Plasticity in leader-follower roles in human teams.

In humans, emergence of leaders and followers is key to group performance, but little is known about the whys and hows of leadership. A particularly elusive question entails behavioral plasticity in leadership across social contexts. Addressing this question requires to eliminate social feedback between focal individuals and their partners in experiments that could illuminate the spontaneous emergence of social roles. We investigated plasticity in leader-follower roles in cooperation, where members choose the task toward a shared goal, and coordination, where members adjust their actions in real time based on social responsiveness. Through a computer-programmed virtual partner, we demonstrate adaptive plasticity in leader-follower roles. Humans increased their followership to cooperate when the partner led more in the choice of the task, whereas they showed only weak leadership when the partner followed more. We leveraged the information-theoretic notion of transfer entropy to quantify leadership and followership in coordination from their movements. When exhibiting stronger followership in task cooperation, humans coordinated more with the partner's movement, with greater information being transferred from the partner to humans. The evidence of behavioral plasticity suggests that humans are capable of adapting their leader-follower roles to their social environments, in both cooperation and coordination.

Antimicrobial drug use and methicillin-resistant Staphylococcus aureus, Aberdeen, 1996-2000.

Similar to many hospitals worldwide, Aberdeen Royal Infirmary has had an outbreak of methicillin-resistant Staphylococcus aureus (MRSA). In this setting, the outbreak is attributable to two major clones. The relationships between antimicrobial use and MRSA prevalence were analyzed by time-series analysis. From June 1997 to December 2000, dynamic, temporal relationships were found between monthly %MRSA and previous %MRSA, macrolide use, third-generation cephalosporin use, and fluoroquinolone use. This study suggests that use of antimicrobial drugs to which the MRSA outbreak strains are resistant may be an important factor in perpetuating the outbreak. Moreover, this study confirmed the ecologic effect of antimicrobial drug use (i.e., current antimicrobial use) may have an effect on resistance in future patients. Although these results may not be generalized to other hospitals, they suggest new directions for control of MRSA, which has thus far proved difficult and expensive.