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Description
It is commonly known that the left hemisphere of the brain is more efficient in the processing of verbal information, compared to the right hemisphere. One proposal suggests that hemispheric asymmetries in verbal processing are due in part to the efficient use of top-down mechanisms by the left hemisphere. Most

It is commonly known that the left hemisphere of the brain is more efficient in the processing of verbal information, compared to the right hemisphere. One proposal suggests that hemispheric asymmetries in verbal processing are due in part to the efficient use of top-down mechanisms by the left hemisphere. Most evidence for this comes from hemispheric semantic priming, though fewer studies have investigated verbal memory in the cerebral hemispheres. The goal of the current investigations is to examine how top-down mechanisms influence hemispheric asymmetries in verbal memory, and determine the specific nature of hypothesized top-down mechanisms. Five experiments were conducted to explore the influence of top-down mechanisms on hemispheric asymmetries in verbal memory. Experiments 1 and 2 used item-method directed forgetting to examine maintenance and inhibition mechanisms. In Experiment 1, participants were cued to remember or forget certain words, and cues were presented simultaneously or after the presentation of target words. In Experiment 2, participants were cued again to remember or forget words, but each word was repeated once or four times. Experiments 3 and 4 examined the influence of cognitive load on hemispheric asymmetries in true and false memory. In Experiment 3, cognitive load was imposed during memory encoding, while in Experiment 4, cognitive load was imposed during memory retrieval. Finally, Experiment 5 investigated the association between controlled processing in hemispheric semantic priming, and top-down mechanisms used for hemispheric verbal memory. Across all experiments, divided visual field presentation was used to probe verbal memory in the cerebral hemispheres. Results from all experiments revealed several important findings. First, top-down mechanisms used by the LH primarily used to facilitate verbal processing, but also operate in a domain general manner in the face of increasing processing demands. Second, evidence indicates that the RH uses top-down mechanisms minimally, and processes verbal information in a more bottom-up manner. These data help clarify the nature of top-down mechanisms used in hemispheric memory and language processing, and build upon current theories that attempt to explain hemispheric asymmetries in language processing.
ContributorsTat, Michael J (Author) / Azuma, Tamiko (Thesis advisor) / Goldinger, Stephen D (Committee member) / Liss, Julie M (Committee member) / Arizona State University (Publisher)
Created2013
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Description
Military veterans have a significantly higher incidence of mild traumatic brain injury (mTBI), depression, and Post-traumatic stress disorder (PTSD) compared to civilians. Military veterans also represent a rapidly growing subgroup of college students, due in part to the robust and financially incentivizing educational benefits under the Post-9/11 GI Bill. The

Military veterans have a significantly higher incidence of mild traumatic brain injury (mTBI), depression, and Post-traumatic stress disorder (PTSD) compared to civilians. Military veterans also represent a rapidly growing subgroup of college students, due in part to the robust and financially incentivizing educational benefits under the Post-9/11 GI Bill. The overlapping cognitively impacting symptoms of service-related conditions combined with the underreporting of mTBI and psychiatric-related conditions, make accurate assessment of cognitive performance in military veterans challenging. Recent research findings provide conflicting information on cognitive performance patterns in military veterans. The purpose of this study was to determine whether service-related conditions and self-assessments predict performance on complex working memory and executive function tasks for military veteran college students. Sixty-one military veteran college students attending classes at Arizona State University campuses completed clinical neuropsychological tasks and experimental working memory and executive function tasks. The results revealed that a history of mTBI significantly predicted poorer performance in the areas of verbal working memory and decision-making. Depression significantly predicted poorer performance in executive function related to serial updating. In contrast, the commonly used clinical neuropsychological tasks were not sensitive service-related conditions including mTBI, PTSD, and depression. The differing performance patterns observed between the clinical tasks and the more complex experimental tasks support that researchers and clinicians should use tests that sufficiently tax verbal working memory and executive function when evaluating the subtle, higher-order cognitive deficits associated with mTBI and depression.
ContributorsGallagher, Karen Louise (Author) / Azuma, Tamiko (Thesis advisor) / Liss, Julie (Committee member) / Lavoie, Michael (Committee member) / Arizona State University (Publisher)
Created2017
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Description
ABSTRACT

Malawi, as a low and middle income country (LMIC), with one of the lowest per capita gross domestic products, faces challenges in the provision of healthcare to its citizens. According to the Centers for Disease Control (CDC), leading causes of death include but are not limited to, lower respiratory

ABSTRACT

Malawi, as a low and middle income country (LMIC), with one of the lowest per capita gross domestic products, faces challenges in the provision of healthcare to its citizens. According to the Centers for Disease Control (CDC), leading causes of death include but are not limited to, lower respiratory disease, stroke, cancer, neonatal disorders, and nutritional deficiencies. Feeding and swallowing disorders can present as a symptom to any of these medical diagnoses. Currently, there are no known studies focusing on the service provision for feeding and swallowing disorders in Malawi.

This pilot study was designed to provide a baseline on how feeding and swallowing disorders are currently being provided for in an emerging country like Malawi. Malawian healthcare professionals who see patients with feeding and swallowing disorders completed a survey and interview pertaining to their personal demographics, caseload, opinions, experiences, and treatment recommendations regarding the management of swallowing disorders (dysphagia).

Results indicate a wide range of occupations (Otolaryngoloists, Rehabilitation Technicians, Audiology Technicians, and Nurses) are involved in feeding and swallowing care. Participants expressed a high obligation to provide services for feeding and swallowing disorders, as well as a high concern for their patients. Generally, participants expressed high confidence in their treatment abilities, which did not correspond to knowledge of treatment recommendations that meet U.S. standards of care. Specifically, there was no variation in treatment recommendations across severities and a general lack of resources and tools for assessing and treating dysphagia. Treatment recommendations tended to align with resources currently available in Malawi.

Implications for the utilization of NGOs (non-governmental organizations) and the education of healthcare providers on feeding and swallowing disorders in the social and cultural contexts of this country are discussed.
ContributorsLarson, Christie Taylor (Author) / Azuma, Tamiko (Thesis advisor) / Scherer, Nancy (Thesis advisor) / Helms-Tillery, Kate (Committee member) / Arizona State University (Publisher)
Created2018
Description
Ather Arop is bilingual. He is also fluent in Spanish and speaks some French. “Lost Boys Found” is an ongoing, interdisciplinary project that is collecting, recording and archiving the oral histories of the Lost Boys/Girls of Sudan. The collection is a work-in-progress, seeking to record the oral history of as

Ather Arop is bilingual. He is also fluent in Spanish and speaks some French. “Lost Boys Found” is an ongoing, interdisciplinary project that is collecting, recording and archiving the oral histories of the Lost Boys/Girls of Sudan. The collection is a work-in-progress, seeking to record the oral history of as many Lost Boys/Girls as are willing, and will be used in a future book.
ContributorsArop, Ather (Interviewee) / Amparano, Julie (Director) / Garcia, James (Interviewer) / MacNeill, MacNeill (Editor)
Created2017-10-14
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Description
Adults with a history of traumatic brain injury (TBI) often show deficits in executive functioning, which include the ability to inhibit, switch, and attend to task relevant information. These abilities are also essential for language processing in bilinguals, who constantly inhibit and switch between languages. Currently, there is no data

Adults with a history of traumatic brain injury (TBI) often show deficits in executive functioning, which include the ability to inhibit, switch, and attend to task relevant information. These abilities are also essential for language processing in bilinguals, who constantly inhibit and switch between languages. Currently, there is no data regarding the effect of TBI on executive function and language processing in bilinguals. This study used behavioral and eye-tracking measures to examine the effect of mild traumatic brain injury (mTBI) on executive function and language processing in Spanish-English bilinguals. In Experiment 1, thirty-nine healthy bilinguals completed a variety of executive function and language processing tasks. The primary executive function and language processing tasks were paired with a cognitive load task intended to simulate mTBI. In Experiment 2, twenty-two bilinguals with a history of mTBI and twenty healthy control bilinguals completed the same executive function measures and language processing tasks. The results revealed that bilinguals with a history of mTBI show deficits in specific executive functions and have higher rates of language processing deficits than healthy control bilinguals. Additionally, behavioral and eye-tracking data suggest that these language processing deficits are related to underlying executive function abilities. This study also identified a subset of bilinguals who may be at the greater risk of language processing deficits following mTBI. The findings of this study have a direct impact on the identification of executive function deficits and language processing deficits in bilinguals with a history mTBI.
ContributorsRatiu, Ileana (Author) / Azuma, Tamiko (Thesis advisor) / Goldinger, Stephen D (Committee member) / Liss, Julie M (Committee member) / Arizona State University (Publisher)
Created2015
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Description
Mild TBI (mTBI) has been associated with subtle executive function (EF) and

cognitive-communication deficits. In bilinguals, there are unique cognitive demands required to control and process two languages effectively. Surprisingly, little is known about the impact of mTBI on EF, communication, and language control in bilinguals. Therefore, the aim of this

Mild TBI (mTBI) has been associated with subtle executive function (EF) and

cognitive-communication deficits. In bilinguals, there are unique cognitive demands required to control and process two languages effectively. Surprisingly, little is known about the impact of mTBI on EF, communication, and language control in bilinguals. Therefore, the aim of this study was to examine the cognitive-communication abilities in bilinguals with a history of mTBI, identify any language control impairments, and explore the relationship between these language control impairments and domain-general cognitive control abilities. To this end, three-hundred and twenty-seven monolingual and bilingual college students with and without mTBI history participated in two experiments. In these experiments, EF, communication, and language control were examined using experimental and clinical tasks as well as self-rating scales. In Experiment 1, there was an interaction between mTBI history and language group (monolinguals vs. bilinguals) in how participants performed on a clinical measure of EF and a verbal fluency task. That is, only bilinguals with mTBI scored significantly lower on these tasks. In addition, there was a significant correlation between errors on a language switching task and performance on non-verbal EF tasks. In Experiment 2, a subgroup of bilinguals with persistent cognitive and behavioral symptoms reported greater everyday communication challenges in their first and second languages. Also, unbalanced bilinguals reported greater EF difficulties than monolinguals and balanced bilinguals regardless of mTBI history. In conclusion, bilinguals may face unique cognitive-communication challenges after mTBI. Factors related to the bilingual experience (e.g., language balance, daily language use) should be

considered in clinical evaluation and future research.
ContributorsAlateeq, Halah (Author) / Azuma, Tamiko (Thesis advisor) / Ratiu, Ileana (Committee member) / Lavoie, Michael (Committee member) / Arizona State University (Publisher)
Created2020
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Description
Research suggests that some children with primary language impairment (PLI)

have difficulty with certain aspects of executive function; however, most studies examining executive function have been conducted using tasks that require children to use language to complete the task. As a result, it is unclear whether poor performance on executive function

Research suggests that some children with primary language impairment (PLI)

have difficulty with certain aspects of executive function; however, most studies examining executive function have been conducted using tasks that require children to use language to complete the task. As a result, it is unclear whether poor performance on executive function tasks was due to language impairment, to executive function deficits, or both. The purpose of this study is to evaluate whether preschoolers with PLI have deficits in executive function by comprehensively examining inhibition, updating, and mental set shifting using tasks that do and do not required language to complete the tasks.

Twenty-two four and five-year-old preschoolers with PLI and 30 age-matched preschoolers with typical development (TD) completed two sets of computerized executive function tasks that measured inhibition, updating, and mental set shifting. The first set of tasks were language based and the second were visually-based. This permitted us to test the hypothesis that poor performance on executive function tasks results from poor executive function rather than language impairment. A series of one-way analyses of covariance (ANCOVAs) were completed to test whether there was a significant between-group difference on each task after controlling for attention scale scores. In each analysis the between-group factor was group and the covariate was attention scale scores.

Results showed that preschoolers with PLI showed difficulties on a broad range of linguistic and visual executive function tasks even with scores on an attention measure covaried. Executive function deficits were found for linguistic inhibition, linguistic and visual updating, and linguistic and visual mental set shifting. Overall, findings add to evidence showing that the executive functioning deficits of children with PLI is not limited to the language domain, but is more general in nature. Implications for early assessment and intervention will be discussed.
ContributorsYang, Huichun (Author) / Gray, Shelley (Thesis advisor) / Restrepo, Maria (Committee member) / Azuma, Tamiko (Committee member) / Green, Samuel (Committee member) / Arizona State University (Publisher)
Created2015