We apply the methodology of no-go theorems as developed in physics to the question of artificial consciousness. The result is a no-go theorem which shows that under a general assumption, called dynamical relevance, Artificial Intelligence (AI) systems that run on contemporary computer chips cannot be conscious. Consciousness is dynamically relevant, simply put, if, according to a theory of consciousness, it is relevant for the temporal evolution of a system's states.
View Article and Find Full Text PDFRecent activities in virtually all fields engaged in consciousness studies indicate early signs of a structural turn, where verbal descriptions or simple formalisations of conscious experiences are replaced by structural tools, most notably mathematical spaces. My goal here is to offer three comments that, in my opinion, are essential to avoid misunderstandings in these developments early on. These comments concern metaphysical premises of structural approaches, the viability of structure-preserving mappings, and the question of what a structure of conscious experience is in the first place.
View Article and Find Full Text PDFThis publication is linked to the following EFSA Supporting Publications articles: http://onlinelibrary.wiley.com/doi/10.
View Article and Find Full Text PDFDepression is a common and debilitating mental illness associated with sadness and negativity and is often comorbid with other psychiatric conditions, such as schizophrenia. Depressive symptoms are presently primarily assessed through clinical interviews, however there are other behavioural indicators being investigated as more objective methods of depressive symptom assessment. The present study aimed to evaluate the utility of assessing depression using quantitative speech parameters by comparing speech between 23 schizophrenia/schizoaffective patients with clinically significant depressive symptoms (DP) 19 schizophrenia/schizoaffective patients without depressive symptoms (NDP) and 22 healthy controls with no psychiatric history (HC).
View Article and Find Full Text PDFAnorexia and fasting are host adaptations to acute infection, and induce a metabolic switch towards ketogenesis and the production of ketone bodies, including β-hydroxybutyrate (BHB). However, whether ketogenesis metabolically influences the immune response in pulmonary infections remains unclear. Here we show that the production of BHB is impaired in individuals with SARS-CoV-2-induced acute respiratory distress syndrome (ARDS) but not in those with influenza-induced ARDS.
View Article and Find Full Text PDFTransverse aortic constriction (TAC) is a model that mimics pressure overload-induced left ventricular (LV) hypertrophy in mice. Alterations in immune cell functionality can promote cardiac and vascular remodeling. In the present study, we characterized the time course in innate immune cell dynamics in response to TAC in the different tissues of mice.
View Article and Find Full Text PDFBackground: The microinvasive nature of suprafascial myxofibrosarcoma reduces the accuracy of intraoperative margin assessment, and tumor bed resections after soft-tissue reconstruction are unreliable. In 2017, we began temporizing the excised tumor bed with a wound VAC, delaying soft-tissue coverage until final negative margins were achieved. We compare the oncologic/surgical outcomes of suprafascial myxofibrosarcomas managed with VAC temporization (VT) with single-stage excision/reconstruction (SS).
View Article and Find Full Text PDFPrevious research shows that earlier age of onset of epilepsy and larger antiepileptic drug (AED) load are related to cognitive impairment and lower quality of life in patients with epilepsy. However, there has been a discrepancy in the specific cognitive domains that are affected and whether AED load is a significant contributor to the cognitive impairment. This study aimed to examine (a) the specific cognitive domains that are affected by age of epilepsy onset and (b) the effects of AED treatment and age of onset on cognition and quality of life.
View Article and Find Full Text PDFThe search for a scientific theory of consciousness should result in theories that are falsifiable. However, here we show that falsification is especially problematic for theories of consciousness. We formally describe the standard experimental setup for testing these theories.
View Article and Find Full Text PDFThe CX3CL1/CX3CR1 axis mediates recruitment and extravasation of CX3CR1-expressing subsets of leukocytes and plays a pivotal role in the inflammation-driven pathology of cardiovascular disease. The cardiac immune response differs depending on the underlying causes. This suggests that for the development of successful immunomodulatory therapy in heart failure due to chronic pressure overload induced left ventricular (LV) hypertrophy, the underlying immune patterns must be examined.
View Article and Find Full Text PDFIn recent years, promising mathematical models have been proposed that aim to describe conscious experience and its relation to the physical domain. Whereas the axioms and metaphysical ideas of these theories have been carefully motivated, their mathematical formalism has not. In this article, we aim to remedy this situation.
View Article and Find Full Text PDFUtilize a national pediatric database to assess whether hospital characteristics such as location, teaching status, ownership, or size impact the performance of pediatric digit replantation following traumatic digit amputation in the United States. The Kid's Inpatient Database (KID) was used to query pediatric traumatic digit amputations between 2000 and 2012. Ownership (private and public), teaching status (teaching and non-teaching), location (urban and rural), hospital type (general and children's), and size (large and small-medium) characteristics were evaluated.
View Article and Find Full Text PDFRecently, it has been claimed that Integrated Information Theory and other theories of its type cannot explain consciousness ("unfolding argument"). We unravel this argument mathematically and prove that the premises of the argument imply a much stronger result according to which the observed problem holds for almost all theories of consciousness. We find, however, that one of the premises is unwarranted and show that if this premise is dropped, the argument ceases to work.
View Article and Find Full Text PDFBackground: There is a paucity of literature that examines how patient-reported outcomes correspond to early radiographic progression of thumb carpometacarpal (CMC) osteoarthritis (OA). This study examines how Australian/Canadian Osteoarthritis Hand Index (AUSCAN) and Patient-Rated Hand and Wrist Evaluation (PRWHE) scores change over 36 months in subjects with early CMC OA.
Methods: Ninety-one subjects with symptomatic early thumb CMC OA were enrolled.
J Am Acad Orthop Surg
August 2020
Introduction: The incidence of geriatric ankle fractures is rising. With the substantial variation in the physiologic and functional status within this age group, our null hypothesis was that mortality and complications of open reduction and internal fixation (ORIF) between patients who are aged 65 to 79 are equivalent to ORIF in patients who are aged 80 to 89.
Methods: Patients with ankle fracture were identified using the International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes.
Hand surgeons in the United States commonly perform ligament reconstruction and tendon interposition (LRTI) to address debilitating thumb carpometacarpal arthritis. The objective of this investigation was to examine the characteristics that place patients at risk for unanticipated inpatient admission after a planned outpatient LRTI. The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) datasets from years 2009 to 2016 were used to identify patients with a primary Current Procedural Terminology code for LRTI (25445, 25447).
View Article and Find Full Text PDFFrom 18-21 September 2018, EFSA hosted its third Scientific Conference on Science, Food and Society in Parma, Italy. This paper summarises the overall recommendations on future actions and research priorities of the conference and complements the earlier multi-authored papers in this issue. The conference started and closed with the plenary sessions 'where science meets society: putting risk assessment in context' and 'staying relevant in a changing world', respectively.
View Article and Find Full Text PDFThe Scientific Committee confirms that the Threshold of Toxicological Concern (TTC) is a pragmatic screening and prioritisation tool for use in food safety assessment. This Guidance provides clear step-by-step instructions for use of the TTC approach. The inclusion and exclusion criteria are defined and the use of the TTC decision tree is explained.
View Article and Find Full Text PDFSepsis is associated with a strong inflammatory reaction triggering a complex and prolonged immune response. Septic patients have been shown to develop sustained immunosuppression due to a reduced responsiveness of leukocytes to pathogens. Changes in cellular metabolism of leukocytes have been linked to this phenomenon and contribute to the ongoing immunological derangement.
View Article and Find Full Text PDFBackground: Animal models have been used for decades to simulate human fractures in the laboratory setting. Fracture models in mice are attractive because they offer a high volume, relatively low-cost method of investigating fracture healing characteristics. We report on the development of a novel murine femur fracture model that is rapid, reproducible and inexpensive.
View Article and Find Full Text PDFIntroduction: Patient selection for outpatient total shoulder arthroplasty (TSA) is important to optimizing patient outcomes. This study aims to develop a machine learning tool that may aid in patient selection for outpatient total should arthroplasty based on medical comorbidities and demographic factors.
Methods: Patients undergoing elective TSA from 2011 to 2016 in the American College of Surgeons National Surgical Quality Improvement Program were queried.
Orthop Rev (Pavia)
September 2019
There is a growing demand for evidence- based practices and informed clinical decision making supported by reliable, high-quality research. The aim of the study is to analyze trends in the level of evidence of publications and to evaluate the publication characteristics that influence the quality of research in This is a comprehensive publication assessment that reviews and analyses all studies published in TSJ from the years 2005, 2007, 2009, 2011, 2013, and 2015. Level of evidence, study type, funding source, author country, author department, number of citations were considered as the outcome measures.
View Article and Find Full Text PDFBackground: Clavicle fractures are a very common injury due to accidental trauma, specifically during athletics. The purpose of this study was (1) to determine the incidence of clavicle fractures presenting to United States emergency departments; (2) to compare the rate of clavicle injuries from 2012 to 2015 to 2002-2005 (3) to determine the most common mechanisms of injury for clavicle fractures.
Methods: The National Electronic Injury Surveillance System (NEISS) was queried for the years --.