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Hoffman, P.

Publications and source records attributed to Hoffman, P..

6 recordsLinked to original sources

Reductions in prefrontal activation predict off-topic utterances during speech production

The ability to speak coherently is essential for effective communication but declines with age: older people more frequently produce tangential, off-topic speech. Little is known, however, about the neural systems that support coherence in speech production. Here, fMRI was used to investigate extended speech production in healthy older adults. Computational linguistic analyses were used to quantify the coherence of utterances produced in the scanner, allowing identification of the neural correlates of coherence for the first time. Highly coherent speech production was associated with increased activity in bilateral inferior prefrontal cortex (BA45), an area implicated in selection of task-relevant knowledge from semantic memory, and in bilateral rostrolateral prefrontal cortex (BA10), implicated more generally in planning of complex goal-directed behaviours. These findings demonstrate that neural activity during spontaneous speech production can be predicted from formal analysis of speech content, and that multiple prefrontal systems contribute to coherence in speech.

neuroscience

Poor coherence in older people’s speech is explained by impaired semantic and executive processes

The ability to speak coherently is essential for effective communication but declines with age: older people more frequently produce tangential, off-topic speech. The cognitive factors underpinning this decline are poorly understood. We predicted that maintaining coherence relies on effective regulation of activated semantic knowledge about the world, and particularly on the selection of currently relevant semantic representations to drive speech production. To test this, we collected 840 speech samples along with measures of executive and semantic ability from 60 young and older adults, using a novel computational method to quantify coherence. Semantic selection ability predicted coherence, as did level of semantic knowledge and a measure of domain-general executive ability. These factors fully accounted for the age-related coherence deficit. Our results indicate that maintaining coherence in speech becomes more challenging as people age because they accumulate more knowledge but are less able to effectively regulate how it is activated and used.

neuroscience

Divergent effects of healthy ageing on semantic knowledge and control: Evidence from novel comparisons with semantically-impaired patients

Effective use of semantic knowledge requires a set of conceptual representations and control processes which ensure that currently-relevant aspects of this knowledge are retrieved and selected. It is well-established that levels of semantic knowledge increase across the lifespan. However, the effects of ageing on semantic control processes have not been assessed. I addressed this issue by comparing the performance profiles of young and older people on a verbal comprehension test. Two sets of variables were used to predict accuracy and RT in each group: (a) the psycholinguistic properties of words probed in each trial, (b) the performance on each trial by two groups of semantically-impaired neuropsychological patients. Young people demonstrated poor performance for low frequency and abstract words, suggesting that they had difficulty processing words with intrinsically weak semantic representations. Indeed, performance in this group was strongly predicted by the performance of patients with semantic dementia, who suffer from degradation of semantic knowledge. In contrast, older adults performed poorly on trials where the target semantic relationship was weak and distractor relationships strong - conditions which require high levels of controlled processing. Their performance was not predicted by the performance of semantic dementia patients, but was predicted by the performance of patients with semantic control deficits. These findings indicate that the effects of ageing on semantic cognition are more complex than has previously been assumed. While older people have larger stores of knowledge than young people, they appear to be less skilled at exercising control over the activation of this knowledge.

neuroscience

An individual differences approach to semantic cognition: Divergent effects of age on representation, retrieval and selection

Semantic cognition refers to the appropriate use of acquired knowledge about the world. This requires representation of knowledge as well as control processes which ensure that currently-relevant aspects of knowledge are retrieved and selected. Although these abilities can be impaired selectively following brain damage, the relationship between them in healthy individuals is unclear. It is also commonly assumed that semantic cognition is preserved in later life, because older people have greater reserves of knowledge. However, this claim overlooks the possibility of decline in semantic control processes. Here, semantic cognition was assessed in 100 young and older adults. Despite having a broader knowledge base, older people showed specific impairments in semantic control, performing more poorly than young people when selecting among competing semantic representations. Conversely, they showed preserved controlled retrieval of less salient information from the semantic store. Breadth of semantic knowledge was positively correlated with controlled retrieval but was unrelated to semantic selection ability, which was instead correlated with non-semantic executive function. These findings indicate that three distinct elements contribute to semantic cognition: semantic representations that accumulate throughout the lifespan, processes for controlled retrieval of less salient semantic information, which appear age-invariant, and mechanisms for selecting task-relevant aspects of semantic knowledge, which decline with age and may relate more closely to domain-general executive control.

neuroscience

Age-related changes in the neural networks supporting semantic cognition: A meta-analysis of 47 functional neuroimaging studies

Semantic cognition is central to understanding of language and the world and, unlike many cognitive domains, is thought to show little age-related decline. We investigated age-related differences in the neural basis of this critical cognitive domain by performing an activation likelihood estimation (ALE) meta-analysis of functional neuroimaging studies comparing young and older people. On average, young people outperformed their older counterparts during semantic tasks. Overall, both age groups activated similar left-lateralised regions. However, older adults displayed less activation than young people in some elements of the typical left-hemisphere semantic network, including inferior prefrontal, posterior temporal and inferior parietal cortex. They also showed greater activation in right frontal and parietal regions, particularly those held to be involved in domain-general controlled processing, and principally when they performed more poorly than the young. Thus, semantic processing in later life is associated with a shift from semantic-specific to domain-general neural resources, consistent with the theory of neural dedifferentiation, and a performance-related reduction in prefrontal lateralisation, which may reflect a response to increased task demands.

neuroscience

Multiuse patient monitoring equipment as a risk factor for acquisition of Candida auris

Introduction Introduction Methods Results Discussion References Candida auris is an emerging and multi-drug resistant pathogen recently associated with outbreaks worldwide, often in intensive care settings (1). Following the alerts issued by the CDC and PHE in June 2016 (2,3), a look back exercise in the neurological intensive care unit (NITU) in the Oxford University Hospitals NHS Foundation Trust identified five clinical cases of C. auris infection. After the identification of an additional isolate in a urine sample, a patient and environmental screening programme was introduced in the last week of October 2016. We report here a summary of our initial findings which other affected units may wish to consider as part of their infection prevention and control measures. ...

microbiology