Impaired attention mechanisms in confabulating patients: A VLSM and DWI study.

Attention is one of the most studied cognitive functions in brain-damaged populations or neurological syndromes, as its malfunction can be related to deficits in other higher cognitive functions. In the present study, we aimed at delimiting the attention deficits of a sample of brain-injured patients presenting confabulations by assessing their performance on alertness, spatial orienting, and executive control tasks. Confabulating patients, who present false memories or beliefs without intention to deceive, usually show memory deficits and/or executive dysfunction. However, it is also likely that attention processes may be impaired in patients showing confabulations. Here, we compared confabulating patients' attention performance to a lesion control group and a healthy control group. Confabulating patients' mean overall accuracy was lower than the one of healthy and lesion controls along the three experimental tasks. Importantly, confabulators presented a greater Simon congruency effect than both lesion controls and healthy controls in the presence of predictive spatial cues, besides a lower percentage of hits and longer RTs in the Go-NoGo task, demonstrating deficits in executive control. They also showed a higher reliance on alerting and spatially predictive orienting cues in the context of a deficient performance. Grey and white matter analyses showed that patients' percentage of hits in the Go-NoGo task was related to damage to the right inferior frontal gyrus (pars triangularis and pars opercularis), whereas the integrity of the right inferior fronto-occipital fasciculus was negatively correlated with their alertness effect. These results are consistent with previous literature highlighting an executive dysfunction in confabulating patients, and suggest that some additional forms of attention, such as alertness and spatial orienting, could be selectively impaired in this clinical syndrome.

Temporal preparation in patients with Neglect syndrome

The right parietal cortex has been widely associated with a spatial orienting network. Its damage frequently produces the Neglect syndrome consisting in deficits in spatial attention to the left hemifield. Neglect has also been related to temporal deficits (such as the estimation of the duration of a stimulus or the discrimination of two stimuli that occur at the same spatial location but at different time intervals). Such attentional deficits have been much less studied in the temporal as compared to the spatial domain. The current research focused on the study of temporal attention processes in patients with Neglect syndrome, specifically, on temporal preparation. We recruited 10 patients with Neglect syndrome, 10 patients without Neglect syndrome, as well as 11 healthy individuals. Each participant completed an experimental task which measures three main temporal preparation effects described in the literature: Temporal orienting and Foreperiod effects (both related to control mechanisms and prefrontal areas) and Sequential effects (automatic in nature and related to parietal and subcortical structures). The results showed a deficit in the sequential effects only in those patients who suffered from Neglect syndrome. The results suggest a causal relation between Neglect syndrome and the automatic mechanisms of temporal preparation. Since our sample of Neglect patients had suffered lesions mainly in the parietal cortex, the results are discussed taking into account the role of the parietal lobe in the processing of time and the models explaining sequential effects

La corteza parietal derecha ha sido asociada con una red de orientación espacial. Su daño produce frecuentemente el síndrome de Heminegligencia que consiste en déficits en la atención espacial al hemicampo izquierdo. Dicho síndrome también se ha relacionado con déficits temporales (como la estimación de la duración de un estímulo o la discriminación de dos estímulos que ocurren en la misma ubicación espacial pero en diferentes intervalos de tiempo). Sin embargo, tales déficits atencionales han sido menos estudiados en el ámbito temporal que en el espacial. La presente investigación pretende el estudio de los procesos de atención temporal en pacientes con síndrome de Heminegligencia. Se reclutaron 10 pacientes con síndrome de Heminegligencia, 10 pacientes sin Heminegligencia y 11 individuos sanos. Cada participante realizó una tarea experimental que estudia tres efectos principales de preparación temporal descritos en la literatura: Orientación temporal y Foreperiod (ambos relacionados con mecanismos de control y áreas prefrontales) y Efectos secuenciales (de naturaleza más automática y relacionados con estructuras parietales y subcorticales). Los resultados mostraron un déficit en los efectos secuenciales únicamente en los pacientes con Heminegligencia. Esto sugiere una relación causal entre el síndrome de Heminegligencia y los mecanismos automáticos de preparación temporal. Dado que nuestra muestra de pacientes heminegligentes había sufrido lesiones principalmente en la corteza parietal, los resultados se discuten teniendo en cuenta el papel del lóbulo parietal en el procesamiento del tiempo, y en el marco de los modelos que explican los efectos secuenciales

Encapsulation of Phase-Changing Eutectic Salts in Magnesium Oxide Fibers for High-Temperature Carbon Dioxide Capture: Beyond the Capacity-Stability Tradeoff.

Eutectic mixture (EM)-promoted MgO sorbents exhibit high CO2 sorption capacities but  experience a significant decrease in uptake after multiple sorption-regeneration cycles due to EM movement and redistribution at high temperatures. Encapsulation of a pseudoliquid, phase-changing EM promoter with MgO may thus prevent the loss of active interface by confining the EM within a fixed area inside a MgO shell. In this work, we successfully embedded an EM composed of KNO3 and LiNO3 in a MgO fiber matrix via core-shell electrospinning. The synthesized sorbent achieved relatively high and steady sorption capacities, maintaining a stable uptake of ∼20 wt % after 25 sorption-regeneration cycles. The sorbent was also characterized using various techniques including in situ transmission electron microscopy (TEM) to describe its morphology, from which it was confirmed that the eutectic salt existed in distributed hollow pockets within the MgO fiber matrix and stayed confined within these fixed areas, favorably limiting its movement and redistribution when exposed to high temperatures where it exists in the liquid form. The EM may also be described as a glue that holds the fiber together, while MgO acts as a protective shell that prevents structural changes and rearrangement caused by EM movement, allowing the sorbent to retain its cyclic stability after multiple cycles and demonstrating its potential for industrial use after further improvement. Thus, the microencapsulation of a phase-changing EM material with pure MgO metal oxide was successfully achieved and might be explored for various material applications.

Conscious perception in patients with prefrontal damage.

We are conscious and verbally report some of the information reaching our senses, although a big amount of information is processed unconsciously. There is no agreement about the neural correlates of consciousness, with low-level theories proposing that neural processing on primary sensory brain regions is the most important neural correlate of consciousness, while high-level theories propose that activity within the fronto-parietal network is the key component of conscious processing (Block, 2009). Contrary to the proposal of high-level theories, patients with prefrontal lobe damage do not present clinical symptoms associated to consciousness deficits. In the present study, we explored the conscious perception of near-threshold stimuli in a group of patients with right prefrontal damage and a group of matched healthy controls. Results demonstrated that perceptual contrast to perceive the near-threshold targets was related to damage to the right dorsolateral prefrontal cortex, and with reduced integrity of the ventral branch of the right superior longitudinal fascicule (SLF III). These results suggest a causal role of the prefrontal lobe in conscious processing.

Eutectic mixture promoted CO2 sorption on MgO-TiO2 composite at elevated temperature.

The development of carbon dioxide (CO2) sorbents that can operate at elevated temperatures is significant for the advancement of pre-combustion capture technologies. Recently, promoter-based systems composed of alkali/alkaline earth metal nitrates and/or carbonates have been considered as next-generation solid sorbents due to their improved CO2 uptake and kinetics. However, obtaining stable MgO sorbents against temperature swing regeneration still remained challenging. Herein, we report MgO-TiO2 solid sorbents promoted by eutectic mixture (KNO3 and LiNO3) for elevated temperature CO2 sorption. The developed sorbents show improved CO2 sorption capacity, which may be attributed to the alternative CO2 sorption pathway provided by the ionization of highly dispersed MgO in the eutectic mixture. The MgO-TiO2 framework was also shown to assist in retaining the MgO configuration by constraining its interaction with CO2. Furthermore, it is demonstrated that constructing composite structures is essential to improve the CO2 sorption characteristics, mainly recyclability, at elevated temperatures. The developed promoter integrated sorbents showed exceptionally high CO2 sorption capacity of >30wt.% at an elevated temperature (300°C) with pronounced stability under temperature swing operation.

Musical practice as an enhancer of cognitive function in healthy aging - A systematic review and meta-analysis.

Aging is accompanied by cognitive decline, although recent research indicates that the rate of decline depends on multiple lifestyle factors. One of such factors is musical practice, an activity that involves several sensory and motor systems and a wide range of high-level cognitive processes. This paper describes the first systematic review and meta-analysis, to our knowledge, of the impact of musical practice on healthy neurocognitive aging. The inclusion criteria for the review required that studies were empirical works in English or Spanish that they explored the effects of musical practice on older people; they included an assessment of cognitive functions and/or an assessment of brain status; and they included a sample of participants aged 59 years or older with no cognitive impairment or brain damage. This review led to the selection of 13 studies: 9 correlational studies involving older musicians and non-musicians and 4 experimental studies involving short-term musical training programs. The results of the meta-analysis showed cognitive and cerebral benefits of musical practice, both in domain-specific functions (auditory perception) and in other rather domain-general functions. Moreover, these benefits seem to protect cognitive domains that usually decline with aging and boost other domains that do not decline with aging. The origin of these benefits may reside, simultaneously, in the specific training of many of these cognitive functions during musical practice (specific training mechanism), in the improvement of compensatory cognitive processes (specific compensatory mechanism), and in the preservation of general functions with a global influence on others, such as perceptual capacity, processing speed, inhibition and attention (general compensatory mechanism). Therefore, musical practice seems to be a promising tool to reduce the impact of cognitive problems associated to aging.

Stabilization of NaNO3-Promoted Magnesium Oxide for High-Temperature CO2 Capture.

NaNO3-promoted MgO sorbents are known to achieve enhanced CO2 sorption uptake but fail to maintain their capacity after multiple sorption-regeneration cycles. In this study, commercially available hydrotalcites (Pural Mg30, Pural Mg70, and synthetic hydrotalcite) were used as stabilizers for NaNO3-impregnated MgO (MgONaNO3) sorbents to improve their cyclic stability. Results show that the Mg30-stabilized MgONaNO3 attained higher and stable overall CO2 sorption performance as compared to bare MgONaNO3 after multiple sorption cycles. XRD analyses reveal that the hydrotalcites act as templates for MgCO3 by restricting the formation of large and nonuniform product crystallites. Furthermore, CO2-TPD results show that the hydrotalcites cause a change in the basic sites of the sorbent, which may be attributed to its high interaction with both MgO and NaNO3. This interaction becomes stronger as cycles proceed due to the structural rearrangements occurring, thus contributing to the stable behavior of the sorbents. However, these characteristics were not found on MgONaNO3 and the α-Al2O3-stabilized samples, thus proving the unique ability of hydrotalcites. From these results, we then derived the formation scheme of MgCO3 on the hydrotalcite-stabilized sorbents. This study presents a simple yet effective method of improving the stability of molten salt-promoted sorbents with promising potential for industrial use.

In Situ Observation of Carbon Dioxide Capture on Pseudo-Liquid Eutectic Mixture-Promoted Magnesium Oxide.

Eutectic mixtures of alkali nitrates are known to increase the sorption capacity and kinetics of MgO-based sorbents. Underlying principles and mechanisms for CO2 capture on such sorbents have already been established; however, real-time observation of the system was not yet accomplished. In this work, we present the direct-observation of the CO2 capture phenomenon on a KNO3-LiNO3 eutectic mixture (EM)-promoted MgO sample, denoted as KLM, via in situ transmission electron microscopy (in situ TEM). Results revealed that the pseudoliquid EM undergoes structural rearrangement as MgCO3 evolves from the surface of MgO, resulting in surface roughening and evolution of cloudy structures that stay finely distributed after regeneration. From this, we propose a nucleation and structural rearrangement scheme for MgCO3 and EM, which involves the rearrangement of bulk EM to evenly distributed EM clusters due to MgCO3 saturation as adsorption proceeds. We also conducted studies on the interface between EM over solid MgO and MgCO3 formed during sorption, which further clarifies the interaction between MgO and EM. This study provides better insight into the sorption and regeneration mechanism, as well as the structural rearrangements involved in EM-promoted sorbents by basing not only on intrinsic evolutions but also on real-time observation of the system as a whole.

Interference Control Modulations Over Conscious Perception.

The relation between attention and consciousness has been a controversial topic over the last decade. Although there seems to be an agreement on their distinction at the functional level, no consensus has been reached about attentional processes being or not necessary for conscious perception. Previous studies have explored the relation of alerting and orienting systems of attention and conscious perception, but the impact of the anterior executive attention system on conscious access remains unexplored. In the present study, we investigated the behavioral interaction between executive attention and conscious perception, testing control mechanisms both at stimulus-level representation and after error commission. We presented a classical Stroop task, manipulating the proportion of congruent and incongruent trials, and analyzed the effect of reactive and proactive control on the conscious perception of near-threshold stimuli. Reactive control elicited under high proportion congruent conditions influenced participants' decision criterion, whereas proactive control elicited under low proportion congruent conditions was ineffective in modulating conscious perception. In addition, error commission affected both perceptual sensitivity to detect near-threshold information and response criterion. These results suggest that reactivation of task goals through reactive control strategies in conflict situations impacts decision stages of conscious processing, whereas interference control elicited by error commission impacts both perceptual sensitivity and decision stages of conscious processing. We discuss the implications of our results for the gateway hypothesis about attention and consciousness, as they showed that interference control (both at stimulus-level representation and after error commission) can modulate the conscious access of near-threshold stimuli.

Effectiveness of a neuropsychological treatment for confabulations after brain injury: A clinical trial with theoretical implications.

Confabulators consistently generate false memories without intention to deceive and with great feelings of rightness. However, to our knowledge, there is currently no known effective treatment for them. In order to fill this gap, our aim was to design a neuropsychological treatment based on current theoretical models and test it experimentally in 20 confabulators sequentially allocated to two groups: an experimental and a control group. The experimental group received nine sessions of treatment for three weeks (three sessions per week). The sessions consisted of some brief material that participants had to learn and recall at both immediate and delayed time points. After this, patients were given feedback about their performance (errors and correct responses). Pre- and post-treatment measurements were recorded. Confabulators in the control group were included in a waiting list for three weeks, performed the pre- and post- measurements without treatment, and only then received the treatment, after which a post-treatment measurement was recorded. This applied to only half of the participants; the other half quit the study prematurely. Results showed a significant decrease in confabulations and a significant increase in correct responses in the experimental group; by contrast, patients in the control group did not improve during the waiting list period. Only control group patients who subsequently received the treatment after serving as controls improved. The effects of the treatment were generalized to patients' everyday lives, as reported by relatives, and persisted over time. This treatment seems to be effective and easy to implement and consequently of clinical interest. Moreover, it also has theoretical implications regarding the processes related to the genesis and/or maintenance of confabulations. In particular, results point to a deficit in early stages of memory retrieval with the preservation of later strategic monitoring processes. Specifically, some of the processes involved may include selective attention or early conflict detection deficits. Future research should test these hypotheses.

Brain networks of temporal preparation: A multiple regression analysis of neuropsychological data.

There are only a few studies on the brain networks involved in the ability to prepare in time, and most of them followed a correlational rather than a neuropsychological approach. The present neuropsychological study performed multiple regression analysis to address the relationship between both grey and white matter (measured by magnetic resonance imaging in patients with brain lesion) and different effects in temporal preparation (Temporal orienting, Foreperiod and Sequential effects). Two versions of a temporal preparation task were administered to a group of 23 patients with acquired brain injury. In one task, the cue presented (a red versus green square) to inform participants about the time of appearance (early versus late) of a target stimulus was blocked, while in the other task the cue was manipulated on a trial-by-trial basis. The duration of the cue-target time intervals (400 versus 1400ms) was always manipulated within blocks in both tasks. Regression analysis were conducted between either the grey matter lesion size or the white matter tracts disconnection and the three temporal preparation effects separately. The main finding was that each temporal preparation effect was predicted by a different network of structures, depending on cue expectancy. Specifically, the Temporal orienting effect was related to both prefrontal and temporal brain areas. The Foreperiod effect was related to right and left prefrontal structures. Sequential effects were predicted by both parietal cortex and left subcortical structures. These findings show a clear dissociation of brain circuits involved in the different ways to prepare in time, showing for the first time the involvement of temporal areas in the Temporal orienting effect, as well as the parietal cortex in the Sequential effects.

Executive attention and personality variables in patients with frontal lobe damage.

Executive Control is required to deal with novel situations or when an action plan is needed. This study aimed to highlight the executive attention deficits of patients with frontal lobe damage. To do so, the ANT-I task (Attention Network Test-Interactions) was administered for the first time to a group of 9 patients with frontal damage caused by traumatic brain injury (TBI) and a matched control group. This task made it possible to measure the three attentional networks proposed by Posner and Dehaene (1994) and their interactions. Results on the alerting and orienting networks did not show any significant differences between the groups. However, a significant effect of group on the executive control network was observed. In addition, participants' personality was assessed with a clinical inventory (the Millon Personality Inventory) that showed a significant positive correlation between borderline personality disorder and the conflict index. These results suggest that frontal lobe damage causes an exclusive impairment in the conflict resolution network that is related to personality traits characterized by a lack of behavioral control. More research will be necessary to study this causal relationship.

Executive Attention and Personality Variables in Patients with Frontal Lobe Damage

Executive Control is required to deal with novel situations or when an action plan is needed. This study aimed to highlight the executive attention deficits of patients with frontal lobe damage. To do so, the ANT-I task (Attention Network Test-Interactions) was administered for the first time to a group of 9 patients with frontal damage caused by traumatic brain injury (TBI) and a matched control group. This task made it possible to measure the three attentional networks proposed by Posner and Dehaene (1994) and their interactions. Results on the alerting and orienting networks did not show any significant differences between the groups. However, a significant effect of group on the executive control network was observed. In addition, participants' personality was assessed with a clinical inventory (the Millon Personality Inventory) that showed a significant positive correlation between borderline personality disorder and the conflict index. These results suggest that frontal lobe damage causes an exclusive impairment in the conflict resolution network that is related to personality traits characterized by a lack of behavioral control. More research will be necessary to study this causal relationship (AU)

El sistema de control ejecutivo es requerido para resolver situaciones novedosas o que requieren de una planificación para su ejecución. Este estudio tiene como objetivo poner de manifiesto el déficit atencional ejecutivo específico que se presenta en pacientes con lesión cerebral frontal. Para ello, se administró la tarea ANT-I (Attention Network Test-Interactions), que mide las tres redes atencionales propuestas por Posner y Dehaene (1994) y las interacciones entre ellas, por primera vez, a un grupo de 9 pacientes con daño frontal tras traumatismo craneoencefálico (TCE) y a un grupo control emparejado. Los resultados mostraron que no hay diferencias significativas entre ambos grupos en las redes de alerta y de orientación. Sin embargo, sí se encontró un efecto significativo de grupo en la red de control ejecutivo. Añadido a este resultado, se analizó la personalidad de los pacientes y se observó que el trastorno de personalidad límite correlacionaba positivamente con el índice de control ejecutivo. Estos datos sugieren que el daño en la corteza prefrontal produce una alteración exclusiva en la resolución de conflicto y que esto se relaciona con variables de personalidad caracterizadas por una ausencia de control conductual. No obstante, se requiere más investigación para estudiar esta relación causal (AU)

Rhythms can overcome temporal orienting deficit after right frontal damage.

The main aim of this study was to test whether the use of rhythmic information to induce temporal expectations can overcome the deficit in controlled temporal preparation shown by patients with frontal damage (i.e. temporal orienting and foreperiod effects). Two tasks were administered to a group of 15 patients with a frontal brain lesion and a group of 15 matched control subjects: a Symbolic Cued Task where the predictive information regarding the time of target appearance was provided by a symbolic cue (short line-early vs. long line-late interval) and a Rhythm Cued Task where the predictive temporal information was provided by a rhythm (fast rhythm-early vs. slow rhythm-late interval). The results of the Symbolic Cued Task replicated both the temporal orienting deficit in right frontal patients and the absence of foreperiod effects in both right and left frontal patients, reported in our previous study (Triviño, Correa, Arnedo, & Lupiañez, 2010). However, in the Rhythm Cued Task, the right frontal group showed normal temporal orienting and foreperiod effects, while the left frontal group showed a significant deficit of both effects. These findings show that automatic temporal preparation, as induced by a rhythm, can help frontal patients to make effective use of implicit temporal information to respond at the optimum time. Our neuropsychological findings also provide a novel suggestion for a neural model, in which automatic temporal preparation is left-lateralized and controlled temporal preparation is right-lateralized in the frontal lobes.

Temporal preparation, response inhibition and impulsivity.

Temporal preparation and impulsivity involve overlapping neural structures (prefrontal cortex) and cognitive functions (response inhibition and time perception), however, their interrelations had not been investigated. We studied such interrelations by comparing the performance of groups with low vs. high non-clinical trait impulsivity during a temporal preparation go no-go task. This task measured, in less than 10 min, how response inhibition was influenced both by temporal orienting of attention (guided by predictive temporal cues) and by sequential effects (produced by repetition/alternation of the duration of preparatory intervals in consecutive trials). The results showed that sequential effects produced dissociable patterns of temporal preparation as a function of impulsivity. Sequential effects facilitated both response speed (reaction times - RTs - to the go condition) and response inhibition (false alarms to the no-go condition) selectively in the low impulsivity group. In the high impulsivity group, in contrast, sequential effects only improved RTs but not response inhibition. We concluded that both excitatory and inhibitory processing may be enhanced concurrently by sequential effects, which enables the temporal preparation of fast and controlled responses. Impulsivity could hence be related to less efficient temporal preparation of that inhibitory processing.

Temporal orienting deficit after prefrontal damage.

The aim of this study was to explore, for the first time in patients, the neural bases of temporal orienting of attention as well as the interrelations with two other effects of temporal preparation: the foreperiod effect and sequential effects. We administered an experimental task to a group of 14 patients with prefrontal lesion, a group of 15 control subjects and a group of 7 patients with a basal ganglia lesion. In the task, a cue was presented (a short versus long line) to inform participants about the time of appearance (early versus late) of a target stimulus, and the duration of the cue-target time intervals (400 versus 1400 ms) was manipulated. In contrast to the control group, patients with right prefrontal lesion showed a clear deficit in the temporal orienting effect. The foreperiod effect was also affected in the group of patients with prefrontal lesion (without lateralization of the deficit), whereas sequential effects were preserved. The group of basal ganglia patients did not show deficits in any of the effects. These findings support the voluntary and strategic nature of the temporal orienting and foreperiod effects, which depend on the prefrontal cortex, as well as the more automatic nature of sequential effects, which do not depend on either prefrontal cortex or frontobasal circuits.