Correlation Analysis Between Time Awareness and Morningness-Eveningness Preference.

The circadian clock is adjusted by light inputs via the retinohypothalamic tract. Because environmental light is controllable for modern humans at the individual's preference although under social schedules, individual differences in time-related psychology and behavior may be associated with morningness-eveningness preference (M-E preference). To examine this hypothesis, we used the Time Management Scale and Time Anxiety Scale to quantify time-related psychology and behavior. These scales aim to evaluate "awareness of effective time management and utilization" and "anxiety about uncontrollable time schedule and unexpected time-related outcome", respectively. According to our correlation analysis using mid-sleep time as a marker for M-E preference, we obtained results supporting our hypothesis in the correlation between the M-E preference values and the Time Management Scale scores, with larger "time estimation" and "taking each moment as it comes" scores associated with more morningness and eveningness, respectively. Considering that modern humans likely become night owls under artificial light conditions, it appears plausible that lower awareness of time management leads to more eveningness.

Backward illusory line motion: Visual motion perception can be influenced by retrospective stimulation.

When a visual cue appears beside a horizontal line segment before the line appears, the illusory motion is perceived as a line extending from the side closest to the side farthest from the cue. This is known as illusory line motion (ILM). In Experiment 1, we presented the cue after the line onset and found that the line seemed to extend toward the side of the cue (backward ILM). In Experiment 2, we confirmed the robustness and replicability of the backward ILM. In Experiments 3 to 5, we investigated the role of endogenous and exogenous attention in the generation of backward ILM and found effects of attention, but not large enough to explain the backward ILM in Experiments 1 and 2. The current findings suggest that the direction of ILM depended on the temporal relation of whether the cue precedes or follows the stimulus appearance, and that attentional shift played a role in the perception of backward ILM.

Clinical efficacy and safety of second line and salvage aflibercept for advanced colorectal cancer in Akita prefecture.

BACKGROUND: Angiogenesis inhibitors (AIs) combination with cytotoxic chemotherapy is a promising treatment for patients with colorectal cancer (CRC). Aflibercept (AFL) is an option for second-line treatment of CRC, according to the 'VELOUR' trial. Currently, we can choose from three AIs, including bevacizumab, ramucirumab, and AFL. Different AIs can be used in subsequent treatment because of their distinctive mechanisms of action. We addressed the uncertainty regarding AFL efficacy and safety in heavily-treated patients by comparing outcomes of survival treatment with second-line treatment. AIM: To determine and compare the efficacy and safety profiles of AFL in the second-line and salvage therapy settings. METHODS: Clinical data of 41 patients with advanced CRC who received intravenous AFL combined with the folinic acid-fluorouracil-irinotecan (FOLFIRI) regimen were collected retrospectively from six institutions in Japan, for the period from May 2017 to March 2019. Patient characteristics collected included age, sex, tumor location, RAS and RAF status, metastatic sites, number of previous treatment cycles, therapeutic response, adverse events, duration of previous AI treatment, and survival time. The end points were time to AFL treatment failure (aTTF) and median survival time post-AFL (aMST). Statistical analyses were performed to compare the efficacy and safety in the second-line setting with those of the salvage therapy setting, which was defined as the days since the end of second-line therapy. RESULTS: All 41 patients who received AFL + FOLFIRI for advanced CRC had metastatic or unresectable cancer. Twenty-two patients received AFL in the second-line setting and nineteen in the salvage therapy setting. The patient characteristics were similar in the two groups, except for two factors. The median duration of the previous AI administration was shorter in the second-line patients compared with that in the salvage therapy patients (144 d vs 323 d, P = 0.006). In the second-line and salvage therapy groups, the objective response rates were 11% and 0%, respectively (P = 0.50), and the disease control rates were 53% and 50%, respectively (P = 1.00). In the second-line and salvage therapy groups, the aTTF (123 d vs 71 d, respectively), aMST (673 d vs 396 d, respectively), and incidence of adverse events of grade 3 [8 (36%) vs 9 (47%)] were not significantly different between the two groups. CONCLUSION: AFL can be used to treat advanced CRC patients, with a similar safety and efficacy in the salvage therapy setting as in the second-line setting.

The Effect of Ratio of Changing to Static Stimuli on the Attentional Capture.

Studies have shown that appearing or disappearing objects attract more attention than static objects. This study examined the modulation of attention attracted by transient signals by systematically manipulating the ratio of changing (appearing/disappearing) to static stimuli. The results revealed that the effect of transient stimuli in attracting attention was diminished by simultaneously appearing (disappearing) peripheral stimuli and that the position where nothing was presented (the remaining stimulus) attracted attention when the number of appearing (disappearing) peripheral stimuli was increased. These findings suggest that the sudden change does not always capture attention, and whether changed things are attended or unchanged things are attended is determined depending on the proportion of things that change and do not change.

[Dynamic Attending Binds Time and Rhythm Perception].

Relations between time and rhythm perception are discussed in this review of psychophysical research relevant to the multiple-look effect and dynamic-attending theory. Discrimination of two neighboring intervals that are marked by three successive sounds is improved when the presentation of the first (standard, S) interval is repeated before that of the second (comparison, C), as SSSSC. This improvement in sensitivity, called the multiple-look effect, occurs because listeners (1) perceive regular rhythm during the repetition of the standard interval, (2) predict the timing of subsequent sounds, and (3) detect sounds that are deviated from the predicted timing. The dynamic-attending theory attributes such predictions to the entrainment of attentional rhythms. An endogenous attentional rhythm is synchronized with the periodic succession of sounds marking the repeated standard. The standard and the comparison are discriminated on the basis of whether the ending marker of the comparison appears at the peak of the entrained attentional rhythm. This theory is compatible with the findings of recent neurophysiological studies that relate temporal prediction to neural oscillations.

[Visual processing of names in mental rotation tasks].

In this study, we examined the difference in the processing of one's own name and other people's names using a mental rotation task. In Experiment 1, the observer's own name and other common names were presented visually. In Experiment 2, the observer's name and the names of people who were familiar to the observer were presented. The observer saw the name and judged whether it was mirror-reversed or not. The results show that reaction times and error rates were shorter, when the observer processed his/her own name compared to when processing others names. These findings might be due to peculiarities and familiarity of one's own name.

[Sequential effect in attractiveness judgement of multiple faces].

A large number of studies have demonstrated the sequential effect, in which the response in the current trial is assimilated towards that of the immediately preceding trial in a decision making task. However, most previous studies have only examined the effect in situations where the response was given after each stimulus presentation. In this study, we examined whether the sequential effect existed when observers responded after the presentation of two stimuli. After two pictures of male faces were presented successively, participants rated the attractiveness of each face on a 9-point scale. The results showed that the second response was assimilated towards the first (Experiment 1), but the first response contrasted with (shifted away from) the second (Experiment 2). These findings suggest that preceding and succeeding contexts may differentially modulate our decision making.

[A case of a patient with gastric cancer and peritoneal dissemination who survived for more than 10 years after successful treatment with S-1].

A 50-year-old female patient underwent distal gastrectomy and intraperitoneal CDDP administration for advanced gastric cancer accompanied by severe peritoneal dissemination. She valued her quality of life and chose an oral anticancer drug, S-1, as a postoperative chemotherapy agent. S-1 was administered at a dose of 100mg/body/day for 4 weeks, followed by a 2- week rest. There were no adverse events due to S-1 and no exacerbation of peritoneal dissemination in the 5 years following surgery. The S-1 administration schedule was then changed to alternate-day administration. Eight years after the surgery, the patient discontinued S-1 treatment and has since survived for 11 years with no obvious cancer recurrence.

Shape-assimilation effect: retrospective distortion of visual shapes.

A brief visual stimulus distorts the perceived shape of a subsequent visual stimulus as being dissimilar to the shape of a previous stimulus (shape-contrast effect). In this study, we presented a visual stimulus after a to-be-estimated target stimulus and found that the perceived shape of the target stimulus appeared to be similar to the shape of the following stimulus (shape-assimilation effect). The assimilation effect occurred even when the following stimulus was presented at positions different from that of the target stimulus, indicating that the shape-assimilation effect is a nonretinotopic distortion. The results suggest that the preceding and succeeding stimuli differentially modulate the perceived shape of a briefly presented stimulus.

Neoadjuvant chemotherapy with gemcitabine and S-1 for resectable and borderline pancreatic ductal adenocarcinoma: results from a prospective multi-institutional phase 2 trial.

BACKGROUND: Surgical resection is the only curative strategy for pancreatic ductal adenocarcinoma (PDAC), but recurrence rates are high even after purported curative resection. First-line treatment with gemcitabine and S-1 (GS) is associated with promising antitumor activity with a high response rate. The aim of this study was to assess the feasibility and efficacy of GS in the neoadjuvant setting. METHODS: In a multi-institutional single-arm phase 2 study, neoadjuvant chemotherapy (NAC) with gemcitabine and S-1, repeated every 21 days, was administered for two cycles (NAC-GS) to patients with resectable and borderline PDAC. The primary end point was the 2-year survival rate. Secondary end points were feasibility, resection rate, pathological effect, recurrence-free survival, and tumor marker status. RESULTS: Of 36 patients enrolled, 35 were eligible for this clinical trial conducted between 2008 and 2010. The most common toxicity was neutropenia in response to 90% of the relative dose intensity. Responses to NAC included radiological tumor shrinkage (69%) and decreases in CA19-9 levels (89%). R0 resection was performed for 87% in resection, and the morbidity rate (40%) was acceptable. The 2-year survival rate of the total cohort was 45.7%. Patients who underwent resection without metastases after NAC-GS (n = 27) had an increased median overall survival (34.7 months) compared with those who did not undergo resection (P = 0.0017). CONCLUSIONS: NAC-GS was well tolerated and safe when used in a multi-institutional setting. The R0 resection rate and the 2-year survival rate analysis are encouraging for patients with resectable and borderline PDAC.

Loss of color by afterimage masking.

When two images, one depicting colored disks and the other depicting colored windmill patterns, are displayed in succession, the color of the windmills is perceptually replaced by black. The illusion is striking. Experiments confirmed (1) that the luminance contrast between the target patterns and the background must be large and (2) that the disks and windmills must be static on the retina and in register. The illusion is weakened when the windmills and disks have different colors.

Back view of beauty: a bias in attractiveness judgment.

Attractiveness judgment based on visual appearance seems easy and almost automatic. However, it becomes difficult when we need to rely on glances of a person's back view (eg while passing on the street). How is attractiveness judgment from the back view consistent with that from full-front view? In experiment 1 participants rated the attractiveness of human heads photographed from behind and from the front. Attractiveness ratings between the back and front views were weakly but significantly correlated. However, on average, the back-view photographs were rated more attractive than the front-view photographs. The tendency was most conspicuous when the male participants viewed the photographs of women. In experiment 2 participants were explicitly asked to predict the facial attractiveness of each head's front view based on the back view. Again, the predicted attractiveness based on the back view was higher than the actual rating of the front-view photographs, and the difference reached significance when the male participants viewed the women photographs. These biases in attractiveness judgment would be related to attractiveness judgments in everyday situations where straight full-frontal encounters are rare.

Retrospective perceptual distortion of position representation does not lead to delayed localization.

Previous studies have reported retrospective influences of visual events that occur after target events. In the attentional attraction effect, a position cue presented after a target stimulus distorts the target's position towards that of the cue. The present study explored the temporal relationship between stimulus presentation and reaction time (RT) in this effect in two experiments. Participants performed a speeded localization task on two vertical lines, the positions of which were to be distorted by an additional attentional cue. No significant difference in RTs was found between the conditions with simultaneous and delayed cues. RTRT was modulated by the perceived (rather than physical) alignment of the lines. In Experiment 2, we manipulated the strength of attentional capture by modulating the color relevance of the cue to the target. Trials with cues producing stronger attentional capture (with cues of a different color from the targets) were found to induce apparently stronger distortion effects. This result favors the notion that the observed repulsion and attraction effects are driven by attentional mechanisms. Overall, the results imply that the attentional shift induced by the cue might occur rapidly and complete before the establishment of conscious location representation of the cue and the target without affecting overall response time.

[A case of osteonecrosis of the jaw during treatment by bevacizumab for sigmoid colon cancer].

A 67-year-old man was diagnosed to have sigmoid colon cancer with peritonitis carcinomatosa. The cancer was surgically resected, and he thereafter underwent chemotherapy with mFOLFOX6+bevacizumab. He complained of gingival swelling throughout treatment and osteonecrosis of the jaw was noted. The bevacizumab therapy was therefore discontinued and the necrotic tissue removed. No recurrent necrosis has occurred. The addition of bevacizumab to the FOLFOX or FOLFIRI chemotherapy regimens has been shown to improve the survival rate and response rate in colorectal cancer. Osteonecrosis of the jaw is a rare toxicity of bevacizumab. Bevacizumab might compromise the microvessel integrity in the jaw, which thus may lead to bone necrosis. Osteonecrosis of the jaw in this case recovered after the discontinuation of bevacizumab and the removal of the necrotic tissue. The pathogenesis and treatment of osteonecrosis have not been elucidated.

A transient auditory signal shifts the perceived offset position of a moving visual object.

Information received from different sensory modalities profoundly influences human perception. For example, changes in the auditory flutter rate induce changes in the apparent flicker rate of a flashing light (Shipley, 1964). In the present study, we investigated whether auditory information would affect the perceived offset position of a moving object. In Experiment 1, a visual object moved toward the center of the computer screen and disappeared abruptly. A transient auditory signal was presented at different times relative to the moment when the object disappeared. The results showed that if the auditory signal was presented before the abrupt offset of the moving object, the perceived final position was shifted backward, implying that the perceived visual offset position was affected by the transient auditory information. In Experiment 2, we presented the transient auditory signal to either the left or the right ear. The results showed that the perceived visual offset shifted backward more strongly when the auditory signal was presented to the same side from which the moving object originated. In Experiment 3, we found that the perceived timing of the visual offset was not affected by the spatial relation between the auditory signal and the visual offset. The present results are interpreted as indicating that an auditory signal may influence the offset position of a moving object through both spatial and temporal processes.

Spatial distortion induced by imperceptible visual stimuli.

Previous studies have explored the effects of attention on spatial representation. Specifically, in the attentional repulsion effect, a transient visual cue that captures attention has been shown to alter the perceived position of a target stimulus to the direction away from the cue. The effect is also susceptible to retrospective influence, that attention appears to attract the target when the cue appears afterwards. This study examined the necessity of visual awareness of the cue in these phenomena. We found that when the cues were rendered invisible by backward visual masks, both repulsion and attraction effects were weakened but still observed. The results suggest that the effects possibly depend on processes that are not necessarily associated with conscious visual awareness of the cues. We conjecture that attentional shift produced by the weak, invisible cues may play a role in spatial distortion; but other possible accounts including non-attentional ones are also discussed.

Hemothorax caused by spontaneous rupture of hepatocellular carcinoma: a case report and review of the literature.

We report a rare case in which hemothorax occurred in addition to hemoperitoneum due to spontaneous rupture of hepatocellular carcinoma (HCC) originating from the caudate lobe of the liver. The case pertains to a 56-year-old female who was transported to our hospital for impaired consciousness due to hemorrhagic shock. Computed tomography (CT) demonstrated ruptured HCC originating from the caudate lobe and accompanying hemoperitoneum and right hemothorax. Hemostasis was carried out by transcatheter arterial embolization (TAE), and surgery was conducted approximately one month after TAE. In the present case, no lesions as possible sources of bleeding were observed inside the pleural cavity, and, moreover, the diaphragm had no abnormalities in the intraoperative findings, suggesting that blood from the ruptured tumor may have traversed the intact diaphragm to enter the right pleural cavity soon after the HCC rupture. However, to the best of our knowledge, no similar cases of HCC have been reported to date, and this case is thus believed to be very rare. This unusual phenomenon may therefore be strongly associated with the location of the ruptured tumor and the formation of a hematoma inside the omental bursa. We discuss the mechanism causing hemothorax in the present case and also review the previously reported cases of ruptured HCC complicated by hemothorax.

Time Dilation Induced by Object Motion is Based on Spatiotopic but not Retinotopic Positions.

Time perception of visual events depends on the visual attributes of the scene. Previous studies reported that motion of object can induce an illusion of lengthened time. In the present study, we asked the question whether such time dilation effect depends on the actual physical motion of the object (spatiotopic coordinate), or its relative motion with respect to the retina (retinotopic coordinate). Observers were presented with a moving stimulus and a static reference stimulus in separate intervals, and judged which interval they perceived as having a longer duration, under conditions with eye fixation (Experiment 1) and with eye movement at same velocity as the moving stimulus (Experiment 2). The data indicated that the perceived duration was longer under object motion, and depended on the actual movement of the object rather than relative retinal motion. These results are in support with the notion that the brain possesses a spatiotopic representation regarding the real world positions of objects in which the perception of time is associated with.

Mislocalization of visual stimuli: independent effects of static and dynamic attention.

Shifts of visual attention cause systematic distortions of the perceived locations of visual objects around the focus of attention. In the attention repulsion effect, the perceived location of a visual target is shifted away from an attention-attracting cue when the cue is presented before the target. Recently it has been found that, if the visual cue is presented after the target, the perceived location of the target shifts toward the location of the following cue. One unanswered question is whether a single mechanism underlies both attentional repulsion and attraction effects. We presented participants with two disks at diagonal locations as visual cues and two vertical lines as targets. Participants were asked to perform a forced-choice task to judge targets' positions. The present study examined whether the magnitude of the repulsion effect and the attraction effect would differ (Experiment 1), whether the two effects would interact (Experiment 2), and whether the location or the dynamic shift of attentional focus would determine the distortions effects (Experiment 3). The results showed that the effect size of the attraction effect was slightly larger than the repulsion effect and the preceding and following cues have independent influences on the perceived positions. The repulsion effect was caused by the location of attnetion and the attraction effect was due to the dynamic shift of attentional focus, suggesting that the underlying mechanisms for the retrospective attraction effect might be different from those for the repulsion effect.

Shortening of subjective visual intervals followed by repetitive stimulation.

Our previous research demonstrated that repetitive tone stimulation shortened the perceived duration of the preceding auditory time interval. In this study, we examined whether repetitive visual stimulation influences the perception of preceding visual time intervals. Results showed that a time interval followed by a high-frequency visual flicker was perceived as shorter than that followed by a low-frequency visual flicker. The perceived duration decreased as the frequency of the visual flicker increased. The visual flicker presented in one hemifield shortened the apparent time interval in the other hemifield. A final experiment showed that repetitive tone stimulation also shortened the perceived duration of preceding visual time intervals. We concluded that visual flicker shortened the perceived duration of preceding visual time intervals in the same way as repetitive auditory stimulation shortened the subjective duration of preceding tones.