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The engagement process of sexual offenders in group-based cognitive-behavioral treatment is an important area of study. Disclosure management style (DMS), a model developed from grounded-theory research of men undertaking a prototypical program, provides a framework to assess engagement in treatment. Our goal was to develop a quantitative measure of DMS, to test its reliability and validity, and to evaluate its utility as a measure of treatment progress by examining relationships between DMS and established measures of treatment change. We studied a sample of men ( N = 93) who undertook an intensive prison-based treatment program in New Zealand. Variables included DMS measures, psychometric measures of dynamic risk and treatment change, static risk, clinician rating of treatment progress, and recidivism outcomes. We found that (a) DMS shows an acceptable level of agreement between independent raters, (b) DMS-based ratings of engagement changed over the course of treatment and were correlated with measures of change based on offender self-reports, and (c) offenders showed heterogeneity in terms of their trajectories of change as assessed by DMS ratings.

Four pigeons responded in a three-component concurrent chains procedure in which the terminal-link schedules were either both fixed-interval (FI FI), both variable-interval (VI VI), both mixed-interval (MI MI) or variable-interval fixed-interval (VI FI). Across components within sessions, overall terminal-link duration was varied while schedule types were varied across conditions. For the conditions with homogeneous schedules, the strongest preference was obtained with FI FI, intermediate with MI MI, and weakest with VI VI. Preference increased with overall terminal-link duration for all schedules, but the increase was more rapid for VI FI. The hyperbolic value-added model (HVA) and cumulative decision model (CDM) were fitted to the choice data and accounted for 83.9% and 76.1% of the variance, respectively. However, deviations from both models' predictions were systematic. A modification of the CDM, which assumed that reinforcers delivered after variable delays were more effective, improved the fit of the model and substantially reduced the systematic deviations in residuals. Comparable modifications of HVA produced only limited improvement. Results show that preference in concurrent chains with homogeneous terminal links depends on the degree of variability in reinforcer delays, and that the CDM can provide an excellent account of results across different terminal-link schedules., (© 2019 Society for the Experimental Analysis of Behavior.)

In two experiments, experimentally naïve rats were trained in concurrent variable-interval schedules in which the reinforcer ratios changed daily according to a pseudorandom binary sequence. In Experiment 1, relative response rates showed clear sensitivity to current-session reinforcer ratios, but not to previous sessions' reinforcer ratios. Within sessions, sensitivity to the current session's reinforcement rates increased steadily, and by session end, response ratios approached matching to the current-session reinforcer ratios. Across sessions, sensitivity to the current session's reinforcer ratio decreased with continued exposure to the pseudorandom binary sequence, contrary to expectations based on previous studies demonstrating learning sets. Using a second group of naïve rats, Experiment 2 replicated the main results from Experiment 1 and showed that although there were increases over sessions in both changeover rate and response rate during the changeover delay, neither could explain the accompanying reductions in sensitivity. We consider the role of reinforcement history, showing that our results can be simulated using two separate representations, one local and one nonlocal, but a more complex approach will be needed to bring together these results and other history effects such as learning sets and spontaneous recovery., (© 2018 Society for the Experimental Analysis of Behavior.)

Traditional models for choice in the concurrent-chains procedure have assumed that terminal-link stimuli acquire value as conditioned reinforcers, and that 2-alternative choice provides a measure of relative value according to the matching law. By contrast, the cumulative decision model (CDM; Christensen & Grace, 2010) explains choice as the aggregate effect of comparing delays to a criterion on initial-link responding, not conditioned reinforcement. Here we test whether the CDM can account for choice in 3-alternative concurrent-chains (3ACC) and compare it with the hyperbolic value-added model (HVA; Mazur, 2001), which assumes that choice depends on the increase in conditioned reinforcement value signaled by terminal-link stimuli and has been successful in previous 3ACC research (Mazur, 2000). In Experiment 1, 4 pigeons responded in 3ACC in which the terminal links were fixed-interval schedules, and parameter estimates from fits of CDM and HVA were used to calculate predictions for conditions with variable-interval terminal links. The predictions of CDM were more accurate than those of HVA. In Experiment 2, 7 pigeons responded in 3ACC in which the terminal links were fixed-interval schedules. Although both models described the data well, residuals from HVA fits showed a systematic pattern predicted by CDM, characterized by a third-order polynomial with a negative cubic coefficient. Finally, we conducted a residual meta-analysis (Sutton, Grace, McLean, & Baum, 2008) of data from prior 3ACC studies. HVA residuals showed the same negative cubic pattern as in Experiment 2, whereas no systematic pattern was found in the CDM residuals. Overall, results support the CDM and suggest that the same principles which describe binary choice in concurrent chains generalize without modification to 3-alternative choice. (PsycINFO Database Record, ((c) 2016 APA, all rights reserved).)

Background: HIV-1 eradication may require reactivation of latent virus along with stimulation of HIV-1-specific immune responses to clear infected cells. Immunization with autologous dendritic cells (DCs) transfected with viral mRNA is a promising strategy for eliciting HIV-1-specific immune responses. We performed a randomized controlled clinical trial to evaluate the immunogenicity of this approach in HIV-1-infected persons on antiretroviral therapy., Methods: Fifteen participants were randomized 2:1 to receive intradermal immunization with HIV-1 Gag- and Nef-transfected DCs (vaccine) or mock-transfected DCs (placebo) at weeks 0, 2, 6, and 10. All participants also received DCs pulsed with keyhole limpet hemocyanin (KLH) to assess whether responses to a neo-antigen could be induced., Results: After immunization, there were no differences in interferon-gamma enzyme-linked immunospot responses to HIV-1 Gag or Nef in the vaccine or placebo group. CD4 proliferative responses to KLH increased 2.4-fold (P = 0.026) and CD8 proliferative responses to KLH increased 2.5-fold (P = 0.053) after vaccination. There were increases in CD4 proliferative responses to HIV-1 Gag (2.5-fold vs. baseline, 3.4-fold vs. placebo, P = 0.054) and HIV-1 Nef (2.3-fold vs. baseline, 6.3-fold vs. placebo, P = 0.009) among vaccine recipients, but these responses were short-lived., Conclusion: Immunization with DCs transfected with mRNA encoding HIV-1 Gag and Nef did not induce significant interferon-gamma enzyme-linked immunospot responses. There were increases in proliferative responses to HIV-1 antigens and to a neo-antigen, KLH, but the effects were transient. Dendritic cell vaccination should be optimized to elicit stronger and long-lasting immune responses for this strategy to be effective as an HIV-1 therapeutic vaccine.

A magnitude effect in probability discounting is well established with humans, in which the value of a larger reward decreases more with uncertainty than the value of a smaller reward. We report 2 experiments that show that an analogous result is obtained with pigeons choosing between probabilistic food rewards in a 2-component concurrent-chains procedure. In Experiment 1, the terminal links delivered large (4-s access to food) and small (2-s access to food) rewards with either 100% or 50% probability across components. Preference for the larger reward was greater in the 100% component. In Experiment 2, the terminal links delivered reinforcement on 100% or 50% of terminal links and the rewards were large (4-s access to food) or small (2-s access to food) across components. Preference for the 100% alternative was greater when rewards were large. In both experiments, results indicate that the value of the larger reward decreased more when its probability was 50% than the value of the smaller reward, confirming the magnitude effect, and were similar regardless of whether the food and no-food outcomes for the 50% terminal links were differentially signaled. Results were predicted by an extension of the cumulative decision model (Christensen & Grace, 2010; Grace & McLean, 2006), which accounts for the effects of magnitude and probability on choice and can also explain the apparently contradictory results of prior research on the magnitude effect in delay discounting with pigeons. The model shows that a single process can account for delay and probability discounting in nonhumans, including the opposite effects of reward magnitude., ((c) 2015 APA, all rights reserved).)

Log-survivor analyses of interresponse times suggest that the behavior of rats responding under single variable-interval schedules is organized into bouts (i.e., periods of engagement and disengagement). Attempts to generalize this analysis to the key pecking in pigeons, however, have failed to produce the characteristic broken-stick appearance typically obtained with rats. This failure may be due to a relatively low rate of reinforcement for engaging in alternative behavior experienced by pigeons. The present study tested this hypothesis by exposing four pigeons to concurrent schedules of reinforcement for key pecking, first without a changeover delay (COD) and then with a COD. In this arrangement, one of the concurrent options was treated as the target response and the rate of reinforcement for that option was manipulated across conditions. The other option provided explicit reinforcement for engaging in an alternative response (i.e., explicit reinforcement for disengaging from the target response). In the absence of a COD, log-survivor plots for three of the pigeons were approximately linear, thus providing no evidence that responding was organized into bouts. When a COD was present, plots were broken stick in appearance, indicating a bout structure had been generated in the pigeons' behavior. Both bout length and the rate of bout initiations were a function of differences in rate of reinforcement. These data suggest that behavior may become organized into bouts when contingencies create sufficiently long visits to both the target behavior and the extraneous behavior. Fits of a double-exponential model deviated systematically from the actual plots due to the presence of a plateau between the two limbs. An alternative, double-gamma, model was explored, and it provided a considerably better fit than did the double-exponential., (© Society for the Experimental Analysis of Behavior.)

Preference pulses are thought to represent strong, short-term effects of reinforcers on preference in concurrent schedules. However, the general shape of preference pulses is substantially determined by the distributions of responses-per-visit (visit lengths) for the two choice alternatives. In several series of simulations, we varied the means and standard deviations of distributions describing visits to two concurrently available response alternatives, arranged "reinforcers" according to concurrent variable-interval schedules, and found a range of different preference pulses. Because characteristics of these distributions describe global aspects of behavior, and the simulations assumed no local effects of reinforcement, these preference pulses derive from the visit structure alone. This strongly questions whether preference pulses should continue to be interpreted as representing local effects of reinforcement. We suggest an alternative approach whereby local effects are assessed by subtracting the artifactual part, which derives from visit structure, from the observed preference pulses. This yields "residual" preference pulses. We illustrate this method in application to published data from mixed dependent concurrent schedules, revealing evidence that the delivery of reinforcers had modest lengthening effects on the duration of the current visit, a conclusion that is quantitatively consistent with early research on short-term effects of reinforcement., (© Society for the Experimental Analysis of Behavior.)

Various cosignaling molecules on T cells can contribute to activation, inhibition, or exhaustion, depending on context. The surface receptor signaling lymphocytic activation molecule (SLAM) family receptor CD244 (2B4/SLAMf4) has been shown to be capable of either inhibitory or enhancing effects upon engagement of its ligand CD48 (SLAMf2). We examined phenotypes of CD8 T cells from HIV(+) and HIV(neg) human donors, specific for HIV and/or respiratory syncytial virus. Cultured and ex vivo CD8 T cells expressed PD-1, CD244, and TIM-3. We found that ex vivo CD8 T cells downregulated CD244 in response to superantigen. Furthermore, cognate peptide induced rapid downregulation of both CD244 and TIM-3, but not PD-1, on CD8 T cell clones. CD244 downmodulation required simultaneous signaling via both TCR and CD244 itself. Using a pH-sensitive fluorophore conjugated to avidin-Ab tetramers, we found that CD244 crosslinking in the presence of TCR signaling resulted in rapid transport of CD244 to an acidic intracellular compartment. Downregulation was not induced by PMA-ionomycin, or prevented by PI3K inhibition, implicating a TCR-proximal signaling mechanism. CD244 internalization occurred within hours of TCR stimulation and required less peptide than was required to induce IFN-γ production. The degree of CD244 internalization varied among cultured CD8 T cell lines of different specificities, and correlated with the enhancement of IFN-γ production in response to CD48 blockade in HIV(+), but not HIV(neg), subjects. Our results indicate that rapid CD244 internalization is induced by a two-signal mechanism and plays a role in modulation of antiviral CD8 T cell responses by CD48-CD244 signaling.

Four pigeons were trained in a series of two-component multiple schedules. Reinforcers were scheduled with random-interval schedules. The ratio of arranged reinforcer rates in the two components was varied over 4 log units, a much wider range than previously studied. When performance appeared stable, prefeeding tests were conducted to assess resistance to change. Contrary to the generalized matching law, logarithms of response ratios in the two components were not a linear function of log reinforcer ratios, implying a failure of parameter invariance. Over a 2 log unit range, the function appeared linear and indicated undermatching, but in conditions with more extreme reinforcer ratios, approximate matching was observed. A model suggested by McLean (1991), originally for local contrast, predicts these changes in sensitivity to reinforcer ratios somewhat better than models by Herrnstein (1970) and by Williams and Wixted (1986). Prefeeding tests of resistance to change were conducted at each reinforcer ratio, and relative resistance to change was also a nonlinear function of log reinforcer ratios, again contrary to conclusions from previous work. Instead, the function suggests that resistance to change in a component may be determined partly by the rate of reinforcement and partly by the ratio of reinforcers to responses.

We conducted a residual meta-analysis to test the assumptions of the generalized matching law that effects of relative reinforcer magnitude on response allocation in concurrent schedules can be described by a power function and are independent from the effects of relative reinforcer rate. We identified five studies which varied magnitude ratios over at least four levels and six studies in which reinforcer rate and magnitude ratios were varied factorially. The generalized matching law provided a reasonably good description of the data, accounting for 77.1% and 90.1% of the variance in the two sets of studies. Results of polynomial regressions showed that there were no systematic patterns in pooled residuals as a function of predicted log response ratios for data sets in which relative magnitude was varied. For data sets in which relative rate and magnitude were varied factorially, there was a significant negative cubic pattern in the pooled residuals, suggesting that obtained response allocation was less extreme than predicted for conditions with extreme predicted values. However, subsequent analyses showed that this result was associated with results from conditions in one study in which the product of the rate and magnitude ratios was 63:1, and in which response allocation may have been attenuated by a ceiling effect. When data from these conditions were omitted, there were no significant components in the residuals. Although the number of available studies was small, results provide tentative support for the assumptions of the generalized matching law that effects of reinforcer magnitude ratios on choice can be described by a power function and are independent from reinforcer rate ratios., (Copyright © 2011 Elsevier B.V. All rights reserved.)

Eight pigeons responded in a three-component concurrent-chains procedure, with either independent or dependent initial links. Relative probability and immediacy of reinforcement in the terminal links were both varied, and outcomes on individual trials (reinforcement or nonreinforcement) were either signaled or unsignaled. Terminal-link fixed-time schedules were varied across components within conditions to yield immediacy ratios of 1∶2, 1∶1 and 2∶1. The probabilities of reinforcement were varied across conditions to yield reinforcer ratios of 1∶5, 1∶2, 2∶1 and 5∶1. Results showed that a model based on the generalized matching law provided a good description of response allocation, accounting for 92% of the variance overall. As expected, sensitivity to probability was greater in the unsignaled conditions. However, sensitivity to immediacy was also greater in the unsignaled conditions, suggesting that the effect of signaling terminal-link outcomes may not be limited to probability but apply to reinforcer variables in general. The effects of signaling can be explained in terms of conditioned reinforcement added to each alternative's outcomes in the matching law. There was some evidence for an interaction between reinforcer probability and immediacy, particularly for the dependent-schedules group, such that sensitivity to immediacy was greater at moderate rather than extreme reinforcer ratios. However, further analysis suggested that this could have been due to a ceiling effect on response allocation imposed by dependent scheduling. Overall, the present results show that the generalized matching law can provide a useful account of choice between outcomes that vary in both probability and immediacy of reinforcement.

Eight pigeons responded in a concurrent chain with variable-interval (VI) 10-sec and VI 20-sec terminal links. Free food deliveries were then added to the initial links according to a variable-time (VT) 20-sec schedule in two conditions that differed in terms of whether a differential reinforcement of other (DRO) contingency was also arranged, which ensured that those deliveries could not occur within 2-sec of a response. Preference for the VI 10-sec terminal link increased when VT food was added, but not when the DRO contingency was operative, showing that free food deliveries affected preference only when those deliveries could be temporally contiguous with choice responding. This finding suggests that Mazur's (2003) report of increased preference with added VT food, replicated here, was due to adventitious reinforcement. Current models for behavioral choice are limited because they are based entirely on temporal relations between stimuli and reinforcers and fail to take into account response-reinforcer contiguity.

To compare the generalized matching law (Baum, W.M., 1974b. On two types of deviation from the matching law: bias and undermatching. J. Exp. Anal. Behav. 22, 231-242) and contingency discriminability model (Davison, M., Jenkins, P.E., 1985. Stimulus discriminability, contingency discriminability, and schedule performance. Anim. Learn. Behav. 13, 77-84) as accounts of concurrent schedule performance, we conducted a residual meta-analysis of response- and time-allocation data from 20 studies (n's=886 and 774, respectively). Both models were fitted to the individual-subject data from each study, and residuals were obtained. Polynomial regressions were then performed on the pooled residuals to determine whether systematic trends were present as a function of predicted values. For the contingency discriminability model, the cubic coefficients were positive and statistically significant for both response- and time-allocation data. By contrast, no statistically significant systematic trend was obtained in the residuals for the generalized matching law. These results suggest that the relationship between log response allocation and log reinforcer allocation does not deviate significantly from linearity over an approximate range of +1.25 to -1.25 log units, consistent with the generalized matching law. Although qualitative criteria are also important in comparing models of behavioral phenomena, residual meta-analysis provides a powerful quantitative methodology for model selection and should prove useful in future research.

The purpose of this study was to examine effects of d-amphetamine on choice controlled by reinforcement delay. Eight pigeons responded under a concurrent-chains procedure in which one terminal-link schedule was always fixed-interval 8 s, and the other terminal-link schedule changed from session to session between fixed-interval 4 s and fixed-interval 16 s according to a 31-step pseudorandom binary sequence. After sufficient exposure to these contingencies (at least once through the pseudorandom binary sequence), the pigeons acquired a preference for the shorter reinforcement delay within each session. Estimates of the sensitivity to reinforcement immediacy were similar to those obtained in previous studies. For all pigeons, at least one dose of d-amphetamine attenuated preference and, hence, decreased estimates of sensitivity to reinforcement immediacy; in most cases, this effect occurred without a change in overall response rates. In many cases, the reduced sensitivity to reinforcement delay produced by d-amphetamine resulted primarily from a decrease in the asymptotic level of preference achieved within the session; in some cases, d-amphetamine produced complete indifference. These findings suggest that a reduction in the sensitivity to reinforcement delay may be an important behavioral mechanism of the effects of psychomotor stimulants.

Pigeons were trained to match the number of responses made during a production phase to the number of keylight flashes (2, 4, or 6) in a previous sample phase. In Experiment 1, there were 2 conditions in which the flashes were programmed to occur at a constant rate or within a constant overall duration. For both conditions, although accuracy was relatively low, responding increased linearly with flash number and coefficients of variation decreased. Positive transfer to novel numbers was obtained only when test and baseline trials had the same temporal organization, but multiple regressions revealed significant control by number independently of temporal cues. In Experiment 2, flashes were programmed to occur pseudorandomly to degrade the validity of temporal cues. Results were similar to in Experiment 1. A prototype response class model accounted for the major features of the data. According to the model, responses during the production phase are shaped into higher order units that are associated with different stimulus numbers and function as a rough category scale of numerosity., ((PsycINFO Database Record (c) 2007 APA, all rights reserved).)

Introduction: This study was performed to evaluate the safety and short-term efficacy of laparoscopic Roux-en-Y gastric bypass (LRYGB) for morbid obesity and to describe the relation between learning curve and short-term outcomes., Methods: We collected a prospective database on the first 201 consecutive patients who underwent LRYGB by a single university-based, experienced bariatric surgeon over 24 months. We divided patients into 3 consecutive groups of 67 patients for analysis (Group 1, Group 2 and Group 3)., Results: The mean patient age was 37 (standard deviation [SD] 9) years; mean body mass index (BMI) was 49.2 (SD 8.3) kg/m2. BMI was similar in Groups 1 and 2 (mean 47.1, SD 5.9 and mean 48.7, SD 8.9 kg/m2) but increased in Group 3 (mean 52, SD 9.7 kg/m2, p < 0.01). Operative time decreased from 145 (SD 30) minutes in Group 1 to 114 (SD 24) minutes in Group 2 (p < 0.01) and was maintained at 119 (SD 23) minutes in Group 3. Early and late complication rates were 14.9% and 12.4%, respectively. Leak rates decreased from 6.0% in the first group to 1.5% in Groups 2 and 3, but they did not reach statistical significance. Anastomotic stricture rates decreased from 11.9% in Group 1 to 3.0% in Group 2 (p < 0.01). Overall excess weight loss for the entire series was 31.5% (SD 11.9%), 54.5% (SD 14.1%), 77.1% (SD 18.5%) and 82.1% (SD 17.5%) at 3, 6, 12 and 18 months, respectively., Conclusion: LRYGB can be performed with acceptable morbidity and short-term results during the learning curve. In our series, operative time and anastomotic stricture rates decreased with experience, despite an increase in mean BMI.

Research on Herrnstein's single-schedule equation contains conflicting findings; some laboratories report variations in the k parameter with reinforcer value, and others report constancy. The reported variation in k typically occurs across very low reinforcer values, and constancy applies across higher values. Here, simulations were conducted assuming a wide range of reinforcer values, and the parameters of Herrnstein's equation were estimated for simulated responding. In the simulations, responses controlled by current reinforcement contingencies were added to other responses ('noise'), controlled by the experimental environment and by contingencies in effect at other times. Expected reinforcer rates were calculated by entering simulated responding into a reinforcement feedback function. These were then fitted using Herrnstein's hyperbola, and the sampling distributions of the two fitted parameters were studied. Both k and Re were underestimated by curve fitting when low-deprivation or reinforcer-quality conditions were simulated. Further simulations showed that k and Re were increasingly underestimated as the assumed noise level was increased, particularly when low-deprivation or reinforcer quality was assumed. It is concluded that reported variations in k from single schedules should not be taken to indicate that the asymptotic rate of responding depends on reinforcement parameters.

Pigeons' choice in concurrent chains can adapt to rapidly changing contingencies. Grace, Bragason, and McLean (2003) found that relative initial-link response rate was sensitive to the immediacy ratio in the current session when one of the terminal-link fixed-interval schedules was changed daily according to a pseudorandom binary sequence (e.g., Schofield & Davison, 1997). The present experiment tested whether the degree of variation in delays across sessions had any effect on acquisition rate in Grace et al.'s (2003) rapid-acquisition procedure. In one condition ("minimal variation"), the left terminal link was always fixed-interval 8 s and the right terminal link was either fixed-interval 4 s or fixed-interval 16 s. In the other condition ("maximal variation"), a unique pair of fixed-interval values was used in each session. Responding was sensitive to the current-session immediacy ratio in both conditions, but across subjects there was no systematic difference in sensitivity. These results challenge the view that initial-link responding in the rapid-acquisition procedure is determined by changes in the learned value of the terminal-link stimuli, and suggests instead that a process resembling categorical discrimination may control performance. A decision model based on the assumption that delays are categorized as short or long relative to the history of delays provided a good account of the data and shows promise in being able to explain other choice phenomena.

Background: We tested the hypothesis that the amount of weight lost after Roux-en-Y gastric bypass (RYGBP) correlates with plasma ghrelin levels., Methods: 36 morbidly obese patients were studied 3 years after RYGBP (6 men, 30 women) with mean initial BMI 51 kg/m2 and 8 healthy controls (2 men, 6 women) with mean BMI 25 kg/m2. Subjects consumed a light breakfast, and the first blood sample was drawn at 1200 hrs immediately before lunch and the second sample at 1400 hrs. Satiety was assessed using a Visual Analog Scale (VAS). Patients were stratified as success (current BMI <35) or failures (current BMI > or =35)., Results: Plasma ghrelin levels were significantly lower in patients after RYGBP (269 +/- 66 pcg/ml) compared with lean controls (616 +/- 112 pcg/ml, P<0.001). Ghrelin levels pre or post meals were not different between patients who had a successful weight loss (preoperative BMI 47, current BMI 29, 72% EWL) or those who achieved a less then ideal weight loss (preoperative BMI 48, current BMI 41, 29% EWL). There was no correlation between any of the VAS scores and plasma ghrelin. There was a strong inverse correlation between pre-prandial ghrelin levels and the preoperative or current BMI., Conclusion: Failure to lose weight after RYGBP does not correlate with pre- or post-prandial ghrelin plasma levels. Ghrelin levels were inversely proportional to BMI and did not correlate with satiety. These data do not support a role for higher plasma ghrelin levels for inadequate weight loss after RYGBP.

Temporal discounting rates in humans generally decrease as the amount of reward increases, a phenomenon known as the magnitude effect. In the present study, we examined whether temporal discounting and the magnitude effect are related to segregation of choices in terms of gains or losses for waiting for or expediting receipt of a reward. Subjects (N = 24) responded to a series of hypothetical choices about amounts of money available either immediately or after a delay. The immediate and delayed amounts either were presented as integrated amounts in the baseline condition or were segregated as differential gains or losses for choosing delayed or expedited consumption (delay and speedup conditions, respectively). Temporal discounting rates decreased in the segregated conditions, in accord with the standard discounted utility model but contrary to the hypothesis that the subjects were choosing on the basis of reward differentials in the baseline condition. The size of the magnitude effect was comparable in the baseline and the delay conditions but decreased in the speed-up condition. These results challenge explanations of the magnitude effect in terms of an increasing proportional sensitivity property of the utility function (Loewenstein & Prelec, 1992) and the hypothesis that subjects choose on the basis of differentials even when the rewards are presented as integrated amounts.

Objective: This study tested the hypothesis that weight-reduction (bariatric) surgery reduces long-term mortality in morbidly obese patients., Background: Obesity is a significant cause of morbidity and mortality. The impact of surgically induced, long-term weight loss on this mortality is unknown., Methods: We used an observational 2-cohort study. The treatment cohort (n = 1035) included patients having undergone bariatric surgery at the McGill University Health Centre between 1986 and 2002. The control group (n = 5746) included age- and gender-matched severely obese patients who had not undergone weight-reduction surgery identified from the Quebec provincial health insurance database. Subjects with medical conditions (other then morbid obesity) at cohort-inception into the study were excluded. The cohorts were followed for a maximum of 5 years from inception., Results: The cohorts were well matched for age, gender, and duration of follow-up. Bariatric surgery resulted in significant reduction in mean percent excess weight loss (67.1%, P < 0.001). Bariatric surgery patients had significant risk reductions for developing cardiovascular, cancer, endocrine, infectious, psychiatric, and mental disorders compared with controls, with the exception of hematologic (no difference) and digestive diseases (increased rates in the bariatric cohort). The mortality rate in the bariatric surgery cohort was 0.68% compared with 6.17% in controls (relative risk 0.11, 95% confidence interval 0.04-0.27), which translates to a reduction in the relative risk of death by 89%., Conclusions: This study shows that weight-loss surgery significantly decreases overall mortality as well as the development of new health-related conditions in morbidly obese patients.

Background: Our clinical impression derived from >95% follow-up of patients was that our wound infection rate was higher than the 1-10% reported in the literature. The purpose of this study was to determine the incidence and risk factors for wound infection in open bariatric surgery., Methods: We queried our prospectively acquired bariatric surgery outcomes database, and retrospectively audited the charts of patients operated from April 1 to March 31, 2003. Risk categories were obtained using the National Nosocomial Infection Surveillance (NNIS) definitions and stratification. Expected site-specific rates were adjusted for duration of operation, degree of wound contamination, and underlying disease condition., Results: 269 patients undergoing a standardized open Roux-en-Y gastric bypass were studied. The mean age (SD) was 39.5 (10.5) years and the mean BMI was 54.3 (9.9). Operating time averaged 63 (17) minutes, and length of stay was 4.1 (1.3) days. Based on NNIS categories 10.9 wound infections were expected, but 54 were observed, for a rate of 20%. Bacterial isolates included S. aureus (39%), alpha-hemolytic strep (26%), Enterococcus (16%), P.mirabilis (9%), and multiple other bacteria at 10%. Epidural analgesia and delayed antibiotic prophylaxis administration (after the incision was made) increased the odds of developing a wound infection, whereas gender, age, BMI, duration of surgery, and incidence of diabetes had no effect. There was a high correlation between wound infection and subsequent incisional hernia formation., Conclusion: The incidence of wound infections following open bariatric surgery is high, and the current recommendations for antibiotic prophylaxis are ineffective. As these infections carry significant morbidity, effective methods to prevent them are needed.

We report two experiments using a concurrent-chains procedure in which one terminal-link schedule was fixed-interval 8 s and the alternative schedule changed randomly from day to day. In Experiment 1, the alternative schedule varied between 4 s and 16 s according to a pseudorandom binary sequence similar to the one used by Hunter and Davison (1985). Similar to results with concurrent schedules, pigeons' response allocation in the initial link was most sensitive to the schedules arranged in the current session, although some effect of prior history was evident. Overall sensitivity was lower than for comparable data from steady-state research. In Experiment 2, a unique value between 2 s and 32 s was used for the alternative-schedule delay in each session. Sensitivity levels were similar to Experiment 1 and remained unchanged across 61 sessions of training. For all subjects, sensitivity was greater when the alternative-schedule delay was greater than 8 s compared with when it was less than 8 s. Generalized-matching plots revealed evidence of clustering of data points into two groups for some pigeons, suggesting that a process similar to a categorical discrimination may have at least partly determined response allocation. Overall, this research shows that pigeons' initial-link response allocation can adjust rapidly to frequent changes in the terminal links.

Eight pigeons responded in a multiple variable-interval (VI) schedule in which a constant component always delivered 40rft/h, and an alternated component was either rich (200rft/h) or lean (6.67rft/h) in different conditions. Four tests of resistance to change were conducted in each condition: prefeeding, full extinction, constant-component-only extinction, and response-independent food. Resistance to both prefeeding and full extinction in the constant component varied inversely with the reinforcement rate in the alternated component, but resistance to response-independent food did not. The extinction and response-independent food results were consistent with [J. Exp. Psychol.: Anim. Behav. Proc. 25 (1999) 256] behavioral momentum model. Maintaining reinforcement in the alternated component increased resistance to extinction in the constant component, as predicted by the behavioral momentum model but not accounts of multiple-schedule performance based on [J. Exp. Anal. Behav. 13 (1970) 243] equation. Overall, the momentum model gave a good account of the results with the exception of the prefeeding data. Possible ways to reconcile the prefeeding results with behavioral momentum theory are considered.

Two experiments asked whether resistance to change depended on variable-ratio as opposed to variable-interval contingencies of reinforcement and the different response rates they establish. In Experiment 1, pigeons were trained on multiple random-ratio random-interval schedules with equated reinforcer rates. Baseline response rates were disrupted by intercomponent food, extinction, and prefeeding. Resistance to change relative to baseline was greater in the interval component, and the difference was correlated with the extent to which baseline response rates were higher in the ratio component. In Experiment 2, pigeons were trained on multiple variable-ratio variable-interval schedules in one half of each session and on concurrent chains in the other half in which the terminal links corresponded to the multiple-schedule components. The schedules were varied over six conditions, including two with equated reinforcer rates. In concurrent chains, preference strongly overmatched the ratio of obtained reinforcer rates. In multiple schedules, relative resistance to response-independent food during intercomponent intervals, extinction, and intercomponent food plus extinction depended on the ratio of obtained reinforcer rates but was less sensitive than was preference. When reinforcer rates were similar, both preference and relative resistance were greater for the variable-interval schedule, and the differences were correlated with the extent to which baseline response rates were higher on the variable-ratio schedule, confirming the results of Experiment 1. These results demonstrate that resistance to change and preference depend in part on response rate as well as obtained reinforcer rate, and challenge the independence of resistance to change and preference with respect to response rate proposed by behavioral momentum theory.

Twelve pigeons responded on two keys under concurrent variable-interval (VI) schedules. Over several series of conditions, relative and absolute magnitudes of reinforcement were varied. Within each series, relative rate of reinforcement was varied and sensitivity of behavior ratios to reinforcer-rate ratios was assessed. When responding at both alternatives was maintained by equal-sized small reinforcers, sensitivity to variation in reinforcer-rate ratios was the same as when large reinforcers were used. This result was observed when the overall rate of reinforcement was constant over conditions, and also in another series of concurrent schedules in which one schedule was kept constant at VI ached 120 s. Similarly, reinforcer magnitude did not affect the rate at which response allocation approached asymptote within a condition. When reinforcer magnitudes differred between the two responses and reinforcer-rate ratios were varied, sensitivity of behavior allocation was unaffected although response bias favored the schedule that arranged the larger reinforcers. Analysis of absolute response rates ratio sensitivity to reinforcement occurrred on the two keys showed that this invariance of response despite changes in reinforcement interaction that were observed in absolute response rates on the constant VI 120-s schedule. Response rate on the constant VI 120-s schedule was inversely related to reinforcer rate on the varied key and the strength of this relation depended on the relative magnitude of reinforcers arranged on varied key. Independence of sensitivity to reinforcer-rate ratios from relative and absolute reinforcer magnitude is consistent with the relativity and independence assumtions of the matching law.

An outbreak of Serratia marcescens infections occurred in a university tertiary-care hospital. Alcohol-free chlorhexidine solutions were contaminated with S marcescens. The majority of patient and chlorhexidine strains had similar pulsed field-gel electrophoresis banding patterns. Chlorhexidine was recalled, and the rate of S marcescens isolation returned to baseline. Chlorhexidine without alcohol should not be used as an antiseptic.

Background: Stomal ulcer is a serious complication of gastrogastric fistula following Roux-en-Y gastric bypass for obesity., Study Design: A 1-8 year continuous followup of 499 patients with gastric bypass in continuity (GB) and isolated gastric bypass (IGB) documented the incidence of fistula formation, development of stomal ulcer, stimulation of acid production within the gastric pouch, and response to treatment., Results: In 123 GB patients, staple line disruption occurred in 36 (29%) and stomal ulcer occurred in 20 (16%). Gastrogastric fistula with stomal ulcer was significantly lower in 376 patients who underwent IGB, (ie, 11 patients [3%]). Significantly larger amounts of acid, a lower pH, and a greater time with a pH less than 2 were found in the gastric pouches of patients who developed stomal ulcer after Roux-en-Y gastric bypass. All patients had a perforated staple line. Successful closure of the staple line significantly decreased acid production and pH in the gastric pouch when tested before and after remedial operation with healing of stomal ulcers., Conclusions: Stomal ulcer after gastric bypass is the result of acid production in the bypassed stomach in the presence of a gastrogastric fistula. Separation of the gastric pouch from the main stomach decreases the incidence of fistula formation and stomal ulcer but does not eliminate it. Interposition of a well vascularized organ, the jejunum between the pouch and main stomach, is an attractive solution for patients who require remedial operations on the stomach and possibly for primary operations as well.

Six pigeons responded on two keys in each of three signalled multiple-schedule components, and resistance to disruption of responding on one (target) key by extinction and by response-independent food presented during inter-component blackouts was studied. Alternative reinforcement of different magnitudes was contingent on pecking a non-target key in two components, and in the third only the target response was reinforced. Resistance to change varied with the overall quantity of reinforcement in the component, regardless of whether reinforcers were contingent on the target or non-target response, but did not differ across the two key locations. These results using different magnitudes of reinforcement confirm previous findings using rate of reinforcement as the variable, and suggest that resistance to change is dependent on stimulus-reinforcer rather than response-reinforcer contingencies.

Objective: To determine the incidence of aspergillosis in patients with leukemia or bone marrow transplants during a construction-associated outbreak, and the effect of an environmental control program for Aspergillus., Design: Clinical, microbiological, and pathological records were reviewed retrospectively once the outbreak was appreciated, and prospectively thereafter, to determine the presence or absence of aspergillosis and duration of neutropenia., Setting: A university tertiary-care center with a single designated hematology-oncology unit., Patients: From January 1988 to September 1993, there were 141 patients with leukemia or bone marrow transplants identified as being neutropenic during 231 admissions to this specialized unit., Interventions: Installation of wall-mounted portable high-efficiency particulate air (HEPA)-filter air purifiers, application of copper-8-quinolinolate-formulated paint, replacement of perforated ceiling tiles with nonperforated type, sealing of all windows, replacement of horizontal, dust-accumulating blinds with vinyl, opaque, roller shades, and systematic and regular cleaning of surfaces., Results: Thirty-six cases of nosocomial aspergillosis were diagnosed during this period. The incidence density (ID) in the preconstruction period was 3.18 per 1,000 days at risk. During construction activity-before the implementation of a control strategy-the ID increased dramatically to 9.88 per 1,000 days at risk. With infection control measures implemented and continued construction work, the ID decreased to 2.91 per 1,000 days at risk, comparable to the preconstruction baseline rate., Conclusions: An environmental control strategy incorporating widely available technology may have played an important role in controlling this outbreak of construction-associated invasive aspergillosis.

Four pigeons responded on multiple schedules arranged on a "main" key in a two-key experimental chamber. A constant schedule component was alternated with another component that was varied over conditions. On an extra response key, conjoint schedules of reinforcement that operated in both components were arranged concurrently with the multiple schedule on the main key. On the main key, changes in reinforcement rate in the varied component were inversely related to changes in response rates in the constant component (behavioral contrast). On the extra key, some reinforcers were reallocated between components, depending on the schedules in effect on the main key in the varied component. In the varied component, the obtained rates of reinforcement on the extra key were inversely related to main-key reinforcement rate. In the constant component, extra-key reinforcer rates were positively related to main-key reinforcer rates obtained in the varied component, and were not a function of response rates on the extra key. In two comparisons, the rate at which components alternated and the value of the main-key schedule in the constant component were varied. Consistent with earlier work, long components reduced the extent of contrast. Reductions in contrast as a function of component duration were accompanied by similar reductions in the extent of reinforcer reallocation on the extra key. In the second comparison, lowering the rate of reinforcement in the constant component increased the rate at which extra-key reinforcers were obtained, reduced the extent of reinforcer reallocation, and reduced contrast. Overall, the results are consistent with the suggestion that some contrast effects are due to the changes in extraneous reinforcement during the constant component, and that manipulations of component duration, and manipulations of the rate of reinforcement in the constant component, affect contrast because they influence the extent of extraneous reinforcer real-location.

Behavioral momentum theory relates resistance to change of responding in a multiple-schedule component to the total reinforcement obtained in that component, regardless of how the reinforcers are produced. Four pigeons responded in a series of multiple-schedule conditions in which a variable-interval 40-s schedule arranged reinforcers for pecking in one component and a variable-interval 360-s schedule arranged them in the other. In addition, responses on a second key were reinforced according to variable-interval schedules that were equal in the two components. In different parts of the experiment, responding was disrupted by changing the rate of reinforcement on the second key or by delivering response-independent food during a blackout separating the two components. Consistent with momentum theory, responding on the first key in Part 1 changed more in the component with the lower reinforcement total when it was disrupted by changes in the rate of reinforcement on the second key. However, responding on the second key changed more in the component with the higher reinforcement total. In Parts 2 and 3, responding was disrupted with free food presented during intercomponent blackouts, with extinction (Part 2) or variable-interval 80-s reinforcement (Part 3) arranged on the second key. Here, resistance to change was greater for the component with greater overall reinforcement. Failures of momentum theory to predict short-term differences in resistance to change occurred with disruptors that caused greater change between steady states for the richer component. Consistency of effects across disruptors may yet be found if short-term effects of disruptors are assessed relative to the extent of change observed after prolonged exposure.

A 6-month course for training general practitioners (GPs) in surgical emergencies was developed and piloted in Ethiopia. The course was designed after an assessment of the surgical manpower needs in Ethiopia. Seven GPs were selected by the Ministry of Health (MOH) from rural hospitals that had no surgical specialists but had operating facilities. The course consisted of 1 week of lectures followed by 11 weeks each in obstetrics/gynaecology and general surgery. The GPs trained in district hospitals under the supervision of surgical specialists. Emphasis was placed on practical experience in managing a limited number of previously identified surgical emergencies. Follow up 9 months after completion of the course showed that five of the seven GPs had completed significant numbers of life saving procedures. Complications occurred largely in advanced disease. Difficulties remain with the recognition of the GPs' training and their supervision. We conclude that GPs can be trained to provide life saving surgery in a short training programme at a modest cost, but mechanisms for ensuring ongoing support need to be established.

This study examined the effects of medial septal (MS) and mammillary body (MB) radio-frequency lesions in an automated delayed-matching-to-sample (DMTS) procedure using lever-position stimuli and rats. Memory performance pre- and postsurgery was assessed with a negative exponential decay function fitted to bias-free measures of recognition. Part 1 showed that MS, but not MB or sham-control surgery, impaired DMTS performance. This impairment in the MS group was best characterized as an increase in the rate of forgetting. Part 2 examined the interaction between MS and MB lesion effects and proactive interference arising from responses made on the previous DMTS trial. The results indicated that proactive interference effects were similar for all groups. These results provide further support for the critical role of the MS region in memory function but indicate that damage to this brain region does not disrupt memory function through a heightened sensitivity to proactive interference.

Behavioral contrast and response-ratio sensitivity to reinforcement were compared in multiple schedules in which components alternated strictly or according to a pseudorandom sequence. Average component durations in the two regimes were always 60 s, and order of presentation of component alternation regimes was counterbalanced across subjects. In Part 1, the reinforcer rate in one component was reduced from 60 per hour to zero, while that in the other component was unchanged. Positive behavioral contrast occurred in the constant component in that response rates increased, but neither the reliability nor the magnitude of contrast was affected by the manner in which components alternated. Part 2 was similar, except that a number of different reinforcer rates were used in the varied component. Neither contrast nor sensitivity of response ratios to changes in reinforcer ratios depended on the regime of component alternation. Thus, the predictability in time of future reinforcement conditions, which is a feature of regular multiple scheduling, does not appear to be a determinant of multiple-schedule performance.

The Serial Position Effect (SPE) was studied in rats using 2 manipulations analogous to those that have been shown to decrease the recency effect but leave the primacy effect intact in human Ss. In Part 1, delays (5 s to 60 s) were imposed between exposure to a sequence of arms presented in a 12-arm radial maze and a subsequent test phase. In Part 2, the effect of free access to food in a short (10-s) delay was examined. The results from Parts 1 and 2 showed that the primacy and recency effects were differentially sensitive to the delay and events within it. In particular the recency effect was found to be more sensitive to disruption from these sources. The present demonstration of a reduction in recency with procedures analogous to those used with humans extends the evidence, suggesting that the SPE obtained in rats and humans is a similar phenomenon.

Occupational transmission of human immunodeficiency virus (HIV) in hospitals can be prevented with the use of 'blood and body substance precaution'. At the Royal Victoria Hospital, an infection control objective is to get employees automatically to use blood and body substance precaution with all patients--without relying on isolation signs. The concept of blood and body substance precaution was introduced in 1988 and simultaneously used with disease-specific signs. It was observed that disease-specific signs were mostly used to identify HIV-positive patients; this was verified under documented surveillance from July 7 to August 8, 1990, when 60 patients (14 HIV-positive and 46 whose HIV etiology was unknown) were observed. All 14 known HIV-positive patients were isolated with signs, while only four of 46 unknown HIV-positive patients (8.6%) had signs. The views of individual employees were subsequently studied via a questionnaire and results from this survey showed there was preference for isolating HIV-positive patients and identifying them with a sign.

Four pigeons responded in components of multiple schedules in which two responses were available and reinforced with food. Pecks on the left key ("main" key) were reinforced at a constant rate in one component and at a rate that varied over conditions in the other component. When reinforcer rate was varied, behavioral contrast occurred in the constant component. On the right key ("extra" key), five variable-interval schedules and one variable-ratio schedule, presented conjointly, arranged reinforcers for responses in all conditions. These conjoint schedules were common to both multiple-schedule components-rather than unique to particular components-and reinforcers from these schedules could therefore be arranged in one component and obtained during the other component. In this way, the additional reinforcers were analogous to the "extraneous" reinforcers thought to maintain behavior other than pecking in conventional multiple schedules. Response rate on the extra key did not change systematically over conditions in the constant component, and in the varied component extra responding was inversely related to main-key reinforcement. All subjects obtained more extra-key reinforcers in whichever component arranged fewer main-key reinforcers. Consistent with the theory that reallocation of extraneous reinforcers may cause behavioral contrast, absolute reinforcer rate for the extra key in the constant component was low in conditions that produced positive contrast on the main key and high in those that produced negative contrast. Also consistent with this theory, behavioral contrast was reduced in two conditions that canceled extra-key reinforcers that had been arranged but not obtained at the end of components. Thus, a constraint on reallocation markedly reduced the extent of contrast.

The effects of item position (the serial position effect: SPE) on the recognition of a list of arms presented in an 8-arm radial maze have not been shown to be robust across studies which differ in numbers of subjects, amount of training and task difficulty. The present study examined whether more robust SPEs could be obtained in rats with a 12-arm radial maze using a matching-to-sample serial probe recognition (SPR) procedure. In Part 1, 23 rats received extensive training on recognition of list of arms from a 5-arm list and, in Part 2, 20 rats received training with a 7-arm list. Both Parts 1 and 2 showed that a reliable and persistent SPE emerged due to superior recognition of items at the first and last serial positions compared with the middle positions. However, the SPE was more pronounced with the 7-arm than 5-arm list. It is argued that adequate task difficulty along with sufficient subject and trial numbers is necessary to produce a clear SPE. In Part 3, an alternative means of assessing accuracy derived from signal-detection theory is examined, and the procedural requirements for its use are identified. Although this measure did not alter the conclusions reached using percent correct, it is proposed that the bias-free measure, log d, is superior to traditional indices of memory performance which may obscure the presence of, or changes in, the SPE. The procedures used here provide a valuable means to produce clear, reliable and persistent SPEs. Such procedures are essential if researchers are to be confident about the effects of lesions or drugs upon list memory in their attempts to explore the neurological bases of memory and model human neurological disorders.

Two pigeons had access to multiple concurrent schedules of reinforcement for 24 hours per day in their home cages. The variable-interval schedules comprising the multiple concurrent schedules were varied across 16 conditions. In three sets of conditions, one schedule was varied while its concurrent alternative and the concurrent schedules in the other component were held constant. Behavioral contrast was observed; that is, as the rate of reinforcement arranged by the varied schedule decreased, response rates on the constant schedules typically increased. These conditions formed part of two larger sets of conditions in which the concurrent schedules in one multiple-schedule component remained constant while the concurrent schedules in the other component were varied. Successive independence was found, in that behavior allocation during the constant component did not vary as a function of the reinforcer ratios in the varied component. Successive independence between components in multiple concurrent schedules is a robust result that occurs in closed economies and under conditions that promote behavioral contrast.

Three experiments using multiple schedules of reinforcement explored the implications of resistance-to-change findings for the response-reinforcer relation described by the law of effect, using both steady-state responding and responding recorded in the first few sessions of conditions. In Experiment 1, when response-independent reinforcement was increased during a third component, response rate in Components 1 and 2 decreased. This response-rate reduction was proportionately greater in a component in which reinforcer magnitude was small (2-s access to wheat) than in the component in which it was large (6-s access to wheat). However, when reinforcer rates in the two components were varied together in Experiments 2 and 3, response-rate change was the same regardless of the magnitude of reinforcers used in the two components, so that sensitivity of response rates to reinforcer rates (Experiment 2) and of response-rate ratios to reinforcer-rate ratios (Experiment 3) was unaffected by the magnitude of the reinforcers. Therefore, the principles determining resistance to change, described by behavioral momentum theory, seem not to apply when the source of behavior change is the variation of reinforcement contingencies that maintain the behavior. The use of extinction as a manipulation to study resistance to change is questioned.

Allocation of responses between two keys was studied during two alternating multiple-schedule components. Responses were recorded in successive quarters of each component. Variable-interval reinforcer schedules on the two keys were constant throughout the experiment for one (constant) component and were varied over conditions on one key for the other, producing changes in reinforcer ratios for the varied component. Behavior allocation for the first quarter of the constant component was inversely related to varied-component reinforcer ratios, a form of local contrast, but this relationship was not observed later in the component. During the first quarter of the varied component, slopes of matching lines were high and decreased later in the component. It is argued that this form of local contrast cannot be explained in terms of reallocation of extraneous reinforcers between components, and that the matching law for concurrent operants does not capture some sources of control over behavior allocation. A simple extension of the matching law is offered that adequately describes behavior changes during both components. A version of this formulation can predict contrast effects in absolute response rates.

Diversity in a major merozoite surface antigen (MSA-1) of Plasmodium chabaudi has been examined using a panel of monoclonal antibodies (MoAbs). The antigen was found to be different in each of twelve cloned isolates, as shown by its reactivity with the MoAbs in immunofluorescence tests. In genetic crossing experiments, the diverse forms of this antigen were shown to be determined by allelic variation of a single gene. Recombination occurred between the MSA-1 gene, a second blood stage antigen and enzyme markers.

A clustering of Clostridium difficile-associated disease in a department of surgery prompted a program of infection control and the evaluation of contributing factors. Fifty patients had diarrhea and positive assays for C difficile cytotoxin during the study period. Twenty-one of the 36 cases that developed among patients admitted to the surgical services occurred on two adjacent general surgery wards that shared attending surgeons and house staff. Perioperative prophylactic antibiotics predated C difficile-associated disease in 20 patients, 12 of whom had short courses (less than 24 hours). Symptoms were typically nonspecific and early diagnosis may be difficult. Incidence remained high, despite infection control measures, until the coincidental closure of two surgical wards. Clostridium difficile-associated disease is a nosocomial infection that can be associated with short courses of prophylactic antibiotics. Recommendations regarding the use of perioperative prophylaxis should recognize C difficile-associated disease as a significant potential complication.

In multiple schedules of reinforcement, ratios of responses in successive components are relatively insensitive to ratios of obtained reinforcers. An analysis is proposed that attributes changes in absolute response rates to concurrent interactions between programmed reinforcement and extraneous reinforcement in other components. The analysis predicts that ratios of responses in successive components vary with reinforcer ratios, qualified by a term describing the reinforcement context, that is, programmed and extraneous reinforcers. Two main predictions from the analysis were confirmed in an experiment in which pigeons' responses were reinforced in the components of a multiple schedule and analog extraneous reinforcement was scheduled for an alternative response in each component. Sensitivity of response and time ratios to reinforcer ratios in the multiple schedules varied as a function of the rate of extraneous reinforcers. Bias towards responding in one component of the multiple schedule varied as an inverse function of the ratios of extraneous reinforcer rate in the two components. The data from this and previous studies of multiple-concurrent performance were accurately predicted by our analysis and supported our contention that the allocation of behavior in multiple-schedule components depends on the relative values of concurrently-available reinforcers within each component.