Population level inference for multivariate MEG analysis

Multivariate analysis is a very general and powerful technique for analysing Magnetoencephalography (MEG) data. An outstanding problem however is how to make inferences that are consistent over a group of subjects as to whether there are condition-specific differences in data features, and what are those features that maximise these differences. Here we propose a solution based on Canonical Variates Analysis (CVA) model scoring at the subject level and random effects Bayesian model selection at the group level. We apply this approach to beamformer reconstructed MEG data in source space. CVA estimates those multivariate patterns of activation that correlate most highly with the experimental design; the order of a CVA model is then determined by the number of significant canonical vectors. Random effects Bayesian model comparison then provides machinery for inferring the optimal order over the group of subjects. Absence of a multivariate dependence is indicated by the null model being the most likely. This approach can also be applied to CVA models with a fixed number of canonical vectors but supplied with different feature sets. We illustrate the method by identifying feature sets based on variable-dimension MEG power spectra in the primary visual cortex and fusiform gyrus that are maximally discriminative of data epochs before versus after visual stimulation

Clinical effectiveness and cost-effectiveness of cognitive behavioural therapy as an adjunct to pharmacotherapy for treatment-resistant depression in primary care: the CoBalT randomised controlled trial

Background: Only one-third of patients with depression respond fully to treatment with antidepressant medication. However, there is little robust evidence to guide the management of those whose symptoms are 'treatment resistant'.<p></p> Objective: The CoBalT trial examined the clinical effectiveness and cost-effectiveness of cognitive behavioural therapy (CBT) as an adjunct to usual care (including pharmacotherapy) for primary care patients with treatment-resistant depression (TRD) compared with usual care alone.<p></p> Design: Pragmatic, multicentre individually randomised controlled trial with follow-up at 3, 6, 9 and 12 months. A subset took part in a qualitative study investigating views and experiences of CBT, reasons for completing/not completing therapy, and usual care for TRD.<p></p> Setting: General practices in Bristol, Exeter and Glasgow, and surrounding areas.<p></p> Participants: Patients aged 18-75 years who had TRD [on antidepressants for 6 weeks, had adhered to medication, Beck Depression Inventory, 2nd version (BDI-II) score of 14 and fulfilled the International Classification of Diseases and Related Health Problems, Tenth edition criteria for depression]. Individuals were excluded who (1) had bipolar disorder/psychosis or major alcohol/substance abuse problems; (2) were unable to complete the questionnaires; or (3) were pregnant, as were those currently receiving CBT/other psychotherapy/secondary care for depression, or who had received CBT in the past 3 years.<p></p> Interventions: Participants were randomised, using a computer-generated code, to usual care or CBT (12-18 sessions) in addition to usual care.<p></p> Main outcome measures: The primary outcome was 'response', defined as 50% reduction in depressive symptoms (BDI-II score) at 6 months compared with baseline. Secondary outcomes included BDI-II score as a continuous variable, remission of symptoms (BDI-II score of < 10), quality of life, anxiety and antidepressant use at 6 and 12 months. Data on health and social care use, personal costs, and time off work were collected at 6 and 12 months. Costs from these three perspectives were reported using a cost-consequence analysis. A cost-utility analysis compared health and social care costs with quality adjusted life-years.<p></p> Results: A total of 469 patients were randomised (intervention: n = 234; usual care: n = 235), with 422 participants (90%) and 396 (84%) followed up at 6 and 12 months. Ninety-five participants (46.1%) in the intervention group met criteria for 'response' at 6 months compared with 46 (21.6%) in the usual-care group {odds ratio [OR] 3.26 [95% confidence interval (CI) 2.10 to 5.06], p < 0.001}. In repeated measures analyses using data from 6 and 12 months, the OR for 'response' was 2.89 (95% CI 2.03 to 4.10, p < 0.001) and for a secondary 'remission' outcome (BDI-II score of < 10) 2.74 (95% CI 1.82 to 4.13, p < 0.001). The mean cost of CBT per participant was £910, the incremental health and social care cost £850, the incremental QALY gain 0.057 and incremental cost-effectiveness ratio £14,911. Forty participants were interviewed. Patients described CBT as challenging but helping them to manage their depression; listed social, emotional and practical reasons for not completing treatment; and described usual care as mainly taking medication.<p></p> Conclusions: Among patients who have not responded to antidepressants, augmenting usual care with CBT is effective in reducing depressive symptoms, and these effects, including outcomes reflecting remission, are maintained over 12 months. The intervention was cost-effective based on the National Institute for Health and Care Excellence threshold. Patients may experience CBT as difficult but effective. Further research should evaluate long-term effectiveness, as this would have major implications for the recommended treatment of depression.<p></p&gt

Working memory replay prioritizes weakly attended events

One view of working memory posits that maintaining a series of events requires their sequential and equal mnemonic replay. Another view is that the content of working memory maintenance is prioritized by attention. We decoded the dynamics for retaining a sequence of items using magnetoencephalography, wherein participants encoded sequences of three stimuli depicting a face, a manufactured object, or a natural item and maintained them in working memory for 5000 ms. Memory for sequence position and stimulus details were probed at the end of the maintenance period. Decoding of brain activity revealed that one of the three stimuli dominated maintenance independent of its sequence position or category; and memory was enhanced for the selectively replayed stimulus. Analysis of event-related responses during the encoding of the sequence showed that the selectively replayed stimuli were determined by the degree of attention at encoding. The selectively replayed stimuli had the weakest initial encoding indexed by weaker visual attention signals at encoding. These findings do not rule out sequential mnemonic replay but reveal that attention influences the content of working memory maintenance by prioritizing replay of weakly encoded events. We propose that the prioritization of weakly encoded stimuli protects them from interference during the maintenance period, whereas the more strongly encoded stimuli can be retrieved from long-term memory at the end of the delay period

Importance of cattle biodiversity and its influence on the nutrient composition of beef

Livestock make a substantial contribution to achieving food and nutrition security due to various factors including the high nutritional quality of animal-source foods. Conservation and sustainable use of cattle genetic resources are important due to the multiple benefits provided by local breeds. These benefits include multiple direct uses, additional market value provided by specialty products, social and cultural roles, and adaptations that local breeds have to climate and diseases in harsh environments. Meat composition varies across cattle breeds. Whereas genetics play a role in this variation, management practices, such as diet, and other environmental factors also affect nutrient composition. Compositional data for cattle breeds have been added to the FAO/INFOODS Food Composition Database for Biodiversity. The database is publicly available and has value for use by researchers, nutritionists, producers, the general public and other stakeholders. More compositional data, including amino acids, minerals, and vitamins, are needed from local breeds in order to understand better the nutritional benefits of sustainably managing animal genetic resources

Sex, Sexual Orientation, and Sexual Victimization as Predictors of Suicidality among U.S. High School Students: Results from the 2015 Youth Risk Behavior Survey

Introduction: In 2015, suicide was the second leading cause of death among youth aged 15-24 years old in the United States. In the U.S., data shows substantial gender differences in suicidality reporting. Yet, it is unknown if these gender differences in suicidality reporting remain among certain high-risk groups. Aim: The purpose of this study is to 1) examine if there are gender differences in reported suicidal ideation and behaviors among U.S. high school students; 2) assess if any initially observed gender differences remain across sexual orientations and among those with previous history of sexual victimization among a nationally representative sample of U.S. high school students using results from the 2015 Youth Risk Behavior Survey (YRBS). Methods: Data from the 2015 YRBS was used to conduct secondary analyses (N = 15,624). Bivariate and multivariate logistic regressions were performed using SAS 9.4 statistical software to determine if there were significant gender differences in reported suicidal ideation and behaviors (consideration, planning, attempt, injurious attempt). Results: Sex, sexual orientation and sexual victimization were significantly associated with all four suicide outcomes of interest. Compared to males, heterosexual/straight and gay or lesbian females had significantly increased odds of suicide consideration. Moreover, when compared to males, females that had ever experienced sexual victimization had significantly increased odds of suicide consideration and planning compared to male peers. Conclusion: There were significant gender differences observed for suicidality when sex alone was considered. Hence, more targeted messaging is necessary to ensure all sub-populations at risk are being effectively reached

How Educators Can Increase and Improve Family Involvement in Mathematics Homework

In order to explore the role of parental involvement in mathematics learning, this paper will begin by presenting a profile of a fifth-grade student, here called “Amber,” at an urban K-8 public elementary school in Northwest Ohio who was observed during mathematics class throughout the 2017-2018 school year. Amber’s academic performance, the role her family plays in her education, and their interactions with educators all are described below. Amber’s achievement will be defined through both in-class and homework grades. The amount and quality of assistance she receives from family members during mathematics homework is also discussed, with the goal of determining ways that family involvement in mathematics homework can be improved for this particular student. The goal is to explore the implications and conclusions which can be drawn from this example, with the aim of exploring how family involvement in mathematics homework can be increased and improved.

The dependence of AGN activity on stellar and halo mass in Semi-Analytic Models

AGN feedback is believed to play an important role in shaping a variety of observed galaxy properties, as well as the evolution of their stellar masses and star formation rates. In particular, in the current theoretical paradigm of galaxy formation, AGN feedback is believed to play a crucial role in regulating the levels of activity in galaxies, in relatively massive halos at low redshift. Only in recent years, however, has detailed statistical information on the dependence of galaxy activity on stellar mass, parent halo mass and hierarchy has become available. In this paper, we compare the fractions of galaxies belonging to different activity classes (star-forming, AGN and radio active) with predictions from four different and independently developed semi-analytical models. We adopt empirical relations to convert physical properties into observables (H_alpha emission lines, OIII line strength and radio power). We demonstrate that all models used in this study reproduce the overall distributions of galaxies belonging to different activity classes as a function of stellar mass and halo mass: star forming galaxies and the strongest radio sources are preferentially associated with low-mass and high-mass galaxies/halos respectively. However, model predictions differ from observational measurements in a number of ways. All models used in our study predict that almost every >1.e12 Msun dark matter halo and/or >1.e11 Msun galaxy should host a bright radio source, while only a small fraction of galaxies belong to this class in the data. In addition, radio brightness is expected to depend strongly on the mass of the parent halo mass in the models, while strong and weak radio galaxies are found in similar environments in data. Our results highlight that the distribution of AGN as a function of stellar mass provides one of the most promising discriminants between different gas accretion schemes.Comment: 15 pages; 8 figures; 1 table; updated to match MNRAS accepted versio

Immunization expands B cells specific to HIV-1 V3 glycan in mice and macaques.

Broadly neutralizing monoclonal antibodies protect against infection with HIV-1 in animal models, suggesting that a vaccine that elicits these antibodies would be protective in humans. However, it has not yet been possible to induce adequate serological responses by vaccination. Here, to activate B cells that express precursors of broadly neutralizing antibodies within polyclonal repertoires, we developed an immunogen, RC1, that facilitates the recognition of the variable loop 3 (V3)-glycan patch on the envelope protein of HIV-1. RC1 conceals non-conserved immunodominant regions by the addition of glycans and/or multimerization on virus-like particles. Immunization of mice, rabbits and rhesus macaques with RC1 elicited serological responses that targeted the V3-glycan patch. Antibody cloning and cryo-electron microscopy structures of antibody-envelope complexes confirmed that immunization with RC1 expands clones of B cells that carry the anti-V3-glycan patch antibodies, which resemble precursors of human broadly neutralizing antibodies. Thus, RC1 may be a suitable priming immunogen for sequential vaccination strategies in the context of polyclonal repertoires

Creating Connection through Dance/Movement Therapy among Older Adults with Dementia: Development of a Method

The purpose of this thesis is to examine the use of Dance/movement therapy (D/MT) with a focus on sensory stimulation among individuals living with dementia to promote a higher level of engagement, connection, and reminiscence. This thesis will provide a literature review on the challenges that individuals living with dementia experience and the importance of a person-centered approach to care that is grounded in relationship (Newman-Bluestein & Chang, 2017). Additionally, the role that Dance/movement therapy plays among people with dementia and the benefits of sensory stimulation within this population are also included. Finally, a Dance/movement therapy intervention that was implemented at an affordable housing community in the Boston area among a diverse, low-income group of older adults with mild to severe dementia in February and March 2020 will be presented. A Chacian structure was implemented with a focus on touch through the use of props, hand holding, and self-massage, as well as stimulation through music, encouraging reminiscence. The observations indicated valuable benefits for group participants, confirming a need for further research to be conducted on the benefits of D/MT among this specific population

Clinical effectiveness and cost-effectiveness of cognitive behavioural therapy as an adjunct to pharmacotherapy for treatment-resistant depression in primary care: the CoBalT randomised controlled trial

Background: Only one-third of patients with depression respond fully to treatment with antidepressant medication. However, there is little robust evidence to guide the management of those whose symptoms are 'treatment resistant'.<p></p> Objective: The CoBalT trial examined the clinical effectiveness and cost-effectiveness of cognitive behavioural therapy (CBT) as an adjunct to usual care (including pharmacotherapy) for primary care patients with treatment-resistant depression (TRD) compared with usual care alone.<p></p> Design: Pragmatic, multicentre individually randomised controlled trial with follow-up at 3, 6, 9 and 12 months. A subset took part in a qualitative study investigating views and experiences of CBT, reasons for completing/not completing therapy, and usual care for TRD.<p></p> Setting: General practices in Bristol, Exeter and Glasgow, and surrounding areas.<p></p> Participants: Patients aged 18-75 years who had TRD [on antidepressants for 6 weeks, had adhered to medication, Beck Depression Inventory, 2nd version (BDI-II) score of 14 and fulfilled the International Classification of Diseases and Related Health Problems, Tenth edition criteria for depression]. Individuals were excluded who (1) had bipolar disorder/psychosis or major alcohol/substance abuse problems; (2) were unable to complete the questionnaires; or (3) were pregnant, as were those currently receiving CBT/other psychotherapy/secondary care for depression, or who had received CBT in the past 3 years.<p></p> Interventions: Participants were randomised, using a computer-generated code, to usual care or CBT (12-18 sessions) in addition to usual care.<p></p> Main outcome measures: The primary outcome was 'response', defined as 50% reduction in depressive symptoms (BDI-II score) at 6 months compared with baseline. Secondary outcomes included BDI-II score as a continuous variable, remission of symptoms (BDI-II score of < 10), quality of life, anxiety and antidepressant use at 6 and 12 months. Data on health and social care use, personal costs, and time off work were collected at 6 and 12 months. Costs from these three perspectives were reported using a cost-consequence analysis. A cost-utility analysis compared health and social care costs with quality adjusted life-years.<p></p> Results: A total of 469 patients were randomised (intervention: n = 234; usual care: n = 235), with 422 participants (90%) and 396 (84%) followed up at 6 and 12 months. Ninety-five participants (46.1%) in the intervention group met criteria for 'response' at 6 months compared with 46 (21.6%) in the usual-care group {odds ratio [OR] 3.26 [95% confidence interval (CI) 2.10 to 5.06], p < 0.001}. In repeated measures analyses using data from 6 and 12 months, the OR for 'response' was 2.89 (95% CI 2.03 to 4.10, p < 0.001) and for a secondary 'remission' outcome (BDI-II score of < 10) 2.74 (95% CI 1.82 to 4.13, p < 0.001). The mean cost of CBT per participant was £910, the incremental health and social care cost £850, the incremental QALY gain 0.057 and incremental cost-effectiveness ratio £14,911. Forty participants were interviewed. Patients described CBT as challenging but helping them to manage their depression; listed social, emotional and practical reasons for not completing treatment; and described usual care as mainly taking medication.<p></p> Conclusions: Among patients who have not responded to antidepressants, augmenting usual care with CBT is effective in reducing depressive symptoms, and these effects, including outcomes reflecting remission, are maintained over 12 months. The intervention was cost-effective based on the National Institute for Health and Care Excellence threshold. Patients may experience CBT as difficult but effective. Further research should evaluate long-term effectiveness, as this would have major implications for the recommended treatment of depression.<p></p&gt