EXPRESS: On prior visual experience in mental map navigation using allocentric and egocentric perspectives in the visually impaired.

Using new developments in the mental comparison task paradigm, this study addresses the question of the influence of prior visual experience in the natural use of mental perspective to achieve mental spatial tasks without any protocol-imposed perspective. During the experiment, 39 participants (11 early blind, 13 late blind, and 15 blindfolded-sighted) explored two corridor maps to memorise the spatial arrangement of 10 objects disposed along corridors. After the learning phase, several tasks addressing spatial memory and reasoning used in the mental spatial representation were performed. Blindfolded-sighted participants preferred an egocentric perspective, while the two visually impaired groups showed no overriding preference between egocentric and allocentric perspectives. Results showed a performance advantage for egocentric over allocentric perspectives, regardless of visual experience. Our results shed light on previous assumptions regarding cognitive mental map construction, suggesting the need to reflect on previous results and their dependence on imposed mental perspectives.

Improving Cardiac Rehabilitation Adherence in Patients With Lower Socioeconomic Status: A Randomized Clinical Trial.

Importance: Participation in cardiac rehabilitation is associated with significant decreases in morbidity and mortality. Despite the proven benefits, cardiac rehabilitation is severely underutilized in certain populations, specifically those with lower socioeconomic status (SES). Objective: To assess the efficacy of early case management and/or financial incentives for increasing cardiac rehabilitation adherence among patients with lower SES. Design, Setting, and Participants: This randomized clinical trial enrolled patients from December 2018 to December 2022. Participants were followed up for 1 year with assessors and cardiac rehabilitation staff blinded to study condition. Patients with lower SES with a cardiac rehabilitation-qualifying diagnosis (myocardial infarction, coronary artery bypass graft, percutaneous coronary intervention, heart valve replacement/repair, or stable systolic heart failure) were recruited. Then patients attended one of 3 cardiac rehabilitation programs at 1 university or 2 community-based hospitals. A consecutively recruited sample was randomized and stratified by age (<57 vs ≥57 years) and smoking status (current smoker vs nonsmoker or former smoker). Intervention: Participants were randomized 2:3:3:3 to either a usual care control, case management starting in-hospital, financial incentives for completing cardiac rehabilitation sessions, or both interventions (case management plus financial incentives). Interventions were in place for 4 months following informed consent. Main Outcomes and Measures: The main outcome was cardiac rehabilitation adherence (proportion of patients completing ≥30 sessions). The a priori hypothesis was that interventions would improve adherence, with the combined intervention performing best. Results: Of 314 individuals approached, 11 were ineligible, and 94 declined participation. Of the 209 individuals who were randomized, 17 were withdrawn. A total of 192 individuals (67 [35%] female; mean [SD] age, 58 [11] years) were included in the analysis. Interventions significantly improved cardiac rehabilitation adherence with 4 of 36 (11%), 13 of 51 (25%), 22 of 53 (42%), and 32 of 52 (62%) participants completing at least 30 sessions in the usual care, case management, financial incentives, and case management plus financial incentives conditions, respectively. The financial incentives and case management plus financial incentives conditions significantly improved cardiac rehabilitation adherence vs usual care (adjusted odds ratio [AOR], 5.1 [95% CI, 1.5-16.7]; P = .01; AOR, 13.2 [95% CI, 4.0-43.5]; P < .001, respectively), and the case management plus financial incentives condition was superior to both case management or financial incentives alone (AOR, 5.0 [95% CI, 2.1-11.9]; P < .001; AOR, 2.6 [95% CI, 1.2-5.9]; P = .02, respectively). Interventions were received well by participants: 86 of 105 (82%) in the financial incentives conditions earned at least some incentives, and 96 of 103 participants (93%) assigned to a case manager completed the initial needs assessment. Conclusion and Relevance: In this randomized clinical trial, financial incentives improved cardiac rehabilitation adherence in a population with higher risk and lower SES with additional benefit from adding case management. Trial Registration: ClinicalTrials.gov Identifier: NCT03759873.

Cigarette smoking and cognitive task performance: Experimental effects of very-low nicotine-content cigarettes.

Reductions in the nicotine content of cigarettes decrease smoking rate and dependence severity, but effects on cognition are less well established. The potential impacts of very-low nicotine-content (VLNC) cigarettes on cognitive task performance must be evaluated, especially in vulnerable populations. The aim of the present study is to experimentally examine the effects of VLNC cigarettes on cognitive performance. Adults who smoked daily (n = 775) from three vulnerable populations (socioeconomically disadvantaged reproductive-age women, individuals with opioid use disorder, affective disorders) were examined. Participants were randomly assigned to normal nicotine content (NNC; 15.8 mg nicotine/g tobacco) or VLNC (2.4 mg/g or 0.4 mg/g) cigarettes for 12 weeks. Response inhibition (stop-signal task), working memory (n-back task; n of 2-n of 0), and cognitive interference (nicotine Stroop task) were assessed at baseline, 2, 6, and 12 weeks. Results were analyzed using mixed-model repeated-measures analyses of variance. Extended exposure to VLNC cigarettes produced no significant changes in any measure of cognitive performance compared to NNC cigarettes. Over weeks, response times on the n-back task decreased across doses. No significant effects were observed on the stop-signal or nicotine Stroop tasks. All three vulnerable populations performed comparably on all three cognitive tasks. Extended exposure to VLNC cigarettes produced no impairments in cognitive performance on any of the assessed tasks compared to NNC cigarettes. These findings are consistent with the larger literature detailing other consequences following exposure to VLNC cigarettes and are encouraging for the adoption of a nicotine-reduction policy. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Examining Associations Between Baseline Health-Related Quality of Life and Depression and Physical Functioning Improvement Following Pulmonary Rehabilitation.

PURPOSE: This study examined whether health-related quality of life (HRQL) and depression assessed prior to pulmonary rehabilitation (PR) participation (ie, at baseline) predicted change in 6-min walk distance (6MWD) from baseline to end of PR. METHODS: Patients with pulmonary disease were consecutively referred/enrolled in a PR program from 2009-2022 (N = 503). Baseline 6MWD was assessed along with self-report measures of HRQL (St George's Respiratory Questionnaire [SGRQ]) and depression (Geriatric Depression Scale [GDS]). The SGRQ total score was used to assess overall HRQL, and SGRQ subscales assessed pulmonary symptoms, activity limitations, and psychosocial impacts of pulmonary disease. Multiple linear regression was used to examine whether baseline SGRQ scores and depression predicted Δ6MWD. RESULTS: Baseline SGRQ total score ( F(1,389) = 8.4, P = .004) and activity limitations ( F(1,388) = 4.8, P = .03) predicted Δ6MWD. Patients with an SGRQ activity limitation score ≤ 25th percentile showed the most 6MWD improvement (mean = 79.7 m, SE = 6.7), and significantly more improvement than participants scoring between the 50-75th percentiles (mean = 54.4 m, SE = 6.0) or >75th percentile (mean = 48.7 m, SE = 7.5). Patients scoring between the 25-50th percentiles (mean = 70.2 m, SE = 6.1) did not differ significantly from other groups. The SGRQ symptoms and impacts subscales were unrelated to Δ6MWD ( F(1,388) = 1.2-1.9, P > .05), as was depression ( F(1,311) = 0.0, P  > .85). CONCLUSIONS: Patients with greater HRQL at baseline may experience greater physical functioning improvement following PR. Additional support for patients with lower HRQL (eg, adjunctive self-management interventions) may enhance PR outcomes, particularly for patients who report greater activity limitations. Alternatively, early referral to PR (ie, when less symptomatic) may also benefit physical function outcomes.

An analysis of coordinated responding of pigeons.

Experimental analyses of coordinated responding (i.e., cooperation) have been derived from a procedure described by Skinner (1962) in which reinforcers were delivered to a pair of subjects (a dyad) if both responded within a short interval, thus satisfying a coordination contingency. Although it has been suggested that this contingency enhances rates of temporally coordinated responding, limitations of past experiments have raised questions concerning this conclusion. The present experiments addressed some of these limitations by holding the schedule of reinforcement (Experiment 1: fixed ratio 1; Experiment 2; variable interval 20 s) constant across phases and between dyad members and by varying, in different conditions, the number of response keys (one to three) across which coordination could occur. Greater percentages of coordinated responding occurred under the coordinated-reinforcement phases than under independent-reinforcement phases in most conditions. The one exception during the one-key condition of Experiment 1 appeared to be a consequence of variability introduced by the independent-reinforcement phase procedure. Furthermore, coordination percentages decreased with increasing response options under both schedules. These results confirm and extend the finding that coordination contingencies control higher rates of temporally coordinated responding than independent-reinforcement contingencies do.

Self-Reported Executive Function in Hospitalized Cardiac Patients and Associations With Patient Characteristics and Cardiac Rehabilitation Attendance.

PURPOSE: Executive function (ExF), the ability to do complex cognitive tasks like planning and refraining from impulsive behavior, is associated with compliance with medical recommendations. The present study identified associations between self-reported ExF and demographics of patients with cardiac disease as well as with cardiac rehabilitation (CR) attendance. METHODS: Self-reported ExF impairment was measured using the Behavior Rating Inventory of Executive Function (BRIEF) on 316 individuals hospitalized for CR-qualifying cardiac events. Scores were calculated for a global measure (Global Executive Composite [GEC]) and the two BRIEF indices: Behavioral Regulation Index and Metacognition Index (MCI). Participants were followed up post-discharge to determine CR attendance. Univariate logistic regressions between ExF measures and demographic variables were conducted, as were multiple logistic regressions to identify significant, independent predictors. Analyses were conducted using clinical (T scores ≥ 65) and subclinical (T scores ≥ 60) criteria for significant ExF impairment as outcomes. One-way analyses of variance were performed between ExF impairment and CR attendance. RESULTS: Self-reported ExF deficits were relatively rare; 8.9% had at least subclinical scores on the GEC. Using the subclinical criterion for the MCI, having diabetes mellitus (DM) and being male were significant, independent predictors of MCI impairment. No significant relationship was found between ExF and CR attendance. CONCLUSION: Using the subclinical criterion only, individuals with DM and males were significantly more likely to have MCI impairment. No significant effect of ExF impairment on CR attendance was found, suggesting that self-reported ExF measured in the hospital may not be an appropriate measure for predicting behavioral outcomes.

Spatial Knowledge via Auditory Information for Blind Individuals: Spatial Cognition Studies and the Use of Audio-VR.

Spatial cognition is a daily life ability, developed in order to be able to understand and interact with our environment. Even if all the senses are involved in mental representation of space elaboration, the lack of vision makes it more difficult, especially because of the importance of peripheral information in updating the relative positions of surrounding landmarks when one is moving. Spatial audio technology has long been used for studies of human perception, particularly in the area of auditory source localisation. The ability to reproduce individual sounds at desired positions, or complex spatial audio scenes, without the need to manipulate physical devices has provided researchers with many benefits. We present a review of several studies employing the power of spatial audio virtual reality for research in spatial cognition with blind individuals. These include studies investigating simple spatial configurations, architectural navigation, reaching to sounds, and sound design for improved acceptability. Prospects for future research, including those currently underway, are also discussed.

Correction to: The Beethoven Revolution: A Case Study in Selection by Consequence.

[This corrects the article DOI: 10.1007/s40614-020-00271-x.].

The Beethoven Revolution: A Case Study in Selection by Consequence.

Music as a pervasive cultural practice serves many functions for a community, and its selection is determined by the interaction between multiple contingencies at individual, group, and society levels. An analysis was recently conducted on the dynamic interaction between contingencies in frescoes art that promoted the Mexican Muralist movement (Malott, 2019, 2020). Following this example, we provide a selectionist account of the music of Ludwig van Beethoven in the 250th anniversary of his birth. We explored the variation, selection, and transmission of his music over the course of his life and career in the sociopolitical milieu of his time, as well as after his death. The dissemination of Beethoven's music was characterized by aggregate products resulting from a number of interlocking contingencies, which created a high demand for his music. Our analysis highlights two levels of relational processes in the selection of Beethoven's music: The relational repertoire that enabled Beethoven to compose masterpieces while he was completely deaf, and the symbolic meaning of his music in promoting the values of freedom and democracy in many societies.

Sensitivity analysis of pinna morphology on head-related transfer functions simulated via a parametric pinna model.

The head-related transfer function (HRTF) defines the acoustic path from a source to the two ears of a listener in a manner that is highly dependent on direction. This directional dependence arises from the highly individual morphology of the pinna, which results in complex reflections and resonances. While this notion is generally accepted, there has been little research on the importance of different structural elements of the pinna on the HRTF. A parametric three-dimensional ear model was used to investigate the changes in shape of the pinna in a systematic manner with a view to determining important contributing morphological parameters that can be used for HRTF individualization. HRTFs were simulated using the boundary element method. The analysis comprised objective comparisons between the directional transfer function and diffuse field component. The mean spectral distortion was used for global evaluation of HRTF similarity across all simulated positions. A perceptual localization model was used to determine correspondences between perceptual cues and objective parameters. A reasonable match was found between the modelled perceptual results and the mean spectral distortion. Modifications to the shape of the concha were found to have an important impact on the HRTF, as did those in proximity to the triangular fossa. Furthermore, parameters that control the relief of the pinna were found to be at least as important as more frequently cited side-facing parameters, highlighting limitations in previous morphological/HRTF studies.

Auditory perception stability evaluation comparing binaural and loudspeaker Ambisonic presentations of dynamic virtual concert auralizations.

Auralizations can be computed in a variety of ways as well as be rendered over different sound reproduction systems. They are used as a design tool in architectural projects and for fundamental studies on spatial perception and cognition, hence requiring reliability and confidence in the obtained results. This study assessed this reliability through auditory perception stability by comparing the perceived differences between two rendering systems for a given set of second-order Ambisonic auralizations: virtual loudspeaker binaural rendering over head-tracked headphones versus 32-loudspeaker rendering. Anechoic extracts of jazz pieces have been recorded and presented in various acoustic conditions over these two systems, evaluated on the following criteria: Readability, distance, listener envelopment (LEV), apparent source width (ASW), reverberance, and loudness. Results show that consistent significant differences between scene conditions are comparably perceived across the two systems. However, significant effects of the sound reproduction system were observed for ASW, LEV, and reverberance in some configurations.

What is an extinction burst?: A case study in the analysis of transitional behavior.

Among the tactics of experimental science discussed by Sidman (1960) were those used to study transitional behavior. Drawing from his insights, this review considers an often cited but infrequently analyzed aspect of the transition from reinforcement to extinction: the extinction burst. In particular, the review seeks to answer the question posed in its title. The generic definition of an extinction burst as an increase in response rate following the onset of extinction is found to be wanting, raising more questions than it answers. Because questions of definition in science usually come down to those of measurement, the answer to the title's question is suggested to be found in how behavior prior to extinction is maintained and measured, when and how extinction is introduced, and where in time and how behavior early in extinction is measured. This analysis suggests that a single, uniform, and precise definition of the extinction burst is misguided. Examining how each of these facets contributes to what has been described generically as the extinction burst is a small, but important, part of Sidman's methodological legacy to the experimental analysis of behavior.

"In" or "Out"? An Analysis of the Use of Augmentals in U.S. Presidential Speeches on the Paris Climate Agreement.

Augmentals, as a type of verbal rule, have been used in political speeches either for establishing beneficial cultural values for the populace (Leigland, 2005) or for publicizing political points of view to exert control on public opinion through propaganda (Rakos, 1993). The current study conducted a functional content analysis on two presidential speeches about climate change and global warming regarding whether the United States should enter or exit the Paris Climate Agreement. The purposes of the study were to (a) examine the effects of two types of augmentals (reinforcer-establishing augmentals and punisher-establishing augmentals) on behavior change in the populace, (b) explore the effects of the types of relational frames that formed augmentals, and (c) provide guidance to the public on discriminating propaganda in media sources. The results showed different patterns in the use of augmentals in Donald Trump's speech, which attempted to persuade the populace to support exiting the agreement, compared to Barack Obama's speech, which attempted to persuade the populace to support entering the agreement. Several implications of the study are discussed.

An experimental analysis of the extinction-induced response burst.

The occurrence, time course, and repeatability of response rate increases following the onset of extinction, the extinction burst, were studied in three experiments. Nine pigeons were exposed to at least 5 cycles of 5-session blocks of conditioning followed by 8-session blocks of extinction. In different experiments, conditioning sessions either were a fixed-ratio (FR) or variable-ratio (VR) schedule, and transitions from the last conditioning session in each cycle to the first extinction session were conducted between or within sessions. A single response rate increase occurred when overall response rates were considered. Restricting analyses to the first minute of extinction sessions sometimes revealed increases in response rates, although this finding was inconsistent. The frequency and magnitude of these increases differed across exposures to extinction both across and within pigeons. Additionally, how responding during extinction was measured (i.e., the level of analysis) influenced whether increases above baseline levels were observed. These results suggest that the extinction burst may be influenced by the manner of transition to extinction and the way in which early extinction responding is measured. Under the best conditions, the extinction burst does not appear to be a ubiquitous effect of extinction.

Comparison of direct and indirect perceptual head-related transfer function selection methods.

When a personalized set of head-related transfer functions (HRTFs) is not available, a common solution is identifying a perceptually appropriate substitute from a database. There are various approaches to this selection process whether based on localization cues, subjective evaluations, or anthropomorphic similarities. This study investigates whether HRTF rankings that stem from different selection methods yield comparable results. A perceptual study was carried out using a basic source localization method and a subjective quality judgment method for a common set of eight HRTFs. HRTF rankings were determined according to different metrics from each method for each subject and the respective results were compared. Results indicate a significant and positive mean correlation between certain metrics. The best HRTFs selected according to one method had significant above-average rating scores according to metrics in the second method.

Forum-Pre-Sabine room acoustic assumptions on reverberation and their influence on room acoustic design.

With his work on the Fogg Art Museum and Boston Symphony Hall between 1895 and 1900, Wallace C. Sabine laid a foundation for the field of architectural acoustics as a science. Prior to that, architects employed various quantifiable notions in acoustic design. Previous studies have reviewed metric guidelines based on the directivity of the human voice, which was utilized in at least 11 rooms in pre-Sabine times. Others studies have reviewed pre-Sabine design guidelines that were based on the quantification of the perception threshold between direct sound and first order reflections and which were followed in several rooms with acoustical performance needs. As the first studies concerned the direct sound and the second set concerned first order reflections, this study reviews opinions and knowledge regarding the later part of the acoustic response, also known as reverberation, during the 19th century. This effort brings to light a room acoustic design evolution showing why concert halls at the end of the 19th century mainly had surface finishes of wood and plaster as well as limited ceiling heights. While not equal to Sabine's thoroughness and completeness, numerous early experimental and theoretical reverberation approaches were found to hint at similar notions with both qualitative and quantitative efforts.

Comparing demographics of signatories to public letters on diversity in the mathematical sciences.

In its December 2019 edition, the Notices of the American Mathematical Society published an essay critical of the use of diversity statements in academic hiring. The publication of this essay prompted many responses, including three public letters circulated within the mathematical sciences community. Each letter was signed by hundreds of people and was published online, also by the American Mathematical Society. We report on a study of the signatories' demographics, which we infer using a crowdsourcing approach. Letter A highlights diversity and social justice. The pool of signatories contains relatively more individuals inferred to be women and/or members of underrepresented ethnic groups. Moreover, this pool is diverse with respect to the levels of professional security and types of academic institutions represented. Letter B does not comment on diversity, but rather, asks for discussion and debate. This letter was signed by a strong majority of individuals inferred to be white men in professionally secure positions at highly research intensive universities. Letter C speaks out specifically against diversity statements, calling them "a mistake," and claiming that their usage during early stages of faculty hiring "diminishes mathematical achievement." Individuals who signed both Letters B and C, that is, signatories who both privilege debate and oppose diversity statements, are overwhelmingly inferred to be tenured white men at highly research intensive universities. Our empirical results are consistent with theories of power drawn from the social sciences.

Potential Impact of C-STAT for Prehospital Stroke Triage up to 24 Hours on a Regional Stroke System.

Background and Purpose: Thrombectomy for large vessel occlusion acute ischemic stroke (AIS-LVO) may benefit patients up to 24 hour since last known normal (LKN). Prehospital tools, like the Cincinnati Stroke Triage Assessment Tool (C-STAT), are used to select hospital destination for suspected AIS-LVO patients. The objective of this study was to estimate the potential impact of the expanded thrombectomy time window on suspected AIS-LVO cases transported to the regional comprehensive stroke center (CSC). Methods: From June to November 2015, C-STAT was performed by prehospital providers following a positive prehospital Cincinnati Prehospital Stroke Scale (CPSS) stroke screen in suspected stroke/TIA patients. There was no preferential triage based on C-STAT results. Final diagnoses, including the presence of AIS-LVO was ascertained via medical record review. Impact of positive C-STAT cases on CSC volumes was estimated for up to 24 hours since LKN. Results: Of 158 patients with prehospital suspicion for stroke/TIA, 105 were CPSS positive within 24 hours of onset and had complete C-STAT and clinical data available for analysis. Forty-six percent (17/37) of C-STAT + were non-strokes. C-STAT sensitivity and specificity for LVO were 71% (95% CI 36-92) and 67% (95% CI 58-80), respectively. C-STAT triage would increase transport of prehospital suspected stroke cases to the CSC by 11% (12/105) within six hours and 21% (22/105) within 24 hours. Of 37 C-STAT + patients, only 5 (13.5%) had LVO as final diagnosis. Conclusions: Preferential triage of prehospital suspected stroke patients using C-STAT would increase the number of patients transported to the CSC by 11% within six hours and an additional 10% from six to 24 hours. For every patient with LVO as final diagnosis, approximately an additional 6 non-LVO patients would be triaged to a CSC.

Auralization uses in acoustical design: A survey study of acoustical consultants.

While auralization technology is used in a variety of fields, particularly in architectural acoustics, there is a lack of data on the auralization tools used and actual practices. In this perspective, this work presents the results of a survey study on auralization uses in the acoustical design and consulting community, targeting acoustical consultants. The objectives are (1) to identify the tools and methods used by acousticians to create auralizations as well as effective uses so as to understand the benefits and changes provided by this technology, and (2) to highlight the difficulties and limitations linked to the use of auralizations in concrete projects. Based on the theory of acceptability and use of technology, the study was conducted from a mix of quantitative and qualitative data collection approaches, combining a questionnaire answered by 74 respondents with semi-directed interviews with nine practitioners. Results highlight the main uses of auralizations, the diversity of projects in which auralizations are applied, and how auralizations are currently used in real-world situations. The benefits of using this technology, inherent weaknesses in the tools, and practical difficulties are also discussed.