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The terms listed above are used interchangeably to designate a unique disorder of cognitive function in which memory and learning are deranged out of proportion to all other components of mentation and behavior The amnesic state, as originally de ned by Ribot, possesses two salient features that may vary in severity but are always conjoined: (1) an impaired ability to recall events and other information that had been rmly established before the onset of the illness (retrograde amnesia) and (2) an impaired ability to acquire certain types of new information, ie, to learn or to form new memories (anterograde amnesia) This dual aspect inspired one of Lewis Carroll s characters to indicate that one s memory works both ways, past and future ( It s a poor sort of memory that works only backwards, said the Red Queen) In other words, the functions of memory and learning are inseparable A third invariable feature of the Korsakoff syndrome, contingent upon the retrograde amnesia, is an impaired temporal localization of past experience (see below, under Confabulation ) Other cognitive functions (particularly the capacity for concentration, spatial organization, and visual and verbal abstraction), which depend little or not at all on memory, are usually impaired as well, but to a much lesser degree than memory function The patient is usually lacking in initiative, spontaneity, and insight Equally important in the de nition of the Korsakoff syndrome or amnesic state (these terms are preferable to Korsakoff psychosis) is the integrity of certain aspects of behavior and mental function The patient must be awake, attentive, and responsive capable of perceiving and understanding the written and spoken word, of making appropriate deductions from given premises, and of solving such problems as can be included within his forward memory span These features are of particular diagnostic importance because they help to distinguish the Korsakoff amnesic state from a number of other disorders in which the basic defect is not in retentive memory but in some other psychologic abnormality eg, an impairment in attention and perception (as in the delirious, confused, or stuporous patient), in recall (as in the hysterical patient), or in volition, ie, the will to learn (as in the apathetic or abulic patient with frontal lobe disease or depression) So-called short-term memory, as demonstrated by the ability to repeat a string of digits, is intact, but this is more a measure of attention and registration than of retentive memory Remote memory is relatively less affected than recent memory (Ribot s rule, as discussed below) Confabulation The creative falsi cation of memory in an alert, responsive individual is often included in the de nition of the Korsakoff amnesic state but is not a requisite for diagnosis It can be provoked by questions as to the patient s recent activities The replies may be recognized as partially remembered events and personal experiences that are inaccurately localized in the past and related with no regard to their proper temporal sequence Whether one calls this a memory defect or confabulation is an academic matter Far less frequent but more dramatic is a spontaneous recital of personal experiences, many of which are fantasies These two forms of confabulation have been referred to as momentary and fantastic, respectively, and it has been claimed, on uncertain grounds, that the latter form re ects an associated lesion in the.

You can also determine which data column is to be displayed by choosing Speedometer | Data Index | <number of data column> In terms of the display of the pointers, you can determine whether to display the categories as pointers rather than the data column by choosing Speedometer | Use Categories You can also define the look and feel of the pointers whether you want the arrow displayed or something else to take its place by using Speedometer | Show Arrows Some of the other options in a speedometer are to add some color formatting, font changes, and background colors In some cases with the different properties that you can use within the chart types some don t really work such as with speedometer chart types You can change the dimensionality of the chart type but with the speedometer chart type nothing will happen since 25D and 3D are not possible These settings are found in the Global Settings under Refine An example of the color formatting is illustrated next

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