Anterior Prefrontal Cortex Contributes to Action Selection through Tracking of Recent Reward Trends

The functions of prefrontal cortex remain enigmatic, especially for its anterior sectors, putatively ranging from planning to self-initiated behavior, social cognition, task switching, and memory. A predominant current theory regarding the most anterior sector, the frontopolar cortex (FPC), is that it is involved in exploring alternative courses of action, but the detailed causal mechanisms remain unknown. Here we investigated this issue using the lesion method, together with a novel model-based analysis. Eight patients with anterior prefrontal brain lesions including the FPC performed a four-armed bandit task known from neuroimaging studies to activate the FPC. Model-based analyses of learning demonstrated a selective deficit in the ability to extrapolate the most recent trend, despite an intact general ability to learn from past rewards. Whereas both brain-damaged and healthy controls used comparisons between the two most recent choice outcomes to infer trends that influenced their decision about the next choice, the group with anterior prefrontal lesions showed a complete absence of this component and instead based their choice entirely on the cumulative reward history. Given that the FPC is thought to be the most evolutionarily recent expansion of primate prefrontal cortex, we suggest that its function may reflect uniquely human adaptations to select and update models of reward contingency in dynamic environments

What's the best way to monitor low-risk patients with a history of differentiated thyroid cancer?

Recombinant human thyrotropin (rhTSH)-stimulated serum thyroglobulin (Tg) level alone is sufficient to monitor for recurrent disease in low-risk patients with a history of differentiated thyroid cancer (DTC) (strength of recommendation [SOR] A, meta-analysis). Low-risk patients are defined as patients who have undergone total thyroidectomy and radioactive iodine (I131) remnant ablation therapy and show no clinical evidence of recurrent disease

Investigating attention in complex visual search

How we attend to and search for objects in the real world is influenced by a host of low-level and higher-level factors whose interactions are poorly understood. The vast majority of studies approach this issue by experimentally controlling one or two factors in isolation, often under conditions with limited ecological validity. We present a comprehensive regression framework, together with a matlab-implemented toolbox, which allows concurrent factors influencing saccade targeting to be more clearly distinguished. Based on the idea of gaze selection as a point process, the framework allows each putative factor to be modeled as a covariate in a generalized linear model, and its significance to be evaluated with model-based hypothesis testing. We apply this framework to visual search for faces as an example and demonstrate its power in detecting effects of eccentricity, inversion, task congruency, emotional expression, and serial fixation order on the targeting of gaze. Among other things, we find evidence for multiple goal-related and goal-independent processes that operate with distinct visuotopy and time course

Ranking of Tornado Outbreaks across the United States and Their Climatological Characteristics

The calendar year 2011 was an extraordinary year for tornadoes across the United States, as it marked the second highest annual number of tornadoes since 1950 and was the deadliest tornado year since 1936. Most of the fatalities in 2011 occurred in a series of outbreaks, highlighted by a particularly strong outbreak across the southeastern United States in late April and a series of outbreaks over the Great Plains and Midwest regions in late May, which included a tornado rated as a category 5 event on the enhanced Fujita scale (EF5) that devastated the town of Joplin, Missouri. While most tornado-related fatalities often occur in outbreaks, very few studies have examined the climatological characteristics of outbreaks, particularly those of varying strength. In this study a straightforward metric to assess the strength, or physical magnitude, of tornado outbreaks east of the Rocky Mountains from 1973 to 2010 is developed. This measure of outbreak strength, which integrates the intensity of tornadoes [Fujita (F)/EF-scale rating] over their distance traveled (pathlength), is more highly correlated with injuries and fatalities than other commonly used variables, such as the number of significant tornadoes, and is therefore more reflective of the potential threat of outbreaks to human life. All outbreaks are then ranked according to this metric and their climatological characteristics are examined, with comparisons made to all other tornadoes not associated with outbreaks. The results of the ranking scheme are also compared to those of previous studies, while the strongest outbreaks from 2011 are ranked among other outbreaks in the modern record, including the April 1974 Super Outbreak