DMTs and Covid-19 severity in MS: a pooled analysis from Italy and France

We evaluated the effect of DMTs on Covid-19 severity in patients with MS, with a pooled-analysis of two large cohorts from Italy and France. The association of baseline characteristics and DMTs with Covid-19 severity was assessed by multivariate ordinal-logistic models and pooled by a fixed-effect meta-analysis. 1066 patients with MS from Italy and 721 from France were included. In the multivariate model, anti-CD20 therapies were significantly associated (OR = 2.05, 95%CI = 1.39–3.02, p < 0.001) with Covid-19 severity, whereas interferon indicated a decreased risk (OR = 0.42, 95%CI = 0.18–0.99, p = 0.047). This pooled-analysis confirms an increased risk of severe Covid-19 in patients on anti-CD20 therapies and supports the protective role of interferon

Multidimensional signals and analytic flexibility: Estimating degrees of freedom in human speech analyses

Recent empirical studies have highlighted the large degree of analytic flexibility in data analysis which can lead to substantially different conclusions based on the same data set. Thus, researchers have expressed their concerns that these researcher degrees of freedom might facilitate bias and can lead to claims that do not stand the test of time. Even greater flexibility is to be expected in fields in which the primary data lend themselves to a variety of possible operationalizations. The multidimensional, temporally extended nature of speech constitutes an ideal testing ground for assessing the variability in analytic approaches, which derives not only from aspects of statistical modeling, but also from decisions regarding the quantification of the measured behavior. In the present study, we gave the same speech production data set to 46 teams of researchers and asked them to answer the same research question, resulting insubstantial variability in reported effect sizes and their interpretation. Using Bayesian meta-analytic tools, we further find little to no evidence that the observed variability can be explained by analysts’ prior beliefs, expertise or the perceived quality of their analyses. In light of this idiosyncratic variability, we recommend that researchers more transparently share details of their analysis, strengthen the link between theoretical construct and quantitative system and calibrate their (un)certainty in their conclusions

Workshop timecog2022: Perspectives on temporal cognition

Slide decks for the timecog2022 workshop, entitled "Perspectives on temporal cognition", 2 June 2022, Marseille, France. Website: https://timecog.sciencesconf.org

Space-time congruency effects using eye movements during processing of past-and future related words

In Western cultures where people read and write from left-to-right, time is represented along a spatial continuum that goes from left to right (past to future), known as the mental timeline (MTL). In language, this MTL was supported by space-time congruency effects: people are faster to make lexical decisions to words conveying past or future information when left/right manual responses are compatible with the MTL. Alternatively, in cultures where people read from right-to-left, space-time congruency effects go in the opposite direction. Such cross-cultural differences suggest that repeated writing and reading dynamic movements are critically involved in the spatial representation of time. In most experiments on the space-time congruency effect, participants use their hand for responding, an effector that is associated to the directionality of writing. To investigate the role of the directionality of reading in the space-time congruency effect, we asked participants to make lateralized eye movements (left or right saccades) to indicate whether stimuli were real words or not (lexical decision). Eye movement responses were slower and higher in amplitude for responses incompatible with the direction of the MTL. These results reinforce the claim that repeated directional reading and writing movements promote the embodiment of time-related words

Embodied time: Effect of reading expertise on the spatial representation of past and future

How do people grasp the abstract concept of time? It has been argued that abstract concepts, such as future and past, are grounded in sensorimotor experience. When responses to words that refer to the past or the future are either spatially compatible or incompatible with a left-to-right timeline, a space-time congruency effect is observed. In the present study, we investigated whether reading expertise determines the strength of the space-time congruency effect, which would suggest that learning to read and write drives the effect. Using a temporal categorization task, we compared two types of space-time congruency effects, one where spatial incongruency was generated by the location of the stimuli on the screen and one where it was generated by the location of the responses on the keyboard. While the first type of incongruency was visuo-spatial only, the second involved the motor system. Results showed stronger space-time congruency effects for the second type of incongruency (i.e., when the motor system was involved) than for the first type (visuo-spatial). Crucially, reading expertise, as measured by a standardized reading test, predicted the size of the space-time congruency effects. Altogether, these results reinforce the claim that the spatial representation of time is partially mediated by the motor system and partially grounded in spatially-directed movement, such as reading or writing

Space-time congruency effects using eye movements during processing of past-and future related words

In Western cultures where people read and write from left-to-right, time is represented along a spatial continuum that goes from left to right (past to future), known as the mental timeline (MTL). In language, this MTL was supported by space-time congruency effects: people are faster to make lexical decisions to words conveying past or future information when left/right manual responses are compatible with the MTL. Alternatively, in cultures where people read from right-to-left, space-time congruency effects go in the opposite direction. Such cross-cultural differences suggest that repeated writing and reading dynamic movements are critically involved in the spatial representation of time. In most experiments on the space-time congruency effect, participants use their hand for responding, an effector that is associated to the directionality of writing. To investigate the role of the directionality of reading in the space-time congruency effect, we asked participants to make lateralized eye movements (left or right saccades) to indicate whether stimuli were real words or not (lexical decision). Eye movement responses were slower and higher in amplitude for responses incompatible with the direction of the MTL. These results reinforce the claim that repeated directional reading and writing movements promote the embodiment of time-related words

Embodied time: Effect of reading expertise on the spatial representation of past and future

How do people grasp the abstract concept of time? It has been argued that abstract concepts, such as future and past, are grounded in sensorimotor experience. When responses to words that refer to the past or the future are either spatially compatible or incompatible with a left-to-right timeline, a space-time congruency effect is observed. In the present study, we investigated whether reading expertise determines the strength of the space-time congruency effect, which would suggest that learning to read and write drives the effect. Using a temporal categorization task, we compared two types of space-time congruency effects, one where spatial incongruency was generated by the location of the stimuli on the screen and one where it was generated by the location of the responses on the keyboard. While the first type of incongruency was visuo-spatial only, the second involved the motor system. Results showed stronger space-time congruency effects for the second type of incongruency (i.e., when the motor system was involved) than for the first type (visuo-spatial). Crucially, reading expertise, as measured by a standardized reading test, predicted the size of the space-time congruency effects. Altogether, these results reinforce the claim that the spatial representation of time is partially mediated by the motor system and partially grounded in spatially-directed movement, such as reading or writing

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)