez

    2008-11-01

    Full Text Available Neuropsychology has had an explosive grow in the last decades. It contributions to the fields of Psychiatry are growing in an exponential rate. Research related to schizophrenia has bringing new views of the nature of the disease, at the same time offering contradictions and questions pending to resolve. The present article exposes the most relevant discoveries in the neuropshychology of schizophrenia neuroanatomy dysfunctions, development neurofuntionality, alterations in neurotransmitters and cognitive deficiencies and areas for exploring.

  1. Variable patterns of neuropsychological performance in HIV-1 infection.

    Science.gov (United States)

    Dawes, S; Suarez, P; Casey, C Y; Cherner, M; Marcotte, T D; Letendre, S; Grant, I; Heaton, R K

    2008-08-01

    Based upon prior findings with group means, a "prototypical pattern" of neuropsychological results with HIV infection has emerged: impaired executive functioning, motor skills, speed of information processing, and learning, with intact memory retention, most language skills, and visuospatial functioning. We examined neuropsychological results from 553 HIV+ adults to determine the number of patterns seen among individuals with HIV infection. Factor analysis of a relatively comprehensive neuropsychological battery identified 6 component factors: verbal memory (VeM), visual memory (ViM), processing speed (PS), attention/working memory (A/WM), executive function (EF), and motor (M). These factor scores were submitted to hierarchical cluster analysis, to determine the appropriate number of clusters or patterns in the cohort. Final cluster membership was then determined by K-means analysis, based on the Lange, Iverson, Senior, and Chelune (2002) method. A 6-cluster solution was found to be most appropriate. The definitions of the clusters were based upon ipsative scoring of factor scores to indicate relative strengths and weaknesses (independent of overall level of performance): Cluster 1: strong EF; Cluster 2: strong M, weak VeM and EF; Cluster 3: strong PS, weak ViM and EF; Cluster 4: strong VeM, weak M; Cluster 5: strong A/WM; Cluster 6: strong VeM, weak EF. Neuropsychological-impairment rates differed across clusters, but all 6 clusters contained substantial numbers of impaired and unimpaired individuals. Cluster membership was not explained by demographic variables or psychiatric or neuromedical confounds. Thus, there does not appear to be a single, prototypical pattern of neuropsychological impairment associated with HIV infection for this battery of representative neuropsychological tests.

  2. Depressive Symptom Clusters and Neuropsychological Performance in Mild Alzheimer's and Cognitively Normal Elderly

    OpenAIRE

    James R. Hall; Sid E O'Bryant; Johnson, Leigh A; Barber, Robert C.

    2011-01-01

    Objectives. Determine the relationship between depressive symptom clusters and neuropsychological test performance in an elderly cohort of cognitively normal controls and mild Alzheimer's disease (AD). Design. Cross-sectional analysis. Setting. Four health science centers in Texas. Participants. 628 elderly individuals (272 diagnosed with mild AD and 356 controls) from ongoing longitudinal study of Alzheimer's disease. Measurements. Standard battery of neuropsychological tests and the 30-item...

  3. Neuropsychological profile of patients with bipolar depression in remission

    OpenAIRE

    Totić-Poznanović Sanja; Marinković Dragan; Pavlović Dragan; Paunović Vladimir R.

    2005-01-01

    Aim. To determine if the patients with bipolar affective disorder, after the depressive phase, would exhibit cognitive impairment in remission. Methods. Twenty three euthymic patients with bipolar disorder were matched, on a case-by-case basis, to twenty-one healthy subjects in the control group, for the presence of the symptoms of depression. The patients and the control group were tested with a battery of neuropsychological tests. Results. Impairments were found in the patients compared wit...

  4. No neuropsychological consequence in male and female soccer players after a short heading training.

    Science.gov (United States)

    Rieder, Cornelia; Jansen, Petra

    2011-11-01

    The impact of heading on neuropsychological performance is a subject of controversy. In this experimental study, a controlled group design was used to investigate the possible effects of a short heading training session on neuropsychological performance. Ninety-one participants matched by age, sex, and intelligence were assigned to one of the following groups: A heading-training group, a placebo control group, and a waiting control group. All participants completed a neuropsychological test battery for attention and working memory (D2 Test, Benton Visual Retention Test, Paced Auditory Serial Addition Task Test). After 1 week, they received heading training, football (e.g., soccer) training without heading, or no training. Immediately after this training, the neuropsychological tests were conducted again. There was no neuropsychological deficit which could only be attributed to the heading training. However, within the heading group, women complained more about headache than men.

  5. THE RELATIONSHIP BETWEEN SLEEP PROBLEMS AND NEUROPSYCHOLOGICAL FUNCTIONING IN CHILDREN WITH FIRST RECOGNIZED SEIZURES

    Science.gov (United States)

    Byars, Anna W.; Byars, Kelly C.; Johnson, Cynthia S.; deGrauw, Ton J.; Fastenau, Philip S.; Perkins, Susan; Austin, Joan K.; Dunn, David W.

    2008-01-01

    Epilepsy is associated with sleep disturbance, but little is known about how early this relationship develops and how it affects neuropsychological functioning. This study documented the frequency and types of sleep problems and examined how sleep problems are associated with seizures and neuropsychological functioning in 331 children following their first recognized seizure (ages 6 to 14) and in 225 sibling controls. Formal neuropsychological batteries were administered to all subjects. Sleep was measured using the Sleep Behavior Questionnaire and the Child Behavior Checklist. Sleep problems were more frequent in the seizure sample relative to siblings and previously published norms; bedtime difficulties, daytime somnolence and parasomnias were the most frequently occurring sleep problems. In the seizure group, sleep problems were related to seizure parameters and to neuropsychological functioning. Seizure patients with significant sleep problems had worse neuropsychological functioning on all measures. Findings demonstrate the significant impact of sleep disturbance on children with newly recognized seizures. PMID:18687412

  6. Techno-economic assessment of novel vanadium redox flow batteries with large-area cells

    Science.gov (United States)

    Minke, Christine; Kunz, Ulrich; Turek, Thomas

    2017-09-01

    The vanadium redox flow battery (VRFB) is a promising electrochemical storage system for stationary megawatt-class applications. The currently limited cell area determined by the bipolar plate (BPP) could be enlarged significantly with a novel extruded large-area plate. For the first time a techno-economic assessment of VRFB in a power range of 1 MW-20 MW and energy capacities of up to 160 MWh is presented on the basis of the production cost model of large-area BPP. The economic model is based on the configuration of a 250 kW stack and the overall system including stacks, power electronics, electrolyte and auxiliaries. Final results include a simple function for the calculation of system costs within the above described scope. In addition, the impact of cost reduction potentials for key components (membrane, electrode, BPP, vanadium electrolyte) on stack and system costs is quantified and validated.

  7. Study Protocol on Cognitive Performance in Bulgaria, Croatia, and the Netherlands: The Normacog Brief Battery

    Directory of Open Access Journals (Sweden)

    Lea Jakob

    2016-10-01

    Full Text Available The Normacog Brief Battery (NBB provides a comprehensive overview of an individual’s cognitive functioning within a short amount of time. It was originally developed for the Spanish population in Spain. However, there is a considerable need for brief batteries in clinical neuropsychological assessment, especially in eastern European countries. Cultural background and other individual characteristics—such as age, level of education, and sex—are shown to influence both cognition and patients’ performance on neuropsychological tests. Therefore, it is important to develop understanding of how and why culture impacts on cognitive testing and determine which sociodemographic variables affect cognitive performance. The current study aims to translate, adapt, and standardize the NBB in Bulgaria, Croatia, and the Netherlands, and to analyze the effect of sex, age, and education level on cognitive performance between these three countries. This brief battery assesses eleven cognitive domains, including those most currently relevant in cognition such as premorbid intelligence, attention, executive function, processing speed, and memory. The translation and adaptation of the battery for different cultures will be done using the back-translation process. After exclusion criteria, the current study will include a total sample of three hundred participants (≥18 years old. The samples of 100 participants per country will be balanced through the consideration of their age and level of education. Effects of the sociodemographic variables (age, level of education, and sex on cognitive performance are expected. Furthermore, this relationship is expected to differ across countries. A multivariate hierarchical linear regression will be used and exploratory analysis will be carried out to investigate further effects. The results will be particularly valuable for future research and assessment in cognitive performance. The growing demand for accurate and fast

  8. Neuropsychological Assessment in Extreme Environments

    Science.gov (United States)

    2007-01-01

    time course of a disorder greatly influences the impact and costs associated with that disorder . The time course may also suggest ways to treat the... disorder or understand the mechanism of insult. Banderet, Kane, & Muza (2002) investigated subjective symptoms and cognitive test performance associated...retest data were obtained from this study. Gastaldo et al. (2001) also followed 14 recruits who displayed symptoms associated with delusional

  9. High Intra- and Inter-Rater Chance Variation of the Movement Assessment Battery for Children 2, Ageband 2

    Science.gov (United States)

    Holm, Inger; Tveter, Anne Therese; Aulie, Vibeke Smith; Stuge, Britt

    2013-01-01

    The aim of the present study was to evaluate the intra- and inter-tester reliability of the movement assessment battery for children-second edition (MABC-2), ageband 2. We wanted to analyze the collected data, with adequate statistical methods, to provide relevant recommendations for physical therapists who are interpreting changes in the context…

  10. The Performance of Learning Disabled Children on the Kaufman Assessment Battery for Children and the Bender-Gestalt Test.

    Science.gov (United States)

    Haddad, Frederick A.

    1986-01-01

    Results of the Kaufman Assessment Battery for Children (K-ABC) and Bender-Gestalt Test were compared for a sample of learning disabled children that included 24 blacks and 24 whites; mean age 9 years. A significant correlation coefficient was found between the K-ABC Simultaneous Scale and the Bender-Gestalt Test error score. Implications of these…

  11. Classification Agreement Analysis of Cross-Battery Assessment in the Identification of Specific Learning Disorders in Children and Youth

    Science.gov (United States)

    Kranzler, John H.; Floyd, Randy G.; Benson, Nicholas; Zaboski, Brian; Thibodaux, Lia

    2016-01-01

    The Cross-Battery Assessment (XBA) approach to identifying a specific learning disorder (SLD) is based on the postulate that deficits in cognitive abilities in the presence of otherwise average general intelligence are causally related to academic achievement weaknesses. To examine this postulate, we conducted a classification agreement analysis…

  12. The reliability of the Movement Assessment Battery for Children for preschool children with mild to moderate motor impairment.

    NARCIS (Netherlands)

    Waelvelde, H. van; Peersman, W.; Lenoir, M.; Engelsman, B.C.M.

    2007-01-01

    OBJECTIVES: To provide further evidence of the test-retest reliability and agreement of the Movement Assessment Battery for Children (M-ABC), a standardized motor test used for identification and evaluation of children with mild to moderate motor impairment. Both the stability of total test scores a

  13. Development of Bengali Audio-Visual Test Battery for Assessment of Pragmatic Skills: Preliminary Normative Data Based on Educational Level

    Science.gov (United States)

    Chakrabarty, Madhushree; Biswas, Atanu; Pal, Sandip; Chatterjee, Amita

    2017-01-01

    Pragmatic competence may be disrupted due to psychological and neurological causes. For appropriate remedy and rehabilitation, a precise assessment of pragmatic skills is important. However, there is no test battery in the Bengali language, and consequently, there is no published data on pragmatic ability of Bengali speakers. Due to the vast…

  14. Rater agreement of a test battery designed to assess adolescents' resistance training skill competency.

    Science.gov (United States)

    Barnett, Lisa; Reynolds, John; Faigenbaum, Avery D; Smith, Jordan J; Harries, Simon; Lubans, David R

    2015-01-01

    The study aim was to assess rater agreement of the Resistance Training Skills Battery (RTSB) for adolescents. The RTSB provides an assessment of resistance training skill competency and includes six exercises. The RTSB can be used to assess performance and progress in adolescent resistance training programmes and to provide associated feedback to participants. Individual skill scores are based on the number of performance criteria successfully demonstrated and an overall resistance training skill quotient (RTSQ) is created by summing the six skill scores. The eight raters had varying experience in movement skill assessment and resistance training and completed a 2-3h training session in how to assess resistance training performance using the RTSB. The raters then completed an assessment on six skills for 12 adolescents (mean age=15.1 years, SD=1.0, six male and six female) in a randomised order. Agreement between seven of the eight raters was high (20 of the 21 pairwise correlations were greater than 0.7 and 13 of the 21 were greater than 0.8). Correlations between the eighth rater and each of the other seven raters were generally lower (0.45-0.78). Most variation in the assigned RTSB scores (67%) was between cases, a relatively small amount of the variation (10%) was between raters and the remainder (23%) was between periods within raters. The between-raters coefficient of variation was approximately 5%. The RTSB can be used reliably by those with experience in movement skill assessment and resistance training to assess the resistance skill of adolescents. Copyright © 2013 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  15. Assessing Dyslexia in Higher Education: The "York Adult Assessment Battery-Revised"

    Science.gov (United States)

    Warmington, Meesha; Stothard, Susan E.; Snowling, Margaret J.

    2013-01-01

    Although there are a number of standardised measures to assess dyslexia in children, there are comparatively fewer instruments suitable for the assessment of dyslexia in adults. Given the growing number of students entering UK higher education institutions, there is a need to develop reliable tools for assessing the additional needs of those with…

  16. Assessing Dyslexia in Higher Education: The "York Adult Assessment Battery-Revised"

    Science.gov (United States)

    Warmington, Meesha; Stothard, Susan E.; Snowling, Margaret J.

    2013-01-01

    Although there are a number of standardised measures to assess dyslexia in children, there are comparatively fewer instruments suitable for the assessment of dyslexia in adults. Given the growing number of students entering UK higher education institutions, there is a need to develop reliable tools for assessing the additional needs of those with…

  17. Future directions in the neuropsychology of epilepsy.

    Science.gov (United States)

    McDonald, Carrie R; Taylor, Joanne; Hamberger, Marla; Helmstaedter, Christoph; Hermann, Bruce P; Schefft, Bruce

    2011-09-01

    Two important themes for future clinical research in the neuropsychology of epilepsy are proposed: (1) the neurobiological abnormalities that underlie neuropsychological impairment in people with epilepsy, and (2) neuropsychological status of persons with new-onset epilepsy.

  18. Descartes' pineal neuropsychology.

    Science.gov (United States)

    Smith, C U

    1998-02-01

    The year 1996 marked the quattrocentenary of Descartes' birth. This paper reviews his pineal neuropsychology. It demonstrates that Descartes understood the true anatomical position of the pineal. His intraventricular pineal (or glande H) was a theoretical construct which allowed him to describe the operations of his man-like "earthen machine." In the Treatise of Man he shows how all the behaviors of such machines could then be accounted for without the presence of self-consciousness. Infrahuman animals are "conscious automata." In Passions of the Soul he adds, but only for humans, self-consciousness to the machine. In a modern formulation, only humans not only know but know that they know.

  19. Lying in neuropsychology.

    Science.gov (United States)

    Seron, X

    2014-10-01

    The issue of lying occurs in neuropsychology especially when examinations are conducted in a forensic context. When a subject intentionally either presents non-existent deficits or exaggerates their severity to obtain financial or material compensation, this behaviour is termed malingering. Malingering is discussed in the general framework of lying in psychology, and the different procedures used by neuropsychologists to evidence a lack of collaboration at examination are briefly presented and discussed. When a lack of collaboration is observed, specific emphasis is placed on the difficulty in unambiguously establishing that this results from the patient's voluntary decision.

  20. The neuropsychology of hallucinations

    Directory of Open Access Journals (Sweden)

    Pavlović D.M.

    2011-01-01

    Full Text Available Hallucinations are a psychopathological phenomenon with neuropsychological, neuroanatomical and pathophysiological correlates in specific brain areas. They can affect any of the senses, but auditory and visual hallucinations predominate. Verbal hallucinations reveal no gross organic lesions while visual hallucinations are connected to defined brain lesions. Functional neuroimaging shows impairments in modality specific sensory systems with the hyperactivity of the surrounding cerebral cortex. Disinhibition and expansion of the inner speech was noted with impaired internal monitoring in auditory verbal hallucinations. The subcortical areas and modal-specific associative cortex and cingulate cortex are essential for the occurrence of hallucinations.

  1. Methodology for Assessing the Lithium-Sulfur Battery Degradation for Practical Applications

    DEFF Research Database (Denmark)

    Knap, Vaclav; Stroe, Daniel-Ioan; Purkayastha, Rajlakshmi

    2017-01-01

    Lithium-Sulfur (Li-S) battery is an emerging battery technology receiving growing amount of attention due to its potential high contributions of gravimetric energy density, safety and low production cost. However, there are still some obstacles preventing their swift commercialization. Li......-S batteries are driven by different electrochemical processes than commonly used Lithium-ion batteries, which often results in their very different behavior. Therefore, the modelling and testing have to be adjusted to reflect this unique behavior to prevent possible biases. A methodology for a reference...... performance test for the Li-S batteries is proposed in this study to point out the Li-S battery features and provide guidance to users how to deal with them and possible results into standardization....

  2. Neuropsychological assessment of executive functions: methodological questions / Avaliação neuropsicológica das funções executivas: considerações metodológicas

    Directory of Open Access Journals (Sweden)

    Amer Cavalheiro Hamdan

    2009-01-01

    Full Text Available The article aims to review methodological and conceptual issues related to neuropsychological assessment of executive functions. The main limitations and dichotomies of current studies related to executive functions are presented and the importance of theoretical support to validate the instruments and their clinical interpretation are discussed. There is still the need of additional evidences on executive functions that allow a complete understanding of all the processes involved. Finally, it is suggested the adoption of a specific model that may guide the study of the executive functions.

  3. Life cycle assessment of primary control provision by battery storage systems and fossil power plants

    OpenAIRE

    Koj, Jan Christian; Stenzel, Peter; Schreiber, Andrea; Hennings, Wilfried; Zapp, Petra; Wrede, Gunnar; Hahndorf, Ina

    2015-01-01

    Increasing renewable energy generation influences the reliability of electric power grids. Thus, there is a demand for new technical units providing ancillary grid services. Intermittent renewable energy sources can be balanced by energy storage devices, especially battery storage systems. By battery systems grid efficiency and reliability as well as power quality can be increased. A further characteristic of battery systems is the ability to respond rapidly and precisely to frequency deviati...

  4. Adult neuropsychological performance following prenatal and early postnatal exposure to tetrachloroethylene (PCE)-contaminated drinking water.

    Science.gov (United States)

    Janulewicz, Patricia A; White, Roberta F; Martin, Brett M; Winter, Michael R; Weinberg, Janice M; Vieira, Veronica; Aschengrau, Ann

    2012-01-01

    This population-based retrospective cohort study examined adult performance on a battery of neuropsychological tests in relation to prenatal and early postnatal exposure to tetrachloroethylene (PCE)-contaminated drinking water on Cape Cod, Massachusetts. Subjects were identified through birth records from 1969 through 1983. Exposure was modeled using pipe network information from town water departments, a PCE leaching and transport algorithm, EPANet water flow modeling software, and a Geographic Information System (GIS). Results of crude and multivariate analyses among 35 exposed and 28 unexposed subjects showed no association between prenatal and early postnatal exposure and decrements on tests that assess abilities in the domains of omnibus intelligence, academic achievement or language. The results were suggestive of an association between prenatal and early postnatal PCE exposure and diminished performance on tests that assessed abilities in the domains of visuospatial functioning, learning and memory, motor, attention and mood. Because the sample size was small, most findings were not statistically significant. Future studies with larger sample sizes should be conducted to further define the neuropsychological consequences of early developmental PCE exposure.

  5. Neuropsychological diagnostics in Ethiopia - challenges and ...

    African Journals Online (AJOL)

    Neuropsychological diagnostics in Ethiopia - challenges and chances among ... Abstract. Background Neuropsychological tests can provide crucial information regarding the consideration of psychiatric differential diagnosis. ... Article Metrics.

  6. Early Idiopathic Normal Pressure Hydrocephalus Patients With Neuropsychological Impairment Are Associated With Increased Fractional Anisotropy in the Anterior Thalamic Nucleus.

    Science.gov (United States)

    Chen, Yung-Chieh; Chiang, Shih-Wei; Chi, Chia-Hsing; Liou, Michelle; Kuo, Duen-Pang; Kao, Hung-Wen; Chung, Hsiao-Wen; Ma, Hsin I; Peng, Giia-Sheun; Wu, Yu-Te; Chen, Cheng-Yu

    2016-05-01

    In this study, we aimed to investigate the reactive changes in diffusion tensor imaging (DTI)-derived diffusion metrics of the anterior thalamic nucleus (AN), a relaying center for the Papez circuit, in early idiopathic normal pressure hydrocephalus (iNPH) patients with memory impairment, as well as its correlation with the patients' neuropsychological performances. In total, 28 probable iNPH patients with symptom onset within 1 year and 17 control subjects were prospectively recruited between 2010 and 2013 for this institutional review board-approved study. Imaging studies including DTI and a neuropsychological assessment battery were performed in all subjects. Diffusion metrics were measured from the region of the AN using tract-deterministic seeding method by reconstructing the mammillo-thalamo-cingulate connections within the Papez circuit. Differences in diffusion metrics and memory assessment scores between the patient and control group were examined via the Mann-Whitney U test. Spearman correlation analyses were performed to examine associations between diffusion metrics of AN and neuropsychological tests within the patient group. We discovered that early iNPH patients exhibited marked elevations in fractional anisotropy, pure diffusion anisotropy, and axial diffusivity (all P memory (all P metrics and neuropsychological test scores in the patient group, whereas ranked scatter plots clearly demonstrated a dichotic sample distribution between patient and control samples. In summary, our study highlighted the potential compensatory role of the AN by increasing thalamocortical connectivity within the Papez circuit because memory function declines in early iNPH when early shunt treatment may potentially reverse the memory deficits.

  7. Decision making model for lifecycle assessment of lithium-ion battery for electric vehicle - A case study for smart electric bus project in Korea

    Science.gov (United States)

    Thein, Sabai; Chang, Yoon Seok

    2014-03-01

    Lithium-ion (Li-ion) battery is part of our everyday life. There are many automobiles invented today that operates by Li-ion batteries. The issue with batteries is that they lose capacity and reliability over time as they are charged and discharged. This paper introduces a lifecycle assessment system for Li-ion EV battery considering the condition of each battery which helps decision making. The proposed research concerns not only for the ad-hoc condition but also regular condition of the Li-ion EV battery. We apply the Markov Decision Process (MDP) with selected policies for the measurement of each stage probability. The result shows that we could monitor product aging status with the proposed algorithm. It also shows that the calculated product life span was longer than the general warranty time period.

  8. The number processing and calculation system: evidence from cognitive neuropsychology.

    Science.gov (United States)

    Salguero-Alcañiz, M P; Alameda-Bailén, J R

    2015-04-01

    Cognitive neuropsychology focuses on the concepts of dissociation and double dissociation. The performance of number processing and calculation tasks by patients with acquired brain injury can be used to characterise the way in which the healthy cognitive system manipulates number symbols and quantities. The objective of this study is to determine the components of the numerical processing and calculation system. Participants consisted of 6 patients with acquired brain injuries in different cerebral localisations. We used Batería de evaluación del procesamiento numérico y el cálculo, a battery assessing number processing and calculation. Data was analysed using the difference in proportions test. Quantitative numerical knowledge is independent from number transcoding, qualitative numerical knowledge, and calculation. Recodification is independent from qualitative numerical knowledge and calculation. Quantitative numerical knowledge and calculation are also independent functions. The number processing and calculation system comprises at least 4 components that operate independently: quantitative numerical knowledge, number transcoding, qualitative numerical knowledge, and calculation. Therefore, each one may be damaged selectively without affecting the functioning of another. According to the main models of number processing and calculation, each component has different characteristics and cerebral localisations. Copyright © 2013 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

  9. Perceived ethical misconduct: a survey of neuropsychology professionals in Mexico

    OpenAIRE

    2016-01-01

    Objective: To evaluate the frequency of perceived ethical misconduct in the practice of neuropsychology in Mexico. Method: One hundred fourteen psychologists answered a survey which assessed perceptions of ethical misconduct in four areas of professional practice in the field of neuropsychology.Results: The area of professional training contained the highest percentage of perception of ethical misconduct, followed by research and publications, clinical care, and professional relationships. Co...

  10. Inclusion of neuropsychology as specialized service of health in Colombia

    OpenAIRE

    Acosta, Rocio; Dorado, Carlos; Utria, Oscar

    2014-01-01

    This document of a reflective nature, aims to highlight the need to include to the Neuropsychology as a specialized psychological service within the Plan Obligatorio de Salud (POS). This, given that the Neuropsychology has taken increasing importance in recent times in the process of comprehensive care for persons in different circumstances have acquired a neurological disorder, through the implementation of processes of assessment, diagnostic and rehabilitation, programmes tailored to the pa...

  11. Exploratory Higher Order Analysis of the Luria Interpretive Model on the Kaufman Assessment Battery for Children-Second Edition (KABC-II) School-Age Battery.

    Science.gov (United States)

    McGill, Ryan J; Spurgin, Angelia R

    2017-06-01

    Higher order factor structure of the Luria interpretive scheme on the Kaufman Assessment Battery for Children-Second Edition (KABC-II) for the 7- to 12-year and the 13- to 18-year age groups in the KABC-II normative sample ( N = 2,025) is reported. Using exploratory factor analysis, multiple factor extraction criteria, and hierarchical exploratory factor analysis not included in the KABC-II manual, two-, three-, and four-factor extractions were analyzed to assess the hierarchical factor structure by sequentially partitioning variance appropriately to higher order and lower order dimensions as recommended by Carroll. No evidence for a four-factor solution was found. Results showed that the largest portions of total and common variance were accounted for by the second-order general factor and that interpretation should focus primarily, if not exclusively, at that level of measurement.

  12. Planning or something else? Examining neuropsychological predictors of Zoo Map performance.

    Science.gov (United States)

    Oosterman, Joukje M; Wijers, Marijn; Kessels, Roy P C

    2013-01-01

    The Zoo Map Test of the Behavioral Assessment of the Dysexecutive Syndrome battery is often applied to measure planning ability as part of executive function. Successful performance on this test is, however, dependent on various cognitive functions, and deficient Zoo Map performance does therefore not necessarily imply selectively disrupted planning abilities. To address this important issue, we examined whether planning is still the most important predictor of Zoo Map performance in a heterogeneous sample of neurologic and psychiatric outpatients (N = 71). In addition to the Zoo Map Test, the patients completed other neuropsychological tests of planning, inhibition, processing speed, and episodic memory. Planning was the strongest predictor of the total raw score and inappropriate places visited, and no additional contribution of other cognitive scores was found. One exception to this was the total time, which was associated with processing speed. Overall, our findings indicate that the Zoo Map Test is a valid indicator of planning ability in a heterogeneous patient sample.

  13. The association of pre-pregnancy alcohol drinking with child neuropsychological functioning

    DEFF Research Database (Denmark)

    Kesmodel, Ulrik Schiøler; Kjærsgaard, Maiken Ina Siegismund; Denny, Clark H.

    2015-01-01

    alcohol consumption before pregnancy. At 5 years of age, the children were tested with the Wechsler Preschool and Primary Scale of Intelligence-Revised, the Test of Everyday Attention for Children atFive (TEACh-5), and the Movement Assessment Battery for Children (MABC). The Behaviour Rating Inventory......Objective: To examine the effects of pre-pregnancy alcohol drinking on child neuropsychological functioning. Design: Prospective follow-up study. Setting and population: 154 women and their children sampled from the Danish National Birth Cohort. Methods: Participants were sampled based on maternal...... on the Wechsler Preschool and Primary Scale of Intelligence-Revised, the TEACh-5, theMABC, and the BRIEF. Results: Intake of 15–21 drinks/week on average prior to pregnancy was not associated with any of the outcomes, but intake of ≥22 drinks/week on average was associated with a significantly lower adjusted mean...

  14. Improving Assessment of Work Related Mental Health Function Using the Work Disability Functional Assessment Battery (WD-FAB).

    Science.gov (United States)

    Marfeo, Elizabeth E; Ni, Pengsheng; McDonough, Christine; Peterik, Kara; Marino, Molly; Meterko, Mark; Rasch, Elizabeth K; Chan, Leighton; Brandt, Diane; Jette, Alan M

    2017-05-05

    Purpose To improve the mental health component of the Work Disability Functional Assessment Battery (WD-FAB), developed for the US Social Security Administration's (SSA) disability determination process. Specifically our goal was to expand the WD-FAB scales of mood & emotions, resilience, social interactions, and behavioral control to improve the depth and breadth of the current scales and expand the content coverage to include aspects of cognition & communication function. Methods Data were collected from a random, stratified sample of 1695 claimants applying for the SSA work disability benefits, and a general population sample of 2025 working age adults. 169 new items were developed to replenish the WD-FAB scales and analyzed using factor analysis and item response theory (IRT) analysis to construct unidimensional scales. We conducted computer adaptive test (CAT) simulations to examine the psychometric properties of the WD-FAB. Results Analyses supported the inclusion of four mental health subdomains: Cognition & Communication (68 items), Self-Regulation (34 items), Resilience & Sociability (29 items) and Mood & Emotions (34 items). All scales yielded acceptable psychometric properties. Conclusions IRT methods were effective in expanding the WD-FAB to assess mental health function. The WD-FAB has the potential to enhance work disability assessment both within the context of the SSA disability programs as well as other clinical and vocational rehabilitation settings.

  15. Development of Bengali Audio-Visual Test Battery for Assessment of Pragmatic Skills: Preliminary Normative Data Based on Educational Level.

    Science.gov (United States)

    Chakrabarty, Madhushree; Biswas, Atanu; Pal, Sandip; Chatterjee, Amita

    2016-05-31

    Pragmatic competence may be disrupted due to psychological and neurological causes. For appropriate remedy and rehabilitation, a precise assessment of pragmatic skills is important. However, there is no test battery in the Bengali language, and consequently, there is no published data on pragmatic ability of Bengali speakers. Due to the vast diversity of the population, it becomes increasingly difficult to assess pragmatic ability of an individual without a proper knowledge of the normal variations. To address this problem we have developed a test battery in Bengali, and to begin with, we have administered it to one hundred and five (105) normal healthy persons having different levels of education. The four groups having 17 years and above, 15 to normative score of 193, 189, 171 and 150, respectively. These normative scores will allow clinicians to make a proper assessment of patients suffering from pragmatic deficits and help avoid interpreting social differences as neurological deficits.

  16. Specificity of neuropsychological impairment in obsessive-compulsive disorder: a comparison with social phobic and normal control subjects.

    Science.gov (United States)

    Cohen, L J; Hollander, E; DeCaria, C M; Stein, D J; Simeon, D; Liebowitz, M R; Aronowitz, B R

    1996-01-01

    Specificity of neuropsychological dysfunction in obsessive-compulsive disorder (OCD) was assessed by comparing neuropsychological performance in 65 OCD patients, 17 social phobic patients, and 32 normal control subjects. Although both patient groups showed visual constructional impairment relative to normal subjects, only patients with social phobia showed executive dysfunction. Nonconcurrent state anxiety did not correlate with neuropsychological performance. Among anxiety disorders, neuropsychological dysfunction may not be specific to OCD, but the functions implicated may differ across patient groups.

  17. [The Influence of the Functioning of Brain Regulatory Systems onto the Voluntary Regulation of Cognitive Performance in Children. Report 2. Neuropsychological and Electrophysiological Assessment of Brain Regulatory Functions in Children Aged 10-12 with Learning Difficulties].

    Science.gov (United States)

    Semenova, O A; Machinskaya, R I

    2015-01-01

    A total number of 172 children aged 10-12 were electrophysiologically and neuropsychologically assessed in order to analyze the influence of the functioning of brain regulatory systems onto the voluntary regulation of cognitive performance during the preteen years. EEG patterns associated with the nonoptimal functioning of brain regulatory systems, particularly fronto-thalamic, limbic and fronto-striatal structures were significantly more often observed in children with learning and behavioral difficulties, as compared to the control group. Neuropsychological assessment showed that the nonoptimal functioning of different brain regulatory systems specifically affect the voluntary regulation of cognitive performance. Children with EEG patterns of fronto-thalamic nonoptimal functioning demonstrated poor voluntary regulation such as impulsiveness and difficulties in continuing the same algorithms. Children with EEG patterns of limbic nonoptimal functioning showed a less pronounced executive dysfunction manifested only in poor switching between program units within a task. Children with EEG patterns of fronto-striatal nonoptimal functioning struggled with such executive dysfunctions as motor and tactile perseverations and emotional-motivational deviations such as poor motivation and communicative skills.

  18. The opinion of select neuropsychological assess scale for postoperative cognitive dysfunction%术后认知障碍神经心理学测评量表的选择与思考

    Institute of Scientific and Technical Information of China (English)

    吕晓明; 范全心

    2011-01-01

    背景 神经心理学测评是诊断和研究术后认知障碍(postoperative cognitive dysfunction,POCD)的重要手段.如何规范进行POCD的神经心理学测评目前尚无一致意见.目的 分析总结国内外POCD临床研究的文献资料.内容 总结国内外常用的POCD神经心理学测评方法,并分析其优缺点.趋向 有必要设计一种专门用于POCD的测评量表.这个量表不仅准确全面的反映患者的认知状况,而且测评过程简单,具有多套平行版本.测评结果的评价应使用特殊的统计学方法减少测验误差和练习效应.%Background Neuropsychological tests is an important means for study and diagnose postoperative cognitive dysfunction(POCD).But how to standard conduct neuropsychological assess scale of POCD is no consensus currently.Objective We reviewed the literatures of clinical studies about POCD recently.Content Summarized the neuropsychological methods in literatures about POCD,and analyzed advantages and disadvantages.Trend We need to design a special scale for POCD.The scale is not only accurate and comprehensive reflect the cognitive state in patients,but also the evaluation process is simple.It has multiple sets of parallel versions,and the results should be using special statistical methods to reduce error and learning effects of testing.

  19. Neuropsychological profiles correlated with clinical and behavioral impairments in a sample of Brazilian children with Attention Deficit Hyperactivity Disorder (ADHD

    Directory of Open Access Journals (Sweden)

    Sueli eRizzutti

    2015-11-01

    Full Text Available ADHD is a complex neurodevelopmental disorder that implies several-step process and there is no single test to diagnose both ADHD and associated comorbidities such as oppositional defiant disorder, anxiety disorder, depression and certain types of learning disabilities. The purpose of the present study was to examine correlations between behavioral and clinical symptoms by administering an extensive neuropsychological battery to a sample of children and adolescents from a developing country. The sample was divided into three groups: non-ADHD; ADHD-non-comorbid; and ADHD+comorbidity. A full neuropsychological battery and clinical assessment found that 105 children met DSM-5 criteria, of whom 46.6% had the predominantly inattentive presentation, 37.3% had combined presentation and 16% were predominantly hyperactive/impulsive presentation. The internal correlation between neuropsychological tests did not reach statistical significance in the comparison between ADHD and non-ADHD cases (p<0.17. Clinical ADHD cases, including both +comorbidity and non-comorbid groups, performed substantially worse on CPT, working memory. Comparing ADHD-non-comorbid and ADHD+comorbidity groups, the latter did significantly worse on inhibitory control, time processing and the level of perseveration response on CPT indexes, as well as on working memory performance and CBCL tests particularly the CBCL-DESR (deficient emotional self-regulation test in the ADHD+comorbidity group. Children diagnosed as oppositional-defiant (ODD or with conduct disorder (CD showed close correlations between clinical CBCL profiles and externalized symptoms. Our findings suggest that ADHD+comorbidity and ADHD non-comorbid cases may be differentiated by a number of neuropsychological measures, such as processing speed, inhibitory control and working memory, that may reflect different levels of involvement of the hot and cool executive domains, which are more impaired in cases of severe

  20. Neuropsychological assessment at school-age and prenatal low-level exposure to mercury through fish consumption in an Italian birth cohort living near a contaminated site.

    Science.gov (United States)

    Deroma, L; Parpinel, M; Tognin, V; Channoufi, L; Tratnik, J; Horvat, M; Valent, F; Barbone, F

    2013-07-01

    The relative effects of prenatal and postnatal low-level mercury exposure and fish intake on child neurodevelopment are still controversial. Limited evidence is available from Mediterranean populations. In this prospective study, we measured the Verbal and Performance IQ in Italian children at school-age who were resident in an area declared as a National contaminated site because of mercury pollution, taking into account the possible beneficial effect of fish consumption and potential confounders. A mother-child cohort made up of 242 children was established at birth in Northeastern Italy in 2001. Their mothers were interviewed approximately 2 months after delivery to determine type, quantity, and origin of fish consumed during pregnancy and about a number of mother, child and family characteristics. Total mercury (THg) and methyl mercury (MeHg) were assessed in maternal hair and breast milk and in the child's hair. When children reached 7-9 years of age, 154 (63.6%) parents gave consent to participate in a follow-up evaluation. On that occasion, a child's hair sample was collected to determine the current concentration of THg, mothers were asked to complete a self-administered questionnaire, and children underwent neuropsychological testing. Verbal IQ, performance IQ and full scale IQ were measured by the Wechsler Intelligence Scale for Children (WISC III) administered by psychologists at school or local health centers. Demographic, socioeconomic and lifestyle information, medical information of the child's family and the child's dietary habits were collected using a questionnaire filled in by mothers. Multivariable linear regression models were used to evaluate the association between prenatal THg exposure through fish consumption of mothers in pregnancy and children's IQ after adjustment for possible confounders such as fish consumption of mothers in pregnancy, child's fish consumption at follow-up, child's birthweight, maternal cigarette smoking during

  1. Percived ethical misconduct: a survey of Neuropsychology professionals in Mexico

    Directory of Open Access Journals (Sweden)

    Paola Fonseca

    2016-01-01

    Full Text Available Objective: To evaluate the frequency of perceived ethical misconduct in the practice of neuropsychology in Mexico. Method: One hundred fourteen psychologists answered a survey which assessed perceptions of ethical misconduct in four areas of professional practice in the field of neuropsychology. Results: The area of professional training contained the highest percentage of perception of ethical misconduct, followed by research and publications, clinical care, and professional relationships. Conclusion: The high frequency of ethical misconduct perceived by neuropsychology professionals in Mexico is a cause for concern. The results suggest the need to create and implement a system to make sure that professionals follow the ethics standards required by the profession, and to provide consequences for those who fail to do so. The profession of neuropsychology and training of professionals in the field must be regularized in the country, to reduce the frequency of future ethical misconducts.

  2. The Harvard Beat Assessment Test (H-BAT): a battery for assessing beat perception and production and their dissociation.

    Science.gov (United States)

    Fujii, Shinya; Schlaug, Gottfried

    2013-01-01

    Humans have the abilities to perceive, produce, and synchronize with a musical beat, yet there are widespread individual differences. To investigate these abilities and to determine if a dissociation between beat perception and production exists, we developed the Harvard Beat Assessment Test (H-BAT), a new battery that assesses beat perception and production abilities. H-BAT consists of four subtests: (1) music tapping test (MTT), (2) beat saliency test (BST), (3) beat interval test (BIT), and (4) beat finding and interval test (BFIT). MTT measures the degree of tapping synchronization with the beat of music, whereas BST, BIT, and BFIT measure perception and production thresholds via psychophysical adaptive stair-case methods. We administered the H-BAT on thirty individuals and investigated the performance distribution across these individuals in each subtest. There was a wide distribution in individual abilities to tap in synchrony with the beat of music during the MTT. The degree of synchronization consistency was negatively correlated with thresholds in the BST, BIT, and BFIT: a lower degree of synchronization was associated with higher perception and production thresholds. H-BAT can be a useful tool in determining an individual's ability to perceive and produce a beat within a single session.

  3. The Harvard Beat Assessment Test (H-BAT: A Battery for Assessing Beat Perception and Production and their Dissociation

    Directory of Open Access Journals (Sweden)

    Shinya eFujii

    2013-11-01

    Full Text Available Humans have the abilities to perceive, produce, and synchronize with a musical beat, yet there are widespread individual differences. To investigate these abilities and to determine if a dissociation between beat perception and production exists, we developed the Harvard Beat Assessment Test (H-BAT, a new battery that assesses beat perception and production abilities. H-BAT consists of four subtests: 1 music tapping test (MTT, 2 beat saliency test (BST, 3 beat interval test (BIT, and 4 beat finding and interval test (BFIT. MTT measures the degree of tapping synchronization with the beat of music, whereas BST, BIT, and BFIT measure perception and production thresholds via psychophysical adaptive stair-case methods. We administered the H-BAT on thirty individuals and investigated the performance distribution across these individuals in each subtest. There was a wide distribution in individual abilities to tap in synchrony with the beat of music during the MTT. The degree of synchronization consistency was negatively correlated with thresholds in the BST, BIT, and BFIT: a lower degree of synchronization was associated with higher perception and production thresholds. H-BAT can be a useful tool in determining an individual’s ability to perceive and produce a beat within a single session.

  4. Field-based fitness assessment in young people: the ALPHA health-related fitness test battery for children and adolescents.

    Science.gov (United States)

    Ruiz, Jonatan R; Castro-Piñero, José; España-Romero, Vanesa; Artero, Enrique G; Ortega, Francisco B; Cuenca, Magdalena M; Jimenez-Pavón, David; Chillón, Palma; Girela-Rejón, María J; Mora, Jesús; Gutiérrez, Angel; Suni, Jaana; Sjöström, Michael; Castillo, Manuel J

    2011-05-01

    The present study summarises the work developed by the ALPHA (Assessing Levels of Physical Activity) study and describes the procedures followed to select the tests included in the ALPHA health-related fitness test battery for children and adolescents. The authors reviewed physical fitness and health in youth findings from cross-sectional studies. The authors also performed three systematic reviews dealing with (1) the predictive validity of health-related fitness, (2) the criterion validity of field-based fitness tests and (3) the reliability of field-based fitness tests in youth. The authors also carried out 11-methodological studies to determine the criterion validity and the reliability of several field-based fitness tests for youth. Finally, the authors performed a study in the school setting to examine the reliability, feasibility and safety of the selected tests. The selected fitness tests were (1) the 20 m shuttle run test to assess cardiorespiratory fitness; (2) the handgrip strength and (3) standing broad jump to assess musculoskeletal fitness, and (4) body mass index, (5) skinfold thickness and (5) waist circumference to assess body composition. When there are time limits, the authors propose the high-priority ALPHA health-related fitness test battery, which comprises all the evidence-based fitness tests except the measurement of the skinfold thickness. The time required to administer this battery to a group of 20 youth by one physical education teacher is less than 2 h. In conclusion, the ALPHA fitness tests battery is valid, reliable, feasible and safe for the assessment of health-related physical fitness in children and adolescents to be used for health monitoring purposes at population level.

  5. Neuropsychological rehabilitation of memory deficits and activities of daily living in patients with Alzheimer's disease: a pilot study

    Directory of Open Access Journals (Sweden)

    Ávila R.

    2004-01-01

    Full Text Available Patients with Alzheimer's disease (AD gradually lose their cognitive competence, particularly memory, and the ability to perform daily life tasks. Neuropsychological rehabilitation is used to improve cognitive functions by facilitating memory performance through the use of external aids and internal strategies. The effect of neuropsychological rehabilitation through memory training - motor movements, verbal association, and categorization - and activities of daily living (ADL training was tested in a sample of 5 elderly out-patients (mean age: 77.4 ± 2.88 years, with mild AD (Mini-Mental State Examination score: 22.20 ± 2.17 and their caregivers. All patients had been taking rivastigmine (6-12 mg/day for at least 3 months before being assigned to the rehabilitation sessions, and they continued to take the medication during the whole program. Just before and after the 14-week neuropsychological rehabilitation program all patients were assessed by interviewers that did not participate in the cognitive training, using the Mini-Mental State Examination, Montgomery-Alsberg Depression Rating Scale, Hamilton Anxiety Scale, Interview to Determine Deterioration in Functioning in Dementia, Functional Test, Memory Questionnaire of Daily Living for patient and caregiver, Quality of Life Questionnaire for patient and caregiver, and a neuropsychological battery. The results showed a statistically significant improvement in ADL measured by Functional Test (P = 0.04, and only a small improvement in memory and psychiatric symptoms. Our results support the view that weekly stimulation of memory and training of ADL is believed to be of great value in AD treatment, not only delaying the progress of the disease, but also improving some cognitive functions and ADL, even though AD is a progressively degenerative disease.

  6. [Neuropsychological test in daily practice].

    Science.gov (United States)

    Annoni, Jean-Marie; Pertusio, Françoise Bernasconi; Caldara, Anne-Sarah; Khateb, Asaid; Lubini, Deborah; Martory, Marie-Dominique; Mayer, Eugène; Ortigue, Stéphanie; Pegna, Alan J; Valenza, Nathalie

    2003-04-01

    Neuropsychology is a scientific discipline, born in the XIX century, and bridges the fields of neurology and psychology. Neuropsychologists apply scientific knowledge about the relationship between brain function and mental performances. The major clinical role of a neuropsychological evaluation is to help to establish medical and functional diagnosis in patients (adults or infants) with different neurological pathologies such as stroke, traumatic brain injury, dementia, epilepsy.... Such analysis necessitates accurate observation of behaviour and administration of tests of mental abilities (e.g. language, memory...). Test results can also help to clarify the nature of cognitive difficulties and to support the formulation of plans for neuropsychological therapy and functional adjustment in every day life.

  7. Economic assessment of the utilization of lead-acid batteries in electric utility systems. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, A.C.; Hynds, J.A.; Nevius, D.R.; Nunan, G.A.; Sweetman, N.

    1977-04-01

    Specific applications in which lead--acid batteries might be economically competitive on an electric utility system are identified. Particular attention is given to searching the Public Service Electric and Gas Company (PSE and G) system for installations of batteries which could defer or cancel costly transmission and/or distribution projects. Although the transmission and distribution data are based on specific applications on the PSE and G system, the generation data are based on a national reference system. The report analyzes and summarizes all costs and savings attributable to lead--acid batteries. 40 figures, 78 tables. (RWR)

  8. Neuropsychological consequence of soccer play in adolescent U.K. School team soccer players.

    Science.gov (United States)

    Stephens, Richard; Rutherford, Andrew; Potter, Douglas; Fernie, Gordon

    2010-01-01

    To assess mild head injury effects in adolescent soccer players, neuropsychological performance across school team soccer players, rugby players and noncontact sport players was assessed in a quasi-experimental cross-sectional design. One hundred eighty-five males were tested (ages 13-16; response rate 55%) and 86 contributed data to the analyses after exclusion for recent concussion and overlapping sports participation. Soccer players showed lower premorbid intellectual functioning, but neither soccer players nor rugby players showed neuropsychological decrement compared with noncontact sport players. Cumulative heading did not predict neuropsychological performance. While no specific attribute of soccer was linked with neuropsychological impairment, head injury predicted reduced attention for all participants.

  9. Frontal assessment battery in a Brazilian sample of healthy controls: normative data

    Directory of Open Access Journals (Sweden)

    Rogério Beato

    2012-04-01

    Full Text Available OBJECTIVE: To show data on the performance of healthy subjects in the Frontal Assessment Battery (FAB, correlating with gender, age, education, and scores in the Mini-Mental State Examination (MMSE. METHODS: Two hundred and seventy-five healthy individuals with mean age of 66.4±10.6 years-old were evaluated. Mean total FAB scores were established according to the educational level. RESULTS: Mean total FAB scores according to the educational level were 10.9±2.3, for one to three years; 12.8±2.7, for four to seven years; 13.8±2.2, for eight to 11 years; and 15.3±2.3, for 12 or more years. Total FAB scores correlated significantly with education (r=0.47; p<0.0001 and MMSE scores (r=0.39; p<0.0001. No correlation emerged between FAB scores, age, and gender. CONCLUSION: In this group of healthy subjects, the Brazilian version of the FAB proved to be influenced by the education level, but not by age and gender.

  10. Virtual reality and neuropsychological assessment: The reliability of a virtual kitchen to assess daily-life activities in victims of traumatic brain injury.

    Science.gov (United States)

    Besnard, Jeremy; Richard, Paul; Banville, Frederic; Nolin, Pierre; Aubin, Ghislaine; Le Gall, Didier; Richard, Isabelle; Allain, Phillippe

    2016-01-01

    Traumatic brain injury (TBI) causes impairments affecting instrumental activities of daily living (IADL). However, few studies have considered virtual reality as an ecologically valid tool for the assessment of IADL in patients who have sustained a TBI. The main objective of the present study was to examine the use of the Nonimmersive Virtual Coffee Task (NI-VCT) for IADL assessment in patients with TBI. We analyzed the performance of 19 adults suffering from TBI and 19 healthy controls (HCs) in the real and virtual tasks of making coffee with a coffee machine, as well as in global IQ and executive functions. Patients performed worse than HCs on both real and virtual tasks and on all tests of executive functions. Correlation analyses revealed that NI-VCT scores were related to scores on the real task. Moreover, regression analyses demonstrated that performance on NI-VCT matched real-task performance. Our results support the idea that the virtual kitchen is a valid tool for IADL assessment in patients who have sustained a TBI.

  11. Intelligenzbeurteilung mit der Kaufman Assessment Battery for Children (K-ABC): Pilotstudie an einer Stichprobe sprachentwicklungsgestörter Kinder

    OpenAIRE

    Artner, K.; Barthlen-Weis, M.; Offenberg, M.

    1989-01-01

    29 sprachentwicklungsgestörte Kinder zwischen 7;4 und 11; 11 Jahren, die sich in Behandlung auf einer kinderpsychiatrischen Station befanden, wurden mit der Kaufman Assessment Battery for Children, einem neuen Test zur Intelligenzbeurteilung, der demnächst im deutschen Sprachraum zur Verfügung stehen wird, untersucht. An Hand von Korrelationen wurden die Testergebnisse dieser Kinder mit Daten aus HAWIK-R, AID und Raven verglichen; des weiteren wurde geprüft, ob ein Leistungsunterschied zwisch...

  12. Psychological states and neuropsychological performances in chronic Lyme disease.

    Science.gov (United States)

    Elkins, L E; Pollina, D A; Scheffer, S R; Krupp, L B

    1999-01-01

    The neuropsychiatric sequelae of chronic Lyme disease remains unclear. This study sought to characterize the psychological status of a group of participants who met criteria for post-Lyme syndrome (PLS). These measures were then used to examine the influence of psychological status on neuropsychological performances. Thirty PLS participants completed a structured psychiatric interview, the Positive and Negative Affect Schedule, the Lyme Symptom Checklist, and a battery of neuropsychological tests. As a group, the PLS participants did not appear to have an elevated incidence of psychiatric disorders, and psychiatric history was not useful for understanding neuropsychological performances or symptom reports. The mood of the PLS participants was characterized by lowered levels of positive affect (PA) and typical levels of negative affect. This combination can be distinguished from depression and is consistent with previous findings of affect patterns in individuals with chronic fatigue syndrome. PA was also linked to both total symptom severity and severity of cognitive complaints, but not to duration of illness, neurological manifestations at initial diagnosis, or treatment history. Relative to published normative data, neuropsychological performances were not in the impaired range on any measure. Neither psychological status nor symptom report were useful for understanding any aspect of cognitive functioning. It is concluded that decreased PA is the most useful marker of psychological functioning in PLS.

  13. Depression vs. Dementia: A comparative analysis of neuropsychological functions

    Directory of Open Access Journals (Sweden)

    Ivana Leposavić

    2010-06-01

    Full Text Available Previous studies concerned with neuropsychological aspect of depression, detected comparatively specific profile of cognitive deficiencies, including the disorders of attention, memory and executive functions. Although the classical depression is recognized as psuedodementia, or reversible dementia, these two entities frequently overlap in the elder population. Many patients who are at first depressive, become demented later, and the initial stages of dementia are not rarely accompanied with mood changes. The aim of this study is the establishing of differences between neuropsychological profiles of depression and dementia. The sample included three groups: the first group represented the patients with endogenous depression, the second – the patients with dementia, and the third one – healthy individuals. The participants have been tested by a neuropsychological battery. Two patient groups were tested during the stage of remission/adequate mood. Abilities most susceptible to depression are: attention, executive functions and memory. Cognitive flexibility and general cognitive ability are preserved in depressive patients. Depressive patients express cognitive disorders of moderate degree during the remission stage. Impairment pattern in the group of depressive patients does not indicate intellectual degradation of the dementia type. Neuropsychological deficiencies of the patients with endogenous depression suggest frontal limbic dysfunction. Еxcesses in cognitive functioning of demented patients are more serious and massive in comparison with cognitive difficulties in depressive patients.

  14. [Metallic mercury poisoning and neuropsychological effects: a case report].

    Science.gov (United States)

    Cöp, Esra; Cengel Kültür, S Ebru; Erdoğan Bakar, Emel

    2014-01-01

    Mercury is an extremely toxic heavy metal that can devastate central nervous system. We present the case of a 15 year old adolescent with mercury intoxication following 4 days of exposure to elemental mercury at home who was consulted by department of pediatrics with complaints of demonstrated emotional lability, memory impairment, disinhibition, and impulsivity. Olanzapin 2,5 mg/day was initiated. Her neuropsychological performance was evaluated by a neuropsychological test battery at initial examination. Deterioration in neuropsychological functions like interference effect and attention (Stroop Test TBAG form), verbal fluency and switching to other category (Verbal Fluency Test, /(VFT), verbal short term and long term memory and recognition (Auditory Verbal Learning Test, /(AVLT) was detected. In 9 months follow up period her complaints resolved. Initial neuropsychological deficits were also fully recovered at follow up. There was an increase in intelligence scores with increased ability to pay and sustain attention. She had better performance at Stroop Test TBAG form, VFT and AVLT which was similar to her normal peers. In this case report, the clinical aspects of central nervous system involvement in mercury intoxication and protection from potential toxic effects of laboratory materials like mercury at schools were discussed. School administrators should be aware of and parents and students should be given necessary protective information.

  15. Nonlinear associations between plasma cholesterol levels and neuropsychological function.

    Science.gov (United States)

    Wendell, Carrington R; Zonderman, Alan B; Katzel, Leslie I; Rosenberger, William F; Plamadeala, Victoria V; Hosey, Megan M; Waldstein, Shari R

    2016-11-01

    Although both high and low levels of total and low-density lipoprotein (LDL) cholesterol have been associated with poor neuropsychological function, little research has examined nonlinear effects. We examined quadratic relations of cholesterol to performance on a comprehensive neuropsychological battery. Participants were 190 older adults (53% men, ages 54-83) free of major medical, neurologic, and psychiatric disease. Measures of fasting plasma total and high-density lipoprotein (HDL) cholesterol were assayed, and LDL cholesterol was calculated. Participants completed neuropsychological measures of attention, executive function, memory, visuospatial judgment, and manual speed and dexterity. Multiple regression analyses examined cholesterol levels as quadratic predictors of each measure of cognitive performance, with age (dichotomized as quadratic effect of Total Cholesterol² × Age was identified for Logical Memory II (b = -.0013, p = .039), such that the 70+ group performed best at high and low levels of total cholesterol than at midrange total cholesterol (U-shaped) and the Quadratic associations between HDL cholesterol and cognitive performance were nonsignificant. Results indicate differential associations between cholesterol and neuropsychological function across different ages and domains of function. High and low total and LDL cholesterol may confer both risk and benefit for suboptimal cognitive function at different ages. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  16. Health risk assessment of heavy metals in vegetables grown around battery production area

    National Research Council Canada - National Science Library

    Chen, Ying; Wu, Pingping; Shao, Yufang; Ying, Yibin

    2014-01-01

    ...) were measured in edible portions of vegetables and soils around a battery production area in China, and the potential health risk of heavy metal contamination to the local population via vegetable...

  17. Analytical assessment of the thermal behavior of nickel-metal hydride batteries during fast charging

    Science.gov (United States)

    Taheri, Peyman; Yazdanpour, Maryam; Bahrami, Majid

    2014-01-01

    A novel distributed transient thermal model is proposed to investigate the thermal behavior of nickel-metal hydride (NiMH) batteries under fast-charging processes at constant currents. Based on the method of integral transformation, a series-form solution for the temperature field inside the battery core is obtained that takes account for orthotropic heat conduction, transient heat generation, and convective heat dissipation at surfaces of the battery. The accuracy of the developed theoretical model is confirmed through comparisons with numerical and experimental data for a sample 30 ampere-hour NiMH battery. The comparisons show that even the first term of the series solution fairly predicts the temperature field with the modest numerical cost. The thermal model is also employed to define an efficiency for charging processes. Our calculations confirm that the charging efficiency decreases as the charging current increases.

  18. Life cycle assessment of the management of special waste types: WEEE and batteries

    DEFF Research Database (Denmark)

    Bigum, Marianne Kristine Kjærgaard

    There has been an increased focus on special waste types (WEEE, batteries, ink cartridges and cables) in Denmark and abroad, as many of these fractions constitute a special threat to the environment, due to their content of hazardous compounds and valuable resources. Waste Electrical and Electronic...... Equipment (WEEE) and batteries are some of the special waste types receiving significant focus as hazardous and valuable substances in WEEE and batteries are plentiful. WEEE and batteries, which are not sorted out for recycling and recovery, do not only imply a loss of materials and metals but could also......, be incinerated. This leads to pollution of the surrounding environment with heavy and toxic metals, as well as being a significant source for abiotic resource depletion (Bigum et al., III). Improvements with respect to the treatment of special waste are necessary. Traditional pre-treatment facilities seem...

  19. Thermal Runaway Severity Reduction Assessment and Implementation: On Li-Ion Batteries

    Science.gov (United States)

    Darcy, Eric

    2015-01-01

    Preventing cell-cell thermal runaway propagation and flames/sparks from exiting battery enclosure is possible with proper thermal & electrical design and cell thermal runaway ejecta/effluent management and can be had with minimal mass/volume penalty.

  20. Assessment of soil-pollution by slag from an automobile battery ...

    African Journals Online (AJOL)

    Administrator

    unstable under anoxic conditions (Tessier et al., 1979), hence, changes of .... Anglin-Brown B, Armour-Brown A, Lalor GC (1995). Heavy metal pol- .... environmentally sound management of Lead-Acid Battery Wastes,. Eighteenth session, April ...

  1. Integration of the WJ IV, WISC-V, WISC-V Integrated, and WIAT-III into a School Neuropsychological Assessment Model

    Science.gov (United States)

    Miller, Daniel C.

    2015-01-01

    The Woodcock-Johnson-Fourth edition (WJ IV; Schrank, McGrew, & Mather, 2014a) and the Wechsler Intelligence Scale for Children-Fifth edition (WISC-V; Wechsler, 2014) are two of the major tests of cognitive abilities used in school psychology. The complete WJ IV battery includes the Woodcock-Johnson IV Tests of Cognitive Abilities (Schrank,…

  2. A comprehensive assessment of memory, delay aversion, timing, inhibition, decision making and variability in attention deficit hyperactivity disorder: advancing beyond the three-pathway models.

    Science.gov (United States)

    Coghill, D R; Seth, S; Matthews, K

    2014-07-01

    Although attention deficit hyperactivity disorder (ADHD) has been associated with a broad range of deficits across various neuropsychological domains, most studies have assessed only a narrow range of neuropsychological functions. Direct cross-domain comparisons are rare, with almost all studies restricted to less than four domains. Therefore, the relationships between these various domains remain undefined. In addition, almost all studies included previously medicated participants, limiting the conclusions that can be drawn. We present the first study to compare a large cohort of medication-naive boys with ADHD with healthy controls on a broad battery of neuropsychological tasks, assessing six key domains of neuropsychological functioning. The neuropsychological functioning of 83 medication-naive boys with well-characterized ADHD (mean age 8.9 years) was compared with that of 66 typically developing (TYP) boys (mean age 9.0 years) on a broad battery of validated neuropsychological tasks. Data reduction using complementary factor analysis (CFA) confirmed six distinct neuropsychological domains: working memory, inhibition, delay aversion, decision making, timing and response variability. Boys with ADHD performed less well across all six domains although, for each domain, only a minority of boys with ADHD had a deficit [effect size (% with deficit) ADHD versus TYP: working memory 0.95 (30.1), inhibition 0.61 (22.9), delay aversion 0.82 (36.1), decision making 0.55 (20.5), timing 0.71 (31.3), response variability 0.37 (18.1)]. The clinical syndrome of ADHD is neuropsychologically heterogeneous. These data highlight the complexity of the relationships between the different neuropsychological profiles associated with ADHD and the clinical symptoms and functional impairment.

  3. Neuropsychological testing as it relates to recovery from sports-related concussion.

    Science.gov (United States)

    Putukian, Margot

    2011-10-01

    Concussion is a challenging injury for the sports medicine team, and neuropsychological testing has been used as an adjunct to other clinical measures for assessment and management, and to guide return-to-play decisions. Understanding the limitations as well as the role of neuropsychological testing in the evaluation and management of sports-related concussion is important for the sports medicine team. This article will review the evidence regarding the utility of neuropsychological testing as it relates to concussion in sports.

  4. 2015 American Academy of Clinical Neuropsychology (AACN) student affairs committee survey of neuropsychology trainees.

    Science.gov (United States)

    Whiteside, Douglas M; Guidotti Breting, Leslie M; Butts, Alissa M; Hahn-Ketter, Amanda E; Osborn, Katie; Towns, Stephanie J; Barisa, Mark; Santos, Octavio A; Smith, Daniel

    2016-07-01

    Surveys of practicing neuropsychologists have been conducted for years; however, there have been no comprehensive surveys of neuropsychology trainees, which may result in important issues being overlooked by the profession. This survey assessed trainees' experiences in areas such as student debt, professional development, and training satisfaction. Survey items were written by a task force of the AACN Student Affairs Committee (SAC), and neuropsychology trainees were recruited via neuropsychology-focused listservs. In total, 344 trainees completed the survey (75% female) and included participants from every region of the US and Canada. Based on the survey questions, nearly half of all trainees (47%) indicated financial factors were the greatest limitation in their training. Student debt had a bimodal distribution; 32.7% had minimal debt, but 45% had debt >$100,000. In contrast, expected starting salaries were modest, but consistent with findings ($80-100,000). While almost all trainees intended to pursue board certification (97% through ABPP), many were 'not at all' or only 'somewhat' familiar with the process. Results indicated additional critical concerns beyond those related to debt and lack of familiarity with board certification procedures. The results will inform SAC conference programming and the profession on the current 'state of the trainees' in neuropsychology.

  5. Improved Necker Cube Drawing-Based Assessment Battery for Constructional Apraxia: The Mie Constructional Apraxia Scale (MCAS

    Directory of Open Access Journals (Sweden)

    Masayuki Satoh

    2016-09-01

    Full Text Available Background/Aims: Constructional apraxia (CA is usually diagnosed by having patients draw figures; however, the reported assessments only evaluate the drawn figure. We designed a new assessment battery for CA (the Mie Constructional Apraxia Scale, MCAS which includes both the shape and drawing process, and investigated its utility against other assessment methods. Methods: We designed the MCAS, and evaluated inter- and intrarater reliability. We also investigated the sensitivity, specificity, and positive and negative predictive values in dementia patients, and compared MCAS assessment with other reported batteries in the same subjects. Results: Moderate interrater reliability was shown for speech therapists with limited experience. Moderate to substantial intrarater reliability was shown several weeks after initial assessment. When cutoff scores and times were set at 2/3 points and 39/40 s, sensitivity and specificity were 77.1 and 70.4%, respectively, with positive and negative predictive values of 80.0 and 66.7%, respectively. Dementia patients had significantly worse scores and times for Necker cube drawing than an elderly control group on the MCAS, and on other assessments. Conclusions: We conclude that the MCAS, which includes both the assessment of the drawn Necker cube shape and the drawing process, is useful for detecting even mild CA.

  6. The BICAMS Battery for Assessment of Lithuanian-Speaking Multiple Sclerosis Patients: Relationship with Age, Education, Disease Disability, and Duration.

    Science.gov (United States)

    Giedraitienė, Nataša; Kizlaitienė, Rasa; Kaubrys, Gintaras

    2015-12-10

    BACKGROUND Assessment of cognitive impairment (CI) in multiple sclerosis (MS) patients is very useful, but it requires time-consuming expert evaluation with specialized materials. The Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS) was created as a brief and specific instrument for the evaluation of CI. The aims of this study were to assess the cognitive status of MS patients by using the Lithuanian version of BICAMS, to evaluate the test-retest reliability of the Lithuanian version of BICAMS, and to measure the impact of CI on disability and duration of MS. MATERIAL AND METHODS We enrolled 50 MS patients and 20 cognitively normal control subjects, matched for age, gender, and level of education. Cognitive functions were assessed by the BICAMS tests, which include the Symbol Digit Modalities Test, the Brief Visuospatial Memory Test Revised, and the California Verbal Learning Test, 2nd edition. RESULTS MS patients performed significantly worse than controls on the 3 neuropsychological tests of BICAMS (phigher disability scores tended to perform worse on the tests (p0.05). Test-retest reliability was excellent for all 3 subtests (r>0.8, p<0.05). CONCLUSIONS Our study shows that BICAMS is a valid and acceptable cognitive assessment tool that can be recommended for routine use in Lithuania for assessing patients with MS.

  7. A comparison of the CogState Schizophrenia Battery and the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Battery in assessing cognitive impairment in chronic schizophrenia.

    Science.gov (United States)

    Pietrzak, Robert H; Olver, James; Norman, Trevor; Piskulic, Danijela; Maruff, Paul; Snyder, Peter J

    2009-10-01

    This study examined the criterion and construct validity of a brief computerized cognitive test battery (CogState Schizophrenia Battery) compared to a conventional cognitive test battery recommended by the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) consensus. The CogState and MATRICS batteries yielded comparable effect sizes in comparing patients with schizophrenia to healthy controls (Cohen's ds = -1.50 for both batteries). Moderate to large correlations were observed between CogState and MATRICS measures of processing speed, attention/vigilance, working memory, verbal and visual learning, reasoning/problem solving, and social cognition (rs = .56-.79). CogState and MATRICS composite scores also correlated strongly with scores on the University of California at San Diego (UCSD) Performance-Based Skills Assessment (UPSA; rs = .76 and .79, respectively) in patients with schizophrenia. Results of this study suggest that the CogState Schizophrenia Battery provides valid measurement of the cognitive domains nominated by the MATRICS consensus group as being important to consider in the context of pharmacological treatments for cognitive impairment in schizophrenia.

  8. Assessing the connection between organophosphate pesticide poisoning and mental health: A comparison of neuropsychological symptoms from clinical observations, animal models and epidemiological studies.

    Science.gov (United States)

    Stallones, Lorann; Beseler, Cheryl L

    2016-01-01

    Psychiatry and psychology are beginning to recognize the importance of lead, mercury and heavy metals as causal partners in the development of mental disorders. Further, mental health researchers and clinicians are embracing the idea that the combined effects of genetics and environmental exposures can result in perturbations in brain neurochemistry leading to psychiatric disorders. The purpose of this review is to examine the biological foundations for the epidemiological observations previously identified by reviewing the toxicology literature and relating it to epidemiological studies addressing the role of poisoning with organophosphate pesticides (OPs) in neurobehavioral and neuropsychological disorders. The goal of this review is to raise awareness in the mental health community about the possibility that affective disorders might be the result of contributions from environmental and occupational pesticide poisoning. Copyright © 2015 Elsevier Ltd. All rights reserved.

  9. Epilepsy & IQ: the clinical utility of the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV) indices in the neuropsychological assessment of people with epilepsy.

    Science.gov (United States)

    Baxendale, Sallie; McGrath, Katherine; Thompson, Pamela J

    2014-01-01

    We examined Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV) General Ability Index (GAI) and Full Scale Intelligence Quotient (FSIQ) discrepancies in 100 epilepsy patients; 44% had a significant GAI > FSIQ discrepancy. GAI-FSIQ discrepancies were correlated with the number of antiepileptic drugs taken and duration of epilepsy. Individual antiepileptic drugs differentially interfere with the expression of underlying intellectual ability in this group. FSIQ may significantly underestimate levels of general intellectual ability in people with epilepsy. Inaccurate representations of FSIQ due to selective impairments in working memory and reduced processing speed obscure the contextual interpretation of performance on other neuropsychological tests, and subtle localizing and lateralizing signs may be missed as a result.

  10. Neuropsychological test scores, academic performance, and developmental disorders in Spanish-speaking children.

    Science.gov (United States)

    Rosselli, M; Ardila, A; Bateman, J R; Guzmán, M

    2001-01-01

    Limited information is currently available about performance of Spanish-speaking children on different neuropsychological tests. This study was designed to (a) analyze the effects of age and sex on different neuropsychological test scores of a randomly selected sample of Spanish-speaking children, (b) analyze the value of neuropsychological test scores for predicting school performance, and (c) describe the neuropsychological profile of Spanish-speaking children with learning disabilities (LD). Two hundred ninety (141 boys, 149 girls) 6- to 11-year-old children were selected from a school in Bogotá, Colombia. Three age groups were distinguished: 6- to 7-, 8- to 9-, and 10- to 11-year-olds. Performance was measured utilizing the following neuropsychological tests: Seashore Rhythm Test, Finger Tapping Test (FTT), Grooved Pegboard Test, Children's Category Test (CCT), California Verbal Learning Test-Children's Version (CVLT-C), Benton Visual Retention Test (BVRT), and Bateria Woodcock Psicoeducativa en Español (Woodcock, 1982). Normative scores were calculated. Age effect was significant for most of the test scores. A significant sex effect was observed for 3 test scores. Intercorrelations were performed between neuropsychological test scores and academic areas (science, mathematics, Spanish, social studies, and music). In a post hoc analysis, children presenting very low scores on the reading, writing, and arithmetic achievement scales of the Woodcock battery were identified in the sample, and their neuropsychological test scores were compared with a matched normal group. Finally, a comparison was made between Colombian and American norms.

  11. MAGNETIC-RESONANCE-IMAGING OF THE BRAIN AND NEUROPSYCHOLOGICAL EVALUATION IN CHILDREN TREATED FOR ACUTE LYMPHOBLASTIC-LEUKEMIA AT A YOUNG AGE

    NARCIS (Netherlands)

    KINGMA, A; MOOYAART, EL; KAMPS, WA; WILMINK, JT

    Purpose: To evaluate the adverse late effects of ALL treatment on cognitive functions and brain morphology; to integrate the results of a neuropsychological and neuroradiological study. Patients and Methods: Cranial magnetic resonance imaging (MRI) and neuropsychological assessments (NA) were

  12. Carbon felt and carbon fiber - A techno-economic assessment of felt electrodes for redox flow battery applications

    Science.gov (United States)

    Minke, Christine; Kunz, Ulrich; Turek, Thomas

    2017-02-01

    Carbon felt electrodes belong to the key components of redox flow batteries. The purpose of this techno-economic assessment is to uncover the production costs of PAN- and rayon-based carbon felt electrodes. Raw material costs, energy demand and the impact of processability of fiber and felt are considered. This innovative, interdisciplinary approach combines deep insights into technical, ecologic and economic aspects of carbon felt and carbon fiber production. Main results of the calculation model are mass balances, cumulative energy demands (CED) and the production costs of conventional and biogenic carbon felts supplemented by market assessments considering textile and carbon fibers.

  13. Standard of Care for Neuropsychological Monitoring in Pediatric Neuro-Oncology: Lessons From the Children's Oncology Group (COG).

    Science.gov (United States)

    Walsh, Karin S; Noll, Robert B; Annett, Robert D; Patel, Sunita K; Patenaude, Andrea F; Embry, Leanne

    2016-02-01

    As the mortality of pediatric cancers has decreased, focus on neuropsychological morbidities of treatment sequelae have increased. Neuropsychological evaluations are essential diagnostic tools that assess cognitive functioning and neurobiological integrity. These tests provide vital information to support ongoing medical care, documenting cognitive morbidity and response to interventions. We frame standards for neuropsychological monitoring of pediatric patients with CNS malignancy or who received cancer-directed therapies involving the CNS and discuss billing for these services in the United States in the context of clinical research. We describe a cost-effective, efficient model of neuropsychological monitoring that may increases access to neuropsychological care.

  14. Sensitivity and specificity of some neuropsychological markers of Alzheimer dementia.

    Science.gov (United States)

    Gainotti, G; Marra, C; Villa, G; Parlato, V; Chiarotti, F

    1998-09-01

    A standardized neuropsychological test battery was administered to 167 patients with different forms of mild-to-moderate dementia: probable Alzheimer dementia (AD: n = 49), multi-infarct dementia (n = 43), idiopathic Parkinson disease with dementia (n = 35), depressive pseudodementia (n = 26), and progressive supranuclear palsy (n = 14). Results obtained were used (a) to analyze the profiles of cognitive impairment shown by the different dementia groups; (b) to assess the incidence of some neuropsychological patterns that we hypothesized to be more characteristic of AD, in the various groups; and hence (c) to evaluate the reliability of these patterns as diagnostic markers of AD. Four of the patterns investigated were derived from a verbal learning task (Rey's Auditory Verbal Learning test): (1) absence of the primacy effect; (2) tendency to produce intrusion errors during free recall of a word list; (3) absolute decay of memory trace; and (4) tendency to produce false alarms during delayed recognition of the same word list. Two additional patterns were derived from visual-spatial tasks (copying drawings and Raven's Coloured Progressive Matrices): (5) occurrence of the closing-in phenomenon in copying drawings; and (6) tendency to choose globalistic or odd responses in Raven's matrices. Though all the six patterns were somewhat useful for identifying AD patients, no pattern met the criteria of being both highly sensitive and highly specific, which should characterize an ideal marker. In fact, intrusions and false alarms were observed in many AD patients, but also in patients affected by other forms of dementia. The absence of the primacy effect, the closing-in phenomenon, and the absolute decay of memory trace were more specific, but could be observed in only one-third of AD patients. We also computed the number of positive patterns shown by each patient and assumed the presence of two or more patterns as a global index suggestive of a dementia of the Alzheimer

  15. Neuropsychological predictors of adaptive kitchen behavior in geriatric psychiatry inpatients.

    Science.gov (United States)

    Benedict, R H; Goldstein, M Z; Dobraski, M; Tannenhaus, J

    1997-10-01

    This study examined the degree to which demographic variables, psychiatric diagnosis, depression rating, and neuropsychological test performance predict adaptive kitchen behavior in geriatric psychiatry patients and normal elderly volunteers. Amixed group of 27 participants including 8 normal volunteers and 19 geriatric psychiatry inpatients underwent psychiatric evaluation, neuropsychological testing, and a kitchen skills assessment conducted in a natural setting. Both depression and dementia were prevalent among patients. The kitchen skills assessment was abnormal in 69% of patients, compared to none of the normal volunteers. Estimated premorbid IQs, psychiatric diagnosis, and neuropsychological test scores significantly predicted the pass/fail status on the kitchen skills assessment, but there was no effect for age, education, gender, or depression. The discriminant function analysis classified 92% of cases, and the canonical correlation coefficient was .84. Of the neuropsychological tests employed in the study, two tests involving visuospatial processing and attention were retained in the discriminant function analysis. The results are consistent with previous studies that suggest that visuospatial tasks are more predictive of instrumental activities of daily living than are cognitive tasks emphasizing verbal and memory abilities. In addition, we conclude that neuropsychological test data are useful and valid for the purpose of guiding clinical judgments regarding activities of daily living in geriatric psychiatry patients.

  16. White matter correlates of neuropsychological dysfunction in systemic lupus erythematosus.

    Directory of Open Access Journals (Sweden)

    Rex E Jung

    Full Text Available Patients diagnosed with Systemic Lupus Erythematosus have similar levels of neuropsychological dysfunction (i.e., 20-50% as those with Neuropsychiatric Systemic Lupus Erythematosus (NPSLE. We hypothesized a gradient between cognition and white matter integrity, such that strongest brain-behavior relationships would emerge in NPSLE, intermediate in non-NPSLE, and minimal in controls. We studied thirty-one patients (16 non-NPSLE; 15 NPSLE, ranging in age from 18 to 59 years old (100% female, and eighteen age and gender matched healthy controls. DTI examinations were performed on a 1.5T scanner. A broad neuropsychological battery was administered, tapping attention, memory, processing speed, and executive functioning. The Total z-score consisted of the combined sum of all neuropsychological measures. In control subjects, we found no significant FA-Total z-score correlations. NPSLE, non-NPSLE, and control subjects differed significantly in terms of Total z-score (NPSLE = -2.25+/-1.77, non-NPSLE = -1.22+/-1.03, Controls = -0.10+/-.57; F = 13.2, p<.001. In non-NPSLE subjects, FA within the right external capsule was significantly correlated with Total z-score. In NPSLE subjects, the largest FA-Total z-score clusters were observed within the left anterior thalamic radiation and right superior longitudinal fasciculus. In subsequent analyses the largest number of significant voxels linked FA with the Processing Speed z-score in NPSLE. The current results reflect objective white matter correlates of neuropsychological dysfunction in both NPSLE and (to a lesser degree in non-NPSLE. non-NPSLE and NPSLE subjects did not differ significantly in terms of depression, as measured by the GDI; thus, previous hypotheses suggesting moderating effects of depression upon neuropsychological performance do not impact the current FA results.

  17. 罗兰多癫痫患者认知执行功能的神经心理学评测%Neuropsychological Assessment of Cognition and Executive Functions in Children with Rolandic Epilepsy

    Institute of Scientific and Technical Information of China (English)

    李倩; 何佳; 张丽雅; 龚玉来

    2014-01-01

    目的:研究罗兰多癫痫( RE)患者是否存在认知执行功能障碍,并且验证RE发作变量对认知执行功能的影响。方法用神经心理量表测评评估了35例RE患者和40例正常儿童。结果 RE患者在对威斯康辛卡片排序测验中显示更差的执行能力。而且癫痫发病越早的患者执行能力越差。结论 RE患者尽管有正常的IQ评分,但是存在执行功能缺陷。提示早发的癫痫对大脑的发育有影响。%Objective To study changes in cognition and executive functions in Rolandic epilepsy( RE) patients and to verify the influence of seizure variables. Methods Thirty-five patients with RE and 40 healthy controls were evaluated by neuro-psychological battery of tests. Results The RE children had worse performance than that in controls in Wisconsin Card Sorting Test. Children with earlier onset of epilepsy had worse performance when compared with children with later onset of epilepsy. Con-clusion Children with RE may show an impairment of executive function,even though their IQ scores were normal,which suggests that early seizures can interrupt with brain development.

  18. Neuropsychological profile of duchenne muscular dystrophy.

    Science.gov (United States)

    Perumal, Anna Roshini; Rajeswaran, Jamuna; Nalini, Atchayaram

    2015-01-01

    Duchenne muscular dystrophy (DMD) is an inherited myogenic disorder characterized by progressive muscle wasting. DMD is a fatal X-linked recessive disorder with an estimated prevalence of 1 in 3,500 male live births. This disease has long been associated with intellectual impairment. Research has shown that boys with DMD have variable intellectual performance, indicating the presence of specific cognitive deficits. The aim of the study was to use a battery of intelligence, learning, and memory tests to identify a neuropsychological profile in boys with DMD. A total of 22 boys diagnosed with DMD in the age range of 6 to 10 years old were evaluated using the Wechsler Intelligence Scale for Children-Third Edition, Rey's Auditory Verbal Learning Test, and the Memory for Designs Test. The data were interpreted using means, standard deviations, percentages, and percentiles. Normative data were also used for further interpretation. The results showed that boys with DMD had a significantly lower IQ (88.5). Verbal IQ (86.59) was found to be lower than Performance IQ (92.64). There was evidence of impaired performance on the Processing Speed, Freedom From Distractibility, and Verbal Comprehension Indexes. Specific deficits in information processing, complex attention, immediate verbal memory span, verbal working memory, verbal comprehension, vocabulary, visuoconstruction ability, and verbal learning and encoding were observed. However, perceptional organization, general fund of information, abstract reasoning, visual discrimination and acuity, visual learning and memory, and verbal memory were adequate. The neuropsychological findings support the hypothesis that these children have specific cognitive deficits as opposed to a global intellectual deficit.

  19. Neuropsychological functioning in late-life depression

    Directory of Open Access Journals (Sweden)

    Gro Strømnes Dybedal

    2013-06-01

    Full Text Available Background: The literature describing neurocognitive function in patients with late-life depression (LLD show inconsistent findings in regard to incidence and main deficits. Reduced information processing speed is in some studies found to explain deficits in higher order cognitive function, while other studies report specific deficits in memory and executive function. Our aim was to determine the characteristics of neuropsychological functioning in non-demented LLD patients.Methods; A comprehensive neuropsychological battery was administered to a group of hospitalized LLD patients and healthy control subjects. Thirty-nine patients without dementia, 60 years or older meeting DSM-IV criteria for current episode of major depression, and 18 nondepressed control subjects were included. The patient group was characterized by having a long lasting current depressive episode of late-onset depression and by being non-responders to treatment with antidepressants. Neurocognitive scores were calculated for the domains of information processing speed, verbal memory, visuospatial memory, executive function, and language. Number of impairments (performance below the 10th percentile of the control group per domain for each participant was calculated. Results: Nearly half of the patients had a clinically significant cognitive impairment in at least one neurocognitive domain. Relative to healthy control subjects, LLD patients performed significantly poorer in the domains of information processing speed and executive function. Executive abilities were most frequently impaired in the patient group (39 % of the patients. Even when controlling for differences in processing speed, patients showed more executive deficits than controls. CONCLUSIONS: Controlling for processing speed, patients still showed impaired executive function compared to healthy controls. Reduced executive function thus appears to be the core neurocognitive deficit in LLD. Executive function seems

  20. History of neuropsychological study of sport-related concussion.

    Science.gov (United States)

    Webbe, Frank M; Zimmer, Adam

    2015-01-01

    Although the medical literature has a long history of description and comment on concussion, the occurrence of concussion within the context of sports other than boxing was not judged to be problematic until the 1980s. Neuropsychological assessment played a critical and integral role in identifying the cognitive sequelae of concussion and mapping out the short- and long-term vagaries in recovery. This paper captures that history and expands upon current applications of neuropsychological assessment in the diagnosis and management of sport-related concussion.

  1. [Neuropsychological course of patients with craniocerebral injuries in rehabilitation].

    Science.gov (United States)

    Callegari, S; Pierobon, A; Viola, L; Mastretta, E; Majani, G

    2004-01-01

    The aim of the present paper is to describe a neuropsychological assessment and intervention model in Traumatic Brain Injury (TBI) patients. The theoretical and methodological frameworks are described and the following diagnostic and rehabilitative flowchart is fully explained: 1. first visit with patient and his relatives; 2. clinical and testing assessment; 3. diagnostic balance and its communication to patient and his relatives; 4. neuropsychological rehabilitation and psychological counseling. Whenever necessary, patient's relatives are involved. Furthermore, TBI patients' health related quality of life is outlined as an important clinical and scientific issue deserving more attention, in spite of the objective methodological difficulties which its evaluation implies.

  2. Towards the Neuropsychological Diagnosis of Alzheimer's Disease: A Hybrid Model in Decision Making

    Science.gov (United States)

    de Castro, Ana Karoline Araujo; Pinheiro, Placido Rogerio; Pinheiro, Mirian Caliope Dantas

    Dementias are syndromes described by a decline in memory and other neuropsychological changes especially occurring in the elderly and increasing exponentially in function of age. Due to this fact and the therapeutical limitations in the most advanced stage of the disease, diagnosis of Alzheimer's disease is extremely important and it can provide better life conditions to patients and their families. This work presents a hybrid model, combining Influence Diagrams and the Multicriteria Method, for aiding to discover, from a battery of tests, which are the most attractive questions, in relation to the stages of CDR (Clinical Dementia Rating) in decision making for the diagnosis of Alzheimer's disease. This disease is the most common dementia. Influence Diagram is implemented using GeNie tool. Next, the judgment matrixes are constructed to obtain cardinal value scales which are implemented through MACBETH Multicriteria Methodology. The modeling and evaluation processes were carried out through a battery of standardized assessments for the evaluation of cases with Alzheimer's disease developed by Consortium to Establish a Registry for Alzheimer's disease (CERAD).

  3. Comparing Neuropsychological Profiles between Girls with Asperger's Disorder and Girls with Learning Disabilities

    Science.gov (United States)

    McKnight, Megan E.; Culotta, Vincent P.

    2012-01-01

    Research examining neuropsychological profiles of girls with Asperger's disorder (AD) is sparse. In this study, we sought to characterize neurocognitive profiles of girls with AD compared to girls with learning disabilities (LD). Two groups of school-age girls referred for neuropsychological assessment participated in the study. A total of 23…

  4. Examining the Relationship between Purposeful Heading in Soccer and Computerized Neuropsychological Test Performance

    Science.gov (United States)

    Kaminski, Thomas W.; Cousino, Eric S.; Glutting, Joseph J.

    2008-01-01

    The purpose of this study was to determine if a relationship exists between purposeful heading in soccer and neuropsychological test performance. Automated Neuropsychological Assessment Metrics throughput scores were derived on seven subset variables that measure a variety of neurocognitive abilities. Simple Spearman's rank correlations were…

  5. Neuropsychological Findings in Relapsing-Remitting and Chronic-Progressive Multiple Sclerosis.

    Science.gov (United States)

    Heaton, Robert K.; And Others

    1985-01-01

    Assessed neuropsychological functioning in 100 patients who had relapsing-remitting or chronic-progressive courses of multiple sclerosis (MS). Both MS subgroups showed significant neuropsychological impairment, relative to a normal comparison group (N=100), but chronic-progressive MS was associated with greater impairment in each major ability…

  6. Average use of Alcohol and Binge Drinking in Pregnancy: Neuropsychological Effects at Age 5

    DEFF Research Database (Denmark)

    Kilburn, Tina R.

    were asked to undergo a neuropsychological development exam intended to assess both general measures of cognition, such as IQ, as well as investigating their IPT. The overall neuropsychological development data were obtained through administration of standardized tests for children, as well as parental...

  7. Development of a Test Battery for Assessing Phonological Awareness in German-Speaking Children

    Science.gov (United States)

    Schaefer, Blanca; Fricke, Silke; Szczerbinski, Marcin; Fox-Boyer, Annette V.; Stackhouse, Joy; Wells, Bill

    2009-01-01

    The development of phonological awareness (PA), the ability to reflect on the sound structure of words independent of their meaning, has been extensively explored in English-speaking children. However, this is not the case for other languages. The aim of this study was to develop a comprehensive PA test battery for German-speaking preschool…

  8. Battery energy storage: A preliminary assessment of national benefits (the Gateway Benefits Study)

    Energy Technology Data Exchange (ETDEWEB)

    Akhil, A. [Sandia National Labs., Albuquerque, NM (United States); Zaininger, H. [Zaininger Engineering Co., San Jose, CA (United States); Hurwitch, J.; Badin, J. [Energetics, Inc., Columbia, MD (United States)

    1993-12-01

    Preliminary estimates of national benefits from electric utility applications of battery energy storage through the year 2010 are presented along with a discussion of the particular applications studied. The estimates in this report were based on planning information reported to DOE by electric utilities across the United States. Future studies are planned to refine these estimates as more application-specific information becomes available.

  9. [Neuropsychological issues in child psychology and child psychiatry].

    Science.gov (United States)

    Lepach, Anja C; Lehmkuhl, Gerd; Petermann, Franz

    2010-01-01

    Neuropsychological aspects are of relevance to a variety of psychological concerns, especially in assessments. But is this trend represented in journals which do not explicitly refer to neuropsychologists? To investigate this question, publications in 2008 and 2009 editions of representative German journals on child psychology and psychiatry were bibliometrically analyzed. Main topics of neuropsychological publications were attention disorders and diagnostic issues. Neuropsychological findings support the development of assessment instruments and interventions and help improve the basic understanding of disorders and treatment limitations. For example, reduced attention or memory resources are possible hindrances for individual progress in cognitive behavioral intervention. An intensified dialogue of the disciplines is essential for developing advanced guidelines for diagnostics and therapy.

  10. Alterações de linguagem em pacientes idosos portadores de demência avaliados com a Bateria MAC Language alterations in elderly patients with dementia assessed with the MAC Battery

    Directory of Open Access Journals (Sweden)

    Cristine Koehler

    2012-03-01

    , interpretation of metaphors and of narrative discourse, from the Montreal Communication Evaluation Battery - MAC Battery, as well as to verify the frequency of deficits. METHODS: Participants were 13 patients with mild to moderate dementia, treated at the Neurology sector of the Ambulatory of Movement Disorders and Dementia of the Hospital Santa Clara of the Irmandade Santa Casa de Misericórdia de Porto Alegre (ISCMPA. The neuropsychological assessment instrument was the MAC Battery, and the tasks were applied in the following order: free lexical retrieval, lexical retrieval based on orthographic criteria, lexical retrieval based on semantic criteria, interpretation of metaphors, and interpretation of narrative discourse. RESULTS: The group of patients with dementia showed impaired performance in all tasks from MAC Battery that were evaluated, with significant difference. Furthermore, participants presented higher frequency of deficits, in descending order, in partial retelling of narrative discourse tasks (essential and present information, followed by the tasks of lexical retrieval with orthography and semantic criteria, and full retelling of narrative discourse. At least two patients showed deficits in some of the five tasks performed from the MAC battery. CONCLUSION: Language evaluation using the MAC Battery allowed the verification of language processing deficits in elderly with dementia, characterizing that this instrument is also applicable to this clinical population.

  11. Case Series Investigations in Cognitive Neuropsychology

    Science.gov (United States)

    Schwartz, Myrna F.; Dell, Gary S.

    2011-01-01

    Case series methodology involves the systematic assessment of a sample of related patients, with the goal of understanding how and why they differ from one another. This method has become increasingly important in cognitive neuropsychology, which has long been identified with single-subject research. We review case series studies dealing with impaired semantic memory, reading, and language production, and draw attention to the affinity of this methodology for testing theories that are expressed as computational models and for addressing questions about neuroanatomy. It is concluded that case series methods usefully complement single-subject techniques. PMID:21714756

  12. Autistic disorder: a neuropsychological enigma.

    Science.gov (United States)

    Huebner, R A

    1992-06-01

    Autism is increasingly viewed as an expression of an unidentified neurological disorder. Because understanding of neurological dysfunction is basic to evaluation and treatment in occupational therapy, this article provides a comprehensive and critical review of the literature since 1985 concerning the neuropsychology of autistic disorder. The research is categorized into four basic types: (a) neuropsychological testing of functional abilities, (b) treatment studies based on neuropsychological hypotheses, (c) autistic-related diseases and genetic disorders, and (d) neuroanatomical and neurophysiological studies. The research shows a spectrum of neurological impairments within the brain stem, cerebellum, midbrain, and frontal lobe. These impairments are associated with deficits in socioemotional skills, sensory processing, motor planning, and cognitive flexibility. This research suggests that persons with autistic disorder need evaluation and treatment of a wide spectrum of functional deficits.

  13. Music Therapy Using Singing Training Improves Psychomotor Speed in Patients with Alzheimer's Disease: A Neuropsychological and fMRI Study

    Directory of Open Access Journals (Sweden)

    Masayuki Satoh

    2015-09-01

    Full Text Available Background/Aims: To investigate the effect of singing training on the cognitive function in Alzheimer's disease (AD patients. Methods: Ten AD patients (mean age 78.1 years participated in music therapy using singing training once a week for 6 months (music therapy group. Each session was performed with professional musicians using karaoke and a unique voice training method (the YUBA Method. Before and after the intervention period, each patient was assessed by neuropsychological batteries, and functional magnetic resonance imaging (fMRI was performed while the patients sang familiar songs with a karaoke device. As the control group, another 10 AD patients were recruited (mean age 77.0 years, and neuropsychological assessments were performed twice with an interval of 6 months. Results: In the music therapy group, the time for completion of the Japanese Raven's Colored Progressive Matrices was significantly reduced (p = 0.026, and the results obtained from interviewing the patients' caregivers revealed a significant decrease in the Neuropsychiatric Inventory score (p = 0.042 and a prolongation of the patients' sleep time (p = 0.039. The fMRI study revealed increased activity in the right angular gyrus and the left lingual gyrus in the before-minus-after subtraction analysis of the music therapy intervention. Conclusion: Music therapy intervention using singing training may be useful for dementia patients by improving the neural efficacy of cognitive processing.

  14. Music Therapy Using Singing Training Improves Psychomotor Speed in Patients with Alzheimer's Disease: A Neuropsychological and fMRI Study

    Science.gov (United States)

    Satoh, Masayuki; Yuba, Toru; Tabei, Ken-ichi; Okubo, Yukari; Kida, Hirotaka; Sakuma, Hajime; Tomimoto, Hidekazu

    2015-01-01

    Background/Aims To investigate the effect of singing training on the cognitive function in Alzheimer's disease (AD) patients. Methods Ten AD patients (mean age 78.1 years) participated in music therapy using singing training once a week for 6 months (music therapy group). Each session was performed with professional musicians using karaoke and a unique voice training method (the YUBA Method). Before and after the intervention period, each patient was assessed by neuropsychological batteries, and functional magnetic resonance imaging (fMRI) was performed while the patients sang familiar songs with a karaoke device. As the control group, another 10 AD patients were recruited (mean age 77.0 years), and neuropsychological assessments were performed twice with an interval of 6 months. Results In the music therapy group, the time for completion of the Japanese Raven's Colored Progressive Matrices was significantly reduced (p = 0.026), and the results obtained from interviewing the patients' caregivers revealed a significant decrease in the Neuropsychiatric Inventory score (p = 0.042) and a prolongation of the patients' sleep time (p = 0.039). The fMRI study revealed increased activity in the right angular gyrus and the left lingual gyrus in the before-minus-after subtraction analysis of the music therapy intervention. Conclusion Music therapy intervention using singing training may be useful for dementia patients by improving the neural efficacy of cognitive processing. PMID:26483829

  15. Button batteries

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002764.htm Button batteries To use the sharing features on this page, please enable JavaScript. Button batteries are tiny, round batteries. They are commonly ...

  16. Neuropsychology in South Africa: confronting the challenges of specialist practice in a culturally diverse developing country.

    Science.gov (United States)

    Watts, Ann D; Shuttleworth-Edwards, Ann B

    2016-11-01

    This was an invited paper on the history and current status of neuropsychology in South Africa. Information was gathered from literature searches, personal communication, and the authors' experiences while occupying relevant professional and academic positions for over 30 years. Since its origins in the 1950s, the development of neuropsychology in South Africa has faced numerous challenges, against a background of extreme sociocultural and socioeconomic disparity in the country that is on-going. The creation of the South African Clinical Neuropsychological Society in the 1980s, a credentialing and training body, gave impetus to the discipline. In the absence of a neuropsychology category within the South African professional framework, university instruction has been ad hoc with vastly different levels of competency depending on the institution involved. The small number of practitioners and/or academics involved in neuropsychology includes mainly masters, and some doctoral level psychologists registered in clinical, counseling or educational categories. A prime emphasis of neuropsychological research has been local norming of psychometric tests to facilitate valid assessment practices in the country. South Africa is on the cusp of achieving a hard-won neuropsychology professional register. It is anticipated that this development will provide impetus to the discipline by promoting training programs, the creation of neuropsychology posts, wider service delivery, and increased research funding. Despite significant challenges in a culturally diverse, developing country, neuropsychology has evolved sufficiently to warrant the creation of a separate category in the professional framework. This development will facilitate training, research, and services in the country.

  17. Narcolepsy: Pathophysiology and Neuropsychological Changes

    Directory of Open Access Journals (Sweden)

    Angela Naumann

    2003-01-01

    Full Text Available Narcolepsy is now recognized as a distinctive disorder with specific pathophysiology and neurochemical abnormalities. Findings on the role of the neuropeptide hypocretin are opening new avenues of research and new strategies for therapy. Recently, neuropsychological and electrophysiological studies have provided evidence for reduced memory performance on standard memory tests in addition to subjective complaints of forgetfulness which may be related to changes in attentional processing. Further studies are, however, necessary to clarify the neuropsychological profile in narcolepsy. This review focuses on the recent advances in understanding narcolepsy.

  18. Neuropsychology: music of the hemispheres

    DEFF Research Database (Denmark)

    Stewart, Lauren; Walsh, Vincent

    2001-01-01

    Music may be the food of love but it is also good fodder for cognitive scientists. Here we highlight a recent study of a neuropsychological patient who has lost her ability to read music, but not text, in the absence of any other musical deficit.......Music may be the food of love but it is also good fodder for cognitive scientists. Here we highlight a recent study of a neuropsychological patient who has lost her ability to read music, but not text, in the absence of any other musical deficit....

  19. Integrating Clinical Neuropsychology into the Undergraduate Curriculum.

    Science.gov (United States)

    Puente, Antonio E.; And Others

    1991-01-01

    Claims little information exists in undergraduate education about clinical neuropsychology. Outlines an undergraduate neuropsychology course and proposes ways to integrate the subject into existing undergraduate psychology courses. Suggests developing specialized audio-visual materials for telecourses or existing courses. (NL)

  20. Integrating Clinical Neuropsychology into the Undergraduate Curriculum.

    Science.gov (United States)

    Puente, Antonio E.; And Others

    1991-01-01

    Claims little information exists in undergraduate education about clinical neuropsychology. Outlines an undergraduate neuropsychology course and proposes ways to integrate the subject into existing undergraduate psychology courses. Suggests developing specialized audio-visual materials for telecourses or existing courses. (NL)

  1. Comparing children with and without dyslexia on the Movement Assessment Battery for Children and the Test of Gross Motor Development.

    Science.gov (United States)

    Getchell, Nancy; Pabreja, Priya; Neeld, Kevin; Carrio, Victor

    2007-08-01

    Dyslexia is the most commonly occurring learning disability in the United States, characterized by difficulties with word recognition, spelling, and decoding. A growing body of literature suggests that deficits in motor skill performance exist in the dyslexic population. This study compared the performance of children with and without dyslexia on different subtests of the Test of Gross Motor Development and Movement Assessment Battery for Children and assessed whether there were developmental changes in the scores of the dyslexic group. Participants included 26 dyslexic children (19 boys and 7 girls; 9.5 yr. old, SD = 1.7) and 23 age- and sex-matched typically developing (17 boys and 6 girls; 9.9 yr. old, SD = 1.3) children as a control group. Mann-Whitney U tests indicated that the dyslexic group performed significantly lower than the control group only on the Total Balance subtest of the Movement Assessment Battery for Children. Additionally, the young dyslexic group performed significantly better on the Total Balance subtest, compared to the older dyslexic group. These results suggest that cerebellar dysfunction may account for differences in performance.

  2. The practice of clinical neuropsychology in Australia.

    Science.gov (United States)

    Ponsford, Jennie

    2016-11-01

    This paper describes the development and practice of clinical neuropsychology in Australia. Clinical Neuropsychology has shown rapid growth in Australia over the past three decades. Comprehensive and specialized training programs are producing high quality graduates who are employed in a broad range of settings or private practice. Australia now has a substantial number of clinical neuropsychologists with specialist training. Whilst the majority of Australian clinical neuropsychologists still undertake assessment predominantly, there are growing opportunities for clinical neuropsychologists in rehabilitation and in a broad range of research contexts. Cultural issues relating to the assessment of Indigenous Australians and immigrants from many countries present significant challenges. Some major contributions have been made in the realms of test development and validation across various age groups. Australian clinical neuropsychologists are also contributing significantly to research in the fields of traumatic brain injury, aging and dementias, epilepsy, memory assessment, rehabilitation, substance abuse, and other psychiatric disorders. Expansion of roles of clinical neuropsychologists, in domains such as rehabilitation and research is seen as essential to underpin continuing growth of employment opportunities for the profession.

  3. A Comprehensive Behavioral Test Battery to Assess Learning and Memory in 129S6/Tg2576 Mice.

    Science.gov (United States)

    Wolf, Andrea; Bauer, Björn; Abner, Erin L; Ashkenazy-Frolinger, Tal; Hartz, Anika M S

    2016-01-01

    Transgenic Tg2576 mice overexpressing human amyloid precursor protein (hAPP) are a widely used Alzheimer's disease (AD) mouse model to evaluate treatment effects on amyloid beta (Aβ) pathology and cognition. Tg2576 mice on a B6;SJL background strain carry a recessive rd1 mutation that leads to early retinal degeneration and visual impairment in homozygous carriers. This can impair performance in behavioral tests that rely on visual cues, and thus, affect study results. Therefore, B6;SJL/Tg2576 mice were systematically backcrossed with 129S6/SvEvTac mice resulting in 129S6/Tg2576 mice that lack the rd1 mutation. 129S6/Tg2576 mice do not develop retinal degeneration but still show Aβ accumulation in the brain that is comparable to the original B6;SJL/Tg2576 mouse. However, comprehensive studies on cognitive decline in 129S6/Tg2576 mice are limited. In this study, we used two dementia mouse models on a 129S6 background--scopolamine-treated 129S6/SvEvTac mice (3-5 month-old) and transgenic 129S6/Tg2576 mice (11-13 month-old)-to establish a behavioral test battery for assessing learning and memory. The test battery consisted of five tests to evaluate different aspects of cognitive impairment: a Y-Maze forced alternation task, a novel object recognition test, the Morris water maze, the radial arm water maze, and a Y-maze spontaneous alternation task. We first established this behavioral test battery with the scopolamine-induced dementia model using 129S6/SvEvTac mice and then evaluated 129S6/Tg2576 mice using the same testing protocol. Both models showed distinctive patterns of cognitive impairment. Together, the non-invasive behavioral test battery presented here allows detecting cognitive impairment in scopolamine-treated 129S6/SvEvTac mice and in transgenic 129S6/Tg2576 mice. Due to the modular nature of this test battery, more behavioral tests, e.g. invasive assays to gain additional cognitive information, can easily be added.

  4. L. Vygotsky, A. Luria and developmental neuropsychology

    OpenAIRE

    Tatyana V. Akhutina; Nataly M. Pylaeva

    2011-01-01

    This article is devoted to Lev Vygotsky's and Alexander Luria's contribution to the theory and methods of neuropsychology, and particularly, developmental neuropsychology. The first part of the article covers the principle foundations of neuropsychology as elaborated by Vygotsky and Luria. The goal of the second part is to show what interpretation of learning disabilities can be derived from it.

  5. L. Vygotsky, A. Luria and developmental neuropsychology

    OpenAIRE

    Tatyana V. Akhutina; Nataly M. Pylaeva

    2011-01-01

    This article is devoted to Lev Vygotsky's and Alexander Luria's contribution to the theory and methods of neuropsychology, and particularly, developmental neuropsychology. The first part of the article covers the principle foundations of neuropsychology as elaborated by Vygotsky and Luria. The goal of the second part is to show what interpretation of learning disabilities can be derived from it.

  6. Neuropsychological changes in melancholic and atypical depression: A systematic review.

    Science.gov (United States)

    Bosaipo, Nayanne Beckmann; Foss, Maria Paula; Young, Allan H; Juruena, Mario Francisco

    2017-02-01

    There is not a consensus as to whether neuropsychological profiling can distinguish depressive subtypes. We aimed to systematically review and critically analyse the literature on cognitive function in patients with melancholic and atypical depression. We searched in databases PubMed, SCOPUS, Web of Knowledge and PsycInfo for papers comparing the neuropsychological performance of melancholic patients (MEL) to non-melancholic depressive patients (NMEL), including atypical depressives, and healthy controls (HC). All studies were scrutinised to determine the main methodological characteristics and particularly possible sources of bias influencing the results reported, using the STROBE statement checklist. We also provide effect size of the results reported for contrasts between MEL; patients and NMEL patients. Seventeen studies were included; most of them demonstrated higher neuropsychological impairments of MEL patients compared to both NMEL patients and HC on tasks requiring memory, executive function, attention and reaction time. Detailed analysis of the methodologies used in the studies revealed significant variability especially regarding the participants' sociodemographic characteristics, clinical characteristics of patients and differences in neuropsychological assessment. These findings suggest that MEL may have a distinct and impaired cognitive performance compared to NMEL depressive patients on tasks involving verbal and visual memory, executive function, sustained attention and span, as well as psychomotor speed, this last especially when cognitive load is increased. Additional studies with adequate control of potentially confounding variables will help to clarify further differences in the neuropsychological functioning of depressive subtypes.

  7. [Neuropsychological profile of internationally adopted children in Catalonia].

    Science.gov (United States)

    Callejón-Póo, L; Boix, C; López-Sala, A; Colomé, R; Fumadó, V; Sans, A

    2012-01-01

    During the last years, International adoption has increased significantly in our country over the last few years. China, Russia, Colombia and Ethiopia represent 77% of international adoptions in Spain. Cognitive and behavioural aspects are very important for an adequate social, family and school integration of these children. To describe the neuropsychological profiles of a group of internationally adopted children in Catalonia from China, Russia, Colombia and Ethiopia. Neuropsychological examination of 49 children from international adoption (6 of Chinese origin, 24 from Russia, 13 from Colombia and 6 of Ethiopian origin). The group of Chinese origin obtained average scores of all functions evaluated. The Russian origin group was below the average for, selective attention, phonetic verbal fluency, control of impulsivity, mechanics and reading comprehension, and spelling. Scores on the impulse control in the Colombian origin group were below average. The group of Ethiopian origin obtained average scores in all functions evaluated except for spelling difficulties. Children adopted from Russia have greater neuropsychological difficulties than the others. Most pre-adoption history is unknown; therefore we are unable to determine the origin of these difficulties. Maternal alcohol consumption during pregnancy and the institutional environment could be influencing factors in neuropsychological delay. Inclusion of neuropsychological assessment in health protocols for these children is recommended if they develop suggestive signs of cognitive and/or behavioral impairment. Copyright © 2011 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  8. A status report on the practice of forensic neuropsychology.

    Science.gov (United States)

    Heilbronner, Robert L

    2004-05-01

    The practice of forensic neuropsychology has experienced tremendous growth over the past two decades, becoming perhaps the most rapidly expanding area of practice within the field of clinical neuropsychology. Indeed, there have been many important advancements in the field that have helped to position neuropsychologists as instrumental participants within the forensic arena. Yet, there is currently no consensus in our field regarding what constitutes competency in forensic neuropsychology and also no specific guidelines or standards of practice to inform neuropsychologists about how to operate in the forensic arena. There are even fewer safeguards to protect the public from questionable methods of practice. This article provides a status report on the practice of forensic neuropsychology. It employs a framework emphasized by Otto and Heilbrun (2002) in their assessment of the field of forensic psychology. Emphasis is directed toward identifying recent advances in the field and documenting some of the inherent flaws and weaknesses in forensic practice to help advance the practice of forensic neuropsychology toward a more established specialty area.

  9. Advances and critical aspects in the life-cycle assessment of battery electric cars

    OpenAIRE

    HELMERS Eckard; Weiss, Martin

    2017-01-01

    Eckard Helmers,1 Martin Weiss2 1Department of Environmental Planning and Technology, Environment Campus Birkenfeld, University of Applied Sciences Trier, Birkenfeld, Germany; 2Sustainable Transport Unit, Directorate C – Energy, Transport and Climate, European Commission – DG Joint Research Centre, Ispra, Italy Abstract: Concerns over climate change, air pollution, and oil supply have stimulated the market for battery electric vehicles (BEVs). The environmental impacts of B...

  10. A Techno-Commercial Assessment of Residential and Bulk Battery Energy Storage

    Science.gov (United States)

    Nadkarni, Aditya

    2013-01-01

    Battery energy storage has shown a lot of potential in the recent past to be effective in various grid services due to its near instantaneous ramp rates and modularity. This thesis aims to determine the commercial viability of customer premises and substation sited battery energy storage systems. Five different types of services have been analyzed considering current market pricing of Lithium-ion batteries and power conditioning equipment. Energy Storage Valuation Tool 3.0 (Beta) has been used to exclusively determine the value of energy storage in the services analyzed. The results indicate that on the residential level, Lithium-ion battery energy storage may not be a cost beneficial option for retail tariff management or demand charge management as only 20-30% of the initial investment is recovered at the end of 15 year plant life. SRP's two retail Time-of-Use price plans E-21 and E-26 were analyzed in respect of their ability to increase returns from storage compared to those with flat pricing. It was observed that without a coupled PV component, E-21 was more suitable for customer premises energy storage, however, its revenue stream reduces with addition to PV. On the grid scale, however, with carefully chosen service hierarchy such as distribution investment deferral, spinning or balancing reserve support, the initial investment can be recovered to an extent of about 50-70%. The study done here is specific to Salt River Project inputs and data. Results for all the services analyzed are highly location specific and are only indicative of the overall viability and returns from them.

  11. Neuropsychological correlates of decision making in patients with bulimia nervosa.

    Science.gov (United States)

    Brand, Matthias; Franke-Sievert, Christiane; Jacoby, Georg E; Markowitsch, Hans J; Tuschen-Caffier, Brunna

    2007-11-01

    In addition to the core psychopathology of bulimia nervosa (BN), patients with BN often show impulsive behavior that has been related to decision making deficits in other patient groups, such as individuals with anorexia nervosa and pathological gamblers. However, it remains unclear whether BN patients also show difficulties in decision making. In this study, 14 patients with BN and 14 healthy comparison subjects, matched for age, gender, education, body mass index, and intelligence, were examined with the Game of Dice Task (M. Brand, E. Fujiwara, et al., 2005), a gambling task that has fixed winning probabilities and explicit rules for gains and losses, as well as with a neuropsychological test battery and personality questionnaires. On the task, the patients with BN chose the disadvantageous alternatives more frequently than did the comparison subjects. Performance on the Game of Dice Task was related to executive functioning but not to other neuropsychological functions, personality, or disease-specific variables in the BN group. Thus, in patients with BN, decision making abnormalities and executive reductions can be demonstrated and might be neuropsychological correlates of the patients' dysfunctional everyday-life decision making behavior. Neurocognitive functions should be considered in the treatment of BN.

  12. Neuropsychological function and memory suppression in conversion disorder.

    Science.gov (United States)

    Brown, Laura B; Nicholson, Timothy R; Aybek, Selma; Kanaan, Richard A; David, Anthony S

    2014-09-01

    Conversion disorder (CD) is a condition where neurological symptoms, such as weakness or sensory disturbance, are unexplained by neurological disease and are presumed to be of psychological origin. Contemporary theories of the disorder generally propose dysfunctional frontal control of the motor or sensory systems. Classical (Freudian) psychodynamic theory holds that the memory of stressful life events is repressed. Little is known about the frontal (executive) function of these patients, or indeed their general neuropsychological profile, and psychodynamic theories have been largely untested. This study aimed to investigate neuropsychological functioning in patients with CD, focusing on executive and memory function. A directed forgetting task (DFT) using words with variable emotional valence was also used to investigate memory suppression. 21 patients and 36 healthy controls completed a battery of neuropsychological tests and patients had deficits in executive function and auditory-verbal (but not autobiographical) memory. The executive deficits were largely driven by differences in IQ, anxiety and mood between the groups. A subgroup of 11 patients and 28 controls completed the DFT and whilst patients recalled fewer words overall than controls, there were no significant effects of directed forgetting or valence. This study provides some limited support for deficits in executive, and to a lesser degree, memory function in patients with CD, but did not find evidence of altered memory suppression to support the psychodynamic theory of repression.

  13. NEUROPSYCHOLOGICAL PERFORMANCE IN A SAMPLE OF INSTITUTIONALIZED CHRONIC SCHIZOPHRENIC PATIENTS

    Directory of Open Access Journals (Sweden)

    Luis Maia

    2010-12-01

    Full Text Available We study the results of a descriptive and exploratory study, with the intent to understand the results of a 21 male schizophrenic patients interned in a Portuguese Mental Health Care Centre, evaluated with neuropsychological test. We tried also to link these tests with variables such as schooling, family contact or lengh of internment. The assessment instruments were: Digits Series and Vocabulary Task, both from WAIS, Raven Progressive Matrices, Rey’s Complex Figures, Luria’s Series Neuropsychological Screening, Clock Task - Neuropsychological Screening and Visual Search and Attention Test. Results show that there is not an attention deficit clinically significant, even that data suggests light attention affection; also variables like family contact and schooling appear as protective factors of memory and also seems to be important for the planning / organization functions.

  14. Graduate admissions in clinical neuropsychology: the importance of undergraduate training.

    Science.gov (United States)

    Karazsia, Bryan T; Stavnezer, Amy Jo; Reeves, Jonathan W

    2013-11-01

    Discussions of and recommendations for the training of clinical neuropsychologists exist at the doctoral, internship, and post-doctoral level. With few exceptions, the literature on undergraduate preparations in clinical neuropsychology is sparse and lacks empirical evidence. In the present study, graduate-level faculty and current trainees completed surveys about graduate school preparations. Faculty expectations of minimum and ideal undergraduate training were highest for research methods, statistics, and assessment. Preferences for "goodness of fit" also emerged as important admissions factors. These results offer evidence for desirable undergraduate preparations for advanced study in clinical neuropsychology. Although undergraduate training in psychology is intentionally broad, results from this study suggest that students who desire advanced study in clinical neuropsychology need to tailor their experiences to be competitive in the application process. The findings have implications for prospective graduate students, faculty who train and mentor undergraduates, and faculty who serve on admissions committees.

  15. Distribution and integrated assessment of lead in an abandoned lead-acid battery site in Southwest China before redevelopment.

    Science.gov (United States)

    Wang, Mei; Zhang, Chao; Zhang, Zhuo; Li, Fasheng; Guo, Guanlin

    2016-06-01

    Lead-acid battery sites have contributed enormous amounts of lead to the environment, significantly affecting its global biogeochemical cycle and leaving the potential risks to human health. An abandoned lead-acid battery site prepared for redevelopment was selected in order to study the distribution of lead in soils, plants, rhizosphere soils and soil solutions. In total, 197 samples from 77 boreholes were collected and analyzed. Single extractions by acetic acid (HOAc) were conducted to assess the bioavailability and speciation of lead in soils for comparison with the parts of the plants that are aboveground. Health risks for future residential development were evaluated by the integrated exposure uptake biokinetic (IEUBK) model. The results indicated that lead concentrations in 83% of the soil samples exceeded the Chinese Environmental Quality Standard for soil (350 mg/kg for Pb) and mainly occurred at depths between 0 and 1.5 m while accumulating at the surface of demolished construction waste and miscellaneous fill. Lead concentrations in soil solutions and HOAc extraction leachates were linked closely to the contents of aboveground Broussonetia papyrifera and Artemisia annua, two main types of local plants that were found at the site. The probability density of lead in blood (PbB) in excess of 10 µg/dL could overtake the 99% mark in the residential scenario. The findings provided a relatively integrated method to illustrate the onsite investigations and assessment for similar sites before remediation and future development from more comprehensive aspects.

  16. Late neuropsychologic status after childhood head trauma.

    Science.gov (United States)

    Costeff, H; Abraham, E; Brenner, T; Horowitz, I; Apter, N; Sadan, N; Najenson, T

    1988-01-01

    A neurologic and neuropsychologic test battery was administered to a sample of 35 children drawn from all those in a defined geographic area who had been hospitalized for head trauma before age 7 during the years 1970-1976. Examination was performed 3 1/2 to 10 years after injury, at age 6-15. Twelve subjects had been diagnosed at the time of injury as suffering moderate insult and had been referred to the metropolitan neurosurgical center, while twenty-three with only mild injury had been retained for observation in a local pediatric ward. The twelve with more severe insult were significantly inferior to the other subjects on the Block Design and Coding subtests of the revised Wechsler Intelligence Scale for Children. The Koppitz score of the Bender Test, the WISC-R scatter, the Benton Visual Retention Test, the GATB Motor Speed Test and the Bourdon-Wiersma Vigilance Test showed less diagnostic power and failed to distinguish between the group with more severe injury and that with less. A detailed and carefully scored neurologic examination also failed to distinguish between the two groups. The findings suggest that relatively common traumatic injury may be associated with detectable late cognitive deficit, and that some WISC-R subtests may be among the best measures for detecting such deficit.

  17. Long-Term Neuropsychological Outcome in Preterm Twins

    Directory of Open Access Journals (Sweden)

    Giovanni Iannone

    2006-01-01

    Full Text Available Few long-term studies have yet described neuropsychological outcome in preterm twins. Our aim was to assess, by long-term evaluation, neuropsychological outcome in preterm twins in order to define a correct follow-up program. Our study was a cohort one, with an index and a comparison group. Neonatal medical records of all preterm newborns admitted to our centre between 1991 and 1997 were reviewed and selected patients were recalled. The sample population included two matched groups of children aged 6—12 years, 86 twins and 86 singletons, submitted to paediatric, neurological, psychological, and ophthalmological examinations. Inclusion criteria were twin pregnancy and gestational age 27—36 weeks for index group; same gestational age, but single pregnancy, for the comparison group. All children underwent paediatric and neuropsychiatric examinations, cognitive assessment, and psychological evaluation by standardized tests for screening of learning specific disorders and language difficulties, and finally, ophthalmological examination. In order to study their role in predicting neuropsychological outcome, we examined some perinatal prognostic factors by statistical analysis. Unfavourable neuropsychological outcome was observed in 55/172 (32% children, with different prevalence in the two groups, 42/172 (24% in twins and 13/172 (8% in singletons. Statistical analysis performed for examined prognostic factors showed significant differences in neuropsychological outcome with regard only to gestational age < 32 weeks, low birth weight, intraventricular haemorrhage, and periventricular leukomalacia. The incidence of neuropsychological diseases in the two groups showed significant difference about language and learning difficulties. Our data suggest that preterm twins represent a particular high-risk category of premature babies, mostly regarding the risk of so-called “minimal brain dysfunction”, so a careful follow-up is recommended.

  18. Perfluoroalkyl substances, thyroid hormones, and neuropsychological status in older adults.

    Science.gov (United States)

    Shrestha, Srishti; Bloom, Michael S; Yucel, Recai; Seegal, Richard F; Rej, Robert; McCaffrey, Robert J; Wu, Qian; Kannan, Kurunthachalam; Fitzgerald, Edward F

    2016-12-30

    Minimal data exist regarding the neurotoxicity of perfluoroalkyl substances (PFASs) in aging populations and the possible mediating effects of thyroid hormones (THs). Hence, the aims of this study were to: (i) assess associations between PFASs and neuropsychological function, and (ii) determine if such associations are mediated by changes in circulating THs in an aging population. We measured perfluorooctanoic acid (PFOA), perfluorooctane sulfonate (PFOS), total thyroxine (T4) and free thyroxine (fT4) in serum and performed neuropsychological tests in 157 men and women aged 55-74 years and living in upper Hudson River communities. Multivariable linear regressions were conducted to assess associations between PFASs and neuropsychological test scores. Mediation analyses were performed in a subset of 87 participants for whom information was available on both PFASs and THs. We obtained TH-mediated, non-TH mediated, and total effects of PFASs on neuropsychological test scores. Overall, our results suggested a protective association between higher PFOA and tasks of executive function. A one interquartile range higher PFOA was associated with a 16% lower perseverative score (that is, improved performance) on the Wisconsin Card Sorting Test (p-value=0.04). T4 and fT4 partially mediated the protective effect of PFOS on Block Design Subtest total scores, a measure of visuospatial function, in the 87 person subsample. Our findings do not suggest that PFASs are associated with poor neuropsychological function. There was some evidence of mediation for the association between PFASs and neuropsychological functions by THs, although some other modes of action also appear likely.

  19. Thyroid function and neuropsychological status in older adults.

    Science.gov (United States)

    Shrestha, Srishti; Bloom, Michael S; Yucel, Recai; Seegal, Richard F; Rej, Robert; McCaffrey, Robert J; Fitzgerald, Edward F

    2016-10-01

    Overt thyroid dysfunction is recognized as a risk factor for neuropsychological deficits in aging populations, yet evidence for how changes in levels of circulatory thyroid hormones impact specific neuropsychological domains is limited. Here we report cross-sectional associations between serum thyroid hormone concentrations and several neuropsychological function domains among men and women aged 55-74years. We administered neuropsychological tests to assess memory, learning, executive function, measures of attention, visuospatial function, affective state, and motor function. Multivariable linear regression analyses were performed adjusting for age, sex, education, and cigarette smoking. Effects were reported as differences in test scores per one interquartile range (IQR) increase in hormone concentration. Higher total thyroxine (T4) and free thyroxine (fT4) were associated with improved visuospatial function, as measured by Block Design Subtest total scores; associated increments per IQR differences in T4 and fT4 were 15% and 19%, respectively (false discovery rate q-values <0.05). We also detected statistical interactions between age and fT4 for effects in tasks of memory and learning. Concurrent increases in age and fT4 were associated with deficits in memory and learning as measured by California Verbal Learning Test subtests (10% and 16% deficits in t-score and short delay free recall score, respectively). Our findings suggest that changes in thyroid hormones may have important implications for neuropsychological function in aging populations. Further large-scale studies with comprehensive thyroid function and neuropsychological outcome assessments are warranted to confirm these results.

  20. Battery Modeling

    NARCIS (Netherlands)

    Jongerden, M.R.; Haverkort, Boudewijn R.H.M.

    2008-01-01

    The use of mobile devices is often limited by the capacity of the employed batteries. The battery lifetime determines how long one can use a device. Battery modeling can help to predict, and possibly extend this lifetime. Many different battery models have been developed over the years. However,

  1. Neurological and neuropsychological functions in adults with a history of developmental arsenic poisoning from contaminated milk powder.

    Science.gov (United States)

    Yorifuji, Takashi; Kato, Tsuguhiko; Ohta, Hitoshi; Bellinger, David C; Matsuoka, Kenichi; Grandjean, Philippe

    2016-01-01

    During the summer of 1955, mass arsenic poisoning of bottle-fed infants occurred in the western part of Japan due to contaminated milk powder, and more than 100 died; some childhood victims were later found to suffer from neurological sequelae in adolescence. This unique incident enabled us to explore infancy as a critical period of arsenic exposure in regard to developmental neurotoxicity and its possible persistence through adulthood. The purpose of this work is to evaluate the association between developmental arsenic exposure and the neurological outcomes more than 50 years later. We conducted a retrospective cohort study during the period from April 2012 to February 2013 in two hospitals in Okayama Prefecture, Japan. The study sample consisted of 50 individuals: 27 known poisoning victims from Okayama Prefecture, and 23 non-exposed local controls of similar age. In addition to neurological examination, we adapted a battery of neurophysiological and neuropsychological tests to identify the types of brain functions affected by early-life arsenic exposure. While limited abnormalities were found in the neurophysiological tests, neuropsychological deficits were observed. Except for Finger tapping, all test scores in the exposed group--Vocabulary and Block Design from Wechsler Adults Intelligent Scale III, Design memory subtest from Wide Range Assessment of Memory and Learning 2, and Grooved pegboard test--were substantially below those obtained by the unexposed. The exposed group showed average performance at least 1.2 standard deviations below the average for the controls. Exposed participants performed less well than controls, even after exclusion of subjects with recognized disabilities or those with a high level of education. Adults who had suffered arsenic poisoning during infancy revealed neuropsychological dysfunctions, even among those subjects not recognized as having disabilities. Developmental neurotoxicity due to arsenic likely results in permanent

  2. Health risk assessment of heavy metals in vegetables grown around battery production area

    Directory of Open Access Journals (Sweden)

    Ying Chen

    2014-04-01

    Full Text Available Battery production is one of the main sources of heavy metals that present great harm to human health even in low concentrations. Chromium (Cr, Cadmium (Cd and Lead (Pb were measured in edible portions of vegetables and soils around a battery production area in China, and the potential health risk of heavy metal contamination to the local population via vegetable consumption was evaluated. Their concentrations in edible portions of vegetables were 2.354 (0.078-14.878, 0.035 (0.003-0.230 and 0.039 (0.003-0.178 mg kg-1, respectively. Approximately 3 % of the Cd in the vegetable samples exceeded the maximum concentration allowable by national food safety criteria, although Pb content in all samples were within the criteria. Transfer factors (TF from soils to vegetables were dependent on vegetable species. Leguminous vegetables were more likely to accumulate Cr, while leaf vegetables tended to show higher levels of concentration of Cd and Pb. Melon vegetables demonstrated a relatively low capacity for accumulating the heavy metals studied. TF were positively correlated with soil organic matter and negatively correlated with soil pH. The mean estimated daily intake of Cr, Cd and Pb via dietary consumption of vegetables was 0.011, 1.65 × 10-4 and 1.84 × 10-4 mg kg-1 of body weight per day, respectively, levels that were much lower than the reference doses recommended by USEPA (U.S. Environmental Protection Agency and JECFA (Joint FAO/WHO Expert Committee on Food Additives, indicating that the potential health risk of Cr, Cd and Pb exposure via vegetable consumption to the local population around this battery production area could be negligible.

  3. The Lithium Battery: assessing the neurocognitive profile of lithium in bipolar disorder.

    Science.gov (United States)

    Malhi, Gin S; McAulay, Claire; Gershon, Samuel; Gessler, Danielle; Fritz, Kristina; Das, Pritha; Outhred, Tim

    2016-03-01

    The aim of the present study was to characterize the neurocognitive effects of lithium in bipolar disorder to inform clinical and research approaches for further investigation. Key words pertaining to neurocognition in bipolar disorder and lithium treatment were used to search recognized databases to identify relevant literature. The authors also retrieved gray literature (e.g., book chapters) known to them and examined pertinent articles from bibliographies. A limited number of studies have examined the effects of lithium on neurocognition in bipolar disorder and, although in some domains a consistent picture emerges, in many domains the findings are mixed. Lithium administration appears to reshape key components of neurocognition - in particular, psychomotor speed, verbal memory, and verbal fluency. Notably, it has a sophisticated neurocognitive profile, such that while lithium impairs neurocognition across some domains, it seemingly preserves others - possibly those vulnerable to the effects of bipolar disorder. Furthermore, its effects are likely to be direct and indirect (via mood, for example) and cumulative with duration of treatment. Disentangling the components of neurocognition modulated by lithium in the context of a fluctuating and complex illness such as bipolar disorder is a significant challenge but one that therefore demands a stratified and systematic approach, such as that provided by the Lithium Battery. In order to delineate the effects of lithium therapy on neurocognition in bipolar disorder within both research and clinical practice, a greater understanding and measurement of the relatively stable neurocognitive components is needed to examine those that indeed change with lithium treatment. In order to achieve this, we propose a Lithium Battery-Clinical and a Lithium Battery-Research that can be applied to these respective settings. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  4. Assessment of cerebral visual impairment with the L94 visual perceptual battery: clinical value and correlation with MRI findings.

    Science.gov (United States)

    Ortibus, E; Lagae, L; Casteels, I; Demaerel, P; Stiers, P

    2009-03-01

    In this article we describe visual perceptual abilities of a clinical population, referred for visual problems to our multidisciplinary team and assessed with the five computer tasks from the L94 visual perceptual battery. Clinical and neuroimaging findings were correlated with the findings on this task battery. Seventy children (35 males, 35 females) constituted our cohort. Age ranged from 4 to 20 years (mean 7y [SD 3y]). Forty children were born before 37 weeks gestational age. Thirty-six children had cerebral palsy (CP), of whom 24 had spastic diplegia, five had spastic hemiplegia, and four had spastic quadriplegia. Three children had ataxic CP. Perceptual visual impairment (PVI) was established in comparison to the performance age obtained on non-verbal intelligence subtests, instead of chronological age. Our results suggest that children with a history of preterm birth and a clinical CP picture are most at risk for a specific PVI. Correlations among other clinical variables did not define a clinical subgroup more at risk. Children with periventricular leucomalacia were almost equally represented in both PVI and non-PVI groups. Normal magnetic resonance imaging did not exclude the presence of PVI. In these children, however, we found another impairment profile, more in favour of dorsal stream impairment.

  5. Neuropsychology of eating disorders: 1995–2012

    Directory of Open Access Journals (Sweden)

    Jáuregui-Lobera I

    2013-03-01

    Full Text Available Ignacio Jáuregui-LoberaNutrition and Bromatology, Pablo de Olavide University, Seville, SpainAbstract: Eating disorders are considered psychiatric pathologies that are characterized by pathological worry related to body shape and weight. The lack of progress in treatment development, at least in part, reflects the fact that little is known about the pathophysiologic mechanisms that account for the development and persistence of eating disorders. The possibility that patients with eating disorders have a dysfunction of the central nervous system has been previously explored; several studies assessing the relationship between cognitive processing and certain eating behaviors have been conducted. These studies aim to achieve a better understanding of the pathophysiology of such diseases. The aim of this study was to review the current state of neuropsychological studies focused on eating disorders. This was done by means of a search process covering three relevant electronic databases, as well as an additional search on references included in the analyzed papers; we also mention other published reviews obtained by handsearching.Keywords: eating disorders, anorexia nervosa, bulimia nervosa, binge-eating disorder, neuropsychology, cognitive performance

  6. Event-related potentials (P300) and neuropsychological assessment in boys exhibiting Duchenne muscular dystrophy Potencial evocado cognitivo (P300) e testagem neuropsicológica em pacientes com distrofia muscular de Duchenne

    OpenAIRE

    Marcus Vinicius Della Coletta; Rosana Herminia Scola; Gislaine Richter Minhoto Wiemes; Cláudia Nasser Fonseca; Maria Joana Mäder; Aline Andrade Freund; Lineu César Werneck

    2007-01-01

    OBJECTIVE: To examine auditory cognitive evoked potentials (P300 potentials) and neuropsychological dysfunction in patients with Duchenne muscular dystrophy (DMD). METHOD: P300 potentials and neuropsychological test results were obtained from 16 healthy control boys and 20 DMD patients. Full Intelligence Quotients (IQ) were estimated for patients and control group. Mean age was 9.5 years in the DMD patient group, and 10 years in the control group (p>0.05). RESULTS: The mean IQ values were 64....

  7. An alternative low-loss stack topology for vanadium redox flow battery: Comparative assessment

    Science.gov (United States)

    Moro, Federico; Trovò, Andrea; Bortolin, Stefano; Del, Davide, , Col; Guarnieri, Massimo

    2017-02-01

    Two vanadium redox flow battery topologies have been compared. In the conventional series stack, bipolar plates connect cells electrically in series and hydraulically in parallel. The alternative topology consists of cells connected in parallel inside stacks by means of monopolar plates in order to reduce shunt currents along channels and manifolds. Channelled and flat current collectors interposed between cells were considered in both topologies. In order to compute the stack losses, an equivalent circuit model of a VRFB cell was built from a 2D FEM multiphysics numerical model based on Comsol®, accounting for coupled electrical, electrochemical, and charge and mass transport phenomena. Shunt currents were computed inside the cells with 3D FEM models and in the piping and manifolds by means of equivalent circuits solved with Matlab®. Hydraulic losses were computed with analytical models in piping and manifolds and with 3D numerical analyses based on ANSYS Fluent® in the cell porous electrodes. Total losses in the alternative topology resulted one order of magnitude lower than in an equivalent conventional battery. The alternative topology with channelled current collectors exhibits the lowest shunt currents and hydraulic losses, with round-trip efficiency higher by about 10%, as compared to the conventional topology.

  8. An Assessment of Grid-Charged Inverter-Battery Systems for Domestic Applications in Ghana

    Directory of Open Access Journals (Sweden)

    David A. Quansah

    2016-01-01

    Full Text Available Ghana, like many African countries, is currently facing power supply shortage, which has led to load shedding. To minimize the impact of the power crisis, options such as diesel and petrol generators, grid-charged battery-inverter systems (GBIS, and solar PV with battery storage (SPVS have been used in residential and nonresidential contexts. In this paper, we develop analytical models to conduct a technical and economic comparison of GBIS and SPVS systems. Using average electricity tariff of $0.186 for residential sector (excluding lifeline customers we show that although initial cost of SPVS is higher, it costs 30% less than GBIS. We also show that losses associated with the GBIS are as high as 42% when viewed from a systems perspective and that some of its costs are externalized. We conclude by commending the Ghana Government’s initiative of rolling out 200,000 residential rooftop solar systems and recommend an increase in system capacities as well as a similar programme for nonresidential facilities.

  9. Update on Executive Function Neuropsychological Tests

    Directory of Open Access Journals (Sweden)

    Julián Marino

    2010-02-01

    Full Text Available This review presents different problems related to executive functions (EF assessment with neuropsychological tests. It shows an overview of EF definitions and theoreticals models created to overcome the problem of inductive lists. Also EF tests history and their emerging contexts are reviewed, to hypothetisize about its consequences over actual conditions of EF assessment practice. Later, an EF tests classification is proposed, taking into account criterias like tests origins, constructs relates and systemic or simple forms of aplication. Finally the idea of a new generation of tests supported by theoreticals and technological advances was analyzed. This includes the development of EF scientifical ontologies, reverse inferences analysis and ecological and etological validity studies.

  10. Neuropsychological aspects of delusional disorder.

    Science.gov (United States)

    Abdel-Hamid, Mona; Brüne, Martin

    2008-06-01

    Delusional disorders (DDs) are clinically rare syndromes characterized by false beliefs that are held with firm conviction despite counterevidence. The neuropsychology of DDs is poorly understood. Two partially opposing models--a cognitive bias model and a cognitive deficit model--have received mixed empiric support, partly because most research has been carried out in patients with paranoid schizophrenia, with which the nosologic association of DDs is unknown. Based on these models, we review empiric findings concerning the neuropsychology of DDs (narrowly defined). We conclude that DDs can best be seen as extreme variations of cognitive mechanisms involved in rapid threat detection and defensive harm avoidance. From this viewpoint, the two models seem to be complementary in explanatory power rather than contradictory. Future research may help to clarify the question of gene-environment interaction involvement in the formation of delusional beliefs.

  11. Neuropsychological study of patients with obsessive-compulsive disorder and their parents in China: searching for potential endophenotypes

    Institute of Scientific and Technical Information of China (English)

    Bin Li; Jin-Hua Sun; Tao Li; Yan-Chun Yang

    2012-01-01

    Objective The existence of neuropsychological deficits has been implicated in obsessive-compulsive disorder (OCD),particularly memory,attention,and executive functions.However,few studies have focused on neuropsychological deficits in the relatives of OCD patients.The aim of this study was to investigate cognitive deficits in OCD patients and their parents.Methods Forty patients with OCD,48 parents of these patients,and 87 healthy controls completed a neuropsychological testing battery.Results Both OCD patients and their parents showed impairments in delayed verbal memory and delayed visual memory.Furthermore,they performed worse than healthy controls in problemsolving ability.Conclusion Our study demonstrated familial aggregation of delayed memory deficits and impaired problemsolving ability,which may be the potential neuropsychological endophenotypes of hereditary susceptibility to OCD.

  12. Neuropsychological Components of Object Identification

    Science.gov (United States)

    1992-01-10

    Brodmann (1909; Bailey and von Bonin, 1951) areas 46, 45, 6, 4, plus the superior extent of 43 within the insula under the rostral parietal operculum. It...of performance on both neurological and neuropsychological examination has been interpreted as consistent with bilateral "watershed area " lesions... area , which is known to be involved in visual encoding. We conducted many experiments on R.V., which were summarized in the previous grant’s Final

  13. Complicações neurológicas em anemia falciforme: avaliação neuropsicológica do desenvolvimento com o NEPSY Neurological complications in sickle cell anemia: a developmental neuropsychological assessment using NEPSY

    Directory of Open Access Journals (Sweden)

    Samantha Nunest

    2010-01-01

    Full Text Available Estudo de caso de duas crianças portadoras de anemia falciforme, com complicações neurológicas. Utilizou-se uma ampla bateria neuropsicológica - NEPSY. Uma criança apresentou acidente vascular cerebral com paresia de hemicorpo esquerdo, e a outra, ataque isquêmico transitório. As avaliações neuropsicológicas demonstraram que havia extenso prejuízo cognitivo no primeiro caso, em contraste com comprometimento leve no segundo. Baixas pontuações nas funções de atenção visual, memória operacional, linguagem, flexibilidade cognitiva, habilidades sensório-motora, visoespacial e viso-construtiva. Rebaixamento intelectual e no desempenho acadêmico foram encontrados no paciente que sofreu o acidente isquêmico. A criança que foi acometida por ataque isquêmico transitório apresentou dispraxia motora e oromotora, diminuição da atenção visual e memória verbal. Estes achados corroboram com os dados encontrados na literatura e reforçam a relevância de conhecer a tipologia destas alterações para intervir precocemente na deficiência cognitiva, minimizando as repercussões no desenvolvimento cognitivo, acadêmico e psicossocial.This is a case study of two children with sickle cell anemia and neurological complications. An extensive series of neuropsychological tests - NEPSY was used in the evaluation of the children. One child had suffered an ischemic stroke with left hemiparesis and the other, transient ischemic attack. The neuropsychological assessment showed extensive cognitive damage in the first case, in contrast to mild impairment in the second. Low scores were found for tasks of visual attention, operational memory, language, cognitive flexibility and for sensory-motor, visuospatial and visuoconstructive skills. Low intellectual and academic performance was found in the patient who suffered ischemic stroke. The child who suffered transient ischemic attack showed motor and oromotor dyspraxia, and decreased visual attention

  14. Neuropsychological profile of delusional disorder.

    Science.gov (United States)

    Leposavić, Ivana; Leposavić, Ljubica; Jasović-Gasić, Miroslava

    2009-06-01

    Previous studies concerned with neuropsychological aspect of delusions, were mainly focused on specific forms of this disorder, such as Cotard or Capgras type of delusions. Comparatively small numbers of investigations were concerned with cognitive deficiencies accompanying the delusions. The substance of this study includes the detection of neuropsychological dysfunctions in patients with delusional disorder, and tracing of these cognitive distortions to appropriate brain regions. The investigation is designed as a comparative study. Inpatients with delusion are compared with normal subjects from the aspect of the following cognitive functions: attention, memory, visuospatial and visuoconstruction organization, executive ability, verbal divergent thinking. Attention, memory (verbal modality) and psychomotor skill tasks are most susceptible to delusional effects. The neuropsychological profile of patients with delusional disorder includes impediment of complex attention modalities. From this primary disorder, there also stems a disorder of verbal memory in the sense of reduced recognition. These cognitive distortions suggest a dysfunction of the anterior regions of the cerebrum, mainly of the prefrontal and sinistral temporal regions.

  15. Suboptimal performance on neuropsychological tests in patients with suspected chronic toxic encephalopathy

    NARCIS (Netherlands)

    van Hout, MSE; Schmand, B; Wekking, EM; Hageman, G; Deelman, BG

    2003-01-01

    Suboptimal performance during neuropsychological testing can seriously complicate assessment in behavioral neurotoxicology. We present data on the prevalence of suboptimal performance in a group of Dutch patients with suspected chronic toxic encephalopathy (CTE) after long-term occupational exposure

  16. Neuropsychologic outcomes in children with neonatal herpes encephalitis.

    Science.gov (United States)

    Engman, Mona-Lisa; Adolfsson, Ingrid; Lewensohn-Fuchs, Ilona; Forsgren, Marianne; Mosskin, Mikael; Malm, Gunilla

    2008-06-01

    Neonatal herpes simplex virus infection with involvement of the central nervous system is a serious disease with high morbidity, even with acyclovir therapy. The disability includes cerebral palsy and different aspects of cognitive dysfunction which are of utmost importance for the child's future habilitation. We conducted a descriptive cohort study to define neuropsychologic outcomes and determine the relationship between neonatal neuroimaging and neuropsychologic outcomes. Among 267,690 children born in the Stockholm area over 12 years (1989-2000), 14 were diagnosed with neonatal herpes including central nervous system involvement. Nine children were neuropsychologically evaluated. Neonatal herpes virus infection had an even greater impact on cognitive function, speech ability, and attention deficit than anticipated. Relapse leading to deterioration was demonstrated in one child. Social skills were influenced to a lesser degree. Neurodevelopmental outcomes of the children were not well-correlated with extent of cerebral damage as visualized by computed tomography at 7-28 days after onset of signs. Neuropsychologic assessment is essential in the habilitation of the child, and a prerequisite for the evaluation of new treatments and for the assessment of deterioration of cerebral function related to relapses.

  17. Neuropsychological improvement after posterior fossa arachnoid cyst drainage.

    Science.gov (United States)

    Cuny, M L; Pallone, M; Piana, H; Boddaert, N; Sainte-Rose, C; Vaivre-Douret, L; Piolino, P; Puget, S

    2017-01-01

    Posterior fossa arachnoid cysts (PFAC) are mostly considered as benign lesions of the cerebellum. Although many studies have shown the major role of the cerebellum in modulating movement, language, cognition, and social interaction, there are few studies on the cognitive impact and surgical decompression of PFAC. We present the cases of two brothers successively diagnosed with PFAC and neuropsychological delay. After multidisciplinary discussion with the boys' parents, it was decided to drain these lesions. Clinical signs, cerebral images, and neuropsychological status were assessed on admission and then 1 and 3 years after surgery. At presentation, both children had mild cerebellar signs, associated with cognitive and visual-motor impairments and academic regression. CT scans revealed retrovermian cysts, which were shunted. Post-operatively, both brothers demonstrated improved visual-motor skills and behavior. At follow-up, we observed disappearance of dysarthria and academic delay and significant improvement in cognition especially at the intelligence scale and in language. Fine motor skills had improved but remained slower than the average and writing skills appeared limited. Except for PFAC which impair cerebrospinal fluid circulation or which are responsible for a significant mass effect, most PFAC are usually considered as "asymptomatic" and do not require surgical treatment. The two cases reported herein suggest that these lesions might be responsible for some associated but potentially reversible neuropsychological impairment. In the future, clinical assessment should include neuropsychological evaluation to help inform decision for surgical decompression in these children with PFAC.

  18. Avaliação neuropsicológica das funções executivas: considerações metodológicas Neuropsychological assessment of executive functions: methodological questions

    Directory of Open Access Journals (Sweden)

    Amer Cavalheiro Hamdan

    2009-01-01

    Full Text Available O interesse pelo estudo das funções executivas tem crescido nos últimos anos. O objetivo deste artigo é revisar algumas questões metodológicas e conceituais relacionadas à avaliação neuropsicológica das funções executivas. As principais limitações e dicotomias relacionadas às funções executivas são apresentadas e a importância de um modelo teórico que fundamente os instrumentos de avaliação e suas interpretações clinicas analisada. Conclui-se que as evidências provenientes da investigação das funções executivas ainda não permitem a compreensão satisfatória desses processos. Sugere-se, a adoção de um modelo específico para o estudo das funções executivas.The article aims to review methodological and conceptual issues related to neuropsychological assessment of executive functions. The main limitations and dichotomies of current studies related to executive functions are presented and the importance of theoretical support to validate the instruments and their clinical interpretation are discussed. There is still the need of additional evidences on executive functions that allow a complete understanding of all the processes involved. Finally, it is suggested the adoption of a specific model that may guide the study of the executive functions.

  19. Validity of a novel computerized cognitive battery for mild cognitive impairment

    Directory of Open Access Journals (Sweden)

    Schweiger Avraham

    2003-11-01

    Full Text Available Abstract Background The NeuroTrax Mindstreams computerized cognitive assessment system was designed for widespread clinical and research use in detecting mild cognitive impairment (MCI. However, the capability of Mindstreams tests to discriminate elderly with MCI from those who are cognitively healthy has yet to be evaluated. Moreover, the comparability between these tests and traditional neuropsychological tests in detecting MCI has not been examined. Methods A 2-center study was designed to assess discriminant validity of tests in the Mindstreams Mild Impairment Battery. Participants were 30 individuals diagnosed with MCI, 29 with mild Alzheimer's disease (AD, and 39 healthy elderly. Testing was with the Mindstreams battery and traditional neuropsychological tests. Receiver operating characteristic (ROC analysis was used to examine the ability of Mindstreams and traditional measures to discriminate those with MCI from cognitively healthy elderly. Between-group comparisons were made (Mann-Whitney U test between MCI and healthy elderly and between MCI and mild AD groups. Results Mindstreams outcome parameters across multiple cognitive domains significantly discriminated among MCI and healthy elderly with considerable effect sizes (p Conclusions Mindstreams tests are effective in detecting MCI, providing a comprehensive profile of cognitive function. Further, the enhanced precision and ease of use of these computerized tests make the NeuroTrax system a valuable clinical tool in the identification of elderly at high risk for dementia.

  20. Lithium-ion Battery Degradation Assessment and Remaining Useful Life Estimation in Hybrid Electric Vehicle

    Directory of Open Access Journals (Sweden)

    Nabil Laayouj

    2016-06-01

    Full Text Available Abstract—Prognostic activity deals with prediction of the remaining useful life (RUL of physical systems based on their actual health state and their usage conditions. RUL estimation gives operators a potent tool in decision making by quantifying how much time is left until functionality is lost. In addition, it can be used to improve the characterization of the material proprieties that govern damage propagation for the structure being monitored. RUL can be estimated by using three main approaches, namely model-based, data-driven and hybrid approaches. The prognostics methods used later in this paper are hybrid and data-driven approaches, which employ the Particle Filter in the first one and the autoregressive integrated moving average in the second. The performance of the suggested approaches is evaluated in a comparative study on data collected from lithium-ion battery of hybrid electric vehicle.

  1. Evidence-Based Indicators of Neuropsychological Change in the Individual Patient: Relevant Concepts and Methods

    Science.gov (United States)

    Duff, Kevin

    2012-01-01

    Repeated assessments are a relatively common occurrence in clinical neuropsychology. The current paper will review some of the relevant concepts (e.g., reliability, practice effects, alternate forms) and methods (e.g., reliable change index, standardized based regression) that are used in repeated neuropsychological evaluations. The focus will be on the understanding and application of these concepts and methods in the evaluation of the individual patient through examples. Finally, some future directions for assessing change will be described. PMID:22382384

  2. Cross-Battery Assessment Pattern of Strengths and Weaknesses Approach to the Identification of Specific Learning Disorders: Evidence-Based Practice or Pseudoscience?

    Science.gov (United States)

    Kranzler, John H.; Floyd, Randy G.; Benson, Nicholas; Zaboski, Brian; Thibodaux, Lia

    2016-01-01

    In this rejoinder, the authors describe the aim of the original study as an effort to conduct a critical test of an important postulate underlying the Cross-Battery Assessment PSW approach (XBA PSW; Kranzler, Floyd, Benson, Zaboski, & Thibodaux, this issue). The authors used classification agreement analysis to examine the concordance between…

  3. Caffeine intake is independently associated with neuropsychological performance in patients with obstructive sleep apnea

    OpenAIRE

    Norman, Daniel; Bardwell, Wayne A; Loredo, Jose S.; Ancoli-Israel, Sonia; Heaton, Robert K; Dimsdale, Joel E.

    2008-01-01

    In healthy individuals, caffeine intake may improve performance on cognitive tests. Obstructive sleep apnea (OSA) is a disorder that has been associated with impaired cognitive function. In this study, we investigated whether increased caffeine intake in untreated patients with OSA is linked to better cognitive performance. Forty-five untreated OSA patients underwent baseline polysomnography after completing a survey of 24-h caffeine intake. Participants completed a battery of neuropsychologi...

  4. Paintable battery

    National Research Council Canada - National Science Library

    Singh, Neelam; Galande, Charudatta; Miranda, Andrea; Mathkar, Akshay; Gao, Wei; Reddy, Arava Leela Mohana; Vlad, Alexandru; Ajayan, Pulickel M

    2012-01-01

    If the components of a battery, including electrodes, separator, electrolyte and the current collectors can be designed as paints and applied sequentially to build a complete battery, on any arbitrary...

  5. Neuropsychology of eating disorders: 1995-2012.

    Science.gov (United States)

    Jáuregui-Lobera, Ignacio

    2013-01-01

    Eating disorders are considered psychiatric pathologies that are characterized by pathological worry related to body shape and weight. The lack of progress in treatment development, at least in part, reflects the fact that little is known about the pathophysiologic mechanisms that account for the development and persistence of eating disorders. The possibility that patients with eating disorders have a dysfunction of the central nervous system has been previously explored; several studies assessing the relationship between cognitive processing and certain eating behaviors have been conducted. These studies aim to achieve a better understanding of the pathophysiology of such diseases. The aim of this study was to review the current state of neuropsychological studies focused on eating disorders. This was done by means of a search process covering three relevant electronic databases, as well as an additional search on references included in the analyzed papers; we also mention other published reviews obtained by handsearching.

  6. Neuropsychology of eating disorders: 1995–2012

    Science.gov (United States)

    Jáuregui-Lobera, Ignacio

    2013-01-01

    Eating disorders are considered psychiatric pathologies that are characterized by pathological worry related to body shape and weight. The lack of progress in treatment development, at least in part, reflects the fact that little is known about the pathophysiologic mechanisms that account for the development and persistence of eating disorders. The possibility that patients with eating disorders have a dysfunction of the central nervous system has been previously explored; several studies assessing the relationship between cognitive processing and certain eating behaviors have been conducted. These studies aim to achieve a better understanding of the pathophysiology of such diseases. The aim of this study was to review the current state of neuropsychological studies focused on eating disorders. This was done by means of a search process covering three relevant electronic databases, as well as an additional search on references included in the analyzed papers; we also mention other published reviews obtained by handsearching. PMID:23580091

  7. Systems Biology, Neuroimaging, Neuropsychology, Neuroconnectivity and Traumatic Brain Injury.

    Science.gov (United States)

    Bigler, Erin D

    2016-01-01

    The patient who sustains a traumatic brain injury (TBI) typically undergoes neuroimaging studies, usually in the form of computed tomography (CT) and magnetic resonance imaging (MRI). In most cases the neuroimaging findings are clinically assessed with descriptive statements that provide qualitative information about the presence/absence of visually identifiable abnormalities; though little if any of the potential information in a scan is analyzed in any quantitative manner, except in research settings. Fortunately, major advances have been made, especially during the last decade, in regards to image quantification techniques, especially those that involve automated image analysis methods. This review argues that a systems biology approach to understanding quantitative neuroimaging findings in TBI provides an appropriate framework for better utilizing the information derived from quantitative neuroimaging and its relation with neuropsychological outcome. Different image analysis methods are reviewed in an attempt to integrate quantitative neuroimaging methods with neuropsychological outcome measures and to illustrate how different neuroimaging techniques tap different aspects of TBI-related neuropathology. Likewise, how different neuropathologies may relate to neuropsychological outcome is explored by examining how damage influences brain connectivity and neural networks. Emphasis is placed on the dynamic changes that occur following TBI and how best to capture those pathologies via different neuroimaging methods. However, traditional clinical neuropsychological techniques are not well suited for interpretation based on contemporary and advanced neuroimaging methods and network analyses. Significant improvements need to be made in the cognitive and behavioral assessment of the brain injured individual to better interface with advances in neuroimaging-based network analyses. By viewing both neuroimaging and neuropsychological processes within a systems biology

  8. Pedophilia: neuropsychological evidence encouraging a brain network perspective.

    Science.gov (United States)

    Tost, Heike; Vollmert, Christian; Brassen, Stefanie; Schmitt, Andrea; Dressing, Harald; Braus, Dieter F

    2004-01-01

    Although the vast majority of current pathogenetic theories support a neurobiological understanding of psychiatric disorders, the brain functional correlates of pedophilia are largely unknown. Based on prior behavior genetics research on human sexual orientation and phenomenology as well as the phenotypical intersection of pedophilia with other psychiatric spectrum disorders, we hypothesize the involvement of striato-thalamo-cortical processing loops in the formation of pedophilic urges and behaviors. Data from a current neuropsychological pilot study in four pedophiles encourage our brain functional perspective. As deduced from the network model, all four patients exhibited pronounced and circumscribed deficits in cognitive domains mediated by striato-thalamically controlled areas of the frontal cortex. All patients were especially impaired in neuropsychological functions associated with the prefrontal and motor processing loops (e.g., response inhibition, working memory and cognitive flexibility), with a performance level located up to five standard deviations below the normative data. Contrary to this, neuropsychological performances in cognitive domains without a comparable high frontal loading were in all participants unobtrusive. In future, studying gene by environment interactions in combination with functional neuroimaging and neuropsychological assessment is promising to elucidate the pathophysiological relationship of psychiatric disorders that are characterized by inadequate urges and poor behavioral inhibition.

  9. The developmental coordination disorder questionnaire and movement assessment battery for children as a diagnostic method in Australian children.

    Science.gov (United States)

    Civetta, Lauren R; Hillier, Susan L

    2008-01-01

    Early, accurate diagnosis of children with developmental coordination disorder is crucial to enable effective intervention. This study examined a diagnostic method in an Australian school population. In a two-step process, the Developmental Coordination Disorder Questionnaire (DCDQ) was distributed to parents of 460 children. Using the DCDQ results, children suspected of having developmental coordination disorder, and age and sex matched control children, attended a physical assessment [Movement Assessment Battery for Children (M-ABC)]. Fifty-seven children completed M-ABC assessments. The internal consistency of the DCDQ was high (alpha 0.88), but the M-ABC (alpha 0.75) failed to reach the specified cut-off. Factor analysis revealed discrepancies in the proposed subtest structures. Sensitivity and specificity using the original cut-off scores was somewhat low, cluster analysis identified alternative cut-off scores. The DCDQ is reliable and valid; however the ability of the combination of these two tests to identify children was only fair.

  10. Multidimensional Assessment of Giftedness: criterion Validity of Battery of Intelligence and Creativity Measures in Predicting Arts and Academic Talents

    Directory of Open Access Journals (Sweden)

    Tatiana de Cassia Nakano

    Full Text Available We test the utility of the Battery for Giftedness Assessment (BaAH/S in identifying differences in two groups of already known gifted students in the areas of academic and artistic talents. Four latent factors were assessed (a fluid intelligence, (b metaphor production (verbal creativity, (c figural fluency (figural creativity, and (d divergent thinking figural task quality (figural creativity. A sample of 987 children and adolescents, 464 boys and 523 girls, of ages ranging from 8 to 17 of two groups: regular students (N=866 and gifted students (N= 67 academic abilities, N=34 artistic abilities and N=20 no domain identified. Academic giftedness group of have higher reasoning, can produce more remote/original metaphors, high figural fluency and drawings rated as more original. Children in the group of artistic giftedness have higher reasoning, high figural fluency and drawings rated as more original. Reasoning abilities are relatively higher in academic giftedness group than artistic (r = .39 vs r =.14. Within artistic group figural fluency and ratings of originality are relatively more important than reasoning (r = .25 and r = .21 vs .14. We emphasizes the importance of assessing creativity in different domains in addition to intelligence to improve the understanding of giftedness and talent.

  11. The posttraumatic stress disorder project in Brazil: neuropsychological, structural and molecular neuroimaging studies in victims of urban violence

    Directory of Open Access Journals (Sweden)

    Bressan Rodrigo A

    2009-06-01

    Clinical Interview for DSM-IV and the Clinician-Administered PTSD Scale, Beck Anxiety Inventory, Beck Depression Inventory, Global Assessment of Function, The Social Adjustment Scale, Medical Outcomes Study 36-Item Short-Form Health Survey, Early Trauma Inventory, Clinical global Impressions, and Peritraumatic Dissociative Experiences Questionnaire. A broad neuropsychological battery will be administered for all participants of the neuropsychological study. Magnetic resonance scans will be performed to acquire structural neuroimaging data. Single photon emission computerized tomography with [(99mTc]-TRODAT-1 brain scans will be performed to evaluate dopamine transporters. Discussion This study protocol will be informative for researchers and clinicians interested in considering, designing and/or conducting translational research in the field of trauma and posttraumatic stress disorder.

  12. Differential neuropsychological patterns of frontal variant frontotemporal dementia and Alzheimer's disease in a study of diagnostic concordance.

    Science.gov (United States)

    Giovagnoli, Anna R; Erbetta, Alessandra; Reati, Fabiola; Bugiani, Orso

    2008-04-01

    Although the pathological hallmarks of Alzheimer's disease (AD) and frontal variant frontotemporal dementia (fvFTD) predict different cognitive patterns, many comparative neuropsychological studies showed no difference in the expected cognitive domains. Inconsistencies in diagnostic criteria, small cohorts of patients, and neuropsychological assessment may account for such findings. Moreover, discrepancies in memory and executive dysfunctions that are expected to distinguish AD and fvFTD may reflect the basic brain organization. Adhering to a strict concordance of clinical and neuroradiological criteria, we compared many patients with AD and fvFTD using a large neuropsychological battery. One hundred and thirty-nine patients with AD (n=89) or fvFTD (n=50) were retrospectively considered in order to verify the diagnostic congruence of clinical and neuroradiological aspects. On this basis, 117 patients with AD (n=77) or fvFTD (n=40) with similar duration and severity of dementia were selected. Ninety-one healthy subjects were also controlled. Mean scores in tests for abstract reasoning, planning, set shifting, initiative, verbal fluency, immediate and episodic memory, constructive, ideomotor and orofacial praxis, selective and divided attention, visuomotor coordination, and visual perception were evaluated. Separate analyses of variance and post hoc Bonferroni tests showed that, with respect to controls, both patient groups were significantly impaired in all neuropsychological tests. Compared to fvFTD patients, AD patients were significantly impaired in episodic memory, selective attention, visual perception, visuomotor coordination, and constructive praxis, whereas no differences were found in executive, intellective, and linguistic abilities between the two patient groups. Logistic regression analyses revealed that episodic memory significantly predicted the diagnosis of AD while no executive deficit was able to predict the diagnosis of fvFTD. To conclude, memory

  13. Contrasting group analysis of Brazilian students with dyslexia and good readers using the computerized reading and writing assessment battery "BALE".

    Science.gov (United States)

    Toledo Piza, Carolina M J; de Macedo, Elizeu C; Miranda, Monica C; Bueno, Orlando F A

    2014-01-01

    The analysis of cognitive processes underpinning reading and writing skills may help to distinguish different reading ability profiles. The present study used a Brazilian reading and writing battery to compare performance of students with dyslexia with two individually matched control groups: one contrasting on reading competence but not age and the other group contrasting on age but not reading competence. Participants were 28 individuals with dyslexia (19 boys) with a mean age of 9.82 (SD ± 1.44) drawn from public and private schools. These were matched to: (1) an age control group (AC) of 26 good readers with a mean age of 9.77 (SD ± 1.44) matched by age, sex, years of schooling, and type of school; (2) reading control group (RC) of 28 younger controls with a mean age of 7.82 (SD ± 1.06) matched by sex, type of school, and reading level. All groups were tested on four tasks from the Brazilian Reading and Writing Assessment battery ("BALE"): Written Sentence Comprehension Test (WSCT); Spoken Sentence Comprehension Test (OSCT); Picture-Print Writing Test (PPWT 1.1-Writing); and the Reading Competence Test (RCT). These tasks evaluate reading and listening comprehension for sentences, spelling, and reading isolated words and pseudowords (non-words). The dyslexia group scored lower and took longer to complete tasks than the AC group. Compared with the RC group, there were no differences in total scores on reading or oral comprehension tasks. However, dyslexics presented slower reading speeds, longer completion times, and lower scores on spelling tasks, even compared with younger controls. Analysis of types of errors on word and pseudoword reading items showed students with dyslexia scoring lower for pseudoword reading than the other two groups. These findings suggest that the dyslexics overall scores were similar to those of younger readers. However, specific phonological and visual decoding deficits showed that the two groups differ in terms of underpinning

  14. Contrasting group analysis of Brazilian students with dyslexia and good readers using the computerized reading and writing assessment battery BALE.

    Directory of Open Access Journals (Sweden)

    Carolina eToledo-Piza

    2014-07-01

    Full Text Available The analysis of cognitive processes underpinning reading and writing skills may help to distinguish different reading ability profiles. The present study used a Brazilian reading and writing battery to compare performance of students with dyslexia with two individually matched control groups: one contrasting on reading competence but not age and the other group contrasting on age but not reading competence. Participants were 28 individuals with dyslexia (19 boys with a mean age of 9.82 (SD ± 1.44 drawn from public and private schools. These were matched to: 1 an Age Control Group (AC of 26 good readers with a mean age of 9.77 (SD ± 1.44 matched by age, sex, years of schooling and type of school. 2 Reading Control Group (RC of 28 younger controls with a mean age of 7.82 (SD ± 1.06 matched by sex, type of school and reading level. All groups were tested on 4 tasks from the Brazilian Reading and Writing Assessment battery (BALE: Written Sentence Comprehension Test (WSCT; Spoken Sentence Comprehension Test (OSCT; Picture-Print Writing Test (PPWT 1.1-Writing; and the Reading Competence Test (RCT. These tasks evaluate reading and listening comprehension for sentences, spelling and reading isolated words and pseudowords (nonwords. The dyslexia group scored lower and took longer to complete tasks than the AC group. Compared with the RC group, there were no differences in total scores on reading or oral comprehension tasks. However, dyslexics presented slower reading speeds, longer completion times and lower scores on spelling tasks, even compared with younger controls. Analysis of types of errors on word and pseudoword reading items showed students with dyslexia scoring lower for pseudoword reading than the other two groups. This findings suggest that the dyslexics overall scores were similar to those of younger readers. However, specific phonological and visual decoding deficits showed that the two groups differ in terms of underpinning reading

  15. Ecotoxicological assessment of bromobenzene using a test battery with five model systems.

    Science.gov (United States)

    Zurita, Jorge L; Jos, Angeles; del Peso, Ana; Salguero, Manuel; López-Artíguez, Miguel; Repetto, Guillermo

    2007-04-01

    Bromobenzene (BrB) is used as a solvent for crystallization and as an additive to motor oils and may be released into the environment through various waste streams. However, there is limited available information about the toxic hazard of BrB in the aquatic environment. Consequently, the ecotoxicological effects induced by BrB were investigated using five model systems with representants from four trophic levels. The battery included bioluminescence inhibition of the bacterium Vibrio fischeri, growth inhibition of the alga Chlorella vulgaris and immobilization of the cladoceran Daphnia magna. Total protein content, neutral red uptake and MTS metabolization were reduced, while lysosomal function, succinate dehydrogenase activity, G6PDH activity and leakage, metallothionein levels and EROD activity were stimulated in PLHC-1 and RTG-2 fish cell lines. The most sensitive bioindicator was the bioluminiscence of V. fischeri, with an EC(50) of 0.04mM BrB at 15min and a non-observed adverse effect level of 0.02 mM BrB. There is a large difference in sensitivity to BrB among the model systems probably due to the metabolic capacity of the different species. PLHC-1 cells were more sensitive to BrB than RTG-2 cells. The most prominent morphological effects observed were hydropic degeneration, loss of cells and of the perinuclear pattern of distribution of lysosomes. Therefore, BrB should be classified as toxic to aquatic organisms.

  16. [Neuropsychological disorders and childhood epilepsies].

    Science.gov (United States)

    Vallée, Louis

    2012-12-01

    Neuropsychological consequences of epilepsy will be function of the specific anamnesis of the child, characteristics of epilepsy syndromes, and treatment. The effects of recurrent seizures, iatrogenic effects of medications, and school adaptation are reviewed. The neurodevelopmental origins of comorbidities are detailed, how they develop over time. Despite the good prognosis and the remission of seizures before adulthood with normal neurological and intellectual development, some subtle cognitive and behavioural deficits in children with benign epilepsy seem to occur. Cognition can be impaired leading to long-term intellectual disabilities. One factor that could potentially cause cognitive deficits is the frequent seizures that characterize intractable epilepsy.

  17. Dry cell battery poisoning

    Science.gov (United States)

    Batteries - dry cell ... Acidic dry cell batteries contain: Manganese dioxide Ammonium chloride Alkaline dry cell batteries contain: Sodium hydroxide Potassium hydroxide Lithium dioxide dry cell batteries ...

  18. Normative Data of the Montreal Cognitive Assessment in the Greek Population and Parkinsonian Dementia.

    Science.gov (United States)

    Konstantopoulos, K; Vogazianos, P; Doskas, T

    2016-05-01

    The Montreal Cognitive Assessment (MoCA) is a brief cognitive instrument for the measurement of dementia. The aim of the present study is to provide normative data for the MoCA test in the Greek speaking population and to measure its validity in a clinical group of parkinsonian dementia participants. A total of 710 healthy Greek speaking participants and 19 parkinsonian dementia participants took part in the study. Both, the MoCA test and a neuropsychological test battery (digit span, semantic verbal fluency, phonemic verbal fluency, Color Trails Test) were administered to the normative and clinical samples. The test was found to correlate with all neuropsychological tests used in the test battery and it showed high discriminant validity (optimal screening cutoff point = 21, sensitivity = 0.82, specificity = 0.90) in the parkinsonian dementia participants. Further research is needed to use it in larger clinical samples and in different neurological diseases.

  19. Comparison of the diagnostic accuracy of neuropsychological tests in differentiating Alzheimer's disease from mild cognitive impairment: can the montreal cognitive assessment be better than the cambridge cognitive examination?

    Science.gov (United States)

    Martinelli, José Eduardo; Cecato, Juliana Francisca; Bartholomeu, Daniel; Montiel, José Maria

    2014-05-01

    Considering the lack of studies on measures that increase the diagnostic distinction between Alzheimer's disease (AD) and mild cognitive impairment (MCI) and on the role of the Cambridge Cognitive Examination (CAMCOG) in this, our study aims to compare the utility of the CAMCOG, Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) in helping to differentiate AD from MCI in elderly people with >4 years of schooling. A total of 136 elderly subjects - 39 normal controls as well as 52 AD patients and 45 MCI patients treated at the Institute of Geriatrics and Gerontology, Porto Alegre, Brazil - were assessed using the MMSE, CAMCOG, clock drawing test (CDT), verbal fluency test (VF), Geriatric Depression Scale and Pfeffer Functional Activities Questionnaire. The results obtained by means of a receiver operating characteristic curve showed that the MoCA is a better screening test for differentiating elderly subjects with AD from those with MCI than the CAMCOG and MMSE as well as other tests such as the CDT and VF. The MoCA, more than the CAMCOG and the other tests, was shown to be able to differentiate AD from MCI, although, as Roalf et al. [Alzheimers Dement 2013;9:529-537] pointed out, further studies might lead to measures that will improve this differentiation.

  20. Neuropsychological assessment without upper limb involvement: a systematic review of oral versions of the Trail Making Test and Symbol-Digit Modalities Test.

    Science.gov (United States)

    Jaywant, Abhishek; Barredo, Jennifer; Ahern, David C; Resnik, Linda

    2016-10-18

    The Trail Making Test (TMT) and written version of the Symbol Digit Modalities Test (SDMT) assess attention, processing speed, and executive functions but their utility is limited in populations with upper limb dysfunction. Oral versions of the TMT and SDMT exist, but a systematic review of their psychometric properties and clinical utility has not been conducted, which was the goal of this study. Searches were conducted in PubMed and PsycINFO, test manuals, and the reference lists of included articles. Four measures were identified: the SDMT-oral, oral TMT-A, oral TMT-B, and the Mental Alternation Test (MAT). Two investigators independently reviewed abstracts to identify peer-reviewed articles that reported on these measures in adult populations. From each article, one investigator extracted information on reliability, validity, responsiveness, minimum detectable change, normative data, and demographic influences. A second investigator verified the accuracy of the data in a random selection of 10% of papers. The quality of the evidence for each psychometric property was rated on a 4-point scale (unknown, poor, adequate, excellent). Results showed excellent evidence for the SDMT-oral, adequate evidence for the oral TMT-B and MAT, and adequate to poor evidence for the oral TMT-A. These findings inform the clinical assessment of attention, processing speed, and executive functions in individuals with upper limb disability.