Prevalence and predictors of frailty in a high-income developing country: A cross-sectional study.

Background: Frailty is a state of vulnerability and a decreased physiological response to stressors. As the population ages, the prevalence of frailty is expected to increase. Thus, identifying tools and resources that efficiently predict frailty among the Saudi population is important. We aimed to describe the prevalence and predictors of frailty among Saudi patients referred for cardiac stress testing with nuclear imaging. Methods: We included 876 patients (mean age 60.3 ± 11 years, women 48%) who underwent clinically indicated cardiac nuclear stress testing between January and October 2016. Fried Clinical Frailty Scale was used to assess frailty. Patients were considered frail if they had a score of four or higher. Multivariate adjusted logistic regression models were used to determine the independent predictors of elderly frail patients. Results: In this cohort, the median age of the included patients was 61 years, and the prevalence of frailty was 40%. The frail patients were older, more frequently women, and had a higher body mass index. Additionally, frailty was associated with a higher prevalence of cardiovascular risk factors: hypertension (85% vs. 70%) and diabetes (75% vs. 60%). In a fully adjusted logistic regression model, women, hypertension, and obesity (BMI ≥ 30 kg/m2) were independent predictors of elderly frail patients. Conclusions: With the aging of the Saudi population, frailty prevalence is expected to increase. Elderly, obesity, hypertension, and female gender are risk factors of frailty. Interventions to reduce frailty should be focused on this high-risk population.

Non-invasive brain stimulation targeting the right fusiform gyrus selectively increases working memory for faces.

The human extrastriate cortex contains a region critically involved in face detection and memory, the right fusiform gyrus. The present study evaluated whether transcranial direct current stimulation (tDCS) targeting this anatomical region would selectively influence memory for faces versus non-face objects (houses). Anodal tDCS targeted the right fusiform gyrus (Brodmann's Area 37), with the anode at electrode site PO10, and cathode at FP2. Two stimulation conditions were compared in a repeated-measures design: 0.5mA versus 1.5mA intensity; a separate control group received no stimulation. Participants completed a working memory task for face and house stimuli, varying in memory load from 1 to 4 items. Individual differences measures assessed trait-based differences in facial recognition skills. Results showed 1.5mA intensity stimulation (versus 0.5mA and control) increased performance at high memory loads, but only with faces. Lower overall working memory capacity predicted a positive impact of tDCS. Results provide support for the notion of functional specialization of the right fusiform regions for maintaining face (but not non-face object) stimuli in working memory, and further suggest that low intensity electrical stimulation of this region may enhance demanding face working memory performance particularly in those with relatively poor baseline working memory skills.

A protocol for training group-housed rhesus macaques (Macaca mulatta) to cooperate with husbandry and research procedures using positive reinforcement.

There has been increased recognition of the 3Rs in laboratory animal management over the last decade, including improvements in animal handling and housing. For example, positive reinforcement is now more widely used to encourage primates to cooperate with husbandry procedures, and improved enclosure design allows housing in social groups with opportunity to escape and avoid other primates and humans. Both practices have become gold standards in captive primate care resulting in improved health and behavioural outcomes. However, training individuals and social housing may be perceived as incompatible, and so it is important to share protocols, their outcomes and suggestions for planning and improvements for future uptake. Here we present a protocol with link to video for training rhesus macaques (Macaca mulatta) housed in single-male - multi-female breeding groups to sit at individual stations in the social enclosure. Our aim was that the monkeys could take part in welfare-related cognitive assessments without the need for removal from the group or interference by group members. To do this we required most individuals in a group to sit by individual stations at the same time. Most of the training was conducted by a single trainer with occasional assistance from a second trainer depending on availability. We successfully trained 61/65 monkeys housed in groups of up to nine adults (plus infants and juveniles) to sit by their individual stationing tools for >30 s. Males successfully trained on average within 30 min (2 training sessions); females trained on average in 1 h 52 min ± 13min (7.44 sessions), with rank (high, mid, low) affecting the number of sessions required. On average, dominant females trained in 1 h 26 min ± 16 min (5.7 sessions), mid ranked females in 1 h 52 min ± 20min (7.45 sessions), and subordinate females took 2 h 44 min ± 36 min (10.9 sessions). Age, group size, reproductive status, temperament, and early maternal separation did not influence the number of sessions a monkey required to reach criterion. We hope this protocol will be useful for facilities worldwide looking to house their animals in naturalistic social groups without impacting on animal husbandry and management.

Electrophysiological evidence for greater attention to threat when cognitive control resources are depleted.

In this study, we investigated the time course of attentional bias for threat-related (angry) facial expressions under conditions of high versus low cognitive (working memory) load. Event-related potential (ERP) and reaction time (RT) data were recorded while participants viewed pairs of faces (angry paired with neutral face) displayed for 500 ms and followed by a probe. Participants were required to respond to the probe while performing a concurrent task of holding in working memory a sequence of digits that were either in the same order (low memory load) or in a random mixed order (high memory load). The ERP results revealed that higher working memory load resulted in enhanced lateralized neural responses to threatening relative to neutral faces, consistent with greater initial orienting of attention to threatening faces (early N2pc: 180-252 ms) and enhanced maintenance of processing representations of threat (late N2pc, 252-320 ms; SPCN, 320-500 ms). The ERP indices showed significant positive relationships with each other, and also with the behavioral index of attentional bias to threat (reflected by faster RTs to probes replacing angry than neutral faces at 500 ms), although the latter index was not significantly influenced by memory load. Overall, the findings indicate that depletion of cognitive control resources, using a working memory manipulation, increases the capacity of task-irrelevant threat cues to capture and hold attention.

Phytomonitoring of chlorinated ethenes in trees: a four-year study of seasonal chemodynamics in planta.

Long-term monitoring (LTM) of groundwater remedial projects is costly and time-consuming, particularly when using phytoremediation, a long-term remedial approach. The use of trees as sensors of groundwater contamination (i.e., phytoscreening) has been widely described, although the use of trees to provide long-term monitoring of such plumes (phytomonitoring) has been more limited due to unexplained variability of contaminant concentrations in trees. To assess this variability, we developed an in planta sampling method to obtain high-frequency measurements of chlorinated ethenes in oak (Quercus rubra) and baldcypress (Taxodium distichum) trees growing above a contaminated plume during a 4-year trial. The data set revealed that contaminant concentrations increased rapidly with transpiration in the spring and decreased in the fall, resulting in perchloroethene (PCE) and trichloroethene (TCE) sapwood concentrations an order of magnitude higher in late summer as compared to winter. Heartwood PCE and TCE concentrations were more buffered against seasonal effects. Rainfall events caused negligible dilution of contaminant concentrations in trees after precipitation events. Modeling evapotranspiration potential from meteorological data and comparing the modeled uptake and transport with the 4 years of high frequency data provides a foundation to advance the implementation of phytomonitoring and improved understanding of plant contaminant interactions.

Oxygen saturation index: an adjunct for oxygenation index in congenital diaphragmatic hernia.

OBJECTIVE: Our objective was to investigate the correlation of Oxygen Saturation Index (OSI) with Oxygenation Index (OI) and determine OSImax values that could predict need for ECMO and death in Congenital Diaphragmatic Hernia (CDH). STUDY DESIGN: This is a retrospective cohort study of infants with CDH admitted to a tertiary level VI NICU. Pearson's correlation coefficient and simple linear regression analysis were used to investigate the OSI: OI correlation, and logistic regression analysis to investigate OSImax values that predicted need for ECMO and death. RESULTS: Among the 180 infants, OSImax value of >13 at 6 h of life (HOL) best predicted need for ECMO and death. There was a strong correlation between OSI: OI paired values (r = 0.876, p < 0.001). The linear regression equation was OI = -2.4 + 2.4(OSI). CONCLUSION: OSI could be used as a valuable adjunct to OI in the clinical management of newborn infants with CDH.

Transcranial direct current stimulation (tDCS) to dorsolateral prefrontal cortex influences perceived pleasantness of food.

The ability to regulate the intake of unhealthy foods is critical in modern, calorie dense food environments. Frontal areas of the brain, such as the dorsolateral prefrontal cortex (DLPFC), are thought to play a central role in cognitive control and emotional regulation. Therefore, increasing activity in the DLPFC may enhance these functions which could improve the ability to reappraise and resist consuming highly palatable but unhealthy foods. One technique for modifying brain activity is transcranial direct current stimulation (tDCS), a non-invasive technique for modulating neuronal excitability that can influence performance on a range of cognitive tasks. We tested whether anodal tDCS targeting the right DLPFC would influence how people perceived highly palatable foods. In the present study, 98 participants were randomly assigned to receive a single session of active tDCS (2.0 mA) or sham stimulation. While receiving active or sham stimulation, participants viewed images of highly palatable foods and reported how pleasant it would be to eat each food (liking) and how strong their urge was to eat each food (wanting). We found that participants who received active versus sham tDCS stimulation perceived food as less pleasant, but there was no difference in how strong their urge was to eat the foods. Our findings suggest that modulating excitability in the DLPFC influences "liking" but not "wanting" of highly palatable foods. Non-invasive brain stimulation might be a useful technique for influencing the hedonic experience of eating but more work is needed to understand when and how it influences food cravings.

Neural correlates of acquired color category effects.

Category training can induce category effects, whereby color discrimination of stimuli spanning a newly learned category boundary is enhanced relative to equivalently spaced stimuli from within the newly learned category (e.g., categorical perception). However, the underlying mechanisms of these acquired category effects are not fully understood. In the current study, Event-Related Potentials (ERPs) were recorded during a visual oddball task where standard and deviant colored stimuli from the same or different novel categories were presented. ERPs were recorded for a test group who were trained on these novel categories, and for an untrained control group. Category effects were only found for the test group on the trained region of color space, and only occurred during post-perceptual stages of processing. These findings provide new evidence for the involvement of cognitive mechanisms in acquired category effects and suggest that category effects of this kind can exist independent of early perceptual processes.

An electrophysiological investigation into the automaticity of emotional face processing in high versus low trait anxious individuals.

To examine the extent of automaticity of emotional face processing in high versus low trait anxious participants, event-related potentials (ERPs) were recorded to emotional (fearful, happy) and neutral faces under varying task demands (low load, high load). Results showed that perceptual encoding of emotional faces, as reflected in P1 and early posterior negativity components, was unaffected by the availability of processing resources. In contrast, the postperceptual registration and storage of emotion-related information, as reflected in the late positive potential component at frontal locations, was influenced by the availability of processing resources, and this effect was further modulated by level of trait anxiety. Specifically, frontal ERP augmentations to emotional faces were eliminated in the more demanding task for low trait anxious participants, whereas ERP enhancements to emotional faces were unaffected by task load in high trait anxious participants. This result suggests greater automaticity in processing affective information in high trait anxious participants.

Neurophysiological evidence for categorical perception of color.

The aim of this investigation was to examine the time course and the relative contributions of perceptual and post-perceptual processes to categorical perception (CP) of color. A visual oddball task was used with standard and deviant stimuli from same (within-category) or different (between-category) categories, with chromatic separations for within- and between-category stimuli equated in Munsell Hue. CP was found on a behavioral version of the task, with faster RTs and greater accuracy for between- compared to within-category stimuli. On a neurophysiological version of the task, event-related potentials (ERPs) showed earlier latencies for P1 and N1 components at posterior locations to between- relative to within-category deviants, providing novel evidence for early perceptual processes on color CP. Enhanced P2 and P3 waves were also found for between- compared to within-category stimuli, indicating a role for later post-perceptual processes.

Electrophysiological markers of categorical perception of color in 7-month old infants.

The origin of color categories has been debated by psychologists, linguists and cognitive scientists for many decades. Here, we present the first electrophysiological evidence for categorical responding to color before color terms are acquired. Event-related potentials were recorded on a visual oddball task in 7-month old infants. Infants were shown frequent presentations of one color (standard) interspersed with infrequent presentations of a color that was either from the same category (within-category deviant) or from a different category (between-category deviant) to the standard. Differences in the event-related potentials elicited by the stimuli were found that were related to the categorical relationship of the standard and the deviant stimuli. The data are discussed in relation to the processes that underlie categorical responding in infancy, as well as the debate about the origin of color categories in language and cognition.

Effects of anxiety on the processing of fearful and happy faces: an event-related potential study.

This study investigated the influence of trait anxiety on event-related potentials (ERPs) to fearful, happy, and neutral faces. Fearful faces, relative to neutral, elicited a range of effects in the low-trait anxiety (LTA) group: an enhanced visual P1 component, an early posterior negativity (EPN), and a sustained fronto-central positivity. Emotional expression effects were generally weaker for happy faces. The enhanced fronto-central positivity and EPN triggered by fearful stimuli in LTA participants were less pronounced in the high-trait anxiety (HTA) group, while the enhancement of the visual P1 seen in the LTA group was further augmented in the HTA group. This represents a clear dissociation across anxiety groups between rapid attentional processing as reflected by the visual P1 and later strategic processing as reflected by fronto-central and EPN components. These effects of high-trait anxiety in potentiating initial threat evaluation but attenuating later cognitive processing are discussed in the context of the possible roles of neural systems underlying threat evaluation, cognitive avoidance, and differentiated affective responses.

Effects of threat cues on attentional shifting, disengagement and response slowing in anxious individuals.

According to cognitive models of anxiety, attentional biases for threat may cause or maintain anxiety states. Previous research using spatial cueing tasks has been interpreted in terms of difficulty in disengaging attention from threat in anxious individuals, as indicated by contrasts of response times (RTs) from threat cue versus neutral cue trials. However, on spatial cueing tasks, differences in RT between threat cue and neutral cue trials may stem from a slowing effect of threat on RT, as well as effects on allocation of visuospatial attention. The present study examined the effects of threat cues on both attentional cueing and response slowing. High and low anxious individuals completed a central cue task, which assessed threat-related response slowing, and a spatial cueing task, which assessed attentional biases for angry, happy and neutral faces. Results indicated that interpretation of the anxiety-related bias for threat depended on whether the effect of response slowing was taken into account. The study illustrates an important problem in using the modified spatial cueing task to assess components of threat-related attentional bias. As this experimental method may reflect both threat-related attentional cueing and response slowing effects, it cannot be assumed to provide pure measures of shift or disengagement components of attention bias.

Event-related brain potential correlates of emotional face processing.

Results from recent event-related brain potential (ERP) studies investigating brain processes involved in the detection and analysis of emotional facial expression are reviewed. In all experiments, emotional faces were found to trigger an increased ERP positivity relative to neutral faces. The onset of this emotional expression effect was remarkably early, ranging from 120 to 180ms post-stimulus in different experiments where faces were either presented at fixation or laterally, and with or without non-face distractor stimuli. While broadly distributed positive deflections beyond 250ms post-stimulus have been found in previous studies for non-face stimuli, the early frontocentrally distributed phase of this emotional positivity is most likely face-specific. Similar emotional expression effects were found for six basic emotions, suggesting that these effects are not primarily generated within neural structures specialised for the automatic detection of specific emotions. Expression effects were eliminated when attention was directed away from the location of peripherally presented emotional faces, indicating that they are not linked to pre-attentive emotional processing. When foveal faces were unattended, expression effects were attenuated, but not completely eliminated. It is suggested that these ERP correlates of emotional face processing reflect activity within a neocortical system where representations of emotional content are generated in a task-dependent fashion for the adaptive intentional control of behaviour. Given the early onset of the emotion-specific effects reviewed here, it is likely that this system is activated in parallel with the ongoing evaluation of emotional content in the amygdala and related subcortical brain circuits.

Attention modulates the processing of emotional expression triggered by foveal faces.

To investigate whether the processing of emotional expression for faces presented within foveal vision is modulated by spatial attention, event-related potentials (ERPs) were recorded in response to stimulus arrays containing one fearful or neutral face at fixation, which was flanked by a pair of peripheral bilateral lines. When attention was focused on the central face, an enhanced positivity was elicited by fearful as compared to neutral faces. This effect started at 160 ms post-stimulus, and remained present for the remainder of the 700 ms analysis interval. When attention was directed away from the face towards the line pair, the initial phase of this emotional positivity remained present, but emotional expression effects beyond 220 ms post-stimulus were completely eliminated. These results demonstrate that when faces are presented foveally, the initial rapid stage of emotional expression processing is unaffected by attention. In contrast, attentional task instructions are effective in inhibiting later, more controlled stages of expression analysis.

Emotion Evaluation and Response Slowing in a Non-Human Primate: New Directions for Cognitive Bias Measures of Animal Emotion?

The cognitive bias model of animal welfare assessment is informed by studies with humans demonstrating that the interaction between emotion and cognition can be detected using laboratory tasks. A limitation of cognitive bias tasks is the amount of training required by animals prior to testing. A potential solution is to use biologically relevant stimuli that trigger innate emotional responses. Here; we develop a new method to assess emotion in rhesus macaques; informed by paradigms used with humans: emotional Stroop; visual cueing and; in particular; response slowing. In humans; performance on a simple cognitive task can become impaired when emotional distractor content is displayed. Importantly; responses become slower in anxious individuals in the presence of mild threat; a pattern not seen in non-anxious individuals; who are able to effectively process and disengage from the distractor. Here; we present a proof-of-concept study; demonstrating that rhesus macaques show slowing of responses in a simple touch-screen task when emotional content is introduced; but only when they had recently experienced a presumably stressful veterinary inspection. Our results indicate the presence of a subtle "cognitive freeze" response; the measurement of which may provide a means of identifying negative shifts in emotion in animals.

Mentally simulating narrative perspective is not universal or necessary for language comprehension.

Readers differentially adopt an agent's perspective as a function of pronouns encountered during reading. The present study assessed the reliability of this effect across narrative contexts and self-reported variation in levels of engagement during reading. Experiment 1 used an extended sample (N = 263) and replicated an interactive influence of pronouns on perspectives adopted during reading simple action sentences (e.g., You are peeling the cucumber.), with You promoting an agent's perspective, and He promoting an onlooker's external perspective. The magnitude of this effect was partially accounted for by individual differences in the tendency to get actively engaged during reading. Specifically, readers who self-reported greater empathic engagement during reading also showed a higher likelihood to adopt an agent's perspective when sentences used the pronoun You or I. Experiment 2 (N = 217) examined whether these influences of pronouns and individual differences would emerge with relatively realistic, extended narratives; effects were generally less robust than with single sentence scenarios, though empathic engagement still predicted adopting an agent's perspective with the pronoun You or I. Furthermore, even in the absence of perspective modulation in response to pronouns, comprehension was maintained. These results demonstrate that differentially adopting perspectives as a function of pronouns is not universal or necessary for comprehension, but rather influenced by narrative context and individuals' propensity to find themselves immersed in described events. Results are considered within the framework of embodied cognition, representational pluralism, individual differences, and high-powered replication projects. (PsycINFO Database Record

The role of spatial frequency information for ERP components sensitive to faces and emotional facial expression.

To investigate the impact of spatial frequency on emotional facial expression analysis, ERPs were recorded in response to low spatial frequency (LSF), high spatial frequency (HSF), and unfiltered broad spatial frequency (BSF) faces with fearful or neutral expressions, houses, and chairs. In line with previous findings, BSF fearful facial expressions elicited a greater frontal positivity than BSF neutral facial expressions, starting at about 150 ms after stimulus onset. In contrast, this emotional expression effect was absent for HSF and LSF faces. Given that some brain regions involved in emotion processing, such as amygdala and connected structures, are selectively tuned to LSF visual inputs, these data suggest that ERP effects of emotional facial expression do not directly reflect activity in these regions. It is argued that higher order neocortical brain systems are involved in the generation of emotion-specific waveform modulations. The face-sensitive N170 component was neither affected by emotional facial expression nor by spatial frequency information.

Inclined to see it your way: Do altercentric intrusion effects in visual perspective taking reflect an intrinsically social process?

It has been suggested that some aspects of mental state understanding recruit a rudimentary, but fast and efficient, processing system, demonstrated by the obligatory slowing down of judgements about what the self can see when this is incongruent with what another can see. We tested the social nature of this system by investigating to what extent these altercentric intrusions are elicited under conditions that differed in their social relevance and, further, how these related to self-reported social perspective taking and empathy. In Experiment 1, adult participants were asked to make "self" or "other" perspective-taking judgements during congruent ("self" and "other" can see the same items) or incongruent conditions ("self" and "other" cannot see the same items) in conditions that were social (i.e., involving a social agent), semisocial (an arrow), or nonsocial (a dual-coloured block). Reaction time indices of altercentric intrusion effects were present across all conditions, but were significantly stronger for the social than for the less social conditions. Self-reported perspective taking and empathy correlated with altercentric intrusion effects in the social condition only. In Experiment 2, the significant correlations for the social condition were replicated, but this time with gaze duration indices of altercentric intrusion effects. Findings are discussed with regard to the degree to which this rudimentary system is socially specialized and how it is linked to more conceptual understanding.

Direct current stimulation of the left temporoparietal junction modulates dynamic humor appreciation.

The aim of this study was to evaluate the influence of transcranial direct current stimulation targeting the left temporoparietal junction (TPJ) on humor appreciation during a dynamic video rating task. In a within-participants design, we targeted the left TPJ with anodal, cathodal, or no transcranial direct current stimulation, centered at electrode site C3 using a 4×1 targeted stimulation montage. During stimulation, participants dynamically rated a series of six stand-up comedy videos for perceived humor. We measured event-related (time-locked to crowd laughter) modulation of humor ratings as a function of stimulation condition. Results showed decreases in rated humor during anodal (vs. cathodal or none) stimulation; this pattern was evident for the majority of videos and was only partially predicted by individual differences in humor style. We discuss the possibility that upregulation of neural circuits involved in the theory of mind and empathizing with others may reduce appreciation of aggressive humor. In conclusion, the present data show that neuromodulation of the TPJ can alter the mental processes underlying humor appreciation, suggesting critical involvement of this cortical region in detecting, comprehending, and appreciating humor.