Cooperative tool-use reveals peripersonal and interpersonal spaces are dissociable

The space surrounding people is often termed Interpersonal (IPS) in social psychology and Peripersonal (PPS) in neuroscience. In the current debate about their origin, the prevalent opinion is they share common functional characteristics. Bucking the trend, here we report a dissociation between PPS, operationalized as reachable space, and IPS, operationalized as comfort space. To probe their plasticity we introduced a novel type of cooperative long-tool-use that would modify both spaces. Results showed the estimated IPS referred to another individual was reduced, as expected following a positive social interaction. In sharp contrast, the estimated PPS toward the very same cooperative person was actually extended after use of the same long-tool. Control short-tool-use selectively reduced IPS, but not PPS, when performed in the same cooperative set or had no effect on either space estimation, when performed in a neutral set where the other person is not interacting cooperatively, but simply observing. The use of tools to perform actions in social settings allows us to report the first strong evidence that PPS and IPS underlie dissociable plastic representations: the former representation is sensitive to long-tool-dependent plasticity, whereas the latter representation, independently of use of a short or long tool, is sensitive to cooperation-dependent plasticity

Disentangling action from social space: Tool-use differently shapes the space around Us

Converging evidence suggests close relationships between the action and social space representations. The concepts of peripersonal space, as defined by cognitive neuroscience, and interpersonal space, as defined by social psychology, refer to approximately the same spatial area surrounding our bodies. The aim of this study was thus to assess experimentally whether the peripersonal (PPS) and interpersonal space (IPS) represent a similar psychological entity. Were this true, they should share some functional features. Here we tested tool-use dependent plasticity, known to modulate PPS, but still unexplored in the IPS. Results from two experiments converge in showing that tool-use remapped the actionrelated PPS, measured by a Reaching-distance toward a confederate, but did not affect the social-related IPS, measured by a Comfort-distance task. These findings indicate that PPS and IPS rely on dissociable plastic mechanisms and suggest that, at least in the present experimental conditions, there is no full functional overlap between these two spatial representations

Documento di consenso ANMCO/SIC/SICI-GISE/SICCH: Stratificazione del rischio in chirurgia cardiaca e per l'impianto transcatetere di valvola aortica specifico per il paziente anziano

Aortic stenosis is one the most frequent valvular diseases in developed countries, and its impact on public healthcare resources and assistance is increasing. A substantial proportion of elderly patients with severe aortic stenosis is frequently not eligible for surgery because of advanced age, frailty and multiple comorbidities. Transcatheter aortic valve implantation (TAVI) enables the treatment of very elderly patients at high or prohibitive surgical risk considered ineligible for surgery and with an acceptable life expectancy. However, a significant proportion of patients die or do not achieve an improvement of quality of life in the short to medium-term follow-up. It is important to determine: 1) whether and how much patient frailty influences the procedural risk; 2) whether quality of life and the individual patient survival are influenced by aortic valve disease alone or by other associated factors; 3) whether a geriatric specialist intervention to evaluate and correct other diseases with their potential or already evident disabilities can improve the results of TAVI, in particular patient quality of life. Consequently, in addition to risk stratification with conventional tools, a number of factors including multimorbidity, disability, frailty and cognitive function should be considered in order to assess the expected benefit of TAVI. Preoperative optimization through a multidisciplinary approach with a Heart Team can counteract the multiple damage (cardiac, neurological, muscular, respiratory, renal) that can potentially worsen the reduced physiological reserves characteristic of frailty. The systematic implementation into clinical practice of multidimensional assessment instruments of frailty and cognitive function for screening and exercise, and the adoption of specific care pathways should facilitate this task

Fluorescence-based bowel anastomosis perfusion evaluation: results from the IHU-IRCAD-EAES EURO-FIGS registry

Anastomotic leakage (AL) is one of the dreaded complications following surgery in the digestive tract. Near-infrared fluorescence (NIRF) imaging is a means to intraoperatively visualize anastomotic perfusion, facilitating fluorescence image-guided surgery (FIGS) with the purpose to reduce the incidence of AL. The aim of this study was to analyze the current practices and results of NIRF imaging of the anastomosis in digestive tract surgery through the EURO-FIGS registry

The management of acute venous thromboembolism in clinical practice - study rationale and protocol of the European PREFER in VTE Registry

Background: Venous thromboembolism (VTE) is a major health problem, with over one million events every year in Europe. However, there is a paucity of data on the current management in real life, including factors influencing treatment pathways, patient satisfaction, quality of life (QoL), and utilization of health care resources and the corresponding costs. The PREFER in VTE registry has been designed to address this and to understand medical care and needs as well as potential gaps for improvement. Methods/design: The PREFER in VTE registry was a prospective, observational, multicenter study conducted in seven European countries including Austria, France Germany, Italy, Spain, Switzerland, and the UK to assess the characteristics and the management of patients with VTE, the use of health care resources, and to provide data to estimate the costs for 12 months treatment following a first-time and/or recurrent VTE diagnosed in hospitals or specialized or primary care centers. In addition, existing anticoagulant treatment patterns, patient pathways, clinical outcomes, treatment satisfaction, and health related QoL were documented. The centers were chosen to reflect the care environment in which patients with VTE are managed in each of the participating countries. Patients were eligible to be enrolled into the registry if they were at least 18 years old, had a symptomatic, objectively confirmed first time or recurrent acute VTE defined as either distal or proximal deep vein thrombosis, pulmonary embolism or both. After the baseline visit at the time of the acute VTE event, further follow-up documentations occurred at 1, 3, 6 and 12 months. Follow-up data was collected by either routinely scheduled visits or by telephone calls. Results: Overall, 381 centers participated, which enrolled 3,545 patients during an observational period of 1 year. Conclusion: The PREFER in VTE registry will provide valuable insights into the characteristics of patients with VTE and their acute and mid-term management, as well as into drug utilization and the use of health care resources in acute first-time and/or recurrent VTE across Europe in clinical practice. Trial registration: Registered in DRKS register, ID number: DRKS0000479