Cognitive control of saccadic selection and inhibition from within the core cortical saccadic network

The ability to select the task-relevant stimulus for a saccadic eye movement, while inhibiting saccades to task-irrelevant stimuli, is crucial for active vision. Here, we present a novel saccade-contingent behavioural paradigm and investigate the neural basis of the central cognitive functions underpinning such behaviour - saccade selection, saccade inhibition and saccadic choice – in female and male human participants. The paradigm allows for exceptionally well-matched contrasts, with task demands formalized with stochastic accumulation-to-threshold models. Using functional magnetic resonance imaging, we replicated the core cortical eye-movement network for saccade generation (frontal eye fields, posterior parietal cortex and higher-level visual areas). However, in contrast to previously published tasks, saccadic selection and inhibition recruited only this core network. Brain12 behaviour analyses further showed that inhibition efficiency may be underpinned by white matter integrity of tracts between key saccade generating regions, and that inhibition efficiency is associated with right inferior frontal gyrus engagement, potentially implementing general-purpose inhibition. The core network, however, was insufficient for saccadic choice which recruited anterior regions commonly attributed to saccadic action selection, including dorsolateral prefrontal cortex and anterior cingulate cortex. Jointly, the results indicate that extra-saccadic activity observed for free choice, and in previously published tasks probing saccadic control, is likely due to increased load on higher-level cognitive processes, and not saccadic selection per se, which is achieved within the canonical cortical eye movement network

Ample consumption period available until use-by dates: a potential, marketing position for store brands

Traditionally store brands in Australia are viewed with suspicion in regard to their quality and are usually purchased because of the "value for money" that they offer. Australian supermarket majors are considering introducing a new suite of store brands in the higher price brackets. The danger of moving upscale however is that these store brands are relinquishing their value for money appeal and will come head to head with the manufactured brands. Store brands will now require some quality dimension to compete. This paper after studying the attitudes and behavioural response of grocery shoppers to use by dates, is proposing that that the promise of "generous" use-by dates as a surrogate for quality, could be considered as a positioning plank to promote store brands as alternatives to manufactured brands. Logit analysis is employed to explain shoppers' perception and response to use-by dates, of products that they regularly buy, and of alternative products which they have never bought before if the use-by dates of their regular items are perceived to be too shor

Increasing compliance with low tidal volume ventilation in the ICU with two nudge-based interventions: evaluation through intervention time-series analyses

Objectives: Low tidal volume (TVe) ventilation improves outcomes for ventilated patients, and the majority of clinicians state they implement it. Unfortunately, most patients never receive low TVes. ‘Nudges’ influence decision-making with subtle cognitive mechanisms and are effective in many contexts. There have been few studies examining their impact on clinical decision-making. We investigated the impact of 2 interventions designed using principles from behavioural science on the deployment of low TVe ventilation in the intensive care unit (ICU). Setting: University Hospitals Bristol, a tertiary, mixed medical and surgical ICU with 20 beds, admitting over 1300 patients per year. Participants: Data were collected from 2144 consecutive patients receiving controlled mechanical ventilation for more than 1 hour between October 2010 and September 2014. Patients on controlled mechanical ventilation for more than 20 hours were included in the final analysis. Interventions: (1) Default ventilator settings were adjusted to comply with low TVe targets from the initiation of ventilation unless actively changed by a clinician. (2) A large dashboard was deployed displaying TVes in the format mL/kg ideal body weight (IBW) with alerts when TVes were excessive. Primary outcome measure: TVe in mL/kg IBW. Findings: TVe was significantly lower in the defaults group. In the dashboard intervention, TVe fell more quickly and by a greater amount after a TVe of 8 mL/kg IBW was breached when compared with controls. This effect improved in each subsequent year for 3 years. Conclusions: This study has demonstrated that adjustment of default ventilator settings and a dashboard with alerts for excessive TVe can significantly influence clinical decision-making. This offers a promising strategy to improve compliance with low TVe ventilation, and suggests that using insights from behavioural science has potential to improve the translation of evidence into practice

Redesigning the 'choice architecture' of hospital prescription charts: a mixed methods study incorporating in situ simulation testing.

Objectives: To incorporate behavioural insights into the user-centred design of an inpatient prescription chart (Imperial Drug Chart Evaluation and Adoption Study, IDEAS chart) and to determine whether changes in the content and design of prescription charts could influence prescribing behaviour and reduce prescribing errors. Design: A mixed-methods approach was taken in the development phase of the project; in situ simulation was used to evaluate the effectiveness of the newly developed IDEAS prescription chart. Setting: A London teaching hospital. Interventions/methods: A multimodal approach comprising (1) an exploratory phase consisting of chart reviews, focus groups and user insight gathering (2) the iterative design of the IDEAS prescription chart and finally (3) testing of final chart with prescribers using in situ simulation. Results: Substantial variation was seen between existing inpatient prescription charts used across 15 different UK hospitals. Review of 40 completed prescription charts from one hospital demonstrated a number of frequent prescribing errors including illegibility, and difficulty in identifying prescribers. Insights from focus groups and direct observations were translated into the design of IDEAS chart. In situ simulation testing revealed significant improvements in prescribing on the IDEAS chart compared with the prescription chart currently in use in the study hospital. Medication orders on the IDEAS chart were significantly more likely to include correct dose entries (164/164 vs 166/174; p=0.0046) as well as prescriber's printed name (163/164 vs 0/174; p<0.0001) and contact number (137/164 vs 55/174; p<0.0001). Antiinfective indication (28/28 vs 17/29; p<0.0001) and duration (26/28 vs 15/29; p<0.0001) were more likely to be completed using the IDEAS chart. Conclusions: In a simulated context, the IDEAS prescription chart significantly reduced a number of common prescribing errors including dosing errors and illegibility. Positive behavioural change was seen without prior education or support, suggesting that some common prescription writing errors are potentially rectifiable simply through changes in the content and design of prescription charts

Optimal discrete stopping times for reliability growth tests

Often, the duration of a reliability growth development test is specified in advance and the decision to terminate or continue testing is conducted at discrete time intervals. These features are normally not captured by reliability growth models. This paper adapts a standard reliability growth model to determine the optimal time for which to plan to terminate testing. The underlying stochastic process is developed from an Order Statistic argument with Bayesian inference used to estimate the number of faults within the design and classical inference procedures used to assess the rate of fault detection. Inference procedures within this framework are explored where it is shown the Maximum Likelihood Estimators possess a small bias and converges to the Minimum Variance Unbiased Estimator after few tests for designs with moderate number of faults. It is shown that the Likelihood function can be bimodal when there is conflict between the observed rate of fault detection and the prior distribution describing the number of faults in the design. An illustrative example is provided

Quenched QCD at finite density

Simulations of quenched $QCD$ at relatively small but {\it nonzero} chemical potential $\mu$ on $32 \times 16^3$ lattices indicate that the nucleon screening mass decreases linearly as $\mu$ increases predicting a critical chemical potential of one third the nucleon mass, $m_N/3$, by extrapolation. The meson spectrum does not change as $\mu$ increases over the same range, from zero to $m_\pi/2$. Past studies of quenched lattice QCD have suggested that there is phase transition at $\mu = m_\pi/2$. We provide alternative explanations for these results, and find a number of technical reasons why standard lattice simulation techniques suffer from greatly enhanced fluctuations and finite size effects for $\mu$ ranging from $m_\pi/2$ to $m_N/3$. We find evidence for such problems in our simulations, and suggest that they can be surmounted by improved measurement techniques.Comment: 23 pages, Revte

The pupil's response to affective pictures: Role of image duration, habituation, and viewing mode

The pupil has been shown to be sensitive to the emotional content of stimuli. We examined this phenomenon by comparing fearful and neutral images carefully matched in the domains of luminance, image contrast, image color, and complexity of content. The pupil was more dilated after viewing affective pictures, and this effect was (a) shown to be independent of the presentation time of the images (from 100–3,000 ms), (b) not diminished by repeated presentations of the images, and (c) not affected by actively naming the emotion of the stimuli in comparison to passive viewing. Our results show that the emotional modulation of the pupil is present over a range of variables that typically vary from study to study (image duration, number of trials, free viewing vs. task), and encourages the use of pupillometry as a measure of emotional processing in populations where alternative techniques may not be appropriate

Minimum error discrimination of Pauli channels

We solve the problem of discriminating with minimum error probability two given Pauli channels. We show that, differently from the case of discrimination between unitary transformations, the use of entanglement with an ancillary system can strictly improve the discrimination, and any maximally entangled state allows to achieve the optimal discrimination. We also provide a simple necessary and sufficient condition in terms of the structure of the channels for which the ultimate minimum error probability can be achieved without entanglement assistance. When such a condition is satisfied, the optimal input state is simply an eigenstate of one of the Pauli matrices.Comment: 8 pages, no figure

Analytic Solution for the Critical State in Superconducting Elliptic Films

A thin superconductor platelet with elliptic shape in a perpendicular magnetic field is considered. Using a method originally applied to circular disks, we obtain an approximate analytic solution for the two-dimensional critical state of this ellipse. In the limits of the circular disk and the long strip this solution is exact, i.e. the current density is constant in the region penetrated by flux. For ellipses with arbitrary axis ratio the obtained current density is constant to typically 0.001, and the magnetic moment deviates by less than 0.001 from the exact value. This analytic solution is thus very accurate. In increasing applied magnetic field, the penetrating flux fronts are approximately concentric ellipses whose axis ratio b/a < 1 decreases and shrinks to zero when the flux front reaches the center, the long axis staying finite in the fully penetrated state. Analytic expressions for these axes, the sheet current, the magnetic moment, and the perpendicular magnetic field are presented and discussed. This solution applies also to superconductors with anisotropic critical current if the anisotropy has a particular, rather realistic form.Comment: Revtex file and 13 postscript figures, gives 10 pages of text with figures built i

Position-momentum local realism violation of the Hardy type

We show that it is, in principle, possible to perform local realism violating experiments of the Hardy type in which only position and momentum measurements are made on two particles emanating from a common source. In the optical domain, homodyne detection of the in-phase and out-of-phase amplitude components of an electromagnetic field is analogous to position and momentum measurement. Hence, local realism violations of the Hardy type are possible in optical systems employing only homodyne detection.Comment: 10 pages, no figures, to be published in Physical Review