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Adhesive small bowel obstruction is thought to be a disorder limited to the jejunum and ileum. As a result, the list of aetiologies for duodenal obstruction does not include adhesions. We report the case of a patient who presented with gastric outlet obstruction (GOO), but with no lesions identified on cross-sectional imaging or endoscopy. Laparoscopy revealed duodenal adhesions as the cause of her GOO. Kockerization of the duodenum led to resolution of her symptoms. This previously undocumented finding leads us to suggest that laparoscopy should be considered in patients who have features highly suspicious for GOO, but have no cause identified on investigation.
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Honey bees preferentially occupy thick walled tall narrow tree cavities and attach their combs directly to the nest wall, leaving periodic gaps. However, academic research and beekeeping are conducted in squat, thin walled man made hives, with a continuous gap between the combs and the walls and roof. Utilising a computational fluid dynamics (CFD) model of thermoregulating bees in complete nests in trees and thin walled man made hives, with the average size of tree comb gaps determined from honey bee occupied synthetic tree nests, this research compared the metabolic energy impacts of comb gaps and vertical movement of the thermoregulated brood area. This shows their heat transfer regimes are disparate, including: bee space above combs increases heat loss by up to â¼70%; hives, compared to tree nests, require at least 150% the density of honey bees to arrest convection across the brood area. Tree cavities have a larger vertical freedom, a greater thermal resistance and can make dense clustering redundant. With the thermal environment being critical to honey bees, the magnitude and scope of these differences suggest that some hive based behavioural research needs extra validation to be considered non-anthropogenic, and some bee keeping practices are sub-optimal.
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Regulación de la Temperatura Corporal , Comportamiento de Nidificación , Abejas/fisiología , Animales , Modelos Biológicos , Hidrodinámica , TemperaturaRESUMEN
Research examining the purported association between violent gaming and aggression remains controversial due to concerns related to methodology, unclear neurocognitive mechanisms, and the failure to adequately consider the role of individual differences in susceptibility. To help address these concerns, we used fMRI and an emotional empathy task to examine whether acute and cumulative violent gaming exposure were associated with abnormalities in emotional empathy as a function of trait-empathy. Emotional empathy was targeted given its involvement in regulating not only aggression, but also other important social functions such as compassion and prosocial behaviour. We hypothesized that violent gaming exposure increases the risk of aberrant social behaviour by altering the aversive value of distress cues. Contrary to expectations, neither behavioural ratings nor empathy-related brain activity varied as a function of violent gaming exposure. Notably, however, activation patterns in somatosensory and motor cortices reflected an interaction between violent gaming exposure and trait empathy. Thus, our results are inconsistent with a straightforward relationship between violent gaming exposure and reduced empathy. Furthermore, they highlight the importance of considering both individual differences in susceptibility and other aspects of cognition related to social functioning to best inform public concern regarding safe gaming practices.
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Empatía , Imagen por Resonancia Magnética , Juegos de Video , Humanos , Empatía/fisiología , Juegos de Video/psicología , Masculino , Imagen por Resonancia Magnética/métodos , Adulto Joven , Adulto , Encéfalo/fisiología , Encéfalo/diagnóstico por imagen , Femenino , Adolescente , Violencia/psicología , Mapeo Encefálico/métodos , Agresión/fisiología , Agresión/psicología , Emociones/fisiología , Exposición a la Violencia/psicología , Cognición/fisiologíaRESUMEN
Guilt is a negative emotion elicited by realizing one has caused actual or perceived harm to another person. One of guilt's primary functions is to signal that one is aware of the harm that was caused and regrets it, an indication that the harm will not be repeated. Verbal expressions of guilt are often deemed insufficient by observers when not accompanied by nonverbal signals such as facial expression, gesture, posture, or gaze. Some research has investigated isolated nonverbal expressions in guilt, however none to date has explored multiple nonverbal channels simultaneously. This study explored facial expression, gesture, posture, and gaze during the real-time experience of guilt when response demands are minimal. Healthy adults completed a novel task involving watching videos designed to elicit guilt, as well as comparison emotions. During the video task, participants were continuously recorded to capture nonverbal behaviour, which was then analyzed via automated facial expression software. We found that while feeling guilt, individuals engaged less in several nonverbal behaviours than they did while experiencing the comparison emotions. This may reflect the highly social aspect of guilt, suggesting that an audience is required to prompt a guilt display, or may suggest that guilt does not have clear nonverbal correlates.
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Expresión Facial , Culpa , Humanos , Masculino , Femenino , Adulto , Adulto Joven , Comunicación no Verbal/psicología , Emociones/fisiología , GestosRESUMEN
Youths with high levels of callous-unemotional (CU) traits and aggression are at an increased risk for developing antisocial behaviours into adulthood. In this population, neurostructural grey matter abnormalities have been observed in the prefrontal cortex. However, the directionality of these associations is inconsistent, prompting some to suggest they may vary across development. Although similar neurodevelopmental patterns have been observed for other disorders featuring emotional and behavioural dysregulation, few studies have tested this hypothesis for CU traits, and particularly not for aggression subtypes. The current study sought to examine grey matter correlates of CU traits and aggression (including its subtypes), and then determine whether these associations varied by age. Fifty-four youths (10-19 years old) who were characterized for CU traits and aggression underwent MRI. Grey matter volume and surface area within the anterior cingulate cortex was positively associated with CU traits. The correlation between CU traits and medial orbitofrontal cortex (mOFC) volume varied significantly as a function of age, as did the correlation between reactive aggression and mOFC surface area. These associations became more positive with age. There were no significant findings for proactive/total aggression. Results are interpreted considering the potential for delayed cortical maturation in youths with high CU traits/aggression.
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Trastorno de la Conducta , Adolescente , Humanos , Niño , Adulto Joven , Adulto , Agresión/fisiología , Emociones/fisiología , Trastorno de Personalidad Antisocial/diagnóstico por imagen , Trastorno de Personalidad Antisocial/psicología , Corteza Prefrontal/diagnóstico por imagenRESUMEN
Since the early twentieth century, the outer layer (mantle) of honeybees (Apis mellifera) in the winter cluster has been said to insulate the cluster core. This has encouraged enforced clustering, by the beekeepers' dominant use of inadequately insulated hives and, in North America, refrigeration. This is often seen as a benign or even a necessary process, with beekeeping and academic research considering these conditions of extreme heat loss, compared with the honeybee's natural habitat, as natural and normal. By using porous material correlations, analysis of previous findings and a model of a cluster within a hive in a landscape that implements convection, conduction and radiation, we show that a honeybee colony increases in thermal conductivity, on transition from pre-cluster to dense mantle, by a factor of approximately 2, and insulation R-value can decrease by more than 11. These results show that the mantle does not act like insulation and that clustering is not benign, but instead is an evolutionary behavioural reaction to an existential threat that results in increased cold and exertion stress. Thus the attitude to forced clustering, i.e. deliberately provoking a stressful survival behaviour, needs revision as avoidable forced stress upon animals may be regarded as cruel.
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Regulación de la Temperatura Corporal , Calor , Abejas , Animales , Apicultura , Estaciones del Año , GravitaciónRESUMEN
While a delicious dessert being presented to us may elicit strong feelings of happiness and excitement, the same treat falling slowly away can lead to sadness and disappointment. Our emotional response to the item depends on its visual motion direction. Despite this importance, it remains unclear whether (and how) cortical areas devoted to decoding motion direction represents or integrates emotion with perceived motion direction. Motion-selective visual area V5/MT+ sits, both functionally and anatomically, at the nexus of dorsal and ventral visual streams. These pathways, however, differ in how they are modulated by emotional cues. The current study was designed to disentangle how emotion and motion perception interact, as well as use emotion-dependent modulation of visual cortices to understand the relation of V5/MT+ to canonical processing streams. During functional magnetic resonance imaging (fMRI), approaching, receding, or static motion after-effects (MAEs) were induced on stationary positive, negative, and neutral stimuli. An independent localizer scan was conducted to identify the visual-motion area V5/MT+. Through univariate and multivariate analyses, we demonstrated that emotion representations in V5/MT+ share a more similar response profile to that observed in ventral visual than dorsal, visual structures. Specifically, V5/MT+ and ventral structures were sensitive to the emotional content of visual stimuli, whereas dorsal visual structures were not. Overall, this work highlights the critical role of V5/MT+ in the representation and processing of visually acquired emotional content. It further suggests a role for this region in utilizing affectively salient visual information to augment motion perception of biologically relevant stimuli.
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Percepción de Movimiento , Corteza Visual , Humanos , Percepción de Movimiento/fisiología , Imagen por Resonancia Magnética/métodos , Corteza Visual/diagnóstico por imagen , Corteza Visual/fisiología , Emociones , Felicidad , Estimulación Luminosa/métodos , Vías Visuales/fisiologíaRESUMEN
Although medical masks have played a key role in decreasing the transmission of communicable disease, they simultaneously reduce the availability of nonverbal cues fundamental to social interaction. In the present study, we determined the collective impact of medical masks on emotional expression recognition and perceived intensity as a function of actor race. Participants completed an emotional expression recognition task involving stimuli with or without medical masks. Across six basic emotional facial expressions, medical masks were associated with significantly more emotional expression recognition errors. Overall, the effects associated with race varied depending on the emotion and appearance of masks. Whereas recognition accuracy was higher for White relative to Black actors for anger and sadness, the opposite pattern was observed for disgust. Medical mask-wearing exacerbated actor-race related recognition differences for anger and surprise, but attenuated these differences for fear. Emotional expression intensity ratings were significantly reduced for all emotions except fear, where masks were associated with increased perceived intensity. Masks further increased already higher intensity ratings for anger in Black versus White actors. In contrast, masks eliminated the tendency to give higher intensity ratings for Black versus White sad and happy facial expressions. Overall, our results suggest that the interaction between actor race and mask wearing status with respect to emotional expression judgements is complex, varying by emotion in both direction and degree. We consider the implications of these results particularly in the context of emotionally charged social contexts, such as in conflict, healthcare, and policing.
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Reconocimiento Facial , Máscaras , Humanos , Emociones , Miedo , Felicidad , Ira , Expresión FacialRESUMEN
Guilt is a negative emotion, elicited by realizing one has caused actual or perceived harm to another person. Anecdotally, guilt often is described as a visceral and physical experience. However, while the way that the body responds to and contributes to emotions is well known in basic emotions, little is known about the characteristics of guilt as generated by the autonomic nervous system. This study investigated the physiologic signature associated with guilt in adults with no history of psychological or autonomic disorder. Healthy adults completed a novel task, including an initial questionnaire about their habits and attitudes, followed by videos designed to elicit guilt, as well as the comparison emotions of amusement, disgust, sadness, pride, and neutral. During the video task, participants' swallowing rate, electrodermal activity, heart rate, respiration rate, and gastric activity rate were continuously recorded. Guilt was associated with alterations in gastric rhythms, electrodermal activity, and swallowing rate relative to some or all the comparison emotions. These findings suggest that there is a mixed pattern of sympathetic and parasympathetic activation during the experience of guilt. These results highlight potential therapeutic targets for modulation of guilt in neurologic and psychiatric disorders with deficient or elevated levels of guilt, such as frontotemporal dementia, posttraumatic stress disorder, and Obsessive-compulsive disorder.
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Trastorno Obsesivo Compulsivo , Trastornos por Estrés Postraumático , Adulto , Humanos , Culpa , Emociones/fisiología , PsicofisiologíaRESUMEN
STUDY DESIGN: Biomechanical study. OBJECTIVE: To demonstrate that robotic cervical traction can apply closed cervical traction as effectively as manual weight-and-pulley traction in extension spring and cadaveric models. SUMMARY OF BACKGROUND DATA: Closed cervical traction is used to reduce subaxial cervical spine dislocation injuries and to distract the intervertebral space during cervical spine surgery. Weight-and-pulley cervical traction relies on cumbersome and imprecise technology without any safeguard to prevent over-traction or weights being pulled/released inadvertently. METHODS: A prototype robotic traction device was designed and manufactured by the authors with real-time tensile force measurement, ±1-lbs (5 N) force application accuracy, locking/non-backdriveable linear actuators with actuator position sensing, 200-lbs (900 N) maximum force capability, up to 20° of flexion/extension manipulation, <25-lbs (111 N) device weight, and compatibility with Gardner-Wells tongs or Mayfield head clamp. The device was tested using an extension spring model and an intact fresh cadaver specimen to assess applied and desired force over time and radiographic changes in the cervical spine as traction force increased. The cadaver was tested in manual traction initially and then robotic traction in 10-lbs (50 N) increments up to 80-lbs (355 N) to compare methods. RESULTS: The prototype device met or exceeded all requirements. In extension spring testing, the device reached the prescribed forces of both 25-lbs (111 N) and 80-lbs (355 N) accurately and maintained the desired weight. In cadaveric testing, radiographic outcomes were equivalent between the prototype and manual weight-and-pulley traction at 80-lbs (355 N; disk space measurements within ±10% for all levels), and the device reached the desired weight within±1-lbs (5 N) of accuracy at each weight interval. CONCLUSION: This preliminary work demonstrates that motorized robotic cervical traction can safely and effectively apply controlled traction forces.
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Procedimientos Quirúrgicos Robotizados , Traumatismos Vertebrales , Humanos , Cuello , Vértebras Cervicales/diagnóstico por imagen , Vértebras Cervicales/cirugía , Vértebras Cervicales/lesiones , Cadáver , Tracción/métodos , Fenómenos BiomecánicosRESUMEN
Emotional stimuli can disrupt or enhance task performance according to factors that are presently poorly understood. One potentially important determinant is the sensory modality involved. In unimodal visual paradigms (visual task-irrelevant stimuli during a visual task) emotional stimuli frequently produce distraction effects; however, the effects across modalities appear more complex and may also depend on factors related to stimulus timing. It is entirely unclear how task-irrelevant visual stimuli impact auditory task performance in cross-modal paradigms. This project explored task performance as a function of sensory modality, emotional valence, and stimulus timing. In Study 1, participants (N = 50) completed a visual stimulus detection task in the presence of task-irrelevant negative and neutral images and sounds. Accuracy was disrupted in the presence of visual but not auditory emotional stimuli, particularly when the target and task-irrelevant stimulus appeared simultaneously. In Study 2, participants (N = 38) completed an equivalent auditory stimulus detection task. In sharp contrast to the effects observed with visual targets, response times and accuracy were enhanced in the presence of auditory emotional stimuli at the first timepoint but disrupted at later timepoints. However, there was no effect of task-irrelevant visual stimuli on auditory task performance. These findings demonstrate the importance of both sensory modality and timing in determining how emotional stimuli affect task performance and lay the groundwork for future studies examining the interaction between emotional and attentional processes. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Atención , Emociones , Humanos , Atención/fisiología , Emociones/fisiología , Tiempo de Reacción/fisiología , Estimulación Acústica/métodos , Sonido , Percepción Auditiva/fisiología , Estimulación Luminosa/métodos , Percepción Visual/fisiologíaRESUMEN
OBJECTIVE: Breast cancer is the leading cause of cancer affecting women worldwide. The survival rate is primarily affected by the stage of the disease and several other demographic and clinicopathological factors. METHODS: This study is a retrospective cohort study of female patients of the University Hospital of the West Indies diagnosed with breast cancer between 2011 and 2016. The age, tumor size, SBR/Nottingham grade, tumor histologic subtype, tumor molecular subtype, and survival status of the cohort on November 1, 2019, were determined. The data were summarized. Survival across each variable was compared using univariate log-rank tests, Cox proportional hazard models, and crude and adjusted models. A second wave analysis was performed excluding patients whose survival status was presumed. RESULTS: A total of 503 patients were analyzed. The overall survival rate at 1, 3, and 5 years were 96.4%, 84.9%, and 79.0%, respectively, for the entire cohort. The molecular subtype was the most significant clinicopathological factor affecting overall survival. A younger age < 40 years, higher histologic grade, estrogen receptor-negative breast cancers, invasive ductal type breast cancers, and T1 lesions were associated with poorer survival outcomes at 5 years. The findings were reproduced after a second wave analysis excluding patients who were presumed alive was applied. CONCLUSIONS: Breast cancer overall survival in Jamaica is consistent with that of other developing countries in the literature. This study is an important contribution to the growing body of literature available and aids to the overall understanding of the behavior of breast cancer locally.
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Neoplasias de la Mama , Femenino , Humanos , Adulto , Neoplasias de la Mama/diagnóstico , Estudios Retrospectivos , Jamaica/epidemiología , Modelos de Riesgos Proporcionales , Indias Occidentales , Tasa de SupervivenciaRESUMEN
Historically, empathy has been thought to motivate prosocial behaviour and inhibit aggressive behaviour. Contrary to current assumptions and theoretical support, a meta-analysis revealed a small effect of empathy on aggression among adults (Vachon, Lynam, & Johnson, 2014). The current study sought to determine whether broadening the focus from empathy to include other socially relevant affective characteristics (i.e., callous-unemotional traits) was advantageous in predicting aggressive behaviour. As little is known about the strength of this association among youth, the current study meta-analytically examined 192 unique effect sizes drawn from published and unpublished studies reporting on samples of children and adolescents. Analyses were conducted across general, cognitive, and emotional empathy, as well as callous-unemotional traits, and general, direct, indirect, proactive, and reactive aggression. Significant variability was noted across effect sizes. Consistent with a prior meta-analysis involving adults (Vachon et al., 2014), small to moderate associations were identified between aggression and traditional measures of empathy (i.e., general, emotional, cognitive); these effects ranged from r = -0.06 to -0.26. Among broader measures of emotional style (i.e., callous-unemotional traits), moderate to large effects were found; ranging from r = 0.30 to 0.37. Results suggested that broader affective measures may be more strongly associated with aggression than empathy alone. The results raise questions about the nature of empathy assessment and indicate the utility of targeting multiple emotion-related factors during treatment to effectively reduce aggressive behaviour. In particular, the results underscore of the importance of considering the limited prosocial emotions specifier (perhaps trans-diagnostically given the varied nature of the sample) when considering implications for prognosis and treatment targets.
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Trastorno de la Conducta , Niño , Adulto , Adolescente , Humanos , Trastorno de la Conducta/psicología , Empatía , Agresión/psicología , EmocionesRESUMEN
There is an ongoing debate as to whether violent video game exposure (VGE) has a negative impact on social functioning. This debate continues in part because of methodological concerns and the paucity of identifiable neurocognitive mechanisms. Also, little attention has been given to how specific personality characteristics may influence susceptibility to the purported effects. Using a combined experimental and cross-sectional approach, we examined the impact of VGE on action simulation as a function of trait coldheartedness in a sample of university students. Healthy adults played a violent or nonviolent version of Grand Theft Auto V before completing an fMRI measure of action simulation circuit (ASC) activity. Simulation-related activity was not significantly different between groups; however, greater overall activation was observed in left inferior frontal gyrus for those in the violent condition. Contrary to predictions, no evidence was observed that trait coldheartedness significantly interacts with violent gaming to influence ASC activation. However, prior cumulative VGE was negatively correlated with simulation-related activity in a subsection of the ASC. This study highlights a potential dissociation between the effects of acute versus cumulative violent gaming and may challenge assumptions that the directionality of effects for cross-sectional associations always mirror those of acute exposure.
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Juegos de Video , Violencia , Adulto , Agresión/psicología , Humanos , Estudiantes , Universidades , Juegos de Video/psicología , Violencia/psicologíaRESUMEN
Heat transfer is key to the survival of honey bee colonies (Apis mellifera L.) in the wide range of hot (e.g. sub-Saharan) and cool climates (e.g. maritime-temperate) in which they have evolved and adapted. Here, a validated computational fluid dynamics, conjugate heat transfer model was used to determine the heat transfer of honey bee colonies in simulated standard wooden hives, complete with combs and brood, for a broad range of honey bee sizes, from slender lowland African A.m. scutellata, to broader (larger diameter) Northern European A.m. mellifera, across the whole range of brood covering honey bee densities, as well as when evenly distributed throughout the hive. It shows that under cooling stress, brood covering, broad subspecies need less than a third of the number of bees per unit of brood area for thermal insulation compared to slender subspecies. Also, when distributed evenly around the nest, broad subspecies lose less brood heat than when brood covering. These simulations demonstrate that honey bee girth has climate-based evolutionary advantages directly for the colony as well as via the survival of the individual. In addition, it shows that non-clustering behavioural patterns of passive honey bees can make significant, subspecies distinctive changes to nest heat loss and therefore honey production and climate change survival.
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Miel , Calor , África del Norte , Animales , AbejasRESUMEN
BACKGROUND: Individuals with frontotemporal dementia (FTD) often present with poor decision-making, which can affect both their financial and social situations. Delineation of the specific cognitive impairments giving rise to impaired decision-making in individuals with FTD may inform treatment strategies, as different neurotransmitter systems have been associated with distinct patterns of altered decision-making. OBJECTIVE: To use a reversal-learning paradigm to identify the specific cognitive components of reversal learning that are most impaired in individuals with FTD and those with Alzheimer disease (AD) in order to inform future approaches to treatment for symptoms related to poor decision-making and behavioral inflexibility. METHOD: We gave 30 individuals with either the behavioral variant of FTD or AD and 18 healthy controls a stimulus-discrimination reversal-learning task to complete. We then compared performance in each phase between the groups. RESULTS: The FTD group demonstrated impairments in initial stimulus-association learning, though to a lesser degree than the AD group. The FTD group also performed poorly in classic reversal learning, with the greatest impairments being observed in individuals with frontal-predominant atrophy during trials requiring inhibition of a previously advantageous response. CONCLUSION: Taken together, these results and the reversal-learning paradigm used in this study may inform the development and screening of behavioral, neurostimulatory, or pharmacologic interventions aiming to address behavioral symptoms related to stimulus-reinforcement learning and response inhibition impairments in individuals with FTD.
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Enfermedad de Alzheimer , Disfunción Cognitiva , Demencia Frontotemporal , Enfermedad de Alzheimer/psicología , Demencia Frontotemporal/psicología , Humanos , Aprendizaje InversoRESUMEN
OBJECTIVE: Frontotemporal Dementia (FTD) is a neurodegenerative disorder that results in disinhibition and difficulty with flexible responding when provided feedback. Inflexible responding is observed early in the course of the illness and contributes to the financial and social morbidities of FTD. Reversal learning is an established cognitive paradigm that indexes flexible responding in the face of feedback signaling a change in reinforcement contingencies, with components of reversal learning associated with specific neurotransmitter systems. The objective of the study was to evaluate the neural mechanisms underlying impaired flexible behavioural responding in FTD using a reversal learning paradigm combined with fMRI. METHODS: Twenty-two patients meeting the diagnostic criteria for FTD and twenty-one healthy controls completed the study. Participants completed an fMRI-adapted reversal learning task that indexes behavioural flexibility when provided positive and negative feedback. RESULTS: Patients with FTD demonstrated poorer behavioural flexibility relative to controls and abnormal BOLD responses within the left ventrolateral prefrontal cortex to incorrect responses made during the learning phase, and during correct responses when reward contingencies were reversed. As well, patients showed decreased activity within the left dorsal lateral prefrontal cortex to incorrect responses compared to controls. CONCLUSIONS: These findings suggest that reversal learning impairments in patients with FTD, in particular those with frontal predominant atrophy, may be related to impaired flexible motor responding when selecting among several choices and deficient attention to relevant stimuli during instances of conflict (i.e., receiving negative feedback). These results and the associated neurotransmitter systems mediating these regions may provide targets for future pharmacological or behavioural interventions mediating these cognitive deficits.
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Demencia Frontotemporal , Enfermedad de Pick , Demencia Frontotemporal/diagnóstico por imagen , Humanos , Corteza Prefrontal/diagnóstico por imagen , Aprendizaje Inverso , RecompensaRESUMEN
Gestational gigantomastia is a psychologically and physically debilitating disease of unknown aetiology. Underlying diseases that present as gigantomastia should be excluded by a thorough workup. Most cases respond to the preferred approach: conservative management, as foetal viability and well-being is of significant importance. However, in those cases where the maternal mortality is at risk, the surgical approach is preferred. Life-threatening haemorrhage may occur and early recognition and treatment is paramount to outcome. A case of gestational gigantomastia complicated by life-threatening haemorrhage is presented and discussed.
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BACKGROUND: Breast cancer is the leading cause of cancer and cancer related deaths in Jamaican women. In Jamaica, women often present with advanced stages of breast cancer, despite the availability of screening mammography for early detection. The utilization of screening mammography for early breast cancer diagnosis seems to be limited, and this study investigated the national patterns of mammographic screening and the impact of mammography on the diagnosis of breast cancer in Jamaica. METHODS: A retrospective analysis of the records of the largest mammography clinic in Jamaica was done for the period January 2011 to December 2016. Descriptive statistics was performed on relevant patient characteristics with calculation of rates and proportions; cross-tabulations were utilized to assess relationship of covariates being studied on the outcomes of interest. Results are reported in aggregate form with no identifiable patient data. RESULTS: 48,203 mammograms were performed during the study period. 574 women (1.2%) had mammograms suspicious for breast cancer with median age of 57 years (range 30-95 years); 35% were under the age of 50. 4 women with suspicious findings had undergone 'screening mammography', with the remaining having 'diagnostic mammography'. 38% reported previous mammograms, with a mean interval of 8 years between previous normal mammogram and mammogram suspicious for breast cancer. Median age at first screening mammogram was 51 years (range 41-77). CONCLUSION: Breast cancer screening mammography is underutilized in Jamaica. An organized national breast cancer screening programme is recommended to improve adherence to international breast cancer screening guidelines.