Acute global longitudinal strain evaluation in patients with subacute to chronic chest pain: A pilot, observational study

Background

Global longitudinal strain (GLS) imaging is a multifaceted modality that has been utilized in various fields of clinical cardiology in the recent past; however, its implementation for the assessment of ischemia has been limited.

Objectives

This study aimed to document the functional changes in GLS secondary to acute myocardial ischemia in patients with chronic chest pain.

Methods

In this unblinded, single-center, investigator-initiated, prospective pilot study, the functional changes in GLS at baseline, during, and immediately following coronary percutaneous intervention were monitored in 10 ambulatory patients who underwent elective catheterization. The exclusion criteria included a low ejection fraction, or a history of chemoradiation, myopathy, and congenital heart disease.

Results

The average GLS at baseline, during the balloon intervention (BI), and 1-2 min after BI was -15.4 % ± 3.3 %, -10.2 % ± 3.6 %, and -16.1 % ± 4.2 %, respectively. The average GLS decreased significantly by 5.1 % (95 % CI, -7.9 % to -2.3; P = 0.0013) from baseline to BI, increased by 6.3 % (95 % CI, 3.7 % to 8.9 %; P < 0.001) from BI to immediately post-BI, and increased by 0.7 % from baseline to post-BI (95 % CI, -0.4 % to 2.7 %; P = 0.161).

Conclusion

Patients undergoing BI showed a significant decrease in the average GLS within 1-2 min of BI, with GLS returning to baseline subsequently, clearly demonstrating the efficacy of the modality and the clinical significance of data obtained. These functional changes replicate cardiac perfusion to the segments supplied by respective vessels and its effect with reperfusion or ballooning. The slight increase in GLS from baseline to post-intervention was not statistically significant, which could be attributed to the confounding factors. Analyzing our data, we can safely conclude that GLS is potentially a sensitive, temporal, and quantitative tool for identifying patients with acute ischemia with its limitations and need for further perfection of this modality. Therefore, GLS assessments on 2D echo can be used for risk stratification of patients with subacute to chronic chest pain concerning for ischemia in addition to EKG, troponins and other data obtained by non-invasive testing and evaluation.

Variability in Capillary Perfusion Is Increased in Regions of Retinal Ischemia Due to Branch Retinal Vein Occlusion

Purpose

To investigate alterations in macular perfusion variability due to branch retinal vein occlusion (BRVO) using a novel approach based on optical coherence tomography angiography (OCTA) coefficient of variation (CoV) analysis.

Methods

Thirteen eyes of 13 patients with macular ischemia due to BRVO were studied. Multiple consecutive en face OCTA images were acquired. Bias field correction, spatial alignment, and normalization of intensities across the images were performed followed by pixelwise computation of standard deviation divided by the mean to generate a CoV map. Region of interest-based CoV values, derived from this map, for arterioles, venules, and the microvasculature were compared between regions with macular ischemia and control areas of the same eye. Control areas were regions of the same macula that were not affected by the BRVO and had normal retinal vascular structure as seen on multimodal imaging and normal retinal vascular density measurements as quantified using OCTA.

Results

CoV increased by a mean value of 17.6% within the microvasculature of ischemic regions compared to the control microvasculature (P < 0.0001). CoV measurements of microvasculature were consistently greater in the ischemic area of all 13 eyes compared to control. There were no differences in CoV measurements between ischemic and control areas for arterioles (P = 0.13) and venules (P = 1.0).

Conclusions

Greater variability in microvasculature perfusion occurs at sites of macular ischemia due to BRVO. We report a novel way for quantifying macular perfusion variability using OCTA. This technique may have applicability for studying the pathophysiology of other retinal vascular diseases.

An assessment of microvascular hemodynamics in human macula

An adequate blood supply to meet the energy demands is essential for any tissue, particularly for high energy demand tissues such as the retina. A critical question is: How is the dynamic match between neuronal demands and blood supply achieved? We present a quantitative assessment of temporal and spatial variations in perfusion in the macular capillary network in 10 healthy human subjects using a non-invasive and label-free imaging technique. The assessment is based on the calculation of the coefficient of variation (CoV) of the perfusion signal from arterioles, venules and capillaries from a sequence of optical coherence tomography angiography images centred on the fovea. Significant heterogeneity of the spatial and temporal variation was found within arterioles, venules and capillary networks. The CoV values of the capillaries and smallest vessels were significantly higher than that in the larger vessels. Our results demonstrate the presence of significant heterogeneity of spatial and temporal variation within each element of the macular microvasculature, particularly in the capillaries and finer vessels. Our findings suggest that the dynamic match between neuronal demands and blood supply is achieved by frequent alteration of local blood flow evidenced by capillary perfusion variations both spatially and temporally in the macular region.

Role of line junctions in expert object recognition: The case of musical notation

Line junctions are well-known to be important for real-world object recognition, and sensitivity to line junctions is enhanced with perceptual experience with an object category. However, it remains unclear whether these very simple visual features are involved in expert object representations at the neural level, and if yes, at what level(s) they are involved. In this EEG study, 31 music reading experts and 31 novices performed a one-back task with intact musical notation, musical notation with line junctions removed and pseudo-letters. We observed more separable neural representations of musical notation from pseudo-letter for experts than for novices when line junctions were present and during 180-280 ms after stimulus onset. Also, the presence of line junctions was better decoded in experts than in novices during 320-580 ms, and the decoding accuracy in this time window predicted the behavioral recognition advantage of musical notation when line junctions were present. These suggest that, with perceptual expertise, line junctions are more involved in category selective representation of objects, and are more explicitly represented in later stages of processing to support expert recognition performance.

Inconsistent flanker congruency effects across stimulus types and age groups: A cautionary tale

The flanker task is a common measure of selective attention and response competition across populations, age groups, and experiential contexts. Adapting it for different uses often involves changing methodological features that are rarely empirically compared with the previous design. This paper presents an example of how typical methodological changes can differentially elicit congruency effects across age groups. We compared two flanker tasks, using direction stimuli on a laptop versus color stimuli on a tablet, in young children (2-7 years; Experiment 1), older children (6-10 years; Experiment 2a), and adults (19-23 years; Experiment 2b). Young children showed the expected congruency effects in the direction task, and one year later a subset of the sample completed the color task, also showing congruency effects. Longitudinal comparisons showed no difference in the congruency effect across tasks, but nearly half of the sample was excluded due to high error rates. To avoid excluding children with few correct trials, we modified a new measure, signed residual time, to incorporate correctness and reaction time per trial. With the larger sample, this measure showed no difference in congruency effects across tasks. To compare these tasks when completed within the same session, we tested older children and young adults in both tasks and found congruency effects in the direction task but not the color task. These results raise concern that tasks adapted for young children may not perform comparably in other samples, and we caution researchers to anticipate this possibility when modifying cognitive tasks.

Role of cathepsin K in the expression of mechanical hypersensitivity following intra-plantar inflammation

Persistent/chronic inflammatory pain involves multiple pathophysiological mechanisms and is far more complex than acute/momentary pain. Current therapeutics for chronic inflammatory pain are often not effective because the etiology responsible for the pain is not addressed by traditional pharmacological treatments. Cathepsin K is a cysteine protease that has mostly been studied in the context of bone and joint disorders. Previous work by others has shown that inhibition of cathepsin K activity reduces osteoarthritis-associated nociception in joints. However, the role of cathepsin K in cutaneous inflammation is understudied. We assessed the effectiveness of genetic deletion or pharmacological inhibition of cathepsin K in male mice on the expression of nocifensive behaviors after formalin injection or mechanical and thermal hypersensitivity after injection of complete Freund’s adjuvant (CFA) into the mouse hind paw. Our data demonstrate that cathepsin K knockout mice (Ctsk^−/−) have a reduction in nocifensive behaviors in the formalin test. In addition, Ctsk^−/− do not develop mechanical hypersensitivity after CFA injection for up to 7 days. Moreover, we found that inhibition of cathepsin K reduced mechanical hypersensitivity after CFA injection and mRNA levels, protein levels, and cathepsin K activity levels were elevated after CFA injection. Based upon our data, cathepsin K is indicated to play a role in the expression of chemically-induced cutaneous hypersensitivity, as Ctsk^−/− mice do not develop mechanical hypersensitivity and show a reduction in nocifensive behaviors. Further research is needed to determine whether attenuating cathepsin K activity may generate a clinically relevant therapeutic.

Change in Shoulder Function in the Early Recovery Phase after Breast Cancer Surgery: A Prospective Observational Study

Breast cancer surgery significantly affects the shoulder’s range of motion (ROM) and strength. However, the extent of shoulder impairment, as well as patterns of recovery immediately after surgery, is not fully understood. Therefore, we aimed to investigate shoulder ROM and strength during the early recovery phase after surgery. Thirty-two breast cancer patients were observed five times: the day before surgery, discharge day (postoperative day 1 (POD1) or (POD2)), first outpatient visit (POD7–10), second outpatient visit (POD14–20), and third outpatient visit (POD21–30). We assessed shoulder passive ROM and strength for both affected and unaffected arms at each observation. ROM decreased in both affected and unaffected sides post-surgery. ROM on the affected side did not recover to the pre-surgery level until the third outpatient visit (POD24). In contrast, the ROM on the unaffected side recovered to the pre-surgery level by the first outpatient visit (POD10). The shoulder strength of both arms declined and did not recover to pre-surgery levels. Shoulder strength in the affected arm significantly decreased immediately after surgery (52.9% of the pre-surgery levels) and did not recover until the third outpatient visit (62.5% of the pre-surgery levels), whereas that in the unaffected arm decreased gradually (83.1 ± 2.3 at POD 1 and 78.9 ± 2.9 at POD 24). Descriptively, patterns of recovery in ROM may vary according to types of surgery while patterns of recovery in shoulder strength did not: shoulder strength significantly decreased and did not recover notably regardless of types of surgery. Both shoulder ROM and strength reduced during the early recovery phase after breast cancer surgery regardless of types of surgery, although the degree of reduction was greater in shoulder strength than ROM. Our findings suggest that rehabilitation exercises should be implemented in both upper limbs.

Schema-related cognitive load influences performance, speech, and physiology in a dual-task setting: A continuous multi-measure approach

Schema acquisition processes comprise an essential source of cognitive demands in learning situations. To shed light on related mechanisms and influencing factors, this study applied a continuous multi-measure approach for cognitive load assessment. In a dual-task setting, a sample of 123 student participants learned visually presented symbol combinations with one of two levels of complexity while memorizing auditorily presented number sequences. Learners' cognitive load during the learning task was addressed by secondary task performance, prosodic speech parameters (pauses, articulation rate), and physiological markers (heart rate, skin conductance response). While results revealed increasing primary and secondary task performance over the trials, decreases in speech and physiological parameters indicated a reduction in the overall level of cognitive load with task progression. In addition, the robustness of the acquired schemata was confirmed by a transfer task that required participants to apply the obtained symbol combinations. Taken together, the observed pattern of evidence supports the idea of a logarithmically decreasing progression of cognitive load with increasing schema acquisition, and further hints on robust and stable transfer performance, even under enhanced transfer demands. Finally, theoretical and practical consequences consider evidence on desirable difficulties in learning as well as the potential of multimodal cognitive load detection in learning applications.

The Time Course of Dorsal and Rostral-Ventral Anterior Cingulate Cortex Activity in the Emotional Stroop Experiment Reveals Valence and Arousal Aberrant Modulation in Patients with Schizophrenia

This paper aims to investigate the temporal dynamics within the dorsal anterior cingulate cortex (dACC) and the rostral-ventral (rv) ACC during the interaction of emotional valence and arousal with cognitive control in patients with Schizophrenia (SZ). Although cognitive deficits in SZ are highly relevant and emotional disturbances are common, the temporal relationship of brain regions involved in the interaction of emotional and cognitive processing in SZ is yet to be determined. To address this issue, the reaction time (RT), event-related potential (ERP) and temporal dynamics of the dACC and rvACC activity were compared between SZ subjects and healthy controls (HC), using a modified emotional Stroop experiment (with factors namely congruence, arousal and valence). EEG was recorded with 64 channels and source localisation was performed using the sLORETA software package. We observed slower initial increase and lower peaks of time course activity within the dACC and rvACC in the SZ group. In this particular group, the dACC activity during late negativity was negatively correlated with a significantly higher RT in the high arousal conflict condition. In contrast to HC subjects, at the N450 window, there was no significant valence (ERP and rvACC ROI) modulation effect in the SZ subjects. Using high density EEG and source localisation, it was possible to distinguish various disturbances within the dACC and rvACC in patients with SZ, during emotion–cognition processing.

Repeated Measures Multiple Comparison Procedures: Effects of Violating Multisample Sphericity in Unbalanced Designs

Two Tukey multiple comparison procedures as well as a Bonferroni and multivariate approach were compared for their rates of Type I error and any-pairs power when multisample sphericity was not satisfied and the design was unbalanced. Pairwise comparisons of unweighted and weighted repeated measures means were computed. Results indicated that heterogenous covariance matrices in combination with unequal group sizes resulted in substantially inflated rates of Type I error for all MCPs involving comparisons of unweighted means. For tests of weighted means, both the Bonferroni and a multivariate critical value limited the number of Type I errors; however, the Bonferroni procedure provided a more powerful test, particularly when the number of repeated measures treatment levels was large.

The Time Course of Activity within the Dorsal and Rostral-Ventral Anterior Cingulate Cortex in the Emotional Stroop Task

Growing evidence from neuroimaging studies suggest that emotional and cognitive processes are interrelated. Anatomical key structures in this context are the dorsal and rostral-ventral anterior cingulate cortex (dACC and rvACC). However, up to now, the time course of activations within these regions during emotion-cognition interactions has not been disentangled. In the present study, we used event-related potentials (ERP) and standardized low-resolution electromagnetic tomography (sLORETA) region of interest (ROI) source localization analyses to explore the time course of neural activations within the dACC and rvACC using a modified emotional Stroop paradigm. ERP components related to Stroop conflict (N200, N450 and late negativity) were analyzed. The time course of brain activations in the dACC and rvACC was strikingly different with more pronounced initial responses in the rvACC followed by increased dACC activity mainly at the late negativity window. Moreover, emotional valence modulated the earlier N450 stage within the rvACC region with higher neural activations in the positive compared to the negative and neutral conditions. Emotional arousal modulated the late negativity stage; firstly in the significant arousal × congruence ERP effect and then the significant higher current density in the low arousal condition within the dACC. Using sLORETA source localization, substantial differences in the activation time courses in the dACC and rvACC could be found during the emotional Stroop task. We suggest that during late negativity, within the dACC, emotional arousal modulated the processing of response conflict, reflected in the correlation between the ex-Gaussian µ and the current density in the dACC.

Results of an Antiretroviral Adherence Intervention: STAR (Staying Healthy: Taking Antiretrovirals Regularly)

A randomized 2-group medication adherence intervention is evaluated with HIV-infected adults (N = 141) assessed at baseline, 3-, and 9-month follow-ups. Cognitive (self-efficacy, behavioral intent), mental health (depression, well-being), and substance use indicators were the outcome measures. In addition, a posttest-only analysis from 3 to 9 months evaluates intervention impact on antiretroviral adherence, measured through Medication Event Monitoring System and pill counts. Compared to the standard care group, the intervention group showed significant increases in adherence self-efficacy and behavioral intent at 3 and 9 months and marginal improvements in mental health. Although the standard care group had higher adherence at 3 months (no baseline data were available prior to intervention), intervention group patients showed significant increases in adherence from 3 to 9 months. Although adherence levels achieved by intervention patients may not be sufficient for virological control, this is one of the first studies to provide promising results of longer term effectiveness of a behavioral adherence intervention.

Shrubland resilience varies across soil types: implications for operationalizing resilience in ecological restoration

In ecosystems with alternative stable states, restoration success can be thought of as overcoming the resilience of an undesirable state to promote an alternative state that yields greater ecosystem services. Since greater resilience of undesirable states translates into reduced restoration potential, quantifying differences in resilience can enhance restoration planning. In the context of shrub-encroached rangeland restoration, shrubland resilience is the capacity of a woody vegetated state to absorb management interventions designed to produce a more desirable grass-dominated state, and remain within its current regime. Therefore, differences in the resilience of a state can be quantified in a relative sense by measuring whether a state switches to an alternate state following perturbation or remains in its current stability domain. Here we designed an experimental manipulation to assess the contribution of soils to differences in the relative resilience of a shrub-invaded state. In this large-scale experiment, we repeated perturbations across a gradient of soil textures to inform restoration practitioners of differences in the relative resilience of shrubland occurring on different soil types to common rangeland restoration practices. On each soil type, we compared the relative ability of the shrubland state to withstand chemical and mechanical brush control treatments, commonly employed in this study region, to untreated controls. While the shrubland community composition did not differ prior to the study, its capacity to absorb and recover from brush removal treatments depended on soil type. Shrubland resilience to chemical and mechanical brush removal was highest on coarse soils. On these soils, brush removal temporarily restored grassland dominance, but woody plants quickly regained pretreatment levels of dominance. However, shrublands on fine soils did not recover following treatments, continuing to be grass-dominated for the duration of the study. This study highlights a simple approach for prioritizing restoration actions by mapping the locations of different soil attributes that support shrub-dominated states with differing levels of resilience to brush control. This experimental approach provides a basis for operationalizing resilience in restoration and prioritizing management actions across a range of environmental conditions, which is critical given the economic constraints associated with broad-scale mechanical and chemical interventions for rangeland restoration.

The effect of online chronic disease personas on activation: within-subjects and between-groups analyses

BACKGROUND

Although self-management of chronic disease is important, engaging patients and increasing activation for self-care using online tools has proven difficult. Designing more tailored interventions through the application of condition-specific personas may be a way to increase engagement and patient activation. Personas are developed from extensive interviews with patients about their shared values and assumptions about their health. The resulting personas tailor the knowledge and skills necessary for self-care and guide selection of the self-management tools for a particular audience.

OBJECTIVE

Pre-post changes in self-reported levels of activation for self-management were analyzed for 11 chronic health personas developed for 4 prevalent chronic diseases.

METHODS

Personas were created from 20 to 25 hour-long nondirected interviews with consumers with a common, chronic disease (eg, diabetes). The interviews were transcribed and coded for behaviors, feelings, and beliefs using the principles of grounded theory. A second group of 398 adults with self-reported chronic disease were recruited for online testing of the personas and their impact on activation. The activation variables, based on an integrated theory of health behavior, were knowledge of a given health issue, perceived self-management skills, confidence in improving health, and intention to take action in managing health. Pre-post changes in activation were analyzed with a mixed design with 1 within-subjects factor (pre-post) and 1 between-group factor (persona) using a general linear model with repeated measures.

RESULTS

Sixteen pre-post changes for 4 measures of activation were analyzed. All but 2 of the within-subjects effects were statistically significant and all changes were in the direction of increased activation scores at posttest. Five significant differences between personas were observed, showing which personas performed better. Of low activation participants, 50% or more shifted to high activation across the 4 measures with minimal changes (≤5%) in the reverse direction.

CONCLUSIONS

The majority of participants using a persona-tailored learning path reported high levels of satisfaction with their online user experience and increased levels of activation about their own health. In the body of work on patient activation, the current study adds to understanding of both short-term impact and the content of a brief, online intervention for engagement of specific groups in self-management.

Learning-induced changes in attentional allocation during categorization: a sizable catalog of attention change as measured by eye movements

Learning how to allocate attention properly is essential for success at many categorization tasks. Advances in our understanding of learned attention are stymied by a chicken-and-egg problem: there are no theoretical accounts of learned attention that predict patterns of eye movements, making data collection difficult to justify, and there are not enough datasets to support the development of a rich theory of learned attention. The present work addresses this by reporting five measures relating to the overt allocation of attention across 10 category learning experiments: accuracy, probability of fixating irrelevant information, number of fixations to category features, the amount of change in the allocation of attention (using a new measure called Time Proportion Shift - TIPS), and a measure of the relationship between attention change and erroneous responses. Using these measures, the data suggest that eye-movements are not substantially connected to error in most cases and that aggregate trial-by-trial attention change is generally stable across a number of changing task variables. The data presented here provide a target for computational models that aim to account for changes in overt attentional behaviors across learning.

The Effect of Passive Listening versus Active Observation of Music and Dance Performances on Memory Recognition and Mild to Moderate Depression in Cognitively Impaired Older Adults

The study examined the effects of music therapy and dance/movement therapy on cognitively impaired and mild to moderately depressed older adults. Passive listening to music and active observation of dance accompanied by music were studied in relation to memory enhancement and relief of depressive symptoms in 100 elderly board and care residents. The Beck Depression Inventory and the Recognition Memory Test–Faces Inventory were administered to two groups (one group exposed to a live 30-min. session of musical dance observation, the other to 30 min. of pre-recorded music alone) before the intervention and measured again 3 and 10 days after the intervention. Scores improved for both groups on both measures following the interventions, but the group exposed to dance therapy had significantly lower Beck Depression scores that lasted longer. These findings suggest that active observation of Dance Movement Therapy could play a role in temporarily alleviating moderate depressive symptoms and some cognitive deficits in older adults.

DCE-MRI detects early vascular response in breast tumor xenografts following anti-DR5 therapy

PURPOSE

Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) measured the early vascular changes after administration of TRA-8, bevacizumab, or TRA-8 combined with bevacizumab in breast tumor xenografts.

PROCEDURES

Groups 1-4 of nude mice bearing human breast carcinoma were injected with phosphate-buffered saline, TRA-8, bevacizumab, and TRA-8 + bevacizumab on day 0, respectively. DCE-MRI was performed on days 0, 1, 2, and 3, and thereafter tumors were collected for terminal deoxynucleotidyl transferase-mediated dUT nick end labeling and CD31 staining.

RESULTS

DCE-MRI measured a significant K (trans) change within 3 days after TRA-8 therapy that correlated with tumor growth arrest, which was not shown with statistical significance by histopathology at these early time points posttreatment. The K (trans) changes followed quadratic polynomial curves.

CONCLUSION

DCE-MRI detected significantly lower K (trans) levels in breast tumor xenografts following TRA-8 monotherapy or combined therapy with bevacizumab.

Is the effect of prior exercise on postprandial lipaemia the same for a moderate-fat meal as it is for a high-fat meal?

Moderate-intensity exercise can lower the TAG response to a high-fat meal; however, the British diet is moderate in fat, and no study to date has compared the effect of such exercise on responses to high-fat and moderate-fat meals. The present work investigated the effect of brisk walking performed 13 h before intake of both high-fat and moderate-fat meals on postprandial plasma TAG concentrations. Eight inactive, overweight men completed four separate 2 d trials, i.e. rest (Con) or a 90-min treadmill walk (Ex) on the evening of day 1, followed by the ingestion of a moderate-fat (Mod) or high-fat (High) meal on the morning of day 2. High-fat meals contained 66 % of total energy as fat, while the percentage was 35 % for moderate-fat meals; both the meals were, however, isoenergetic. On day 2, venous blood was sampled in the fasted state, 30 and 60 min after ingesting the test meal and then hourly until 6 h post-meal. Exercise reduced plasma TAG concentrations significantly (P < 0·001), with no exercise × meal interaction (P = 0·459). Walking reduced the total TAG response to a high-fat meal by 29 % (relative to High Con); the same bout of exercise performed before ingesting a moderate-fat meal lowered total TAG by 26 % (compared with Mod Con). The ability of a single moderate-intensity aerobic exercise bout to lower postprandial TAG concentrations is just as great, in percentage terms, when the test meal ingested is of a moderate rather than a high fat content.

Perturbation of auditory feedback causes systematic perturbation in vocal structure in adult cotton-top tamarins

Auditory feedback is critical for the development and maintenance of speech in humans. In contrast, studies of nonhuman primate vocal production generally report that subjects show little reliance on auditory input. We examined the extent to which cotton-top tamarin (Saguinus oedipus) vocal production is sensitive to perturbation of auditory feedback by manipulating the predictability of presentation of a 1 s burst of white noise during the production of the species-specific contact call, the combination long call(CLC). We used three experimental conditions: the Begin condition, in which white noise was presented only during the first half of a recording session,the End condition, in which white noise was presented only in the last half,and the Random condition, in which each call had a 50% probability of receiving white noise playback throughout the recording session, making the auditory feedback unpredictable. In addition we recorded calls before and after the experimental series (Baseline condition) to determine whether any changes induced by modification of auditory feedback persisted. Results showed that playback of white noise during the production of the CLC produced changes in the temporal structure of the CLC: calls were shorter and had fewer pulses,indicating that modification of auditory feedback can interrupt vocal production. In addition, calls that received modified feedback were louder and had longer inter-pulse intervals than those that did not, consistent with an adaptive response to the masking effect of white noise playback. The magnitude of this compensatory effect and the interruption rate were both sensitive to whether the feedback modification occurred at the beginning or end of the experimental session: early feedback produced less interruption and more compensation. Finally, when auditory feedback modification was unpredictable,adaptive changes were observed in both calls that received modified feedback and those that received normal feedback, suggesting that tamarins can generate an expectation of noise playback and increase vocal amplitude in anticipation of masking.

The Relationship of Maladaptive Beliefs to Personality and Behavioral Adjustment Among Incarcerated Women

This study examined the relationship between schema domains (Young, 1999) and adjustment in a sample of female prison inmates (N= 116). Participants completed the Early Maladaptive Schema Questionnaire—Revised, the SCID-II Screen, the Brief Symptom Inventory, and the Prison Violence Inventory. Institutional records provided information concerning documented behavioral infractions. The Impaired Limits domain score, representing entitlement and poor self-control themes, was associated with screening scores for paranoid, antisocial, borderline, histrionic, and narcissistic personality disorders, as well as hostility symptoms, institutional misconduct, and self-reported violence perpetration and victimization. The Disconnection/ Rejection domain score was associated with a wide array of self-reported mental illness symptoms. A significant relationship between the Impaired Autonomy domain scale and dependent personality disorder (SCID-II Screen) was also observed. Results indicate that domains of belief are plausibly related to specific dysfunction in personality and behavioral adjustment. Results also suggest the potential benefit of using cognitive therapy with incarcerated women.

Anger vs guilt: inference of responsibility attribution and interpersonal reactions

This study examined reactions toward an expression of anger or guilt. Participants' reactions were assessed after their partner for a collaborative task expressed anger or guilt due to failure on the task. Analysis indicated that participants inferred the attribution of responsibility made by the partner based on the expressed emotions; anger elicited an inference that the partner attributed the failure to the participant, while guilt led to an inference that the partner attributed the failure to the self. Further, expressers of anger were perceived as having more negative traits and were avoided more than those who expressed guilt. Discussion considered negative interpersonal effect of an expression of anger.

PET measurement of the influence of corticosteroids on serotonin-1A receptor number

BACKGROUND

The hypothalamic-pituitary-adrenal (HPA) axis and serotonergic system interact functionally. The modulatory effect of corticosteroids on 5-HT(1A) receptor number and function has been repeatedly demonstrated in preclinical studies suggesting that raised corticosteroid levels decrease 5-HT(1A) receptor number and function in the hippocampus.

METHODS

We used positron emission tomography (PET) to quantify the number of 5-HT(1A) receptors in two studies, the first in normal subjects given a single dose of hydrocortisone using a random-order, double-blind, placebo-controlled design and second in patients treated long-term with corticosteroids.

RESULTS

We did not find that exposure to elevated levels of corticosteroids in either the short or long term alters 5-HT(1A) receptor binding in the hippocampus or other brain regions examined.

CONCLUSIONS

This study does not support the hypothesis that corticosteroids exert a major inhibitory regulatory control over the 5-HT(1A) receptor binding in the human brain.

Acoustic measures of temporal intervals across speaking rates: variability of syllable- and phrase-level relative timing

It has been suggested previously that at least some levels of the temporal organization for speech production are characterized by proportional timing. The proportional timing model maintains that the duration of temporal intervals within a sequence would remain proportionally invariant across changes in overall duration of the sequence. In order to test this hypothesis for the acoustic level of speech production, 18 women produced three trials of the utterance "Buy Bobby a poppy" at each of three speaking rates (i.e., slow, normal, fast). Acoustically derived temporal intervals were paired to form ratios reflecting either syllable-level or phrase-level relative timing. Findings indicated that ratios of temporal intervals at both the syllable-level and phrase-level did not remain invariant across speaking rates. Rather, statistically significant changes in the relative duration of both types of intervals were observed as a function of overall rate of production. For most of the obtained ratios, the direction of these changes was highly consistent across individual subjects.

Contributions of experience to the development of musical processing in infancy

Full-term infants' performance in detection of melodic alterations appeared to be influenced by perceptual experience from 6 months to 1 year of age, and an experiment with infants born prematurely supported the hypothesis that experience affects music processing in infancy. These findings suggest parallel developmental tendencies in the perception of music and speech that may reflect general acquisition of perceptual abilities for processing of complex auditory patterns. This acquisition may contribute to the cultural enfranchisement of infants through perceptual experience.

ERP indices of auditory selective attention in aging and Parkinson's disease

In the present study, we compared the performance of normal subjects in three age groups and of medicated Parkinson's disease patients on auditory selective attention processes. Two tone sequences were dichotically presented. Subjects responded to deviant tones in the attended location. Event-related potentials (ERPs) were recorded from nine scalp electrodes. The old group showed significant decline in hit rate, increase in N1 amplitude, and reduction in P3a, P3b, target negativity, and mismatch negativity amplitude. The amplitude and duration of late Nd increased with age, reflecting modulation of both attended and unattended standard ERPs. Although the middle group showed a similar pattern of ERP changes, the effects were generally nonsignificant. The Parkinson's disease group showed little further disruption of behavioral or ERP measures. However, Parkinson's disease affected late Nd in the direction opposite of that of aging, reflecting differential modulation of unattended standard positivity.

31P NMR assessment of orthotopic liver rejection in a rat model

31P NMR spectroscopy was used serially to study rejecting (ACl-->LEW) and nonrejecting (ACl-->ACl) orthotopic liver transplants in rats. Recipients were evaluated on post-transplant days 1, 3, 5, 7, 9, and 11. The relative changes in phosphomonoester (PME), inorganic phosphate (Pi), high-energy phosphates and pH were studied. The earliest significant difference between the rejecting and nonrejecting groups was a decrease in the alpha-NTP peak area on Day 5. This was followed by significant decreases in beta-NTP and pH, and increases in PME and Pi on Day 7. High-resolution 31P NMR spectra of perchloric acid extracts demonstrated the PME increase to be due mainly to elevated phosphoethanolamine. Using the parameter (Pi + PME)/(alpha + beta + gamma-NTP), rejecting livers were distinguished from nonrejecting livers at a moderate stage of rejection.

Reliable responses to a cardiovascular reactivity protocol: a replication study in a biracial female sample

This replication study was designed to examine the reliability of individual differences in cardiovascular responsivity to a standardized PC-based cognitive task protocol (Kamarck et al., 1992) in a female community sample. Thirty women, both black and white (ages 25-44 years), were administered the protocol twice with a 1-month retest interval using a mobile laboratory at a community-based testing site. Measures of heart rate and blood pressure reactivity were obtained comparing assessments taken at rest and during three protocol tasks. Preejection period, stroke volume, and total peripheral resistance changes were estimated using impedance cardiography assessments. As in previous studies with males, individual differences in heart rate and systolic and diastolic blood pressure responses to the protocol were highly reliable (.80 or greater) when data were aggregated across three tasks and two testing sessions. Reliability of cardiac contractility (preejection period) and stroke volume changes to these tasks exceeded .70. This reactivity assessment procedure has now produced reliable results in three studies and appears to be exportable across diverse samples and settings.

Psychomotor and visual performance under the time-course effect of alcohol

This study examined reaction time (RT), anticipation time (AT), and visual performance under the influence of blood alcohol concentration (BAC), using a repeated-measures design. Subjects (8 men and 8 women), 21 to 40 yr. of age, participated in both single- and double-dose sessions, in which they drank approximately 2.3 oz. and 4.6 oz. of 86-proof vodka, respectively. The breath BAC was measured at 5-min. intervals. The RT, AT, and visual performance were tested every 20 min. for 140 min. in both sessions. In general, results indicated that RT, AT, and stereoscopic vision were impaired more in the rising BAC curve than the falling BAC curve. In addition, the impairment tended to be greater for the double-dose than the single-dose session. The far and near visual acuities were not affected by the BAC.

Reliable measures of behaviorally-evoked cardiovascular reactivity from a PC-based test battery: results from student and community samples

This paper describes efforts to reduce measurement error in the assessment of cardiovascular reactivity by standardizing task requirements and by aggregating data across tasks and testing sessions. Using these methods, reliable measures of reactivity (.80 or greater) were obtained on five different measures of cardiovascular function (heart rate, systolic blood pressure, diastolic blood pressure, stroke volume, pre-ejection period) in samples of college students and community volunteers. Methodological limitations may have hampered previous efforts in this area. Current findings are consistent with a dispositional model of cardiovascular reactivity, and they suggest productive future strategies for obtaining reliable assessments.

Effects of inter-item lag on word repetition: an event-related potential study

Prior exposure to a word can greatly facilitate performance to subsequent presentations of that word. ERP studies have shown that this facilitation is associated with an attenuation of a negative peak normally occurring around 400 ms poststimulus. Recent studies have interpreted this repetition effect as reflecting either lexical access or episodic memory mechanisms. However, there is now increasing evidence that neither of the above mechanisms alone can fully account for repetition effects. The present experiment recorded ERPs to immediate and delayed word repetition during a lexical decision task in order to investigate the time-course of ERP repetition effects. Immediate repetition was found to produce greater response facilitation than delayed repetition. The ERP waveforms of both immediate and delayed word repetition diverged from that of initial word presentation at approximately 300 ms poststimulus. The waveforms for repeated words separated around 400 ms poststimulus with immediate repetition showing a more rapid resolution of negativity and earlier late positivity than delayed repetition. It is suggested that the negativity may reflect processes involved in the overall activation contributing to word recognition, whereas the late positivity may be related to the repetition of stimulus categorization and decision processes.

Cardiopulmonary adjustments during operant heart rate control

Twenty-three healthy men and women participated in a 5-session experiment in which they attempted to increase and decrease their heart rate with the assistance of visual analogue biofeedback. As a group subjects did successfully raise and lower heart rate from resting baseline. These changes in heart rate were closely paralleled by changes in V, a measure of cardiac vagal tone. Heart rate slowing was associated with increases in V, and heart rate speeding was associated with decreases in V. Respiration rate and amplitude did not differ significantly between heart rate slowing and speeding trials, and covariance analysis indicated that respiratory changes did not account for the heart rate or V effects. The weighted coherence between respiration and heart rate showed that cardiopulmonary coupling increased during heart rate slowing and decreased during heart rate speeding. Individual differences in cardiac vagal tone and cardiopulmonary coupling were unrelated to heart rate speeding and slowing performance.

Posture, place, and mood effects on ambulatory blood pressure

Ambulatory blood pressure was studied as a function of posture, place, and mood in 131 subjects classified according to race, gender, and hypertensive status. The effect of posture was significant and explained a substantial proportion of within-subject variability. After controlling for posture, significant place and mood effects were observed when subjects were sitting but not when they were standing. Home vs. work differences in both systolic and diastolic blood pressure were significantly greater in Whites than in Blacks. Similar differences in systolic blood pressure were greater in mild hypertensive than in normotensive subjects. The results of this study underscore the need to control for effects of posture when interpreting ambulatory blood pressure readings.

Effect of source of dietary fats on serum glucose, insulin, and gastric inhibitory polypeptide responses to mixed test meals in subjects with non-insulin dependent diabetes mellitus

We recently demonstrated that normal subjects given mixed test meals of varying fatty acid composition showed significantly greater serum insulin responses to meals enriched with polyunsaturated fat as compared to those in which the fat content was derived from saturated fatty acids. To determine if a similar phenomenon occurs in subjects with non-insulin dependent diabetes mellitus (NIDDM), serum glucose, insulin, C-peptide, and gastric inhibitory polypeptide (GIP) responses to three mixed test meals of varying fatty acid composition were assessed in twelve subjects with NIDDM. Baseline means (+/- SEM) fasting serum glucose concentration was 205 +/- 15 mg/dl and mean glycosylated hemoglobin was 8.5 +/- 0.5%. Fatty acids in the test meals were either saturated fats, or polyunsaturated fats derived from vegetables or fish. Each test meal provided 40% of the subjects' calculated daily caloric requirement and contained approximately 45% carbohydrate, 40% fat, and 15% protein. No appreciable differences in serum glucose, insulin, and C-peptide responses occurred during the three mixed test meals. Although GIP values were higher in the saturated fat and the vegetable meals when compared to the fish meal, the differences did not reach statistical significance. The inability of NIDDM subjects to evoke a greater insulin response to polyunsaturated fatty acids than to saturated fatty acids suggests another pathogenetic factor contributing to their glucose intolerance.(ABSTRACT TRUNCATED AT 250 WORDS)

Polyunsaturated fatty acids augment insulin secretion

Carbohydrate intolerance is positively correlated with animal fat consumption and is more common in beef eating populations. In contrast, individuals consuming diets comprised of polyunsaturated fats have a lower incidence of diabetes mellitus. To test the hypothesis that dietary fats may influence carbohydrate metabolism, serum glucose, insulin, and gastric inhibitory polypeptide (GIP) responses to three mixed test meals of varying fatty acid composition were assessed in 12 normal subjects. Fatty acids in the meals were either saturated fats or polyunsaturated fats derived from vegetables or fish. Each test meal provided 40% of a subject's calculated daily caloric requirement and contained approximately 45% carbohydrate, 40% fat, and 15% protein. Serum insulin responses were 62% higher (p less than 0.01) after the fish and 39% higher (p less than 0.01) after the vegetable meals compared to the saturated fat meal. No significant differences in insulin responses were observed between the vegetable and fish meals. Serum glucose concentration was slightly higher (p less than 0.02) during the fish meal than with the vegetable or saturated fat meals. The GIP levels were comparable following the fish and vegetable meals and were 25% lower than those observed with the saturated fat meal. These findings suggest that diets enriched with polyunsaturated fatty acids augment insulin secretion significantly more than a diet comprised primarily of saturated fatty acids. The mechanism for this increased insulin secretion is unknown but did not appear to be mediated through differences in serum glucose values or through the insulin-otrophic effects of GIP.(ABSTRACT TRUNCATED AT 250 WORDS)

Testing pairwise contrasts in one-way analysis of variance designs

Research in the behavioral and health sciences frequently involves the application of one-factor analysis of variance (ANOVA) models. The goal may be to compare several independent groups of subjects on a quantitative dependent variable or, alternatively, to compare measurements made on different occasions or under different conditions on a single group of subjects. If there is reason to believe that there are differences among the groups (or occasions or conditions), the researcher frequently wishes to compare the means in a pairwise fashion. Although the procedures for conducting omnibus hypothesis tests for one-factor ANOVA models are familiar to most researchers, the issues that must be considered in choosing pairwise multiple comparison procedures (MCPs) are not as well understood. In this paper, the selection of pairwise MCPs for one-factor ANOVA models is considered, following a discussion of Type I error and power issues as they apply to the testing of multiple hypotheses. Although the paper focuses on the independent-sample case, repeated measures models are considered briefly as well.

The analysis of repeated measures designs in medical research

Medical researchers can employ repeated measures designs to study the effects of a treatment over time or when each subject receives all treatments. Univariate F tests and multiple comparison procedures for comparing means constitute the methods to test for the presence of treatment effects. For validity, however, these tests must satisfy the sphericity assumption. To circumvent the biasing effects of non-sphericity, this paper shows the applicability of the Greenhouse and Geisser three stage approach for univariate omnibus hypothesis testing in repeated measures designs containing any number of repeated factors. In addition, we present a multiple comparison procedure which provides a valid or robust test and thus controls the overall probability of a Type I error.