Cognitive and Linguistic Benefits of Aerobic Exercise: A State-of-the-Art Systematic Review of the Stroke Literature

This systematic review aimed to determine how aerobic exercise affects cognition after stroke, with particular focus on aphasia and language improvement. Methodological quality was assessed with the PEDro+ scale with half of the 27 included studies rated as high quality. Data extraction focused on cognitive effects of aerobic exercise post-stroke, intervention characteristics, outcome measures, and participant characteristics. Whereas attention, memory, and executive functioning measures were common across the included studies, no study included a language-specific, performance-based measure. Seventeen studies reported positive cognitive effects, most frequently in the domains of attention, memory and executive functioning. Variability in outcome measures, intervention characteristics, and participant characteristics made it difficult to identify similarities among studies reporting positive cognitive effects of exercise or among those studies reporting null outcomes. Only three studies provided specific information about the number of individuals with aphasia included or excluded, who comprise approximately one-third of the stroke population. The review identified patent gaps in our understanding of how aerobic exercise may affect not only the cognitive domain of language post-stroke but also the broader cognitive functioning of individuals with post-stroke aphasia. Methodological limitations of the reviewed studies also warrant further examination of the direct impact of aerobic exercise on cognition post-stroke with careful attention to the selection and reporting of population, intervention, and outcomes.

Circadian Sensation and Visual Perception

The physiology of living beings presents oscillations that are known as biological rhythms. The most studied rhythm is called circadian (circa = circa, dies = day), because it varies with a period close to 24h. Most functions of the body have circadian variations, one can mention, for example, metabolism, body temperature, the activity of the nervous system, secretion of hormones such as melatonin and cortisol. Circadian rhythms were also found in human behavior, for example: in sensory activity, motor activity, reaction time, visual perception, auditory perception, time perception, attention, memory, arithmetic calculus, and executive functions. The present work reviews the visual path that participates in the synchronization of circadian rhythms, as well as the evidence that exists about the presence of circadian rhythms in the sensation and visual perception of the human being.

NATURE OF COGNITIVE EXPERIENCE: UNITY OF PERCEPTION, THINKING, BODY AND LANGUAGE

The article analyzes the nature of cognitive experience in the context of non-classical epistemology and critically interprets the dogmatic concept of cognitive process as a special form of reality reflection. Borrowing his arguments from neurobiology, cognitive science and cross-cultural studies, the author makes the following conclusions: the modular architecture of perceptual systems and embodied cognition impose certain restrictions on the way of presenting perceptual data, determining what stimulus diversity should be reduced to in order for it to be perceived and comprehended. At the same time, perception involves cooperation with other cognitive abilities – attention, memory, and thinking. In this regard, the perception of sensory stimuli depends on the subject’s set of categories, anticipatory schemes, and linguistic frameworks. All these means provide procedures for the selection and categorization of information. As a result, sensory data receive objective meanings, and perception turns out to be irreducible to the passive «copying» of reality.

Adaptive Attention Memory Graph Convolutional Networks for Skeleton-Based Action Recognition

Graph Convolutional Networks (GCNs) have attracted a lot of attention and shown remarkable performance for action recognition in recent years. For improving the recognition accuracy, how to build graph structure adaptively, select key frames and extract discriminative features are the key problems of this kind of method. In this work, we propose a novel Adaptive Attention Memory Graph Convolutional Networks (AAM-GCN) for human action recognition using skeleton data. We adopt GCN to adaptively model the spatial configuration of skeletons and employ Gated Recurrent Unit (GRU) to construct an attention-enhanced memory for capturing the temporal feature. With the memory module, our model can not only remember what happened in the past but also employ the information in the future using multi-bidirectional GRU layers. Furthermore, in order to extract discriminative temporal features, the attention mechanism is also employed to select key frames from the skeleton sequence. Extensive experiments on Kinetics, NTU RGB+D and HDM05 datasets show that the proposed network achieves better performance than some state-of-the-art methods.

Reliability of Addenbrooke's Cognitive Examination III in differentiating between dementia, mild cognitive impairment and older adults who have not reported cognitive problems

Diagnosing dementia can be challenging for clinicians, given the array of factors that contribute to changes in cognitive function. The Addenbrooke’s Cognitive Examination III (ACE-III) is commonly used in dementia assessments, covering the domains of attention, memory, fluency, visuospatial and language. This study aims to (1) assess the reliability of ACE-III to differentiate between dementia, mild cognitive impairment (MCI) and controls and (2) establish whether the ACE-III is useful for diagnosing dementia subtypes. Client records from the Northern Health and Social Care Trust (NHSCT) Memory Service (n = 2,331, 2013–2019) were used in the analysis including people diagnosed with Alzheimer’s disease (n = 637), vascular dementia (n = 252), mixed dementia (n = 490), MCI (n = 920) and controls (n = 32). There were significant differences in total ACE-III and subdomain scores between people with dementia, MCI and controls (p < 0.05 for all), with little overlap between distribution of total ACE-III scores (< 39%) between groups. The distribution of total ACE-III and subdomain scores across all dementias were similar. There were significant differences in scores for attention, memory and fluency between Alzheimer’s disease and mixed dementia, and for visuospatial and language between Alzheimer’s disease–vascular dementia (p < 0.05 for all). However, despite the significant differences across these subdomains, there was a high degree of overlap between these scores (> 73%) and thus the differences are not clinically relevant. The results suggest that ACE-III is a useful tool for discriminating between dementia, MCI and controls, but it is not reliable for discriminating between dementia subtypes. Nonetheless, the ACE-III is still a reliable tool for clinicians that can assist in making a dementia diagnosis in combination with other factors at assessment.

Predictors of short-term impulsive and compulsive behaviour after subthalamic stimulation in Parkinson disease

BackgroundThe effects of subthalamic stimulation (subthalamic nucleus-deep brain stimulation, STN-DBS) on impulsive and compulsive behaviours (ICB) in Parkinson’s disease (PD) are understudied.ObjectiveTo investigate clinical predictors of STN-DBS effects on ICB.MethodsIn this prospective, open-label, multicentre study in patients with PD undergoing bilateral STN-DBS, we assessed patients preoperatively and at 6-month follow-up postoperatively. Clinical scales included the Questionnaire for Impulsive-Compulsive Disorders in PD-Rating Scale (QUIP-RS), PD Questionnaire-8, Non-Motor Symptom Scale (NMSS), Unified PD Rating Scale in addition to levodopa-equivalent daily dose total (LEDD-total) and dopamine agonists (LEDD-DA). Changes at follow-up were analysed with Wilcoxon signed-rank test and corrected for multiple comparisons (Bonferroni method). We explored predictors of QUIP-RS changes using correlations and linear regressions. Finally, we dichotomised patients into ‘QUIP-RS improvement or worsening’ and analysed between-group differences.ResultsWe included 55 patients aged 61.7 years±8.4 with 9.8 years±4.6 PD duration. QUIP-RS cut-offs and psychiatric assessments identified patients with preoperative ICB. In patients with ICB, QUIP-RS improved significantly. However, we observed considerable interindividual variability of clinically relevant QUIP-RS outcomes as 27.3% experienced worsening and 29.1% an improvement. In post hoc analyses, higher baseline QUIP-RS and lower baseline LEDD-DA were associated with greater QUIP-RS improvements. Additionally, the ‘QUIP-RS worsening’ group had more severe baseline impairment in the NMSS attention/memory domain.ConclusionsOur results show favourable ICB outcomes in patients with higher preoperative ICB severity and lower preoperative DA doses, and worse outcomes in patients with more severe baseline attention/memory deficits. These findings emphasise the need for comprehensive non-motor and motor symptoms assessments in patients undergoing STN-DBS.Trial registration numberDRKS00006735.

Cognitive interest as a key indicator of adolescent personality development

The research objective is to show new possibilities for understanding cognitive interest as one of the indicators of personality development. Based on a systematic analysis, the authors clarified the content of the category of “cognitive interest”. A conceptual model of the dialectic of interest in knowledge was proposed. The principles that are the foundation of the process of its learning were revealed. On this ground, educational technology was developed. Long-term observations of the subjects of the educational process, conducted by the authors, allowed determining the dialectical connections of cognitive interest with thinking, attention, memory, speech, and emotions. The pro-posed model of the dialectic of interest in knowledge is conceptual, since based on it, the process of raising interest is built as a didactically thought-out system for managing children’s development, contributing to their personal growth, one of the components of which is educational technology.

From Psychologische Forschung to psychological research: a rough journey through a century

Psychologische Forschung started as a journal “für Psychologie und ihre Grenzgebiete” and became strongly associated with the Berlin school of Gestalt psychology. Parallel to the fate of that school, the Journal was discontinued after 1938 and re-appeared only 1949. A number of years with variable and broad editorial boards and without a clear profile followed. In 1974 the Journal switched to English as the first German psychology journal and became Psychological Research. Gradually and without any abrupt changes—as indicated e.g. by analyses of citing and cited journals—the current profile as “An International Journal of Perception, Attention, Memory, and Action” was developed. During the last one to two decades the number of papers, the number of contributing countries, and the impact increase.