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Natalie A. Phillips

Bio: Natalie A. Phillips is an academic researcher from Concordia University. The author has contributed to research in topics: Cognition & Dementia. The author has an hindex of 36, co-authored 125 publications receiving 17277 citations. Previous affiliations of Natalie A. Phillips include Dalhousie University & Michigan State University.


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TL;DR: A 10‐minute cognitive screening tool (Montreal Cognitive Assessment, MoCA) to assist first‐line physicians in detection of mild cognitive impairment (MCI), a clinical state that often progresses to dementia.
Abstract: Objectives: To develop a 10-minute cognitive screening tool (Montreal Cognitive Assessment, MoCA) to assist first-line physicians in detection of mild cognitive impairment (MCI), a clinical state that often progresses to dementia. Design: Validation study. Setting: A community clinic and an academic center. Participants: Ninety-four patients meeting MCI clinical criteria supported by psychometric measures, 93 patients with mild Alzheimer's disease (AD) (Mini-Mental State Examination (MMSE) score≥17), and 90 healthy elderly controls (NC). Measurements: The MoCA and MMSE were administered to all participants, and sensitivity and specificity of both measures were assessed for detection of MCI and mild AD. Results: Using a cutoff score 26, the MMSE had a sensitivity of 18% to detect MCI, whereas the MoCA detected 90% of MCI subjects. In the mild AD group, the MMSE had a sensitivity of 78%, whereas the MoCA detected 100%. Specificity was excellent for both MMSE and MoCA (100% and 87%, respectively). Conclusion: MCI as an entity is evolving and somewhat controversial. The MoCA is a brief cognitive screening tool with high sensitivity and specificity for detecting MCI as currently conceptualized in patients performing in the normal range on the MMSE.

16,037 citations

Journal ArticleDOI
TL;DR: This work adapted Kahneman's seminal (1973) Capacity Model of Attention to listening and proposed a heuristically useful Framework for Understanding Effortful Listening (FUEL), which incorporates the well-known relationship between cognitive demand and the supply of cognitive capacity that is the foundation of cognitive theories of attention.
Abstract: The Fifth Eriksholm Workshop on “Hearing Impairment and Cognitive Energy” was convened to develop a consensus among interdisciplinary experts about what is known on the topic, gaps in knowledge, the use of terminology, priorities for future research, and implications for practice. The general term cognitive energy was chosen to facilitate the broadest possible discussion of the topic. It goes back to Titchener (1908) who described the effects of attention on perception; he used the term psychic energy for the notion that limited mental resources can be flexibly allocated among perceptual and mental activities. The workshop focused on three main areas: (1) theories, models, concepts, definitions, and frameworks; (2) methods and measures; and (3) knowledge translation. We defined effort as the deliberate allocation of mental resources to overcome obstacles in goal pursuit when carrying out a task, with listening effort applying more specifically when tasks involve listening. We adapted Kahneman’s seminal (1973) Capacity Model of Attention to listening and proposed a heuristically useful Framework for Understanding Effortful Listening (FUEL). Our FUEL incorporates the well-known relationship between cognitive demand and the supply of cognitive capacity that is the foundation of cognitive theories of attention. Our FUEL also incorporates a motivation dimension based on complementary theories of motivational intensity, adaptive gain control, and optimal performance, fatigue, and pleasure. Using a three-dimensional illustration, we highlight how listening effort depends not only on hearing difficulties and task demands but also on the listener’s motivation to expend mental effort in the challenging situations of everyday life.

686 citations

Journal ArticleDOI
TL;DR: An event-related brain potential reflecting the acoustic-phonetic process in the phonological stage of word processing was recorded to the terminal words of spoken sentences and the independence of this response from the ERP component known to be sensitive to semantic violations (N400) was demonstrated.
Abstract: An event-related brain potential (ERP) reflecting the acoustic-phonetic process in the phonological stage of word processing was recorded to the terminal words of spoken sentences. The peak latency of this negative-going response occurred between 270 and 300 msec after the onset of the terminal word. The independence of this response (the phonological mismatch negativity, PMN) from the ERP component known to be sensitive to semantic violations (N400) was demonstrated by manipulating sentence endings so that phonemic and semantic violations occurred together or separately. Four conditions used sentences that ended with (1) the highest Cloze probability word (e.g., “The piano was out of tune.”), (2) a word having the same initial phoneme of the highest Cloze probability word but that was, in fact, semantically anomalous (e.g., “The gambler had a streak of bad luggage.”), (3) a word having an initial phoneme different from that of the highest Cloze probability word but that was, in fact, semantically appropriate (e.g., “Don caught the ball with his glove.”), or (4) a word that was semantically anomalous and, therefore, had an initial phoneme that was totally unexpected given the sentence's context (e.g., “The dog chased our cat up the queen”). Neither the PMN nor the N400 was found in the first condition. Only an N400 was observed in the second condition while only a PMN was seen in the third. Both responses were elicited in the last condition. Finally, a delayed N400 occurred to semantic violations in the second condition where the initial phoneme was identical to that of the highest Cloze probability ending. Results are discussed with regard to the Cohort model of word recognition.

447 citations

Journal ArticleDOI
TL;DR: This work reviews language performance in MCI, compares these findings to those seen in AD, and identifies the primary issues in understanding language performance and selecting tasks with diagnostic and prognostic value.
Abstract: Mild cognitive impairment (MCI) manifests as memory impairment in the absence of dementia and progresses to Alzheimer's disease (AD) at a rate of around 15% per annum, versus 1–2% in the general population. It thus constitutes a primary target for investigation of early markers of AD. Language deficits occur early in AD, and performance on verbal tasks is an important diagnostic criterion for both AD and MCI. We review language performance in MCI, compare these findings to those seen in AD, and identify the primary issues in understanding language performance in MCI and selecting tasks with diagnostic and prognostic value.

414 citations

Journal ArticleDOI
TL;DR: A population-based study of scores on the Montreal Cognitive Assessment (MoCA) in Texas found substantial effects of age and education on their MoCA scores.
Abstract: # {#article-title-2} Rossetti et al.1 reported a population-based study of scores on the Montreal Cognitive Assessment (MoCA) in Texas. Compared to our study2 in Montreal, the Caucasian group of normal controls in the Rossetti et al. study was considerably younger (52.9 vs 72.8 years) and had slightly lower mean MoCA scores (25.6 vs 26.9). In the other ethnic groups, they found substantial effects of age and education on their MoCA scores. Subjects in our study were excluded if they had subjective complaints …

291 citations


Cited by
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Journal ArticleDOI
TL;DR: Authors/Task Force Members: Piotr Ponikowski* (Chairperson) (Poland), Adriaan A. Voors* (Co-Chair person) (The Netherlands), Stefan D. Anker (Germany), Héctor Bueno (Spain), John G. F. Cleland (UK), Andrew J. S. Coats (UK)

13,400 citations

Journal ArticleDOI
TL;DR: ACCF/AHAIAI: angiotensin-converting enzyme inhibitor as discussed by the authors, angio-catabolizing enzyme inhibitor inhibitor inhibitor (ACS inhibitor) is a drug that is used to prevent atrial fibrillation.
Abstract: ACC/AHA : American College of Cardiology/American Heart Association ACCF/AHA : American College of Cardiology Foundation/American Heart Association ACE : angiotensin-converting enzyme ACEI : angiotensin-converting enzyme inhibitor ACS : acute coronary syndrome AF : atrial fibrillation

7,489 citations

Journal ArticleDOI
TL;DR: Authors/Task Force Members: Piotr Ponikowski* (Chairperson) (Poland), Adriaan A. Voors* (Co-Chair person) (The Netherlands), Stefan D. Anker (Germany), Héctor Bueno (Spain), John G. F. Cleland (UK), Andrew J. S. Coats (UK)
Abstract: ACC/AHA : American College of Cardiology/American Heart Association ACCF/AHA : American College of Cardiology Foundation/American Heart Association ACE : angiotensin-converting enzyme ACEI : angiotensin-converting enzyme inhibitor ACS : acute coronary syndrome AF : atrial fibrillation

6,757 citations

01 Jan 2016
TL;DR: The modern applied statistics with s is universally compatible with any devices to read, and is available in the digital library an online access to it is set as public so you can download it instantly.
Abstract: Thank you very much for downloading modern applied statistics with s. As you may know, people have search hundreds times for their favorite readings like this modern applied statistics with s, but end up in harmful downloads. Rather than reading a good book with a cup of coffee in the afternoon, instead they cope with some harmful virus inside their laptop. modern applied statistics with s is available in our digital library an online access to it is set as public so you can download it instantly. Our digital library saves in multiple countries, allowing you to get the most less latency time to download any of our books like this one. Kindly say, the modern applied statistics with s is universally compatible with any devices to read.

5,249 citations