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Aesthetic emotions are defined as emotions arising when a person evaluates a stimulus for its aesthetic appeal. Whether these emotions are unique to aesthetic activities is debated. We address this debate by examining if recollections of different types of engaging activities entail different emotional profiles. A large sample of participants were asked to recall engaging aesthetic (N = 167), non-aesthetic (N = 160), or consumer (N = 172) activities. They rated the extent to which 75 candidate aesthetic emotions were evoked by these activities. We applied a computational psychometric network approach to represent and compare the space of these emotions across the three conditions. At the behavioral level, recalled aesthetic activities were rated as the least vivid but most intense compared to the two other conditions. At the network level, we found several quantitative differences across the three conditions, related to the typology, community (clusters) and core nodes (emotions) of these networks. Our results suggest that aesthetic and non-aesthetic activities evoke emotional spaces differently. Thus, we propose that aesthetic emotions are distributed differently in a multidimensional aesthetic space than for other engaging activities. Our results highlight the context-specificity of aesthetic emotions. [ABSTRACT FROM AUTHOR]

Background: Chronic obstructive pulmonary disease (COPD) is a common comorbidity in patients with nontuberculous mycobacterial lung disease (NTMLD). Both conditions are associated with increased morbidity and mortality, but data are lacking on the additional burden associated with NTMLD among patients with COPD. Thus, the goal of this study was to assess the incremental mortality risk associated with NTMLD among older adults with COPD. Methods: A retrospective cohort study was conducted using the US Medicare claims database (2010–2017). Patients with preexisting COPD and NTMLD (cases) were matched 1:3 by age and sex with patients with COPD without NTMLD (control patients). Patients were followed up until death or data cutoff (December 31, 2017). Incremental risk of mortality was evaluated by comparing the proportions of death, annualized mortality rate, and mortality hazard rate between cases and control patients using both univariate and multivariate analyses adjusting for age, sex, comorbidities, and COPD severity. Results: A total of 4,926 cases were matched with 14,778 control patients. In univariate analyses, a higher proportion of cases (vs. control patients) died (41.5% vs. 26.7%; P < 0.0001), unadjusted annual mortality rates were higher among cases (158.5 vs. 86.0 deaths/1000 person-years; P < 0.0001), and time to death was shorter for cases. This increased mortality risk was also reflected in subsequent multivariate analyses. Patients with COPD and NTMLD were more likely to die (odds ratio [95% CI], 1.39 [1.27–1.51]), had higher mortality rates (rate ratio [95% CI], 1.36 [1.28–1.45]), and had higher hazard of death (hazard ratio [95% CI], 1.37 [1.28–1.46]) than control patients. Conclusions: The substantial incremental mortality burden associated with NTMLD in patients with COPD highlights the importance of developing interventions targeting this high-risk group and may indicate an unmet need for timely and appropriate management of NTMLD. [ABSTRACT FROM AUTHOR]

Researchers have invested a great deal in creating reliable, "gold-standard" creativity assessments that can be administered in controlled laboratory settings, though these efforts have come at the cost of not using ecologically and face-valid tasks. To help fill this critical gap, we developed and implemented a novel, face-valid paradigm that required participants to paint abstract pieces of art, which were later rated for creative quality. We first sought to evaluate whether there was good convergence among creativity ratings provided by independent raters. Next, we examined whether its measure of creativity correlated with (a) existing creativity measures and (b) individual traits (e.g. openness, fluid intelligence) that are typically correlated with indices of creativity. Our findings indicate that our abstract-painting paradigm is feasible to implement (independent ratings of the creativity of the paintings converged well), and that its measure of creativity significantly correlated with some of the gold-standard indices of creativity (thereby providing convergent validity). These findings suggest that having participants engage in abstract painting provides a valid index of creativity, thereby opening new opportunities for future research to index a more-face-valid measure of creativity. [ABSTRACT FROM AUTHOR]

Rationale Over half of acute ischemic stroke patients have a low National Institutes of Health Stroke Scale of 0-5 and up to two-thirds may not appear clearly disabled at presentation. The efficacy of intravenous alteplase for the latter group is not known. Aim Potential of rtPA for Ischemic Strokes with Mild Symptoms (PRISMS) was designed to evaluate the safety and efficacy of intravenous alteplase for the treatment of acute ischemic stroke with National Institutes of Health Stroke Scale 0-5 and without clearly disabling deficits. Sample size estimates A maximum of 948 subjects were required to test the superiority hypothesis with 80% power, according to a one-sided 0.025 level of significance. Methods and design PRISMS was a multicenter, randomized, double-blind, placebo-controlled phase 3b clinical trial. Patients were randomized to the active arm (intravenous alteplase standard dose of 0.9 mg/kg, up to a maximum of 90 mg, plus oral aspirin placebo) or the control arm (intravenous alteplase placebo plus active oral aspirin dose of 325 mg). Study outcome The primary efficacy endpoint was favorable functional outcome, defined as a modified Rankin Scale score 0 or 1 assessed at 90-day postrandomization. [ABSTRACT FROM AUTHOR]

Knowing where north is provides a navigator with invaluable information for learning and recalling a space, particularly in places with limited navigational cues, like complex indoor environments. Although north is effectively used by orienteers, pilots, and military personnel, very little is known about whether nonexpert populations can or will use north to create an accurate representation of an indoor space. In the current study, we taught people 2 nonoverlapping routes through a complex indoor environment, with which they were not familiar--a university hospital with few windows and several turns. Along 1 route, they wore a vibrotactile compass on their arm, which vibrated continuously indicating the direction of north. Along the other route, they were only told where north was at the start of the route. At the beginning, the end, and back at the beginning of each route, participants pointed to well-known landmarks in the surrounding city and campus (external landmarks), and newly learned landmarks in the hospital (internal landmarks). We found improved performance with the compass only for external landmarks, driven by people's use of the availability of north to orient these judgments. No such improved orientation occurred for the internal landmarks. These findings reveal the utility of vibrotactile compasses for learning new indoor spaces. We speculate that such cues help users map new spaces onto familiar spaces or to familiar reference frames. [ABSTRACT FROM AUTHOR]

There has been recent debate over whether actions are processed primarily by means of motor simulation or cognitive semantics. The current study investigated how abstract action concepts are processed in the brain, independent of the format in which they are presented. Eighteen healthy adult participants viewed different actions (e.g., diving, boxing) in the form of verbs and schematic action pictograms while functional magnetic resonance imaging (fMRI) was collected. We predicted that sensorimotor and semantic brain regions would show similar patterns of neural activity for different instances of the same action (e.g., diving pictogram and the word ‘diving’). A representational similarity analysis revealed posterior temporal and sensorimotor regions where specific action concepts were encoded, independent of the format of presentation. These results reveal the neural instantiations of abstract action concepts, and demonstrate that both sensorimotor and semantic systems are involved in processing actions. [ABSTRACT FROM AUTHOR]

A burgeoning interest in the intersection of neuroscience and architecture promises to offer biologically inspired insights into the design of spaces. The goal of such interdisciplinary approaches to architecture is to motivate construction of environments that would contribute to peoples' flourishing in behavior, health, and well-being. We suggest that this nascent field of neuroarchitecture is at a pivotal point in which neuroscience and architecture are poised to extend to a neuroscience of architecture. In such a research program, architectural experiences themselves are the target of neuroscientific inquiry. Here, we draw lessons from recent developments in neuroaesthetics to suggest how neuroarchitecture might mature into an experimental science. We review the extant literature and offer an initial framework from which to contextualize such research. Finally, we outline theoretical and technical challenges that lie ahead. [ABSTRACT FROM AUTHOR]

Focal brain injury can have detrimental effects on the pragmatics of communication. This study examined narrative production by unilateral brain damaged people (n=36) and healthy controls and focused on the complexity (content and coherence) and the evaluative aspect of their narratives to test the general hypothesis that the left hemisphere is biased to process microlinguistic information and the right hemisphere is biased to process macrolinguistic information. We found that people with left hemisphere damage's (LHD) narratives were less likely to maintain the overall theme of the story and produced fewer evaluative comments in their narratives. These deficits correlated with their performances on microlinguistic linguistic tasks. People with the right hemisphere damage (RHD) seemed to be preserved in expressing narrative complexity and evaluations as a group. Yet, single case analyses revealed that particular regions in the right hemisphere such as damage to the dorsolateral prefrontal cortex (DLPFC), the anterior and superior temporal gyrus, the middle temporal gyrus, and the supramarginal gyrus lead to problems in creating narratives. Our findings demonstrate that both hemispheres are necessary to produce competent narrative production. LHD people's poor production is related to their microlinguistic language problems whereas RHD people's impaired abilities can be associated with planning and working memory abilities required to relate events in a narrative. [ABSTRACT FROM AUTHOR]

The author comments on the reason residents may be more likely to prescribe opioids for chronic non-malignant pain.

Natural scene luminance distributions typically have positive skew, and for single objects, there is evidence that higher skew is a correlate (but not a guarantee) of glossiness. Skewness is also relevant to aesthetics: preference for glossy single objects (with high skew) has been shown even in infants, and skewness is a good predictor of fruit freshness. Given that primate vision appears to efficiently encode natural scene luminance variation, and given evidence that natural scene regularities may be a prerequisite for aesthetic perception in the spatial domain, here we ask whether humans in general prefer natural scenes with more positively skewed luminance distributions. If humans generally prefer images with the higher-order regularities typical of natural scenes and/or shiny objects, we would expect this to be the case. By manipulating luminance distribution skewness (holding mean and variance constant) for individual natural images, we show that in fact preference varies inversely with increasing positive skewness. This finding holds for: artistic landscape images and calibrated natural scenes; scenes with and without glossy surfaces; landscape scenes and close-up objects; and noise images with natural luminance histograms. Across conditions, humans prefer images with skew near zero over higher skew images, and they prefer skew lower than that of the unmodified scenes. These results suggest that humans prefer images with luminances that are distributed relatively evenly about the mean luminance, i.e., images with similar amounts of light and dark. We propose that our results reflect an efficient processing advantage of low-skew images over high-skew images, following evidence from prior brain imaging results. [ABSTRACT FROM AUTHOR]

Vo et al. test a rare individual with widespread bilateral damage restricted to the dorsal striatum, and show that he is impaired at tasks that require stimulus-value learning, but can perform those that require action-value learning. The dorsal striatum may be necessary for stimulus-value but not action-value learning in humans.Several lines of evidence implicate the striatum in learning from experience on the basis of positive and negative feedback. However, the necessity of the striatum for such learning has been difficult to demonstrate in humans, because brain damage is rarely restricted to this structure. Here we test a rare individual with widespread bilateral damage restricted to the dorsal striatum. His performance was impaired and not significantly different from chance on several classic learning tasks, consistent with current theories regarding the role of the striatum. However, he also exhibited remarkably intact performance on a different subset of learning paradigms. The tasks he could perform can all be solved by learning the value of actions, while those he could not perform can only be solved by learning the value of stimuli. Although dorsal striatum is often thought to play a specific role in action-value learning, we find surprisingly that dorsal striatum is necessary for stimulus-value but not action-value learning in humans. [ABSTRACT FROM AUTHOR]

People have an "anomalous-is-bad" stereotype whereby they make negative inferences about the moral character of people with craniofacial anomalies like scars. This stereotype is hypothesized to be a byproduct of adaptations for avoiding pathogens. However, evidence for the anomalous-is-bad stereotype comes from studies of European and North American populations; the byproduct hypothesis would predict universality of the stereotype. We presented 123 Hadza across ten camps pairs of morphed Hadza faces—each with one face altered to include a scar—and asked who they expected to be more moral and a better forager. Hadza with minimal exposure to other cultures chose at chance for both questions. Hadza with greater exposure to other cultures, however, expected the scarred face to be less moral and a better forager. These results suggest the anomalous-is-bad stereotype may be culturally shared or learned erroneously through associations with population-level differences, providing evidence against a universal pathogen avoidance byproduct hypothesis. [ABSTRACT FROM AUTHOR]

The Action-sentence Compatibility Effect (ACE) is a well-known demonstration of the role of motor activity in the comprehension of language. Participants are asked to make sensibility judgments on sentences by producing movements toward the body or away from the body. The ACE is the finding that movements are faster when the direction of the movement (e.g., toward) matches the direction of the action in the to-be-judged sentence (e.g., Art gave you the pen describes action toward you). We report on a pre-registered, multi-lab replication of one version of the ACE. The results show that none of the 18 labs involved in the study observed a reliable ACE, and that the meta-analytic estimate of the size of the ACE was essentially zero. [ABSTRACT FROM AUTHOR]

Abstract: Performance decrements attributed to mental fatigue have been found to be especially pronounced in tasks that involve the voluntary control of attention. Here we explored whether mental fatigue from prolonged time on task (TOT) also impairs temporal preparation for speeded action in a simple reaction-time task. Temporal preparation is enabled by a warning signal presented before the imperative stimulus and usually results in shorter reaction time (RT). When the delay between warning and imperative stimuli – the foreperiod (FP) – varies between trials, responses are faster with longer FPs. This pattern has been proposed to arise from either voluntary attentional processes (temporal orienting) or automatic trial-to-trial learning (trace conditioning). The former account suggests a selective RT increase on long-FP trials with fatigue; the latter account suggests no such change. Over a work period of 51min, we found the typical increase in overall RT but no selective RT increase after long FPs. This additivity indicates that TOT-induced mental fatigue generally reduces cognitive efficiency but leaves temporal preparation under time uncertainty unaffected. We consider this result more consistent with the trace-conditioning account of temporal preparation. [Copyright &y& Elsevier]

Abstract: The bulk of the research on the neural organization of metaphor comprehension has focused on nominal metaphors and the metaphoric relationships between word pairs. By contrast, little work has been conducted on predicate metaphors using verbs of motion such as “The man fell under her spell.” We examined predicate metaphors as compared to literal sentences of motion such as “The child fell under the slide” in an event-related, functional MRI study. Our results demonstrated greater activation in the left inferior frontal cortex and left lateral temporal lobe for predicate metaphors as compared to literal sentences, while no differences were seen in homologous areas of the right hemisphere. We suggest that the results support a neural organization principle for motion processing in which greater abstraction proceeds along a posterior-to-anterior axis within the lateral portion of the left temporal cortex. [Copyright &y& Elsevier]

Abstract: Languages consistently distinguish the path and the manner of a moving event in different constituents, even if the specific constituents themselves vary across languages. Children also learn to categorize moving events according to their path and manner at different ages. Motivated by these linguistic and developmental observations, we employed fMRI to test the hypothesis that perception of and attention to path and manner of motion is segregated neurally. Moreover, we hypothesize that such segregation respects the “dorsal-where and ventral-what” organizational principle of vision. Consistent with this proposal, we found that attention to the path of a moving event was associated with greater activity within bilateral inferior/superior parietal lobules and the frontal eye-field, while attention to manner was associated with greater activity within bilateral postero-lateral inferior/middle temporal regions. Our data provide evidence that motion perception, traditionally considered as a dorsal “where” visual attribute, further segregates into dorsal path and ventral manner attributes. This neural segregation of the components of motion, which are linguistically tagged, points to a perceptual counterpart of the functional organization of concepts and language. [Copyright &y& Elsevier]

Hedonic evaluation of sensory objects varies from person to person. While this variability has been linked to differences in experience, little is known about why stimuli lead to different evaluations in different people. We used linear mixed‐effects models to determine the extent to which the openness, contour, and ceiling height of interior spaces influenced the beauty and pleasantness ratings of 18 participants. Then, by analyzing structural brain images acquired for the same group of participants, we asked if any regional gray matter volume (rGMV) covaried with these differences in the extent to which the three features influence beauty and pleasantness ratings. Voxel‐based morphometry analysis revealed that the influence of openness on pleasantness ratings correlated with rGMV in the anterior prefrontal cortex (Brodmann area (BA)‐10), and the influence of openness on beauty ratings correlated with rGMV in the temporal pole (BA38) and cluster, including the posterior cingulate cortex (BA31) and paracentral lobule (BA5/6). There were no significant correlations involving contour or ceiling height. Our results suggest that regional variance in gray matter volume may play a role in the computation of hedonic valuation and account for differences in the way people weigh certain attributes of interior architectural spaces. [ABSTRACT FROM AUTHOR]

Humans are deeply affected by stories, yet it is unclear how. In this study, we explored two aspects of aesthetic experiences during narrative engagement - literariness and narrative fluctuations in appraised emotional intensity. Independent ratings of literariness and emotional intensity of two literary stories were used to predict blood-oxygen-level-dependent signal changes in 52 listeners from an existing fMRI dataset. Literariness was associated with increased activation in brain areas linked to semantic integration (left angular gyrus, supramarginal gyrus, and precuneus), and decreased activation in bilateral middle temporal cortices, associated with semantic representations and word memory. Emotional intensity correlated with decreased activation in a bilateral frontoparietal network that is often associated with controlled attention. Our results confirm a neural dissociation in processing literary form and emotional content in stories and generate new questions about the function of and interaction between attention, social cognition, and semantic systems during literary engagement and aesthetic experiences. Hartung & Wang et al. use fMRI data from 52 participants to explore two aspects of aesthetic experiences during narrative engagement - literariness and narrative fluctuations in appraised emotional intensity. Their results demonstrate a neural dissociation in processing literary form and emotional content in stories and generate questions about the function of and interaction between attention, social cognition, and semantic systems during literary engagement. [ABSTRACT FROM AUTHOR]

Mirror writing occurs when individual letters and whole word strings are produced in reverse direction. By analogy, mirror reading refers to the preference to read mirror reversed over normally written words. These phenomena appear rarely after brain damage and offer insight into the nervous system’s organization of visual–spatial and visual–motor representations. We present the case of a 51-year-old patient with persistent mirror writing and reading following traumatic brain injury. She preferred to write in the mirror direction with either hand. She drew asymmetric pictures with the same directional bias as normal right-handed subjects, and she did not exhibit left–right confusion regarding other pictures. By contrast, on picture–word matching and lexical decision tasks, she was faster and more accurate with mirrored than normally written words. This pattern of performance suggests that her behavior was not accounted for by reflected motor programs, or by the mirroring of visual–spatial representations in general. Rather, we suggest that her behavior was produced by privileged access to mirrored graphemes. Furthermore, because she seemed better able to read irregular words in mirrored than in normal formats, we suggest that mirrored representations may exist at the whole word level and not simply at the letter level. [Copyright &y& Elsevier]

Background: Sensitive measures of cognition are needed in preclinical and prodromal Alzheimer's disease (AD) to track cognitive change and evaluate potential interventions. Neurofibrillary tangle pathology in AD is first observed in Brodmann Area 35 (BA35), the medial portion of the perirhinal cortex. The importance of the perirhinal cortex for semantic memory may explain early impairments of semantics in preclinical AD. Additionally, our research has tied figurative language impairment to neurodegenerative disease.Objective: We aim to identify tasks that are sensitive to cognitive impairment in individuals with mild cognitive impairment (MCI), and that are sensitive to atrophy in BA35.Methods: Individuals with MCI and cognitively normal participants (CN) were tested on productive and receptive experimental measures of semantic memory and experimental tests of figurative language comprehension (including metaphor and verbal analogy). Performance was related to structural imaging and standard neuropsychological assessment.Results: On the experimental tests of semantics and figurative language, people with MCI performed worse than CN participants. The experimental semantic memory tasks are sensitive and specific; performance on the experimental semantic memory tasks related to medial temporal lobe structural integrity, including BA35, while standard neuropsychological assessments of semantic memory did not, demonstrating the sensitivity of these experimental measures. A visuo-spatial analogy task did not differentiate groups, confirming the specificity of semantic and figurative language tasks.Conclusion: These experimental measures appear sensitive to cognitive change and neurodegeneration early in the AD trajectory and may prove useful in tracking cognitive change in clinical trials aimed at early intervention. [ABSTRACT FROM AUTHOR]

Visual art offers cognitive neuroscience an opportunity to study how subjective value is constructed from representations supported by multiple neural systems. A surprising finding in aesthetic judgment research is the functional activation of motor areas in response to static, abstract stimuli, like paintings, which has been hypothesized to reflect embodied simulations of artists' painting movements, or preparatory approach–avoidance responses to liked and disliked artworks. However, whether this motor involvement functionally contributes to aesthetic appreciation has not been addressed. Here, we examined the aesthetic experiences of patients with motor dysfunction. Forty-three people with Parkinson disease and 40 controls made motion and aesthetics judgments of high-motion Jackson Pollock paintings and low-motion Piet Mondrian paintings. People with Parkinson disease demonstrated stable and internally consistent preferences for abstract art, but their perception of movement in the paintings was significantly lower than controls in both conditions. The patients also demonstrated enhanced preferences for high-motion art and an altered relationship between motion and aesthetic appreciation. Our results do not accord well with a straightforward embodied simulation account of aesthetic experiences, because artworks that did not include visual traces of the artist's actions were still experienced as lower in motion by Parkinson patients. We suggest that the motor system may be involved in integrating low-level visual features to form abstract representations of movement rather than simulations of specific bodily actions. Overall, we find support for hypotheses linking motor responses and aesthetic appreciation and show that altered neural functioning changes the way art is perceived and valued. [ABSTRACT FROM AUTHOR]

Are people with flawed faces regarded as having flawed moral characters? An "anomalous-is-bad" stereotype is hypothesized to facilitate negative biases against people with facial anomalies (e.g., scars), but whether and how these biases affect behavior and brain functioning remain open questions. We examined responses to anomalous faces in the brain (using a visual oddball paradigm), behavior (in economic games), and attitudes. At the level of the brain, the amygdala demonstrated a specific neural response to anomalous faces--sensitive to disgust and a lack of beauty but independent of responses to salience or arousal. At the level of behavior, people with anomalous faces were subjected to less prosociality from participants highest in socioeconomic status. At the level of attitudes, we replicated previously reported negative character evaluations made about individuals with facial anomalies, and further identified explicit biases directed against them as a group. Across these levels of organization, the specific amygdala response to facial anomalies correlatedwith stronger just-world beliefs (i.e., people getwhat they deserve), less dispositional empathic concern, and less prosociality toward people with facial anomalies. Characterizing the "anomalous-is-bad" stereotype at multiple levels of organization can reveal underappreciated psychological burdens shouldered by people who look different. [ABSTRACT FROM AUTHOR]

Abstract: Voxel-based lesion-symptom mapping (VLSM) techniques have been important in elucidating structure–function relationships in the human brain. Rorden, Karnath, and Bonilha (2007) introduced the non-parametric Brunner–Munzel rank order test as an alternative to parametric tests often used in VLSM analyses. However, the Brunner–Munzel statistic produces inflated z scores when used at any voxel where there are less than 10 subjects in either the lesion or no lesion groups. Unfortunately, a number of recently published VLSM studies using this statistic include relatively small patient populations, such that most (if not all) examined voxels do not meet the necessary criteria. We demonstrate the effects of inappropriate usage of the Brunner–Munzel test using a dataset included with MRIcron, and find large Type I errors. To correct for this we suggest that researchers use a permutation derived correction as implemented in current versions of MRIcron when using the Brunner–Munzel test. [Copyright &y& Elsevier]

Abstract Neuroaesthetics is a rapidly developing interdisciplinary field of research that aims to understand the neural substrates of aesthetic experience: While understanding aesthetic experience has been an objective of philosophers for centuries, it has only more recently been embraced by neuroscientists. Recent work in neuroaesthetics has revealed that aesthetic experience with static visual art engages visual, reward and default-mode networks. Very little is known about the temporal dynamics of these networks during aesthetic appreciation. Previous behavioral and brain imaging research suggests that critical aspects of aesthetic experience have slow dynamics, taking more than a few seconds, making them amenable to study with fMRI. Here, we identified key aspects of the dynamics of aesthetic experience while viewing art for various durations. In the first few seconds following image onset, activity in the DMN (and high-level visual and reward regions) was greater for very pleasing images; in the DMN this activity counteracted a suppressive effect that grew longer and deeper with increasing image duration. In addition, for very pleasing art, the DMN response returned to baseline in a manner time-locked to image offset. Conversely, for non-pleasing art, the timing of this return to baseline was inconsistent. This differential response in the DMN may therefore reflect the internal dynamics of the participant's state: The participant disengages from art-related processing and returns to stimulus-independent thought. These dynamics suggest that the DMN tracks the internal state of a participant during aesthetic experience. [ABSTRACT FROM AUTHOR]

Military service members (SMs) have an increased risk of developing posttraumatic stress symptoms. Art therapy is a promising intervention that allows SMs with posttraumatic stress to explore their trauma through art-making and reflection in a psychotherapeutic relationship. Thematic analysis of art products may lend itself as a description of visual indicators of an internal state of the brain. We hypothesized that specific neurobiological markers are associated with the theme of psychological closure and/or healing of traumatic memories as represented in the masks created during art therapy. Resting state fMRIs of a convenience sample of 104 SMs who received art therapy as part of the interdisciplinary Intensive Outpatient Program (IOP) at the National Intrepid Center of Excellence were examined. SMs depicting psychological closure and/or healing within their art therapy masks demonstrated greater resting state functional connectivity between regions associated with attention, memory, language, and pain processing. These findings are preliminary in nature therefore causal relationships cannot be assumed between art therapy and neuroimaging metrics, as both art therapy and neuroimaging measures were collected as part of a larger integrative IOP. Future work collecting neuroimaging metrics pre and post an art therapy intervention is warranted to further evaluate these associations. • Art therapy is a promising intervention for posttraumatic stress symptoms • Masks created during art therapy depict multiple themes • 35 % of service members depicted closure and healing within their art therapy mask • SMs depicting closure had higher functional connectivity between brain regions associated with pain, attention, and memory [ABSTRACT FROM AUTHOR]

Brain damage is associated with linguistic deficits and might alter co-speech gesture production. Gesture production after focal brain injury has been mainly investigated with respect to intrasentential rather than discourse-level linguistic processing. In this study, we examined 1) spontaneous gesture production patterns of people with left hemisphere damage (LHD) or right hemisphere damage (RHD) in a narrative setting, 2) the neural structures associated with deviations in spontaneous gesture production in these groups, and 3) the relationship between spontaneous gesture production and discourse level linguistic processes (narrative complexity and evaluation competence). Individuals with LHD or RHD (17 people in each group) and neurotypical controls (n = 13) narrated a story from a picture book. Results showed that increase in gesture production for LHD individuals was associated with less complex narratives and lesions of individuals who produced more gestures than neurotypical individuals overlapped in frontal-temporal structures and basal ganglia. Co-speech gesture production of RHD individuals positively correlated with their evaluation competence in narrative. Lesions of RHD individuals who produced more gestures overlapped in the superior temporal gyrus and the inferior parietal lobule. Overall, LHD individuals produced more gestures than neurotypical individuals. The groups did not differ in their use of different gesture forms except that LHD individuals produced more deictic gestures per utterance than RHD individuals and controls. Our findings are consistent with the hypothesis that co-speech gesture production interacts with macro-linguistic levels of discourse and this interaction is affected by the hemispheric lateralization of discourse abilities. [ABSTRACT FROM AUTHOR]

Importance: More than half of patients with acute ischemic stroke have minor neurologic deficits (National Institutes of Health Stroke Scale [NIHSS] score of 0-5) at presentation. Although prior major trials of alteplase included patients with low NIHSS scores, few without clearly disabling deficits were enrolled.Objective: To evaluate the efficacy and safety of alteplase in patients with NIHSS scores of 0 to 5 whose deficits are not clearly disabling.Design, Setting, and Participants: The PRISMS trial was designed as a 948-patient, phase 3b, double-blind, double-placebo, multicenter randomized clinical trial of alteplase compared with aspirin for emergent stroke at 75 stroke hospital networks in the United States. Patients with acute ischemic stroke whose deficits were scored as 0 to 5 on the NIHSS and judged not clearly disabling and in whom study treatment could be initiated within 3 hours of onset were eligible and enrolled from May 30, 2014, to December 20, 2016, with final follow-up on March 22, 2017.Interventions: Participants were randomized to receive intravenous alteplase at the standard dose (0.9 mg/kg) with oral placebo (n = 156) or oral aspirin, 325 mg, with intravenous placebo (n = 157).Main Outcomes and Measures: The primary outcome was the difference in favorable functional outcome, defined as a modified Rankin Scale score of 0 or 1 at 90 days via Cochran-Mantel-Haenszel test stratified by pretreatment NIHSS score, age, and time from onset to treatment. Because of early termination of the trial, prior to unblinding or interim analyses, the plan was revised to examine the risk difference of the primary outcome by a linear model adjusted for the same factors. The primary safety end point was symptomatic intracranial hemorrhage (sICH) within 36 hours of intravenous study treatment.Results: Among 313 patients enrolled at 53 stroke networks (mean age, 62 [SD, 13] years; 144 [46%] women; median NIHSS score, 2 [interquartile range {IQR}, 1-3]; median time to treatment, 2.7 hours [IQR, 2.1-2.9]), 281 (89.8%) completed the trial. At 90 days, 122 patients (78.2%) in the alteplase group vs 128 (81.5%) in the aspirin group achieved a favorable outcome (adjusted risk difference, -1.1%; 95% CI, -9.4% to 7.3%). Five alteplase-treated patients (3.2%) vs 0 aspirin-treated patients had sICH (risk difference, 3.3%; 95% CI, 0.8%-7.4%).Conclusions and Relevance: Among patients with minor nondisabling acute ischemic stroke, treatment with alteplase vs aspirin did not increase the likelihood of favorable functional outcome at 90 days. However, the very early study termination precludes any definitive conclusions, and additional research may be warranted.Trial Registration: ClinicalTrials.gov Identifier: NCT02072226. [ABSTRACT FROM AUTHOR]

Embodied cognition accounts posit that concepts are grounded in our sensory and motor systems. An important challenge for these accounts is explaining how abstract concepts, which do not directly call upon sensory or motor information, can be informed by experience. We propose that metaphor is one important vehicle guiding the development and use of abstract concepts. Metaphors allow us to draw on concrete, familiar domains to acquire and reason about abstract concepts. Additionally, repeated metaphoric use drawing on particular aspects of concrete experience can result in the development of new abstract representations. These abstractions, which are derived from embodied experience but lack much of the sensorimotor information associated with it, can then be flexibly applied to understand new situations. [ABSTRACT FROM AUTHOR]

The field of neuroaesthetics has gained in popularity in recent years but also attracted criticism from the perspectives both of the humanities and the sciences. In an effort to consolidate research in the field, we characterize neuroaesthetics as the cognitive neuroscience of aesthetic experience, drawing on long traditions of research in empirical aesthetics on the one hand and cognitive neuroscience on the other. We clarify the aims and scope of the field, identifying relations among neuroscientific investigations of aesthetics, beauty, and art. The approach we advocate takes as its object of study a wide spectrum of aesthetic experiences, resulting from interactions of individuals, sensory stimuli, and context. Drawing on its parent fields, a cognitive neuroscience of aesthetics would investigate the complex cognitive processes and functional networks of brain regions involved in those experiences without placing a value on them. Thus, the cognitive neuroscientific approach may develop in a way that is mutually complementary to approaches in the humanities. [ABSTRACT FROM AUTHOR]

When describing spatial events, dynamic actions can be decomposed into the path of motion (where the object moves), and the manner of motion (how the object moves). These components may be instantiated in two processing streams in the human brain, wherein dorsal parietal areas process path-related information, while ventral temporal regions process manner information. Previous research showed this pattern during the observation of videos showing animate characters in motion [15] . It is unknown whether reading language describing path and manner information – a level of abstraction beyond the perception of visual motion – relies on similar mechanisms. Here, we use functional neuroimaging to show that the left pMTG processes the manner of motion during reading. We also demonstrate the involvement of other ventral fronto-temporal regions in the understanding of manner of motion in spatial language. [ABSTRACT FROM AUTHOR]

People often use spontaneous gestures when communicating spatial information. We investigated focal brain-injured individuals to test the hypotheses that (1) naming motion event components of manner-path (represented by verbs-prepositions in English) are impaired selectively, (2) gestures compensate for impaired naming. Patients with left or right hemisphere damage (LHD or RHD) and elderly control participants were asked to describe motion events (e.g., running across) depicted in brief videos. Damage to the left posterior middle frontal gyrus, left inferior frontal gyrus, and left anterior superior temporal gyrus (aSTG) produced impairments in naming paths of motion; lesions to the left caudate and adjacent white matter produced impairments in naming manners of motion. While the frequency of spontaneous gestures were low, lesions to the left aSTG significantly correlated with greater production of path gestures. These suggest that producing prepositions-verbs can be separately impaired and gesture production compensates for naming impairments when damage involves left aSTG. [ABSTRACT FROM AUTHOR]

Abstract: The ability to perceive causality is a central human ability constructed from elemental spatial and temporal information present in the environment. Although the nature of causality has captivated philosophers and scientists since antiquity, the neural correlates of causality remain poorly understood. In the present study, we used functional magnetic resonance imaging (fMRI) to generate hypotheses for candidate brain regions related to component processes important for perceptual causality in the human brain: elemental space perception, elemental time perception, and decision-making (Experiment 1; n=16). We then used transcranial direct current stimulation (tDCS) to test neural hypotheses generated from the fMRI experiment (Experiment 2; n=16). In both experiments, participants judged causality in billiard-ball style launching events; a blue ball approaches and contacts a red ball. Spatial and temporal contributions to causal perception were assessed by parametrically varying the spatial linearity and the temporal delays of the movement of the balls. Experiment 1 demonstrated unique patterns of activation correlated with spatial, temporal, and decision-making components of causality perception. Using tDCS, we then tested hypotheses for the specific roles of the parietal and frontal cortices found in the fMRI experiment. Parietal stimulation only decreased participants' perception of causality based on spatial violations, while frontal stimulation made participants less likely to perceive causality based on violations of space and time. Converging results from fMRI and tDCS indicate that parietal cortices contribute to causal perception because of their specific role in processing spatial relations, while the frontal cortices contribute more generally, consistent with their role in decision-making. [Copyright &y& Elsevier]

Background: Migraine is the most common neurological condition in developed countries. The abortive treatment of migraine attacks is important both for quality of life and costs associated with illness. Triptans, serotonin 5-HT1B/1D receptor agonists, effectively relieve the pain, disability, and associated symptoms of migraine while improving healthrelated quality of life. Although a number of direct head-to-head triptan comparisons have been made, data for all possible permutations are not available, and unlikely to ever be so, although in clinical practice such information would be useful. Objective: We aimed to determine the relative efficacy of all available triptans to abort migraine headache among patients with previous adequate response to migraine treatments. Methods: We included only double-blinded randomized clinical trials comparing triptans to either placebo or another triptan. Our primary outcomes were pain-free response at two hours and 24-hour sustained pain-free response, and our secondary outcomes were headache response at two hours and 24-hour sustained headache response. We used Bayesian multiple treatment comparison meta-analyses of seven triptans used in adult patients to abort migraine attacks. We applied a random-effects analysis with meta-regression adjusting for dose. Results are reported as odds ratios with 95% credible intervals. Results: We included data from 74 randomized clinical trials. All triptans were significantly superior to placebo for all outcomes, with the exception of naratriptan for 24-hour sustained pain-free response. Eletriptan consistently yielded the highest treatment effect estimates. For the two-hour endpoints, eletriptan was statistically significantly superior to sumatriptan, almotriptan, naratriptan, and frovatriptan for at least one of the two outcomes. Rizatriptan yielded the second highest treatment effects followed by zolmitriptan. For the 24-hour endpoints, eletriptan was statistically significantly superior to sumatriptan, rizatriptan, almotriptan, and naratriptan for at least one of the two outcomes. Frovatriptan data were not available at that endpoint. Further, the probability that eletriptan is the most likely of all triptans to produce a favorable outcome was 68% for pain-free response at two hours, and 54% for 24-hour sustained pain-free response. Conclusion: Triptans appear to offer differing treatment effects. In the populations studied eletriptan was most likely to produce pain-free responses that were sustained. [ABSTRACT FROM AUTHOR]

Abstract: This study establishes that sparse canonical correlation analysis (SCCAN) identifies generalizable, structural MRI-derived cortical networks that relate to five distinct categories of cognition. We obtain multivariate psychometrics from the domain-specific sub-scales of the Philadelphia Brief Assessment of Cognition (PBAC). By using a training and separate testing stage, we find that PBAC-defined cognitive domains of language, visuospatial functioning, episodic memory, executive control, and social functioning correlate with unique and distributed areas of gray matter (GM). In contrast, a parallel univariate framework fails to identify, from the training data, regions that are also significant in the left-out test dataset. The cohort includes164 patients with Alzheimer's disease, behavioral-variant frontotemporal dementia, semantic variant primary progressive aphasia, non-fluent/agrammatic primary progressive aphasia, or corticobasal syndrome. The analysis is implemented with open-source software for which we provide examples in the text. In conclusion, we show that multivariate techniques identify biologically-plausible brain regions supporting specific cognitive domains. The findings are identified in training data and confirmed in test data. [Copyright &y& Elsevier]

A substantial body of literature supports the idea that systematic changes can occur in artists' painting styles after the onset of degenerating neurological illnesses like Alzheimer's disease or Fronto-temporal dementia. However, these studies have typically been descriptive and qualitative in their analyses. Our study was motivated to show that quantitative methods can be applied to the neuropsychology of art production and to determine whether there are systematic changes in the art produced by two individuals with Alzheimer's disease (AD). Using the Assessment of Art Attributes which probes 6 formal characteristics (depth, color temperature, color saturation, balance, stroke, and simplicity) and 6 con-ceptual characteristics (depictive accuracy, abstractness, emotion, symbolism, realism, and animacy), we found that both AD patients produced paintings with more abstraction and use of symbolism and with less depictive accuracy and realism. Their paintings did not change in the use of depth, or balance or in the quality of their stroke. When these observations are combined with those made recently in 3 artists with focal brain damage, we find that conceptual more than formal perceptual attributes are susceptible to change after neurological illness. [ABSTRACT FROM AUTHOR]

Abstract: Body orientation and eye gaze influence how information is conveyed during face-to-face communication. However, the neural pathways underpinning the comprehension of social cues in everyday interaction are not known. In this study we investigated the influence of addressing vs. non-addressing body orientation on the neural processing of speech accompanied by gestures. While in an fMRI scanner, participants viewed short video clips of an actor speaking sentences with object- (O; e.g., shape) or person-related content (P; e.g., saying goodbye) accompanied by iconic (e.g., circle) or emblematic gestures (e.g., waving), respectively. The actor''s body was oriented either toward the participant (frontal, F) or toward a third person (lateral, L) not visible. For frontal vs. lateral actor orientation (F>L), we observed activation of bilateral occipital, inferior frontal, medial frontal, right anterior temporal and left parietal brain regions. Additionally, we observed activity in the occipital and anterior temporal lobes due to an interaction effect between actor orientation and content of the communication (PF>PL)>(OF>OL). Our findings indicate that social cues influence the neural processing of speech–gesture utterances. Mentalizing (the process of inferring the mental state of another individual) could be responsible for these effects. In particular, socially relevant cues seem to activate regions of the anterior temporal lobes if abstract person-related content is communicated by speech and gesture. These new findings illustrate the complexity of interpersonal communication, as our data demonstrate that multisensory information pathways interact at both perceptual and semantic levels. [Copyright &y& Elsevier]

Patients with alien hand (AH) syndrome from medial frontal lesions exhibit involuntary but seemingly purposeful contralesional upper limb movements. Two observations about AH patients have received little, if any, experimental confirmation. The first is that AH is triggered opportunistically by nearby objects. The second is that AH behaviors are increased in conditions of fatigue or anxiety, i.e. under reduced attentional control. A prominent account explains AH as reduced intention-driven (endogenous) executive control. This account predicts that erroneous AH behaviors should be driven by environmental (i.e. exogenous) factors, such as distractor proximity to the hand. AH errors should be less influenced by the intention or action plan (i.e. endogenous factors), such as the semantic relatedness of distractors to targets. Moreover, due to capacity limitations of the endogenous controller, AH behaviors should increase under conditions of secondary task load. We tested these predictions with an AH patient in two experiments using a naturalistic coffee-making task. Experiment 1 demonstrated that the affected hand was highly perseverative and strongly influenced by exogenous but not endogenous factors. The non-alien hand made fewer errors. Experiment 2 showed that there was a disproportionate increase in perseverations and exogenous errors of the affected hand under secondary task load. The non-alien hand was significantly less disrupted by dual task conditions. These data provide experimental support for previous anecdotal observations about AH behavior in naturalistic settings, and are consistent with a unilateral defect in endogenous control. [Copyright &y& Elsevier]