Memory Support Research Articles

An Architecture for Integrated Near-Data Processors

To increase the performance of data-intensive applications, we present an extension to a CPU architecture that enables arbitrary near-data processing capabilities close to the main memory. This is realized by introducing a component attached to the CPU system-bus and a component at the memory side. Together they support hardware-managed coherence and virtual memory support to integrate the near-data processors in a shared-memory environment. We present an implementation of the components, as well as a system-simulator, providing detailed performance estimations. With a variety of synthetic workloads we demonstrate the performance of the memory accesses, the mixed fine- and coarse-grained coherence mechanisms, and the near-data processor communication mechanism. Furthermore, we quantify the inevitable start-up penalty regarding coherence and data writeback, and argue that near-data processing workloads should access data several times to offset this penalty. A case study based on the Graph500 benchmark confirms the small overhead for the proposed coherence mechanisms and shows the ability to outperform a real CPU by a factor of two.

141An Experience in the Development and Evolution of a Memory Assessment and Support Clinic in a HSE Level 3 Hospital

141An Experience in the Development and Evolution of a Memory Assessment and Support Clinic in a HSE Level 3 Hospital

Patient learning of treatment contents in cognitive therapy

Background and objectivesResearch has demonstrated that both memory and learning for treatment contents are poor, and that both are associated with worse treatment outcome. The Memory Support Intervention has been shown to improve memory for treatment, but it has not yet been established if this intervention can also improve learning of treatment contents. This study was designed to document the number of times participants exhibited each of the indices of learning, to examine the indices of learning and their relationship to recall of treatment points, and to investigate the association between the indices of learning and depression outcome. MethodsAdults diagnosed with major depressive disorder (N = 48) were randomly assigned to 14 sessions of cognitive therapy-as-usual (CT-as-usual) or cognitive therapy plus the Memory Support Intervention (CT + Memory Support). Measures of learning, memory, and depressive symptomatology were taken at mid-treatment, post-treatment, and at 6-month follow-up. ResultsRelative to the CT-as-usual group, participants in the CT + Memory Support group reported more accurate thoughts and applications of treatment points at mid-treatment, post-treatment, and 6-month follow-up. Patient recall was significantly correlated with application and cognitive generalization. Thoughts and application at mid-treatment were associated with increased odds of treatment response at post-treatment. LimitationsThe learning measure for this study has not yet been psychometrically validated. The results are based on a small sample. ConclusionsLearning during treatment is poor, but modifiable via the Memory Support Intervention. These results provide encouraging data that improving learning of treatment contents can reduce symptoms during and following treatment.

Patient recall of specific cognitive therapy contents predicts adherence and outcome in adults with major depressive disorder

The current study examined whether and which specific contents of patients' memory for cognitive therapy (CT) were associated with treatment adherence and outcome. Data were drawn from a pilot RCT of forty-eight depressed adults, who received either CT plus Memory Support Intervention (CT + Memory Support) or CT-as-usual. Patients' memory for treatment was measured using the Patient Recall Task and responses were coded into cognitive behavioral therapy (CBT) codes, such as CBT Model and Cognitive Restructuring, and non-CBT codes, such as individual coping strategies and no code. Treatment adherence was measured using therapist and patient ratings during treatment. Depression outcomes included treatment response, remission, and recurrence. Total number of CBT codes recalled was not significantly different comparing CT + Memory Support to CT-as-usual. Total CBT codes recalled were positively associated with adherence, while non-CBT codes recalled were negatively associated with adherence. Treatment responders (vs. non-responders) exhibited a significant increase in their recall of Cognitive Restructuring from session 7 to posttreatment. Greater recall of Cognitive Restructuring was marginally significantly associated with remission. Greater total number of CBT codes recalled (particularly CBT Model) was associated with non-recurrence of depression. Results highlight the important relationships between patients' memory for treatment and treatment adherence and outcome.

Anti-persistence and long-memory behaviour of SAREITs

PurposeThe purpose of this paper is to provide empirical evidence on the long-memory behaviour of South African real estate investment trusts (SAREITs).Design/methodology/approachThe study employs a battery of advanced techniques to examine the behaviour of returns of 29 SAREIT equities listed on the Johannesburg Stock Exchange. The authors analysed daily closing prices covering different periods up to 21 May 2016. The results provide support for long memory in majority of SAREIT returns.FindingsThe finding of negative fractional integration parameters provides evidence of anti-persistence in SAREIT returns.Practical implicationsIt is recommended that the regulatory authorities adopt technologies that allow a more effective, faster means to disseminate information, and improve the electronic trading mechanism that facilitates quicker price adjustment to news entering the market.Originality/valueThe paper determines the fractional differencing (long-memory) parameter for SAREITs and adds value to the existing body of knowledge.

Lightweight Virtual Memory Support for Zero-Copy Sharing of Pointer-Rich Data Structures in Heterogeneous Embedded SoCs

While high-end heterogeneous systems are increasingly supporting heterogeneous uniform memory access (hUMA), their low-power counterparts still lack basic features like virtual memory support for accelerators. Instead of simply passing pointers, explicit data management involving copies is needed which hampers programmability and performance. In this work, we evaluate a mixed hardware/software solution for lightweight virtual memory support for many-core accelerators in heterogeneous embedded systems-on-chip. Based on an input/output translation lookaside buffer managed by a host kernel-level driver, and compiler extensions protecting the accelerator’s accesses to shared data, our solution is non-intrusive to the architecture of the accelerator cores, and enables zero-copy sharing of pointer-rich data structures.

Assistive technology for memory support in dementia.

The sustained interest in electronic assistive technology in dementia care has been fuelled by the urgent need to develop useful approaches to help support people with dementia at home. Also the low costs and wide availability of electronic devices make it more feasible to use electronic devices for the benefit of disabled persons. Information Communication Technology (ICT) devices designed to support people with dementia are usually referred to as Assistive Technology (AT) or Electronic Assistive Technology (EAT). By using AT in this review we refer to electronic assistive devices. A range of AT devices has been developed to support people with dementia and their carers to manage their daily activities and to enhance safety, for example electronic pill boxes, picture phones, or mobile tracking devices. Many are commercially available. However, the usefulness and user-friendliness of these devices are often poorly evaluated. Although reviews of (electronic) memory aids do exist, a systematic review of studies focusing on the efficacy of AT for memory support in people with dementia is lacking. Such a review would guide people with dementia and their informal and professional carers in selecting appropriate AT devices. Primary objectiveTo assess the efficacy of AT for memory support in people with dementia in terms of daily performance of personal and instrumental activities of daily living (ADL), level of dependency, and admission to long-term care. Secondary objectiveTo assess the impact of AT on: users (autonomy, usefulness and user-friendliness, adoption of AT); cognitive function and neuropsychiatric symptoms; need for informal and formal care; perceived quality of life; informal carer burden, self-esteem and feelings of competence; formal carer work satisfaction, workload and feelings of competence; and adverse events. We searched ALOIS, the Specialised Register of the Cochrane Dementia and Cognitive Improvement Group (CDCIG), on 10 November 2016. ALOIS is maintained by the Information Specialists of the CDCIG and contains studies in the areas of dementia prevention, dementia treatment and cognitive enhancement in healthy people. We also searched the following list of databases, adapting the search strategy as necessary: Centre for Reviews and Dissemination (CRD) Databases, up to May 2016; The Collection of Computer Science Bibliographies; DBLP Computer Science Bibliography; HCI Bibliography: Human-Computer Interaction Resources; and AgeInfo, all to June 2016; PiCarta; Inspec; Springer Link Lecture Notes; Social Care Online; and IEEE Computer Society Digital Library, all to October 2016; J-STAGE: Japan Science and Technology Information Aggregator, Electronic; and Networked Computer Science Technical Reference Library (NCSTRL), both to November 2016; Computing Research Repository (CoRR) up to December 2016; and OT seeker; and ADEAR, both to February 2017. In addition, we searched Google Scholar and OpenSIGLE for grey literature. We intended to review randomised controlled trials (RCTs) and clustered randomised trials with blinded assessment of outcomes that evaluated an electronic assistive device used with the single aim of supporting memory function in people diagnosed with dementia. The control interventions could either be 'care (or treatment) as usual' or non-technological psychosocial interventions (including interventions that use non-electronic assistive devices) also specifically aimed at supporting memory. Outcome measures included activities of daily living, level of dependency, clinical and care-related outcomes (for example admission to long-term care), perceived quality of life and well-being, and adverse events resulting from the use of AT; as well as the effects of AT on carers. Two review authors independently screened all titles and abstracts identified by the search. We identified no studies which met the inclusion criteria. This review highlights the current lack of high-quality evidence to determine whether AT is effective in supporting people with dementia to manage their memory problems.

Functional organization of the medial temporal lobe memory system following neonatal hippocampal lesion in rhesus monkeys.

Hippocampal damage in adult humans impairs episodic and semantic memory, whereas hippocampal damage early in life impairs episodic memory but leaves semantic learning relatively preserved. We have previously shown a similar behavioral dissociation in nonhuman primates. Hippocampal lesion in adult monkeys prevents allocentric spatial relational learning, whereas spatial learning persists following neonatal lesion. Here, we quantified the number of cells expressing the immediate-early gene c-fos, a marker of neuronal activity, to characterize the functional organization of the medial temporal lobe memory system following neonatal hippocampal lesion. Ninety minutes before brain collection, three control and four adult monkeys with bilateral neonatal hippocampal lesions explored a novel environment to activate brain structures involved in spatial learning. Three other adult monkeys with neonatal hippocampal lesions remained in their housing quarters. In unlesioned monkeys, we found high levels of c-fos expression in the intermediate and caudal regions of the entorhinal cortex, and in the perirhinal, parahippocampal, and retrosplenial cortices. In lesioned monkeys, spatial exploration induced an increase in c-fos expression in the intermediate field of the entorhinal cortex, the perirhinal, parahippocampal, and retrosplenial cortices, but not in the caudal entorhinal cortex. These findings suggest that different regions of the medial temporal lobe memory system may require different types of interaction with the hippocampus in support of memory. The caudal perirhinal cortex, the parahippocampal cortex, and the retrosplenial cortex may contribute to spatial learning in the absence of functional hippocampal circuits, whereas the caudal entorhinal cortex may require hippocampal output to support spatial learning.

Some Neurocognitive Correlates of Noise-Vocoded Speech Perception in Children With Normal Hearing: A Replication and Extension of ).

Noise-vocoded speech is a valuable research tool for testing experimental hypotheses about the effects of spectral degradation on speech recognition in adults with normal hearing (NH). However, very little research has utilized noise-vocoded speech with children with NH. Earlier studies with children with NH focused primarily on the amount of spectral information needed for speech recognition without assessing the contribution of neurocognitive processes to speech perception and spoken word recognition. In this study, we first replicated the seminal findings reported by ) who investigated effects of lexical density and word frequency on noise-vocoded speech perception in a small group of children with NH. We then extended the research to investigate relations between noise-vocoded speech recognition abilities and five neurocognitive measures: auditory attention (AA) and response set, talker discrimination, and verbal and nonverbal short-term working memory. Thirty-one children with NH between 5 and 13 years of age were assessed on their ability to perceive lexically controlled words in isolation and in sentences that were noise-vocoded to four spectral channels. Children were also administered vocabulary assessments (Peabody Picture Vocabulary test-4th Edition and Expressive Vocabulary test-2nd Edition) and measures of AA (NEPSY AA and response set and a talker discrimination task) and short-term memory (visual digit and symbol spans). Consistent with the findings reported in the original ) study, we found that children perceived noise-vocoded lexically easy words better than lexically hard words. Words in sentences were also recognized better than the same words presented in isolation. No significant correlations were observed between noise-vocoded speech recognition scores and the Peabody Picture Vocabulary test-4th Edition using language quotients to control for age effects. However, children who scored higher on the Expressive Vocabulary test-2nd Edition recognized lexically easy words better than lexically hard words in sentences. Older children perceived noise-vocoded speech better than younger children. Finally, we found that measures of AA and short-term memory capacity were significantly correlated with a child's ability to perceive noise-vocoded isolated words and sentences. First, we successfully replicated the major findings from the ) study. Because familiarity, phonological distinctiveness and lexical competition affect word recognition, these findings provide additional support for the proposal that several foundational elementary neurocognitive processes underlie the perception of spectrally degraded speech. Second, we found strong and significant correlations between performance on neurocognitive measures and children's ability to recognize words and sentences noise-vocoded to four spectral channels. These findings extend earlier research suggesting that perception of spectrally degraded speech reflects early peripheral auditory processes, as well as additional contributions of executive function, specifically, selective attention and short-term memory processes in spoken word recognition. The present findings suggest that AA and short-term memory support robust spoken word recognition in children with NH even under compromised and challenging listening conditions. These results are relevant to research carried out with listeners who have hearing loss, because they are routinely required to encode, process, and understand spectrally degraded acoustic signals.

Online Modulation of Selective Attention is not Impaired in Healthy Aging

Background/Study Context: Reduced processing speed pervades a great many aspects of human aging and cognition. However, little is known about one aspect of cognitive aging in which speed is of the essence, namely, the speed with which older adults can deploy attention in response to a cue.Methods: The authors compared rapid temporal modulation of cued visual attention in younger (Mage = 22.3 years) and older (Mage = 68.9 years) adults. On each trial of a short-term memory task, a cue identified which of two briefly presented stimuli was task relevant and which one should be ignored. After a short delay, subjects demonstrated recall by reproducing from memory the task-relevant stimulus. This produced estimates of (i) accuracy with which the task-relevant stimulus was recalled, (ii) the influence of stimuli encountered on previous trials (a prototype effect), and (iii) the influence of the trial’s task-irrelevant stimulus.Results: For both groups, errors in recall were considerably smaller when selective attention was cued before rather than after presentation of the stimuli. Both groups showed serial position effects to the same degree, and both seemed equally adept at exploiting the stimuli encountered on previous trials as a means of supplementing recall accuracy on the current trial.Conclusion: Younger and older subjects may not differ reliably in capacity for cue-directed temporal modulation of selective attention, or in ability to draw on previously seen stimuli as memory support.

Memory support strategies and bundles: A pathway to improving cognitive therapy for depression?

Therapist use of memory support (MS) alongside treatment-as-usual, with the goal of enhancing patient recall of treatment contents, has been of recent interest as a novel pathway to improve treatment outcome. The memory support intervention (MSI) involves treatment providers' using 8 specific MS strategies to promote patient memory for treatment. The present study examines to what extent therapist use of MS strategies and bundles improves patient recall of treatment contents and treatment outcome. The data were drawn from a pilot RCT reported elsewhere. Participants were 48 adults (mean age = 44.27 years, 29 females) with major depressive disorder (MDD), randomized to receive 14 sessions of either CT + Memory Support (n = 25) or CT-as-usual (n = 23). Therapist use of MS was coded using the Memory Support Rating Scale. Patient memory and treatment outcomes were assessed at baseline, midtreatment (patient recall only), posttreatment, and 6-month follow-up. Participants in CT + Memory Support received significantly higher amount of MS relative to CT-as-usual. Although not reaching statistical significance, small-to-medium effects were observed between MS strategies and patient recall in the expected direction. Although MS variables were not significantly associated with changes in continuous depressive symptoms, MS was associated with better global functioning. MS also exhibited small to medium effects on treatment response and recurrence in the expected direction but not on remission, though these effects did not reach statistical significance. These results provide initial empirical evidence supporting an active method for therapists to implement MS strategies. (PsycINFO Database Record

Ultra-Performance Pascal GPU and NVLink Interconnect

This article introduces Nvidia's high-performance Pascal GPU. GP100 features in-package high-bandwidth memory, support for efficient FP16 operations, unified memory, and instruction preemption, and incorporates Nvidia's NVLink I/O for high-bandwidth connections between GPUs and between GPUs and CPUs.

A pilot randomized trial of two cognitive rehabilitation interventions for mild cognitive impairment: caregiver outcomes.

This study aims to provide effect size estimates of the impact of two cognitive rehabilitation interventions provided to patients with mild cognitive impairment: computerized brain fitness exercise and memory support system on support partners' outcomes of depression, anxiety, quality of life, and partner burden. A randomized controlled pilot trial was performed. At 6months, the partners from both treatment groups showed stable to improved depression scores, while partners in an untreated control group showed worsening depression over 6months. There were no statistically significant differences on anxiety, quality of life, or burden outcomes in this small pilot trial; however, effect sizes were moderate, suggesting that the sample sizes in this pilot study were not adequate to detect statistical significance. Either form of cognitive rehabilitation may help partners' mood, compared with providing no treatment. However, effect size estimates related to other partner outcomes (i.e., burden, quality of life, and anxiety) suggest that follow-up efficacy trials will need sample sizes of at least 30-100 people per group to accurately determine significance. Copyright © 2017 John Wiley & Sons, Ltd.

Sensor technology more than a support

Background: This interview study is a part of a project that evaluated sensor technology as a support in everyday activities for patients with memory impairment.Aim: To explore patients with memory impairment and their partners’ experiences of using sensor technology in their homes.Methods and material: Five patients with memory impairment after stroke and three partners were interviewed. Individual semi-structured interviews were analyzed with qualitative content analysis.Results: Installing sensor technology with individually prerecorded voice reminders as memory support in the home had a broad impact on patients’ and their families’ lives. These effects were both positive and negative. The sensor technology not only supported activities but also influenced the patients by changing behavior, providing a sense of security, independence and increased self-confidence. For the partners, the sensor technology eased daily life, but also gave increased responsibility for maintenance. Technical problems led to frustration and stress for the patients.Conclusion: The results indicate that sensor technology has potential to increase opportunities for persons with memory impairment to perform and participate in activities and to unburden their partners. The results may promote an understanding of how sensor technology can be used to support persons with memory impairment in their homes.

Technology-based tools and services for people with dementia and carers: Mapping technology onto the dementia care pathway.

The extent to which technology may be able to support people with dementia and their carers along the care pathway and in different care settings is of interest to policy makers and governments. In this paper we provide an overview of the role of technology in dementia care, treatment and support by mapping existing technologies - by function, target user and disease progression. Technologies identified are classified into seven functions: memory support, treatment, safety and security, training, care delivery, social interaction and other. Different groups of potential users are distinguished: people with mild cognitive impairment and early stages of dementia, people with moderate to severe dementia and unpaid carers and health- and social care professionals. We also identified the care settings, in which the technologies are used (or for which the technologies are developed): at home in the community and in institutional care settings. The evidence has been drawn from a rapid review of the literature, expert interviews and web and social media searches. The largest number of technologies identified aim to enhance the safety and security of people with dementia living in the community. These devices are often passive monitors, such as smoke detectors. Other safety interventions, such as panic buttons, require active intervention. The second largest number of interventions aims to enhance people's memory and includes global positioning systems devices and voice prompts. These technologies mostly target people in the early stages of dementia. A third group focusing on treatment and care delivery emerged from the literature. These interventions focus on technology-aided reminiscence or therapeutic aspects of care for people with dementia and their carers. While the review found a range of technologies available for people with dementia and carers there is very little evidence of widespread practical application. Instead, it appears that stakeholders frequently rely on everyday technologies re-purposed to meet their needs.

Supplemental Material for Memory Support Strategies and Bundles: A Pathway to Improving Cognitive Therapy for Depression?

Supplemental Material for Memory Support Strategies and Bundles: A Pathway to Improving Cognitive Therapy for Depression?

Expanding the Language Network: Direct Contributions from the Hippocampus

New research suggests that the same hippocampal computations used in support of memory are also used for language processing, providing direct neurophysiological evidence of a shared neural mechanism for memory and language. This work expands classic memory and language models and represents a new opportunity for studying the memory-language interface.

Memory Support through In-Home Display Deployment

The recent rise of lifelogging technologies and wearable computing gadgets lets us create comprehensive records of our daily lives. Data collected by wearable sensors is often cumbersome to access and poorly presented. To make such digital personal data accessible, the authors propose a system of memory displays that aim to support human memory. This article reports on a series of explorative studies designed to understand the requirements for peripheral memory displays deployed in people's homes and the displays' utility as memory aids. Thereby, the authors explore different display locations, content types, presentation modalities, and two memory-support approaches: priming and retrospective information summaries. Based on initial findings from an online survey, student design task, and explorative system deployment, they discuss different design parameters and the feasibility of memory displays.

Persistent hybrid transactional memory for databases

Processors with hardware support for transactional memory (HTM) are rapidly becoming commonplace, and processor manufacturers are currently working on implementing support for upcoming non-volatile memory (NVM) technologies. The combination of HTM and NVM promises to be a natural choice for in-memory database synchronization. However, limitations on the size of hardware transactions and the lack of progress guarantees by modern HTM implementations prevent some applications from obtaining the full benefit of hardware transactional memory. In this paper, we propose a persistent hybrid TM algorithm called PHyTM for systems that support NVM and HTM. PHyTM allows hardware assisted ACID transactions to execute concurrently with pure software transactions, which allows applications to gain the benefit of persistent HTM while simultaneously accommodating unbounded transactions (with a high degree of concurrency). Experimental simulations demonstrate that PHyTM is fast and scalable for realistic workloads.

Do improved patient recall and the provision of memory support enhance treatment adherence?

Background and objectivesPatient adherence to psychosocial treatment is an important but understudied topic. The aim of this study was to examine whether better patient recall of treatment contents and therapist use of memory support (MS) were associated with better treatment adherence. MethodsData were drawn from a pilot randomized controlled trial. Participants were 48 individuals (mean age = 44.27 years, 29 females) with Major Depressive Disorder randomized to receive either Cognitive Therapy (CT) with an adjunctive Memory Support Intervention (CT + Memory Support) or CT-as-usual. Therapist and patient ratings of treatment adherence were collected during each treatment session. Patient recall was assessed at mid-treatment. Therapist use of MS was manually coded for a random selection of sessions. ResultsPatient recall was significantly associated with better therapist and patient ratings of adherence. Therapist use of Application, a specific MS strategy, predicted higher therapist ratings of adherence. Attention Recruitment, another specific MS strategy, appeared to attenuate the positive impact of session number on patient ratings of adherence. Treatment groups, MS summary scores and other specific MS strategies were not significantly associated with adherence. LimitationsThe measure for treatment adherence is in the process of being formally validated. Results were based on small sample. ConclusionsThese results support the importance of patient recall in treatment adherence. Although collectively the effects of MS on treatment adherence were not significant, the results support the use of certain specific MS strategy (i.e., application) as a potential pathway to improve treatment adherence. Larger-scale studies are needed to further examine these constructs.