Lack Of Recall Research Articles

Patient Satisfaction and Lack of Recall after Sedation in Patient Undergoing Cataract Surgery

Patient Satisfaction and Lack of Recall after Sedation in Patient Undergoing Cataract Surgery

Forget What You Have Learned: The Effect of Meditation on Intentional Forgetting

One of the essential aspects of memory efficiency is the lack of recall (forgetting) of erroneous, traumatic, or unimportant information. Therefore, the development of tools for control and facilitation of forgetting is of particular importance. This work aims to investigate the impact of systematic mental training (open-monitoring meditation) on the magnitude of intentional forgetting effect. 106 volunteers (69 women, 18–35 years old) participated in our experiment. First, we measured 1) the intentional forgetting effect (using the think/not-thinking paradigm followed by a questionnaire on preferred intentional forgetting strategies) and 2) the Stroop effect (using the classic Stroop test). Second, participants either completed a course of 30 open-monitoring meditations (experimental group) or 30 sham meditations (control group 1), or were not subject to any intervention at all (control group 2). Finally, we performed the same measures as we did at the first stage of the study in order to register the effect of open-monitoring meditation on inhibition mechanisms that are presumably involved in the manifestation of intentional forgetting effect. We found no statistically significant influence of the intervention type neither on intentional forgetting effect nor Stroop effect. Although, it was shown that after the intervention, in the meditation group, cognitive strategies preventing intentional forgetting were used much less frequently than in the pseudomeditation (p=0.009) and control (p=0.007) groups, and forgetting-facilitating strategies were used more often than before the intervention (p=0.013). These results indicate the need for further investigation of the amnesogenic potential of various mental training types; also, they provide some indirect support for our initial suggestion about the impact of open-monitoring meditation on the magnitude of intentional forgetting effect.

The fuzzy middle. Uncertainty, indifference, and disagreement in the evaluation of contemporary art music

This article looks at peer review in the “pure” pole (Bourdieu 1996; Dubois and François, 2013) of the artistic field, in contemporary art music. Based on observation of peer review panels in the United States and interviews with panelists in the US and France, I look specifically at the dynamics of evaluation in the upper middle of ranked lists – what I call the “fuzzy middle”. In this part of ranked lists, outcomes are unclear and often arbitrary. Two factors primarily affect outcomes: 1) a lack of recall on the part of evaluators regarding the specifics of the objects being evaluated, which leads to an attitude of indifference, and 2) confusion as to how disputes over artistic quality should be resolved. I find that uncertainty is present especially regarding the role that emotional reactions to the music being evaluated should play. In addition, not all participants are willing or able to participate equally in the evaluation process (Lamont 2009), and the interpersonal dynamics of these panels therefore heavily affects the outcomes of the evaluation. What results is that objects in the “fuzzy middle” are evaluated collectively using criteria that are developed ad hoc and on a case by case basis, as a way to translate emotional reactions into objectifiable criteria. I do not find, however, that quality uncertainty (Karpik 2010; Menger 2014) plays a role in these evaluations: at least at an individual level, these evaluators do not express doubts about their evaluations of artistic quality.

Long-term corticosteroid use and dietary advice: a qualitative analysis of the difficulties encountered by patient

BackgroundNearly 1% of the population is currently treated with long-term corticosteroid therapy. When corticosteroids are introduced, information concerning potential adverse effects and recommendations for lifestyle changes aimed at preventing such effects is provided to patients. However, studies have shown patients often do not fully comprehend the information provided and have difficulty implementing the recommended dietary and physical activity advice. In this study, we aim to highlight the difficulties encountered by patients in comprehending and implementing recommendations in the context of long-term corticosteroid use. Such information can be used to better optimize care, particularly concerning adherence to the treatment, the diet, and thus improve the quality of life of patients.MethodsWe recruited adult patients under long-term corticosteroid (≥ 3 months, ≥ 5 mg/day) treatment from both general medicine and rheumatology practices. We performed a qualitative analysis based on semi-structured interviews of these patients. Transcripts of these interviews were then compiled and analysed using a thematic approach.ResultsSixteen patients were included. Analysis of the interviews revealed that patients’ hope for effective corticosteroid treatment was counterbalanced by concerns over potential adverse effects. In some patients, the need to respect a strict and imposed diet induced psychological distress, potentially leading to eating disorders or fear of social exclusion. Furthermore, patient ambivalence toward the therapeutic education was highlighted, as well as the notion of filtering information, conscious or unconscious, as revealed by their lack of recall. The relationship with the physician also affected the treatment experience.ConclusionOur analysis of the personal experience of patients regarding recommended lifestyle changes associated with long-term corticosteroid treatment highlights patient difficulties and suggests different ways of improving therapeutic education.

A qualitative study exploring patients', with mild to moderate stroke, and their carers' perceptions of healthy lifestyles

Background/Aims: To explore patients', with mild to moderate stroke, and their carers' experiences after a stroke and to explore their perceptions of healthy lifestyles. Methods: A qualitative study using semi-structured interviews was undertaken with 20 people (12 males and 8 females) with mild to moderate stroke or transient ischaemic attack (1 week to 6 months' post event) and seven of their carers. Each interview was transcribed and a thematic analysis approach guided the analytic process. Results: Patients with sub-acute, mild to moderate stroke were positive about healthy lifestyles and their ability to achieve them post stroke. Three core themes were identified: perceptions related to exercise; perceptions related to other lifestyle factors; and understanding of stroke and healthy lifestyles. Conclusions: In the sub-acute phase of stroke recovery, barriers to exercise such as lack of motivation do not appear to be an issue. People with stroke have a lack of understanding of healthy guidelines, risk factors and cause of their stroke. It is not clear if this is due to a lack of information provision or a lack of recall. They also do not appear to make the link between lifestyle choices and the cause of their stroke.

A strategy for the forensic detection of distraction burglary

Although much reduced in recent years, distraction burglary involving elderly or vulnerable victims continues to make up ∼ 4% of recorded UK domestic burglaries. Detection of these offences by forensic means, such as DNA or fingerprints, can be problematic due to the forensic awareness of the offender and a lack of recall by the victim. In this study, we consider a range of measures designed to improve the forensic detection of distraction burglary using trace DNA or fingerprints. Our findings show that attendance at a distraction burglary by two crime scene investigators, one of whom conducted a cognitive interview of the victim, produced a statistically significant increase in the number of offences detected using trace DNA when the deception involved the offender purporting to be from a utility company. For this deception, a cognitive interview of the victim did not produce increases in the number of offences detected using fingerprints. A cognitive interview of the victim for other deceptions did not produce an increase in trace DNA detections although the frequency of both DNA and fingerprint recovery was reduced, thereby saving time and resources. This success of trace DNA detection is due to the careful targeting of surfaces by the crime scene investigator for DNA recovery, based on information received from the victim. Attendance by crime scene investigators up to 2 h after an offence was reported had no statistically significant effect on the forensic detection of the offence. We include a strategy for the forensic examination of distraction burglary.

A controlled study of attachment representations and emotion regulation in female adolescents with anorexia nervosa

Background: Several recent studies highlighted that both attachment insecurity and emotion regulation difficulties form a key part of conceptual models of anorexia nervosa (AN), but they had never been analyzed in the same controlled study. Method: This study examined the attachment states of mind, assessed by the Adult Attachment Interview (AAI), and emotion regulation difficulties, measured by the Difficulties in Emotion Regulation Scale (DERS), among 25 girls with AN diagnosis aged 14-18 years (M age=16.52, SD= 1.23), and 25 general population controls, matched for gender, age, years of education and SES. Results. The AN group reported both significantly higher attachment insecurity (75% vs 46%, Fisher Exact Test, p =.04), dismissing (Ds) in particular (χ²=6.41, df=2, p =.03), and difficulties with emotion regulation than non-clinical controls. Two AAI’s scales connected to Ds classification – idealization of mother and lack of recall – were significantly correlated to lack of emotional awareness and clarity. Conclusions. Our results provide support for conceptualization of AN emphasizing the role of attachment insecurity and emotional dysregulation in the development and maintenance of this restrictive type of eating disorder. These findings may have implications for treatment programs which may prove more fruitful integrating attachment-based intervention with clinical work focused on development of emotion regulation abilities.

Epidural analgesia during labour – maternal understanding and experience – informed consent

Women obtain information on epidural analgesia from various sources. For epidural for pain relief in labour this is provided by the anaesthetist as part of the consenting process. There is much discussion about the inadequacy of this consenting process; we report on women's knowledge, experience and recall of this process at a regional hospital with a 24-h epidural service. Fifty-four women were interviewed within 72 h of a vaginal birth. 91% of the women had acquired information from friends, relatives and antenatal classes. Lack of recall of benefits of epidural analgesia accounted for 26 (38%) and 25 (26%) of the responses, respectively. Similarly in terms of amount of pain relief they could expect, 13 (21%) could not remember and 13 (21%) thought that it may not work. We suggest use of varying methods of disseminating information and wider utilisation of anaesthetists in the antenatal educational programmes.

Participants' recall and understanding of genomic research and large-scale data sharing.

As genomic researchers are urged to openly share generated sequence data with other researchers, it is important to examine the utility of informed consent documents and processes, particularly as these relate to participants' engagement with and recall of the information presented to them, their objective or subjective understanding of the key elements of genomic research (e.g., data sharing), as well as how these factors influence or mediate the decisions they make. We conducted a randomized trial of three experimental informed consent documents (ICDs) with participants (n = 229) being recruited to genomic research studies; each document afforded varying control over breadth of release of genetic information. Recall and understanding, their impact on data sharing decisions, and comfort in decision making were assessed in a follow-up structured interview. Over 25% did not remember signing an ICD to participate in a genomic study, and the majority (54%) could not correctly identify with whom they had agreed to share their genomic data. However, participants felt that they understood enough to make an informed decision, and lack of recall did not impact final data sharing decisions or satisfaction with participation. These findings raise questions about the types of information participants need in order to provide valid informed consent, and whether subjective understanding and comfort with decision making are sufficient to satisfy the ethical principle of respect for persons.

The topography of awareness: a classification of intra‐operative cognitive states

The topography of awareness: a classification of intra‐operative cognitive states

Bridging informal tagging and formal semantics via hybrid navigation

The folksonomies resulting from user-generated tag systems feature rapid adaptability, and reflect the information needs of their supporting user communities. However, they suffer from well-known problems, such as polysemy, heteronymy and lack of recall, which have been addressed in controlled vocabularies and ontologies, which in turn follow slower but more controlled evolution processes. These differences have led to the bridging approach described in this paper, which is based on mapping tags to ontology elements. Mappings can be automatically generated or explicitly provided by user-created assertions between tags and ontology elements. The main objective is to combine existing tag navigation, such as that featured in Delicious, with related tag recommendations obtained from ontology relations, in order to provide a hybrid navigation context that benefits folksonomy browsing. The implementation of such integration, combining Delicious and the OpenCyc knowledge base, is described, along with an evaluation of its potential in improving navigation through the user-generated tag system. The results reveal that the new semantic shortcuts and the decrease in dead ends can substantially influence the collaborative bookmarking experience.

Novel Object Recognition in the Rat: A Facile Assay for Cognitive Function

The rat novel object recognition (NOR) assay is a relatively high-throughput, robust, and sensitive procedure for evaluating compounds for cognition-enhancing activity. For the test, rats are given the opportunity to explore two identical objects for a predetermined period of time. After a delay, the animals are then presented with two objects to explore, one of which is the same as in the first exploration trial, the other a new object. Depending on the length of the delay between the two trials, the rats will either explore the novel object for a greater time period, indicating memory for the familiar object, or will explore the novel and familiar objects for the same amount of time, indicating a lack of recall or loss of memory for the familiar object presented during the initial trial. The protocol described in this unit can be used to evaluate the effects of a compound on the short-term/working memory of adult male rats following a 24-hr inter-trial interval.

Survey of undesirable behaviors displayed by potential guide dogs with puppy walkers

Abstract This research aimed to identify the frequency and type of undesirable behaviors observed by guide dog puppy walkers and management strategies used by them during the puppy-walking period. All members of 36 puppy-walking families (N = 96), recruited from the National School of Guide Dogs for Blind People in Florence (Italy), completed an 80-item questionnaire. This sampling represented homes caring for 28 Labrador retrievers, 6 Golden retrievers, and 2 German shepherd dogs. Of these dogs, 47.2% (n = 17) were males and 52.8% (n = 19) females, and 66.7% (n = 24) were between 7 and 12 months old. Three categories of undesirable behaviors were recorded. First, behaviors considered inconsequential to the guide dog role were: digging (11.8%, n=11); chewing objects (4.4%, n=4); stealing or begging for food (3.1%, n=3); licking people (5.9%, n=5); getting on furniture (4.4% n=4); defending territory (2.8%, n=2); and coprophagia (5.9%, n=5). Second, the following behaviors considered easily resolvable through training were recorded: lack of recall (8.9%, n=10); pulling on lead (11.8%, n=11); jumping up (28.1%, n=30); barking at other dogs (5.9%, n=5); chewing the leash (1.5%, n=1); and house soiling (5.9% (n = 5). Third, these potentially disqualifying behaviors were observed: scavenging (17.7%, n=17); aggressive barking, growling, and biting (10.4%, n=10); and fear of thunderstorms (6.2%, n=6); loud noises (32.3%, n=31); men (2.1%, n=2); women (3.1%, n=3); and people with unusual clothes (6.2%, n=6). None of the puppies was reported to be fearful of children. Overall, 67.7% (n = 66) of respondents recorded at least 1 undesirable behavior. However, only few of them might lead to disqualification. The results suggest that most of the puppies were well socialized to people and not fearful. Puppy walkers could contribute to the early assessment of potential behavioral problems, which are a major cause of disqualifying guide dogs.

Individual differences in adult attachment: Disentangling two assessment traditions

The goal of this paper was to disentangle the contributions of type of measurement and relational domain to the lack of concordance between adult attachment measures. Eighty-six college students completed the Adult Attachment Interview (AAI) and self-reported measures of attachment security adapted to their relationships with four different relational partners. Results showed that whereas the AAI main dimensions were unrelated to self-reports relative to any partner, reports of attachment security with different partners were interrelated. Further, very few of the AAI State of Mind scales related to self-reported attachment security, but the AAI Experience scales did relate to self-reports in a theoretically consistent manner. Finally, the AAI scales of Idealization and Lack of Recall correlated positively with self-reported attachment when controlling for experiences reported on the AAI. The results suggest that a fundamental distinction between adult attachment measures could be the degree of automaticity of the constructs tapped, and that attachment self-reports may be biased by defensive information-processing strategies among dismissing individuals.

PHYSICIAN-PATIENT COMMUNICATION REGARDING PRESCRIBED MEDICATION IN AN AMBULATORY CARE SETTING IN KATHMANDU, NEPAL

Physician-patient interactions often lead to prescription of medicines. Safety andcompliance in the use of these medicines are largely dependent on proper verbal aswell as written communication between prescriber and patient. However, severalpublished reports suggest that such communication is often inadequate. The presentstudy indicated suboptimal doctor-patient communication at a tertiary care hospitalin Nepal. Fifty-two (21.7%) of the 240 patients/caregivers interviewed after out-patientconsultation claimed that doctors did not provide any information on prescribedmedicines. Nearly a quarter of the 188 patients/caregivers who did report havingreceived information could not recall what they had been told, and in more than halfof these cases the lack of recall was attributed to problems in communication. Frequentuse of the English language and Latin abbreviation in prescribed dosing schedulesindicated a need for improvement in written communication as well.Key Words: prescribing information; communication; physician-patient interaction; Nepal.

Serial Position Learning Effects in Patients With Aneurysms of the Anterior Communicating Artery

Ruptured and repaired Anterior Communicating Artery (ACoA) aneurysm can result in devastating impairments involving memory, executive function, confabulation, and personality changes. This study tested serial position learning effects (SPEs) in patients following repaired and ruptured ACoA aneurysm, using results on the Rey Auditory Verbal Learning Test (RAVLT). Thirty patients with ruptured aneurysms of the ACoA and 31 matched controls were included in the study. The primacy-recency effects were maintained during five learning trials in ACoA group, albeit at an overall lower level than in the controls. There was no difference in primacy-recency relation across five learning trials in ACoA group. On the delayed recall trial the patient group demonstrated neither a primacy, nor a recency phenomenon, reflecting a lack of recall of any parts of the word list. This kind of primacy-recency profile across learning trials in ACoA group has no similarity with SPE results in frontal lesion groups, or with SPE distributions in other amnesic disorders, despite the fact that memory and executive deficits were evident in our ACoA group.

Women with premenstrual dysphoric disorder do not recall aberrant parenting

Premenstrual dysphoric disorder (PAADD) is related to the affective disorders and thus is expected to share similar psychological risk factors. Depressed subjects have been found to recall lack of warmth and parental overcontrol in childhood as assessed by the Parental Bonding Instrument (PBI). The present study aimed to find out if such risk factors contributed to the development of PMDD in adulthood.Thirty-four women from South London who fulfilled rigorous criteria for PMDD and 22 controls were assessed for symptom severity, and each subject completed the PBI. All the women included in the study were free from other concurrent psychiatric disorders.Subjects with PMDD and controls had similar scores for warmth and parental overcontrol on the PBI and therefore had not been subject to more affectionless control. The PBI retained expected internal characteristics such as the inverse relationship of warmth and control scores.The findings indicate that recollection of parenting problems in childhood is not a major risk factor for subsequent development of PMDD in these women. A potential explanation for this is that PMDD is more biologically than psychosocial determined.

The Effect of the Interaction of Propofol and Alfentanil on Recall, Loss of Consciousness, and the Bispectral Index

The Bispectral Index (BIS) correlates well with the level of consciousness with single anesthetic drugs.We studied the effect of the interaction of propofol with alfentanil on propofol concentration and BIS associated with 50% probability of loss of consciousness and lack of recall (Cp50 and BIS50, respectively). We studied 40 consenting volunteers at two institutions who were randomly assigned to receive stepped increases of propofol (10 subjects at each site), propofol plus alfentanil 50 ng/mL (10 subjects at Emory site), or propofol plus alfentanil 100 ng/mL (10 subjects at Duke site) by using a target-controlled infusion device. Measures of sedation, BIS, Delta BIS (absolute change of BIS after a painful stimulus), memory, and drug concentration were obtained at each target drug concentration. The relation among BIS, measured drug concentration, sedation score, and presence or absence of recall was determined by linear and logistic regression for different drug regimens, and the prediction probability (Pk) was calculated. The addition of alfentanil in increasing doses did not significantly affect the BIS50 and propofol Cp50 values for loss of consciousness and lack of recall. Delta BIS was significantly decreased by both an increase in the concentration of propofol and the presence of alfentanil. The Pk for BIS was >0.93 with all drug regimens, better than those of the target and measured propofol concentrations. We conclude that BIS correlated well with the hypnotic component of anesthesia independent of the presence of an opioid. Moreover, the level of consciousness, and, therefore, the BIS index, is affected by a painful stimulus, and this response is ablated either by opioids or increasing propofol concentration. Implications: In volunteers, the sedation and changes in memory function produced by propofol correlated well with changes in the Bispectral Index. This relationship was not altered by the addition of an analgesic (alfentanil). However, in moderately sedated patients who received a painful stimulus, the Bispectral Index increased, but this response was blocked by the analgesic or increasing propofol concentrations. (Anesth Analg 1998;87:949-55)

The Effect of the Interaction of Propofol and Alfentanil on Recall, Loss of Consciousness, and the Bispectral Index

The Bispectral Index (BIS) correlates well with the level of consciousness with single anesthetic drugs. We studied the effect of the interaction of propofol with alfentanil on propofol concentration and BIS associated with 50% probability of loss of consciousness and lack of recall (Cp50 and BIS50, respectively). We studied 40 consenting volunteers at two institutions who were randomly assigned to receive stepped increases of propofol (10 subjects at each site), propofol plus alfentanil 50 ng/mL (10 subjects at Emory site), or propofol plus alfentanil 100 ng/mL (10 subjects at Duke site) by using a target-controlled infusion device. Measures of sedation, BIS, deltaBIS (absolute change of BIS after a painful stimulus), memory, and drug concentration were obtained at each target drug concentration. The relation among BIS, measured drug concentration, sedation score, and presence or absence of recall was determined by linear and logistic regression for different drug regimens, and the prediction probability (Pk) was calculated. The addition of alfentanil in increasing doses did not significantly affect the BIS50 and propofol Cp50 values for loss of consciousness and lack of recall. DeltaBIS was significantly decreased by both an increase in the concentration of propofol and the presence of alfentanil. The Pk for BIS was >0.93 with all drug regimens, better than those of the target and measured propofol concentrations. We conclude that BIS correlated well with the hypnotic component of anesthesia independent of the presence of an opioid. Moreover, the level of consciousness, and, therefore, the BIS index, is affected by a painful stimulus, and this response is ablated either by opioids or increasing propofol concentration. In volunteers, the sedation and changes in memory function produced by propofol correlated well with changes in the Bispectral Index. This relationship was not altered by the addition of an analgesic (alfentanil). However, in moderately sedated patients who received a painful stimulus, the Bispectral Index increased, but this response was blocked by the analgesic or increasing propofol concentrations.

LORAZEPAM AND MORPHINE FOR I.V. SURGICAL PREMEDICATION

The effect of i.v. lorazepam alone, in doses of 2 mg and 4 mg, and combined with morphine 5 mg, were studied. Sedation, relief of anxiety, lack of recall, patient acceptance, physician acceptance and side-effects were evaluated. The addition of morphine to lorazepam significantly improved sedation and relief of anxiety. Physician acceptance and patient acceptance showed no significant difference between any of the combinations. Lack of recall was enhanced by increasing the dose of lorazepam from 2 mg to 4 mg, independent of the addition of morphine. The only significant side-effect was restlessness which occurred in 15% of patients receiving lorazepam 4 mg and 3% of patients receiving lorazepam 2 mg, again independent of the addition of morphine.