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Movement preparation and motor intention.

This paper addresses the functional anatomy of movement representation. We have used associative visuomotor tasks with instructed delays to elicit motor preparatory activity. We regard such activity, when independent from transient stimulus-locked responses, as a likely candidate for the neural basis of movement representation (M. Jeannerod, The Cognitive Neuroscience of Action. Blackwell, Oxford, 1997). In a first event-related fMRI experiment, we found that preparing to move according to arbitrary visuomotor associations relies not only on parietofrontal circuitry, but also on portions of the posterior superior temporal sulcus. In a separate behavioral experiment, we discarded the hypothesis that such activities were confounded by working memory processes. In a second imaging experiment, we have further defined the relative contributions of these parietal, premotor, and temporal areas to the preparatory process and their involvement in motor representations. We conclude that posterior parietal cortex is interested in evaluating the potential motor significance of sensory stimuli, irrespectively of the likelihood of providing a response ("motor intention"). Conversely, preparatory activity in frontal premotor regions appears to be a function of the probability of a subsequent movement. Finally, on the basis of the present and published data, we suggest that posterior temporal cortex might be involved in the extraction of contextual and intentional cues during goal-oriented behavior.

Attention↗

Factors influencing intention to obtain a genetic test for colon cancer risk: a population-based study.

BACKGROUND: The availability of genetic testing for cancer risk has prompted an examination of the intention of the general public to undergo testing. This study expands a previous psychosocial model of factors influencing intention to undergo genetic testing for cancer in general to the context of colon cancer. METHODS: A sample of 1,836 adult residents of Vermont, New Hampshire, and Maine were interviewed via telephone. The survey instrument included measures derived from the Health Belief Model and additional psychosocial measures adapted from the literature. Structural Equation Modeling techniques were used to examine factors associated with the likelihood to undergo genetic testing. RESULTS: Perceived barriers and benefits of testing, and perceived susceptibility to colon cancer had direct associations with likelihood. Optimism and pessimism had both direct and indirect effects. Age, socioeconomic status, family history, and awareness of genetic testing had indirect effects, and acted through the other factors. The model explained 22% of the variance in likelihood. CONCLUSIONS: Perceived barriers, benefits, susceptibility, optimism, and pessimism directly influenced likelihood, and may also mediate the effect of background factors examined in this study. These findings suggest effective educational strategies to improve decision-making concerning genetic testing for colon cancer risk in the general population.

Adult↗

Self, intentionality, and immunological explanation.

In this paper I propose that there are a number of conceptual reasons to preserve self-concepts in immunology. First, I contend that immunological language, including self-terminology, is neither genuinely anthropomorphic, nor perniciously teleological. Furthermore, although teleology associated with future-directed purposive intent is clearly inappropriate in biological contexts, a special type of teleology, intentionality-as-aboutness, needs to be present if there is to be functional explanation in immunology. Second, based on an analogy with the human self, a self comprised of both non-specific innate functions and somatic self-representation, I claim that self-terminology is very appropriate in immunological contexts. Finally, given the appropriateness of self-concepts in immunology, I suggest that the most satisfactory conceptual structure for self-nonself discrimination probably includes both innate and somatic mechanisms.

Humans↗

Lip muscle reflex and intentional response levels in a simple speech task.

Sensorimotor integration in human lip muscle was studied by recording muscle activity while subjects produced simple speech utterances in response to mechanical stimulation. On each trial subjects were instructed either to produce the syllable "pa" or not respond when they detected movement of a small paddle held between the lips. Mechanical stimuli were adequate to elicit reflexes over poststimulus intervals of 15-30 ms (R1) and 30-50 ms (R2). EMG recordings were obtained from upper and lower lip muscles, and EMG levels were calculated for individual trials over several poststimulus time intervals. The independent effects of stimulus magnitude, prestimulus EMG, and reaction time on poststimulus response levels were assessed using multiple regression analysis. R1 and R2 levels were positively correlated with stimulus magnitude, but stimulus magnitude had little modulating effect on intentional lip muscle responses. Both reflex and intentional response levels showed positive associations with prestimulus EMG level. Instructional set had significant modulating effects on reflex responses in 9 of 10 subjects, but the nature of these effects varied among subjects. These various findings are discussed in relation to similar studies on limb motor systems and lip motor control for speech.

Adult↗

Interrupting intentions: Zeigarnik-like effects in prospective memory.

In two experiments, we examined the effects of task interruption on memory for intentions. Participants studied a series of anagrams, of which they solved one-half (Exp. 1) or two-thirds (Exp. 2), whereas the solution of the remaining items was interrupted by the experimenter. Furthermore, four anagrams (prospective cue items) differed from the remaining anagrams in that the third letter of each item was underlined. Participants were instructed to decide whether a subsequently presented (target) anagram contained the same or a different third letter as the underlined letter of the cue item. The results of both experiments showed Zeigarnik-like effects in prospective memory, so that cue items that were associated with interruption in the anagram task were better reminders than were items that were associated with completion. These findings suggest that interruption of an ongoing activity facilitates subsequent prospective memory performance, possibly by increasing the level of activation of the underlying intention representation that, in turn, increases the individual's sensitivity to identify the target event.

Adult↗

A comparison of the Fishbein and Ajzen and the Triandis attitudinal models for the prediction of exercise intention and behavior.

The main purpose of the study was to compare the efficiency of the Fishbein and Ajzen and the Triandis models to predict (1) the intention to participate regularly in some physical activities during free time within a 3-week period and (2) the exercise behavior within these 3 weeks among a group of 166 subjects, aged 22 to 65 years. Our results show that the Triandis model was as efficient as the Fishbein and Ajzen model in predicting the exercise behavior. However, the results obtained from the Triandis model demonstrate the importance of the habit of exercising in predicting the exercise behavior. Moreover, the Triandis model was superior to the Fishbein and Ajzen model in explaining behavioral intention. Of particular interest was the salience of the affective, social, and personal belief components of the Triandis model. In addition, from a practical perspective, this comparative study showed that (1) to exercise regularly is perceived as hard work, and (2) individuals believe that it is their own responsibility to exercise or not to exercise.

Adult↗

The cheating and intention of a partner as determinants of evaluative decisions among juvenile offenders.

Male juvenile offenders were asked to evaluate the work of an experimental partner (confederate) who completed a work task four times. The work partner cheated on two trials and did not cheat on two trials while working for a charity (one cheat and one noncheat trial) or for selfish gain (one cheat and one noncheat trial). It was found that subjects rated the work done on cheating trials lower than work done on noncheating trials. In addition, subjects shared less reward money on cheating trials relative to noncheating trials. However, the intentions of the conferate, defined as the reward recipient, failed to affect subjects' judgments. These results were described as supporting previous studies which have indicated that delinquent fail to account of others' intentions when making moral judgments.

Adolescent↗

Public attitudes and intentions regarding tenants of community mental health residences who are neighbours.

A mail survey was conducted on a representative sample of 345 households in Winnipeg to examine public attitudes and behavioural intentions regarding tenants of community mental health residences who are neighbours. Vignette methodology was used to investigate the effects of mental illness labels (living in a community mental health residence vs. a normal residence), behavioural presentation (reflecting mild vs. severe disability), and sex of neighbours. Results showed behavioural presentation superseding labelling associated with tenancy in community mental health facilities in determining public attitudes toward and behavioural intentions regarding neighbouring. The study extends previous research by suggesting high levels of receptiveness on the part of community residents to having tenants as neighbours. Implications of the findings for improving the neighbourhood integration of tenants in community mental health residences are discussed.

Activities of Daily Living↗

Permanent versus temporary rural migrants in Riyadh, Saudi Arabia--a logit analysis of their intentions of future mobility.

"The aim of this paper is to investigate the factors affecting intentions of rural-migrants to return to their rural origins. Several socioeconomic, demographic, spatial, and temporal variables will be introduced to explore their explanatory power and interrelationship with the migrants' intentions. These variables are: Years lived in Riyadh, the current place of parents' residency, land ownership in the village, home ownership in the urban area, income, household size, and the area of origin. The data, which come from a sample survey of migrants conducted in Riyadh in 1983, will be analyzed by the means of binary logit model."

Asia↗

[Improvement of medical care by supporting the intention to change health risk behavior].

A large proportion of disease and death cases could be prevented, if efficacious programs, particularly concerning tobacco smoking, obesity, and alcohol risk drinking, could be applied. Feasible approaches are based, among others, on the Transtheoretical Model of intentional health behavior change. This model allows to develop practical approaches to reduce risk factors of common diseases at the general population level. Evidence about the promotion of the intention to change health risk behaviors revealed successes, e. g., according to smoking cessation. The effects are growing by time. Intervention that is focused at the promotion of change of health risk behaviors can add to the improvement of health care.

Behavior Therapy↗

Parenteral vs. enteral nutrition in the critically ill patient: a meta-analysis of trials using the intention to treat principle.

OBJECTIVE: Controversy surrounds the use of parenteral nutrition in critical illness. Previous overviews used composite scales to identify high-quality trials, which may mask important differences in true methodological quality. Using a component-based approach this meta-analysis investigated the effect of trial quality on overall conclusions reached when standard enteral nutrition is compared to standard parenteral nutrition in critically ill patients. METHODS: An extensive literature search was undertaken to identify all eligible trials. We retrieved 465 publications, and 11 qualified for inclusion. Nine trials presented complete follow-up, allowing the conduct of an intention to treat analysis. RESULTS: Aggregation revealed a mortality benefit in favour of parenteral nutrition, with no heterogeneity. A priori specified subgroup analysis demonstrated the presence of a potentially important treatment-subgroup interaction between studies of parenteral vs. early enteral nutrition compared to parenteral vs. late enteral. Six trials with complete follow-up reported infectious complications. Infectious complications were increased with parenteral use. The I(2) measure of heterogeneity was 37.7%. CONCLUSIONS: Intention to treat trials demonstrated reduced mortality associated with parenteral nutrition use. A priori subgroup analysis attributed this reduction to trials comparing parenteral to delayed enteral nutrition. Despite an association with increased infectious complications, a grade B+ evidence-based recommendation (level II trials, no heterogeneity) can be generated for parenteral nutrition use in patients in whom enteral nutrition cannot be initiated within 24 h of ICU admission or injury.

Communicable Diseases↗

Intentional on-line adaptation of stride length in human walking.

The intentional control of stride length is a fundamental basis for the adaptation of the stride to environmental constraints (obstacle avoidance, for example). Controlling the propulsive forces during the stance and/or controlling the pendular movement of the oscillating leg constitute the two potential and non-exclusive mechanisms underlying intentional stride length modulation. The present experiment was conducted in order to determine if these two mechanisms contribute to voluntary length modulation and, if so, how they cooperate according to whether the subject has to lengthen or shorten a stride and how these mechanisms are implemented at the neuromuscular level. Subjects had to produce a temporarily modulated stride of the same length, but originating from two different initial steady-states: one from shorter stride length and one from longer stride length. We found that the shortening was essentially realized by a swing-duration decrease (an increased activity in the hip extensor--biceps femoris--during the swing of the ipsilaterally shortened stride stopped the pendular leg movement earlier). The lengthening was realized by two mechanisms: (1) an increase in the propulsive forces (via an increased activity of the ankle extensor muscles--soleus--and the hip extensors--biceps femoris--from the stance of the ipsilaterally modulated stride, which was prolonged during the following stance of the contralateral leg), and (2) an increase in swing duration on the ipsilateral leg (an increased activity in hip and ankle flexors--rectus femoris and tibialis anterior--maintained the ipsilateral leg in flexion during the lengthened swing so that the foot landed later). In this experiment, the subjects were faced with a spatial constraint of the same magnitude in the direction of stride lengthening and stride shortening. However, under these conditions, subjects used a different balance between swing control (that directly modifies the foot trajectory without affecting the trajectory of the head-arm-trunk system) and/or the control of propulsive forces (that indirectly influences foot trajectory by modifying the trajectory of the head-arm-trunk system). In the first case, this concerns a voluntary control of gesture produced by the legs and usually implicated in the locomotor pointing; in the second case, this concerns a voluntary control of propulsive forces.

Acclimatization↗

Endovascular techniques for the treatment of ruptured abdominal aortic aneurysms: 7-year intention-to-treat results.

OBJECTIVES: The purpose of this single-institution study was to describe our 7-year intention-to-treat results, obtained with the use of endovascular techniques for the treatment of ruptured abdominal aortic aneurysms (rAAA). PATIENTS AND METHODS: From October 1998 until March 2005, a total of 28 patients were admitted or transferred to our department with an rAAA. They were all treated according to a management protocol of intention-to-treat with endovascular techniques. Twenty of the patients received endovascular treatment and the remaining 8 underwent an open surgery procedure. RESULTS: The mortality rate of the endovascularly treated patients was 40% (8 in 20), whereas of the 8 surgical patients 3 survived (mortality = 62.5%). The overall mortality rate of the 28 patients admitted with an rAAA was 46.4% (13 of 28 patients). CONCLUSIONS: In our experience the intension-to-treat protocol for rAAA offered acceptable results in terms of mortality rates. Multi-center studies are necessary to establish the role of endovascular treatment in patients with rAAA.

Aortic Aneurysm, Abdominal↗

Acoustic startle/escape reactions in tethered flying locusts: motor patterns and wing kinematics underlying intentional steering.

We simultaneously recorded flight muscle activity and wing kinematics in tethered, flying locusts to determine the relationship between asymmetric depressor muscle activation and the kinematics of the stroke reversal at the onset of wing depression during attempted intentional steering manoeuvres. High-frequency, pulsed sounds produced bilateral asymmetries in forewing direct depressor muscles (M97, 98, 99) that were positively correlated with asymmetric forewing depression and asymmetries in stroke reversal timing. Bilateral asymmetries in hindwing depressor muscles (M127 and M128 but not M129) were positively correlated with asymmetric hindwing depression and asymmetries in the timing of the hindwing stroke reversal; M129 was negatively correlated with these shifts. Hindwing depressor asymmetries and wing kinematic changes were smaller and shifted in opposite direction than corresponding measurements of the forewings. These findings suggest that intentional steering manoeuvres employ bulk shifts in depressor muscle timing that affect the timing of the stroke reversals thereby establishing asymmetric wing depression. Finally, we found indications that locusts may actively control the timing of forewing rotation and speculate this may be a mechanism for generating steering torques. These effects would act in concert with forces generated by asymmetric wing depression and angle of attack to establish rapid changes in direction.

Acoustic Stimulation↗

Attentional and intentional cueing in a Simon task: an EEG-based approach.

Advance information about the location of a stimulus (attentional cueing) does not affect the Simon effect (a shortening of manual response times whenever the position of a stimulus that is irrelevant for the task corresponds to the side of the response). However, advance information about the side of a response (intentional cueing) enhances the Simon effect. At first sight, these well-established results contradict two important assumptions about the origin of the Simon effect: (a) the effect originates at least in part in a covert shift of visual attention that forces the preparation of a response towards the location of the attentional shift and (b) interference between stimulus location and response side takes place within a response selection stage. We replicated the behavioral finding in a study that measured event-related potentials (ERPs) of the EEG. ERPs indicated that the mechanisms causing the Simon effect remain widely unaffected by advance information. Clear evidence for both response preparation and attentional shifts in the cue-target interval was found. Additionally, ERPs suggested that the increment of the Simon effect by intentional cueing might be due to perceptual factors rather than to an alteration in the mechanisms involved in the generation of a regular Simon effect. The implications of these data for the role of attention and of response selection in Simon tasks are discussed.

Adolescent↗

Criteria for intentional limited pulmonary resection in cT1N0M0 peripheral lung cancer.

OBJECTIVE: The purpose of this study was to establish selection criteria for intentional limited resection in patients with peripheral lung cancer. METHODS: Six hundred eighty-nine cases of cT1N0M0 peripheral non-small cell lung cancer were divided into groups according to maximum tumor diameter. The cases in each group were examined for histopathological invasive factors, and the results of a pilot study of intentional limited resection were assessed. RESULTS: The positive rate of invasive factors was 30.8% among the patients with tumors 2 cm or less in diameter, and significantly lower than the 44.0% noted in those whose tumor diameter was in the 2.1-3.0 cm range. The positive rate was significantly lower in 90 patients with type A or B adenocarcinoma, and none of these patients developed postoperative recurrence. In 24 of these 90 patients, the tumor diameter was in the 2.1-3.0 cm range. The 5-year survival rate in the 74 patients with pT1N0M0 and tumors 2 cm or less in diameter who underwent limited resection was 89.1%. CONCLUSIONS: We attempted to establish selection criteria for limited resection, with the aim of obtaining survival rates that was comparable to those obtained after lobectomy. The selection criteria established in this study are: 1, cT1N0M0 peripheral non-small cell lung cancer; 2, maximum tumor diameter 2 cm or less on diagnostic images, but a tumor diameter in the range of 2-3 cm in adenocarcinoma of Noguchi type A or B cases; 3, limited resection feasible based on tumor location.

Adenocarcinoma↗

Intentional limited resection for small peripheral lung cancer based on intraoperative pathologic exploration.

OBJECTIVE: The aim of this study was to assess the adequacy of our intentional limited resection for small peripheral lung cancer based on intraoperative pathologic exploration. METHODS: Patients who had stage IA non-small cell lung cancer (NSCLC) with a maximum tumor diameter of 2 cm or less were candidates for limited resection. If bronchioloalveolar carcinoma (BAC) was suspected on computed tomography and intraoperative pathologic exploration revealed the lesion as BAC without foci of active fibroblastic proliferation (Noguchi type A and B), wedge resection was performed. If the tumor was not suspected of being Noguchi type A or B, extended segmentectomy with intraoperative lymph node exploration was performed. RESULTS: Limited resection was performed in 34 patients, wedge resection in 14, and extended segmentectomy in 20. The median follow-up period after wedge resection was 36 months, and all patients are alive with no signs of recurrence. The median follow-up period after extended segmentectomy was 54 months. No local recurrences were found, but distant metastasis was diagnosed in one patient. The 5-year survival rate after extended segmentectomy was 93%. In the same period, lobectomy was performed in 57 patients with stage IA NSCLC with a maximum tumor diameter of 2 cm or less, and the 5-year survival rate was 84%. There were no significant differences in 5-year survival between extended segmentectomy and lobectomy. CONCLUSIONS: Careful selection of patients based on high-resolution computed tomography findings and intraoperative pathologic exploration makes intentional limited resection an acceptable option for the treatment of small peripheral NSCLC.

Adenocarcinoma, Bronchiolo-Alveolar↗

Drinking and driving: intentions, attitudes, and social norms of Swedish male drivers.

The main purpose of the present study was to investigate factors influencing drivers' decisions to drive after alcohol consumption. Male, Swedish, non-teetotal drivers aged 18 to 54 years (N = 1085) answered a questionnaire concerning their experience of drunken driving. The Ajzen and Fishbein model for explaining behavioral intentions from attitudes and social norms was used as a theoretical guideline in design of questionnaire and analysis of data. LISREL analyses suggested a causal model (which was crossvalidated) where intentions to drink and drive were influenced by attitudes, evaluation of sanctions, social norms, and drinking habits. Analyses of reports of decision making indicated that perceived probability of detection (and accidents) or need for transport, tied to specific situations, were important factors for drivers' decisions to drive or not after alcohol consumption.

Adolescent↗