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People live in a continuous environment in which the visual scene changes on a slow timescale. It has been shown that to exploit such environmental stability, the brain creates a continuity field in which objects seen seconds ago influence the perception of current objects. What is unknown is whether a similar mechanism exists at the level of metacognitive representations. In three experiments, we demonstrated a robust intertask confidence leak-that is, confidence in one's response on a given task or trial influencing confidence on the following task or trial. This confidence leak could not be explained by response priming or attentional fluctuations. Better ability to modulate confidence leak predicted higher capacity for metacognition as well as greater gray matter volume in the prefrontal cortex. A model based on normative principles from Bayesian inference explained the results by postulating that observers subjectively estimate the perceptual signal strength in a stable environment. These results point to the existence of a novel metacognitive mechanism mediated by regions in the prefrontal cortex.
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http://dx.doi.org/10.1177/0956797615595037 | DOI Listing |
Langenbecks Arch Surg
September 2025
Department of Surgery (A), Medical Faculty, Heinrich-Heine-University, University Hospital Duesseldorf, Duesseldorf, Germany.
Introduction: Remote ischaemic preconditioning (RIPC) which consists of repeated brief episodes of non-lethal limb ischaemia is associated with organ protection and improved clinical outcomes through complex pathophysiological pathways. The aim of this meta-analysis was to evaluate the postoperative effects of RIPC in bowel recovery and surgical morbidity after colorectal surgery.
Methods: In strict adherence to the PRISMA guidelines, a systematic literature search was performed for studies comparing the postoperative effect RIPC in colorectal surgery.
Resuscitation
September 2025
Ruhr University Bochum, Medical Faculty of Ruhr University Bochum, Universitätstraße 150, 44801 Bochum, Germany; University Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Medicine, Johannes Wesling Klinikum Minden, Ruhr University Bochum, Hans-Nolte-Straße 1, 3
Background: This study aimed to evaluate the efficacy of Chest-Compression-Synchronized-Ventilation (CCSV) using supraglottic airway devices (SGA) compared to tracheal intubation (TI) for ventilation during continuous resuscitation.
Methods: In this cross-over study, the lungs of adult Thiel-embalmed cadavers were initially recruited using TI. Subsequently, various SGA (Laryngeal-Mask=Ambu®AuraGain™, Laryngeal-Tube=LTS-D®, i-gel-Laryngeal-Mask=I-GEL®) and TI were applied in randomized order during continuous chest compressions.
J Surg Res
September 2025
Faculty of Medicine, Agha Khan University Hospital, Karachi, Sindh, Pakistan.
Introduction: Anastomotic leakage is a serious complication after colorectal surgery. Indocyanine green fluorescence angiography (ICG-FA) allows real-time perfusion assessment and may reduce leak rates; however, recent larger randomized clinical trials reported conflicting results. This meta-analysis aimed to clarify the effectiveness of ICG-FA in reducing anastomotic leakage and related complications following minimally invasive colorectal surgery.
View Article and Find Full Text PDFIntroduction: Surgical resection, with or without neoadjuvant therapy, remains the primary treatment for oesophageal cancer. The two main surgical approaches are open oesophagectomy (OE) and hybrid minimally invasive oesophagectomy (HMIE). However, their relative safety and efficacy remain controversial.
View Article and Find Full Text PDFSurg Endosc
September 2025
Department of Surgery, West Virginia University School of Medicine, Suite 7500 HSS, PO Box 9238, Morgantown, WV, WV 26506-9238, USA.
Introduction: Fluorescence-guided surgery employs a near-infrared emitting dye or light source to enhance intraoperative visualization. This study reports the first-in-human application of the Endolumik fluorescence-guided calibration tube (EGCT) during laparoscopic sleeve gastrectomy (SG) and gastric bypass (GB).
Methods: Under IRB approval (NCT05486325), two surgeons performed 21 laparoscopic SG and 10 GB procedures using EGCT.