Manipulations of richness of encoding do not modulate the animacy effect on memory

The animacy effect refers to the memory advantage of words denoting animate beings over words denoting inanimate objects. Remembering animate beings may serve important evolutionary functions, but the cognitive mechanism underlying the animacy effect has remained elusive. According to the richness-of-encoding account, animate words stimulate participants to generate more ideas than inanimate words at encoding. These ideas may later serve as retrieval cues and thus enhance recall. There is as yet only correlational evidence associating rich encoding and the animacy advantage in memory. To experimentally test the assumption that richness of encoding plays a causal role, we examined whether the animacy effect can be modulated by facilitating or suppressing rich encoding. In Experiment 1, richness of encoding was manipulated by requiring participants to write down four ideas or one idea in response to animate and inanimate words. In Experiment 2, the one-idea-generation condition was compared to an unrestricted-idea-generation condition. In Experiment 3, the unrestricted-idea-generation condition was compared to a distractor-task condition in which the idea-generation process was suppressed. In Experiment 4, richness of encoding was manipulated by asking participants to rate the relevance of the words for achieving three survival-related goals or one survival-related goal. Animate words were better remembered than inanimate words. In three of the four experiments, rich encoding led to improved recall. However, none of the manipulations of richness of encoding affected the animacy effect on memory, demonstrating its robustness irrespective of the encoding conditions. These results weaken the richness-of-encoding account of the animacy effect on memory. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Remembering the truth or falsity of advertising claims: A preregistered model-based test of three competing theoretical accounts

Given the large amount of information that people process daily, it is important to understand memory for the truth and falsity of information. The most prominent theoretical models in this regard are the Cartesian model and the Spinozan model. The former assumes that both "true" and "false" tags may be added to the memory representation of encoded information; the latter assumes that only falsity is tagged. In the present work, we contrasted these two models with an expectation-violation model hypothesizing that truth or falsity tags are assigned when expectations about truth or falsity must be revised in light of new information. An interesting implication of the expectation-violation model is that a context with predominantly false information leads to the tagging of truth whereas a context with predominantly true information leads to the tagging of falsity. To test the three theoretical models against each other, veracity expectations were manipulated between participants by varying the base rates of allegedly true and false advertising claims. Memory for the veracity of these claims was assessed using a model-based analysis. To increase methodological rigor and transparency in the specification of the measurement model, we preregistered, a priori, the details of the model-based analysis test. Despite a large sample size (N = 208), memory for truth and falsity did not differ, regardless of the base rates of true and false claims. The results thus support the Cartesian model and provide evidence against the Spinozan model and the expectation-violation model.

People punish defection, not failures to conform to the majority

Do people punish others for defecting or for failing to conform to the majority? In two experiments, we manipulated whether the participants' partners cooperated or defected in the majority of the trials of a Prisoner's Dilemma game. The effects of this base-rate manipulation on cooperation and punishment were assessed using a multinomial processing tree model. High compared to low cooperation rates of the partners increased participants' cooperation. When participants' cooperation was not enforced through partner punishment, the participants' cooperation was closely aligned to the cooperation rates of the partners. Moral punishment of defection increased when cooperation rates were high compared to when defection rates were high. However, antisocial punishment of cooperation when defection rates were high was much less likely than moral punishment of defection when cooperation rates were high. In addition, antisocial punishment was increased when cooperation rates were high compared to when defection rates were high. The latter two results contradict the assumption that people punish conformity-violating behavior regardless of whether the behavior supports or disrupts cooperation. Punishment is thus sensitive to the rates of cooperation and defection but, overall, the results are inconsistent with the idea that punishment primarily, let alone exclusively, serves to enforce conformity with the majority.

Multiorgan MRI findings after hospitalisation with COVID-19 in the UK (C-MORE): a prospective, multicentre, observational cohort study

INTRODUCTION

The multiorgan impact of moderate to severe coronavirus infections in the post-acute phase is still poorly understood. We aimed to evaluate the excess burden of multiorgan abnormalities after hospitalisation with COVID-19, evaluate their determinants, and explore associations with patient-related outcome measures.

METHODS

In a prospective, UK-wide, multicentre MRI follow-up study (C-MORE), adults (aged ≥18 years) discharged from hospital following COVID-19 who were included in Tier 2 of the Post-hospitalisation COVID-19 study (PHOSP-COVID) and contemporary controls with no evidence of previous COVID-19 (SARS-CoV-2 nucleocapsid antibody negative) underwent multiorgan MRI (lungs, heart, brain, liver, and kidneys) with quantitative and qualitative assessment of images and clinical adjudication when relevant. Individuals with end-stage renal failure or contraindications to MRI were excluded. Participants also underwent detailed recording of symptoms, and physiological and biochemical tests. The primary outcome was the excess burden of multiorgan abnormalities (two or more organs) relative to controls, with further adjustments for potential confounders. The C-MORE study is ongoing and is registered with ClinicalTrials.gov, NCT04510025.

FINDINGS

Of 2710 participants in Tier 2 of PHOSP-COVID, 531 were recruited across 13 UK-wide C-MORE sites. After exclusions, 259 C-MORE patients (mean age 57 years [SD 12]; 158 [61%] male and 101 [39%] female) who were discharged from hospital with PCR-confirmed or clinically diagnosed COVID-19 between March 1, 2020, and Nov 1, 2021, and 52 non-COVID-19 controls from the community (mean age 49 years [SD 14]; 30 [58%] male and 22 [42%] female) were included in the analysis. Patients were assessed at a median of 5·0 months (IQR 4·2-6·3) after hospital discharge. Compared with non-COVID-19 controls, patients were older, living with more obesity, and had more comorbidities. Multiorgan abnormalities on MRI were more frequent in patients than in controls (157 [61%] of 259 vs 14 [27%] of 52; p<0·0001) and independently associated with COVID-19 status (odds ratio [OR] 2·9 [95% CI 1·5-5·8]; padjusted=0·0023) after adjusting for relevant confounders. Compared with controls, patients were more likely to have MRI evidence of lung abnormalities (p=0·0001; parenchymal abnormalities), brain abnormalities (p<0·0001; more white matter hyperintensities and regional brain volume reduction), and kidney abnormalities (p=0·014; lower medullary T1 and loss of corticomedullary differentiation), whereas cardiac and liver MRI abnormalities were similar between patients and controls. Patients with multiorgan abnormalities were older (difference in mean age 7 years [95% CI 4-10]; mean age of 59·8 years [SD 11·7] with multiorgan abnormalities vs mean age of 52·8 years [11·9] without multiorgan abnormalities; p<0·0001), more likely to have three or more comorbidities (OR 2·47 [1·32-4·82]; padjusted=0·0059), and more likely to have a more severe acute infection (acute CRP >5mg/L, OR 3·55 [1·23-11·88]; padjusted=0·025) than those without multiorgan abnormalities. Presence of lung MRI abnormalities was associated with a two-fold higher risk of chest tightness, and multiorgan MRI abnormalities were associated with severe and very severe persistent physical and mental health impairment (PHOSP-COVID symptom clusters) after hospitalisation.

INTERPRETATION

After hospitalisation for COVID-19, people are at risk of multiorgan abnormalities in the medium term. Our findings emphasise the need for proactive multidisciplinary care pathways, with the potential for imaging to guide surveillance frequency and therapeutic stratification.

FUNDING

UK Research and Innovation and National Institute for Health Research.

Evidence of a metacognitive illusion in judgments about the effects of music on cognitive performance

Two experiments serve to examine how people make metacognitive judgments about the effects of task-irrelevant sounds on cognitive performance. According to the direct-access account, people have direct access to the processes causing auditory distraction. According to the processing-fluency account, people rely on the feeling of processing fluency to make heuristic metacognitive judgments about the distracting effects of sounds. To manipulate the processing fluency of simple piano melodies and segments of Mozart's sonata K. 448, the audio files of the music were either left in their original forward direction or reversed. The results favor the processing-fluency account over the direct-access account: Even though, objectively, forward and backward music had the same distracting effect on serial recall, stimulus-specific prospective metacognitive judgments showed that participants incorrectly predicted only backward music but not forward music to be distracting. The difference between forward and backward music was reduced but not eliminated in global retrospective metacognitive judgments that participants provided after having experienced the distracting effect of the music first-hand. The results thus provide evidence of a metacognitive illusion in people's judgments about the effects of music on cognitive performance.

The effects of lineup size on the processes underlying eyewitness decisions

Here we apply the two-high threshold eyewitness identification model to identify the effects of lineup size on the detection-based and non-detection-based processes underlying eyewitness decisions. In Experiment 1, lineup size was manipulated by showing participants simultaneous or sequential lineups that contained either three or six persons. In Experiment 2, the lineups contained either two or five persons. In both experiments, the culprit was better detected in smaller than in larger lineups. Furthermore, participants made fewer guessing-based selections in smaller than in larger lineups. However, guessing-based selection in larger lineups was not increased to a level sufficient to offset the effect of increased protection of suspects in larger lineups due to the fact that the guessing-based selections that occur are distributed across more persons. The results show that increasing the lineup size causes several changes in the detection-based and non-detection-based processes underlying eyewitness decisions.

Communicating emotions, but not expressing them privately, reduces moral punishment in a Prisoner's Dilemma game

The existence of moral punishment, that is, the fact that cooperative people sacrifice resources to punish defecting partners requires an explanation. Potential explanations are that people punish defecting partners to privately express or to communicate their negative emotions in response to the experienced unfairness. If so, then providing participants with alternative ways to privately express or to communicate their emotions should reduce moral punishment. In two experiments, participants interacted with cooperating and defecting partners in a Prisoner's Dilemma game. After each round, participants communicated their emotions to their partners (Experiments 1 and 2) or only expressed them privately (Experiment 2). Each trial concluded with a costly punishment option. Compared to a no-expression control group, moral punishment was reduced when emotions were communicated to the defecting partner but not when emotions were privately expressed. Moral punishment may thus serve to communicate emotions to defecting partners. However, moral punishment was only reduced but far from being eliminated, suggesting that the communication of emotions does not come close to replacing moral punishment. Furthermore, prompting participants to focus on their emotions had undesirable side-effects: Privately expressing emotions diminished cooperation, enhanced hypocritical punishment (i.e., punishment of defecting partners by defecting participants), and induced an unspecific bias to punish the partners irrespective of their actions.

The animacy effect on free recall is equally large in mixed and pure word lists or pairs

The cognitive mechanisms underlying the animacy effect on free recall have as yet to be identified. According to the attentional-prioritization account, animate words are better recalled because they recruit more attention at encoding than inanimate words. The account implies that the animacy effect should be larger when animate words are presented together with inanimate words in mixed lists or pairs than when animate and inanimate words are presented separately in pure lists or pairs. The present series of experiments served to systematically test whether list composition or pair composition modulate the animacy effect. In Experiment 1, the animacy effect was compared between mixed and pure lists. In Experiments 2 and 3, the words were presented in mixed or pure pairs to manipulate the direct competition for attention between animate and inanimate words at encoding. While encoding was intentional in Experiments 1 and 2, it was incidental in Experiment 3. In each experiment, a significant animacy effect was obtained, but the effect was equally large in mixed and pure lists or pairs of animate and inanimate words despite considerable sensitivity of the statistical test of the critical interaction. These findings provide evidence against the attentional-prioritization account of the animacy effect.

Epigenetic effects of folate and related B vitamins on brain health throughout life: Scientific substantiation and translation of the evidence for health improvement strategies

Suboptimal status of folate and/or interrelated B vitamins (B12 , B6 and riboflavin) can perturb one-carbon metabolism and adversely affect brain development in early life and brain function in later life. Human studies show that maternal folate status during pregnancy is associated with cognitive development in the child, whilst optimal B vitamin status may help to prevent cognitive dysfunction in later life. The biological mechanisms explaining these relationships are not clear but may involve folate-related DNA methylation of epigenetically controlled genes related to brain development and function. A better understanding of the mechanisms linking these B vitamins and the epigenome with brain health at critical stages of the lifecycle is necessary to support evidence-based health improvement strategies. The EpiBrain project, a transnational collaboration involving partners in the United Kingdom, Canada and Spain, is investigating the nutrition-epigenome-brain relationship, particularly focussing on folate-related epigenetic effects in relation to brain health outcomes. We are conducting new epigenetics analysis on bio-banked samples from existing well-characterised cohorts and randomised trials conducted in pregnancy and later life. Dietary, nutrient biomarker and epigenetic data will be linked with brain outcomes in children and older adults. In addition, we will investigate the nutrition-epigenome-brain relationship in B vitamin intervention trial participants using magnetoencephalography, a state-of-the-art neuroimaging modality to assess neuronal functioning. The project outcomes will provide an improved understanding of the role of folate and related B vitamins in brain health, and the epigenetic mechanisms involved. The results are expected to provide scientific substantiation to support nutritional strategies for better brain health across the lifecycle.

Evaluating the impact of first-yes-counts instructions on eyewitness performance using the two-high threshold eyewitness identification model

In eyewitness research, multiple identification decisions in sequential lineups are typically prevented by telling participants that only their first identification decision counts. These first-yes-counts instructions are incompatible with standard police protocols prescribing that witnesses shall see the entire lineup. Horry et al. were the first to experimentally test how this discrepancy between eyewitness research and standard police protocols affects eyewitness identification decisions. Here, the two-high threshold eyewitness identification model was used to disentangle the effect of the first-yes-counts instructions on the detection and guessing processes underlying eyewitness identification decisions. We report both a reanalysis of Horry et al.'s data and a conceptual replication. Both the reanalysis and the results of the conceptual replication confirm that first-yes-counts instructions do not affect the detection of the culprit but decrease the probability of guessing-based selections. To improve the ecological validity, research on sequential lineups should avoid first-yes-counts instructions.

Measuring lineup fairness from eyewitness identification data using a multinomial processing tree model

The mock-witness task is typically used to evaluate the fairness of lineups. However, the validity of this task has been questioned because there are substantial differences between the tasks for mock witnesses and eyewitnesses. Unlike eyewitnesses, mock witnesses must select a person from the lineup and are alerted to the fact that one lineup member might stand out from the others. It therefore seems desirable to base conclusions about lineup fairness directly on eyewitness data rather than on mock-witness data. To test the importance of direct measurements of biased suspect selection in eyewitness identification decisions, we assessed the fairness of lineups containing either morphed or non-morphed fillers using both mock witnesses and eyewitnesses. We used Tredoux's E and the proportion of suspect selections to measure lineup fairness from mock-witness choices and the two-high threshold eyewitness identification model to measure the biased selection of the suspects directly from eyewitness identification decisions. Results obtained in the mock-witness task and the model-based analysis of data obtained in the eyewitness task converged in showing that simultaneous lineups with morphed fillers were significantly more unfair than simultaneous lineups with non-morphed fillers. However, mock-witness and eyewitness data converged only when the eyewitness task mimicked the mock-witness task by including pre-lineup instructions that (1) discouraged eyewitnesses to reject the lineups and (2) alerted eyewitnesses that a photograph might stand out from the other photographs in the lineup. When a typical eyewitness task was created by removing these two features from the pre-lineup instructions, the morphed fillers no longer lead to unfair lineups. These findings highlight the differences in the cognitive processes of mock witnesses and eyewitnesses and they demonstrate the importance of measuring lineup fairness directly from eyewitness identification decisions rather than indirectly using the mock-witness task.

Humans, machines, and double standards? The moral evaluation of the actions of autonomous vehicles, anthropomorphized autonomous vehicles, and human drivers in road-accident dilemmas

A more critical evaluation of the actions of autonomous vehicles in comparison to those of human drivers in accident scenarios may complicate the introduction of autonomous vehicles into daily traffic. In two experiments, we tested whether the evaluation of actions in road-accident scenarios differs as a function of whether the actions were performed by human drivers or autonomous vehicles. Participants judged how morally adequate they found the actions of a non-anthropomorphized autonomous vehicle (Experiments 1 and 2), an anthropomorphized autonomous vehicle (Experiment 2), and a human driver (Experiments 1 and 2) in otherwise identical road-accident scenarios. The more lives were spared, the better the action was evaluated irrespective of the agent. However, regardless of the specific action that was chosen, the actions of the human driver were always considered more morally justifiable than the corresponding actions of the autonomous vehicle. The differences in the moral evaluations between the human driver and the autonomous vehicle were reduced, albeit not completely eliminated, when the autonomous vehicle was anthropomorphized (Experiment 2). Anthropomorphizing autonomous vehicles may thus influence the processes underlying moral judgments about the actions of autonomous vehicles such that the actions of anthropomorphized autonomous vehicles appear closer in moral justifiability to the actions of humans. The observed differences in the moral evaluation of the actions of human drivers and autonomous vehicles could cause a more critical public response to accidents involving autonomous vehicles compared to those involving human drivers which might be reduced by anthropomorphizing the autonomous vehicles.

Negative target stimuli do not influence cross-modal auditory distraction

The present study served to test whether emotion modulates auditory distraction in a serial-order reconstruction task. If auditory distraction results from an attentional trade-off between the targets and distractors, auditory distraction should decrease when attention is focused on targets with high negative arousal. Two experiments (with a total N of 284 participants) were conducted to test whether auditory distraction is influenced by target emotion. In Experiment 1 it was examined whether two benchmark effects of auditory distraction-the auditory-deviant effect and the changing-state effect-differ as a function of whether negative high-arousal targets or neutral low-arousal targets are used. Experiment 2 complements Experiment 1 by testing whether target emotion modulates the disruptive effects of reversed sentential speech and steady-state distractor sequences relative to a quiet control condition. Even though the serial order of negative high-arousal targets was better remembered than that of neutral low-arousal targets, demonstrating an emotional facilitation effect on serial-order reconstruction, auditory distraction was not modulated by target emotion. The results provide support of the automatic-capture account according to which auditory distraction, regardless of the specific type of auditory distractor sequence that has to be ignored, is a fundamentally stimulus-driven effect that is rooted in the automatic processing of the to-be-ignored auditory stream and remains unaffected by emotional-motivational factors.

The cardioprotective effect of inhibiting SGLT1 in hyperglycemia ischemia reperfusion injury

Background

Diabetes clinical trials have shown SGLT inhibition improves cardiovascular outcomes, yet the mechanism is not fully understood. Hyperglycemia is a common finding in diabetic and non-diabetic patients presenting with ACS and is a powerful predictor of prognosis and mortality. The role of hyperglycemia in ischemia-reperfusion injury (IRI) is not fully understood, and whether the Sodium Glucose Co-Transporter 1 (SGLT1) plays a role in infarct augmentation, before and/or after reperfusion, remains to be elucidated.

Purpose

Investigate if SGLT1 is involved in a glucotoxicity injury during IRI and whether inhibiting SGLT1 with an SGLT1 inhibitor may reduce infarct size.

Method

RT-PCR and in-situ hybridization (RNAScope) combined with Immunofluorescence integrated co detection with different cell marker techniques were used to detect SGLT1 mRNA expression in Sprague-Dawley whole myocardium and isolated primary cardiomyocytes.

An Ex-vivo Langendorff ischemia-reperfusion perfusion model was used to study the effect of high glucose (22mmol) on myocardium at reperfusion. Canagliflozin (CANA) a non-selective SGLT inhibitor (1μmoL/L to block the SGLT1 receptor and SGLT2 and 5nmol/L to block only the SGLT2 receptor) and Mizagliflozin a selective SGLT1 inhibitor (100nmol/L) was introduced following ischemia at two different glucose concentration concentrations at reperfusion and its effect on infarct size measured using triphenyltetrazolium chloride (TTC) staining.

Results

We showed that SGLT1 is homogenously expressed throughout the myocardium and is particularly evident within the vasculature. we demonstrate that hyperglycemia at reperfusion is injurious to myocardium with an increase of myocardial infarction. Our data reveal that glucose exacerbation of injury appears to be mediated via SGLT1. We have also demonstrated that high-glucose mediated injury in the isolated, perfused heart model is abrogated through the administration of a clinically available mixed SGLT2/SGLT1 inhibitor, canagliflozin, at a dose that inhibits both SGLT2 and SGLT1, but by the SGLT2-selective concentration.

Conclusion

We have shown that SGLT1 is present in the myocardium. Hyperglycemia appears to augment myocardial infarction and inhibition of SGLT1 attenuates this incre

Funding Acknowledgement

Type of funding sources: Private grant(s) and/or Sponsorship. Main funding source(s): The government of saudi Arabia

Experimental validation of a multinomial processing tree model for analyzing eyewitness identification decisions

To improve police protocols for lineup procedures, it is helpful to understand the processes underlying eyewitness identification performance. The two-high threshold (2-HT) eyewitness identification model is a multinomial processing tree model that measures four latent cognitive processes on which eyewitness identification decisions are based: two detection-based processes (the detection of culprit presence and absence) and two non-detection-based processes (biased and guessing-based selection). The model takes into account the full 2 × 3 data structure of lineup procedures, that is, suspect identifications, filler identifications and rejections in both culprit-present and culprit-absent lineups. Here the model is introduced and the results of four large validation experiments are reported, one for each of the processes specified by the model. The validation experiments served to test whether the model’s parameters sensitively reflect manipulations of the processes they were designed to measure. The results show that manipulations of exposure duration of the culprit’s face at encoding, lineup fairness, pre-lineup instructions and ease of rejection of culprit-absent lineups were sensitively reflected in the parameters representing culprit-presence detection, biased suspect selection, guessing-based selection and culprit-absence detection, respectively. The results of the experiments thus validate the interpretations of the parameters of the 2-HT eyewitness identification model.

Coping with high advertising exposure: a source-monitoring perspective

Consumers are exposed to large amounts of advertising every day. One way to avoid being manipulated is to monitor the sources of persuasive messages. In the present study it was tested whether high exposure to advertising affects the memory and guessing processes underlying source attributions. Participants were exposed to high or low proportions of advertising messages that were intermixed with product statements from a trustworthy source. In a subsequent memory test, participants had to remember the sources of these statements. In Experiments 1 and 2, high advertising exposure led to increased source memory and decreased recognition of the statements in comparison to low advertising exposure. High advertising exposure also induced an increased tendency toward guessing that statements whose sources were not remembered came from advertising. The results of Experiment 3 suggest that the presence of advertising, relative to its absence, leads to a skeptical guessing bias. Being exposed to advertising thus has pronounced effects on the memory and guessing processes underlying source attributions. These changes in source monitoring can be interpreted as coping mechanisms that serve to protect against the persuasive influence of advertising messages.

Clinical characteristics with inflammation profiling of long COVID and association with 1-year recovery following hospitalisation in the UK: a prospective observational study

BACKGROUND

No effective pharmacological or non-pharmacological interventions exist for patients with long COVID. We aimed to describe recovery 1 year after hospital discharge for COVID-19, identify factors associated with patient-perceived recovery, and identify potential therapeutic targets by describing the underlying inflammatory profiles of the previously described recovery clusters at 5 months after hospital discharge.

METHODS

The Post-hospitalisation COVID-19 study (PHOSP-COVID) is a prospective, longitudinal cohort study recruiting adults (aged ≥18 years) discharged from hospital with COVID-19 across the UK. Recovery was assessed using patient-reported outcome measures, physical performance, and organ function at 5 months and 1 year after hospital discharge, and stratified by both patient-perceived recovery and recovery cluster. Hierarchical logistic regression modelling was performed for patient-perceived recovery at 1 year. Cluster analysis was done using the clustering large applications k-medoids approach using clinical outcomes at 5 months. Inflammatory protein profiling was analysed from plasma at the 5-month visit. This study is registered on the ISRCTN Registry, ISRCTN10980107, and recruitment is ongoing.

FINDINGS

2320 participants discharged from hospital between March 7, 2020, and April 18, 2021, were assessed at 5 months after discharge and 807 (32·7%) participants completed both the 5-month and 1-year visits. 279 (35·6%) of these 807 patients were women and 505 (64·4%) were men, with a mean age of 58·7 (SD 12·5) years, and 224 (27·8%) had received invasive mechanical ventilation (WHO class 7-9). The proportion of patients reporting full recovery was unchanged between 5 months (501 [25·5%] of 1965) and 1 year (232 [28·9%] of 804). Factors associated with being less likely to report full recovery at 1 year were female sex (odds ratio 0·68 [95% CI 0·46-0·99]), obesity (0·50 [0·34-0·74]) and invasive mechanical ventilation (0·42 [0·23-0·76]). Cluster analysis (n=1636) corroborated the previously reported four clusters: very severe, severe, moderate with cognitive impairment, and mild, relating to the severity of physical health, mental health, and cognitive impairment at 5 months. We found increased inflammatory mediators of tissue damage and repair in both the very severe and the moderate with cognitive impairment clusters compared with the mild cluster, including IL-6 concentration, which was increased in both comparisons (n=626 participants). We found a substantial deficit in median EQ-5D-5L utility index from before COVID-19 (retrospective assessment; 0·88 [IQR 0·74-1·00]), at 5 months (0·74 [0·64-0·88]) to 1 year (0·75 [0·62-0·88]), with minimal improvements across all outcome measures at 1 year after discharge in the whole cohort and within each of the four clusters.

INTERPRETATION

The sequelae of a hospital admission with COVID-19 were substantial 1 year after discharge across a range of health domains, with the minority in our cohort feeling fully recovered. Patient-perceived health-related quality of life was reduced at 1 year compared with before hospital admission. Systematic inflammation and obesity are potential treatable traits that warrant further investigation in clinical trials.

FUNDING

UK Research and Innovation and National Institute for Health Research.

Positive and negative mood states do not influence cross-modal auditory distraction in the serial-recall paradigm

The aim of this study was to examine whether positive and negative mood states affect auditory distraction in a serial-recall task. The duplex-mechanism account differentiates two types of auditory distraction. The changing-state effect is postulated to be rooted in interference-by-process and to be automatic. The auditory-deviant effect is attributed to attentional capture by the deviant distractors. Only the auditory-deviant effect, but not the changing-state effect, should be influenced by emotional mood states according to the duplex-mechanism account. Four experiments were conducted to test how auditory distraction is affected by emotional mood states. Mood was induced by autobiographical recall (Experiments 1 and 2) or the presentation of emotional pictures (Experiments 3 and 4). Even though the manipulations were successful in inducing changes in mood, neither positive mood (Experiments 1 and 3) nor negative mood (Experiments 2 and 4) had any effect on distraction despite large samples sizes (N = 851 in total). The results thus are not in line with the hypothesis that auditory distraction is affected by changes in mood state. The results support an automatic-capture account according to which the auditory-deviant effect and the changing-state effect are mainly stimulus-driven effects that are rooted in the automatic processing of the to-be-ignored auditory stream.

Self-protective and self-sacrificing preferences of pedestrians and passengers in moral dilemmas involving autonomous vehicles

Upon the introduction of autonomous vehicles into daily traffic, it becomes increasingly likely that autonomous vehicles become involved in accident scenarios in which decisions have to be made about how to distribute harm among involved parties. In four experiments, participants made moral decisions from the perspective of a passenger, a pedestrian, or an observer. The results show that the preferred action of an autonomous vehicle strongly depends on perspective. Participants’ judgments reflect self-protective tendencies even when utilitarian motives clearly favor one of the available options. However, with an increasing number of lives at stake, utilitarian preferences increased. In a fifth experiment, we tested whether these results were tainted by social desirability but this was not the case. Overall, the results confirm that strong differences exist among passengers, pedestrians, and observers about the preferred course of action in critical incidents. It is therefore important that the actions of autonomous vehicles are not only oriented towards the needs of their passengers, but also take the interests of other road users into account. Even though utilitarian motives cannot fully reconcile the conflicting interests of passengers and pedestrians, there seem to be some moral preferences that a majority of the participants agree upon regardless of their perspective, including the utilitarian preference to save several other lives over one’s own.

Adaptive prospective memory for faces of cheaters and cooperators

A central tenet of the adaptive-memory framework is that memory has not merely evolved to help us relive the past but to prepare us for the future. In reciprocal social exchange, for instance, people must learn from previous experiences to approach cooperators and to avoid cheaters. In this sense, adaptive memory is inherently prospective. The present research is the first to test this central assumption of the adaptive-memory framework. In Experiments 1 and 2, participants played a Prisoner's Dilemma game and encountered cheating, cooperating, and neutral partners. The faces of these partners later reappeared during an event-based prospective-memory task. Participants showed better prospective-memory performance for cooperator and cheater faces than for neutral control faces. Multinomial processing-tree modeling served to separate the prospective component (remembering that an action needs to be performed) from the retrospective component (recognizing the target faces) of prospective memory. Superior prospective-memory performance for cooperator and cheater faces was attributable to a stronger prospective component, whereas the retrospective component remained unaffected. Experiment 3 showed that emotional descriptions of targets were ineffective in increasing prospective memory, suggesting that emotional valence alone cannot account for the prospective-memory advantage found in Experiments 1 and 2. The results suggest that cooperating with someone or being cheated by someone has a strong impact on future-oriented cognition. Enhanced prospective memory for cooperator and cheater faces may have an important function for maintaining reciprocal relationships and for avoiding cheaters. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

A multilingual preregistered replication of the semantic mismatch effect on serial recall

Visual-verbal serial recall is disrupted when task-irrelevant background speech has to be ignored. Contrary to previous suggestion, it has recently been shown that the magnitude of disruption may be accentuated by the semantic properties of the irrelevant speech. Sentences ending with unexpected words that did not match the preceding semantic context were more disruptive than sentences ending with expected words. This particular instantiation of a deviation effect has been termed the semantic mismatch effect. To establish a new phenomenon, it is necessary to show that the effect can be independently replicated and does not depend on specific boundary conditions such as the language of the stimulus material. Here we report a preregistered replication of the semantic mismatch effect in which we examined the effect of unexpected words in 4 different languages (English, French, German, and Swedish) across 4 different laboratories. Participants performed a serial recall task while ignoring sentences with expected or unexpected words that were recorded using text-to-speech software. Independent of language, sentences ending with unexpected words were more disruptive than sentences ending with expected words. In line with previous results, there was no evidence of habituation of the semantic mismatch effect in the form of a decrease in disruption with repeated exposure to the occurrence of unexpected words. The successful replication and extension of the effect to different languages indicates the expression of a general and robust mechanism that reacts to violations of expectancies based on the semantic content of the irrelevant speech. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Memory as a cognitive requirement for reciprocal cooperation

Memory has evolved to guide our decisions in the present and to prepare us for future interactions with the environment. Within the social domain, memory can help to decide with whom to cooperate. This provides a unique opportunity to study memory from a functional perspective. Although several lines of research have demonstrated that many forms of reciprocal cooperation require memory, most of the research does not support the assumption of a highly specialized cheater-detection module that specifically serves to promote the detection of uncooperative interaction partners. Instead, the literature supports the flexible recruitment of domain-general guessing and memory mechanisms that serve to continuously predict the future behavior of others based on situational and person-specific factors and use violations of these expectations to update the predictive models of who can be trusted to cooperate in reciprocal interactions.

Survival Outcome with Routine Clinical Use of 82Rb PET/CT Myocardial Blood Flow (MBF) Quantification

Funding Acknowledgements

Type of funding sources: Public Institution(s). Main funding source(s): NIHR Biomedical Research Centre, University College London Hospitals

Background

The prognostic value of 82Rb PET/CT derived myocardial blood flow (MBF) is increasingly recognised in both general and specific cardiovascular populations.

Purpose

This study investigates the prognostic potential of MBF in a large cohort of patients undergoing routine 82Rb PET/CT examination.

Methods

1148 consecutive patients (687 males, mean age 64 +/- 12 years) whom had been referred for 82Rb PET/CT examination in a single centre were included in this study.  All patients completed a stress 82Rb PET/CT with adenosine infusion, paired with a rest study.  Dynamic PET acquisitions were performed in both. Cardiovascular risk factors were documented as per clinical routine. Images were checked for quality and analysed using a proprietary software by an experienced operator to derive MBF parameters.  Overall survival was recorded following the study.

Results

Median follow-up period was 71 +/- 28 months.  Mean survival was 121 (95% CI: 118-124) months. On univariate analysis, global myocardial flow reserve &lt;1.77 was associated with a higher all-cause mortality (p &lt; 0.001). Other parameters including higher age (&gt; =76 years), lower BMI (&lt;21), qualitative abnormality on the myocardial perfusion scan (MPS), low hyperaemic ejection fraction on the gated studies (stress &lt; 37 and rest &lt; 34). Patients being on cardiac glycosides and diuretics were also significant predictor of poor prognosis (p &lt; 0.001) on univariate analysis, presumably reflecting underlying arrhythmia and heart failure. A multivariate Cox regression analysis (step-wise Forward Wald), comprising of the above significant univariate markers, highlighted global myocardial flow reserve (HR: 2.6, 95%CI: 1.8-3.6, p &lt; 0.001), age (HR: 2.8, 95%CI: 2.0-3.9, p &lt; 0.001),, BMI (HR: 2.7, 95%CI: 1.7-4.1, p &lt; 0.001),, ejection fraction (stress - HR: 3.3, 95%CI: 2.3-4.8, p &lt; 0.001), MPS (HR: 1.5, 95%CI: 1.1-2.1, p = 0.024), and patients on diuretics (HR: 1.8, 95%CI: 1.2-2.5, p = 0.003) were independent predictors of overall survival (overall model: p &lt; 0.001)

Discussion

We show that high volume routinely derived MBF in patients undergoing 82Rb PET/CT is a strong predictor of mortality and independent of other risk factors. This has important clinical implication for measuring not only interventional treatment but also measuring the effect of lifestyle and medical strategies.

O15: DISRUPTION OF THE BLOOD-SPINAL CORD BARRIER PREDICTS PERMANENT PARAPLEGIA AFTER THORACOABDOMINAL AORTIC ANEURYSM REPAIR

Introduction

Paraplegia post-thoracoabdominal aortic aneurysm (TAAA) repair remains both a devastating and poorly understood complication. We related temporal changes in cellular and protein composition of cerebrospinal fluid (CSF) to neurological outcomes after TAAA repair to gain mechanistic insights driving paraplegia.

Method

Patients undergoing TAAA repair (open or endovascular) with a CSF drain were prospectively recruited between 2016-2018. CSF was collected pre-operatively and 24-hourly until removal. Daily neurological examinations were performed by blinded neurologists to the study. CSF cell content was characterised by flow cytometry and proteome analysed by tandem-mass-tag proteomics. An in-vivo rat model was modified using 15 minutes of aortic occlusion to produce consistent paraplegia. Rats were analysed neuro-behaviourally and histologically.

Result

CSF was analysed from 52 patients (age: 70.27+/-11.4; 66% male; open (n=9), endovascular (n=43)). 12 developed paraplegia of whom 5 remained permanently-paraplegic. Demographics were comparable between paraplegics, those who recovered and without post-op neurology. Permanent paraplegia was associated with a significant infiltration of CSF CD45+ leucocytes (P&lt;0.0001). Levels of ADVS-1 was &gt;3-fold higher in permanent-paraplegics CSF versus those who recovered (P=0.0008). ADVS-1 &gt;15ng/ml predicted permanent paraplegia with 100% specificity. Pre-treatment with ADVS-1 inhibition significantly improved walking (&lt;0.001) and increased astrocytic staining in the lateral corticospinal, reticulospinal and rubrospinal tracts versus controls (P=0.03, 0.04, 0.04 respectively).

Conclusion

Permanent paraplegia is associated with shedding of ADVS-1 from parenchymal cord into CSF and blood/spinal-cord barrier disruption leading to cord oedema/leucocyte infiltration. Pre-treatment with ADVS-1 inhibition led to neurobehavioural and histological improvements offering translational hope for this devastating complication.

Take-home message

ADVS-1 is a novel biomarker of paraplegia where accurate biomarkers have proven challenging but more importantly it has proven a therapeutic target with genuine translational potential.

Guess what? Different source-guessing strategies for old versus new information

The probability-matching account states that learned specific episodic contingencies of item types and source dominate over general schematic expectations in source guessing. However, recent evidence from Bell et al. [(2020). Source attributions for detected new items: Persistent evidence for schematic guessing. Quarterly Journal of Experimental Psychology, 73(9), 1407-1422] suggest that this only applies to source guessing for information that is recognised as belonging to a previously encoded episode. When information was detected as being new, participants persisted in applying schematic knowledge about the sources' profession. This dissociation in source guessing for detected-old and detected-new information may have been fostered by the specific source-monitoring paradigm by Bell et al. (2020) in which sources were a group of individuals in a certain profession rather than fixed persons from that profession for whom episodic contingencies are more likely to persist also for new information. The aim of the present study was to test whether source guessing for detected-old versus detected-new information also dissociates in a more typical source-monitoring task, the doctor-lawyer paradigm, in which one individual doctor and one lawyer present profession-related information. Despite this change in paradigm, source guessing was based on the item-source contingency only for detected-old information, whereas schematic knowledge persisted for detected-new information. The present study thus adds evidence for persistent schema-based source guessing for new information.

Guideline on the peri-operative management of patients with sickle cell disease: Guideline from the Association of Anaesthetists

Sickle cell disease is a multisystem disease characterised by chronic haemolytic anaemia, painful vaso-occlusive crises and acute and chronic end-organ damage. It is one of the most common serious inherited single gene conditions worldwide and has a major impact on the health of affected individuals. Peri-operative complications are higher in patients with sickle cell disease compared with the general population and may be sickle or non-sickle-related. Complications may be reduced by meticulous peri-operative care and transfusion, but unnecessary transfusion should be avoided, particularly to reduce the risk of allo-immunisation. Planned surgery and anaesthesia for patients with sickle cell disease should ideally be undertaken in centres with experience in caring for these patients. In an emergency, advice should be sought from specialists with experience in sickle cell disease through the haemoglobinopathy network arrangements. Emerging data suggest that patients with sickle cell disease are at increased risk of COVID-19 infection but may have a relatively mild clinical course. Outcomes are determined by pre-existing comorbidities, as for the general population.

Do they really wash their hands? Prevalence estimates for personal hygiene behaviour during the COVID-19 pandemic based on indirect questions

BACKGROUND

During the COVID-19 pandemic, billions of people have to change their behaviours to slow down the spreading of the virus. Protective measures include self-isolation, social (physical) distancing and compliance with personal hygiene rules, particularly regular and thorough hand washing. Prevalence estimates for the compliance with the COVID-19 measures are often based on direct self-reports. However, during a health crisis there is strong public pressure to comply with health and safety regulations so that people's responding in direct self-reports may be seriously compromised by social desirability.

METHODS

In an online survey, an indirect questioning technique was used to test whether the prevalence of hygiene practices may be lower than in conventional surveys when confidentiality of responding is guaranteed. The Extended Crosswise Model is an indirect questioning technique that guarantees the confidentiality of responding. To the degree that direct self-reports are biased by social desirability, prevalence estimates of hygiene practices such as thorough hand washing based on the Extended Crosswise Model should be lower than those based on direct self-reports.

RESULTS

We analysed data of 1434 participants. In the direct questioning group 94.5% of the participants claimed to practice proper hand hygiene; in the indirect questioning group a significantly lower estimate of only 78.1% was observed.

CONCLUSIONS

These results indicate that estimates of the degree of commitment to measures designed to counter the spread of the disease may be significantly inflated by social desirability in direct self-reports. Indirect questioning techniques with higher levels of confidentiality seem helpful in obtaining more realistic estimates of the degree to which people follow the recommended personal hygiene measures. More realistic estimates of compliance can help to inform and to adjust public information campaigns on COVID-19 hygiene recommendations.

Investigating sodium-glucose co-transporters 1 (SGLT1) in myocardium and its role in hyperglycaemia ischaemia-reperfusion injury

Background

Hyperglycaemia is a common finding in diabetic and non-diabetic patients presenting with ACS, and is a powerful predictor of prognosis and mortality. The role of hyperglycaemia in ischemia-reperfusion injury (IRI) is not fully understood, and whether the Sodium Glucose co-Transporter 1 (SGLT1) plays a role in infarct augmentation, before and/or after reperfusion, remains to be elucidated. However, diabetes clinical trials have shown SGLT inhibition improves cardiovascular outcomes, yet the mechanism is not fully understood.

Purpose

(1) Characterise the expression of SGLT1 in the myocardium, (2) determine the role of high glucose during IRI, (3) whether SGLT1 is involved in a glucotoxicity injury during IRI, and (4) whether inhibiting SGLT1 with an SGLT inhibitor may reduce infarct size.

Methods

RT-PCR and in-situ hybridization (RNAScope) techniques were used to detect SGLT1 mRNA expression in Sprague-Dawley whole myocardium and isolated primary cardiomyocytes. An Ex-vivo Langendorff ischemia-reperfusion perfusion model was used to study the effect of high glucose (22mmol) on the myocardium at reperfusion compared to normoglycaemia (11mmol). The mixed SGLT1&2 inhibitor, Phlorizin was introduced following ischaemia, at reperfusion and its effect on infarct size measured using triphenyltetrazolium chloride (TTC) staining.

Results

RT-PCR found SGLT1 mRNA is expressed in whole myocardium and in individual cardiac chambers. SGLT1 expression was not detected in isolated cardiomyocyte but it is detected in the non-cardiomyocyte population. Cardiomyocytes were found to express mRNA SGLT1 if incubated overnight. RNAscope detected SGLT1 mRNA within intact myocardium: not in the cardiomyocyte, but rather in a perivascular distribution. Importantly, hyperglycaemia (22mmol) at reperfusion increased infarct size (51.80±3.52% vs. 40.80±2.89%; p-value: 0.026) compared to normoglycaemia, and the mixed SGLT inhibitor, Phlorizin, significantly attenuated infarct size (from 64.7±4.2%to 36.6±5.8%; p-value&lt;0.01) when given at reperfusion.

Conclusion

We have shown that SGLT1 is present in the myocardium, but not expressed in cardiomyocytes. The cell type is yet to be determined, but the distribution of SGLT1 is perivascular. Hyperglycaemia appears augment myocardial infarction and inhibition of SGLT1&2 attenuates this increase. We suspect SGLT1 may plays a role in exacerbating the injurious effect of glucotoxicity during ischemia-reperfusion.

Funding Acknowledgement

Type of funding source: Foundation. Main funding source(s): British Heart Foundation

Education as a contradictory determinant of mental health between migrant and national adulthood

The Social Determinants of Health (SDHs) are well known for their interaction on health outcomes and they can have a stronger impact on migrant health whom have higher probability to live in precarious living and working conditions compared to the hosting population. Migrant health is a public health issue which has to be considered taking into account the SDHs and complementary, including cultural issues is fundamental for addressing health equity in the society as a whole. Recognising this challenge, this study aims to evaluate the interactions between education and mental health of resident population in Italy, including Italians and immigrants.

This study examined the respondents in 2014-17 to the Italian “Progressi delle Aziende Sanitarie per la Salute in Italia” (PASSI) surveillance system. The sample of 118,639 respondents is composed by the residing working adults aged 25-69 with Italian citizenship (n = 112,345) and foreign citizenship (n = 6,294). Looking at SDHs, if for Italians high level of education appears to be a protective factor of mental health in accordance with the international evidence (adjPR: tertiary education 0,87 95%IC 079-0,97), among immigrants higher level of education it is more associated with the presence of depressive symptoms (adjPR: tertiary education: 1.77 95%IC: 1.19-2.63). Longer the length of stay in Italy for PFPM immigrants higher the risk of depressive symptoms: adjPR for 10+ years: 5.1 95%IC: 1.29-4.3.

The data show that high education could represent a risk factor for mental health of immigrants. Considering that health is related to the nature of society as well as to access to technical solutions, multicultural societies require culturally oriented interventions for tackling health inequities. This means developing evidence-based policies in order to tackle health inequalities in the population as a whole, including culturally oriented measures in the larger framework of developing diversity sensitive services.

Key messages

For some groups of population, such as migrants, high education could represent a risk factor for mental health. Developing diverse sensitive policies is needed in order to tackle health inequities in the population as a whole.

Genetic Consequences of the Transatlantic Slave Trade in the Americas

According to historical records of transatlantic slavery, traders forcibly deported an estimated 12.5 million people from ports along the Atlantic coastline of Africa between the 16th and 19th centuries, with global impacts reaching to the present day, more than a century and a half after slavery's abolition. Such records have fueled a broad understanding of the forced migration from Africa to the Americas yet remain underexplored in concert with genetic data. Here, we analyzed genotype array data from 50,281 research participants, which-combined with historical shipping documents-illustrate that the current genetic landscape of the Americas is largely concordant with expectations derived from documentation of slave voyages. For instance, genetic connections between people in slave trading regions of Africa and disembarkation regions of the Americas generally mirror the proportion of individuals forcibly moved between those regions. While some discordances can be explained by additional records of deportations within the Americas, other discordances yield insights into variable survival rates and timing of arrival of enslaved people from specific regions of Africa. Furthermore, the greater contribution of African women to the gene pool compared to African men varies across the Americas, consistent with literature documenting regional differences in slavery practices. This investigation of the transatlantic slave trade, which is broad in scope in terms of both datasets and analyses, establishes genetic links between individuals in the Americas and populations across Atlantic Africa, yielding a more comprehensive understanding of the African roots of peoples of the Americas.

Registered Replication Report on Fischer, Castel, Dodd, and Pratt (2003)

The attentional spatial-numerical association of response codes (Att-SNARC) effect (Fischer, Castel, Dodd, & Pratt, 2003)—the finding that participants are quicker to detect left-side targets when the targets are preceded by small numbers and quicker to detect right-side targets when they are preceded by large numbers—has been used as evidence for embodied number representations and to support strong claims about the link between number and space (e.g., a mental number line). We attempted to replicate Experiment 2 of Fischer et al. by collecting data from 1,105 participants at 17 labs. Across all 1,105 participants and four interstimulus-interval conditions, the proportion of times the effect we observed was positive (i.e., directionally consistent with the original effect) was .50. Further, the effects we observed both within and across labs were minuscule and incompatible with those observed by Fischer et al. Given this, we conclude that we failed to replicate the effect reported by Fischer et al. In addition, our analysis of several participant-level moderators (finger-counting habits, reading and writing direction, handedness, and mathematics fluency and mathematics anxiety) revealed no substantial moderating effects. Our results indicate that the Att-SNARC effect cannot be used as evidence to support strong claims about the link between number and space.

Source attributions for detected new items: Persistent evidence for schematic guessing

Performance in source-monitoring tests is not only determined by source memory but also by source guessing. Source guessing is not random as it is informed by two distinct mechanisms. (1) People may show a schema-based guessing bias and rely on cross-situationally stable world knowledge. (2) They may apply probability matching and rely on the specific item-source contingency experienced at encoding. According to probability matching theory, source guessing is based on probability matching when a specific contingency representation is available. This conclusion is derived from a source-monitoring paradigm in which no source judgements for detected new items are required. Here, we extend this paradigm to examine source guessing not only for detected old items but also for detected new items. The results suggest that participants take the old-new recognition status of the items into account when making source attributions. Probability matching is used only for detected old items: Source guessing sensitively reflects the item-source contingency for these items. For detected new items, participants resort to schema-based guessing. Using schema-based guessing rather than probability matching when judging detected new items may have the advantage that a newly acquired contingency representation that may only be locally valid is not generalised too readily at the expense of a schematic expectation that reflects a larger and more comprehensive learning history.

6 Perioperative Urinary Catheterisation in Hip Fracture Patients

Introduction

There are currently no national guidelines, in the UK, advising when to catheterize hip fracture patients and when to trial without a catheter (TWOC). We audited the practice in a UK teaching hospital where there is a consultants’ consensus that all patients should be catheterized on the day of admission (or day of surgery; which is usually within 36 hours of admission) and TWOC as soon as possible within 72 hours postoperatively. We also correlated delays in TWOC with urinary tract infection (UTI) rates.

Methods

Audit of consecutive hip fracture patients who had undergone surgery. Patients who had long term indwelling urinary catheter were excluded. Data collected include: demographics and date and time of admission, catheterisation, operation and TWOC, also duration of catheter post operatively, reason if TWOC delayed and whether the patient had a UTI.

Results

43 patients were included; 30 males and 13 females with a mean age of 82.9 and 83.9 years respectively. Urinary catheters were inserted in 100% of patients preoperatively. Overall 23% of patients had a UTI. There were more UTIs with prolonged catheterization. The results are summarised in the table. The reason for delaying a TWOC was not documented in any of patients’ notes.

Discussion

The low rate of TWOC within 72 hours can be attributed to:Lack of clear guidelinesReluctance to have a TWOC for older patients with poor postoperative mobility with concerns regarding inability to reach the toilet timely.Reluctance to have a TWOC for those who did not open their bowels postoperatively.Time and resources pressure.

Conclusion and recommendations

National guidelines for urinary catheterisation in hip fracture patients are needed meanwhile Orthopaedic Department guidelines will improve the care in these patients. Patients should have a urinary catheter “passport” documenting the date of insertion, expected date of TWOC and the reasons for delaying TWOC. It is important to educate the team about the importance of TWOC as early as possible and improve communication.

The "Mnemonic Time-Travel Effect"

This registered report aims at replicating the so-called "mnemonic time-travel" effect. Aksentijevic, Brandt, Tsakanikos, and Thorpe (2019) reported that memory was improved when their participants experienced backward motion before a memory test in comparison to when they experienced forward motion or no motion. This finding was interpreted as suggesting that backward motion brought individuals back to the moment of encoding. In the original study, the mnemonic time-travel effect was robustly found with various types of backward motion (real, simulated, and imagined). Such a spectacular finding calls for a preregistered replication. To determine the robustness of the effect, we performed a close replication of Experiment 4 of Aksentijevic et al. in which the mnemonic time-travel effect was most pronounced. Despite sufficient statistical power to detect an even considerably smaller effect than the one reported by Aksentijevic et al., we found no significant differences among the different motion conditions. The present results thus disconfirm the idea that experiencing backward motion improves memory which suggests that the empirical robustness of the mnemonic time travel effect should be further scrutinized before any conclusions about mnemonic space and time can be drawn.

Variation in menopausal vasomotor symptoms outcomes in clinical trials: a systematic review

BACKGROUND

There is substantial variation in how menopausal vasomotor symptoms are reported and measured among intervention studies. This has prevented meaningful comparisons between treatments and limited data synthesis.

OBJECTIVES

To review systematically the outcome reporting and measures used to assess menopausal vasomotor symptoms from randomised controlled trials of treatments.

SEARCH STRATEGY

We searched MEDLINE, Embase, and Cochrane Central Register of Controlled Trials from inception to May 2018.

SELECTION CRITERIA

Randomised controlled trials with a primary outcome of menopausal vasomotor symptoms in women and a sample size of at least 20 women per study arm.

DATA COLLECTION AND ANALYSIS

Data about study characteristics, primary vasomotor-related outcomes and methods of measuring them.

MAIN RESULTS

The search identified 5591 studies, 214 of which were included. Forty-nine different primary reported outcomes were identified for vasomotor symptoms and 16 different tools had been used to measure these outcomes. The most commonly reported outcomes were frequency (97/214), severity (116/214), and intensity (28/114) of vasomotor symptoms or a composite of these outcomes (68/214). There was little consistency in how the frequency and severity/intensity of vasomotor symptoms were defined.

CONCLUSIONS

There is substantial variation in how menopausal vasomotor symptoms have been reported and measured in treatment trials. Future studies should include standardised outcome measures which reflect the priorities of patients, clinicians, and researchers. This is most effectively achieved through the development of a Core Outcome Set. This systematic review is the first step towards development of a Core Outcome Set for menopausal vasomotor symptoms.

TWEETABLE SUMMARY

Menopausal hot flushes and night sweats have been reported in 49 different ways in clinical research. A core outcome set is urgently required.

A future for all to INHERIT: taking integrated action on the environment, health and equity

Key messages

The urgent need to address the environmental crisis presents an opportunity to simultaneously manage closely related societal challenges linked to health and equity. Public health actors can play a key role by bringing together the sectors, evidence and examples to instigate change, around the common interest of promoting human, which depends on planetary, health.

Policies for tackling health inequities in migrants in an irregular situation: learning from Italy

Issue

With increasing of numbers of people moving in Europe and around the world, the health of migrants has become a key global public-health issue. Migrants in an irregular situation (MIS) represent an important part of the migration phenomenon, whether they have become irregular by entering a country without authorisation or by overstaying a visa, including whose applied unsuccessfully for asylum.

Description of the problem

Overstaying of visas is not unusual in EU countries and during 2015 and 2016 in particular, many countries experienced a large number of unauthorised entrants. Health policies for MIS are increasingly a matter of concern. Using the 2015 Migrant Integration Policy Index Health strand (MIPEX HS) it is possible to conduct an analysis of health policies, focusing on access to health services by MIS.

Results

Among the 34 European countries covered by the MIPEX HS, Italy’s overall score of 65 is exceeded only by Switzerland (70) and Norway (67). Averaging the indicators of access for MIS, Italy obtains the highest score (83), followed by Denmark, France, the Netherlands, Romania, Spain, Sweden and Switzerland with 67. Its score for legal entitlements to health care is 75 (the same as Sweden), while reporting of MIS to the immigration authorities is prohibited and there are no sanctions against helping them. However, legislation introduced by the new government in 2018 has restricted some of their rights.

Lessons

Current migration to Europe requires dealing with short-term health needs as well as strengthening public health and health systems in the long term. This presentation will discuss the lessons that can be learned from the comparative analysis of health policies for MIS using the MIPEX HS.

Key messages

Affordable health care is a human right, which should not be denied to any migrant. Policy analysis plays a key role in identifying interventions for promoting health equity.

Effects of Auditory Distraction on Face Memory

Effects of auditory distraction by task-irrelevant background speech on the immediate serial recall of verbal material are well established. Less is known about the influence of background speech on memory for visual configural information. A recent study demonstrated that face learning is disrupted by joyful music relative to soothing violin music and quiet. This pattern is parallel to findings in the serial-recall paradigm showing that auditory distraction is primarily caused by auditory changes. Here we connect these two streams of research by testing whether face learning is impaired by irrelevant speech. Participants learned faces either in quiet or while ignoring auditory changing-state sequences (sentential speech) or steady-state sequences (word repetitions). Face recognition was impaired by irrelevant speech relative to quiet. Furthermore, changing-state speech disrupted performance more than steady-state speech. The results were replicated in a second study using reversed speech, suggesting that the disruptive potential of the background speech does not depend on its semantic content. These findings thus demonstrate robust effects of auditory distraction on face learning. Theoretical explanations and applied implications are discussed.

Adaptive memory: Is the animacy effect on memory due to richness of encoding?

A large body of evidence shows an animacy effect on memory in that animate entities are better remembered than inanimate ones. Yet, the reason for this mnemonic prioritization remains unclear. In the survival processing literature, the assumption that richness of encoding is responsible for adaptive memory benefits has received substantial empirical support. In the present study, we examined whether richness of encoding may be considered as a possible mechanism underlying the animacy effect as well. Specifically, we tested a prediction derived from the assumption that processing animate words results in a richer set of associations to other items in memory than processing inanimate words, which may provide participants with a larger set of retrieval cues at test. In Experiments 1 and 3 the animacy effect was replicated in an intentional learning paradigm with different sets of to-be-remembered animate and inanimate words. In Experiments 2 and 4, participants were asked to report any ideas coming to mind in response to these words at encoding. Participants were also asked to recall the words in a surprise recall test. The results showed a reliable animacy effect on free recall in all four experiments, that is, independently of whether encoding was intentional or incidental. Most importantly, the results of Experiments 2 and 4 show that participants spontaneously generated more ideas in response to animate words than in response to inanimate words. The findings suggest that richness of encoding should be further considered as a potential proximate mechanism of the animacy effect. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Adaptive memory: enhanced source memory for animate entities

The animacy effect refers to enhanced memory for animate over inanimate items. In two studies, we examined whether this memory advantage generalises to source memory. A multinomial processing tree model was used to disentangle item recognition, source memory, and guessing processes. In Study 1, animate and inanimate words were presented at different spatial locations on the screen. Animacy was associated with enhanced source memory for the spatial locations of the items. In Study 2, pseudowords were associated with animate and inanimate properties. Replicating previous results, the pseudowords were better remembered when they were associated with animate properties than when they were associated with inanimate properties. What is more, participants had enhanced source memory for the association between the pseudowords and the animate properties. The results strengthen the idea that animate items are associated with richer mnemonic representations than inanimate items.

Distraction by steady-state sounds: Evidence for a graded attentional model of auditory distraction

Sound disrupts short-term retention in working memory even when the sound is completely irrelevant and has to be ignored. The dominant view in the literature is that this type of disruption is essentially limited to so-called changing-state distractor sequences with acoustic changes between successive distractor objects (e.g., "ABABABAB") and does not occur with so-called steady-state distractor sequences that are composed of a single repeated distractor object (e.g., "AAAAAAAA"). Here we show that this view can no longer be maintained. What is more, disruption by steady-state distractors is significantly reduced after preexposure to the distractor item, directly confirming a central assumption of attentional explanations of auditory distraction and parallel to what has been shown earlier for changing-state sounds. Taken together, the findings reported here are compatible with a graded attentional account of auditory disruption, and they are incompatible with the duplex-mechanism account. (PsycINFO Database Record (c) 2019 APA, all rights reserved).