Perioperative Pain Management for Thoracic Surgery: A Multi-Layered Approach.

Cardiothoracic surgeries frequently pose unique challenges in the management of perioperative acute pain that require a multifaceted and personalized approach in order to optimize patient outcomes. This article discusses various analgesic strategies including regional anesthesia techniques such as thoracic epidurals, erector spinae plane blocks, and serratus anterior plane blocks and underscores the significance of perioperative multimodal medications, while providing nuanced recommendations for their use. This article further attempts to provide evidence for the efficacy of the different modalities and compares the effectiveness of the choice of analgesia.

Sport-Specific AMCaMP: New Modular Tools for Measuring Adolescent Self-Confidence In Sport-Specific Movement.

Background: Despite increasing interest in psychological factors that affect the impact of self-efficacy on readiness to return to play, few clinical tools are available to assess self-confidence in performing sports-specific movement patterns in the pediatric/adolescent population.

Hypothesis/purpose: The purpose of this study was to test the psychometric properties of sports-specific modules to supplement a general measure of movement self-efficacy, the Adolescent Measure of Confidence and Movement Performance (AMCaMP).

Study Design: Quasi-experimental cross-sectional validation.

Li and Atick's theory of efficient binocular coding: A tutorial and mini-review.

Li and Atick (Network: Computation in Neural Systems 5 (1994) 157-174) presented a theory of efficient binocular encoding that explains a number of experimental findings. A binocular neuron is conventionally described in terms of two channels: the left and right eyes. Li and Atick's theory instead describes the neuron in terms of two alternative channels: the binocular sum and difference.

Lineup identification in young and older witnesses: does describing the criminal help or hinder?

The world population is getting older and, as a result, the number of older victims of crime is expected to increase. It is therefore essential to understand how ageing affects eyewitness identification, so procedures can be developed that enable victims of crime of all ages to provide evidence as accurately and reliably as possible. In criminal investigations, witnesses often provide a description of the perpetrator of the crime before later making an identification.

Stereoscopic depth adaptation from binocularly correlated versus anti-correlated noise: Test of an efficient coding theory of stereopsis.

Stereoscopic, or "3D" vision in humans is mediated by neurons sensitive to the disparities in the positions of objects in the two eyes' views. A disparity-sensitive neuron is typically characterized by its responses to left- and right-eye monocular signals, S and S, respectively. However, it can alternatively be characterized by sensitivity to the sum of the two eyes' inputs, S = S + S, and the difference, S = S - S.

Face perception inherits low-level binocular adaptation.

In previous work (May & Zhaoping, 2016; May, Zhaoping, & Hibbard, 2012), we have provided evidence that the visual system efficiently encodes binocular information using separately adaptable binocular summation and differencing channels. In that work, binocular test stimuli delivered different grating patterns to the two binocular channels; selective adaptation of one of the binocular channels made participants more likely to see the other channel's grating pattern. In the current study, we extend this paradigm to face perception.

THE ADOLESCENT MEASURE OF CONFIDENCE AND MUSCULOSKELETAL PERFORMANCE (AMCAMP): DEVELOPMENT AND INITIAL VALIDATION.

Background: Although the relationship of self-efficacy to sports performance is well established, little attention has been paid to self-efficacy in the movements or actions that are required to perform daily activities and prepare the individual to resume sports participation following an injury and associated period of rehabilitation. There are no instruments to measure self-confidence in movement validated in an adolescent population.

Purpose: The purpose of this paper is to report on the development of the AMCaMP, a self-report measure of confidence in movement and provide some initial evidence to support its use as a measure of confidence in movement.

Efficient Coding Theory Predicts a Tilt Aftereffect from Viewing Untilted Patterns.

The brain is bombarded with a continuous stream of sensory information, but biological limitations on the data-transmission rate require this information to be encoded very efficiently [1]. Li and Atick [2] proposed that the two eyes' signals are coded efficiently in the brain using mutually decorrelated binocular summation and differencing channels; when a channel is strongly stimulated by the visual input, such that sensory noise is negligible, the channel should undergo temporary desensitization (known as adaptation). To date, the evidence for this theory has been limited [3, 4], and the binocular differencing channel is missing from many models of binocular integration [5-10].

Inefficiency of orientation averaging: Evidence for hybrid serial/parallel temporal integration.

Intuition suggests that increased viewing time should allow for the accumulation of more visual information, but scant support for this idea has been found in studies of voluntary averaging, where observers are asked to make decisions based on perceived average size. In this paper we examine the dynamics of information accrual in an orientation-averaging task. With orientation (unlike intensive dimensions such as size), it is relatively safe to use an item's physical value as an approximation for its average perceived value.

Micheli Anterior Cruciate Ligament Reconstruction in Skeletally Immature Youths: A Retrospective Case Series With a Mean 3-Year Follow-up.

Background: The management of anterior cruciate ligament (ACL) tears in the skeletally immature patient remains controversial. Outcomes on a physeal-sparing technique using the iliotibial band for combined intra-articular and extra-articular ACL reconstruction, called the Micheli technique, have been described and reported by the original authors.

Purpose: To evaluate the clinical outcomes of a physeal-sparing technique using the iliotibial band for combined intra-articular and extra-articular ACL reconstruction.

Connecting psychophysical performance to neuronal response properties II: Contrast decoding and detection.

The purpose of this article is to provide mathematical insights into the results of some Monte Carlo simulations published by Tolhurst and colleagues (Clatworthy, Chirimuuta, Lauritzen, & Tolhurst, 2003; Chirimuuta & Tolhurst, 2005a). In these simulations, the contrast of a visual stimulus was encoded by a model spiking neuron or a set of such neurons. The mean spike count of each neuron was given by a sigmoidal function of contrast, the Naka-Rushton function.

Connecting psychophysical performance to neuronal response properties I: Discrimination of suprathreshold stimuli.

One of the major goals of sensory neuroscience is to understand how an organism's perceptual abilities relate to the underlying physiology. To this end, we derived equations to estimate the best possible psychophysical discrimination performance, given the properties of the neurons carrying the sensory code.We set up a generic sensory coding model with neurons characterized by their tuning function to the stimulus and the random process that generates spikes.

One "shape" fits all: the orientation bandwidth of contour integration.

The ability of human participants to integrate fragmented stimulus elements into perceived coherent contours (amidst a field of distracter elements) has been intensively studied across a large number of contour element parameters, ranging from luminance contrast and chromaticity to motion and stereo. The evidence suggests that contour integration performance depends on the low-level Fourier properties of the stimuli. Thus, to understand contour integration, it would be advantageous to understand the properties of the low-level filters that the visual system uses to process contour stimuli.

Contour extracting networks in early extrastriate cortex.

Neurons in the visual cortex process a local region of visual space, but in order to adequately analyze natural images, neurons need to interact. The notion of an ‘‘association field’’ proposes that neurons interact to extract extended contours. Here, we identify the site and properties of contour integration mechanisms.

Pediatric sports specific return to play guidelines following concussion.

Purpose/background: In 2010, the American Academy of Pediatrics officially adopted the recommended return to play guidelines proposed by the International Conference on Concussion in Sport. The guidelines include a six-step process that provides structure to guide an athlete who is recovering from a concussion in a gradual return to play (RTP) by allowing participation in increasingly difficult physical activities. Unfortunately, the guidelines fail to take into account the variability that occurs within different sports and the resulting challenges medical professionals face in making sure each athlete is able to withstand the rigors of their specific sport, without return of symptoms.

Four theorems on the psychometric function.

In a 2-alternative forced-choice (2AFC) discrimination task, observers choose which of two stimuli has the higher value. The psychometric function for this task gives the probability of a correct response for a given stimulus difference, Δx. This paper proves four theorems about the psychometric function.

Optimal edge filters explain human blur detection.

Edges are important visual features, providing many cues to the three-dimensional structure of the world. One of these cues is edge blur. Sharp edges tend to be caused by object boundaries, while blurred edges indicate shadows, surface curvature, or defocus due to relative depth.

Pattern masking: the importance of remote spatial frequencies and their phase alignment.

To assess the effects of spatial frequency and phase alignment of mask components in pattern masking, target threshold vs. mask contrast (TvC) functions for a sine-wave grating (S) target were measured for five types of mask: a sine-wave grating (S), a square-wave grating (Q), a missing fundamental square-wave grating (M), harmonic complexes consisting of phase-scrambled harmonics of a square wave (Qp), and harmonic complexes consisting of phase-scrambled harmonics of a missing fundamental square wave (Mp). Target and masks had the same fundamental frequency (0.