Attention operates as a cognitive gate that selects sensory information for entry into memory and awareness (Driver, 2001, British Journal of Psychology, 92, 53–78). Under many circumstances, the selected information is task-relevant and important to remember, but sometimes perceptually salient nontarget objects will capture attention and enter into awareness despite their irrelevance (Adams & Gaspelin, 2020, Attention, Perception, & Psychophysics, 82[4], 1586–1598). Recent studies have shown that repeated exposures with salient distractor will diminish their ability to capture attention, but the relationship between suppression and later cognitive processes such as memory and awareness remains unclear. If learned attentional suppression (indicated by reduced capture costs) occurs at the sensory level and prevents readout to other cognitive processes, one would expect memory and awareness to dimmish commensurate with improved suppression. Here, we test this hypothesis by measuring memory precision and awareness of salient nontargets over repeated exposures as capture costs decreased. Our results show that stronger learned suppression is accompanied by reductions in memory precision and confidence in having seen a color singleton at all, suggesting that such suppression operates at the sensory level to prevent further processing of the distractor object.
Objective: To characterize neurologic manifestations in post-hospitalization Neuro-PASC (PNP) and non-hospitalized Neuro-PASC (NNP) patients. Methods: Prospective study of the first 100 consecutive PNP and 500 NNP patients evaluated at a Neuro-COVID-19 clinic between 5/2020 and 8/2021. Results: PNP were older than NNP patients (mean 53.9 vs 44.9 y; p < 0.0001) with a higher prevalence of pre-existing comorbidities. An average 6.8 months from onset, the main neurologic symptoms were "brain fog" (81.2%), headache (70.3%), and dizziness (49.5%) with only anosmia, dysgeusia and myalgias being more frequent in the NNP compared to the PNP group (59 vs 39%, 57.6 vs 39% and 50.4 vs 33%, all p < 0.003). Moreover, 85.8% of patients experienced fatigue. PNP more frequently had an abnormal neurologic exam than NNP patients (62.2 vs 37%, p < 0.0001). Both groups had impaired quality of life in cognitive, fatigue, sleep, anxiety, and depression domains. PNP patients performed worse on processing speed, attention, and working memory tasks than NNP patients (T-score 41.5 vs 55, 42.5 vs 47 and 45.5 vs 49, all p < 0.001) and a US normative population. NNP patients had lower results in attention task only. Subjective impression of cognitive ability correlated with cognitive test results in NNP but not in PNP patients. Interpretation: PNP and NNP patients both experience persistent neurologic symptoms affecting their quality of life. However, they harbor significant differences in demographics, comorbidities, neurologic symptoms and findings, as well as pattern of cognitive dysfunction. Such differences suggest distinct etiologies of Neuro-PASC in these populations warranting targeted interventions.
Attention operates as a cognitive gate that selects sensory information for entry intomemory and awareness (Driver, 2001). Under many circumstances, the selected information is task-relevant and important to remember, but it is also well known that perceptually salient non- target objects will capture attention and induce awareness even when they are irrelevant (Adams and Gaspelin, 2020). Recent studies have shown that task interference by salient distractors diminishes after repeated exposures, but the relationship between suppression and memory remain unclear. If attentional suppression (indicated by a reduced capture costs) occurs at the sensory level and prevents readout to other cognitive processes, one might expect memory and awareness to dimmish commensurate with improved suppression. Here we test this hypothesis by measuring memory precision, awareness, and confidence of salient non-targets over repetitions as capture costs are reduced. Our results show that better attentional suppression is accompanied by reductions in memory precision and awareness, suggesting that reductions in capture costs reflect a reduction in the likelihood of the distractor entering memory and awareness.
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We discussed the imaging recommendations for diagnosis, staging, and management of larynx and hypopharynx cancer. Carcinoma of the larynx is a common cancer, with males being affected more. Hypopharyngeal carcinoma is less common than laryngeal malignancies. Squamous cell carcinoma is the most common histological type. Nonsquamous cell malignant lesions are rare and mostly submucosal lesions. Clinical examination and endoscopy play an integral role in its detection and staging. Imaging also plays a major role in its staging, including local disease extent, nodal and distant metastatic status, as well as to assess response to therapy. Follow-up of treated cases and differentiation of recurrence from post treatment changes can be done on imaging. Early stage disease is treated with single modalities such as radiotherapy or surgery. Advanced disease is treated with multimodality of either chemoradiotherapy or surgery followed by adjuvant radiotherapy with or without concurrent chemotherapy.
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