The Unconscious Formation of Motor and Abstract Intentions

Three separate fMRI studies were conducted to study the neural dynamics of free decision formation. In Study 1, we first searched across the brain for spatiotemporal patterns that could predict the specific outcome and timing of free motor decisions to make a left or right button press (Soon et al., 2008). In Study 2, we replicated Study 1 using ultra-high field fMRI for improved temporal and spatial resolution to more accurately characterize the evolution of decision-predictive information in prefrontal cortex (Bode et al., 2011). In Study 3, to unequivocally dissociate high-level intentions from motor preparation and execution, we investigated the neural precursors of abstract intentions as participants spontaneously decided to perform either of two mental arithmetic tasks: addition or subtraction (Soon et al., 2013). Across the three studies, we consistently found that upcoming decisions could be predicted with ~60% accuracy from fine-grained spatial activation patterns occurring a few seconds before the decisions reached awareness, with very similar profiles for both motor and abstract intentions. The content and timing of the decisions appeared to be encoded in two functionally dissociable sets of regions: frontopolar and posterior cingulate/ precuneus cortex encoded the content but not the timing of the decisions, while the pre-supplementary motor area encoded the timing but not the content of the decisions. The choice-predictive regions in both motor and abstract decision tasks overlapped partially with the default mode network. High-resolution imaging in Study 2 further revealed that as the time-point of conscious decision approached, activity patterns in frontopolar cortex became increasingly stable with respect to the final choice.:Abstract 1 1. General Introduction 5 2. Study 1: Decoding the Unconscious Formation of Motor Intentions 21 3. Study 2: Temporal Stability of Neural Patterns Involved in Intention Formation 56 4. Study 3: Decoding the Unconscious Formation of Abstract Intentions 89 5. General Discussion 119 References 14

A holistic approach to preventing type 2 diabetes in Asian women with a history of gestational diabetes mellitus: a feasibility study and pilot randomized controlled trial

BackgroundGestational Diabetes Mellitus (GDM) exposes women to future risk of Type 2 Diabetes. Previous studies focused on diet and physical activity, less emphasis was given to tackle intertwined risk factors such as sleep and stress. Knowledge remains scarce in multi-ethnic Asian communities. This study explored the: (1) feasibility of a holistic digital intervention on improving diet, physical activity (PA), sleep and stress of Asian women with a history of GDM, and (2) preliminary efficacy of the holistic intervention on women’s physical and mental well-being via a pilot randomized controlled trial.MethodsFemale volunteers with a history of GDM but without pre-existing diabetes were recruited from multi-ethnic Singaporean community. Each eligible woman was given a self-monitoring opportunity using Oura Ring that provided daily feedback on step counts, PA, sleep and bedtime heart rate. Intervention group additionally received personalized recommendations aimed to reinforce healthy behaviors holistically (diet, PA, sleep and stress). Dietary intake was evaluated by a research dietitian, while step counts, PA, sleep and bedtime heart rate were evaluated by health coaches based on Oura Ring data. Perceived physical and mental health and well-being were self-reported. Clinical outcomes included glycemic status determined by HbA1c and OGTT tests, body mass index, blood pressures and lipid profile.ResultsOf 196 women from the community, 72 women completed diabetes screening, 61 women were eligible and 56 women completed the study. The 56 completers had mean age of 35.8 ± 3.7 years, predominantly Chinese, majority had their first GDM diagnosed at least 2 years ago and had two GDM-affected pregnancies. After intervention period, more women in the Intervention group achieved at least 8,000 steps/day and had at least 6 hours of sleep per night. Noticeable reduction of added sugar in their food and beverages were observed after the dietary intervention. Changes in body weight and mental well-being were observed but group differences were not statistically significant.ConclusionsThe holistic approach appeared feasible for personalizing lifestyle recommendations to promote physical and mental well-being among women with a history of GDM. Larger studies with sufficient assessment timepoints and follow-up duration are warranted to improve the evaluation of intervention effects on clinical outcomes.Clinical trial registration numberhttps://clinicaltrials.gov/show/NCT05512871, NCT05512871

DDX3X loss is an adverse prognostic marker in diffuse large B-cell lymphoma and is associated with chemoresistance in aggressive non-Hodgkin lymphoma subtypes.

Funder: addenbrooke's charitable trust, cambridge university hospital

The Unconscious Formation of Motor and Abstract Intentions

German

The Unconscious Formation of Motor and Abstract Intentions

Three separate fMRI studies were conducted to study the neural dynamics of free decision formation. In Study 1, we first searched across the brain for spatiotemporal patterns that could predict the specific outcome and timing of free motor decisions to make a left or right button press (Soon et al., 2008). In Study 2, we replicated Study 1 using ultra-high field fMRI for improved temporal and spatial resolution to more accurately characterize the evolution of decision-predictive information in prefrontal cortex (Bode et al., 2011). In Study 3, to unequivocally dissociate high-level intentions from motor preparation and execution, we investigated the neural precursors of abstract intentions as participants spontaneously decided to perform either of two mental arithmetic tasks: addition or subtraction (Soon et al., 2013). Across the three studies, we consistently found that upcoming decisions could be predicted with ~60% accuracy from fine-grained spatial activation patterns occurring a few seconds before the decisions reached awareness, with very similar profiles for both motor and abstract intentions. The content and timing of the decisions appeared to be encoded in two functionally dissociable sets of regions: frontopolar and posterior cingulate/ precuneus cortex encoded the content but not the timing of the decisions, while the pre-supplementary motor area encoded the timing but not the content of the decisions. The choice-predictive regions in both motor and abstract decision tasks overlapped partially with the default mode network. High-resolution imaging in Study 2 further revealed that as the time-point of conscious decision approached, activity patterns in frontopolar cortex became increasingly stable with respect to the final choice.:Abstract 1 1. General Introduction 5 2. Study 1: Decoding the Unconscious Formation of Motor Intentions 21 3. Study 2: Temporal Stability of Neural Patterns Involved in Intention Formation 56 4. Study 3: Decoding the Unconscious Formation of Abstract Intentions 89 5. General Discussion 119 References 14

The Unconscious Formation of Motor and Abstract Intentions

Three separate fMRI studies were conducted to study the neural dynamics of free decision formation. In Study 1, we first searched across the brain for spatiotemporal patterns that could predict the specific outcome and timing of free motor decisions to make a left or right button press (Soon et al., 2008). In Study 2, we replicated Study 1 using ultra-high field fMRI for improved temporal and spatial resolution to more accurately characterize the evolution of decision-predictive information in prefrontal cortex (Bode et al., 2011). In Study 3, to unequivocally dissociate high-level intentions from motor preparation and execution, we investigated the neural precursors of abstract intentions as participants spontaneously decided to perform either of two mental arithmetic tasks: addition or subtraction (Soon et al., 2013). Across the three studies, we consistently found that upcoming decisions could be predicted with ~60% accuracy from fine-grained spatial activation patterns occurring a few seconds before the decisions reached awareness, with very similar profiles for both motor and abstract intentions. The content and timing of the decisions appeared to be encoded in two functionally dissociable sets of regions: frontopolar and posterior cingulate/ precuneus cortex encoded the content but not the timing of the decisions, while the pre-supplementary motor area encoded the timing but not the content of the decisions. The choice-predictive regions in both motor and abstract decision tasks overlapped partially with the default mode network. High-resolution imaging in Study 2 further revealed that as the time-point of conscious decision approached, activity patterns in frontopolar cortex became increasingly stable with respect to the final choice.:Abstract 1 1. General Introduction 5 2. Study 1: Decoding the Unconscious Formation of Motor Intentions 21 3. Study 2: Temporal Stability of Neural Patterns Involved in Intention Formation 56 4. Study 3: Decoding the Unconscious Formation of Abstract Intentions 89 5. General Discussion 119 References 14