Background:
Angiotensin
receptor
blockade
(ARB)
has
been
linked
to
aspects
of
aversive
learning
and
memory
formation,
the
prevention
post-traumatic
stress
disorder
symptom
development.
Methods:
We
investigate
influence
ARB
losartan
on
Pavlovian
conditioning
using
a
probabilistic
paradigm.
In
double-blind,
randomised
placebo-controlled
design,
we
tested
45
(18
female)
healthy
volunteers
during
Baseline
session,
after
application
or
placebo
(Drug
session)
Follow-up
session.
On
each
participants
engaged
in
task
where
they
had
predict
probability
an
electrical
stimulation
every
trial
while
true
shock
contingencies
repeatedly
switched
between
phases
high
low
threat.
Computational
reinforcement
models
were
used
dynamics.
Results:
Acute
administration
significantly
reduced
participants’
adjustment
both
low-to-high
high-to-low
threat
changes.
This
was
driven
by
rates
group
drug
session
compared
baseline.
The
50mg
dose
did
not
induce
reduction
blood
pressure
change
reaction
times,
ruling
out
general
attention
engagement.
Decreased
expectations
maintained
follow
up
24hrs
later.Conclusions:
study
shows
that
acutely
reduces
environments.
Such
decreased
may
explain
previously
reported
preventive
role
development
anxiety
symptoms.
A
key
goal
within
computational
psychiatry
is
to
identify
mechanisms
underpinning
symptom
dimensions
that
cut
across
diagnostic
categories.
Complex,
naturalistic,
situations,
such
as
the
inference
of
others’
mental
states
and
how
act
accordingly
(e.g.,
social
interactions),
a
common
junction
at
which
health
symptoms
emerge.
Such
patterns
may
reflect
breakdown
fundamental
processes
ordinarily
underpin
these
behaviours,
with
use
flexible
goal-directed
decision-making
being
prime
candidate.
Here,
we
used
validated,
naturalistic
threat
task
assess
in
complex
interactive
decision
problems.
Participants
(n=1025)
completed
this
alongside
battery
self-report
measures
neurodevelopmental
characteristics.
By
performing
hierarchical
dimensionality
reduction
on
measures,
found
behaviour
was
most
clearly
associated
fine-grained
dimensions,
where
higher
scores
an
inattentive/neurodevelopmental
dimension
predicted
more
accurate
inferences
externalising
poorer
performance.
Using
modelling,
show
associations
are
mediated
by
degree
individuals
make
about
predator’s
behaviour.
Our
results
suggest
traits
manifest
complex,
environments
result
from
alterations
mechanisms.
Journal of Medical Education and Curricular Development,
Journal Year:
2024,
Volume and Issue:
11
Published: Jan. 1, 2024
Artificial
intelligence
(AI)
with
its
diverse
domains
such
as
expert
systems
and
machine
learning
already
has
multiple
potential
applications
in
medicine.
Based
on
the
latest
developments
multifaceted
field
of
AI,
it
will
play
a
pivotal
role
medicine,
high
transformative
areas,
including
drug
development,
diagnostics,
patient
care
monitoring.
In
pharmaceutical
industry
AI
is
also
rapidly
gaining
crucial
role.
The
introduction
innovative
medicines
requires
profound
background
knowledge
means
communication.
This
drives
us
to
intensively
engage
topic
medical
education,
which
becoming
more
demanding
due
dynamic
landscape,
among
other
things,
accelerated
even
by
digitalization
AI.
Therefore,
we
argue
for
incorporation
AI-based
tools
methods
personalized
learning,
diagnostic
pathways,
data
analysis,
prepare
healthcare
professionals
evolving
landscape
medicine
support
fluency
dealing
regular
contact
various
(Learning
AI).
Understanding
AI's
vast
caveats
well
basic
how
works
should
be
an
important
part
education
ensure
that
physicians
can
effectively
responsibly
leverage
their
daily
practice
scientific
communication
about
Striking
a
balance
between
individual
and
social
learning
is
one
of
the
key
capabilities
that
support
adaptation
under
uncertainty.
Although
intergenerational
transmission
information
ubiquitous,
little
known
about
when
how
newcomers
switch
from
loyally
preceding
models
to
exploring
independently.
Using
behavioral
experiment,
we
investigated
available
demonstrator
affects
timing
becoming
independent
performance
thereafter.
Participants
worked
on
30-armed
bandit
task
for
100
trials.
For
first
15
trials,
participants
simply
observed
choices
who
had
accumulated
more
knowledge
environment
passively
received
rewards
demonstrator’s
choices.
Thereafter,
could
making
at
any
time.
We
three
conditions
differing
in
demonstrator:
choice
only,
reward
or
both.
Results
showed
both
participants’
strategies
stop
observational
their
patterns
after
independence
depended
information.
generally
failed
make
best
use
previously
subsequent
choices,
suggesting
importance
direct
communication
beyond
passive
observation
better
Implications
cultural
evolution
are
discussed.
Acting
intelligently
in
complex
environments
poses
a
challenging
learning
problem:
faced
with
many
different
situations
and
possible
actions,
how
do
people
learn
which
action
to
take
each
situation?
While
traditional
laboratory-based
experiments
have
been
used
study
specific
mechanisms,
these
often
employ
relatively
simple
tasks
conducted
over
short
period
of
time.
Thus,
it
is
unclear
what
extent
mechanisms
are
the
significantly
more
temporally
extended
encounter
their
everyday
lives.
To
understand
processes
by
policies
guide
decisions,
we
investigate
opening
strategies
novice
online
chess
players
first
months
play.
We
use
large
data
set
consisting
2,499,783
games,
providing
us
necessary
scale
explore
setting.
In
particular,
focus
on
two
types
learning:
reinforcement
learning,
or
from
rewards
given
repeated
experiences,
social
actions
others.
show
that
players’
choices
modulated
both
game
outcomes
observing
opponents’
they
exhibit
important
hallmarks
adaptive
decision-making
such
as
exploration
expertise.
Our
results
provide
evidence
sophisticated
algorithms
naturalistic
strategic
behavior.
Recent
advances
in
the
computational
dynamics
of
planning
and
state
inference
from
interdisciplinary
field
reinforcement
learning
offer
rich
opportunities
for
insights
into
repetitive
negative
thinking
(RNT),
specifically
rumination
worry.
In
this
perspective,
we
apply
key
principles
meta-reasoning
to
provide
a
normative
foundation
clinical
phenomena
associated
with
RNT,
including
excessive
focus
on
potential
events,
impact
overly
abstract
thinking,
perpetuation
RNT
over
time.
We
explore
how
these
factors
may
contribute
clinically
relevant
behavioral
outcomes
such
as
avoidance.
propose
two
algorithmic
accounts
RNT:
worry-as-planning
rumination-as-inference,
where
agents
learn
through
mentally
simulating
states
actions.
Furthermore,
discuss
algorithms
can
be
viewed
cognitive
actions
subject
selection,
learning,
reinforcement.
This
integration
opens
avenues
innovative
approaches
understanding
intervening
maladaptive
thought
patterns,
ultimately
advancing
treatment
RNT-related
conditions.
Frontiers in Endocrinology,
Journal Year:
2024,
Volume and Issue:
15
Published: Dec. 23, 2024
Introduction
The
Sequential
Organ
Failure
Assessment
(SOFA)
score
is
a
widely
utilized
clinical
tool
for
evaluating
the
severity
of
organ
failure
in
critically
ill
patients
and
assessing
their
condition
prognosis
intensive
care
unit
(ICU).
Research
has
demonstrated
that
higher
SOFA
scores
are
associated
with
poorer
outcomes
these
patients.
However,
predictive
value
acute
kidney
injury
(AKI),
common
complication
diabetic
ketoacidosis
(DKA),
remains
uncertain.
Therefore,
this
study
aims
to
investigate
relationship
between
incidence
AKI
DKA.
Methods
population
was
divided
into
two
groups
based
on
median
(Q1:
≤3;
Q2:
>3).
primary
endpoint
Secondary
endpoints
included
renal
replacement
therapy
(RRT)
utilization
in-hospital
mortality.
Kaplan–Meier
survival
analysis,
Cox
proportional
hazards
models,
logistic
regression
models
were
employed
assess
association
therisk
Results
Overall,
626
DKA
study,
which
335
(53%)
male.
analysis
experienced
significantly
increased
cumulative
incidences
AKI,
rates
RRT
utilization,
elevated
Furthermore,
after
adjusting
confounding
factors,
analyses
confirmed
remained
Conclusions
Our
indicates
high
an
independent
risk
predictor
occurrence
RRT,
mortality
sofa
can
be
as
biomarker
patient
population.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 16, 2024
Abstract
Humans
must
weigh
various
factors
when
choosing
between
competing
courses
of
action.
In
case
eye
movements,
for
example,
a
recent
study
demonstrated
that
the
human
oculomotor
system
trades
off
temporal
costs
movements
against
their
perceptual
benefits,
visual
search
targets.
Here,
we
compared
such
trade-offs
different
effectors.
Participants
were
shown
displays
with
targets
and
distractors
from
two
stimulus
sets.
each
trial,
they
chose
which
target
to
for,
and,
after
finding
it,
discriminated
feature.
Targets
differed
in
(how
many
target-similar
shown)
discrimination
difficulty.
rewarded
or
penalized
based
on
whether
target’s
feature
was
correctly.
Additionally,
participants
given
limited
time
complete
trials.
Critically,
inspected
items
either
by
only
manual
actions
(tapping
stylus
tablet).
Results
show
traded
difficulty
both
effectors,
allowing
them
perform
close
predictions
an
ideal
observer
model.
However,
behavioral
analysis
computational
modelling
revealed
performance
more
strongly
constrained
decision-noise
(what
choose)
sampling-noise
information
sample
during
search)
than
search.
We
conclude
trade-off
accuracy
constitutes
general
mechanism
optimize
decision-making,
regardless
effector
used.
slow-paced
are
robust
detrimental
influence
noise,
fast-paced
movements.
New
&
Noteworthy
trade
benefits
decision-making.
Is
this
effector-specific
does
it
constitute
decision-making
principle?
investigated
question
contrasting
tablet)
task.
found
evidence
costs-benefits
however,
compromised
noise
at
levels