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CORONAVIRUS COVID-19 Global Cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU) ...

domingo, 1 de diciembre de 2019

La voz es clave para dar sentido a las palabras en el cerebro

Voices in the mental lexicon: Words carry indexical information that can affect access to their meaning

Abstract

The speech signal carries both linguistic and non-linguistic information (e.g., a talker’s voice qualities; referred to as indexical information). There is evidence that indexical information can affect some aspects of spoken word recognition, but we still do not know whether and how it can affect access to a word’s meaning. A few studies support a dual-route model, in which inferences about the talker can guide access to meaning via a route external to the mental lexicon. It remains unclear whether indexical information is also encoded within the mental lexicon. The present study tests for indexical effects on spoken word recognition and referent selection within the mental lexicon.
In two experiments, we manipulated voice-to-referent co-occurrence, while preventing participants from using indexical information in an explicit way. Participants learned novel words (e.g., bifa) and their meanings (e.g., kite), with each talker’s voice linked (via systematic co-occurrence) to a specific referent (e.g., bifa spoken by speaker 1 referred to a specific picture of a kite). In testing, voice-to-referent mapping either matched that of training (congruent), or not (incongruent). Participants’ looks to the target’s referent were used as an index of lexical activation. Listeners looked faster at a target’s referent on congruent than incongruent trials. The same pattern of results was observed in a third experiment, when testing was 24 hrs later.
These results show that indexical information can be encoded in lexical representations and affect spoken word recognition and referent selection. Our findings are consistent with episodic and distributed views of the mental lexicon that assume multi-dimensional lexical representations.

Graphical abstract



Vinculan la terapia de privación de andrógenos con un mayor riesgo de demencia

Association Between Androgen Deprivation Therapy Use and Diagnosis of Dementia in Men With Prostate Cancer

Abstract

Importance 

The association between androgen deprivation therapy (ADT) exposure and dementia is uncertain.

Objective 

To analyze the association between ADT exposure and diagnosis of Alzheimer disease or dementia among elderly men with prostate cancer.

Design, Setting, and Participants 

This retrospective cohort study used data from the National Cancer Institute’s Surveillance, Epidemiology, and End Results–Medicare linked database. Participants were 154 089 elderly men newly diagnosed with prostate cancer between 1996 and 2003. The analyses were conducted between November 1, 2018, and December 31, 2018.

Exposure 

Androgen deprivation therapy.

Main Outcomes and Measures 

Patients receiving ADT within 2 years of prostate cancer diagnosis were identified. Survival analysis was used to determine the association between ADT exposure and diagnosis of Alzheimer disease or dementia in the follow-up period. Propensity score and instrumental variable approaches were used to minimize measured and unmeasured selection bias. The association by dose of ADT was also examined.

Results 

 Of the 295 733 men diagnosed with prostate cancer between 1996 and 2003, 154 089 met the study criteria. Of these, 62 330 (mean [SD] age, 76.0 [6.0] years) received ADT within 2 years of prostate cancer diagnosis, and 91 759 (mean [SD] age, 74.3 [6.0] years) did not receive ADT. Mean (SD) follow-up was 8.3 (4.7) years. Exposure to ADT, compared with no ADT exposure, was associated with a diagnosis of Alzheimer disease (13.1% vs 9.4%; difference, 3.7%; 95% CI, 3.3%-3.9%; P < .001; hazard ratio [HR], 1.14; 95% CI, 1.10-1.18) and dementia (21.6% vs 15.8%; difference, 5.8%; 95% CI, 5.4%-6.2%; P < .001; HR, 1.20; 95% CI, 1.17-1.24). For 1 to 4 doses of ADT, the HR was 1.19 (95% CI, 1.15-1.24) for Alzheimer disease and 1.19 (95% CI, 1.15-1.23) for dementia. For 5 to 8 doses of ADT, the HR was 1.28 (95% CI, 1.22-1.35) for Alzheimer disease and 1.24 (95% CI, 1.19-1.29) for dementia. For more than 8 doses of ADT, the HR was 1.24 (95% CI, 1.16-1.34) for Alzheimer disease and 1.21 (95% CI, 1.15-1.28) for dementia. The number needed to harm was 18 patients (95% CI, 17-19 patients) and 10 patients (95% CI, 9.5-11 patients) for Alzheimer disease and dementia, respectively.

Conclusions and Relevance 

Among elderly patients with prostate cancer, ADT exposure was associated with subsequent diagnosis of Alzheimer disease or dementia over a follow-up period of at least 10 years.

Actividades mentalmente estimulantes reducirían el riesgo de deterioro cognitivo leve

Quantity and quality of mental activities and the risk of incident mild cognitive impairment

Abstract

Objective 


To investigate whether timing, number, and frequency of mentally stimulating activities in midlife and late life are associated with the risk of incident mild cognitive impairment (MCI).

Methods 


We conducted a prospective cohort study in the setting of the population-based Mayo Clinic Study of Aging in Olmsted County, Minnesota, including 2,000 individuals aged ≥70 years who were cognitively unimpaired at baseline and were followed for a median of 5.0 years. Participants completed a self-reported survey on timing, number, and frequency of engagement in 5 mentally stimulating activities (reading books, computer use, social activities, playing games, craft activities) at baseline.

Results 


The risk of incident MCI was significantly reduced for participants who engaged in social activities (hazard ratio [95% confidence interval] 0.80 [0.64–0.99]) and playing games (0.80 [0.66–0.98]) in both late life and midlife combined. Using a computer was associated with a decreased risk regardless of timing (not late life but midlife: 0.52 [0.31–0.88]; late life but not midlife: 0.70 [0.56–0.88]; late life and midlife: 0.63 [0.51–0.79]). Craft activities were associated with a reduced risk of incident MCI only when carried out in late life but not midlife (0.58 [0.34–0.97]). Furthermore, engaging in a higher number of activities in late life was associated with a significantly reduced risk of incident MCI (any 2 activities: 0.72 [0.53–0.99], any 3: 0.55 [0.40–0.77], any 4: 0.44 [0.30–0.65], all 5: 0.57 [0.34–0.96]).

Conclusion


Engaging in a higher number of mentally stimulating activities, particularly in late life, is associated with a decreased risk of MCI among community-dwelling older persons.

Glossary 


AD=Alzheimer disease; CDR=Clinical Dementia Rating Scale; IQR=interquartile range; MCI=mild cognitive impairment; MCSA=Mayo Clinic Study of Aging