Efficacy of home-based visuomotor feedback training in stroke patients with chronic hemispatial neglect.

Hemispatial neglect is a severe cognitive condition frequently observed after a stroke, associated with unawareness of one side of space, disability and poor long-term outcome. Visuomotor feedback training (VFT) is a neglect rehabilitation technique that involves a simple, inexpensive and feasible training of grasping-to-lift rods at the centre. We compared the immediate and long-term effects of VFT vs.

The role of right temporal lobe structures in off-line action: evidence from lesion-behavior mapping in stroke patients.

Recent evidence suggests the possibility that not all action modes depend on dorsal visual stream processing but that off-line nontarget-directed actions, such as antipointing, require additional and even distinct neural networks when compared with target-directed online actions. Here, we explored this potential dissociation in a group of 11 patients with left visual neglect, a syndrome characterized by a loss of awareness of the contralesional side of space. Ten healthy participants and 10 right hemisphere-damaged patients without neglect served as controls.

Non-lateralised deficits in anti-saccade performance in patients with hemispatial neglect.

We tested patients suffering from hemispatial neglect on the anti-saccade paradigm to assess voluntary control of saccades. In this task participants are required to saccade away from an abrupt onset target. As has been previously reported, in the pro-saccade condition neglect patients showed increased latencies towards targets presented on the left and their accuracy was reduced as a result of greater undershoot.

The neural basis of visuomotor deficits in hemispatial neglect.

We have recently reported that patients with hemispatial neglect demonstrate increased terminal errors when performing delayed leftward reaches and that right-brain damaged patients (irrespective of neglect) take longer to complete their movements [Rossit, S., Muir, K., Reeves, I.

No neglect-specific deficits in reaching tasks.

It is well established that patients with hemispatial neglect present with severe visuospatial impairments, but studies that have directly investigated visuomotor control have revealed diverging results, with some studies showing that neglect patients perform relatively better on such tasks. The present study compared the visuomotor performance of patients with and without neglect after right-hemisphere stroke with those of age-matched controls. Participants were asked to point either directly towards targets or halfway between two stimuli, both with and without visual feedback during movement.

Immediate and delayed reaching in hemispatial neglect.

Milner and Goodale (The visual brain in action, Oxford: Oxford University Press, 1995; The visual brain in action, 2nd ed., Oxford: Oxford University Press, 2006) propose a model of vision that makes a distinction between vision for perception and vision for action. One strong claim of the model is that the dorsal stream's control of action is designed for dealing with target stimuli in the 'here and now', yet when time is allowed to pass and a reaction has to be made on the basis of a visual memory, the ventral stream is required for successful performance.

Implementation of a stroke thrombolysis service within a tertiary neurosciences centre in the United Kingdom.

Background: Intravenous alteplase is licensed for treatment of ischaemic stroke within 3 h of onset. Up to one-third of patients in the UK present to hospital within this time window but few are treated.

Aims: To examine the effect of a stroke thrombolysis protocol on service provision for an acute stroke service in the UK, jointly run by Neurology and Medicine for the Elderly providing a comprehensive stroke service to a local population of 370,000.

Seasonal patterns of cytokinins and microclimate and the mediation of gas exchange among canopy layers of mature Acer saccharum trees.

Seasonal patterns of cytokinins (CKs) and microclimate were examined in the upper, middle and lower canopy layers of mature Acer saccharum Marsh. (sugar maple) trees to elucidate the potential role of CKs in the mediation of gas exchange. The upper canopy showed a distinctly dissimilar microclimate from the middle and lower canopy layers with higher photosynthetically active radiation and wind speed, but showed no corresponding differences in transpiration (E) or stomatal conductance (g(s)).

Non-lateralised deficits of drawing production in hemispatial neglect.

Spatially lateralised deficits that typically define the hemispatial neglect syndrome have been shown to co-occur with other non-lateralised deficits of attention, memory, and drawing. However even a simple graphic task involves multiple planning components, including the specification of drawing start position and drawing direction. In order to investigate the influence of these factors in neglect we presented patients with a circle-copying task, and specified the drawing start point.

Evaluation of a transcription-mediated amplification-based HCV and HIV-1 RNA duplex assay for screening individual blood donations: a comparison with a minipool testing system.

Background: NAT was introduced for HCV RNA in 1999 to screen blood donations and improve the safety of the blood supply.

Study Design And Methods: The performance of a NAT multiplex for HCV and HIV-1 RNA based on transcription-mediated amplification (TMA) was assessed with various sensitivity panels and by screening 50,000 serologically unscreened, first-time donor plasma samples. Results were compared with a routine NAT screening for HCV RNA by RT-PCR in pools of 96 plasma samples.

Can doctors predict patients' abbreviated mental test scores.

Objectives: the abbreviated mental test is widely used in the assessment of cognitive impairment in elderly patients. However, many doctors do not administer the full 10 questions, preferring to estimate the patient's score instead. We have studied the accuracy of doctors in predicting patients' abbreviated mental test scores.