Graph analysis of verbal fluency test discriminate between patients with Alzheimer’s disease, Mild Cognitive Impairment and normal elderly controls

Verbal fluency is the ability to produce a satisfying sequence of spoken words during a given time interval. The core of verbal fluency lies in the capacity to manage the executive aspects of language. The standard scores of the semantic verbal fluency test are broadly used in the neuropsychological assessment of the elderly, and different analytical methods are likely to extract even more information from the data generated in this test. Graph theory, a mathematical approach to analyze relations between items, represents a promising tool to understand a variety of neuropsychological states. This study reports a graph analysis of data generated by the semantic verbal fluency test by cognitively healthy elderly (NC), patients with Mild Cognitive Impairment – subtypes amnestic(aMCI) and amnestic multiple domain (a+mdMCI) - and patients with Alzheimer’s disease (AD). Sequences of words were represented as a speech graph in which every word corresponded to a node and temporal links between words were represented by directed edges. To characterize the structure of the data we calculated 13 speech graph attributes (SGAs). The individuals were compared when divided in three (NC – MCI – AD) and four (NC – aMCI – a+mdMCI – AD) groups. When the three groups were compared, significant differences were found in the standard measure of correct words produced, and three SGA: diameter, average shortest path, and network density. SGA sorted the elderly groups with good specificity and sensitivity. When the four groups were compared, the groups differed significantly in network density, except between the two MCI subtypes and NC and aMCI. The diameter of the network and the average shortest path were significantly different between the NC and AD, and between aMCI and AD. SGA sorted the elderly in their groups with good specificity and sensitivity, performing better than the standard score of the task. These findings provide support for a new methodological frame to assess the strength of semantic memory through the verbal fluency task, with potential to amplify the predictive power of this test. Graph analysis is likely to become clinically relevant in neurology and psychiatry, and may be particularly useful for the differential diagnosis of the elderly.

Bond strength of an adhesive system irradiated with Nd : YAG laser in dentin treated with Er : YAG laser

The purpose of this in vitro study was to verify through micro tensile bond test the bond strength of an adhesive system irradiated with Nd:YAG laser in dentine previously treated with Er:YAG laser. Twenty caries free extracted human third molars were used. The teeth were divided in four experimental groups (n = 5): (G1) control group; (G2) irradiation of the adhesive system with the Nd:YAG laser; (G3) dentin treatment with Er:YAG laser; (G4) dentin treatment with Er:YAG laser followed by the irradiation of the adhesive system with Nd:YAG laser. The Er:YAG laser fluency parameter for the dentin treatment was of 60 J/cm(2). ne adhesive system was irradiated with the Nd:YAG laser with fluency of 100 J/cm(2). Dental restorations were performed with Adper Single Bond 2/Z250. One tooth from each group was prepared for the evaluation of the adhesive interface under SEM and bond failure tests were also performed and evaluated. The statistical analysis showed statistical significant difference between the groups G1 and G3, G1 and G4, G2 and G3, and G2 and G4; and similarity between the groups G1 and G2, and G3 and G4. The adhesive failures were predominant in all the experimental groups. The SEM analysis showed an adhesive interface with features confirming the results of the mechanical tests. The Nd:YAG laser on the adhesive system did not influence the bond strength in dentin treated or not with the Er:YAG laser.

Referral letters in oral medicine: an approach for the general dental practitioner

The aim of this study was to analyze the contents of referral letters related to clinical history and reason for consultation. A total of 236 consecutive referral letters were evaluated. Analysis of the referral letters was based on key items concerning patient identification. chief complaint, previous consultation. laboratory investigation and use of drugs for the chief complaint. A database was organized (Epinfo 6.04) and the chi (2) test (a = 0.05) was applied to the results. of the 800 files examined. only 30%, (236) had a referral letter. of the 236 referral letters. 67% were from dentists, 22% from physicians and 11% from unidentified professionals. Patient age did not appear in 70%, of the letters and the chief complaint was mentioned only in 55%. The letters had no details such as description of the oral lesion (80%), anatomical site (34%), size (99%), symptoms (83%), or period of evolution (92%). Clinical diagnosis was not included in 84% of the letters. Less than 5% of the referral letters contained information about previous consultation and laboratory investigation. The chi (2) test showed significant differences for ail items of the referral letter. Referral letters did not satisfy minimal requirements about clinical history or reason for consultation. leading to failed communication among professionals. Based on this study, we suggest that standard letters are important to improve the quality of the letters, reducing the rate of omission of relevant items.

Implicit and explicit evaluations: a declaration of dependence

This section presents abstracts of three studies on how consumer choices can be influenced by the name letter effect of brands without decision makers being aware of this influence. The first paper examined whether making brand names similar to consumers' names increases the likelihood that consumers will choose the brand. One prediction is that people will prefer and be more likely to choose products or services whose names prominently feature the letters in their own first or last names. The results showed that subjects' preference rankings and evaluations of name letter matching brands were higher than those of non-name letter matching brands. The second paper tested the possibility of using subliminal priming to activate a concept that a persuasive communicator could take advantage of. To examine the idea, two experiments were presented. In the first experiment, participants' level of thirst were manipulated and then subliminally presented them with either thirst-related words or control words. While the manipulations had no effect on participants' self-reported, conscious ratings of thirst, there was a significant interactive effect of the two factors on how much of the drink provided in the taste test was consumed. In a second, follow up experiment, thirsty participants were subliminally presented with either thirst-related words or control words after which they viewed advertisements for two new sports beverages. In conclusion, the research demonstrates that under certain conditions, subliminal printing techniques can enhance persuasion. The third paper hypothesized that the lack of correlations between implicit and explicit evaluations is due to measurement error.

Characteristics and radiocarbon ages of four retrogressive thaw slumps on Herschel Island and King Point

Four retrogressive thaw slumps (RTS) located on Herschel Island and the Yukon coast (King Point) in the western Canadian Arctic were investigated to compare the environmental, sedimentological and geochemical setting and characteristics of zones in active and stabilised slumps and at undisturbed sites. In general, the slope, sedimentology and biogeochemistry of stabilised and undisturbed zones differ, independent of their age or location. Organic carbon contents were lower in slumps than in the surrounding tundra, and the density and compaction of slump sediments were much greater. Radiocarbon dating showed that RTS were likely to have been active around 300 a BP and are undergoing a similar period of increased activity now. This cycle is thought to be controlled more by local geometry, cryostratigraphy and the rate of coastal erosion than by variation in summer temperatures.

Copy of letters from Edward Wigglesworth and Samuel Williams to John Lowell, 1781-1782

Two leaves containing a two-page handwritten copy of the letter from Professor Edward Wigglesworth to John Lowell dated January 3, 1781 (HUM 86 Box 1, Folder 1), and a one-page handwritten copy of the letter from Professor Samuel William to John Lowell dated October [14], 1782 (HUM 86 Box 1, Folder 2).

Copy of letters from Ebenezer Storer to John Lowell, 1782 October 31

Two leaves containing two one-page handwritten copies of letters from Harvard College Treasurer Ebenezer Storer both dated October 31, 1782. The first letter outlines the salaries of several College officers and their funding sources. The second letter details the portion of the salaries received from the rents of the College and the assessments on students. The verso of the second leaf contains a note about the document written by one of John Lowell's sons.

Hints to emigrants : in a series of letters from Upper Canada /

Map: Perth, Lanark & Richmond Settlements, district of Bathurst, Upper Canada with part of the adjacent county; Plans: [1]. Township of Drummond, ten miles square. This sketch shows how a township is divided into concessions & lots; [2]. Perth.

Letters written by the late right honourable Philip Dormer Stanhope ... to his son, Philip Stanhope : Together with several other pieces on various subjects.

Published by Mrs. Eugenia Stanhope from the originals now in her possession.

Letters from the East and from the West.

"The 'Letters from the East, or the valley of the Connecticut river,' were first published in the National intelligencer."--Pref. note.

Observations designed to excite examination in thinking minds, and remarks on some texts of Scripture; with letters, &c.

The Appendix containing the letters is separately paged.

Letters to the young /

Mode of access: Internet.

Letters of Montiano; siege of St. Agustine [sic]

A collection of 36 letters dated from Nov. 11, 1727 to Jan. 2, 1741, copied from letter books in the East Florida archives at St. Augustine for F. L. Hawks and certified by the archivist in 1844. No. 1 is signed by Manuel Joseph de Justis, the others (bearing certain numbers between 2 and 248) by Manuel Montiano.

Letters of Humphrey Prideaux, sometime dean of Norwich, to John Ellis, sometime under-secretary of state, 1674-1722.

Includes index.

Letters of Richard Radcliffe and John James of Queen's college. Oxford, 1755-83: with additions, notes, and appendices.

Includes letters by John James, Jr., and Jonathan Boucher.