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Auditory verbal hallucinations (AVHs) in schizophrenia have been suggested to arise from failure of corollary discharge mechanisms to correctly predict and suppress self-initiated inner speech. However, it is unclear whether such dysfunction is related to motor preparation of inner speech during which sensorimotor predictions are formed. The contingent negative variation (CNV) is a slow-going negative event-related potential that occurs prior to executing an action. A recent meta-analysis has revealed a large effect for CNV blunting in schizophrenia. Given that inner speech, similar to overt speech, has been shown to be preceded by a CNV, the present study tested the notion that AVHs are associated with inner speech-specific motor preparation deficits.
Objectives
The present study aimed to provide a useful framework for directly testing the long-held idea that AVHs may be related to inner speech-specific CNV blunting in patients with schizophrenia. This may hold promise for a reliable biomarker of AVHs.
Methods
Hallucinating (n=52) and non-hallucinating (n=45) patients with schizophrenia, along with matched healthy controls (n=42), participated in a novel electroencephalographic (EEG) paradigm. In the Active condition, they were asked to imagine a single phoneme at a cue moment while, precisely at the same time, being presented with an auditory probe. In the Passive condition, they were asked to passively listen to the auditory probes. The amplitude of the CNV preceding the production of inner speech was examined.
Results
Healthy controls showed a larger CNV amplitude (p = .002, d = .50) in the Active compared to the Passive condition, replicating previous results of a CNV preceding inner speech. However, both patient groups did not show a difference between the two conditions (p > .05). Importantly, a repeated measure ANOVA revealed a significant interaction effect (p = .007, ηp2 = .05). Follow-up contrasts showed that healthy controls exhibited a larger CNV amplitude in the Active condition than both the hallucinating (p = .013, d = .52) and non-hallucinating patients (p < .001, d = .88). No difference was found between the two patient groups (p = .320, d = .20).
Conclusions
The results indicated that motor preparation of inner speech in schizophrenia was disrupted. While the production of inner speech resulted in a larger CNV than passive listening in healthy controls, which was indicative of the involvement of motor planning, patients exhibited markedly blunted motor preparatory activity to inner speech. This may reflect dysfunction in the formation of corollary discharges. Interestingly, the deficits did not differ between hallucinating and non-hallucinating patients. Future work is needed to elucidate the specificity of inner speech-specific motor preparation deficits with AVHs. Overall, this study provides evidence in support of atypical inner speech monitoring in schizophrenia.
Assess turnaround time (TAT) and cost-benefit of on-site C. auris screening and its impact on length of stay (LOS) and costs compared to reference laboratories.
Design:
Before-and-after retrospective cohort study.
Setting:
Large-tertiary medical center.
Methods:
We validated an on-site polymerase chain reaction-based testing platform for C. auris and retrospectively reviewed hospitalized adults who screened negative before and after platform implementation. We constructed multivariable models to assess the association of screening negative with hospital LOS/cost in the pre and postimplementation periods. We adjusted for confounders such as demographics and indwelling device use, and compared TATs for all samples tested.
Results:
The sensitivity and specificity of the testing platform were 100% and 98.11%, respectively, compared to send-out testing. The clinical cohort included 287 adults in the pre and 1,266 postimplementation period. The TAT was reduced by more than 2 days (3 (interquartile range (IQR): 2.0, 7.0) vs 0.42 (IQR: 0.24, 0.81), p < 0.001). Median LOS was significantly lower in the postimplementation period; however, this was no longer evident after adjustment. In relation to total cost, the time period had an effect of $6,965 (95% CI: −$481, $14,412); p = 0.067) on reducing the cost. The median adjusted total cost per patient was $7,045 (IQR: $3,805, $13,924) less in the post vs the preimplementation period.
Conclusions:
Our assessment did not find a statistically significant change in LOS, nevertheless, on-site testing was not cost-prohibitive for the institution. The value of on-site testing may be supported if an institutional C. auris reduction strategy emphasizes faster TATs.
White matter development during adolescents is crucial for a mature integration of neural networks in the brain. Autism spectrum condition (ASC), characterized by social and communication difficulties and rigid behaviour may interact with white matter development observed during adolescence. Changes in white matter development may link autistic symptoms to its genetic underpinnings and explain a 10-fold increase in susceptibility to ASC among siblings of individuals with ASC.
We used diffusion tensor imaging to study an association between age and white matter integrity measures, fractional anisotropy (FA) and mean diffusivity (MD), in adolescents with ASC, their siblings and age-matched healthy controls. Diffusion-weighted data were acquired with 64-direction protocol with 3mm slices and TR of 6600ms and tract-based spatial statistics analysis was performed.
The control subjects showed robust signs of increase in white matter integrity correlated with age. In contrast, individuals with ASC showed significantly lower negative correlation between MD and age in a broad area centred in the right superior longitudinal fasciculus (rSLF). When the three eigenvalues constituting a tensor ellipsoid were considered separately, siblings of individuals with ASC showed a diminished negative correlation between the second eigenvalue and age also centred in the rSLF.
Adolescents with ASC and their siblings experience alterations in white matter development in comparison to age-matched healthy controls, which are similar in direction yet different in scale for the two affected groups. The alterations are observed in the area associated with flexibility of behaviour and may explain both symptoms of ASC and increased susceptibility to ASC.
The densification of pure magnesia was examined along with mixtures containing 0·5 and 1·0 mol % of calcium oxide and forsterite. The sintering behaviour at temperatures between 1400 and 1800 °C was studied and measurements made of changes in shrinkage, porosity, bulk density, and grain size for sintering times of up to 8 h at sintering temperature. It was found that both the 0·5 and 1·0 mol % additions enhanced the sintering of pure magnesia in the temperature range 1500–1700 °C Increased grain growth was found for mixtures containing forsterite but little change occurred for mixtures containing lime. Examination of the grain growth data showed that the mixtures obeyed a relationship: Time at temperature × Constant = (grain size)n, where n = 2 for the grain growth of pure magnesia and mixtures containing lime, but n = 3 for mixtures of magnesia with additions of a silicate such as forsterite. A value of 78 kcal/mole was obtained for the grain growth of pure magnesia, which agrees with other researches.
The extent of the solubility of lime in periclase for each lime-magnesia mixture at each temperature was also examined using electron probe analysis and related to the sintering behaviour observed for these mixtures.
The Makatea Islands in the southern Cook Islands consist of a degraded volcanic core surrounded by emergent “makatea” limestones. While much of this reefal limestone is of Tertiary age, the seawardmost reefs are late Pleistocene. Last-interglacial reefs (oxygen isotope substage 5e) identified by U-series dating reach 12.2 m on Atiu (mean age of three samples 126,000 ± 5000 yr B.P.), 9.8 m on Mitiaro (mean age of five samples 119,000 ± 3000 yr B.P.), 10.0–12.7 m on Mauke (mean age of four samples 128,000 + 5000, −4,000 yr B.P.), and 14.5–20.0 m on Mangaia (mean age of four samples 115,000 ± 7000 yr B.P.). On Atiu, Mauke, and Mitiaro a lower reef unit has been identified, and is separated from the overlying substage 5e reef by a sharp discontinuity, often with a crust of coralline algae. U-series dating from Atiu and Mauke indicates that this is a stage 7 reef formed in the penultimate interglaciation. The Makatea Islands have emerged as a result of flexure of the lithosphere in response to loading by the Pleistocene volcanic island of Rarotonga. Isolated outcrops of makatea limestone on Rarotonga reach 3.5 m and are probably of substage 5e age. Elastic and viscoelastic models of lithospheric flexure predict that much of the compensatory movement should occur shortly after the emplacement of the load. However, the age and elevation of late Quaternary reefs on the southern Cook Islands, where a Pleistocene volcanic island has loaded relatively old ocean floor (>80 myr), indicate that differential uplift has been continuing over the last 250,000 yr.
Instrumental surveys of coastal profiles in the Cayman Islands, western Caribbean, reveal the presence of a horizontal erosional bench at +1.9 m on Grand Cayman and a deep horizontal notch at +6.4 m on Cayman Brac, but no raised erosional features on Little Cayman. Each island is surrounded by a horizontal constructional raised reef, usually below +2 m, here dated by U-series methods as 124,000 ± 8000 yr old, and hence broadly contemporary with other western Atlantic raised reefs of similar elevations. The different raised erosional features indicate independent vertical tectonic movement of the three islands, predating the formation of the raised reef. The accordance and horizontality of the raised reef indicates stability of the islands since the last interglacial times. An erosional notch at present sea level has formed since the sea reached its present level less than 2100 B.P., and algal benches on exposed coasts are also in equilibrium with present conditions.
The Wold Bison Jump (48JO966) is a communal bison (Bison bison) hunting site in Johnson County, Wyoming. It likely represents a single kill event precipitated by Great Plains foragers between A.D. 1433 and 1643. Operating the jump required that prehistoric hunters drive stampeding bison up a steep slope in order to position them within a V-shaped drive line configured to funnel them toward a cliff. Using iterative models of least cost paths, topographic cross-sections, and visibility analysis, we test which landscape-embedded variables are optimized at the jump site as compared to other potential localities across the study area. We find that this site’s placement is primarily explained by minimizing the distance at which the cliff face is visible and secondarily by minimizing the cost of slope and curvature routes ascending into the drive lines. Our procedure could hypothetically be used to predict optimal jump locations on similar landscapes.
Coffee is a relatively rich source of chlorogenic acids (CGA), which, as other polyphenols, have been postulated to exert preventive effects against CVD and type 2 diabetes. As a considerable proportion of ingested CGA reaches the large intestine, CGA may be capable of exerting beneficial effects in the large gut. Here, we utilise a stirred, anaerobic, pH-controlled, batch culture fermentation model of the distal region of the colon in order to investigate the impact of coffee and CGA on the growth of the human faecal microbiota. Incubation of coffee samples with the human faecal microbiota led to the rapid metabolism of CGA (4 h) and the production of dihydrocaffeic acid and dihydroferulic acid, while caffeine remained unmetabolised. The coffee with the highest levels of CGA (P< 0·05, relative to the other coffees) induced a significant increase in the growth of Bifidobacterium spp. relative to the control vessel at 10 h after exposure (P< 0·05). Similarly, an equivalent quantity of CGA (80·8 mg, matched with that in high-CGA coffee) induced a significant increase in the growth of Bifidobacterium spp. (P< 0·05). CGA alone also induced a significant increase in the growth of the Clostridium coccoides–Eubacteriumrectale group (P< 0·05). This selective metabolism and subsequent amplification of specific bacterial populations could be beneficial to host health.
Mentalizing deficits are a hallmark of the autism spectrum condition (ASC) and a potential endophenotype for atypical social cognition in ASC. Differences in performance and neural activation on the ‘Reading the Mind in the Eyes’ task (the Eyes task) have been identified in individuals with ASC in previous studies.
Method.
Performance on the Eyes task along with the associated neural activation was examined in adolescents with ASC (n = 50), their unaffected siblings (n = 40) and typically developing controls (n = 40). Based on prior literature that males and females with ASC display different cognitive and associated neural characteristics, analyses were stratified by sex. Three strategies were applied to test for endophenotypes at the level of neural activation: (1) identifying and locating conjunctions of ASC–control and sibling–control differences; (2) examining whether the sibling group is comparable to the ASC or intermediate between the ASC and control groups; and (3) examining spatial overlaps between ASC–control and sibling–control differences across multiple thresholds.
Results.
Impaired behavioural performance on the Eyes task was observed in males with ASC compared to controls, but only at trend level in females; and no difference in performance was identified between sibling and same-sex control groups in both sexes. Neural activation showed a substantial endophenotype effect in the female groups but this was only modest in the male groups.
Conclusions.
Behavioural impairment on complex emotion recognition associated with mental state attribution is a phenotypic, rather than an endophenotypic, marker of ASC. However, the neural response during the Eyes task is a potential endophenotypic marker for ASC, particularly in females.