When is it adaptive to be patient? A general framework for evaluating delayed rewards

This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this record.The tendency of animals to seek instant gratification instead of waiting for greater long-term benefits has been described as impatient, impulsive or lacking in self-control. How can we explain the evolution of such seemingly irrational behaviour? Here we analyse optimal behaviour in a variety of simple choice situations involving delayed rewards. We show that preferences for more immediate rewards should depend on a variety of factors, including whether the choice is a one-off or is likely to be repeated, the information the animal has about the continuing availability of the rewards and the opportunity to gain rewards through alternative activities. In contrast to the common assertion that rational animals should devalue delayed rewards exponentially, we find that this pattern of discounting is optimal only under restricted circumstances. We predict preference reversal whenever waiting for delayed rewards entails loss of opportunities elsewhere, but the direction of this reversal depends on whether the animal will face the same choice repeatedly. Finally, we question the ecological relevance of standard laboratory tests for impulsive behaviour, arguing that animals rarely face situations analogous to the self-control paradigm in their natural environment. To understand the evolution of impulsiveness, a more promising strategy would be to identify decision rules that are adaptive in a realistic ecological setting, and examine how these rules determine patterns of behaviour in simultaneous choice tests.We thank the European Research Council for financial support (Advanced Grant 250209 to A.I.H.)

Clarifying the relationship between prospect theory and risk-sensitive foraging theory

This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this record.When given a choice between options with uncertain outcomes, people tend to be loss averse and risk averse regarding potential gains and risk prone regarding potential losses. These features of human decision making are captured by prospect theory (PT)-a hugely influential descriptive model of choice, but one which lacks any unifying principle that might explain why such preferences exist. Recently there have been several attempts to connect PT with risk-sensitive foraging theory (RSFT), a normative framework developed by evolutionary biologists to explain how animals should choose optimally when faced with uncertain foraging options. Although this seems a promising direction, here we show that current approaches are overly simplistic, and, despite their claims, they leave key features of PT unaccounted for. A common problem is the failure to appreciate the central concept of reproductive value in RSFT, which depends on the decision maker's current state and the particular situation it faces. Reproductive value provides a common currency in which decisions can be compared in a logical way. In contrast, existing models provide no rational justification for the reference state in PT. Evolutionary approaches to understanding PT preferences must confront this basic problem.This work was supported by the European Research Council (ERC Advanced Grant 250209 to AIH)

Adaptive learning can result in a failure to profit from good conditions: implications for understanding depression.

Published onlineThis is the final version of the article. It first appeared from Oxford University Press via http://dx.doi.org/10.1093/emph/eov009BACKGROUND AND OBJECTIVES: Depression is a major medical problem diagnosed in an increasing proportion of people and for which commonly prescribed psychoactive drugs are frequently ineffective. Development of treatment options may be facilitated by an evolutionary perspective; several adaptive reasons for proneness to depression have been proposed. A common feature of many explanations is that depressive behaviour is a way to avoid costly effort where benefits are small and/or unlikely. However, this viewpoint fails to explain why low mood persists when the situation improves. We investigate whether a behavioural rule that is adapted to a stochastically changing world can cause inactivity which appears similar to the effect of depression, in that it persists after the situation has improved. METHODOLOGY: We develop an adaptive learning model in which an individual has repeated choices of whether to invest costly effort that may result in a net benefit. Investing effort also provides information about the current conditions and rates of change of the conditions. RESULTS: An individual following the optimal behavioural strategy may sometimes remain inactive when conditions are favourable (i.e. when it would be better to invest effort) when it is poorly informed about the current environmental state. Initially benign conditions can predispose an individual to inactivity after a relatively brief period of negative experiences. CONCLUSIONS AND IMPLICATIONS: Our approach suggests that the antecedent factors causing depressed behaviour could go much further back in an individual s history than is currently appreciated. The insights from our approach have implications for the ongoing debate about best treatment options for patients with depressive symptoms.This work was supported by the European Research Council (Evomech Advanced Grant 250 209 to A.I.H.)

Dermal reaction and bigeminal premature ventricular contractions due to neostigmine: a case report

<p>Abstract</p> <p>Introduction</p> <p>Neostigmine is a frequently used acetylcholinesterase inhibitor administered to reverse muscular relaxation caused by nondepolarizing neuromuscular relaxants in patients recovering from general anesthesia. Severe allergic reactions and urticaria are rarely reported following the use of neostigmine bromide, and never with methylsulfate-containing drugs. In this case, bigeminal premature ventricular contractions added to urticaria provides a warning about the possibility of a life-threatening situation.</p> <p>Case presentation</p> <p>We report the case of a 23-year-old Persian woman who presented with bigeminal premature ventricular contractions along with urticarial lesions on her arm and trunk as soon as she was administered neostigmine methylsulfate after undergoing a laparoscopy for ectopic pregnancy.</p> <p>Conclusion</p> <p>This case report could be of value not only for anesthesiologists who routinely use neostigmine but also for others who administer the pharmaceutical preparation in other situations. The report presents a rare case of drug reaction following neostigmine use. As a result, one should consider any drug a probable cause of drug reaction. The preparation of resuscitative facilities, therefore, is necessary prior to the prescription of the medication.</p

The evolution of decision rules in complex environments.

PublishedResearch Support, Non-U.S. Gov'tReviewThis is the author accepted manuscript. The final version is available from Elsevier via http://dx.doi.org/10.1016/j.tics.2013.12.012Models and experiments on adaptive decision-making typically consider highly simplified environments that bear little resemblance to the complex, heterogeneous world in which animals (including humans) have evolved. These studies reveal an array of so-called cognitive biases and puzzling features of behaviour that seem irrational in the specific situation presented to the decision-maker. Here we review an emerging body of work that highlights spatiotemporal heterogeneity and autocorrelation as key properties of most real-world environments that may help us understand why these biases evolved. Ecologically rational decision rules adapted to such environments can lead to apparently maladaptive behaviour in artificial experimental settings. We encourage researchers to consider environments with greater complexity to understand better how evolution has shaped our cognitive systems.This work was funded by the European Research Council (Advanced Grant 250209 to A.I.H.) and the Engineering and Physical Sciences Research Council (grant number EP/I032622/1 to Iain D. Gilchrist)

Axonal plasticity underpins the functional recovery following surgical decompression in a rat model of cervical spondylotic myelopathy.

Cervical spondylotic myelopathy (CSM) is the most common spinal cord disorder and a major cause of disability in adults. Improvements following surgical decompression are limited and patients often remain severely disabled. Post mortem studies indicate that CSM is associated with profound axonal loss. However, our understanding of the pathophysiology of CSM remains limited.To investigate the hypothesis that axonal plasticity plays a role in the recovery following surgical decompression, we adopted a novel preclinical model of mild to moderate CSM. Spinal cord compression resulted in significant locomotor deterioration, increased expression of the axonal injury marker APP, and loss of serotonergic fibres. Surgical decompression partially reversed the deficits and attenuated APP expression. Decompression was also associated with axonal sprouting, reflected in the restoration of serotonergic fibres and an increase of GAP43 expression. The re-expression of synaptophysin indicated the restoration of functional synapses following decompression. Promoting axonal plasticity may therefore be a therapeutic strategy for promoting neurological recovery in CSM.Qatar Foundation, National Institute for Health Research (Clinician Scientist Award Grant ID: CS-2015-15-023), Royal Australasian College of Surgeons (Reg Worcester Research Fellowship), Neurosurgical Society of Australasia (Research Scholarship), Wellcome Trust, Medical Research CouncilThis is the final version of the article. It first appeared from BioMed Central via http://dx.doi.org/10.1186/s40478-016-0359-

The optimisation and production of stable homogeneous amine enriched surfaces with characterised nanotopographical properties for enhanced osteoinduction of mesenchymal stem cells

Silane modification has been proposed as a powerful biomaterial surface modification tool. This is the first comprehensive investigation into effect of silane chain length on the resultant properties of –NH2 silane monolayers (SAMS) and the associated osteoinductive properties of the surface. A range of –NH2 presenting silanes, chain length 3 to 11, were introduced to glass coverslips and characterised using water contact angles, atomic force microscopy, X-ray photoelectron spectroscopy and Ninhydrin assays. The ability of the variation in chain length to form a homogenous layer across the entirety of the surfaces was also assessed. The osteoinductive potential of the resultant surfaces was evaluated by real time polymerase chain reaction, immunocytochemistry and von Kossa staining. Control of surface chemistry and topography was directly associated with changes in chain length. This resulted in the identification of a specific, chain length 11 (CL11) which significantly increased the osteoinductive properties of the modified materials. Only CL11 surfaces had a highly regular nano-topography/roughness which resulted in the formation of an appetite-like layer on the surface that induced a significantly enhanced osteoinductive response (increased expression of osteocalcin, CBFA1, sclerostin and the production of a calcified matrix) across the entirety of the surface

An evolutionary perspective on stress responses, damage and repair

This is the final version. Available on open access from Elsevier via the DOI in this record. Variation in stress responses has been investigated in relation to environmental factors, species ecology, life history and fitness. Moreover, mechanistic studies have unravelled molecular mechanisms of how acute and chronic stress responses cause physiological impacts (‘damage’), and how this damage can be repaired. However, it is not yet understood how the fitness effects of damage and repair influence stress response evolution. Here we study the evolution of hormone levels as a function of stressor occurrence, damage and the efficiency of repair. We hypothesise that the evolution of stress responses depends on the fitness consequences of damage and the ability to repair that damage. To obtain some general insights, we model a simplified scenario in which an organism repeatedly encounters a stressor with a certain frequency and predictability (temporal autocorrelation). The organism can defend itself by mounting a stress response (elevated hormone level), but this causes damage that takes time to repair. We identify optimal strategies in this scenario and then investigate how those strategies respond to acute and chronic exposures to the stressor. We find that for higher repair rates, baseline and peak hormone levels are higher. This typically means that the organism experiences higher levels of damage, which it can afford because that damage is repaired more quickly, but for very high repair rates the damage does not build up. With increasing predictability of the stressor, stress responses are sustained for longer, because the animal expects the stressor to persist, and thus damage builds up. This can result in very high (and potentially fatal) levels of damage when organisms are exposed to chronic stressors to which they are not evolutionarily adapted. Overall, our results highlight that at least three factors need to be considered jointly to advance our understanding of how stress physiology has evolved: (i) temporal dynamics of stressor occurrence; (ii) relative mortality risk imposed by the stressor itself versus damage caused by the stress response; and (iii) the efficiency of repair mechanisms.Swiss National Science FoundationRoyal SocietyAcademy of FinlandSwedish Research Counci

Increasing burden of community-acquired pneumonia leading to hospitalisation, 1998-2014

BACKGROUND: Community-acquired pneumonia (CAP) is a major cause of mortality and morbidity in many countries but few recent large-scale studies have examined trends in its incidence. METHODS: Incidence of CAP leading to hospitalisation in one UK region (Oxfordshire) was calculated over calendar time using routinely collected diagnostic codes, and modelled using piecewise-linear Poisson regression. Further models considered other related diagnoses, typical administrative outcomes, and blood and microbiology test results at admission to determine whether CAP trends could be explained by changes in case-mix, coding practices or admission procedures. RESULTS: CAP increased by 4.2%/year (95% CI 3.6 to 4.8) from 1998 to 2008, and subsequently much faster at 8.8%/year (95% CI 7.8 to 9.7) from 2009 to 2014. Pneumonia-related conditions also increased significantly over this period. Length of stay and 30-day mortality decreased slightly in later years, but the proportions with abnormal neutrophils, urea and C reactive protein (CRP) did not change (p>0.2). The proportion with severely abnormal CRP (>100 mg/L) decreased slightly in later years. Trends were similar in all age groups. Streptococcus pneumoniae was the most common causative organism found; however other organisms, particularly Enterobacteriaceae, increased in incidence over the study period (p<0.001). CONCLUSIONS: Hospitalisations for CAP have been increasing rapidly in Oxfordshire, particularly since 2008. There is little evidence that this is due only to changes in pneumonia coding, an ageing population or patients with substantially less severe disease being admitted more frequently. Healthcare planning to address potential further increases in admissions and consequent antibiotic prescribing should be a priority

Astrocyte response to motor neuron injury promotes structural synaptic plasticity via STAT3-regulated TSP-1 expression.

The role of remote astrocyte (AC) reaction to central or peripheral axonal insult is not clearly understood. Here we use a transgenic approach to compare the direct influence of normal with diminished AC reactivity on neuronal integrity and synapse recovery following extracranial facial nerve transection in mice. Our model allows straightforward interpretations of AC-neuron signalling by reducing confounding effects imposed by inflammatory cells. We show direct evidence that perineuronal reactive ACs play a major role in maintaining neuronal circuitry following distant axotomy. We reveal a novel function of astrocytic signal transducer and activator of transcription-3 (STAT3). STAT3 regulates perineuronal astrocytic process formation and re-expression of a synaptogenic molecule, thrombospondin-1 (TSP-1), apart from supporting neuronal integrity. We demonstrate that, through this new pathway, TSP-1 is responsible for the remote AC-mediated recovery of excitatory synapses onto axotomized motor neurons in adult mice. These data provide new targets for neuroprotective therapies via optimizing AC-driven plasticity.This is the final version. It was first published in Nature Communications here: http://www.nature.com/ncomms/2014/140711/ncomms5294/abs/ncomms5294.html