Executive control in the anterior cingulate cortex

Converging evidence supports the hypothesis that the prefrontal cortex is critical for executive control. One prefrontal subregion, the anterior cingulate cortex has previously been shown to be active in situations involving high conflict, presentation of salient, distracting stimuli, and error processing, i.e. situations that occur when learning new response contingencies, when previously learned response strategies fail, or when a shift in attention or responding is required. These situations all involve goal-oriented monitoring of performance in order to effectively adjust cognitive processes. Several neuropsychological disorders, for instance schizophrenia, attention deficit hyperactivity disorder, and obsessive compulsive disorder, are correlated with morphological changes in the anterior cingulate cortex. Individuals with these disorders show impairments on tasks that require goal-oriented monitoring. The current studies used multiple behavioral paradigms to assess the effects of anterior cingulate cortex excitotoxic lesions in rats on executive control. Animals with anterior cingulate cortex lesions showed greater decline in cognitive capacity as tasks progressed, longer response latencies to conflicting stimuli, impaired reversal learning, impaired error processing, and impaired performance in the presence of previously relevant distractors. These results are consistent with the hypothesis that the anterior cingulate cortex is involved in executive control, specifically monitoring impairments in performance that signal the need to adjust cognitive control

Reaching beyond pregnant women to eliminate mother-to-child transmission of syphilis in Africa

Congenital syphilis is a devastating disease that can be prevented by screening and treatment of infected pregnant women. The WHO is leading a global initiative to eliminate mother-to-child-transmission of syphilis with a goal of 50 congenital syphilis cases per 100,000 live births and targets of 95% antenatal care, 95% syphilis testing, and 95% treatment coverage. We estimated current congenital syphilis rates for 43 African countries, and additional scenarios in a subset of 9 countries. Our analysis suggested that only 4 of 43 countries are likely to currently have a congenital syphilis rate 50 per 100,000 live births, and none of the 9 countries could reach this goal even in 5 different scenarios with improved services. To achieve the eliminate mother-to-child-transmission goal, it appears necessary to intervene beyond services for pregnant women, and decrease prevalence of syphilis in the general population as well

Integrating physiology into correlative models can alter projections of habitat suitability under climate change for a threatened amphibian

Rapid global change has increased interest in developing ways to identify suitable refu-gia for species of conservation concern. Correlative and mechanistic species distribu-tion models (SDMs) represent two approaches to generate spatially-explicit estimates of climate vulnerability. Correlative SDMs generate distributions using statistical associations between environmental variables and species presence data. In contrast, mechanistic SDMs use physiological traits and tolerances to identify areas that meet the conditions required for growth, survival and reproduction. Correlative approaches assume modeled environmental variables influence species distributions directly or indirectly; however, the mechanisms underlying these associations are rarely verified empirically. We compared habitat suitability predictions between a correlative-only SDM, a mechanistic SDM and a correlative framework that incorporated mechanis-tic layers (‘hybrid models’). Our comparison focused on green salamanders Aneides aeneus, a priority amphibian threatened by climate change throughout their disjunct range. We developed mechanistic SDMs using experiments to measure the thermal sensitivity of resistance to water loss (ri) and metabolism. Under current climate con-ditions, correlative-only, hybrid and mechanistic SDMs predicted similar overlap in habitat suitability; however, mechanistic SDMs predicted habitat suitability to extend into regions without green salamanders but known to harbor many lungless salaman-ders. Under future warming scenarios, habitat suitability depended on climate sce-nario and SDM type. Correlative and hybrid models predicted a 42% reduction or 260% increase in area considered to be suitable depending on the climate scenario. In mechanistic SDMs, energetically suitable habitat declined with both climate scenarios and was driven by the thermal sensitivity of ri. Our study indicates that correlative-only and hybrid approaches produce similar predictions of habitat suitability; however, discrepancies can arise for species that do not occupy their entire fundamental niche, which may hold consequences of conservation planning of threatened species

Prenatal Protein Malnutrition Produces Resistance to Distraction Similar to Noradrenergic Deafferentation of the Prelimbic Cortex in a Sustained Attention Task

Exposure to malnutrition early in development increases likelihood of neuropsychiatric disorders, affective processing disorders, and attentional problems later in life. Many of these impairments are hypothesized to arise from impaired development of the prefrontal cortex. The current experiments examine the impact of prenatal malnutrition on the noradrenergic and cholinergic axons in the prefrontal cortex to determine if these changes contribute to the attentional deficits seen in prenatal protein malnourished rats (6% casein vs. 25% casein). Because prenatally malnourished animals had significant decreases in noradrenergic fibers in the prelimbic cortex with spared innervation in the anterior cingulate cortex and showed no changes in acetylcholine innervation of the prefrontal cortex, we compared deficits produced by malnutrition to those produced in adult rats by noradrenergic lesions of the prelimbic cortex. All animals were able to perform the baseline sustained attention task accurately. However, with the addition of visual distractors to the sustained attention task, animals that were prenatally malnourished and those that were noradrenergically lesioned showed cognitive rigidity, i.e., were less distractible than control animals. All groups showed similar changes in behavior when exposed to withholding reinforcement, suggesting specific attentional impairments rather than global difficulties in understanding response rules, bottom-up perceptual problems, or cognitive impairments secondary to dysfunction in sensitivity to reinforcement contingencies. These data suggest that prenatal protein malnutrition leads to deficits in noradrenergic innervation of the prelimbic cortex associated with cognitive rigidity

Laboratory evaluation of three dual rapid diagnostic tests for HIV and syphilis in China and Nigeria

AbstractObjectiveTo determine the laboratory-based performance and operational characteristics of three dual rapid diagnostic tests (RDTs) for testing HIV and syphilis.MethodsThree dual RDTs (SD Bioline, Chembio, and MedMira) were evaluated using 1514 serum specimens archived at laboratories or collected from clinics in China and Nigeria to determine sensitivity and specificity, with 95% confidence intervals. Concordance of testing results read by two technicians, stability of testing results read at two time points, and test operation characteristics were also assessed.ResultsAll three of the evaluated RDTs gave excellent performance with a combined sensitivity ranging from 99.0%–99.6% for HIV and 98.3%–99.0% for syphilis, and a combined specificity ranging from 97.9%–99.0% for HIV and 97.2%–99.6% for syphilis. Concordance of testing results between two technicians and stability of testing results read within and one hour past the recommended reading period showed excellent agreement, with Kappa greater than or equal to 0.98.ConclusionsAll the tests were found to be very or fairly easy to use and easy to interpret the results. Further evaluations of these dual RDTs with whole blood in field settings, and more studies on the implication of introduction of these tests in HIV and syphilis control programs are needed

The Grizzly, February 9, 1979

False Alarm Leads To Student Arrest • Annual Report Reveals Enrollment Decline • SFARC Disbandment Questioned • ID Crackdown • USGA Election Results • Career Counseling & Placement Services • Letters to the Editor: Snack shop; Zeta Chi; Food waste angers waitress; Theft precautions cited • Roving Reporter: Forums requirement • Ursinus News In Brief: Soviet relations; Basses needed • An Inside View of Alice Cooper • Audio Corner: Turntables • Al Stewart: England\u27s Answer to Bob Dylan • Sheer Energy • Sport Book Review • New Semester; New Offerings • Grapplers Take Two • Bruins Split • Indoor Bears Off and Running • Men\u27s Swim Goes Under • Gymnasts Revenge Pennhttps://digitalcommons.ursinus.edu/grizzlynews/1012/thumbnail.jp

An academic health center cost analysis of screening mammography

BACKGROUND The current study sought to determine the institutional financial impact of a screening mammography (SM) program in the context of an integrated cancer center. METHODS Using administrative databases, 10,048 women were identified as receiving screening mammograms in fiscal year 1999 and the first one-half of fiscal year 2000. The utilization of breast care resources was followed for an average of 1208 days. The University of Michigan cost accounting system was then used to determine overall margin (revenues − total costs) and contribution margin (revenues − actual costs) of the SM program, as well as other breast care services. RESULTS The percentage of variable costs to total costs for the SM program was 24%. The overall facility losses in the breast care line were $1.7 million with a positive contribution margin of$2.0 million. The annual yield of nonscreening/diagnostic mammographic procedures was 0.9%. All types of radiologic activity failed to cover their total costs, but did provide a positive contribution margin. Overall margins for surgery procedures were approximately even, and adjuvant medical and radiotherapy services were net positive. Modeling helped to identify overhead limits necessary to achieve margin targets associated with increased activity. CONCLUSIONS The current study showed that SM programs are unlikely to succeed financially without careful selection of those screened to increase the yield of diagnostic and therapeutic procedures. Based on favorable contribution margins, SM programs were viable when viewed as incremental business. Cancer 2004. © 2004 by the American Cancer Society.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/34389/1/20476_ftp.pd

The Benefits and Burdens of Pediatric Palliative Care and End-of-Life Research: A Systematic Review

Objective: The aim of this study is to report the benefits and burdens of palliative research participation on children, siblings, parents, clinicians, and researchers. Background: Pediatric palliative care requires research to mature the science and improve interventions. A tension exists between the desire to enhance palliative and end-of-life care for children and their families and the need to protect these potentially vulnerable populations from untoward burdens. Methods: Systematic review followed PRISMA guidelines with prepared protocol registered as PROSPERO #CRD42018087304. MEDLINE, CINAHL, PsycINFO, EMBASE, Scopus, and The Cochrane Library were searched (2000–2017). English-language studies depicting the benefits or burdens of palliative care or end-of-life research participation on either pediatric patients and/or their family members, clinicians, or study teams were eligible for inclusion. Study quality was appraised using the Mixed Methods Appraisal Tool (MMAT). Results: Twenty-four studies met final inclusion criteria. The benefit or burden of palliative care research participation was reported for the child in 6 papers; siblings in 2; parents in 19; clinicians in 3; and researchers in 5 papers. Benefits were more heavily emphasized by patients and family members, whereas burdens were more prominently emphasized by researchers and clinicians. No paper utilized a validated benefit/burden scale. Discussion: The lack of published exploration into the benefits and burdens of those asked to take part in pediatric palliative care research and those conducting the research is striking. There is a need for implementation of a validated benefit/burden instrument or interview measure as part of pediatric palliative and end-of-life research design and reporting

Observing Mars from Areostationary Orbit: Benefits and Applications

n/

Development and validation of a computerized expert system for evaluation of automated visual fields from the Ischemic Optic Neuropathy Decompression Trial

BACKGROUND: The objective of this report is to describe the methods used to develop and validate a computerized system to analyze Humphrey visual fields obtained from patients with non-arteritic anterior ischemic optic neuropathy (NAION) and enrolled in the Ischemic Optic Neuropathy Decompression Trial (IONDT). The IONDT was a multicenter study that included randomized and non-randomized patients with newly diagnosed NAION in the study eye. At baseline, randomized eyes had visual acuity of 20/64 or worse and non-randomized eyes had visual acuity of better than 20/64 or were associated with patients refusing randomization. Visual fields were measured before treatment using the Humphrey Field Analyzer with the 24-2 program, foveal threshold, and size III stimulus. METHODS: We used visual fields from 189 non-IONDT eyes with NAION to develop the computerized classification system. Six neuro-ophthalmologists ("expert panel") described definitions for visual field patterns defects using 19 visual fields representing a range of pattern defect types. The expert panel then used 120 visual fields, classified using these definitions, to refine the rules, generating revised definitions for 13 visual field pattern defects and 3 levels of severity. These definitions were incorporated into a rule-based computerized classification system run on Excel(® )software. The computerized classification system was used to categorize visual field defects for an additional 95 NAION visual fields, and the expert panel was asked to independently classify the new fields and subsequently whether they agreed with the computer classification. To account for test variability over time, we derived an adjustment factor from the pooled short term fluctuation. We examined change in defects with and without adjustment in visual fields of study participants who demonstrated a visual acuity decrease within 30 days of NAION onset (progressive NAION). RESULTS: Despite an agreed upon set of rules, there was not good agreement among the expert panel when their independent visual classifications were compared. A majority did concur with the computer classification for 91 of 95 visual fields. Remaining classification discrepancies could not be resolved without modifying existing definitions. Without using the adjustment factor, visual fields of 63.6% (14/22) patients with progressive NAION and no central defect, and all (7/7) patients with a paracentral defect, worsened within 30 days of NAION onset. After applying the adjustment factor, the visual fields of the same patients with no initial central defect and 5/7 of the patients with a paracentral defect were seen to worsen. CONCLUSION: The IONDT developed a rule-based computerized system that consistently defines pattern and severity of visual fields of NAION patients for use in a research setting