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Patients with posttraumatic stress disorder (PTSD) exhibit smaller regional brain volumes in commonly reported regions including the amygdala and hippocampus, regions associated with fear and memory processing. In the current study, we have conducted a voxel-based morphometry (VBM) meta-analysis using whole-brain statistical maps with neuroimaging data from the ENIGMA-PGC PTSD working group.
Methods
T1-weighted structural neuroimaging scans from 36 cohorts (PTSD n = 1309; controls n = 2198) were processed using a standardized VBM pipeline (ENIGMA-VBM tool). We meta-analyzed the resulting statistical maps for voxel-wise differences in gray matter (GM) and white matter (WM) volumes between PTSD patients and controls, performed subgroup analyses considering the trauma exposure of the controls, and examined associations between regional brain volumes and clinical variables including PTSD (CAPS-4/5, PCL-5) and depression severity (BDI-II, PHQ-9).
Results
PTSD patients exhibited smaller GM volumes across the frontal and temporal lobes, and cerebellum, with the most significant effect in the left cerebellum (Hedges’ g = 0.22, pcorrected = .001), and smaller cerebellar WM volume (peak Hedges’ g = 0.14, pcorrected = .008). We observed similar regional differences when comparing patients to trauma-exposed controls, suggesting these structural abnormalities may be specific to PTSD. Regression analyses revealed PTSD severity was negatively associated with GM volumes within the cerebellum (pcorrected = .003), while depression severity was negatively associated with GM volumes within the cerebellum and superior frontal gyrus in patients (pcorrected = .001).
Conclusions
PTSD patients exhibited widespread, regional differences in brain volumes where greater regional deficits appeared to reflect more severe symptoms. Our findings add to the growing literature implicating the cerebellum in PTSD psychopathology.
The consistency of the theory $\mathsf {ZF} + \mathsf {AD}_{\mathbb {R}} + {}$‘every set of reals is universally Baire’ is proved relative to $\mathsf {ZFC} + {}$‘there is a cardinal that is a limit of Woodin cardinals and of strong cardinals’. The proof is based on the derived model construction, which was used by Woodin to show that the theory $\mathsf {ZF} + \mathsf {AD}_{\mathbb {R}} + {}$‘every set of reals is Suslin’ is consistent relative to $\mathsf {ZFC} + {}$‘there is a cardinal $\lambda $ that is a limit of Woodin cardinals and of $\mathord {<}\lambda $-strong cardinals’. The $\Sigma ^2_1$ reflection property of our model is proved using genericity iterations as in Neeman [18] and Steel [22].
Objectives/Goals: Depression is common among people living with HIV (PLWH). This study explored the link between reduced metacognitive awareness and depression in PLWH. It utilized a positive emotion regulation task to compare brain activation during viewing versus upregulating positive emotions. Methods/Study Population: Depressed PLWH (N = 24; mean age = 53; HAM-D mean = 19) participated in an emotion regulation task while blood oxygen-level-dependent (BOLD) responses were recorded. In the emotional regulation task, participants were shown the International Affective Picture System (IAPS) a series of positive, negative, and neutral images. Participants were asked to view these images and given instructions to either negatively reappraise (RN) or positively reappraise (RP). In the RP condition, participants were no longer shown the image and asked to upregulate their positive emotional responses associated with it. Ten onset times were included for each trial. Results/Anticipated Results: A one-sample t-test was conducted to analyze contrasts between reappraisal of positive images and viewing positive images (RP > VP). Results showed significantly greater activation in the posterior cingulate and angular gyrus during the RP condition (peak MNI: 18, -52, 34; p < 0.001, uncorrected, k > 10 voxels). In comparing the reappraisal of negative images to viewing negative images (RN > VN), there was increased activation in the right supramarginal gyrus (peak MNI: 50, -28, 22; p < 0.001, uncorrected, k > 10 voxels). When contrasting the reappraisal of positive to negative images (RP > RN), BOLD signals were higher in the left dorsolateral prefrontal cortex (peak MNI: 40, -38, 32; p < 0.001, uncorrected, k > 10 voxels). Discussion/Significance of Impact: Findings underscore that depressed PLWH demonstrates BOLD responses in brain regions linked to appetitive motivation and meta-cognitive awareness during the RP condition which demands more executive resources among those with depression, highlighting the complexity of emotional regulation in this population.
Cardiovascular disease (CVD) is a well-known risk factor for cognitive impairment and dementia, particularly among minoritized groups that have experienced a history of low childhood socioeconomic status (SES). Although previous literature has linked all levels of SES to varying degrees of stress exposure, children raised in higher SES households have more access to resources and services that encourage optimal growth and development than children who grow up in lower SES households. Given the disproportionate burden of dementia and cognitive deficits within minoritized groups, the present study examined whether childhood SES is associated with later life cognition among Black and White older adults and if this association persists after accounting for hypertension, a possible mediator of the relationship between childhood SES.
Participants and Methods:
1,184 participants were from the first wave of the STAR (n = 397 Black [Mage= 75.0 ±6.8 years]) and KHANDLE (386 Black [Mage= 76.2 ±7.2 years] and 401 White [Mage= 78.4 ±7.5 years]) cohorts. We used general linear models to examine the relationship between childhood SES and later-life executive function, semantic memory, and verbal memory scores, and midlife hypertension. Childhood SES was measured by self-reported perceived financial status (with participants given the following options: ‘pretty well off financially’, ‘about average’, ‘poor’, or ‘it varied’). These models were assessed in the full sample and also stratified by race.
Results:
In the full sample, childhood financial status was not associated with semantic memory, verbal episodic memory, or executive function. Financial status was associated with semantic memory in Black adults (β = -.124, t(771) = -2.52, p = .01) and this association persisted after accounting for hypertension (β = -.124, t(770) = -2.53, p = .01). There was no association between childhood financial status and later life semantic memory among White adults. There was no association between childhood financial status and later life verbal episodic memory or executive function in either Black or White adults in models with or without adjustment for hypertension.
Conclusions:
Our findings showed no relationship between childhood SES and cognition, except for semantic memory in Black participants; this relationship persisted after accounting for midlife CVD. Future analyses will assess both direct and indirect effects of more predictive measures of childhood SES on late-life cognition with midlife CVD as a mediator.
We show that under $\mathsf {BMM}$ and “there exists a Woodin cardinal,$"$ the nonstationary ideal on $\omega _1$ cannot be defined by a $\Pi _1$ formula with parameter $A \subset \omega _1$. We show that the same conclusion holds under the assumption of Woodin’s $(\ast )$-axiom. We further show that there are universes where $\mathsf {BPFA}$ holds and $\text {NS}_{\omega _1}$ is $\Pi _1(\{\omega _1\})$-definable. Lastly we show that if the canonical inner model with one Woodin cardinal $M_1$ exists, there is a generic extension of $M_1$ in which $\text {NS}_{\omega _1}$ is saturated and $\Pi _1(\{ \omega _1\} )$-definable, and $\mathsf {MA_{\omega _1}}$ holds.
Awake, physiologically guided surgery has long been considered the gold standard for deep brain stimulation (DBS) lead implantation.1–3 Most surgeons performing DBS have traditionally used a stereotactic frame such as the Leksell (Elekta, Stockholm, Sweden) or CRW (Integra, Plainsboro, NJ), although frameless systems such as the NexFrame (Medtronic, Minneapolis, MN) and the STarFix (FHC, Bowdoin, ME) are also available.
The available tools and approaches to inform conservation decisions commonly assume detailed distribution data. We examine how well-established ecological concepts about patterns in local richness and community turnover can help overcome data limitations when planning future protected areas. To inform our analyses, we surveyed tree species in protected areas in the southern Appalachian Mountains in the eastern USA. We used the survey data to construct predictive models for alpha and beta diversity based on readily observed biophysical variables and combined them to create a heuristic that could predict among-site richness in trees (gamma diversity). The predictive models suggest that site elevation and latitude in this montane system explain much of the variation in alpha and beta diversity in tree species. We tested how well resulting protected areas would represent species if a conservation planner lacking detailed species inventories for candidate sites were to rely only on our alpha, beta and gamma diversity predictions. Our approach selected sites that, when aggregated, covered a large proportion of the overall species pool. The combined gamma diversity models performed even better when we also accounted for the cost of protecting sites. Our results demonstrate that classic community biogeography concepts remain highly relevant to conservation practice today.
Statistical literacy is essential in clinical and translational science (CTS). Statistical competencies have been published to guide coursework design and selection for graduate students in CTS. Here, we describe common elements of graduate curricula for CTS and identify gaps in the statistical competencies.
Methods:
We surveyed statistics educators using e-mail solicitation sent through four professional organizations. Respondents rated the degree to which 24 educational statistical competencies were included in required and elective coursework in doctoral-level and master’s-level programs for CTS learners. We report competency results from institutions with Clinical and Translational Science Awards (CTSAs), reflecting institutions that have invested in CTS training.
Results:
There were 24 CTSA-funded respondents representing 13 doctoral-level programs and 23 master’s-level programs. For doctoral-level programs, competencies covered extensively in required coursework for all doctoral-level programs were basic principles of probability and hypothesis testing, understanding the implications of selecting appropriate statistical methods, and computing appropriate descriptive statistics. The only competency extensively covered in required coursework for all master’s-level programs was understanding the implications of selecting appropriate statistical methods. The least covered competencies included understanding the purpose of meta-analysis and the uses of early stopping rules in clinical trials. Competencies considered to be less fundamental and more specialized tended to be covered less frequently in graduate courses.
Conclusion:
While graduate courses in CTS tend to cover many statistical fundamentals, learning gaps exist, particularly for more specialized competencies. Educational material to fill these gaps is necessary for learners pursuing these activities.
We develop technology for investigation of natural forcing extensions of the model $L\left( \mathbb{R} \right)$ which satisfy such statements as “there is an ultrafilter” or “there is a total selector for the Vitali equivalence relation”. The technology reduces many questions about ZF implications between consequences of the Axiom of Choice to natural ZFC forcing problems.
Several temporal and event classifications are used for the Quaternary glacial and interglacial record in the Great Lakes region of North America. Although based on contrasting principles, the classifications, as practiced, are similar to one another in most respects and they differ little from the classification proposed by Chamberlin a century ago. All are based on stratigraphic units having time-transgressive boundaries; thus the associated time spans and events are diachronous. Where application of geochronologic classification based on isochronous boundaries is not practical or useful, we advocate the use of diachronic principles to establish local and regional temporal and event classifications. Diachronic and event classifications based on such principles are proposed herein for the Great Lakes region. Well-established names, including Wisconsin, Sangamon, and Illinois, are used at the episode (or glaciation/interglaciation) rank without significant redefinition. The Hudson Episode (Interglaciation) is introduced for postglacial time, the current interglacial interval. The Wisconsin Episode is divided into the Ontario, Elgin, and Michigan Subepisodes in the eastern and northern parts of the Great Lakes region and into the Athens and Michigan Subepisodes in the southern and western parts of the Great Lakes region.
This manuscript reviews a series of experiments which support the notion that the cerebellum and more specifically the cerebellar cortex is principally involved in real time operations required for the regulation of coordinated motor activity. Experiments are reviewed which illustrate: (1) that the climbing fiber inputs to Purkinje cells can induce a short-lasting enhancement of their responses to mossy fiber-granule cell-parallel fiber inputs, (2) that the cerebellum is not essential for the acquisition and performance of the classically conditioned nictitating membrane reflex (NMR) of the rabbit, and (3) that the observations resulting from the microinjection of lidocaine and multiple single unit recordings within the brainstem support the notion that cell populations in this region may participate in establishing the modifications in neuronal interactions required for the acquisition of the conditioned NMR. In addition, preliminary data are shown comparing the capacity of a normal subject and a patient with a massive ipsilateral cerebellar stroke to learn certain tracing tasks and to redraw these learned tracing movements 90° to the orientation of the original image. The data support the notion that the cerebellum is essential, not for the initial learning of the tracing movement, but rather for performing the learned movement with the required rotation of the original image.
Theorem. Suppose that k = (K, $$\prec_k$$) is an ℵ0-presentable abstract elementary class with Löwenheim–Skolem number ℵ0, satisfying the joint embedding and amalgamation properties in ℵ0. If K has only countably many models in ℵ1, then all are small. If, in addition, k is almost Galois ω-stable then k is Galois ω-stable. Suppose that k = (K, $$\prec_k$$) is an ℵ0-presented almost Galois ω-stable AEC satisfying amalgamation for countable models, and having a model of cardinality ℵ1. The assertion that K is ℵ1-categorical is then absolute.
We resolve taxonomic confusion regarding brooding sea anemones in the genus Epiactis Verrill 1869a in the North Pacific Ocean based on newly collected material from Hokkaido (Japan), Haida Gwaii (British Columbia, Canada), and Kodiak and Adak Islands (Alaska, USA), and museum specimens collected from the Kurile Islands (Russia), Alaska, British Columbia, Oregon (USA), and California (USA). We find that the internally brooding individuals identified by Hand & Dunn (1974) as Cnidopus ritteri (Torrey, 1902) and placed in the genus Epiactis by Fautin & Chia (1986) belong to a new species which we describe and name Epiactis handi sp. nov. Epiactis handi and E. ritteri can be differentiated by morphological and behavioural features including ornamentation and structure of the column and mode of brooding offspring. To highlight and clarify these differences, we redescribe E. ritteri based on specimens from Alaska. We provide the first account of external brooding in E. ritteri, which necessitates a clarification of the differences between E. ritteri and another externally brooding species from the North Pacific, E. japonica Verrill, 1869b. Epiactis ritteri and E. japonica differ in sex allocation, ornamentation of the column and details of external brooding: members of E. ritteri are gonochoric with a smooth column and brood groove which tightly closes, whereas those of E. japonica are hermaphroditic and have mid-column spherules.
We establish that if it is consistent that there is a supercompact cardinal, then it is consistent that every locally compact, hereditarily normal space that does not include a perfect pre-image of ${{\text{ }\!\!\omega\!\!\text{ }}_{1}}$ is hereditarily paracompact.
Rising powers such as Brazil, China, India, Russia, and Turkey are increasingly claiming heightened profiles in international politics. Although differing in other respects, rising states have a strong desire for recognition and respect. This pioneering volume on status features contributions that develop propositions on status concerns and illustrate them with case studies and aggregate data analysis. Four cases are examined in depth: the United States (how it accommodates rising powers through hierarchy), Russia (the influence of status concerns on its foreign policy), China (how Beijing signals its status aspirations), and India (which has long sought major power status). The authors analyze status from a variety of theoretical perspectives and tackle questions such as: How do states signal their status claims? How are such signals perceived by the leading states? Will these status concerns lead to conflict, or is peaceful adjustment possible?