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The impact of mismatch repair status and systemic inflammatory markers on radiological staging in colon cancer. Br J Radiol 2023; 96:20230098. [PMID: 37493144 PMCID: PMC10546445 DOI: 10.1259/bjr.20230098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 05/16/2023] [Accepted: 07/03/2023] [Indexed: 07/27/2023] Open
Abstract
OBJECTIVE Mismatch repair (MMR) deficient (dMMR) colon cancer (CC) is distinct from MMR proficient (pMMR) CC, yet the impact of MMR status on radiological staging is unclear. The purpose of this study was to investigate how MMR status impacts CC CT staging. METHODS We retrospectively compared CT staging accuracy between dMMR and pMMR CC patients undergoing curative resection. Accuracy was assessed as individual tumour (T)/nodal (N) stages and as dichotomous "statuses" (T1/2 vs T3/4; N0 vs N1/2). Patient characteristics were analysed for factors to support staging. RESULTS There was no significant difference in overall staging accuracy between the dMMR (44 patients) and pMMR (57 patients) groups. dMMR tumours with incorrect N stage/"status" were more likely to be overstaged than pMMR tumours (90% vs 59%; p = 0.023 for "N status"). Platelet count, CRP and neutrophil count (AUC 0.76 (p = 0.0078), 0.75 (p = 0.034) and 0.70 (p = 0.044), respectively) were associated with "N status" in dMMR tumours. CONCLUSION Whilst overall staging accuracy was similar between groups, incorrectly N staged dMMR tumours were more likely to be overstaged than pMMR tumours, risking inappropriate surgical or neoadjuvant treatment. We describe novel relationships between several inflammatory markers and pathological "N status" in dMMR CC, which if integrated into routine practice may improve CT staging accuracy. ADVANCES IN KNOWLEDGE Compared to pMMR CC, dMMR CC is at significant risk of N overstaging. Platelet count, CRP and neutrophil count are higher in dMMR CC patients with nodal metastases than those without, and their role in refining clinical staging requires further investigation.
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A population-scale temporal case-control evaluation of COVID-19 disease phenotype and related outcome rates in patients with cancer in England (UKCCP). Sci Rep 2023; 13:11327. [PMID: 37491478 PMCID: PMC10368624 DOI: 10.1038/s41598-023-36990-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 06/14/2023] [Indexed: 07/27/2023] Open
Abstract
Patients with cancer are at increased risk of hospitalisation and mortality following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. However, the SARS-CoV-2 phenotype evolution in patients with cancer since 2020 has not previously been described. We therefore evaluated SARS-CoV-2 on a UK populationscale from 01/11/2020-31/08/2022, assessing case-outcome rates of hospital assessment(s), intensive care admission and mortality. We observed that the SARS-CoV-2 disease phenotype has become less severe in patients with cancer and the non-cancer population. Case-hospitalisation rates for patients with cancer dropped from 30.58% in early 2021 to 7.45% in 2022 while case-mortality rates decreased from 20.53% to 3.25%. However, the risk of hospitalisation and mortality remains 2.10x and 2.54x higher in patients with cancer, respectively. Overall, the SARS-CoV-2 disease phenotype is less severe in 2022 compared to 2020 but patients with cancer remain at higher risk than the non-cancer population. Patients with cancer must therefore be empowered to live more normal lives, to see loved ones and families, while also being safeguarded with expanded measures to reduce the risk of transmission.
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Personalizing neoadjuvant chemotherapy for locally advanced colon cancer: protocols for the international phase III FOxTROT2 and FOxTROT3 randomized controlled trials. Colorectal Dis 2023; 25:357-366. [PMID: 36710525 DOI: 10.1111/codi.16487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 01/15/2023] [Indexed: 01/31/2023]
Abstract
AIM FOxTROT1 established a new standard of care for managing locally advanced colon cancer (CC) with neoadjuvant chemotherapy (NAC). Six weeks of neoadjuvant oxaliplatin and fluoropyrimidine (OxFp) chemotherapy was associated with greater 2-year disease-free survival (DFS) when compared with proceeding straight to surgery (STS). There is now a need to refine the use of NAC and identify those most likely to benefit. FOxTROT2 will aim to investigate NAC in older adults and those with frailty. FOxTROT3 will aim to assess whether intensified triplet NAC provides additional benefits over OxFp. METHOD FOxTROT2 and FOxTROT3 are international, open-label, phase III randomized controlled trials. Eligible patients will be identified by the multidisciplinary team. Patient age, frailty and comorbidities will be considered to guide trial entry. Participants will be randomized 2:1 to the intervention or control arm: 6 weeks of dose-adapted neoadjuvant OxFp versus STS in FOxTROT2 and 6 weeks of neoadjuvant modified oxaliplatin, 5-fluorouracil and irinotecan versus OxFp in FOxTROT3. The primary endpoint in FOxTROT2 is 3-year DFS. In FOxTROT3, tumour regression grade and 3-year DFS are co-primary endpoints. DISCUSSION FOxTROT2 and FOxTROT3 will establish the FOxTROT platform, a key part of our long-term strategy to develop neoadjuvant treatments for CC. FOxTROT2 will investigate NAC in a population under-represented in FOxTROT1 and wider research. FOxTROT3 will assess whether it is possible to induce greater early tumour responses and whether this translates to superior long-term outcomes. Looking ahead, the FOxTROT platform will facilitate further trial comparisons and extensive translational research to optimize the use of NAC in CC.
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Association of SARS-CoV-2 Spike Protein Antibody Vaccine Response With Infection Severity in Patients With Cancer: A National COVID Cancer Cross-sectional Evaluation. JAMA Oncol 2023; 9:188-196. [PMID: 36547970 PMCID: PMC9936347 DOI: 10.1001/jamaoncol.2022.5974] [Citation(s) in RCA: 12] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Accepted: 09/01/2022] [Indexed: 12/24/2022]
Abstract
Importance Accurate identification of patient groups with the lowest level of protection following COVID-19 vaccination is important to better target resources and interventions for the most vulnerable populations. It is not known whether SARS-CoV-2 antibody testing has clinical utility for high-risk groups, such as people with cancer. Objective To evaluate whether spike protein antibody vaccine response (COV-S) following COVID-19 vaccination is associated with the risk of SARS-CoV-2 breakthrough infection or hospitalization among patients with cancer. Design, Setting, and Participants This was a population-based cross-sectional study of patients with cancer from the UK as part of the National COVID Cancer Antibody Survey. Adults with a known or reported cancer diagnosis who had completed their primary SARS-CoV-2 vaccination schedule were included. This analysis ran from September 1, 2021, to March 4, 2022, a period covering the expansion of the UK's third-dose vaccination booster program. Interventions Anti-SARS-CoV-2 COV-S antibody test (Elecsys; Roche). Main Outcomes and Measures Odds of SARS-CoV-2 breakthrough infection and COVID-19 hospitalization. Results The evaluation comprised 4249 antibody test results from 3555 patients with cancer and 294 230 test results from 225 272 individuals in the noncancer population. The overall cohort of 228 827 individuals (patients with cancer and the noncancer population) comprised 298 479 antibody tests. The median age of the cohort was in the age band of 40 and 49 years and included 182 741 test results (61.22%) from women and 115 737 (38.78%) from men. There were 279 721 tests (93.72%) taken by individuals identifying as White or White British. Patients with cancer were more likely to have undetectable anti-S antibody responses than the general population (199 of 4249 test results [4.68%] vs 376 of 294 230 [0.13%]; P < .001). Patients with leukemia or lymphoma had the lowest antibody titers. In the cancer cohort, following multivariable correction, patients who had an undetectable antibody response were at much greater risk for SARS-CoV-2 breakthrough infection (odds ratio [OR], 3.05; 95% CI, 1.96-4.72; P < .001) and SARS-CoV-2-related hospitalization (OR, 6.48; 95% CI, 3.31-12.67; P < .001) than individuals who had a positive antibody response. Conclusions and Relevance The findings of this cross-sectional study suggest that COV-S antibody testing allows the identification of patients with cancer who have the lowest level of antibody-derived protection from COVID-19. This study supports larger evaluations of SARS-CoV-2 antibody testing. Prevention of SARS-CoV-2 transmission to patients with cancer should be prioritized to minimize impact on cancer treatments and maximize quality of life for individuals with cancer during the ongoing pandemic.
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FOxTROT2: innovative trial design to evaluate the role of neoadjuvant chemotherapy for treating locally advanced colon cancer in older adults or those with frailty. ESMO Open 2023; 8:100642. [PMID: 36549127 PMCID: PMC9800329 DOI: 10.1016/j.esmoop.2022.100642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 10/19/2022] [Accepted: 10/21/2022] [Indexed: 12/24/2022] Open
Abstract
Treating older adults with cancer is increasingly important in modern oncology practice. However, we currently lack the high-quality evidence needed to guide optimal management of this heterogeneous group. Principally, historic under-recruitment of older adults to clinical trials limits our understanding of how existing evidence can be applied to this group. Such uncertainty is particularly prevalent in the management of colon cancer (CC). With CC being most common in older adults, many patients also suffer from frailty, which is recognised as being strongly associated with poor clinical outcomes. Conducting clinical trials in older adults presents several major challenges, many of which impact the clinical relevance of results to a real-world population. When considering this heterogeneous group, it may be difficult to define the target population, recruit participants effectively, choose an appropriate trial design, and ensure participants remain engaged with the trial during follow-up. Furthermore, after overcoming these challenges, clinical trials tend to enrol highly selected patient cohorts that comprise only the fittest older patients, which are not representative of the wider population. FOxTROT1 was the first phase III randomised controlled trial to illustrate the benefit of neoadjuvant chemotherapy (NAC) in the treatment of CC. Patients receiving NAC had greater 2-year disease-free survival compared to those proceeding straight to surgery. Outcomes for older adults in FOxTROT1 were similarly impressive when compared to their younger counterparts. Yet, this group inevitably represents a fitter subgroup of the older patient population. FOxTROT2 has been designed to investigate NAC in a full range of older adults with CC, including those with frailty. In this review, we describe the key challenges to conducting a robust clinical trial in this heterogeneous patient group, highlight our strategies for overcoming these challenges in FOxTROT2, and explain how we hope to provide clarity on the optimal treatment of CC in older adults.
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COVID-19: Third dose booster vaccine effectiveness against breakthrough coronavirus infection, hospitalisations and death in patients with cancer: A population-based study. Eur J Cancer 2022; 175:1-10. [PMID: 36084618 PMCID: PMC9276646 DOI: 10.1016/j.ejca.2022.06.038] [Citation(s) in RCA: 25] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Accepted: 06/17/2022] [Indexed: 11/12/2022]
Abstract
PURPOSE People living with cancer and haematological malignancies are at an increased risk of hospitalisation and death following infection with acute respiratory syndrome coronavirus 2. Coronavirus third dose vaccine boosters are proposed to boost waning immune responses in immunocompromised individuals and increase coronavirus protection; however, their effectiveness has not yet been systematically evaluated. METHODS This study is a population-scale real-world evaluation of the United Kingdom's third dose vaccine booster programme for cancer patients from 8th December 2020 to 7th December 2021. The cancer cohort comprises individuals from Public Health England's national cancer dataset, excluding individuals less than 18 years. A test-negative case-control design was used to assess the third dose booster vaccine effectiveness. Multivariable logistic regression models were fitted to compare risk in the cancer cohort relative to the general population. RESULTS The cancer cohort comprised of 2,258,553 tests from 361,098 individuals. Third dose boosters were evaluated by reference to 87,039,743 polymerase chain reaction coronavirus tests. Vaccine effectiveness against breakthrough infections, symptomatic infections, coronavirus hospitalisation and death in cancer patients were 59.1%, 62.8%, 80.5% and 94.5%, respectively. Lower vaccine effectiveness was associated with a cancer diagnosis within 12 months, lymphoma, recent systemic anti-cancer therapy (SACT) or radiotherapy. Patients with lymphoma had low levels of protection from symptomatic disease. In spite of third dose boosters, following multivariable adjustment, individuals with cancer remain at an increased risk of coronavirus hospitalisation and death compared to the population control (OR 3.38, 3.01, respectively. p < 0.001 for both). CONCLUSIONS Third dose boosters are effective for most individuals with cancer, increasing protection from coronavirus. However, their effectiveness is heterogenous and lower than the general population. Many patients with cancer will remain at the increased risk of coronavirus infections even after 3 doses. In the case of patients with lymphoma, there is a particularly strong disparity of vaccine effectiveness against breakthrough infection and severe disease. Breakthrough infections will disrupt cancer care and treatment with potentially adverse consequences on survival outcomes. The data support the role of vaccine boosters in preventing severe disease, and further pharmacological intervention to prevent transmission and aid viral clearance to limit the disruption of cancer care as the delivery of care continues to evolve during the coronavirus pandemic.
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Vaccine effectiveness against COVID-19 breakthrough infections in patients with cancer (UKCCEP): a population-based test-negative case-control study. Lancet Oncol 2022; 23:748-757. [PMID: 35617989 PMCID: PMC9126559 DOI: 10.1016/s1470-2045(22)00202-9] [Citation(s) in RCA: 48] [Impact Index Per Article: 24.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Revised: 03/16/2022] [Accepted: 03/21/2022] [Indexed: 02/08/2023]
Abstract
BACKGROUND People with cancer are at increased risk of hospitalisation and death following infection with SARS-CoV-2. Therefore, we aimed to conduct one of the first evaluations of vaccine effectiveness against breakthrough SARS-CoV-2 infections in patients with cancer at a population level. METHODS In this population-based test-negative case-control study of the UK Coronavirus Cancer Evaluation Project (UKCCEP), we extracted data from the UKCCEP registry on all SARS-CoV-2 PCR test results (from the Second Generation Surveillance System), vaccination records (from the National Immunisation Management Service), patient demographics, and cancer records from England, UK, from Dec 8, 2020, to Oct 15, 2021. Adults (aged ≥18 years) with cancer in the UKCCEP registry were identified via Public Health England's Rapid Cancer Registration Dataset between Jan 1, 2018, and April 30, 2021, and comprised the cancer cohort. We constructed a control population cohort from adults with PCR tests in the UKCCEP registry who were not contained within the Rapid Cancer Registration Dataset. The coprimary endpoints were overall vaccine effectiveness against breakthrough infections after the second dose (positive PCR COVID-19 test) and vaccine effectiveness against breakthrough infections at 3-6 months after the second dose in the cancer cohort and control population. FINDINGS The cancer cohort comprised 377 194 individuals, of whom 42 882 had breakthrough SARS-CoV-2 infections. The control population consisted of 28 010 955 individuals, of whom 5 748 708 had SARS-CoV-2 breakthrough infections. Overall vaccine effectiveness was 69·8% (95% CI 69·8-69·9) in the control population and 65·5% (65·1-65·9) in the cancer cohort. Vaccine effectiveness at 3-6 months was lower in the cancer cohort (47·0%, 46·3-47·6) than in the control population (61·4%, 61·4-61·5). INTERPRETATION COVID-19 vaccination is effective for individuals with cancer, conferring varying levels of protection against breakthrough infections. However, vaccine effectiveness is lower in patients with cancer than in the general population. COVID-19 vaccination for patients with cancer should be used in conjunction with non-pharmacological strategies and community-based antiviral treatment programmes to reduce the risk that COVID-19 poses to patients with cancer. FUNDING University of Oxford, University of Southampton, University of Birmingham, Department of Health and Social Care, and Blood Cancer UK.
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#BCSM and #breastcancer: Contemporary cancer‐specific online social media communities. Breast J 2019; 26:729-733. [DOI: 10.1111/tbj.13576] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Revised: 08/13/2019] [Accepted: 08/16/2019] [Indexed: 11/30/2022]
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Abstract
Reinforcement rate and differential reinforcement of IRTs were independently manipulated to assess their relative contribution to the control of interresponse times (IRTs). Modified percentile reinforcement schedules (Platt, 1973) allowed control of reinforcement rate while longest or shortest IRTs were selectively reinforced. In the absence of differential IRT reinforcement, mean IRT decreased with increasing reinforcement rate. Compared to this small effect of reinforcement rate, reinforcement of long IRTs produced large changes in mean IRT at constant reinforcement rates. No interaction of reinforcement rate and IRT reinforcement was detected. The demonstration of large IRT changes in the absence of reinforcement-rate changes indicates the precedence of IRT reinforcement over molar reinforcement-rate correlations in the determination of IRTs in these procedures.
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Interresponse-time shaping by variable-interval-like interresponse-time reinforcement contingencies. J Exp Anal Behav 2010; 31:3-14. [PMID: 16812120 PMCID: PMC1332784 DOI: 10.1901/jeab.1979.31-3] [Citation(s) in RCA: 75] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The interresponse-time reinforcement contingencies and distributions of interreinforcement intervals characteristic of certain variable-interval schedules were mimicked by reinforcing each key peck with a probability equal to the duration of the interresponse time it terminated, divided by the scheduled mean interreinforcement interval. The interresponse-time reinforcement contingency was then eliminated by basing the probability of reinforcement on the fifth interresponse time preceding the key peck. Even though distributions of interreinforcement intervals were unaffected by this manipulation, response rates consistently increased. A second experiment replicated this effect and showed it to combine additively with that of mean reinforcement rate. These results provide strong support for the contention that current analyses of variable-interval response rates that ignore the inherent interresponse-time reinforcement contingency may be seriously in error.
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POSSIBLE SEPARATION OF INTERTWINED NUCLEIC ACID CHAINS BY TRANSFER-TWIST. Proc Natl Acad Sci U S A 2006; 41:181-3. [PMID: 16589641 PMCID: PMC528049 DOI: 10.1073/pnas.41.3.181] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Dental materials and technology. JOURNAL (INDIANA DENTAL ASSOCIATION) 2000; 79:88. [PMID: 11314510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/16/2023]
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Spectral-motion aftereffects and the tritone paradox among Canadian subjects. PERCEPTION & PSYCHOPHYSICS 1998; 60:209-20. [PMID: 9529905 DOI: 10.3758/bf03206030] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The effect of spectral motion on the tritone paradox was investigated by pretesting subjects residing in southwestern Ontario, Canada, on the tritone task, presenting them with a continuous ascending or descending chromatic scale created using Shepard tones, and then retesting them on the tritone task. Results indicated a negative-motion aftereffect that affected the orientation of the pitch class circle. Differential effects of perceived pitch height on the lower portion of the pitch class circle and of adaptation on the upper portion of the pitch class circle were found in the pre- and postadaptation data, respectively. The implications of this dissociation are discussed. In addition, since our subjects lived relatively close to the U.S. border, the experimental pretests allowed us to examine the hypothesis that a canonical American pitch template similar to that found among "Californian" subjects (Deutsch, 1991) is propagated by linguistic influences of media such as television and radio (Ragozzine & Deutsch, 1994). A survey of our subjects indicated that overall, the majority of time engaged in listening to the radio and watching television or movies was spent with American sources. Despite this, and despite the fact that subjects had widely varying language and cultural backgrounds, a tight distribution of peak-pitch classes was found that is indicative of a "British" pitch template (Deutsch, 1991) for every subject tested.
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Rhythm perception and differences in accent weights for musicians and nonmusicians. PERCEPTION & PSYCHOPHYSICS 1995; 57:905-14. [PMID: 7651814 DOI: 10.3758/bf03206805] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
In order to investigate the contribution of harmonic-temporal and structural features to the perception of musical rhythm, three experiments were conducted in which a harmonic and a temporal accent were pitted against each other in such a way as to form five possible patterns. In three experiments, the temporal structure of various chord progressions was manipulated in an effort to determine the harmonic contributions to the inference of meter. The final experiment differed from the first two in the use of nondiatonic progressions that implied an unlikely key modulation. In all experiments, musicians and nonmusicians were requested to report perceived rhythm patterns in an attempt to determine the relative salience of various accents. Results indicated that changes in the temporal structure led to predictable change in an inferred meter, and that all diatonic chord progressions led to similar patterns of responses in which coincidences of harmonic, temporal, and metrical accents were perceptually salient events. Unusual progressions implying key modulations resulted in a qualitatively distinct pattern of results, and, in all experiments, amount of formal musical training was found to be a good predictor of the use of harmonic cues.
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Harmonic accents in inference of metrical structure and perception of rhythm patterns. PERCEPTION & PSYCHOPHYSICS 1993; 54:794-807. [PMID: 8134249 DOI: 10.3758/bf03211804] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Research on rhythmic structure is somewhat fragmented, due in part to differential use of terminology and a lack of research on the timing of harmonic accents. In this study, a harmonic and a temporal accent were pitted against each other in such a way as to form different rhythm patterns. In addition, two harmonic conditions that varied in the frequency of chord presentations (i.e., the composite rhythm) but not in the frequency of chord changes (i.e., the harmonic rhythm) were presented. Musicians and nonmusicians were requested to report perceived rhythm patterns in an attempt to determine the relative salience of the harmonic and temporal accents. In addition, a behavioral measure of the perceived meter was taken. Results indicated that the location of chord changes was the main determinant of subjects' rhythmic perceptions and the perceived onset of a measure. Furthermore, although subjects primarily inferred different meters based on the composite rhythm, an interaction of metrical and rhythmic choices was found, indicating that perception of rhythm patterns and inference of metrical structure may not always be independent.
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Radon: its impact on the community and the role of the nurse. AAOHN JOURNAL : OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION OF OCCUPATIONAL HEALTH NURSES 1993; 41:547-550. [PMID: 8259940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
1. Radon contamination is of growing concern in many industries and communities, but it need not remain a hazard. Testing can be inexpensive and mitigation may be as simple as opening a window. 2. High risk areas are known. For more information on radon one may contact the local EPA office. The address is found in the government section of the white pages of the telephone directory. 3. Occupational health nurses are uniquely positioned to gather and disseminate much needed information on the effects of radon.
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Pitch interactions in the perception of isolated musical triads. PERCEPTION & PSYCHOPHYSICS 1990; 48:59-67. [PMID: 2377440 DOI: 10.3758/bf03205011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
In previous work done in our laboratory, we have investigated the perceived pitch class of isolated musical triads. We have found that as the amount of musical training increased, listeners perceptions progress, from very confused percepts of pitch class, to analytic percepts corresponding to the pitch class of the highest note in the triad, and finally to synthetic percepts corresponding to the root note for the more harmonic triad types. In the present work, we used a pitch matching technique to determine the actual pitch, rather than merely the pitch class, perceived when listeners analytically "hear out" a particular note in a major triad. There was a strong tendency for the pitch of the analytically perceived note to be displaced by as much as 60 cents in the direction of the other notes in the triad. The magnitude of this effect decreased as musical training increased, and it was also affected by the relative salience of the individual triad notes. These results have implications for the mechanism of triad perception, and for claims regarding the harmonic equivalence of triad inversions.
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Abstract
A paired-comparisons task was used to determine which note of a pure-tone triad sounded most similar to the triad. Musically inexperienced Ss showed no systematic preference, experienced Ss consistently preferred the highest note in the triad, and professional musicians split equally between preferring the highest note and the root note. Preference for the root note shifted to preference for the highest note as the triad type became increasingly inharmonic, suggesting that the former depended on inference of a missing fundamental. When Ss were asked to vocally reproduce the pitch they heard when listening to a triad, similar results were obtained, except that a root-note preference was not detectable in Ss with less musical experience. Preference for the root note was also facilitated by use of octave-replicated tones, and this increase was shown to be due to obscuring of pitch-height cues, rather than harmonic complexity.
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Response-reinforcer contingency and spatially defined operants: testing an invariance property of phi. J Exp Anal Behav 1989; 51:145-62. [PMID: 2921584 PMCID: PMC1338897 DOI: 10.1901/jeab.1989.51-145] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
A chamber containing 72 response keys defining the circumference of a circle 1 m in diameter was used to examine the relation between differentiation of response location and a measure of response-reinforcer contingency known as the phi coefficient. A different target key was specified in each successive phase, and response location was differentiated with respect to the target. Criterional and noncriterional responses (i.e., responses "near" and "far" from the target) were defined using targeted percentile schedules to control the overall probability of each response class. By manipulating criterional (and, hence, noncriterional) response probability and the reinforcement probabilities conditional on each, a mathematical invariance property peculiar to phi in contingency analysis was examined. Specifically, diagonally interchanging cell frequencies in a 2 x 2 table relating criterional/noncriterional responses to reinforcement/nonreinforcement leaves phi unchanged. Hence, the degree of response differentiation predicted by phi remains unchanged under the four permutations implied by the various diagonal interchanges. This predicted invariance was examined under values of phi equal to .33, .58, and .82. Increasing phi generally increased the stereotypy of response location. Three of the permutations generated almost interchangeable performance at different phi values. The remaining permutation, however, generated functions relating response concentration to phi with slopes shallower than those obtained under the other permutations. This resulted from relatively higher levels of differentiation, compared to the other permutations, at low phi values. These data strongly suggest boundary conditions on the ability of phi to reflect completely the local processes that are indexed by phi at a molar level.
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Adjustment of successive and simultaneous intervals by musically experienced and inexperienced subjects. PERCEPTION & PSYCHOPHYSICS 1987; 42:594-8. [PMID: 3696954 DOI: 10.3758/bf03207991] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Parametric manipulation of interresponse-time contingency independent of reinforcement rate. JOURNAL OF EXPERIMENTAL PSYCHOLOGY. ANIMAL BEHAVIOR PROCESSES 1986; 12:371-80. [PMID: 3772301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Pecking of pigeons was reinforced under a modified interval-percentile procedure that allowed independent manipulation of overall reinforcement rate and the degree to which reinforcement depended on interresponse-time duration. Increasing the contingency, as measured by the phi coefficient, between reinforcement and long interresponse times while controlling the overall rate of reinforcement systematically increased the frequency of those interresponse times and decreased response rate under both of the reinforcement rates studied. Increasing reinforcement rate also generally increased response rate, particularly under weaker interresponse-time contingencies. Random-interval schedules with comparable reinforcement rates generated response rates and interresponse-time distributions similar to those obtained with moderate-to-high interresponse-time reinforcement contingencies. These results suggest that interresponse-time reinforcement contingencies inherent in random-interval and constant-probability variable-interval schedules exercise substantial control over responding independent of overall reinforcement rate effects. The interresponse-time reinforcement contingencies inherent in these schedules may actually mask the effects of overall reinforcement rate; thus differences in response rate as a function of reinforcement rate when interresponse-time reinforcement is eliminated may be underestimated.
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Effect of frequency, timbre, experience, and feedback on musical tuning skills. PERCEPTION & PSYCHOPHYSICS 1985; 38:543-53. [PMID: 3834400 DOI: 10.3758/bf03207064] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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24
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25
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Abstract
Lever pressing of squirrel monkeys postponed brief electric shock according to a free-operant shock-postponement procedure. Pressing also produced shock with a probability proportional to the duration of the current interresponse time in some conditions, or to the fifth ordinally-preceding interresponse time in others. These conditions provided equal frequencies and temporal distributions of response-produced shocks either contingent on or independent of the current interresponse-time duration, respectively. Shock delivered contingent on the current interresponse-time duration resulted in shorter mean interresponse times and higher overall response rates that shock delivered independent of the current interresponse time. In subsequent conditions, response-produced shocks were sufficient to maintain responding following suspension of the postponement procedure only when those shocks were contingent on the current interresponse time. Presenting shock independent of the current interresponse time, conversely, suppressed response rate and ultimately led to cessation of responding in the absence of a conjoint shock-postponement procedure. These results demonstrate interresponse-time punishment in the absence of any indirect avoidance contingencies based on overall shock-frequency reduction, and strongly support similar interpretation at the more local level of shock-frequency reduction correlated with particular interresponse times. Differential punishment of long interresponse times also provides both an a priori basis for predicting whether a schedule of shock presentation will maintain or suppress responding and a framework for interpreting many of the functional relations between overall response rate and parameters of consequent shock presentation. Finally, these results and others indicate the importance of response-consequence contiguity above and beyong any notion of noncontiguous contingency in the control of behavior.
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Bisection of temporal intervals by pigeons. JOURNAL OF EXPERIMENTAL PSYCHOLOGY. ANIMAL BEHAVIOR PROCESSES 1983; 9:160-70. [PMID: 6842135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Two experiments investigated temporal bisection in pigeons using a procedure similar to that of Stubbs (1976). This procedure measures the point in time at which the bird switches from the shorter to the longer valued of two fixed-interval reinforcement schedules with a common starting point. The first experiment substantiated previous findings of switching at the geometric mean of the two interval values and strengthened identification of this switching with bisection by eliminating the possibility that the birds simply switched to the longer interval when the shorter one was perceived to have expired. The experiment also extended the range of values for which temporal intervals have been found to be bisected at their geometric mean. A second experiment demonstrated that the usefulness of the present procedure for determining temporal bisection points is limited to cases in which the longer interval is no more than four times the duration of the shorter interval. Greater separation of the two interval durations produced a period of nonresponding during which the location of the switching or bisection point was totally ambiguous.
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Abstract
Hungry rats received food following lever-press durations exceeding a minimum value, which ranged from 0 to 6.4 sec. When no intertrial intervals separated successive presses, modal press durations remained at very short values as the minimum value required for food was increased. This was particularly true immediately after a food presentation. When an 8-sec intertrial interval followed each lever release, modal press durations were always at or beyond the minimum value required for food, and outcome of the preceding press had no effect on press duration. Possible reasons for the effects of intertrial intervals included punishment of short presses, increased delay of reinforcement of short presses, and reduced density of reinforcement. In addition, functions relating discrete-trials lever-press duration to minimum duration required for food were found to be qualitatively and quantitatively similar to the power functions recently proposed by Catania (1970) for interresponse time and response latency. This similarity was taken as support for a general psychophysical law of temporal judgments.
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Effects of discrete-trials reinforcement frequency and changes in reinforcement frequency on preceding and subsequent fixed-ratio performance. JOURNAL OF EXPERIMENTAL PSYCHOLOGY 1970; 85:95-104. [PMID: 5458327 DOI: 10.1037/h0029567] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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29
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Broadening the Participation of the Colleges. Science 1968; 162:517. [PMID: 17831564 DOI: 10.1126/science.162.3853.517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Differential magnitude of reward conditioning as a function of predifferential reward magnitude. JOURNAL OF EXPERIMENTAL PSYCHOLOGY 1968; 77:393-6. [PMID: 5665570 DOI: 10.1037/h0025982] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Effects of partial reinforcement of acquisition and extinction of the conditioned eyeblink in a masking situation. JOURNAL OF EXPERIMENTAL PSYCHOLOGY 1967; 74:259-63. [PMID: 6048467 DOI: 10.1037/h0024583] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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33
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Intertrial interval and response-competition in discrete-trials lever-pressing. AMERICAN JOURNAL OF PSYCHOLOGY 1967; 80:110-4. [PMID: 6036345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Man and the indeterminacies. PERSPECTIVES IN BIOLOGY AND MEDICINE 1966; 10:67-80. [PMID: 6002669 DOI: 10.1353/pbm.1966.0036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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37
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General discussion: early receptor potential. COLD SPRING HARBOR SYMPOSIA ON QUANTITATIVE BIOLOGY 1965; 30:501-4. [PMID: 5219498 DOI: 10.1101/sqb.1965.030.01.048] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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38
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Strong Inference: Certain systematic methods of scientific thinking may produce much more rapid progress than others. Science 1964; 146:347-53. [PMID: 17739513 DOI: 10.1126/science.146.3642.347] [Citation(s) in RCA: 1248] [Impact Index Per Article: 20.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Abstract
The moving polygonal patterns in dense cultures of Tetrahymena and other ciliates and flagellates look like "Benard cells," but are not due to thermal convection. They seem to be due to a similar dynamic instability that occurs when the energy input is internal and mechanical. The high concentration in the patterns may be useful in fertilization.
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Abstract
Atomic models useful for small molecules become clumsy, expensive, and even inaccurate when used to represent the large molecules important in biology. More convenient models, authoritatively designed and semi-mass-produced, would be of the greatest value both for teaching and biological research.
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Carotene-Donor-Acceptor Complexes in Photosynthesis: The predicted lowering of the excited states of carotenoids may offer a new photosynthetic pathway. Science 1959; 129:372-4. [PMID: 17750408 DOI: 10.1126/science.129.3346.372] [Citation(s) in RCA: 73] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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