Evaluating a psychological support service focused on the needs of critical care and theatres staff in the first wave of COVID-19.

BACKGROUND: In response to COVID-19, the authors used clinical psychology resources from their hospital's Pain Medicine Department to provide direct support to critical areas. AIMS: The degree to which the service met the needs of staff and managers between March and August 2020 was evaluated. METHODS: A total of 51 staff were referred. Most were nurses (43%), followed by theatre practitioners (36%), healthcare assistants (9%), consultants (8%), administrative (2%) and support staff (2%). Working status, reason for referral and presenting difficulties at first appointment and outcome were recorded. Staff were sent an anonymous survey following intervention. FINDINGS: Staff reported high rates of burnout, anxiety and low mood, with 22% experiencing exacerbation of pre-existing mental health problems. All staff reported benefit from the intervention and managers provided positive feedback. CONCLUSION: Establishing a supportive service that included psychology benefited both staff and managers at the peak of the pandemic. Recommendations are provided.

Neural responses to target features outside a search array are enhanced during conjunction but not unique-feature search.

The visual world is typically too complex to permit full apprehension of its content from a single fixation. Humans therefore use visual search to direct attention and eye movements to locations or objects of interest in cluttered scenes. Psychophysical investigations have revealed that observers can select target elements from within an array of distractors on the basis of their spatial location or simple features, such as color. It remains unclear, however, how stimuli that lie outside the current search array are represented in the visual system. To investigate this, we recorded continuous neural activity using EEG while participants searched a foveal array of colored targets and distractors, and ignored irrelevant objects in the periphery. Search targets were defined either by a unique feature within the array or by a conjunction of features. Objects outside the array could match the target or distractor color within the array, or otherwise possessed a baseline (neutral) color present only in the periphery. The search array and irrelevant peripheral objects flickered at unique rates and thus evoked distinct frequency-tagged neural oscillations. During conjunction but not unique-feature search, target-colored objects outside the array evoked enhanced activity relative to distractor-colored and neutral objects. The results suggest that feature-based selection applies to stimuli at ignored peripheral locations, but only when central targets compete with distractors within the array. Distractor-colored and neutral objects evoked equivalent oscillatory responses, suggesting that feature-based selection at ignored locations during visual search arises exclusively from enhancement rather than suppression of neural activity.

A conceptual model of how US families with athletic adolescent daughters manage food and eating.

Health professionals concerned about the risks of adolescent obesity and disordered eating practices need greater understanding of how families with adolescents manage food in today's fast paced environment. This paper sought to gain conceptual understanding of the food and eating routines of families with a female adolescent athlete from the perspectives of mothers and daughters. Ten white, non-Hispanic mothers and their daughters were purposively sampled from high school track and cross country teams in Upstate New York. Informants completed in-depth, qualitative interviews. Researchers used the constant comparative method to analyze transcripts for emergent themes and to build a conceptual framework that represented the many factors and processes involved in the construction of family food routines. Families varied in forms and patterns of family eating activities with mothers playing a pivotal role in these routines. Family members' individual needs and values were negotiated in constructing these routines. In this sample the daughters' involvement in sports influenced family eating routines, but mothers' employment, ethnicity, social support, income, and areas of residence also played a role. The model describes how individual participants' food choice processes interact to produce family food routines. The conceptual model can inform research and practice related to the family environments in which adolescents experience food and eating.

Correction to: Neural correlates of goal-directed enhancement and suppression of visual stimuli in the absence of conscious perception.

The article [Title], written by [AuthorNames], was originally published electronically on the publisher's internet portal (currently SpringerLink) on [30 October 2018] with open access.

Neural correlates of goal-directed enhancement and suppression of visual stimuli in the absence of conscious perception.

An observer's current goals can influence the processing of visual stimuli. Such influences can work to enhance goal-relevant stimuli and suppress goal-irrelevant stimuli. Here, we combined behavioral testing and electroencephalography (EEG) to examine whether such enhancement and suppression effects arise even when the stimuli are masked from awareness. We used a feature-based spatial cueing paradigm, in which participants searched four-item arrays for a target in a specific color. Immediately before the target array, a nonpredictive cue display was presented in which a cue matched or mismatched the searched-for target color, and appeared either at the target location (spatially valid) or another location (spatially invalid). Cue displays were masked using continuous flash suppression. The EEG data revealed that target-colored cues produced robust N2pc and NT responses-both signatures of spatial orienting-and distractor-colored cues produced a robust PD-a signature of suppression. Critically, the cueing effects occurred for both conscious and unconscious cues. The N2pc and NT were larger in the aware versus unaware cue condition, but the PD was roughly equivalent in magnitude across the two conditions. Our findings suggest that top-down control settings for task-relevant features elicit selective enhancement and suppression even in the absence of conscious perception. We conclude that conscious perception modulates selective enhancement of visual features, but suppression of those features is largely independent of awareness.

Taking a closer look at visual search: Just how feature-agnostic is singleton detection mode?

Singleton detection mode is a state in which spatial attention is set to prioritize any objects that differ from all other objects present on any feature dimension. Relatively little research has been devoted to confirming the consequences such a search mode has for stimulus processing. It is often implied that when observers employ singleton detection mode, all singletons capture attention equally, and when observers search for a single feature, only that feature captures attention. The experiment presented here contradicts these implications. We had observers search for colored singleton targets preceded by spatially uninformative colored singleton cues, and we recorded stimulus-evoked neural responses using electroencephalography (EEG). When observers had to respond to targets defined by two possible colors (a task intended to encourage singleton detection mode), cue validity effects were apparent for both target-color cues and irrelevant-color cues, and these effects were accompanied by an N2pc in the EEG data. Importantly, however, the target-color cues evoked significantly larger cue validity effects and N2pc components than did the irrelevant-color cues. In contrast, when observers had to respond to targets defined by one color (a task intended to encourage feature search mode), only cues of that color evoked a cue validity effect. Interestingly, the N2pcs produced by irrelevant cues did not differ between feature and singleton search, suggesting that the behavioral difference was not due to different attentional orienting. Rather, we suggest that behavioral singleton capture is due to a diminished same-location cost being produced by irrelevant-color cues.

Substituted ajoenes as novel anti-cancer agents.

A new synthesis of the ajoene pharmacophore core is presented involving the regioselective radical addition of a thiyl radical to a terminal alkyne as the key step. The synthesis allows structural variation of the two end groups on sulfur, and a range of novel derivatives varying the R(1) group (sulfoxide end) has been prepared and tested against CT-1 transformed fibroblast cells for anti-cancer activity. The results indicate comparable or even improved activity compared to the parent natural product ajoene isomers. This opens up the way to systematically studying the biology of the ajoene core.

Re-examining the influence of attention and consciousness on visual afterimage duration.

The relationship between visual attention and conscious perception has been the subject of debate across a number of fields, including philosophy, psychology, and neuroscience. Whereas some researchers view attention and awareness as inextricably linked, others propose that the two are supported by distinct neural mechanisms that can be fully dissociated. In a pioneering study, van Boxtel, Tsuchiya, and Koch (2010b) reported evidence for a dissociation between attention and conscious perception using a perceptual adaptation task in which participants' perceptual awareness and visual attention were manipulated independently. They found that participants' awareness of an adapting stimulus increased afterimage duration, whereas attending to the adaptor decreased it. Given the important theoretical implications of these findings, we endeavored to replicate them using an identical paradigm while dealing with some potential shortcomings of the original study by adding more trials and a larger participant sample. Consistent with van Boxtel, Tsuchiya, and Koch, we found that afterimage duration was reliably increased when participants were aware of the adapting stimulus. In contrast to the original findings, however, attention to the adaptor also increased afterimage duration, suggesting that attention and awareness had the same-rather than opposing-effects on afterimage duration. We discuss possible reasons for this discrepancy. (PsycINFO Database Record

Potentially protective factors associated with healthful body mass index in adolescents with obese and nonobese parents: a secondary data analysis of the third national health and nutrition examination survey, 1988-1994.

OBJECTIVE: To identify factors potentially protective against obesity in 12- to 16-year-olds with one or two obese parents, and those with no obese parents. DESIGN: A secondary analysis of the Third National Health and Nutrition Examination Survey, 1988-1994. SUBJECTS/SETTING: A nationally representative sample of healthful weight, at-risk, or overweight adolescents with measured heights and weights (n=1,890). Subsamples with any obese parent (body mass index > or =30) and no obese parents (both with body mass index <25) were analyzed. STATISTICAL ANALYSES PERFORMED: Bivariate analyses examined the association of predictor variables (demographics, nutrient intake, and physical activity) on the outcome. Logistic regressions examined the likelihood of being healthful weight. SUDAAN software (release 7.5, 1997, Research Triangle Institute, Research Triangle Park, NC) was used to account for the sample design. RESULTS: Overall, 71% of subjects had a healthful weight, 29% were at risk or overweight. Factors associated with healthful weight included having two nonobese parents (odds ratio [OR]=5.4), only father obese (OR=4.9), only mother obese (OR=3.3), higher reading scores (OR=1.02), lower water consumption (OR=1.8), more exercise programs (OR=2.8), and higher energy intake (OR=2.0). For adolescents with any obese parent, factors potentially protective against obesity included being female (OR=2.2), higher household education (OR=1.1), lower water consumption (OR=2.0), and eating breakfast some days (OR=3.1) or everyday (OR=4.0). For adolescents with no obese parents, potentially protective factors included older age (OR=1.2), not having asthma (OR=2.6), more exercise programs (OR=6.1), and higher energy intake (OR=2.9). All P<.05. CONCLUSIONS: Interventions targeted at adolescents who are at risk because they have parents with obesity should employ a family approach focused on regular breakfast consumption.

A new route to metallacycloalkanes.

Reaction of the bis-alkenyl complex cis-[Pt(PPh3)2(CH2CH2CH=CH2)2] with Grubbs 1st generation catalyst gives, in high yield, the metallacycloalkene cis-[Pt(PPh3)2(CH2CH2CH=CHCH2CH2)], which can be hydrogenated to the metallacycloalkane cis-[Pt(PPh3)2(CH2)6].

On the role of working memory in spatial contextual cueing.

The human visual system receives more information than can be consciously processed. To overcome this capacity limit, we employ attentional mechanisms to prioritize task-relevant (target) information over less relevant (distractor) information. Regularities in the environment can facilitate the allocation of attention, as demonstrated by the spatial contextual cueing paradigm. When observers are exposed repeatedly to a scene and invariant distractor information, learning from earlier exposures enhances the search for the target. Here, we investigated whether spatial contextual cueing draws on spatial working memory resources and, if so, at what level of processing working memory load has its effect. Participants performed 2 tasks concurrently: a visual search task, in which the spatial configuration of some search arrays occasionally repeated, and a spatial working memory task. Increases in working memory load significantly impaired contextual learning. These findings indicate that spatial contextual cueing utilizes working memory resources.

How useful are hospital morbidity data for monitoring conditions occurring in the perinatal period?

BACKGROUND: There is currently no published information on the full range of morbid conditions affecting mothers and newborns in Australia. Hospital morbidity data collections are a possible source of this information, but have not been widely utilised due to concerns about data quality. AIMS: To assess the accuracy and reliability of perinatal morbidity reporting to the New South Wales Inpatient Statistics Collection (NSW ISC). METHODS: A sample of 1000 records relating to 500 mothers and 500 newborns were randomly selected from the NSW ISC for the financial year 1999-2000 and compared with information obtained from medical records. Sensitivities and specificities were calculated for conditions of clinical relevance. RESULTS: There was a wide range of sensitivities among the 41 conditions selected, indicating a variable level of under-enumeration. Only 17 (41%) had a sensitivity of 80% or more. Sensitivities were more than 95% for gestational diabetes, prolonged pregnancy, perineal laceration, single live birth, low birth weight, and intracranial haemorrhage. However, numbers are small and confidence intervals wide for some of these conditions. Specificities were generally high. Neonatal conditions tended to be more accurately reported than maternal conditions. The pattern of results was similar to that reported for state perinatal data collections. CONCLUSIONS: While hospital administrative data are readily available, data quality is a valid concern. However, if the data are viewed critically and information on accuracy is available, they can be a useful resource for monitoring the health of mothers and babies.

Unmasking Evans syndrome: T-cell phenotype and apoptotic response reveal autoimmune lymphoproliferative syndrome (ALPS).

Autoimmune lymphoproliferative syndrome (ALPS) is a rare disorder of disrupted lymphocyte homeostasis. Clinical manifestations of ALPS vary but typically include autoimmune cytopenias, organomegaly, lymphadenopathy, and increased risk of malignancies. A similar spectrum of symptoms may be seen in some patients with Evans syndrome (ES), a hematologic disorder defined by autoimmune destruction of at least 2 hematologic cell types. We hypothesized that a subset of patients diagnosed with ES may have ALPS. We screened 12 children with ES by flow cytometric analysis for CD4-/CD8- (double negative) T cells (DNTs) and with the definitive test for ALPS, defective in vitro Fas-mediated apoptosis. Six of the patients had elevated DNTs, suggestive of ALPS and also had defective Fas-mediated apoptosis. The other 6 patients displayed normal T-cell apoptosis; 5 of whom had normal DNTs, and 1 had a borderline result. Thus, 7 (58%) of 12 patients with ES had elevated DNTs suggestive of ALPS, with functional confirmation in 6 of 7. This suggests that analysis of DNTs may be a sensitive first-line screening test, serving as a marker of patients who should undergo definitive testing for ALPS. Our data further suggest that a number of patients with ES may have ALPS, a novel finding with important therapeutic implications.