Effects of hand orientation on motor imagery - event related potentials suggest kinesthetic motor imagery to solve the hand laterality judgment task

Motor imagery (MI) refers to the process of imagining the execution of a specific motor action without actually producing an overt movement. Two forms of MI have been distinguished: visual MI and kinesthetic MI. To distinguish between these forms of MI we employed an event related potential (ERP) study to measure interference effects induced by hand orientation manipulations in a hand laterality judgement task. We hypothesized that this manipulation should only affect kinesthetic MI but not visual MI. The ERPs elicited by rotated hand stimuli contained the classic rotation related negativity (RRN) with respect to palm view stimuli. We observed that laterally rotated stimuli led to a more marked RRN than medially rotated stimuli. This RRN effect was observed when participants had their hands positioned in either a straight (control) or an inward rotated posture, but not when their hands were positioned in an outward rotated posture. Posture effects on the ERP-RRN have not previously been studied. Apparently, a congruent hand posture (hands positioned in an outward rotated fashion) facilitates the judgement of the otherwise more demanding laterally rotated hand stimuli. These ERP findings support a kinesthetic interpretation of MI involved in solving the hand laterality judgement task. The RRN may be used as a non-invasive marker for kinesthetic MI and seems useful in revealing the covert behavior of MI in e.g. rehabilitation programs

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

Disk Evolution Study Through Imaging of Nearby Young Stars (DESTINYS): HD 34700 A unveils an inner ring

Context. The study of protoplanetary disks is fundamental to understand their evolution and interaction with the surrounding environment, and to constrain planet formation mechanisms. Aims. We aim to characterise the young binary system HD34700A, which shows a wealth of structures. Methods. Taking advantage of the high-contrast imaging instruments SPHERE at the VLT, LMIRCam at the LBT, and of ALMA observations, we analyse this system at multiple wavelengths. We study the morphology of the rings and spiral arms and the scattering properties of the dust. We discuss the possible causes of all the observed features. Results. We detect for the first time, in the Hα band, a ring extending from ∼65 au to ∼120 au, inside the ring which is already known from recent studies. These two have different physical and geometrical properties. Based on the scattering properties, the outer ring may consist of grains with a typical size of aout ≥ 4 μm, while the inner ring has a smaller typical size of ain ≤ 0.4 μm. Two extended logarithmic spiral arms stem from opposite sides of the disk. The outer ring appears as a spiral arm itself, with a variable radial distance from the centre and extended substructures. ALMA data confirm the presence of a millimetric dust substructure centred just outside the outer ring, and detect misaligned gas rotation patterns for HD34700 A and B. Conclusions. The complexity of HD34700A, revealed by the variety of observed features, suggests the existence of one or more diskshaping physical mechanisms. Our findings are compatible with the presence inside the disk of an as of yet undetected planet of several Jupiter masses and the system interaction with the surroundings, by means of gas cloudlet capture or flybys. Further observations with JWST/MIRI or ALMA (gas kinematics) could shed more light on them.ISSN:0004-6361ISSN:1432-074

A SPHERE survey of self-shadowed planet-forming disks

International audienceTo date, nearly two hundred planet-forming disks have been imaged at high resolution. Our propensity to study bright and extended objects does, however, bias our view of the disk demography. In this work, we aim to help alleviate this bias by analyzing fifteen disks targeted with VLT/SPHERE that look faint in scattered light. Sources were selected based on a low far-infrared excess from the spectral energy distribution. The comparison with the ALMA images available for a few sources shows that the scattered light surveyed by these datasets is only detected from a small portion of the disk extent. The mild anticorrelation between the disk brightness and the near-infrared excess demonstrates that these disks are self-shadowed: the inner disk rim intercepts much starlight and leaves the outer disk in penumbra. Based on the uniform distribution of the disk brightness in scattered light across all spectral types, self-shadowing would act similarly for inner rims at a different distance from the star. We discuss how the illumination pattern of the outer disk may evolve with time. Some objects in the sample are proposed to be at an intermediate stage toward bright disks from the literature, with either no shadow or with signs of azimuthally confined shadows

Divergence of categorical and coordinate spatial processing assessed with ERPs

The spatial relation between two objects may be described either precisely or more coarsely in abstract terms, denoted as coordinate and categorical descriptions, respectively. These descriptions may reflect the outcomes of two spatial coding processes, which are realized in the left- and right-hemisphere. Support for this account comes from visual field effects in categorical and coordinate judgment tasks and from patient studies. In the current study, this hypothesis was tested by using event-related potentials (ERPs) and source localization. ERPs yield information about the processing stage at which the hypothesized categorical and coordinate processing diverge due to different task demands, especially in our S1–S2 version of the Bar Dot task. A centrally presented Bar Dot (S1) was followed after 2.5 s by a second one (S2) in the left or right visual field; participants had to judge whether S2 matched S1 at the categorical, or, in a second task, at the coordinate level. Behavioral measures revealed a left-field advantage in the coordinate task that was absent in the categorical task. S1s elicited stronger early and late bilateral posterior responses in the coordinate than in the categorical task, possibly related to a compensatory strategy at the level of encoding and spatial memory. S2s elicited only stronger early contralateral responses, and stronger late right-hemisphere responses in the categorical task. It is proposed that the left-field advantage in the coordinate task may be due to differences in spatial resolution in perceptual encoding of the left- and right-hemispheres that are largely unaffected by the task at hand. \u

Revealing asymmetrical dust distribution in the inner regions of HD 141569

Context. The combination of high-contrast imaging with spectroscopy and polarimetry offers a pathway to studying the grain distribution and properties of debris disks in exquisite detail. Here, we focus on the case of a gas-rich debris disk around HD 141569A, which features a multiple-ring morphology first identified with SPHERE in the near-infrared. Aims. We obtained polarimetric differential imaging with SPHERE in the H-band to compare the scattering properties of the innermost ring at 44 au with former observations in total intensity with the same instrument. In polarimetric imaging, we observed that the intensity of the ring peaks in the south-east, mostly in the forward direction, whereas in total intensity imaging, the ring is detected only at the south. This noticeable characteristic suggests a non-uniform dust density in the ring. With these two sets of images, we aim to study the distribution of the dust to solve for the actual dust distribution. Methods. We implemented a density function varying azimuthally along the ring and generated synthetic images both in polarimetry and in total intensity, which are then compared to the actual data. The search for the best-fit model was performed both with a grid-based and an MCMC approach. Using the outcome of this modelization, we further measured the polarized scattering phase function for the observed scattering angle between 33° and 147° as well as the spectral reflectance of the southern part of the ring between 0.98 and 2.1 μm. We tentatively derived the grain properties by comparing these quantities with MCFOST models and assuming Mie scattering. Results. We find that the dust density peaks in the south-west at an azimuthal angle of 220°~238° with a rather broad width of 61°~127°. The difference in the intensity distributions observed in polarimetry and total intensity is the result of this particular morphology. Although there are still uncertainties that remain in the determination of the anisotropic scattering factor, the implementation of an azimuthal density variation to fit the data proved to be robust. Upon elaborating on the origin of this dust density distribution, we conclude that it could be the result of a massive collision when we account for the effect of the high gas mass that is present in the system on the dynamics of grains. In terms of grain composition, our preliminary interpretation indicates a mixture of porous sub-micron sized astro-silicate and carbonaceous grains. Conclusions. The SPHERE observations have allowed, for the first time, for meaningful constraints to be placed on the dust distribution beyond the standard picture of a uniform ring-like debris disk. However, future studies with a multiwavelength approach and additional detailed modeling would be required to better characterize the grain properties in the HD 141569 system.ISSN:0004-6361ISSN:1432-074

A triple star in disarray: Multi-epoch observations of T Tauri with VLT-SPHERE and LBT-LUCI

International audienceAims. T Tauri remains an enigmatic triple star for which neither the evolutionary state of the stars themselves, nor the geometry of the complex outflow system is completely understood. Eight-meter class telescopes equipped with state-of-the-art adaptive optics provide the spatial resolution necessary to trace tangential motion of features over a timescale of a few years, and they help to associate them with the different outflows.Methods. We used J-, H-, and K-band high-contrast coronagraphic imaging with VLT-SPHERE recorded between 2016 and 2018 to map reflection nebulosities and obtain high precision near-infrared (NIR) photometry of the triple star. We also present H2 emission maps of the ν = 1-0 S(1) line at 2.122 μm obtained with LBT-LUCI during its commissioning period at the end of 2016.Results. The data reveal a number of new features in the system, some of which are seen in reflected light and some are seen in H2 emission; furthermore, they can all be associated with the main outflows. The tangential motion of the features provides compelling evidence that T Tauri Sb drives the southeast–northwest outflow. T Tauri Sb has recently faded probably because of increased extinction as it passes through the southern circumbinary disk. While Sb is approaching periastron, T Tauri Sa instead has brightened and is detected in all our J-band imagery for the first time

The high-albedo, low polarization disk around HD 114082 harbouring a Jupiter-sized transiting planet: Constraints from VLT/SPHERE completed with TESS, Gaia, and radial velocities

We present new optical and near-IR images of debris disk around the F-type star HD 114082. We obtained direct imaging observations and analysed the TESS photometric time series data of this target with a goal to search for planetary companions and to characterise the morphology of the debris disk and the scattering properties of dust particles. HD 114082 was observed with the VLT/SPHERE instrument: the IRDIS camera in the K band together with the IFS in the Y, J and H band using the ADI technique as well as IRDIS in the H band and ZIMPOL in the I_PRIME band using the PDI technique. The scattered light images were fitted with a 3D model for single scattering in an optically thin dust disk. We performed aperture photometry in order to derive the scattering and polarized phase functions, polarization fraction and spectral scattering albedo for the dust particles in the disk. This method was also used to obtain the reflectance spectrum of the disk to retrieve the disk color and study the dust reflectivity in comparison to the debris disk HD 117214. We also performed the modeling of the HD 114082 light curve measured by TESS using the models for planet transit and stellar activity to put constraints on radius of the detected planet and its orbit. The debris disk appears as an axisymmetric debris belt with a radius of ~0.37$"$ (35 au), inclination of ~83$^\circ$ and a wide inner cavity. Dust particles in HD 114082 have a maximum polarization fraction of ~17% and a high reflectivity which results in a spectral scattering albedo of 0.65. The analysis of TESS photometric data reveals a transiting planetary companion to HD 114082 with a radius of $\sim$1~$\rm R_{J}$ on an orbit with a semi-major axis of $0.7 \pm 0.4$ au. Combining different data, we reach deep sensitivity limits in terms of companion masses down to ~5$M_{\rm Jup}$ at 50 au, and ~10 $M_{\rm Jup}$ at 30 au from the central star.ISSN:0004-6361ISSN:1432-074