Integrative Genomic and Transcriptomic Profiling Reveals a Differential Molecular Signature in Uterine Leiomyoma versus Leiomyosarcoma.

The absence of standardized molecular profiling to differentiate uterine leiomyosarcomas versus leiomyomas represents a current diagnostic challenge. In this study, we aimed to search for a differential molecular signature for these myometrial tumors based on artificial intelligence. For this purpose, differential exome and transcriptome-wide research was performed on histologically confirmed leiomyomas ( = 52) and leiomyosarcomas ( = 44) to elucidate differences between and within these two entities.

Cytoreductive Surgery With or Without HIPEC After Neoadjuvant Chemotherapy in Ovarian Cancer: A Phase 3 Clinical Trial.

Background: Cytoreductive surgery (CRS) and administration of hyperthermic intraperitoneal chemotherapy (HIPEC) have shown their efficacy in multiple malignancies and also could offer a prognostic benefit for patients with advanced ovarian cancer.

Methods: A prospective, single-center, parallel-group, randomized phase 3 clinical trial analyzed patients with a diagnosis of carcinomatosis from ovarian cancer treated with neoadjuvant systemic chemotherapy (NACT). In this trial, 71 patients were randomized to receive CRS alone (36 patients) or CRS with HIPEC (35 patients) using cisplatin (75 mg/m for 60 min at 42 °C).

A Predictive Processing Account of Card Sorting: Fast Proactive and Reactive Frontoparietal Cortical Dynamics during Inference and Learning of Perceptual Categories.

For decades, a common assumption in cognitive neuroscience has been that prefrontal executive control is mainly engaged during target detection [Posner, M. I., & Petersen, S.

Fast fronto-parietal cortical dynamics of conflict detection and context updating in a flanker task.

Recent research has found that the traditional target P3 consists of a family of P3-like positivities that can be functionally and topographically dissociated from one another. The current study examined target N2 and P3-like subcomponents indexing conflict detection and context updating at low- and high-order levels in the neural hierarchy during cognitive control. Electroencephalographic signals were recorded from 45 young adults while they completed a hybrid go/nogo flanker task, and Residue Iteration Decomposition (RIDE) was applied to functionally dissociate these peaks.

Peritoneal Surface Disease Severity Score (PSDSS), AGO-score and TIAN model in patients with platinum-sensitive recurrent ovarian cancer treated by cytoreductive surgery plus HIPEC.

In patients with platinum sensitive recurrent ovarian cancer selected for a secondary cytoreduction, the use of prognostic scores allows predicting the possibilities of a new complete cytoreduction. The aim of this work is to evaluate the usefulness of PSDSSov, the AGO-score and the TIAN-model as prognostic tools in these patients. Sixty four patients with recurrent platinum sensitive ovarian cancer treated by cytoreduction and HIPEC were analyzed between January 2008 and December 2016.

Dynamic low frequency EEG phase synchronization patterns during proactive control of task switching.

Cognitive flexibility is critical for humans living in complex societies with ever-growing multitasking demands. Yet the low-frequency neural dynamics of distinct task-specific and domain-general mechanisms sub-serving mental flexibility are still ill-defined. Here we estimated phase electroencephalogram synchronization by using inter-trial phase coherence (ITPC) at the source space while twenty six young participants were intermittently cued to switch or repeat their perceptual categorization rule of Gabor gratings varying in color and thickness (switch task).

Functional Dissociation of Latency-Variable, Stimulus- and Response-Locked Target P3 Sub-components in Task-Switching.

Cognitive control warrants efficient task performance in dynamic and changing environments through adjustments in executive attention, stimulus and response selection. The well-known P300 component of the human event-related potential (ERP) has long been proposed to index "context-updating"-critical for cognitive control-in simple target detection tasks. However, task switching ERP studies have revealed both target P3 (300-350 ms) and later sustained P3-like potentials (400-1,200 ms) to first targets ensuing transition cues, although it remains unclear whether these target P3-like potentials also reflect context updating operations.

Fast Neural Dynamics of Proactive Cognitive Control in a Task-Switching Analogue of the Wisconsin Card Sorting Test.

One common assumption has been that prefrontal executive control is mostly required for target detection (Posner and Petersen in Ann Rev Neurosci 13:25-42, 1990). Alternatively, cognitive control has also been related to anticipatory updating of task-set (contextual) information, a view that highlights proactive control processes. Frontoparietal cortical networks contribute to both proactive control and reactive target detection, although their fast dynamics are still largely unexplored.

An information theory account of late frontoparietal ERP positivities in cognitive control.

ERP research on task switching has revealed distinct transient and sustained positive waveforms (latency circa 300-900 ms) while shifting task rules or stimulus-response (S-R) mappings. However, it remains unclear whether such switch-related positivities show similar scalp topography and index context-updating mechanisms akin to those posed for domain-general (i.e.

Multisubject Decomposition of Event-related Positivities in Cognitive Control: Tackling Age-related Changes in Reactive Control.

Age-related neurocognitive effects have been observed at different levels ranging from reduced amplitudes of even-related potentials and brain oscillations, to topography changes of brain activity. However, their association remains incompletely understood. We investigated time-frequency and time-course effects in functional networks underlying the P300 and their involvement in reactive control.

Contextually sensitive power changes across multiple frequency bands underpin cognitive control.

Flexible control of cognition bestows a remarkable adaptability to a broad range of contexts. While cognitive control is known to rely on frontoparietal neural architecture to achieve this flexibility, the neural mechanisms that allow such adaptability to context are poorly understood. In the current study, we quantified contextual demands on the cognitive control system via a priori estimation of information across three tasks varying in difficulty (oddball, go/nogo, and switch tasks) and compared neural responses across these different contexts.

A diffusion model analysis of developmental changes in children's task switching.

This study aimed to investigate the underlying processes of the development of cognitive flexibility between childhood and young adulthood. We performed a diffusion model analysis on the reaction time and accuracy data from four age groups (7-, 11-, 15-, and 21-year-olds), who performed a task-switching task. We decomposed the data into processes related to the reconfiguration of the cognitive system to a new goal (i.

EEG delta oscillations index inhibitory control of contextual novelty to both irrelevant distracters and relevant task-switch cues.

Delta oscillations contribute to the human P300 event-related potential evoked by oddball targets, although it is unclear whether they index contextual novelty (event oddballness, novelty P3, nP3), or target-related processes (event targetness, target P3b). To examine this question, the electroencephalogram (EEG) was recorded during a cued task-switching version of the Wisconsin card-sorting test. Each target card was announced by a tone cueing either to switch or repeat the task.

Bilinguals use language-control brain areas more than monolinguals to perform non-linguistic switching tasks.

We tested the hypothesis that early bilinguals use language-control brain areas more than monolinguals when performing non-linguistic executive control tasks. We do so by exploring the brain activity of early bilinguals and monolinguals in a task-switching paradigm using an embedded critical trial design. Crucially, the task was designed such that the behavioural performance of the two groups was comparable, allowing then to have a safer comparison between the corresponding brain activity in the two groups.

The effects of foreknowledge and task-set shifting as mirrored in cue- and target-locked event-related potentials.

The present study examined the use of foreknowledge in a task-cueing protocol while manipulating sensory updating and executive control in both, informatively and non-informatively pre-cued trials. Foreknowledge, sensory updating (cue switch effects) and task-switching were orthogonally manipulated in order to address the question of whether, and to which extent, the sensory processing of cue changes can partly or totally explain the final task switch costs. Participants responded faster when they could prepare for the upcoming task and if no task-set updating was necessary.

A latent variable approach to executive control in healthy ageing.

It is a well-established finding that the central executive is fractionated in at least three separable component processes: Updating, Shifting, and Inhibition of information (Miyake et al., 2000). However, the fractionation of the central executive among the elderly has been less well explored, and Miyake's et al.

The management of missed miscarriage in an outpatient setting: 800 versus 600 μg of vaginal misoprostol.

Background: Many misoprostol regimens have been used to treat early pregnancy loss as an alternative to surgical evacuation, with differing adverse event and success rates.

Aims: This study sought to compare the effectiveness and adverse effects of 800 and 600 μg of misoprostol administered vaginally for the treatment of early pregnancy failure in an outpatient setting.

Methods: A retrospective, observational study of 946 women with a missed miscarriage <12 weeks' gestation was performed: 487 women received 800 μg (group 1) and 459 women received 600 μg (group 2) of vaginal misoprostol every 24 h for two days.

Impaired preparatory re-mapping of stimulus-response associations and rule-implementation in schizophrenic patients--the role for differences in early processing.

An accurate representation of task-set information is needed for successful goal directed behavior. Recent studies point to disturbances in the early processing stages as plausible causes for task-switching deficits in schizophrenia. A task-cueing protocol was administered to a group of schizophrenic patients and compared with a sample of age-matched healthy controls.

Why are auditory novels distracting? Contrasting the roles of novelty, violation of expectation and stimulus change.

Past studies show that novel auditory stimuli, presented in the context of an otherwise repeated sound, capture participants' attention away from a focal task, resulting in measurable behavioral distraction. Novel sounds are traditionally defined as rare and unexpected but past studies have not sought to disentangle these concepts directly. Using a cross-modal oddball task, we contrasted these aspects orthogonally by manipulating the base rate and conditional probabilities of sound events.

The time course of the asymmetrical "local" switch cost: evidence from event-related potentials.

The goal of the study was to explore the time-course of the asymmetrical "local" switch cost observed in task switching. We investigated event-related potentials induced by cue and target processing when participants were engaged in a card-sorting switching task. Participants were instructed to match each card (target) following one of two possible task rules, the color or the form.

Dynamic neuroplasticity after human prefrontal cortex damage.

Memory and attention deficits are common after prefrontal cortex (PFC) damage, yet people generally recover some function over time. Recovery is thought to be dependent upon undamaged brain regions, but the temporal dynamics underlying cognitive recovery are poorly understood. Here, we provide evidence that the intact PFC compensates for damage in the lesioned PFC on a trial-by-trial basis dependent on cognitive load.

Individual differences in aging and cognitive control modulate the neural indexes of context updating and maintenance during task switching.

This study aimed to explore the combined influence of age and cognitive control on the behavioural and electrophysiological indicators of local, restart and mixing costs. Two groups of middle-aged (49-60 y.o.