Acting without being in control: Exploring volition in Parkinson's disease with impulsive compulsive behaviours.

BACKGROUND: Several aspects of volitional control of action may be relevant in the pathophysiology of impulsive-compulsive behaviours (ICB) in Parkinson's disease (PD). We aimed to explore multiple aspects of action control, assessing reward-related behaviour, inhibition (externally and internally triggered) and sense of agency in PD patients, with and without ICB compared to healthy subjects. METHODS: Nineteen PD patients with ICB (PD-ICB), 19 PD without ICB (PD-no-ICB) and 19 healthy controls (HC) underwent a battery of tests including: Intentional Binding task which measures sense of agency; Stop Signal Reaction Time (SSRT) measuring capacity for reactive inhibition; the Marble task, assessing intentional inhibition; Balloon Analog Risk Task for reward sensitivity. RESULTS: One-way ANOVA showed significant main effect of group for action binding (p = 0.004, F = 6.27). Post hoc analysis revealed that PD-ICB had significantly stronger action binding than HC (p = 0.004), and PD-no-ICB (p = 0.04). There was no difference between PD-no-ICB and HC. SSRT did not differ between PD groups, whereas a significant difference between PD-no-ICB and HC was detected (p = 0.01). No other differences were found among groups in the other tasks. CONCLUSIONS: PD patients with ICB have abnormal performance on a psychophysical task assessing sense of agency, which might be related to a deficit in action representation at cognitive/experiential level. Yet, they have no deficit on tasks evaluating externally and internally triggered inhibitory control, or in reward-based decision-making. We conclude that impaired sense of agency may be a factor contributing to ICB in PD patients

Особливості імуно-гормонального та мікробіологічного статусу у жінок з різними морфологічними формами поліпів ендометрія

Обследовано 58 женщин с полипами эндометрия. Выявлены особенности микробиологического пейзажа, гормонального и иммунного статуса в зависимости от морфологических форм полипов эндометрия. проведенный анализ позволил выделить группы риска по развитию полипов эндометрия. показано, что полип эндометрия следует рассматривать не как местный процесс, а как реакцию эндометрия в ответ на повреждение гормонального и иммунного гомеостаза, что необходимо учитывать при выборе лечения данной патологии58 women with endometrial polyps were investigated. Specific microflora and hormonal and immune status depending on the morphological forms of endometrial polyps were found. The analysis performed allowed to allocate risk groups according to development of endometrial polyp. It was shown that endometrial polyp shall be considered as endometrial reaction in response to hormonal and immune homeostasis disorder, rather than local process. This should be borne in mind when choosing treatment for this patholog

Quantum theory of massless (p,0)-forms

We describe the quantum theory of massless (p,0)-forms that satisfy a suitable holomorphic generalization of the free Maxwell equations on Kaehler spaces. These equations arise by first-quantizing a spinning particle with a U(1)-extended local supersymmetry on the worldline. Dirac quantization of the spinning particle produces a physical Hilbert space made up of (p,0)-forms that satisfy holomorphic Maxwell equations coupled to the background Kaehler geometry, containing in particular a charge that measures the amount of coupling to the U(1) part of the U(d) holonomy group of the d-dimensional Kaehler space. The relevant differential operators appearing in these equations are a twisted exterior holomorphic derivative and its hermitian conjugate (twisted Dolbeault operators with charge q). The particle model is used to obtain a worldline representation of the one-loop effective action of the (p,0)-forms. This representation allows to compute the first few heat kernel coefficients contained in the local expansion of the effective action and to derive duality relations between (p,0) and (d-p-2,0)-forms that include a topological mismatch appearing at one-loop.Comment: 32 pages, 3 figure

6-thioguanine treatment in inflammatory bowel disease: A critical appraisal by a European 6-TG working party

Recently, the suggestion to use 6-thioguanine (6-TG) as an alternative thiopurine in patients with inflammatory bowel disease (IBD) has been discarded due to reports about possible (hepato) toxicity. During meetings arranged in Vienna and Prague in 2004, European experts applying 6-TG further on in IBD patients presented data on safety and efficacy of 6-TG. After thorough evaluation of its risk-benefit ratio, the group consented that 6-TG may still be considered as a rescue drug in stringently defined indications in IBD, albeit restricted to a clinical research setting. As a potential indication for administering 6-TG, we delineated the requirement for maintenance therapy as well as intolerance and/or resistance to aminosalicylates, azathioprine, 6-mercaptopurine, methotrexate and infliximab. Furthermore, indications are preferred in which surgery is thought to be inappropriate. The standard 6-TG dosage should not exceed 25 mg daily. Routine laboratory controls are mandatory in short intervals. Liver biopsies should be performed after 6-12 months, three years and then three-yearly accompanied by gastroduodenoscopy, to monitor for potential hepatotoxicity, including nodular regenerative hyperplasia (NRH) and veno-occlusive disease (VOD). Treatment with 6-TG must be discontinued in case of overt or histologically proven hepatotoxicity. Copyright (c) 2006 S. Karger AG, Basel

The Role of the Striatum in Learning to Orthogonalize CD Action and Valence: A Combined PET and 7 T MRI Aging Study

Pavlovian biases influence instrumental learning by coupling reward seeking with action invigoration and punishment avoidance with action suppression. Using a probabilistic go/no-go task designed to orthogonalize action (go/no-go) and valence (reward/punishment), recent studies have shown that the interaction between the two is dependent on the striatum and its key neuromodulator dopamine. Using this task, we sought to identify how structural and neuromodulatory age-related differences in the striatum may influence Pavlovian biases and instrumental learning in 25 young and 31 older adults. Computational modeling revealed a significant age-related reduction in reward and punishment sensitivity and marked (albeit not significant) reduction in learning rate and lapse rate (irreducible noise). Voxel-based morphometry analysis using 7 Tesla MRI images showed that individual differences in learning rate in older adults were related to the volume of the caudate nucleus. In contrast, dopamine synthesis capacity in the dorsal striatum, assessed using [18F]-DOPA positron emission tomography in 22 of these older adults, was not associated with learning performance and did not moderate the relationship between caudate volume and learning rate. This multiparametric approach suggests that age-related differences in striatal volume may influence learning proficiency in old age

Noncommutativity relations in type IIB theory and their supersymmetry

In the present paper we investigate noncommutativity of $D9$ and $D5$-brane world-volumes embedded in space-time of type IIB superstring theory. Boundary conditions, which preserve half of the initial supersymmetry, are treated as canonical constraints. Solving the constraints we obtain original coordinates in terms of the effective coordinates and momenta. Presence of momenta induces noncommutativity of string endpoints. We show that noncommutativity relations are connected by N=1 supersymmetry transformations and noncommutativity parameters are components of N=1 supermultiplet

Carbon and nitrogen abundances of individual stars in the Sculptor dwarf spheroidal galaxy

We present [C/Fe] and [N/Fe] abundance ratios and CH(_4300) and S(_3883) index measurements for 94 red giant branch (RGB) stars in the Sculptor dwarf spheroidal galaxy from VLT/VIMOS MOS observations at a resolving power R= 1150 at 4020 Å. This is the first time that [N/Fe] abundances are derived for a large number of stars in a dwarf spheroidal. We found a trend for the [C/Fe] abundance to decrease with increasing luminosity on the RGB across the whole metallicity range, a phenomenon observed in both field and globular cluster giants, which can be interpreted in the framework of evolutionary mixing of partially processed CNO material. Both our measurements of [C/Fe] and [N/Fe] are in good agreement with the theoretical predictions for stars at similar luminosity and metallicity. We detected a dispersion in the carbon abundance at a given [Fe/H], which cannot be ascribed to measurement uncertainties alone. We interpret this observational evidence as the result of the contribution of di_erent nucleosynthesis sources over time to a not well-mixed interstellar medium.We report the discovery of two new carbon-enhanced, metal-poor stars. These are likely the result of pollution from material enriched by asymptotic giant branch stars, as indicated by our estimates of [Ba/Fe]> +1. We also attempted a search for dissolved globular clusters in the field of the galaxy by looking for the distinctive C-N pattern of second population globular clusters stars in a previously detected, very metal-poor, chemodynamical substructure.We do not detect chemical anomalies among this group of stars. However, small number statistics and limited spatial coverage do not allow us to exclude the hypotheses that this substructure forms part of a tidally shredded globular cluster