Neuronal Distortions of Reward Probability without Choice

Reward probability crucially determines the value of outcomes. A basic phenomenon, defying explanation by traditional decision theories, is that people often overweigh small and underweigh large probabilities in choices under uncertainty. However, the neuronal basis of such reward probability distortions and their position in the decision process are largely unknown. We assessed individual probability distortions with behavioral pleasantness ratings and brain imaging in the absence of choice. Dorsolateral frontal cortex regions showed experience dependent overweighting of small, and underweighting of large, probabilities whereas ventral frontal regions showed the opposite pattern. These results demonstrate distorted neuronal coding of reward probabilities in the absence of choice, stress the importance of experience with probabilistic outcomes and contrast with linear probability coding in the striatum. Input of the distorted probability estimations to decision-making mechanisms are likely to contribute to well known inconsistencies in preferences formalized in theories of behavioral economics

Risk factors for tuberculosis in dialysis patients: a prospective multi-center clinical trial

<p>Abstract</p> <p>Background</p> <p>Profound alterations in immune responses associated with uraemia and exacerbated by dialysis increase the risk of developing active tuberculosis (TB) in chronic haemodialysis patients (HDPs). In the current study, was determined the impact of various risk factors on TB development. Our aim was to identify which HDPs need anti-TB preventive therapy.</p> <p>Methods</p> <p>Prospective study of 272 HDPs admitted, through a 36-month period, to our institutions. Specific Relative Risk (RR) for TB was estimated, considering age matched subjects from the general population as reference group. Entering the study all patients were tested with tuberculin (TST). Using Cox's proportional hazard model the independent effect of various risk factors associated with TB development was estimated.</p> <p>Results</p> <p>History of TB, dialysis efficiency, use of Vitamin D supplements, serum albumin and zinc levels were not proved to influence significantly the risk for TB, in contrast to: advanced age (>65 years), BMI, diabetes mellitus, tuberculin reactivity, healed TB lesions on chest X-ray and time on dialysis. Elderly (>70 years old) HDPs (Adjusted RR 25.3, 95%CI 20.4-28.4, P < 0.02), diabetics (Adj.RR 25.3, 95%CI 17.2-21.1, P < 0.03), underweighted (Adj.RR 72.3, 95%CI 65.2-79.8 P < 0.001), tuberculin responders (Adj.RR 41.4, 95%CI 37.9-44.8, P < 0.03), HDPs with fibrotic lesions on chest x-ray (Adj.RR 82.3, 95%CI 51.3-95.5, P < 0.03) and those treated with haemodialysis for < 12 months (Adj.RR 110.0, 95%CI 97.4-135.3, P < 0.001), presented significantly higher specific RR for TB even after adjusting for the effect of the remaining studied risk factors.</p> <p>Conclusion</p> <p>The above mentioned factors have to be considered by the clinicians, evaluating for TB in HDPs. Positive TST, the existence of predisposing risk factors and/or old TB lesions on chest X-ray, will guide the diagnosis of latent TB infection and the selection of those HDPs who need preventive chemoprophylaxis.</p

Epidemiology of intra-abdominal infection and sepsis in critically ill patients: “AbSeS”, a multinational observational cohort study and ESICM Trials Group Project

Purpose: To describe the epidemiology of intra-abdominal infection in an international cohort of ICU patients according to a new system that classifies cases according to setting of infection acquisition (community-acquired, early onset hospital-acquired, and late-onset hospital-acquired), anatomical disruption (absent or present with localized or diffuse peritonitis), and severity of disease expression (infection, sepsis, and septic shock). Methods: We performed a multicenter (n = 309), observational, epidemiological study including adult ICU patients diagnosed with intra-abdominal infection. Risk factors for mortality were assessed by logistic regression analysis. Results: The cohort included 2621 patients. Setting of infection acquisition was community-acquired in 31.6%, early onset hospital-acquired in 25%, and late-onset hospital-acquired in 43.4% of patients. Overall prevalence of antimicrobial resistance was 26.3% and difficult-to-treat resistant Gram-negative bacteria 4.3%, with great variation according to geographic region. No difference in prevalence of antimicrobial resistance was observed according to setting of infection acquisition. Overall mortality was 29.1%. Independent risk factors for mortality included late-onset hospital-acquired infection, diffuse peritonitis, sepsis, septic shock, older age, malnutrition, liver failure, congestive heart failure, antimicrobial resistance (either methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, extended-spectrum beta-lactamase-producing Gram-negative bacteria, or carbapenem-resistant Gram-negative bacteria) and source control failure evidenced by either the need for surgical revision or persistent inflammation. Conclusion: This multinational, heterogeneous cohort of ICU patients with intra-abdominal infection revealed that setting of infection acquisition, anatomical disruption, and severity of disease expression are disease-specific phenotypic characteristics associated with outcome, irrespective of the type of infection. Antimicrobial resistance is equally common in community-acquired as in hospital-acquired infection

Turning two uninvited guests into prominent speakers : toward a dynamic culture neuroscience

Abstract is not available in fulltext

Neural correlates of value, risk, and risk aversion contributing to decision making under risk

Decision making under risk is central to human behavior. Economic decision theory suggests that value, risk, and risk aversion influence choice behavior. Although previous studies identified neural correlates of decision parameters, the contribution of these correlates to actual choices is unknown. In two different experiments, participants chose between risky and safe options. We identified discrete blood oxygen level-dependent (BOLD) correlates of value and risk in the ventral striatum and anterior cingulate, respectively. Notably, increasing inferior frontal gyrus activity to low risk and safe options correlated with higher risk aversion. Importantly, the combination of these BOLD responses effectively decoded the behavioral choice. Striatal value and cingulate risk responses increased the probability of a risky choice, whereas inferior frontal gyrus responses showed the inverse relationship. These findings suggest that the BOLD correlates of decision factors are appropriate for an ideal observer to detect behavioral choices. More generally, these biological data contribute to the validity of the theoretical decision parameters for actual decisions under risk

Beauty in the eyes and the hand of the beholder : eye and hand movements' differential responses to facial attractiveness

Faces carry significant social information and, as such, humans need to allocate attention to them. In particular, facial attractiveness is an important dimension that considerably influences social judgment. The allocation of attentional resources to facial attractiveness has been widely examined in social psychology, however mostly by measures of eye movement. While this literature demonstrates the influence of facial attractiveness on overt attention, how facial attractiveness drives covert attention is less known. In two studies, we tracked eye and hand movements while participants were engaged in a numerical task in the presence of faces of various degrees of attractiveness. Results show that both attractive and unattractive faces captured greater visual attention compared to moderate faces, whereas attractive faces attracted hand movement more strongly than both unattractive and moderate faces. The present study suggests that facial attractiveness guides attention for actions differently through eye and hand movements.Accepted versio

The effect of unrelated social exchanges on facial attractiveness judgments

Whereas the influence of facial attractiveness (FA) on social judgments has been well documented, much less is known about the converse influence of social exchanges on FA judgments. Previous research has shown that social dimensions inherently related to the face judged, such as status, can affect such judgments. However, we found that facial attractiveness ratings were affected by social exchanges unrelated to the face judged. In three experiments, we examined how competitive and cooperative financial exchanges influence subsequent facial aesthetic judgments. Compared to cooperation, competition decreased women's (but not men's) ratings of men's facial attractiveness; this pattern of effects also occurred for ratings of buildings, suggesting that competition suppressed aesthetic appreciation. However, women's responses to women's faces followed an inverse pattern, as competition (rather than cooperation) elevated women faces’ attractiveness ratings. Introducing self-affirmation, a psychological mechanism that alleviates the effects of social competition, restored attractiveness ratings. This finding suggests that women's own-gender judgments in a competitive environment are affected by a perception of threat induced by social comparison. Overall, this study suggests that aesthetic judgments are not immune to social conditions. Such moderating effects contribute to our understanding of how sociocultural environments dynamically regulate aesthetic preferences