Differences in Sustained Attention Capacity as a Function of Aerobic Fitness

PURPOSE

We investigated the relationship between aerobic fitness and sustained attention capacity by comparing task performance and brain function, by means of event-related potentials (ERP), in high- and low-fit young adults.

METHODS

Two groups of participants (22 higher-fit and 20 lower-fit) completed a 60-min version of the Psychomotor Vigilance Task (PVT). Behavioral (i.e., reaction time) and electrophysiological (ERP) (i.e., contingent negative variation and P3) were obtained and analyzed as a function of time-on-task. A submaximal cardiorespiratory fitness test confirmed the between-groups difference in terms of aerobic fitness.

RESULTS

The results revealed shorter reaction time in higher-fit than in lower-fit participants in the first 36 min of the task. This was accompanied by larger contingent negative variation amplitude in the same period of the task in higher-fit than in lower-fit group. Crucially, higher-fit participants maintained larger P3 amplitude throughout the task compared to lower-fit, who showed a reduction in the P3 magnitude over time.

CONCLUSIONS

Higher fitness was related to neuroelectric activity suggestive of better overall sustained attention demonstrating a better ability to allocate attentional resources over time. Moreover, higher fitness was related to enhanced response preparation in the first part of the task. Taken together, the current data set demonstrated a positive association between aerobic fitness, sustained attention, and response preparation.

Reducing Staphylococcus aureus bloodstream infections associated with peripheral intravenous cannulae: successful implementation of a care bundle at a large Australian health service

BACKGROUND

Healthcare-associated Staphylococcus aureus bacteraemia (HA-SAB) results in morbidity, mortality, and increased healthcare costs, and these infections are frequently regarded as preventable.

AIM

To implement a multi-modal prevention programme for improved processes regarding peripheral intravenous cannula (PIVC) insertion and maintenance, in order to reduce PIVC-associated HA-SAB events in a large Australian health service.

METHODS

Baseline clinical practice was evaluated for a 12-month pre-intervention period. Measures to reduce HA-SAB risk were introduced between January and September 2013: staff education, improved documentation (including phlebitis scoring), and availability of standardized equipment. Post-intervention auditing was performed during the 27 months following intervention. Baseline and post-intervention HA-SAB and PIVC-associated infection rates were compared. Interrupted time-series and Bayesian change-point analyses were applied to determine the impact of interventions and timing of change.

FINDINGS

Significantly improved documentation regarding PIVC insertion and management was observed in the post-intervention period, with fewer PIVCs left in situ for ≥4 days (2.6 vs 6.9%, P<0.05). During the baseline period a total of 68 HA-SAB events occurred [1.01/10,000 occupied bed-days (OBDs)] and 24 were PIVC-associated (35% of total, rate 0.39 per 10,000 OBDs). In the post-intervention period, a total of 83 HA-SAB events occurred (0.99 per 10,000 OBDs) and 12 were PIVC-associated (14.4% of total, rate 0.14 per 10,000 OBDs). PIVC-associated SAB rates were 63% lower in the post-intervention period compared to baseline (P=0.018) with a change point observed following full bundle implementation in October 2013.

CONCLUSION

A successful multi-modal hospital-wide campaign was introduced to reduce PIVC-associated SAB rates. Evaluation of cost-effectiveness and sustainability is required.

Bisphenol-A removal in various wastewater treatment processes: operational conditions, mass balance, and optimization

Bisphenol-A (BPA) was analyzed in 499 liquid and 347 solid samples collected from twenty-five wastewater treatment plants (WWTPs) to investigate parameters affecting BPA occurrence, removal, and fate. Lagoons, chemically-assisted primary treatment, secondary treatment, and advanced treatment processes were included. Median BPA concentrations in influent and final effluent were 400 ng/L and 150 ng/L, respectively. Median removal efficiencies ranged from 1 to 77%. Respective median BPA levels in primary sludge, secondary biological sludge, and biosolids were 230, 260, and 460 ng/g with digested biosolids having the highest concentrations. The biological aerated filter and membrane bioreactor processes showed the best performance, while chemically-assisted primary treatment achieved the lowest removal. Biodegradation and sorption contributing to BPA removal were influenced by operational conditions: hydraulic retention time (HRT), solids retention time (SRT), and mixed liquor suspended solids (MLSS). The influence of HRT, SRT, and MLSS in the bioreactor was stronger during cold temperatures. In order to achieve above 80% removal, the required conditions for HRT, SRT, and MLSS were 13 h, 7 days, and 1600 mg/L during summer (median temperature 19 °C) and 13 h, 17 days, and 5300 mg/L during winter (median temperature 10 °C); indicating that longer SRT and higher MLSS were needed during winter. BPA's sorption tendency to sludge was strongly influenced by the degree of nitrification and HRT.

From appetitive to aversive: motivational interviewing reverses the modulation of the startle reflex by tobacco cues in smokers not ready to quit

Motivational Interviewing (MI) is a treatment method that has proven effective for increasing motivation to change and decreasing the consumption of different drugs. However, the results of studies examining the impact of MI on tobacco consumption are contradictory. Moreover, evidence of the effectiveness of MI for modifying well-validated psychophysiological indices of motivational change is still lacking. The aim of the present study was to use the startle probe paradigm and self-report measures of motivational change to assess the effectiveness of MI, compared to Prescriptive Advice (PA) and no treatment, in a sample of 53 smokers (28 male) who were not ready to quit smoking. After the intervention, the MI group reported increased motivation to change compared to both the PA and control groups. MI participants also had a potentiated startle reflex in response to tobacco-related pictures compared to the other two groups. These findings provide evidence that MI reverses the underlying motivational system activated by tobacco related cues.

Phase space determination from measured dose data for intraoperative electron radiation therapy

A procedure to characterize beams of a medical linear accelerator for their use in Monte Carlo (MC) dose calculations for intraoperative electron radiation therapy (IOERT) is presented. The procedure relies on dose measurements in homogeneous media as input, avoiding the need for detailed simulations of the accelerator head. An iterative algorithm (EM-ML) has been employed to extract the relevant details of the phase space (PHSP) of the particles coming from the accelerator, such as energy spectra, spatial distribution and angle of emission of particles. The algorithm can use pre-computed dose volumes in water and/or air, so that the machine-specific tuning with actual data can be performed in a few minutes. To test the procedure, MC simulations of a linear accelerator with typical IOERT applicators and energies, have been performed and taken as reference. A solution PHSP derived from the dose produced by the simulated accelerator has been compared to the reference PHSP. Further, dose delivered by the simulated accelerator for setups not included in the fit of the PHSP were compared to the ones derived from the solution PHSP. The results show that it is possible to derive from dose measurements PHSP accurate for IOERT MC dose estimations.

Meet OLAF, a good friend of the IAPS! The Open Library of Affective Foods: a tool to investigate the emotional impact of food in adolescents

In the last decades, food pictures have been repeatedly employed to investigate the emotional impact of food on healthy participants as well as individuals who suffer from eating disorders and obesity. However, despite their widespread use, food pictures are typically selected according to each researcher's personal criteria, which make it difficult to reliably select food images and to compare results across different studies and laboratories. Therefore, to study affective reactions to food, it becomes pivotal to identify the emotional impact of specific food images based on wider samples of individuals. In the present paper we introduce the Open Library of Affective Foods (OLAF), which is a set of original food pictures created to reliably select food pictures based on the emotions they prompt, as indicated by affective ratings of valence, arousal, and dominance and by an additional food craving scale. OLAF images were designed to allow simultaneous use with affective images from the International Affective Picture System (IAPS), which is a well-known instrument to investigate emotional reactions in the laboratory. The ultimate goal of the OLAF is to contribute to understanding how food is emotionally processed in healthy individuals and in patients who suffer from eating and weight-related disorders. The present normative data, which was based on a large sample of an adolescent population, indicate that when viewing affective non-food IAPS images, valence, arousal, and dominance ratings were in line with expected patterns based on previous emotion research. Moreover, when viewing food pictures, affective and food craving ratings were consistent with research on food cue processing. As a whole, the data supported the methodological and theoretical reliability of the OLAF ratings, therefore providing researchers with a standardized tool to reliably investigate the emotional and motivational significance of food. The OLAF database is publicly available at zenodo.org.

Feasibility assessment of the interactive use of a Monte Carlo algorithm in treatment planning for intraoperative electron radiation therapy

This work analysed the feasibility of using a fast, customized Monte Carlo (MC) method to perform accurate computation of dose distributions during pre- and intraplanning of intraoperative electron radiation therapy (IOERT) procedures. The MC method that was implemented, which has been integrated into a specific innovative simulation and planning tool, is able to simulate the fate of thousands of particles per second, and it was the aim of this work to determine the level of interactivity that could be achieved. The planning workflow enabled calibration of the imaging and treatment equipment, as well as manipulation of the surgical frame and insertion of the protection shields around the organs at risk and other beam modifiers. In this way, the multidisciplinary team involved in IOERT has all the tools necessary to perform complex MC dosage simulations adapted to their equipment in an efficient and transparent way. To assess the accuracy and reliability of this MC technique, dose distributions for a monoenergetic source were compared with those obtained using a general-purpose software package used widely in medical physics applications. Once accuracy of the underlying simulator was confirmed, a clinical accelerator was modelled and experimental measurements in water were conducted. A comparison was made with the output from the simulator to identify the conditions under which accurate dose estimations could be obtained in less than 3 min, which is the threshold imposed to allow for interactive use of the tool in treatment planning. Finally, a clinically relevant scenario, namely early-stage breast cancer treatment, was simulated with pre- and intraoperative volumes to verify that it was feasible to use the MC tool intraoperatively and to adjust dose delivery based on the simulation output, without compromising accuracy. The workflow provided a satisfactory model of the treatment head and the imaging system, enabling proper configuration of the treatment planning system and providing good accuracy in the dosage simulation.

Occurrence and fate of four novel brominated flame retardants in wastewater treatment plants

Four novel brominated flame retardants (NBFRs), i.e., decabromodiphenylethane (DBDPE), 1,2-bis(2,4,6-tribromophenoxy) ethane (BTBPE), pentabromoethylbenzene (PBEB), and hexabromobenzene (HBB) were studied in 377 liquid samples and 288 solid samples collected from 20 wastewater treatment plants. Lagoon, primary, secondary, and advanced treatment processes were included, in order to investigate NBFR occurrence and the effects of WWTP operational conditions on NBFR removal. Median influent and effluent levels were 14 to 3,700 and 1.0 to 180 pg/L respectively, with DBDPE being the highest in both. Overall median removal efficiencies for DBDPE, BTBPE, HBB, and PBEB across all process types were 81 to 93, 76 to 98, 61 to 97, and 54 to 97 %, respectively with advanced treatment processes obtaining the best removals. NBFRs removal was related to retention time, surface loading rate, and biomass concentration. Median NBFR levels in treated biosolids were 80 to 32,000 pg/g, influenced by solids treatment processes.

MODULACIÓN DEL REFLEJO DE SOBRESALTO EN POBLACIÓN COLOMBIANA: EVIDENCIA DE LA INTERACCIÓN ENTRE EMOCIÓN Y MOTIVACIÓN

El objetivo de esta investigación fue comprobar el fenómeno de priming motivacional observado a través de la modulación del reflejo de sobresalto en población colombiana, participaron 73 personas las cuales fueron expuestas a 21 imágenes del Sistema Internacional de Imágenes Afectivas y a un estímulo sonoro de sobresalto. Se midió la electromiografía del músculo orbicular del ojo para evaluar la magnitud del reflejo de sobresalto. Los resultados muestran que la valencia de las imágenes modula la magnitud del reflejo de sobresalto independiente del sexo de los participantes. Se concluye que el fenómeno de priming motivacional se presenta también en población colombiana y que esta metodología puede ser utilizada de forma confiable y objetiva en esta población.