No Evidence for an Influence of Grammatical Number in Two-Digit Magnitude and Place-Value Processing in Adults

Numerous studies revealed effects of some linguistic properties like inversion or reading/writing direction on number processing. However, it remains more controversial, whether influences at a syntactic level, such as singular vs. plural form associated with certain numbers, can also influence magnitude and place-value processing and vice versa. In this study, we investigated for the first time in a classical two-digit number comparison task whether grammatical number also affects magnitude and place-value processing (and vice versa). To do so, we used a peculiarity of the Polish language, where the inflection of a verb depends on the unit digit of a number (singular for 25-29, 35-39, etc. and plural for 22-24, 32-34, etc.). This systematic pattern allows the manipulation of congruency between grammatical number and magnitude information, both on an item and a response level (i.e., the grammatical number is either compatible or incompatible to the magnitude information or the response side). We observed no significant interference effects, neither between grammatical number (i.e., associated singular/ plural inflection of the number) and magnitude information, nor between grammatical number and the response side. Model comparisons revealed that models without grammatical number, could explain our data best. Hence, grammatical number did not contribute to the explanation of the data beyond unit-decade compatibility, distance effect and SNARC effect and, thus, seems to be negligible in two-digit number comparison. Task characteristics, which might contribute to this finding are discussed.

Isavuconazole Treatment in a Mixed Patient Cohort with Invasive Fungal Infections: Outcome, Tolerability and Clinical Implications of Isavuconazole Plasma Concentrations

Isavuconazole (ISA) is a triazole antifungal agent recommended for treatment of invasive aspergillosis or mucormycosis. The objective of this study was to evaluate ISA levels in a real world setting in a mixed patient cohort including patients with non-malignant diseases and extracorporeal treatments, and to correlate findings with efficacy and safety outcomes. We investigated 33 ISA treatment courses in 32 adult patients with hematological and other underlying diseases and assessed the clinical response, side effects and ISA trough plasma concentrations. ISA treatment led to complete and partial response in 87% of patients and was well tolerated. The median ISA plasma concentration was 3.05 µg/mL (range 1.38–9.1, IQR 1.93–4.35) in patients without renal replacement therapy (RRT) or extracorporeal membrane oxygenation (ECMO) and significantly lower in patients with RRT including cases with additional ECMO or Cytosorb® adsorber therapy (0.88 µg/mL, range 0.57–2.44, IQR 0.71–1.21). After exclusion of values obtained from four patients with ECMO or Cytosorb® adsorber the median concentration was 0.91 µg/mL (range 0.75–2.44, IQR 0.90–1.36) in the RRT group. In addition to previous recommendations we propose to monitor ISA trough plasma concentrations in certain circumstances including RRT, other extracorporeal treatments and obesity.

Interference Between Number Magnitude and Parity

Interference between number magnitude and other properties can be explained by either an analogue magnitude system interfering with a continuous representation of the other properties or by discrete, categorical representations in which the corresponding number and property categories interfere. In this study, we investigated whether parity, a discrete property which supposedly cannot be stored on an analogue representation, could interfere with number magnitude. We found that in a parity decision task the magnitude interfered with the parity, highlighting the role of discrete representations in numerical interference. Additionally, some participants associated evenness with large values, while others associated evenness with small values, therefore, a new interference index, the dual index was introduced to detect this heterogeneous interference. The dual index can be used to reveal any heterogeneous interference that were missed in previous studies. Finally, the magnitude-parity interference did not correlate with the magnitude-response side interference (Spatial-Numerical Association of Response Codes [SNARC] effect) or with the parity-response side interference (Markedness Association of Response Codes [MARC] effect), suggesting that at least some of the interference effects are not the result of the stimulus property markedness.

Pharmacogenomics: A focus on antidepressants and atypical antipsychotics

The study of pharmacogenomics is rapidly growing, particularly in the field of mental health. Understanding pharmacogenomic principles can be a challenge for many clinicians. Most mental health genomic data concentrates on variability (response, side effects) with antidepressants and atypical antipsychotics. Current pharmacogenomic practice and research primarily focuses on two areas: pharmacodynamics and pharmacokinetics. Based on the current literature, genetic polymorphisms of pharmacodynamics and pharmacokinetics parameters likely influence medication efficacy, therefore affecting the therapeutic benefit. Additionally, certain pharmacodynamic and pharmacokinetic polymorphisms have been linked to an elevated risk of side effects and adverse events with these medications. In this review, specific pharmacodynamic and pharmacokinetic polymorphisms related to antidepressants and atypical antipsychotics will be discussed, as well as the potential clinical effect these genomic abnormalities have within psychiatric care.

TMS over M1 Reveals Expression and Selective Suppression of Conflicting Action Impulses

Goal-directed action control comes into play when selecting between competing action alternatives. Response capture reflects the susceptibility of the motor system to incitement by task-irrelevant action impulses; the subsequent selective suppression of incorrect action impulses aims to counteract response capture and facilitate the desired response. The goal of this experiment was to clarify physiological mechanisms of response capture and suppression of action impulses during conflict at the level of the motor system. We administered single-pulse TMS at various intervals preceding speeded choice responses. The correct response side was designated by stimulus color, whereas stimulus location (which could match or conflict with response side) was to be ignored. TMS pulses triggered motor evoked potential and silent period, providing sensitive indices of cortico-spinal excitation and inhibition. Motor evoked potential data showed the typical progressive increase in cortico-spinal motor excitability leading up to the imminent (correct) response, which started earlier on nonconflict than on conflict trials. On conflict trials, the irrelevant stimulus location captured the incorrect response, as expressed by an early and transient rise in excitability. Silent period data showed that, already early during the response process, inhibition of the incorrect response was stronger for conflict than for nonconflict trials. Furthermore, inhibition decreased over time for nonconflict trials facilitating the imminent correct response while maintaining higher levels of inhibition on conflict trials. In conclusion, dynamic patterns of cortico-spinal excitability provide unique physiological evidence for the expression and selective suppression of action impulses captured by competing action alternatives.