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Navigating a dynamic world requires rapidly updating choices by integrating past experiences with new information. In hippocampus and prefrontal cortex, neural activity representing future goals is theorized to support planning. However, it remains unknown how prospective goal representations incorporate new, pivotal information. Accordingly, we designed a novel task that precisely introduces new information using virtual reality, and we recorded neural activity as mice flexibly adapted their planned destinations. We found that new information triggered increased hippocampal prospective representations of both possible goals; while in prefrontal cortex, new information caused prospective representations of choices to rapidly shift to the new choice. When mice did not flexibly adapt, prefrontal choice codes failed to switch, despite relatively intact hippocampal goal representations. Prospective code updating depended on the commitment to the initial choice and degree of adaptation needed. Thus, we show how prospective codes update with new information to flexibly adapt ongoing navigational plans.
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http://dx.doi.org/10.1101/2023.10.31.564814 | DOI Listing |
Nutr Clin Pract
September 2025
School of Biological, Health and Sports Sciences, Technological University Dublin, Dublin, Ireland.
Background: Esophagectomy causes anatomical changes that can lead to rapid food transit and reactive hypoglycemia (RH). Patients are advised on eating patterns postesophagectomy to prevent RH, but its true incidence and the impact of dietary recommendations remain under-researched.
Materials And Methods: Individuals >12 months postesophagectomy were recruited from the National Centre for Oesophageal and Gastric Cancer at St James's Hospital in Dublin, Ireland.
Pediatr Dermatol
September 2025
Department of Pediatrics, University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii, USA.
Background: There are no universally established guidelines for when pediatric EH warrants hospitalization or intravenous (IV) acyclovir over oral therapy. To address this lack of consensus, this study aimed to describe outcomes of outpatient oral acyclovir treatment in pediatric EH cases, including rates of disease exacerbation, hospitalizations, and complications.
Methods: We conducted a retrospective cohort review of pediatric patients under age 7 diagnosed with EH who presented to the pediatric emergency department (ED) between January 1, 2008, and December 31, 2022.
Neurology
September 2025
National Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD.
Background And Objectives: Vascular risk factors (VRFs) such as smoking, hypertension, obesity, and diabetes are associated with dementia, but their importance in Parkinson disease (PD) and PD-dementia (PDD) is less well understood. Previous studies demonstrated that smoking may be protective of PD, but its role in PDD is unclear. The primary objective was to examine the association between midlife VRFs and the risk of developing PD and PDD in older adults.
View Article and Find Full Text PDFCureus
August 2025
Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, TUR.
Objective The objective of this study is to compare guideline adherence between artificial intelligence (AI) models (Claude-3 (Anthropic, San Francisco, CA), DeepSeek-V2 (DeepSeek, Hangzhou, China), GPT-4 (OpenAI, San Francisco, CA)) and human experts in dyslipidemia management using standardized clinical scenarios based on 2019 European Society of Cardiology (ESC)/European Atherosclerosis Society (EAS) and 2021 ESC prevention guidelines. The study employed a comprehensive evaluation framework to capture the holistic nature of dyslipidemia management across multiple interconnected domains. Methods Thirty fictitious but clinically representative cases were developed by lipid specialists across five domains: cardiovascular risk assessment, lipid management, lifestyle modifications, pharmacotherapy, and special populations.
View Article and Find Full Text PDFWorld J Methodol
December 2025
Department of Internal Medicine, Hackensack Palisades Medical Center, North Bergen, NJ 07047, United States.
Background: Atrial fibrillation (AF) remains the most common cardiac arrhythmia. The safety of endoscopic retrograde cholangiopancreatography (ERCP) in patients with AF remains largely unknown.
Aim: To analyze the effect of AF on hospital outcomes in patients undergoing ERCP.