Unaltered ethical standards for individual physicians in the face of drastically reduced resources resulting from an improvised nuclear device event

When disaster disrupts healthcare and other systems, the ethical allocation of resources should follow principles of justice, defined as fairness, established for normal clinical practice. Standards of clinical practice may be altered during disaster, but ethical standards must remain centered on prioritizing the treatment of patients according to need and the effectiveness of treatment. Should resources become extremely limited, it is fair to restrict their use to patients who have the highest needs, provided that the intervention is effective. When resources become more available, patients with lower priority can be increasingly accommodated.     

Social media and interpersonal relationships: for better or worse?

Social media challenge--or have already redefined--conventional boundaries of public and private, personal and professional, friendship, and social relations generally. Here, I consider how these developments may affect professionalism, the physician-patient relationship, and our cultural experiences in a wholly different and unexpected way.     

Measuring strategic control in artificial grammar learning

In response to concerns with existing procedures for measuring strategic control over implicit knowledge in artificial grammar learning (AGL), we introduce a more stringent measurement procedure. After two separate training blocks which each consisted of letter strings derived from a different grammar, participants either judged the grammaticality of novel letter strings with respect to only one of these two grammars (pure-block condition), or had the target grammar varying randomly from trial to trial (novel mixed-block condition) which required a higher degree of conscious flexible control. Random variation in the colour and font of letters was introduced to disguise the nature of the rule and reduce explicit learning. Strategic control was observed both in the pure-block and mixed-block conditions, and even among participants who did not realise the rule was based on letter identity. This indicated detailed strategic control in the absence of explicit learning.     

Human memory reconsolidation can be explained using the temporal context model

Recent work by Hupbach, Gomez, Hardt, and Nadel (Learning & Memory, 14, 47–53, 2007) and Hupbach, Gomez, and Nadel (Memory, 17, 502–510, 2009) suggests that episodic memory for a previously studied list can be updated to include new items, if participants are reminded of the earlier list just prior to learning a new list. The key finding from the Hupbach studies was an asymmetric pattern of intrusions, whereby participants intruded numerous items from the second list when trying to recall the first list, but not viceversa. Hupbach et al. (2007; 2009) explained this pattern in terms of a cellular reconsolidation process, whereby first-list memory is rendered labile by the reminder and the labile memory is then updated to include items from the second list. Here, we show that the temporal context model of memory, which lacks a cellular reconsolidation process, can account for the asymmetric intrusion effect, using well-established principles of contextual reinstatement and item–context binding.     

Consolidation and long-term retention of an implanted behavioral memory

Hypothesized circuitry enabling information storage can be tested by attempting to implant memory directly in the brain in the absence of normal experience. Previously, we found that tone paired with activation of the cholinergic nucleus basalis (NB) does induce behavioral memory that shares cardinal features with natural memory; it is associative, highly specific, rapidly formed, consolidates and shows intermediate retention. Here we determine if implanted memory also exhibits long-term consolidation and retention. Adult male rats were first tested for behavioral responses (disruption of ongoing respiration) to tones (1-15 kHz), yielding pre-training behavioral frequency generalization gradients. They next received 3 days of training with a conditioned stimulus (CS) tone (8.0 kHz, 70 dB, 2s) either paired (n=7) or unpaired (n=6) with moderate electrical stimulation of the nucleus basalis (～ 65 μA, 100 Hz, 0.2s, co-terminating with CS offset). Testing for long-term retention was performed by obtaining post-training behavioral frequency generalization gradients 24h and 2 weeks after training. At 24h post-training, the Paired group exhibited specific associative behavioral memory, manifested by larger responses to the CS frequency band than the Unpaired group. This memory was retained 2 weeks post-training. Moreover, 2 weeks later, the specificity and magnitude of memory had become greater, indicating that the implanted memory had undergone consolidation. Overall, the results demonstrate the validity of NB-implanted memory for understanding natural memory and that activation of the cholinergic nucleus basalis is sufficient to form natural associative memory.     

The role of overt attention in emotion-modulated memory

The presence of emotional stimuli results in a central/peripheral tradeoff effect in memory: memory for central details is enhanced at the cost of peripheral items. It has been assumed that emotion-modulated differences in memory are the result of differences in attention, but this has not been tested directly. The present experiment used eye movement monitoring as an index of overt attention allocation and mediation analysis to determine whether differences in attention were related to subsequent memory. Participants viewed negative and neutral scenes surrounded by three neutral objects and were then given a recognition memory test. The results revealed evidence in support of a central/peripheral tradeoff in both attention and memory. However, contrary with previous assumptions, whereas attention partially mediated emotion-enhanced memory for central pictures, it did not explain the entire relationship. Further, although centrally presented emotional stimuli led to decreased number of eye fixations toward the periphery, these differences in viewing did not contribute to emotion-impaired memory for specific details pertaining to the periphery. These findings suggest that the differential influence of negative emotion on central versus peripheral memory may result from other cognitive influences in addition to overt visual attention or on postencoding processes.     

A Priestly Approach to Environmental Theology: Learning to Receive and Give Again the Gifts of Creation

Abstract : A priestly sensibility is here presented as a way to characterize humanity's place in creation. Sacrifice, asceticism, and gratitude are described as three distinct and practical modalities of a priestly life that contribute to the care and celebration of creation. While a priestly understanding is often associated with Orthodox environmental theology, it has the potential to inform environmental theology broadly construed.     

Measuring “intuition” in the SRT generation task

We address some concerns related to the use of post-trial attribution judgments, originally developed for artificial grammar learning (AGL), during the version of the serial reaction time (SRT) task used by Fu, Dienes, and Fu (2010). In particular, intuition attributions, which are central to Fu et al.’s arguments, seem problematic: This attribution is likely to be made when stimuli contain several competing sources of information to which subjective feelings could be attributed. The interpretation of intuition attributions in Fu et al.’s SRT generation task is problematic because the procedure involved a 2-element sequence where items varied only in position. In our view, responses categorised as intuitions might have been a variety of guess response where neither judgement knowledge nor structural knowledge were conscious. The results would then be compatible with previous findings showing that people can control the use of unconscious structural knowledge even when judgement knowledge is unconscious.