Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 10 de 10
Filtrar
Más filtros











Base de datos
Intervalo de año de publicación
1.
Psychol Rev ; 2024 Sep 19.
Artículo en Inglés | MEDLINE | ID: mdl-39298225

RESUMEN

Repeated forecasts of changing values are common in many everyday tasks, from predicting the weather to financial markets. A particularly simple and informative instance of such fluctuating values are random walks: Sequences in which each point is a random movement from only its preceding value, unaffected by any previous points. Moreover, random walks often yield basic rational forecasting solutions in which predictions of new values should repeat the most recent value, and hence replicate the properties of the original series. In previous experiments, however, we have found that human forecasters do not adhere to this standard, showing systematic deviations from the properties of a random walk such as excessive volatility and extreme movements between subsequent predictions. We suggest that such deviations reflect general statistical signatures of cognition displayed across multiple tasks, offering a window into underlying mechanisms. Using these deviations as new criteria, we here explore several cognitive models of forecasting drawn from various approaches developed in the existing literature, including Bayesian, error-based learning, autoregressive, and sampling mechanisms. These models are contrasted with human data from two experiments to determine which best accounts for the particular statistical features displayed by participants. We find support for sampling models in both aggregate and individual fits, suggesting that these variations are attributable to the use of inherently stochastic prediction systems. We thus argue that variability in predictions is strongly influenced by computational noise within the decision making process, with less influence from "late" noise at the output stage. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

2.
Nat Commun ; 15(1): 7187, 2024 Aug 21.
Artículo en Inglés | MEDLINE | ID: mdl-39168966

RESUMEN

Malignant mesothelioma is a rare tumour caused by asbestos exposure that originates mainly from the pleural lining or the peritoneum. Treatment options are limited, and the prognosis is dismal. Although immune checkpoint blockade (ICB) can improve survival outcomes, the determinants of responsiveness remain elusive. Here, we report the outcomes of a multi-centre phase II clinical trial (MiST4, NCT03654833) evaluating atezolizumab and bevacizumab (AtzBev) in patients with relapsed mesothelioma. We also use tumour tissue and gut microbiome sequencing, as well as tumour spatial immunophenotyping to identify factors associated with treatment response. MIST4 met its primary endpoint with 50% 12-week disease control, and the treatment was tolerable. Aneuploidy, notably uniparental disomy (UPD), homologous recombination deficiency (HRD), epithelial-mesenchymal transition and inflammation with CD68+ monocytes were identified as tumour-intrinsic resistance factors. The log-ratio of gut-resident microbial genera positively correlated with radiological response to AtzBev and CD8+ T cell infiltration, but was inversely correlated with UPD, HRD and tumour infiltration by CD68+ monocytes. In summary, a model is proposed in which both intrinsic and extrinsic determinants in mesothelioma cooperate to modify the tumour microenvironment and confer clinical sensitivity to AtzBev. Gut microbiota represent a potentially modifiable factor with potential to improve immunotherapy outcomes for individuals with this cancer of unmet need.


Asunto(s)
Anticuerpos Monoclonales Humanizados , Antígeno B7-H1 , Bevacizumab , Microbioma Gastrointestinal , Inhibidores de Puntos de Control Inmunológico , Humanos , Microbioma Gastrointestinal/efectos de los fármacos , Bevacizumab/uso terapéutico , Bevacizumab/farmacología , Masculino , Antígeno B7-H1/metabolismo , Antígeno B7-H1/antagonistas & inhibidores , Anticuerpos Monoclonales Humanizados/uso terapéutico , Femenino , Inhibidores de Puntos de Control Inmunológico/uso terapéutico , Inhibidores de Puntos de Control Inmunológico/farmacología , Persona de Mediana Edad , Anciano , Mesotelioma Maligno/tratamiento farmacológico , Factor A de Crecimiento Endotelial Vascular/metabolismo , Mesotelioma/inmunología , Mesotelioma/tratamiento farmacológico , Mesotelioma/microbiología , Mesotelioma/patología , Microambiente Tumoral/inmunología , Neoplasias Pulmonares/tratamiento farmacológico , Neoplasias Pulmonares/inmunología , Neoplasias Pulmonares/patología , Neoplasias Pulmonares/genética , Neoplasias Pulmonares/microbiología , Resultado del Tratamiento
3.
Drugs ; 84(9): 1025-1033, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39001941

RESUMEN

Thoracic cancers comprise non-small cell lung cancers (NSCLCs), small cell lung cancers (SCLCs) and malignant pleural mesotheliomas (MPM). Collectively, they account for the highest rate of death from malignancy worldwide. Genomic instability is a universal feature of cancer, which fuels mutations and tumour evolution. Deficiencies in DNA damage response (DDR) genes amplify genomic instability. Homologous recombination deficiency (HRD), resulting from BRCA1/BRCA2 inactivation, is exploited for therapeutic synthetic lethality with poly-ADP ribose polymerase (PARP) inhibitors in breast and ovarian cancers, as well as in prostate and pancreatic cancers. However, DDR deficiency and its therapeutic implications are less well established in thoracic cancers. Emerging evidence suggests that a subset of thoracic cancers may harbour DDR deficiency and may, thus, be effectively targeted with DDR agents. Here, we review the current evidence surrounding DDR in thoracic cancers and discuss the challenges and promise for achieving clinical benefit with such therapeutics.


Asunto(s)
Daño del ADN , Inhibidores de Poli(ADP-Ribosa) Polimerasas , Humanos , Daño del ADN/efectos de los fármacos , Inhibidores de Poli(ADP-Ribosa) Polimerasas/uso terapéutico , Inhibidores de Poli(ADP-Ribosa) Polimerasas/farmacología , Neoplasias Torácicas/tratamiento farmacológico , Neoplasias Torácicas/genética , Neoplasias Pulmonares/tratamiento farmacológico , Neoplasias Pulmonares/genética , Carcinoma de Pulmón de Células no Pequeñas/tratamiento farmacológico , Carcinoma de Pulmón de Células no Pequeñas/genética , Inestabilidad Genómica , Carcinoma Pulmonar de Células Pequeñas/tratamiento farmacológico , Carcinoma Pulmonar de Células Pequeñas/genética , Antineoplásicos/farmacología , Antineoplásicos/uso terapéutico , Reparación del ADN/efectos de los fármacos , Mesotelioma Maligno/tratamiento farmacológico , Mesotelioma Maligno/genética , Proteína BRCA1/genética , Proteína BRCA1/deficiencia , Proteína BRCA2/genética , Proteína BRCA2/deficiencia
4.
Cognition ; 250: 105858, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38906014

RESUMEN

Psychological variability (i.e., "noise") displays interesting structure which is hidden by the common practice of averaging over trials. Interesting noise structure, termed 'stylized facts', is observed in financial markets (i.e., behaviors from many thousands of traders). Here we investigate the parallels between psychological and financial time series. In a series of three experiments (total N = 202), we successively simplified a market-based price prediction task by first removing external information, and then removing any interaction between participants. Finally, we removed any resemblance to an asset market by asking individual participants to simply reproduce temporal intervals. All three experiments reproduced the main stylized facts found in financial markets, and the robustness of the results suggests that a common cognitive-level mechanism can produce them. We identify one potential model based on mental sampling algorithms, showing how this general-purpose model might account for behavior across these very different tasks.


Asunto(s)
Cognición , Humanos , Cognición/fisiología , Masculino , Femenino , Adulto , Adulto Joven , Comercio , Modelos Psicológicos
5.
Psychol Rev ; 131(2): 456-493, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37289507

RESUMEN

Normative models of decision-making that optimally transform noisy (sensory) information into categorical decisions qualitatively mismatch human behavior. Indeed, leading computational models have only achieved high empirical corroboration by adding task-specific assumptions that deviate from normative principles. In response, we offer a Bayesian approach that implicitly produces a posterior distribution of possible answers (hypotheses) in response to sensory information. But we assume that the brain has no direct access to this posterior, but can only sample hypotheses according to their posterior probabilities. Accordingly, we argue that the primary problem of normative concern in decision-making is integrating stochastic hypotheses, rather than stochastic sensory information, to make categorical decisions. This implies that human response variability arises mainly from posterior sampling rather than sensory noise. Because human hypothesis generation is serially correlated, hypothesis samples will be autocorrelated. Guided by this new problem formulation, we develop a new process, the Autocorrelated Bayesian Sampler (ABS), which grounds autocorrelated hypothesis generation in a sophisticated sampling algorithm. The ABS provides a single mechanism that qualitatively explains many empirical effects of probability judgments, estimates, confidence intervals, choice, confidence judgments, response times, and their relationships. Our analysis demonstrates the unifying power of a perspective shift in the exploration of normative models. It also exemplifies the proposal that the "Bayesian brain" operates using samples not probabilities, and that variability in human behavior may primarily reflect computational rather than sensory noise. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Asunto(s)
Toma de Decisiones , Juicio , Humanos , Juicio/fisiología , Teorema de Bayes , Tiempo de Reacción , Intervalos de Confianza , Probabilidad , Toma de Decisiones/fisiología
6.
BMJ Open ; 13(11): e073120, 2023 11 22.
Artículo en Inglés | MEDLINE | ID: mdl-37993149

RESUMEN

BACKGROUND: Malignant mesothelioma is a rapidly lethal cancer that has been increasing at an epidemic rate over the last three decades. Targeted therapies for mesothelioma have been lacking. A previous study called MiST1 (NCT03654833), evaluated the efficacy of Poly (ADP-ribose) polymerase (PARP) inhibition in mesothelioma. This study met its primary endpoint with 15% of patients having durable responses exceeding 1 year. Therefore, there is a need to evaluate PARP inhibitors in relapsed mesothelioma patients, where options are limited. Niraparib is the PARP inhibitor used in NERO. METHODS: NERO is a multicentre, two-arm, open-label UK randomised phase II trial designed to evaluate the efficacy of PARP inhibition in relapsed mesothelioma. 84 patients are being recruited. NERO is not restricted by line of therapy; however, eligible participants must have been treated with an approved platinum based systemic therapy. Participants will be randomised 2:1, stratified according to histology and response to prior platinum-based chemotherapy, to receive either active symptom control (ASC) and niraparib or ASC alone, for up to 24 weeks. Participants will be treated until disease progression, withdrawal, death or development of significant treatment limiting toxicity. Participants randomised to niraparib will receive 200 or 300 mg daily in a 3-weekly cycle. The primary endpoint is progression-free survival, where progression is determined by modified Response Evaluation Criteria in Solid Tumors (mRECIST) or RECIST 1.1; investigator reported progression; or death from any cause, whichever comes first. Secondary endpoints include overall survival, best overall response, 12-week and 24 week disease control, duration of response, treatment compliance and safety/tolerability. If NERO shows niraparib to be safe and biologically effective, it may lead to future late phase randomised controlled trials in relapsed mesothelioma. ETHICS AND DISSEMINATION: The study received ethical approval from London-Hampstead Research Ethics Committee on 06-May-2022 (22/LO/0281). Data from all centres will be analysed together and published as soon as possible. TRIAL REGISTRATION NUMBER: ISCRTN16171129; NCT05455424.


Asunto(s)
Mesotelioma Maligno , Mesotelioma , Humanos , Mesotelioma Maligno/tratamiento farmacológico , Inhibidores de Poli(ADP-Ribosa) Polimerasas/efectos adversos , Centros de Atención Secundaria , Mesotelioma/tratamiento farmacológico , Mesotelioma/patología , Reino Unido , Ensayos Clínicos Controlados Aleatorios como Asunto , Estudios Multicéntricos como Asunto , Ensayos Clínicos Fase II como Asunto
7.
Psychol Sci ; 33(9): 1395-1407, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-35876741

RESUMEN

One of the most robust effects in cognitive psychology is anchoring, in which judgments show a bias toward previously viewed values. However, in what is essentially the same task as used in anchoring research, a perceptual illusion demonstrates the opposite effect of repulsion. Here, we united these two literatures, testing in two experiments with adults (total N = 200) whether prior comparative decisions bias cognitive and perceptual judgments in opposing directions or whether anchoring and repulsion are two domain-general biases whose co-occurrence has so far gone undetected. We found that in both perceptual and cognitive tasks, anchoring and repulsion co-occur. Further, the direction of the bias depends on the comparison value: Distant values attract judgments, whereas nearby values repulse judgments. Because none of the leading theories for either effect account for both biases, theoretical integration is needed. As a starting point, we describe one such joint theory based on sampling models of cognition.


Asunto(s)
Ilusiones , Juicio , Adulto , Sesgo , Cognición , Humanos
8.
Cogn Psychol ; 122: 101309, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-32623183

RESUMEN

Previous research has established that numeric estimates are based not just on perceptual data but also past experience, and so may be influenced by the form of this stored information. It remains unclear, however, how such experience is represented: numerical data can be processed by either a continuous analogue number system or a discrete symbolic number system, with each predicting different generalisation effects. The present paper therefore contrasts discrete and continuous prior formats within the domain of numerical estimation using both direct comparisons of computational models of this process using these representations, as well as empirical contrasts exploiting different predicted reactions of these formats to uncertainty via Occam's razor. Both computational and empirical results indicate that numeric estimates commonly rely on a continuous prior format, mirroring the analogue approximate number system, or 'number sense'. This implies a general preference for the use of continuous numerical representations even where both stimuli and responses are discrete, with learners seemingly relying on innate number systems rather than the symbolic forms acquired in later life. There is however remaining uncertainty in these results regarding individual differences in the use of these systems, which we address in recommendations for future work.


Asunto(s)
Cognición/fisiología , Retroalimentación Sensorial , Juicio , Aprendizaje , Adolescente , Adulto , Teorema de Bayes , Simulación por Computador , Femenino , Humanos , Masculino , Conceptos Matemáticos , Adulto Joven
9.
Behav Brain Sci ; 43: e22, 2020 03 11.
Artículo en Inglés | MEDLINE | ID: mdl-32159499

RESUMEN

Resource rationality is useful for choosing between models with the same cognitive constraints but cannot settle fundamental disagreements about what those constraints are. We argue that sampling is an especially compelling constraint, as optimizing accumulation of evidence or hypotheses minimizes the cost of time, and there are well-established models for doing so which have had tremendous success explaining human behavior.


Asunto(s)
Cognición , Comprensión , Logro , Humanos
10.
Curr Opin Neurobiol ; 55: 97-102, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-30870615

RESUMEN

We present a brief review of modern machine learning techniques and their use in models of human mental representations, detailing three notable branches: spatial methods, logical methods and artificial neural networks. Each of these branches contains an extensive set of systems, and demonstrate accurate emulations of human learning of categories, concepts and language, despite substantial differences in operation. We suggest that continued applications will allow cognitive researchers the ability to model the complex real-world problems where machine learning has recently been successful, providing more complete behavioural descriptions. This will, however, also require careful consideration of appropriate algorithmic constraints alongside these methods in order to find a combination which captures both the strengths and weaknesses of human cognition.


Asunto(s)
Aprendizaje Automático , Redes Neurales de la Computación , Cognición , Humanos , Lenguaje
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA