Combined visual and motor disorganization in patients with schizophrenia

Cognitive impairments are difficult to relate to clinical symptoms in schizophrenia, partly due to insufficient knowledge on how cognitive impairments interact with one another. Here, we devised a new sequential pointing task requiring both visual organization and motor sequencing. Six circles were presented simultaneously on a touch screen around a fixation point. Participants pointed with the finger each circle one after the other, in synchrony with auditory tones. We used an alternating rhythmic 300/600 ms pattern so that participants performed pairs of taps separated by short intervals of 300 ms. Visual organization was manipulated by using line-segments that grouped the circles two by two, yielding three pairs of connected circles, and three pairs of unconnected circles that belonged to different pairs. This led to three experimental conditions. In the “congruent condition,” the pairs of taps had to be executed on circles grouped by connecters. In the “non congruent condition,” they were to be executed on the unconnected circles that belonged to different pairs. In a neutral condition, there were no connecters. Twenty two patients with schizophrenia with mild symptoms and 22 control participants performed a series of 30 taps in each condition. Tap pairs were counted as errors when the produced rhythm was inverted (expected rhythm 600/300 = 2; inversed rhythm <1). Error rates in patients with a high level of clinical disorganization were significantly higher in the non-congruent condition than in the two other conditions, contrary to controls and the remaining patients. The tap-tone asynchrony increased in the presence of connecters in both patient groups, but not in the controls. Patients appeared not to integrate the visual organization during the planning phase of action, leading to a large difficulty during motor execution, especially in those patients revealing difficulties in visual organization. Visual motor tapping tasks may help detect those subgroups of patients

Electron-hole asymmetry in the phase diagram of carrier-tuned CsV3_3Sb5_5

Here we study the effect of electron doping the kagome superconductor CsV$_3$Sb$_5$. Single crystals and powders of CsV$_3$Sb$_{5-x}$Te$_x$ are synthesized and characterized via magnetic susceptibility, nuclear quadrupole resonance, and x-ray diffraction measurements, where we observe a slight suppression of the charge density wave transition temperature and superconducting temperature with the introduction of electron dopants. In contrast to hole-doping, both transitions survive relatively unperturbed up to the solubility limit of Te within the lattice. A comparison is presented between the electronic phase diagrams of electron- and hole-tuned CsV$_3$Sb$_5$.Comment: 11 pages, 4 figure

Miscibility amongst AV3_3Sb5_5 kagome superconductors: design of mixed A-site AV3_3Sb5_5 (A: K, Rb, Cs) alloys

In this work we explore the chemical-property phase diagram of the AV$_3$Sb$_5$ family through A-site alloying. We demonstrate full miscibility of the alkali-site, highlighting that the three parent compounds are the terminal ends of a single solid-solution. Using both polycrystalline and single crystal methods, we map the dependence of the two primary electronic instabilities: (1) the onset of charge density wave (CDW) order ($T_\text{CDW}$) and (2) the onset of superconductivity ($T_\text{c}$) with alkali-site composition. We show continuous trends in both $T_\text{CDW}$ and $T_\text{c}$, including a region of enhanced CDW stability in K$_{1-x}$Cs$_{x}$V$_3$Sb$_5$ alloys. Together, our results open new routes for chemical perturbation and exploration of the chemical-property relationships in the class of AV$_3$Sb$_5$ kagome superconductors

Optical Manipulation of the Charge Density Wave state in RbV3Sb5

Broken time-reversal symmetry in the absence of spin order indicates the presence of unusual phases such as orbital magnetism and loop currents. The recently discovered family of kagome superconductors AV$_3$Sb$_5$ (A = K, Rb, or Cs), hosting an exotic charge-density wave (CDW) state, has emerged as a strong candidate for this phase. While initial experiments suggested that the CDW phase breaks time-reversal symmetry, this idea is being intensely debated due to conflicting experimental data. In this work we use laser-coupled scanning tunneling microscopy (STM) to study RbV$_3$Sb$_5$. STM data shows that the Fourier intensities of all three CDW peaks are different, implying that the CDW breaks rotational and mirror symmetries. By applying linearly polarized light along high-symmetry directions, we show that the relative intensities of the CDW peaks can be reversibly switched, implying a substantial electro-striction response, indicative of strong non-linear electron-phonon coupling. A similar CDW intensity switching is observed with perpendicular magnetic fields, which implies an unusual piezo-magnetic response that, in turn, requires time-reversal symmetry-breaking. We show that the simplest CDW that satisfies these constraints and reconciles previous seemingly contradictory experimental data is an out-of-phase combination of bond charge order and loop currents that we dub congruent CDW flux phase. Our laser-STM data opens the door to the possibility of dynamic optical control of complex quantum phenomenon in correlated materials.Comment: main text: 20 pages, 4 figures // Methods and Extended Data: 16 pages, 6 figure

Anestesia Locorregional para Hernioplastia Inguinal Programada

La región inguinal está inervada principalmente por ramas de los nervios ilioinguinal o abdominogenital mayor e iliohipogástrico o abdominogenital menor (fino e inconstante). El bloqueo de estos nervios proporciona adecuada analgesia perioperatoria en intervenciones de hernia inguinal. Ambos nervios proceden de las raíces T12 y L1 del plexo lumbar y emergen de la parte superior del borde lateral del músculo psoas mayor. El nervio Ilioinguinal es más pequeño y cursa caudal al nervio Iliohipogástrico. Atraviesan oblicuamente anterior al cuadrado lumbar y al músculo ilíaco y perforan el músculo transverso abdominal cerca de la espina iliaca anterosuperior que resulta una buena referencia incluso en el paciente obeso. En la pared abdominal anterior, ambos nervios viajan en el plano transverso abdominal. Nervio iliohipogástrico A nivel de la cresta ilíaca, atraviesa el músculo transverso y después discurre a lo largo de la cara posterior del músculo oblicuo interno. En este punto, proporciona un ramo glúteo que inerva la parte superior de la nalga y después se divide en dos ramos terminales, uno abdominal que atraviesa los músculos oblicuos en sentido posteroanterior para inervar la pared anteroinferior del abdomen, y el otro genital, que discurre de forma subcutánea e inerva la piel a nivel del pubis, de los labios mayores o del escroto y de la parte superomedial del muslo. Nervio ilioinguinal Está situado en el mismo plano músculo-aponeurótico que el nervio iliohipogástrico, pero por debajo de él. Tras la cresta ilíaca, atraviesa el músculo oblicuo interno y se divide en dos ramas: uno abdominal y otro genital, ramos terminales del nervio iliohipogástrico

Further investigation of confirmed urinary tract infection (UTI) in children under five years: a systematic review.

Background: Further investigation of confirmed UTI in children aims to prevent renal scarring and future complications. Methods: We conducted a systematic review to determine the most effective approach to the further investigation of confirmed urinary tract infection (UTI) in children under five years of age. Results: 73 studies were included. Many studies had methodological limitations or were poorly reported. Effectiveness of further investigations: One study found that routine imaging did not lead to a reduction in recurrent UTIs or renal scarring. Diagnostic accuracy: The studies do not support the use of less invasive tests such as ultrasound as an alternative to renal scintigraphy, either to rule out infection of the upper urinary tract (LR- = 0.57, 95%CI: 0.47, 0.68) and thus to exclude patients from further investigation or to detect renal scarring (LR+ = 3.5, 95% CI: 2.5, 4.8). None of the tests investigated can accurately predict the development of renal scarring. The available evidence supports the consideration of contrast-enhanced ultrasound techniques for detecting vesico-ureteric reflux (VUR), as an alternative to micturating cystourethrography (MCUG) (LR+ = 14.1, 95% CI: 9.5, 20.8; LR- = 0.20, 95%CI: 0.13, 0.29); these techniques have the advantage of not requiring exposure to ionising radiation. Conclusion: There is no evidence to support the clinical effectiveness of routine investigation of children with confirmed UTI. Primary research on the effectiveness, in terms of improved patient outcome, of testing at all stages in the investigation of confirmed urinary tract infection is urgently required

Stm1p alters the ribosome association of eukaryotic elongation factor 3 and affects translation elongation

Stm1p is a Saccharomyces cerevisiae protein that is primarily associated with cytosolic 80S ribosomes and polysomes. Several lines of evidence suggest that Stm1p plays a role in translation under nutrient stress conditions, although its mechanism of action is not yet known. In this study, we show that yeast lacking Stm1p (stm1Δ) are hypersensitive to the translation inhibitor anisomycin, which affects the peptidyl transferase reaction in translation elongation, but show little hypersensitivity to other translation inhibitors such as paromomycin and hygromycin B, which affect translation fidelity. Ribosomes isolated from stm1Δ yeast have intrinsically elevated levels of eukaryotic elongation factor 3 (eEF3) associated with them. Overexpression of eEF3 in cells lacking Stm1p results in a growth defect phenotype and increased anisomycin sensitivity. In addition, ribosomes with increased levels of Stm1p exhibit decreased association with eEF3. Taken together, our data indicate that Stm1p plays a complementary role to eEF3 in translation

How does study quality affect the results of a diagnostic meta-analysis?

Background: The use of systematic literature review to inform evidence based practice in diagnostics is rapidly expanding. Although the primary diagnostic literature is extensive, studies are often of low methodological quality or poorly reported. There has been no rigorously evaluated, evidence based tool to assess the methodological quality of diagnostic studies. The primary objective of this study was to determine the extent to which variations in the quality of primary studies impact the results of a diagnostic meta-analysis and whether this differs with diagnostic test type. A secondary objective was to contribute to the evaluation of QUADAS, an evidence-based tool for the assessment of quality in diagnostic accuracy studies. Methods: This study was conducted as part of large systematic review of tests used in the diagnosis and further investigation of urinary tract infection (UTI) in children. All studies included in this review were assessed using QUADAS, an evidence-based tool for the assessment of quality in systematic reviews of diagnostic accuracy studies. The impact of individual components of QUADAS on a summary measure of diagnostic accuracy was investigated using regression analysis. The review divided the diagnosis and further investigation of UTI into the following three clinical stages: diagnosis of UTI, localisation of infection, and further investigation of the UTI. Each stage used different types of diagnostic test, which were considered to involve different quality concerns. Results: Many of the studies included in our review were poorly reported. The proportion of QUADAS items fulfilled was similar for studies in different sections of the review. However, as might be expected, the individual items fulfilled differed between the three clinical stages. Regression analysis found that different items showed a strong association with test performance for the different tests evaluated. These differences were observed both within and between the three clinical stages assessed by the review. The results of regression analyses were also affected by whether or not a weighting (by sample size) was applied. Our analysis was severely limited by the completeness of reporting and the differences between the index tests evaluated and the reference standards used to confirm diagnoses in the primary studies. Few tests were evaluated by sufficient studies to allow meaningful use of meta-analytic pooling and investigation of heterogeneity. This meant that further analysis to investigate heterogeneity could only be undertaken using a subset of studies, and that the findings are open to various interpretations. Conclusion: Further work is needed to investigate the influence of methodological quality on the results of diagnostic meta-analyses. Large data sets of well-reported primary studies are needed to address this question. Without significant improvements in the completeness of reporting of primary studies, progress in this area will be limited

Moving Just Like You: Motor Interference Depends on Similar Motility of Agent and Observer

Recent findings in neuroscience suggest an overlap between brain regions involved in the execution of movement and perception of another’s movement. This so-called “action-perception coupling” is supposed to serve our ability to automatically infer the goals and intentions of others by internal simulation of their actions. A consequence of this coupling is motor interference (MI), the effect of movement observation on the trajectory of one’s own movement. Previous studies emphasized that various features of the observed agent determine the degree of MI, but could not clarify how human-like an agent has to be for its movements to elicit MI and, more importantly, what ‘human-like’ means in the context of MI. Thus, we investigated in several experiments how different aspects of appearance and motility of the observed agent influence motor interference (MI). Participants performed arm movements in horizontal and vertical directions while observing videos of a human, a humanoid robot, or an industrial robot arm with either artificial (industrial) or human-like joint configurations. Our results show that, given a human-like joint configuration, MI was elicited by observing arm movements of both humanoid and industrial robots. However, if the joint configuration of the robot did not resemble that of the human arm, MI could longer be demonstrated. Our findings present evidence for the importance of human-like joint configuration rather than other human-like features for perception-action coupling when observing inanimate agents

Spatiotemporal processing of somatosensory stimuli in schizotypy

Unusual interaction behaviors and perceptual aberrations, like those occurring in schizotypy and schizophrenia, may in part originate from impaired remapping of environmental stimuli in the body space. Such remapping is contributed by the integration of tactile and proprioceptive information about current body posture with other exteroceptive spatial information. Surprisingly, no study has investigated whether alterations in such remapping occur in psychosis-prone individuals. Four hundred eleven students were screened with respect to schizotypal traits using the Schizotypal Personality Questionnaire. A subgroup of them, classified as low, moderate, and high schizotypes were to perform a temporal order judgment task of tactile stimuli delivered on their hands, with both uncrossed and crossed arms. Results revealed marked differences in touch remapping in the high schizotypes as compared to low and moderate schizotypes. For the first time here we reveal that the remapping of environmental stimuli in the body space, an essential function to demarcate the boundaries between self and external world, is altered in schizotypy. Results are discussed in relation to recent models of 'self-disorders' as due to perceptual incoherence