All posts by medical

Anatomy of a Massachusetts nursing home catastrophe in the COVID-19 pandemic – World Socialist Web Site

By Julian James 19 June 2020

Massachusetts Republican Governor Charlie Baker ordered Phase II of the states reopening plan beginning June 8. The governors order gave the green light for a number of nonessential businesses and activities to resume, including day camps, funeral homes, public pools, golf courses, house cleaning services, retail stores and professional sports teams, among others. Casinos are also in talks with state officials about reopening on June 29.

Perhaps most significant is that the total ban on nursing home visits has been lifted, with requirements in place now that visitors meet residents outside and maintain social distancing. Indoor visits are now allowed in compassionate care and end of life scenarios. Massachusetts thus became the first state to open up nursing homes to nonresidents and staff, despite the fact roughly two-thirds of all COVID-19 deaths in the state occurred in nursing homes, 30 percent higher than the national average, as reported in late May.

The high-profile mass fatality events in Massachusetts nursing homes have shown an extreme level of unpreparedness. Most dangerous for staff and residents is the ongoing unavailability of sufficient amounts of effective Personal Protective Equipment (PPE) as well as access to testing. Systematic efforts to hide and downplay major outbreaks by state officials and nursing home administrators have also played a large role in facilities run by federal agencies, such as the US Department of Veterans Affairs (VA) as well as those run on a for-profit basis by corporations that in some cases operate hundreds of nursing homes.

One outbreak this past March at the VA-operated Soldiers Home in the small city of Holyoke in western Massachusetts previously reported on by the WSWS made national headlines and resulted in the deaths of 76 residents. Under the direction of superintendent Bennett Walsh, staff at the facility were denied proper PPE, and were ignored or bullied when they raised concerns about basic protocols not being followed, such as isolating residents who either had contracted the virus or were suspected of having contracted it. As growing numbers of staff called out of work after they became infected, a critical shortage of manpower led to orders from management to combine multiple floors in a single ward. This meant that residents would be packed together, ideal conditions for the spread of the disease.

The timeline and details of the deadly outbreak are instructive in that they expose the unwillingness of state officials to provide any serious assistance or make the information public, until public exposure forced their hand. Members of the Holyoke Board of Health became aware of the outbreak and deaths when a worker made contact on March 27 with Brenda Rodrigues, president of the local branch of the Service Employees International Union (SEIU). Rodrigues described the staff member as basically in tears as she related how there had been 11 deaths and that management was acting with reckless indifference.

Holyoke Mayor Alex Morse was alerted and placed a call the following day to Holyoke VA superintendent Walsh. Morse claims that Walsh admitted there had been deaths but downplayed them by mentioning that all the patients had preexisting conditions. Unsatisfied with what he described as Walshs clear lack of urgency, Morse was compelled to call State Secretary of the Massachusetts VA Francisco Urea. To the mayors dismay, Urea also seemed to downplay the situation. Morse followed up with a text to Massachusetts Lieutenant Governor Karyn Polito. Only then did officials with the Massachusetts Health and Human Services (HHS) respond by promising to send a task force to the facility.

When the news broke, Governor Baker claimed it was the first he had heard of the matter, and that he and other state officials had been left in the dark until contacted by Morse. The deputy secretary of the state Department of Health and Human Services (HHS) declared that superintendent Walsh was being placed on leave. The following Monday, Baker announced the launch of an investigation into the affair (the results of which have yet to be released), to focus in part on management and organizational oversight of the COVID-19 response in the Holyoke Soldiers Home ...

Roughly a month later, on May 26, Walshs lawyer convened a press conference in defense of his client, saying he would make public a series of emails and texts demonstrating Bennett had been in regular contact and sent updates to state authorities with regards to the deteriorating situation at the Soldiers Home. As to the real reason for his dismissal, Bennets attorney said, State officials were livid that Walsh had talked to local officials about the situation at the Soldiers Home without their prior approval ...

Upon their release, the emails and texts indeed showed Bennet appraising State officials of the situation, who declined to provide any serious assistance while simultaneously expressing confidence in the management of the Soldiers Home. In one emailsent five days before Bennetts suspensionan associate commissioner of the state HHS wrote Holyoke staff are doing everything they can and consistent with DPH recommendations.

Meanwhile, the staff was facing a critical shortage of PPE and manpower. Two days after receiving the email, Walsh contacted Urea on March to formally request he send National Guard Medics to assist with jobs that would normally be performed by medical staff. No such aid was forthcoming. Only after state officials were contacted by Holyoke Mayor Morse on March 28 did state HHS officials shift their response, taking command of operations at the Soldiers Home and sending a task force that included national guard medics. Bennett was immediately placed on administrative leave.

The case of the Veterans Home is only the most-high profile of many such incidents. Another large-scale outbreak hidden from local authorities occurred in late March at the Life Care Center of Nashoba Valley , a for-profit care home in Littleton, Massachusetts. As was the case at the VA hospital in Holyoke, staff were not being provided with proper PPE and protocols to stem the rampant spread of the virus.

Meanwhile, local officials were kept in the dark by nursing home administrators. Town officials only became aware of the scope of the disaster after the fire department was called 18 times over a five-day stretch, transporting 16 patients from the facility to the hospital. That outbreak would ultimately result in the deaths of 26 residents. Maria Krier, a nurse at the Nashoba Valley, who told a local news outlet after the first infection that nothing was being done to protect nurses and patients from the virus, succumbed to the disease after contracting it at the home.

Massachusetts saw at least six other towns and cities report additional outbreaks, each of which resulted in dozens of fatalities, including a staggering 66 deaths at the Leavitt Family Nursing Home in Longmeadow and 64 confirmed fatalities at the Mary Immaculate Nursing and Restorative Center in Lawrence.

At the time of the outbreaks, nursing homes were not legally required to report infections to residents or their families. Had such a directive been in place, members of the community may otherwise have intervened by removing their loved ones from what had become virtual deathtraps. Such a mandate for reporting was only issued by the Centers for Medicare and Medicaid Services on May 7, fully two months after deaths began mounting across the state.

Aside from the issue of transparency is the more fundamental question of government preparedness and the shortage of PPE, both of which remain unaddressed. Four months after Trump declared a national state of emergency, officials across the country have yet to equip medical professionals with sufficient amounts of protective equipment, nor has testing and contract tracing been implemented in line with even the most conservative estimates produced by scientists and health experts of what is needed.

For example, a research report published by the Harvard Global Health Initiative on April 20, authored by experts in public health, economics, and technology, used three different models to estimate the scale of testing that would be necessary in order to safely reopen the economy on a state-by-state basis. In the case of Massachusetts, around 65,000 daily tests would need to be performed according to the more conservative Los Alamos model before any reopening can be safely carried-out, while another estimate produced using the MIT model found that roughly 158,000 tests would be needed.

Despite this information being publicly available, Governor Baker has pushed ahead with his Four Phase reopening, implementing Phase I on May 18, when only 7,500 tests were being conducted per daya fraction of what is needed, according to the models. Three weeks later, at the time of Bakers Phase II re-opening on June 7, only around 10,000 daily tests were being conducted, a marginal increase. It should be noted that estimates for testing numbers were produced before tens if not hundreds of thousands of people throughout the state began attending large-scale protests in reaction to police violence and the murder of George Floyd in Minneapolis.

As in Massachusetts, all 50 states are now testing at levels falling dramatically short of what is needed. According to the authors of the Harvard Global Health Initiative report, We need to deliver 5 million tests per day by early June to deliver a safe social reopening. This number will need to increase over time (ideally by late July) to 20 million a day to fully remobilize the economy. We acknowledge that even this number may not be high enough to protect public health (emphasis added).

Had political leaders in the state and federal government taken this warning seriously and acted accordingly, over a quarter-of-a-million tests would now have been carried out in the US. As of June 12, the actual number of tests carried out, as cited by tracking site https://covidtracking.com/data, totaled around 22 thousand, or 9 percent of what is needed according to the Harvard researchers.

Instead of investing resources in a massive scaling-up of testing and contract tracing infrastructure, Governor Baker, like his Republican and Democratic counterparts across the country, has been enacting plans to send millions of people back to work while their children return to daycare centers and summer camps. These workers, youth and children will have no way of knowing whether they and their families are being exposed to the deadly virus.

Baker claimscontrary to realitythat he is making decisions based on the data and that he has been seeing positive trends for the past several weeks. While new deaths have indeed gone down from a single-day peak of 197 on April 26 to roughly a quarter of that figure at the time of this articles publication, the decrease has been achieved primarily through social distancing measures coupled with severe restrictions on nonessential businesses. Bakers Four-Phase reopening plan is now setting the stage for a drastic increase in COVID-19 cases. Baker tacitly acknowledged that possibility, saying the plan could be halted or rolled back if infections spike again.

The drive to reopen the economy in Massachusetts has been a thoroughly bipartisan affair. This was shown at a recent press event staged by the Massachusetts Nurses Association (MNA) featuring Democratic Senator Ed Markey. Donna Stern, regional director of the MNA said at the event, I call upon Charlie Baker to do the right thing. Now, hes done a lot of things right during this pandemic, and I do not want to take that away, but the one thing that he has not done, is stepped up, and stopped the egregious behavior of hospitals across the state she then appealed to Markey to place a phone call to the governor and insist he halt the imminent closure of a vital psychiatric hospital.

A WSWS reporter at the scene was able to ask the long-serving senator in front of news cameras why anyone should trust Governor Baker to safeguard public health, considering he was pushing ahead with his Four Phase plan without adequate testing and contact tracing. Markey responded by avoiding any criticism of Baker. The Democratic senator instead professed that The question isnt when we open, its how we open, so we clearly need sufficient testing, sufficient contact tracing ... [so that] public health is truly protected. Three days later, in an interview with the National Public Radio member station Northeast Public Radio, Markey was able to more clearly express his opinion, saying, We have to listen to the scientists and base our steps on science and medical expertise ... We have to walk the line. I think the governor is trying to do that, and hopefully we can be successful in achieving those goals.

Whether through omission, obfuscation or outright lies, the entire political establishment is engaged in an effort to hide the dangers facing the population as they are driven back to their workplaces without basic measures. This is because, as previously explained by the WSWS, the ruling class views the COVID-19 pandemic, not as a health crisis, to be dealt with by the application of scientifically based measures, but as a blow to profit accumulation. While they seek to temporarily mitigate the loss of profits due to factory and workplace shutdowns via intervention by the Fed, the stocks that make up their fortunes represent claims that must be supported by the extraction of surplus value from workers.

However, the working class will have its say in the course of these developments. The homicidal policies of the entire ruling class, assisted by its appendages in the mainstream media and among union bureaucrats, must be answered by the struggle of all workers, who should form rank-and-file committees completely independent of hostile class forces, armed with a socialist perspective.

Featured statements on the coronavirus pandemic

Continue reading here:
Anatomy of a Massachusetts nursing home catastrophe in the COVID-19 pandemic - World Socialist Web Site

POD: The anatomy of Leary’s commitment; Who might be next? – 247Sports

Hank South joins the pod to take Crimson Tide fans through the events that led up to Christian Leary's commitment to UA. Specifics include:

-- Roles played by Jeff Banks, Bryce Young and Jaylen Waddle in Leary's recruitment.

-- Another WR commitment working to add to UA's class, while another picks up fifth star.

-- Prospect(s) most likely to fill out Alabama's WR haul.

-- Commitment watch candidates.

-- Updating men's hoops transfer candidate Nike Sibande.

Continue reading here:
POD: The anatomy of Leary's commitment; Who might be next? - 247Sports

Go back to high school with these classes on anatomy and physiology – Boing Boing

If youre looking to launch a new career, youll often see us present education course packages that will help you become a web developer or a project manager or a graphic designer. While theyre all very respectable career options, those professions dont present the same hands-on satisfaction or visceral sense of accomplishment that comes from actually repairing a human body.

While doctors often receive a lions share of the praise for putting ailing men and women on the mend, there are handfuls of healthcare professionals who play that role as well, including physical therapists, fitness experts, and kinesiologists.

It all starts with truly understanding the human body and how it works, which is at the heart of training like the Anatomy and Physiology for Beginners Course Bundle.

Whether you want a career in healthcare or just want to know why your body moves, acts and feels the way it does, these seven courses offer a smooth overview of various bodily systems and how they work together to make you, you.

Introduction to the Cardiovascular System goes right to the heart, explaining how that key organ pumps blood throughout your body as you get to know major structures and basic functions of the bodys transportation system. Meanwhile, Introduction to the Skeletal System provides a complete in-depth study of the skeletal system, the composition of your bones, and how they work with other organ systems.

Not to be outdone, Introduction to the Muscular System covers all 600 individual muscles, the 3 types of muscles in your body as well as the 5 types of muscle movements; and Introduction to the Respiratory System focuses on your lungs and how they redirect oxygen into your bloodstream.

Finally, introductions to the digestive, urinary and nervous systems zero in on the vital role each plays in your bodily operations, from understanding how digestive and immune systems work together, how urinary systems maintain body balance, and how the central and peripheral nervous system brings the whole body to movement and full operation.

Even just to take better care of yourself, this course bundle valued at over $200 packs vital information. Now with this offer, the entire collection is on sale for just $29.99.

Prices are subject to change.

Do you have your stay-at-home essentials? Here are some you may have missed.

Amazons new Chinese thermal spycam vendor was blacklisted by U.S. over allegations it helped China detain and monitor Uighurs and other Muslim minorities

Mark Di Stefano of the Financial Times is accused by The Independent of accessing private Zoom meetings held by The Independent and The Evening Standard as journalists were learning how coronavirus restrictions would affect them.

Hackers tried to break into the World Health Organization earlier in March, as the COVID-19 pandemic spread, Reuters reports. Security experts blame an advanced cyber-espionage hacker group known as DarkHotel. A senior agency official says the WHO has been facing a more than two-fold increase in cyberattacks since the coronavirus pandemic began.

When you hear the brand name Marshall, any music fan instantly conjures a single image: a classic Marshall stack. The amp has been synonymous with live performance since the 60s, with music artists of every stripe lining their stage sets with these thunderous cabinets. Even when you close your eyes, you can see them. The []

Were a latest and greatest kind of culture. We want the newest, shiniest, fastest piece of tech in existence and many are willing to pay top dollar for the privilege of saying no one owns one better. The reality is that life at the tech pinnacle is incredibly fleeting. Within months, sometimes weeks, even []

With no movies, concerts, or sporting events to get out and enjoy, the scope of your entertainment universe probably hasnt strayed too far beyond the edge of your sofa in months. And all that time living life on your A-1 piece of furniture has likely resulted in some unfortunate drink-related accidents. In this couch-based lifestyle, []

Read the original:
Go back to high school with these classes on anatomy and physiology - Boing Boing

Grey’s Anatomy: 5 Things That Changed After The Pilot (& 5 That Stayed The Same) – Screen Rant

Some TV series do not survive the pilot, certain ones only last for one season, and others extend over time, managing to captivate the audience over and over again. Grey's Anatomy is one of the longest-running television shows in history due to its success with audiences. Since the pilot, a lot has happened in this hospital.

RELATED: Which Grey's Anatomy Character Are You Based On Your Zodiac Type

Changes in the series have been made after the pilot or been presented over time during the seasons. Afterfifteen years and sixteen seasons, Grey's Anatomy retains many aspects of its essence, but it has also seen many transformations in its history, which have allowed viewers to remain hooked on the plot.

One of the best relationships in the whole series is the one between Cristina and Meredith. After Sandra Oh leaves the show, Meredith continues to talk to her occasionally on the phone. Since the pilot, the two women bonded and there was no rivalry whatsoever, even though, at times, there was tension and fights between them.

The great depth of their friendship has allowed the relationship to survive many things without problem, such as distance. They never apologize for who they are, they created an instant bond, they have the right closeness for the kind of person they are and they love to dance to de-stress and just be happy. When Cristina left, Meredith had to find another friend to be her "person" and she chose Alex to take the place, but as Alex Karev himself said, Meredith doesn't need anyone, she is her own person, but they will always continue to be friends.

Most interns at Grey's Anatomy begin with excitement and fear, Meredith was no different. Being the daughter of a famous surgeon didn't give her confidence from the start, it probably played against her. As she says in the pilot, her mother tried to dissuade her from studying medicine, because for Ellis Grey, Meredith didn't have what it took to be a surgeon.

Meredith is lost in the pilot, she highlights it from the first voice-over to the end. She doesn't have a good reason to be a doctor, but she has plenty of reason not to quit, so she continues. Her perseverance helped her to know that she had what it takes to succeed as a great doctor. The confidence she gained after every case, until she became one of the most respected surgeons in the country.

Grey's Anatomy is characterized by the voice-overs at the beginning of the show and at the end, this aspect has been maintained since the pilot "A Hard Day's Night." This detail makes the episodes closer to the viewer, in order to make them more empathetic with Meredith and her friends.

RELATED: 10 Meredith Grey Quotes We Can All Relate To

The narration is always present, but it wasn't originally thought of that way. The choice was made by Shonda Rhimes when she noticed something was missing. It was a good decision that gave meaning to much that happened on the screen, through thoughtful monologues.

Alex Karev is one of the most beloved characters in the series, as well as one of the most visible on screen (16 seasons), but this role was a last-minute decision. After filming the pilot, the producers wanted to have an additional male character to serve as an antagonist, so Justin Chambers was added in post-production for some scenes.

In the second episode Alex starts to be more important for the story and also becomes part of Miranda Bailey's team of interns, after he is reassigned from Jeremy's group. These changes had to be made after the pilot to make sense of his entry into the group of the five friends. In addition, the character evolves from being the abusive one to one of the closest to his friends and patients.

Meredith's house has appeared since the pilot, and almost every Grey's Anatomy doctor has passed through it, not only during meetings but also living there. Although in the first scene of the pilot Meredith tells Derek that she will sell the house, she finally explains to her mother that she decided to stay and rent the additional rooms.

The first ones to live in it were Izzie and George, but also at some point in the story it was inhabited by Callie, Alex, Derek, Jo, Lexie, Cristina, April, Jackson, Arizona, among others. When Derek and Meredith moved into their dream house, she sold it to Alex, but when Derek died Meredith bought it back. Since then, she has lived there with her children and her sisters Maggie and Amelia. So, the house has always been an important part of the story and has brought them all together.

Miranda Bailey was known at first as the Nazi, for her strong character and the way she treated the interns, which was terrifying for the new ones. She wasn't around to play games and had a clear goal to pursue no matter what.

Although Miranda retained that determination to fulfill all her ambitions, she grew with her character. Dr. Bailey became a guide for her students and a friend to those who survived the early stages of their work as doctors.

They couldn't do a series on medicine without death. Not all patients could be saved, even though these people are among the best doctors in the country. From the pilot, they wanted to show the fragility of human life.

But at Grey's Anatomy, death is not only a matter of patients, it is also very present within the medical staff, where tragic accidents and illnesses have made part of the cast change constantly. George O'Malley makes a kind of prediction during the pilot, he asks Meredith if they will survive, and although he refers to the period as interns, the phrase is key to predicting his future and that of many others.

During the pilot it is mentioned that there are twenty interns starting on the same day as Meredith and six of them are women. During this first episode it is seen how they are organized in groups of four and five, while they wait in the changing room, they are also present in the gallery during O'Malley's first operation and at lunch time.

RELATED: Grey's Anatomy: Top 10 Fan Favorite Characters

Although there are a lot of interns (extras) in the pilot, they did not continue their appearances. The exclusion of the rest of the interns makes the spectators forget about the fact that more actors played this role and concentrate only on Cristina, Meredith, Izzie, George and Alex.

For Grey's Anatomy it is important to show the maximum veracity during the high number of medical scenes that are done in the show, for this, they have medical advisors that guarantee that the terms used are the correct ones and that the procedures are being done in the right way.

These aspects have not become more flexible over time, because although the writers and actors know more about medicine (after 15 years) than any other media worker, they are not doctors.

Many television series don't maintain all the actors they had from the beginning and Grey's Anatomy is characterized by renewing the cast quite often, keeping only a few. Also, it is very difficult for the same actors to continue for 15 years.

Of the original cast, only Meredith, Richard Webber and Bailey are still in the picture. The first of the five interns to say goodbye to their role was George, who died after a bus accident. And the last was Alex in season 16, who had a bittersweet exit for fans who wanted to continue watching him on screen.

NEXT: Grey's Anatomy: The 10 Best Couples

Next Friends: Chandler Bing's Sweater Vests, Ranked From Most To Least Lame

Edgary Rodrguez R. is a writer, video producer and journalist. She writes in different publications about films, TV, politics, human rights, travel, art, environment, social justice, among others. Can also be found in Siena Post.

Originally posted here:
Grey's Anatomy: 5 Things That Changed After The Pilot (& 5 That Stayed The Same) - Screen Rant

Pastor Rick Sams: Before it’s too late – News – The Review – The-review

The classic Rozin Dixie Cup Experiment is a study of human behavior. It starts with having a volunteer simply swallow their own saliva. As we said as kids, "easy peasy." Then have this same person spit into a sterile Dixie cup. Next ... you tell them to ... wait for it DRINK IT.

It doesnt matter that only seconds prior, when the saliva was in her mouth, swallowing it was no problem. But now it becomes a gross loogie when you ask her to drink it from the Dixie cup.

Heres another childish phrase from our playground. If someone said something mean, we would demand: "You take that back!" But just like saliva, once out of your mouth, its hard to take back. We cant just reel in spoken words like some big fish.

Any words youve said to your father (or any male role model) over the years you wish you could take back? How about words you wish youd said, but now its too late. Hes gone you cant express or take back anything.

"The tongue that brings healing is a tree of life ... how good is a timely word ... good news gives health to the bones." (Proverbs 15:4,23, 30)

Let this little poem guide you this Fathers Day ... and every day.

Before its too late

If you have a tender message, Or a loving word to say,

Do not wait till you forget it, But whisper it today.

The tender word unspoken, The letter never sent,

The long forgotten messages, The wealth of love unspent,

For these some hearts are breaking, For these some loved ones wait;

So show them that you care for them, Before its too late.

Frank Herbert Sweet

Rick Sams is pastor emeritus of Alliance Friends Church.

Originally posted here:
Pastor Rick Sams: Before it's too late - News - The Review - The-review

Three Weeks After George Floyd Protests, No Spike In COVID-19 In Chicago, But Its Still Too Soon To Celebrate – CBS Chicago

CHICAGO (CBS) Its been three weeks since the first major protests in Chicago in reaction to the death of George Floyd.

During those demonstrations, many wore masks, but others did not. And social distancing was top of mind, but sometimes difficult. For these reasons, health officials were concerned about a potential spike in COVID-19 cases.

However, at least so far, that hasnt happened. Being outside, wearing masks and trying to remain as far apart as possible seemed to help. Over 21 days, which included dozens of protests with thousands people, there has been a deep drop in Chicago COVID-19 cases.

Weve started to see a decline in the number of cases, which is great, said Jennifer Layden, chief medical officer of the Chicago Department of Public Health. But we are still in a relatively high-incident state.

Walk as we did through the Juneteenth crowd today and you saw Chicagoans on defense: masks, signs, and awareness. But the virus never stops playing offense.

It takes several days to almost weeks before someone exposed and is identified as a new infection, said Layden

Three weeks of good data since the protests, isnt the whole Chicago COVID picture.

At the same time we saw protests, we were coming out of shelter in place, Layden said.

That makes two big swings in human behavior. Experts say dont think of this report card as A+ work but more of an incomplete.

I would say its too early to say for sure, said Layden.

See the article here:
Three Weeks After George Floyd Protests, No Spike In COVID-19 In Chicago, But Its Still Too Soon To Celebrate - CBS Chicago

Want Better Strategists? Teach Social Science – War on the Rocks

America needs better strategists. And if that wasnt clear enough from the past two decades of U.S. strategy, the Joint Chiefs of Staffs new vision and guidance statement for professional military education brings this need into focus.

This clarity provides a welcome and necessary change and should drive reform. Unfortunately, proposals to fix professional military education often begin with ones preferred methods. James Laceys recent essay, for example, suggests the new vision demands large increases in the use of history-based case studies despite the fact that the Joint Chiefs use the word history only twice in their 11-page document. In my reading, the guidance is far less prescriptive.

Perhaps my proposal is merely a reflection of my own biases as well. Even if this argument merely reflects my view as a trained political scientist, however, this perspective has not yet been well articulated. In this essay, I make the case for why social science education should provide the core of a professional military education program aimed at developing strategically-minded officers. I also identify where social science falls short in the unique task of educating joint warfighters and I discuss why and how it should be supplemented and adapted to advance the vision of the Joint Chiefs.

The U.S. military does not need or want all officers to become social scientist researchers, but applied social science can nevertheless help develop strategic thinking because it: (1) focuses on human behavior and influence; (2) develops comfort with competing theories; (3) requires creativity; and (4) uses evidence and iteration to better understand the world and adapt to change. In any professional military education curriculum, there always should be room for history and time for broad reading and reflection. But, combined with performance-based practice and tailored assessments, programs centered on social science education are the best way to meet the Joint Chiefs intent to build better strategists.

What is Strategy?

Most officers do not understand what strategy is, much less how to do it. This problem is bigger than professional military education. It starts in U.S. military doctrine and cultural understanding.

According to Joint Publication 3-0, Strategy is a prudent idea or set of ideas for employing the instruments of national power in a synchronized and integrated fashion to achieve theater or multinational objectives. Joint Doctrine Note 2-19 adds, In its simplest expression, strategy determines what needs to be accomplished, the methods to accomplish it, and the resources required by those methods.

In other words: ends, ways, and means.

Although Joint Doctrine Note 2-19, in particular, does provide a more nuanced discussion of strategy throughout the text, neither of these doctrinal definitions adequately describes the fundamental and essential nature of strategy. Instead, they describe a plan: how to use (ways) available resources (means) to accomplish a given goal (ends).

Plans are important. Plans can be useful. Plans can help you solve complex problems. One can even develop plans that account for uncertainty and risk. But a plan is not the same thing as a strategy, and planning is not necessarily strategic. Plans focus on ones own actions while strategy focuses on influencing others to help achieve desired goals and adapting when initial efforts to influence others fail.

Having a theory of influence alone is also not enough. The core problem of strategy and the reason it both transcends and subsumes planning centers on interaction and influence in service of political priorities. Strategy is required when you interact with other autonomous and thinking beings. Unlike nature or the environment, other actors can create; they can react; and they can anticipate. Other actors are sovereign, and they have different values, interests, and ideas about the world. They can also attempt to imagine what values, interests, and ideas you hold as well as what challenges, decisions, and opportunities you will face. Other thinking actors can cooperate or compete, or they can attempt to influence other actors or change other actors perceptions of them. As a result, a static plan or theory is rarely sufficient when dealing with other actors. Even with contingency planning, you cant anticipate all possible reactions, and often the very act of anticipating and planning for a particular reaction changes the other partys calculus.

Carl von Clausewitz famously used several different metaphors to describe the interactive nature of strategy, calling it a duel or a wrestling match. Other scholars have referred to strategy as a game of chess. But, in reality, the interactive nature of strategy is far more complex. Military leaders are rarely confronted with a situation where opponents are clearly delineated and the rules neatly defined. Instead, strategists face a collection of actors who can all make their own choices. In most cases, one cannot know with much certainty whether these actors are allies, adversaries, agents, or whether they have even decided how they intend to act or how they perceive others interests and intent. Nor can they know the same of other actors. Military officers must also interact with competing advisors and agencies within their own government, while often developing narratives to communicate with audiences among the mass public. Sometimes perceptions of what all these other actors know and want and value are wrong, incomplete, or misguided. But through repeated interactions, a strategically-minded officer can gain more information and attempt to make sense of the world. Perhaps as importantly, she can assess whether and how words and actions influence adversaries, and understand when strategic plans do not or cannot achieve their desired effects.

Strategy is thus an interactive process of influencing other actors or groups to advance ones priorities. It tries to understand how ones own words and actions will affect other actors and it attempts to develop creative approaches to anticipate other actors behavior and exert influence on them to advance desired priorities. The strategic process can produce, refine, or replace strategic plans that contain priorities, sequencing, and a theory of influence. Although strategic plans can be written or articulated, strategy itself is dynamic and relational. Strategists must develop theories, rapidly discard them, and adapt them based on new information.

The Case for Social Science

Given the nature of strategy, social science education is uniquely suited to provide the core framework for strategic development for professional military education institutions. Although a social science education alone is not sufficient to develop strategic thinkers, it is necessary.

The social sciences explore how ideas, interests, institutions, and material factors influence individual and social behavior. Although psychology, political science, economics, sociology, and other social science subfields are clearly not the only way to study human interaction, social scientists provide a diverse collection of approaches to study a broad array of problems. More importantly, they provide unique insight into strategic interactions between different groups and actors and offer methods with which to assess the behavior of groups and actors. In other words, social scientists study interaction and influence, the core of strategy.

Although there are some deviations, social science in general is nevertheless unified in its commitment to apply the scientific method to the study of human behavior. Social scientists develop assumptions and hypotheses, and they create theories with observable implications that they can test. When new evidence contradicts an existing hypothesis or theory, the hypothesis or theory can be scrapped or modified. Of course, this approach does not guarantee scholars will always be right. Far from it. In fact, the application of the scientific method assumes they will often be wrong and need to be corrected.

There nevertheless is a critical difference between scholars and practitioners. Social scientists formulate and test hypotheses to develop knowledge, whereas practitioners formulate and test hypotheses about how the world works so they can act on those hypotheses. But the broader interactive and adaptive approach that social scientists use relies on the same fundamental methods and concepts that strategic leaders must replicate, usually more quickly, in practice.

Social science also provides a structured, systematic way to think about which historical cases matter, and in what ways they matter. Why should a military officer analyze one case and not another? Although officers clearly benefit from a wide understanding of history, available time to read and study is always limited. Social science provides methods especially through case selection and controls to help officers understand which cases they should study in depth. And it provides a method for officers to maximize their limited time by comparing cases in a structured, focused way. To draw valid conclusions from historical cases, strategically-minded officers need to define selection criteria, conduct comparisons, and be clear from the start which factors they can control for and what conclusions they can validly draw.

Practice Makes Strategic Performance Better

The goal for professional military education should not be to create junior social scientists or professional researchers. That is neither what the U.S. military needs nor what the Joint Chiefs of Staff guidance expects. Rather, the military needs officers who can apply social scientific thinking to fight the nations wars and develop military policies and options to advance U.S. national security interests.

As currently structured, however, professional military education doesnt actually educate officers on how to apply social scientific approaches or the scientific method; rather, professional military education generally teaches students limited information about some social science theories and concepts, or it explains things that social scientists study or know. Although it is useful for officers to have a solid grasp of economic concepts like incentives and scarcity, international relations theories like realism and constructivism, psychological understandings of group and individual behavior, or American national security decision-making institutions and processes, knowledge of these topics does not make one a strategic thinker. That takes practice.

In a phenomenal 2018 essay, Celestino Perez outlined why strategic practice is so essential:

To be sure, a room full of top-tier political scientists or historians can apply scholarly methods, produce new knowledge, and engage in edifying conversations. But a room full of scholars is not the same as a room full of competent strategists and military planners. A group that excels in discourse does not equate to a group that can do strategy. The military and civilian educators we hire must come to appreciate the military students obligation to repeatedly practice configuring a visual depiction of a given problems relevant strategic environment and, in so doing, an awareness of potential sites and modes of intervention.

Put simply, strategy is about doing. While discussing concepts in a classroom setting or writing a research paper might also contribute to strategic understanding, the same methods that prepare a dissertation candidate for a career researching and teaching are not the same methods that develop the strategic practices necessary to advise as a staff officer or exercise judgment as a commander. Knowing how to apply social scientific methods and insights in a strategic context is not the same as writing a book or publishing in a journal. If the military wanted to produce social scientists, it would be far more effective and efficient to tear down the war colleges and send its top officers to civilian graduate schools. At the same time, however, the general framework of developing competing theories or hypotheses, testing them, and refining them as you collect new information can be extremely beneficial to strategic thinking when refined through tailored pedagogical approaches designed to educate military strategists.

While lectures and seminar discussions may sometimes still be required to achieve certain learning objectives, professional military education should expand the use of experiential learning. Workshops, wargames, simulations, and practical exercises should form the core pedagogical approaches to applying social scientific methods in strategic interactions. Iterative exercises can present novel scenarios or historical cases involving multiple actors with different values and interests. Making military officers apply social scientific methods, practice the strategic process, and adapt strategic plans is the best way to help them develop the skills they need.

Of course, there are those who claim that you do not have to explicitly use social science in these kinds of exercises, arguing that practical experience itself is what really matters. But, whether they realize it or not, almost everyone develops theories and mental models. The advantage of applying social scientific thinking is that it forces officers to be explicit about their assumptions and expectations, the conditions under which their theory holds, and the facts that would force them to modify or abandon it. In other words, social science prepares officers to adapt when their theories and models dont match reality. The practical person is far less likely to have a good theory or to adapt when the facts dont match their theory, because they havent developed and practiced the skills necessary to do so. As a result, curriculum reform should devote just as much attention to the design of assessments as it does to the development of course or lesson reading lists.

Where Social Science Falls Short

Although modified social science education emphasizing practical application should form the core of strategic education at professional military education institutions, it is not a panacea. Social science has several drawbacks that instructors should be aware of, and attempt to mitigate, during instruction and assessment.

Contemporary social scientists often face perverse incentives, especially pre-tenure, that encourage them to ask questions they can answer instead of the questions that are most vital or relevant. In strategic interactions, the practice of judging strategic success based on the things that are easiest to measure can have devastating consequences. In addition to examining the strengths of developing hypotheses and variables to measure, joint officers should also examine historical cases, such as the Vietnam War or Operation Enduring Freedom, where these practices helped perpetuate false narratives of progress.

Social science typically also focuses on probabilistic explanations or patterns of behavior. While these patterns may provide useful approximations of how a situation should be expected to play out over many cases, uncertainty in predicting behavior in a particular case can be quite significant. Social science does offer great insight into probabilistic risk taking, but it can also miss specific features of individual cases or fail to account for contingent factors that can have significant consequences. Historical cases can help joint officers develop a deep appreciation for the challenges of leadership, the importance of contingency, and the challenges of acting under conditions of great confusion and uncertainty. But knowledge of history and the analysis of comparative historical case studies are not in competition with social science; they are social science. And social sciences also provide thoughtful methods to identify and select relevant cases, and to identify when the lessons a particular case may not apply. As a result, social science and history can be used in tandem.

As a tool, social science is also value neutral, though it remains subject to the same types of bias that other disciplines face in terms of framing and question selection. The scientific method applied to social and strategic questions can help identify relationships and patterns of behavior that have immense moral implications, but it cannot arbitrate between them. A grounding in ethics and philosophy will remain necessary to supplement the strategic education of officers.

Finally, a social science education alone cannot guarantee officers will develop creativity or imagination, and human agency ensures that strategy will always be a challenge. Adam Lowther and Brooke Mitchell addressed some of these challenges in a recent essay, and indeed the Joint Chiefs vision mentions the need to develop creativity or imagination nearly twenty times. While reading science fiction or great literature is its own reward, it also helps develop empathy and imagination. So, too, do cultural studies and immersion programs. Although social science and strategy both require the application of imagination to be successful in their aims, broad reading and deep thinking can never be abandoned. And professional military education should allow time for officers to reflect.

Conclusion

Professional military education programs produce many officers who can develop plans, but few who can think strategically. As the Joint Chiefs articulated clearly, professional military education programs need to produce strategically-minded warfighters or applied strategist who can execute and adapt strategy through campaigns and operations. In other words, the U.S. military needs officers who can apply social scientific thinking to fight the nations wars and advance U.S. national security interests.

Professional military education programs organized around social science education supplemented with broad reading in history, philosophy, and other fields and practiced through performance-based exercises and tailored assessments are the best way to meet the Joint Chiefs vision to develop strategists who will be prepared to adapt to the challenges of future warfare.

The theory that professional military education centered primarily on historical case studies will produce strategically-minded officers has been the dominant approach to professional military education for decades. This theory has not produced the desired results. It is time to acknowledge the evidence, discard that theory, and adopt a new one focused on the practical application of social scientific thinking. Doing so will provide new information with which to assess this new theory, as both students and other strategic actors anticipate and adapt to these changes. U.S. professional military education programs can then refine and adapt their approaches based on that new evidence. But the U.S. military needs better strategists, and professional military education cannot afford to remain stuck in the past.

Dr. Jim Golby will join the Clements Center for National Security as a senior fellow in July. You can follow him on Twitter at @jimgolby. These views are the authors and do not represent the Department of Defense or the United States Army.

Image: Department of Defense (Photo by Staff Sgt. Chanelcherie DeMello)

More:
Want Better Strategists? Teach Social Science - War on the Rocks

The value of what’s to come: Neural mechanisms coupling prediction error and the utility of anticipation – Science Advances

INTRODUCTION

Pleasure not known beforehand is half-wasted; to anticipate it is to double it.

Thomas Hardy, The Return of the Native

Standard economic theory suggests that a reward is more attractive when it is imminent (e.g., eating now) than when it is delayed (e.g., eating tomorrow), predicting that people will always consume a reward immediately. This so-called temporal discounting has been adapted with great success, for instance, in the design of artificial intelligence systems that can plan their future effectively through to understanding aspects of the human mind.

However, real-life behavior is more complex (13). Humans and other animals will sometimes prefer to deliberately postpone a pleasant experience [e.g., saving a piece of cake for tomorrow or delaying a one-time opportunity to kiss a celebrity (1)], contradicting predictions of simple temporal discounting.

An influential alternative idea in behavioral economics is that people enjoy, or savor, the moments leading up to reward (1, 2, 47). That is, people experience a positive utility, referred to as the utility of anticipation, which endows with value the time spent waiting for a reward. Anticipatory utility is different from the well-studied expected value of the future reward (i.e., a discounted value of the reward) in standard decision and reinforcement learning theory, where the latters utility arises solely from reward and not from its anticipation. Crucially, in the theory of anticipatory utility (1), the two separate utilities (i.e., anticipation and reward) are added together to construct the total value. The added value of anticipatory utility naturally explains why people occasionally prefer to delay reward (e.g., because we can enjoy the anticipation of eating a cake until tomorrow by saving it now) (1), as well as a host of other human behaviors such as information-seeking and addiction (4, 8).

Despite the theorys clear mathematical formulation and its explanatory power for behavior, we know little about how the utility of anticipation arises in the brain. Although previous studies have described neural activity in relation to the expectation of future reward (5, 914), it is not clear if or how such activity relates to the utility of anticipation. One major reason for this knowledge vacuum is the challenge in establishing behavior that is driven by the utility of anticipation in a laboratory setting [please also see (5)]. Notably, recent studies (68) have established a strong link between the utility of anticipation and information-seeking behavior, and this now has allowed us to formally test how the brain dynamically constructs anticipatory utility.

Here, we investigated the neurobiological underpinnings of value computation arising from the utility of reward anticipation and how acquired information modulates this anticipatory utility. In doing so, we combine a behavioral task, computational modeling, and functional magnetic resonance imaging (fMRI). We fit our computational model (8) of anticipation utility (1) to task behavior, and for each participant used the best model to make predictions about the time course of anticipatory utility in the brain. We then compared this predicted signal with actual fMRI data, finding that the ventromedial prefrontal cortex (vmPFC) encoded the temporal dynamics of an anticipatory utility signal, while dopaminergic midbrain encoded a signal reporting changes in reward expectation. This reward prediction error (RPE) is widely interpreted as a teaching signal in reinforcement learning theory (15), but our model predicts that it can act also to enhance an anticipatory utility, which, in turn, drives behavior. We show that hippocampus mediates this enhancement of utility and is a substrate for a functional coupling between the vmPFC and the dopaminergic midbrain (16, 17). We suggest that these regions link reward information to the utility of anticipation, while a strong conceptual tie between the hippocampus, memory, and future imagination supports a suggestion from behavioral economics that the utility of anticipation relates to a vivid imagination of future reward (1820).

We used a variant of the behavioral task that has previously been linked to the utility of anticipation (Fig. 1A). In brief, our task examines how participants change their preference for resolving uncertainty about future pleasurable outcomes, based on reward probability and delay duration until an outcome (please also see Materials and Methods). Participants made decisions with full knowledge regarding conditions (probability, and delay, of reward outcomes), which were signaled with simple visual stimuli on each trial. The conditions were randomly selected for each trialthe probability was sampled uniformly at random from 0.05, 0.25, 0.5, 0.75, and 0.95, and the duration of a waiting period until reward or no-reward delivery was sampled uniformly at random from 1, 5, 10, 20, and 40 s.

(A) Task. Participants were presented with an immediate-information target (Find out now) and a no-information target (Keep it secret), as well as two central stimuli signaling the probability of reward and the duration of a waiting period until reward or no-reward delivery. A symbolic image cue was presented for the entire waiting period until a rewarding image or an image signaling no reward appeared. (B) The immediate-information target was followed by cues that predict upcoming reward or no reward (reward predictive cue or no-reward predictive cue). The no-information target was followed by a cue that implied nothing about the reward outcome (no-information cue). (C) Average behavior. Participants showed a stronger preference for advanced information under longer delay conditions [two-way analysis of variance (ANOVA), F4,950 = 10.0]. The effect of reward probability (F4,950 = 0.35, P > 0.05) showed heterogeneous dependencies (fig. S4). (D to G) Computational model (8). (D) Following (1), the value of each cue is determined by the sum of (i) the utility of anticipation that can be consumed while waiting for reward (red) and (ii) the value of reward consumption itself (green). (E and F) If a reward predictive cue is presented, then the anticipation is boosted throughout the delay period (orange upward arrows). The boosting is quantified by surprise, proportional to the absolute value of aRPE Eq. 1. (G) The model predicts that the value difference between the two targets is larger under longer delay conditions (8). (H) The average of modeled preferences, using a hierarchical Bayesian fitting procedure (8). (I) The model (blue) captures the effect of delay conditions in data (black). The error bars indicate the mean and SEs of participants (n = 39). See fig. S2 for the effect of probability conditions, and fig. S1 for how other classical models fail to explain behavior.

On each trial, participants chose between an immediate-information target (labeled Find out now) and a no-information target (Keep it secret). If the immediate-information target was chosen, one of two cues, each of which uniquely signaled if reward would or would not arrive, was shown during the waiting period (Fig. 1B, left). If the no-information target was chosen, then a separate nonpredictive cue that carries no information about an upcoming outcome was shown on the screen during the waiting period (Fig. 1B, right), eventually followed by either reward or no reward. The reward image was randomly drawn from previously validated rewarding pictures (8, 21) and consequently subject to immediate consumption (by viewing) upon delivery. The no-reward outcome was signaled by a neutral image.

In this design, participants choices did not affect either the final reward outcome or the duration of delay (Fig. 1B). Both reward probability and delay duration were predetermined and signaled to participants at the beginning of each trial. Participants could only choose if they want to gain knowledge about whether they would receive a reward or not before a delay. Therefore, standard decision theories that aim to maximize the chance of receiving rewards would predict no preference over these two choices, because the probability of obtaining a reward (hence, the expected value) is the same across the two choices (please see fig. S1, A to C). Thus, models with conventional temporal discounting predict no choice preference.

Contrary to the predictions of conventional theory, we found that participants exhibited a preference for advanced information. Further, consistent with previous findings (2224), the preference for immediate information increased with the duration of a delay (Fig. 1, C and I) (8, 25).

Previous studies (6, 8) have shown that the preference for obtaining advanced information can be accounted for by an economic notion of the utility of anticipation (1, 2, 4, 5, 26). While standard value-based decision theories assign values to the consumption of the reward itself, theories of the utility of anticipation also assign utility values to the moments that lead up to the receipt of reward (Fig. 1D; see Eq. 1 in Materials and Methods). One possible psychological root for the utility arising from reward anticipation is the pleasant subjective feeling while waiting for pleasant outcomes (1), although the mathematical framework of the anticipatory utility is open to wider interpretations [e.g., see (4)]. Here, our goal was to fill a current gap in our understanding by identifying neural processes that mediate a utility of anticipation.

Although the utility of anticipation naturally accounts for why people will delay the receipt of a reward (because they can consume anticipatory utility while waiting), the original formulation does not necessarily explain a preference for obtaining advanced information regarding a probabilistic outcome. The model still predicts indifference between the two choices in the task, because the utility of anticipation is linearly scaled with the probability of reward (as is the case for the expected value of the actual outcome), leading to the same average values for two choices (8) (illustrated in fig. S1, D to F). This is expected because information plays little role in the original formulation.

To better account for anticipatory utility, we recently proposed, and validated, a slight modification to this original formulation (8). Consider a case in which a future reward may or may not be delivered, but an early signal resolves the uncertainty, telling participants that a reward will be provided with certainty. The modification to the theory is that the utility of anticipation of a future reward is enhanced by the (in this case, positive) prediction error associated with the information signal. This surprise-based enhancement of anticipatory utility is inspired by experimental observations that such unexpected information can lead animals to become excited and will remain so until a reward arrives (25). Animals waiting for a certain reward with no such information do not show a similar level of excitement (25). The outcome of this can entail animals paradoxically preferring a less rewarding (on average), but more surprising, choice [e.g., (3, 25)].

We mathematically formulated the surprise that relates to the enhancement of anticipatory utility by using a notion of RPE. Every time participants received advanced information about future reward (or no reward), participants experienced an RPE, defined by the difference between (i) the value of future that is just updated on the basis of the arrival of new information and (ii) the value of future that was expected before the arrival of new information. In standard theory, RPE is computed from the value of reward; in our model, it is computed from the utility of anticipation and reward (Eq. 5). Therefore, we refer to our models prediction error signal as an anticipation + reward prediction error (aRPE) signal. In our computational model, this aRPE quantifies a surprise that links to an enhancement (boosting) of anticipatory utility. Following the conventional mapping of prediction error to surprise (27), the model quantifies surprise by the absolute value of the aRPE, because unexpected negative outcomes (negative aRPE) can be just as surprising as unexpected positive outcomes (positive aRPE). This also avoids unreasonable effects such as turning negative anticipation to positive anticipation by multiplying with a negative aRPE. Thus, one of the simplest expressions for boosting is to assume that anticipatory utility is linearly enhanced by the absolute value of aRPE (please see Eqs. 1 and 2 in Materials and Methods).

It is important to note that an aRPE (or a standard RPE) is expected to be a phasic signal that lasts only for a short period. However, animals can remain excited throughout a whole anticipatory period (25), and so in the model, the enhancement of anticipation is sustained throughout a waiting period (8) (Eqs. 1 and 2). Therefore, the model predicts that a signal that is associated with boosting anticipatory utility will be a prolonged representation of the absolute value of aRPE (or a prolonged signal that is proportional to the amount of surprise). Such a signal is likely to be encoded in regions other than those encoding phasic aRPEs. We return to this question later.

In our task, the cue predictive of a future outcome that follows the immediate-information target creates a dopaminergic aRPE, and it triggers a boosting of the utility of anticipation. On the other hand, the nonpredictive cue following the no-information target does not generate aRPE and consequently does not trigger any boosting (fig. S1, G to I). Therefore, the model predicts that participants experience enhanced anticipatory utility after receiving a reward predictive cue following the immediate-information target, while they experience a default amount of anticipatory utility weighted by the probability of reward after receiving a no-information cue following the no-information target. Because of the sustained boosting, the model predicts that the difference in the values between the immediate-information target and the no-information target is larger under longer delay conditions (at least in the absence of strong discounting), causing an enhanced preference for the immediate information target at longer delay conditions (Fig. 1G) (8).

We fit this model to participants trial-by-trial behavioral data using a hierarchical Bayesian scheme (8) (see Materials and Methods). This method estimates group-level distribution over all participants, allowing us to have reliable estimates of each individuals parameters without overfitting and to make fair model comparisons using sampling. As before (8), the model captured participants preferences for advanced information (Fig. 1, H and I). In particular, the model quantitatively captured the key feature of the data, which is an increase in preference for immediate information under longer delay conditions (Fig. 1I), as well as the preference over probability conditions (fig. S2). We also found that in addition to positive value to reward, participants assigned a negative value to the no-reward outcome, which creates a negative anticipatory utility associated with the no outcome (8). This allows the model to avoid advanced information if a participant assigns a large negative value [please see (8) for further evidence].

Other standard models do not capture this preference for advanced information. For example, models with discounted reward but with no anticipatory utility, or models with both discounted reward and anticipation utility but no enhancement of anticipation, cannot capture the observed behavior (please see fig. S1 for illustration). We formally tested this by fitting other possible models to the behavioral data using a hierarchical Bayesian method and compared the models integrated Bayesian information criterion (iBIC) scores through sampling from group-level distributions (8) (please see Materials and Methods). These analyses strongly favored our full model over other standard computational models (fig. S3).

In addition to the task behavior outlined here, our model also captures a wide range of existing findings related to information-seeking behavior (3, 6, 25, 28), with potential links to addiction and gambling (8) (also see Discussion). However, an impressively rich and sophisticated literature describing neural correlates for an expectation of future reward (5, 914) has, with only a few notable exceptions [see (5)], focused mainly on standard issues of temporal discounting. Consequently, this literature does not address a separate and additional boosted anticipatory utility term (see Materials and Methods for details) that, as described above, is necessary to explain a wide range of reward-related behavior.

Therefore, we next sought to elucidate the neurobiological basis of value arising from anticipation, using our computational model that captures participants behavior. In particular, three key components of our model were of interest: the representation of anticipatory utility during waiting periods, the aRPE signal at advanced information cue presentation, and a sustained boosting signal of anticipation during waiting periods following surprise. To identify a unique signal for anticipatory utility, we regressed out other related signals, such as the expected value of a future reward. Last, we examined how brain regions encoding these computational components are coupled together to dynamically orchestrate the utility of anticipation, including how the brain links the arrival of reward information to the utility of anticipation.

It is important to note that our computational model is a general mathematical formulation that does not specify the psychological roots of anticipatory utility. This is analogous to standard reinforcement learning models encompassing very complex psychological roots of reward value (29). Our goal was to elucidate the neural correlates of our computational models mathematical predictions about how advanced information links to the values arising during anticipatory periods, which, in turn, drive behavior. We discuss the possible psychological roots of anticipatory utility in Discussion.

Our model predicts that the signal of anticipatory signal dynamically changes throughout a delay period (Eq. 11 in Materials and Methods). Regardless of boosting, the signal ramps up as the outcome approaches, but the value is also subject to conventional discounting. This implies a tilted inverted-U shape over time under typical parameter settings (Fig. 2A).

(A) The anticipatory utility signal at time t is an integral of discounted future anticipation (urgency signal) at t > t (red curve). This signal is different from a well-studied expected value of future reward, which we included in the same GLM. (B) The models prediction for fMRI signals (solid red) is computed by convolving the models signal (dotted red) with a canonical HRF (light blue). (C) BOLD in vmPFC positively correlated with an anticipatory utility signal. This survived our phase-randomization test (whole-brain FWE P < 0.001; see fig. S8) and SPMs standard whole-brain FWE (P < 0.05). A cluster surrounding the peak [10,50,16] (cFWE, P < 0.05 with height threshold at P < 0.001) is shown for display purposes. (D) The temporal dynamics of the BOLD signal in the vmPFC [shown in (C)] matched the models anticipatory utility signal during the anticipation period. Changes in activity following receipt of a reward predictive cue (red) and a no-information cue (magenta), as well as the models prediction for each of these conditions (black) are shown. The error bar indicates the SEM over participants. (E) A confirmatory analysis shows that activity in vmPFC is more strongly correlated with our models anticipatory utility signal than an expected reward value signal. The average regression weights in the vmPFC for the anticipatory utility signal were significantly greater than the expected reward signal (***P < 0.001, permutation test). The former was also significantly larger than zero (***P < 0.001, t test, t38 = 4.07), but the latter was not. The error bars indicate the mean and SEM. A.U., arbitrary units; N.S., not significant.

On the basis of our hierarchical model fit to choice behavior, we calculated each participants maximum a posteriori (MAP) parameters within the computational model. Using these parameters, we estimated subject-specific time courses of several variables that we tested on neural data. The predictions include (i) anticipatory utility value during waiting periods (Eq. 11 in Materials and Methods), (ii) discounted outcome value (standard expected value) during the same waiting periods (Eq. 13 in Materials and Methods), and (iii) prediction errors at cue presentation (Eq. 17 in Materials and Methods). These signals were convolved with SPMs (statistical parametric mapping) default canonical HRF (hemodynamic response function) (Fig. 2B; see fig. S5 for an example). As illustrated in Materials and Methods, we separated predictive anticipatory signals for positive reward and no reward, because we found that participants assigned a negative value to no-reward outcome (8). SPMs directional orthogonalization for parametric regressors was turned off throughout data analysis here.

Note that previous studies into value computation (including of temporal difference learning) have focused on the current value of the expected future reward. This quantity is usually closely correlated with the quantity that is the focus of our current study, namely, the additional anticipatory utility associated with future reward (fig. S5). Thus, a brain signal correlated with the anticipatory utility might conventionally be classified as a correlate of the expected value of a future reward. Here, by including these regressors together in the same general linear model (GLM), we could identify unique correlates for the utility of anticipation. We excluded trials with a short waiting time (1 s) from the analysis to separate effects of responses to cues.

We found that the models anticipatory utility signal for positive reward correlated significantly with blood oxygen-level dependent signal (BOLD) in vmPFC {P < 0.05, whole-brain familywise error (FWE) correction; peak Montreal Neurological Institute (MNI) coordinates [10,50,16], t = 6.02; Fig. 2C} and in caudate (P < 0.05, whole-brain FWE correction; peak coordinates [20, 2,18], t = 5.81; fig. S6). These results are consistent with a representation of the value of imagined reward reported previously in vmPFC (30, 31) and of reported anticipatory activity in vmPFC (5, 13, 32) and in caudate (9). Across the brain, we found no significant effect of anticipatory utility arising from no-reward outcome that survived a stringent whole-brain correction (see fig. S7). Thus, we focus on the anticipatory utility of future reward referred to henceforth as anticipation utility.

Given the importance of avoiding potential false positives from autocorrelations in slowly changing signals (33), we conducted nonparametric, phase-randomization tests where we scrambled the phases of signals in a Fourier decomposition (fig. S8A) (34, 35). This test can be applied to neuroimaging and electrophysiology studies, so as to avoid false-positive discoveries, particularly when analyzing correlations between slow signals such as values (33, 35). To do so, we transformed our models predicted anticipatory utility signal for each participant into Fourier space, randomized the phase of each frequency component, and transformed the signal back to the original space. Only the regressor being tested was randomized, while others were kept the same in the full GLM. We then performed a standard analysis on this full GLM for each participant with the scrambled signal and then conducted a second-level analysis. By repeating this procedure many times, we created a null distribution. To protect this test against family-wise error, we constructed the null distribution by taking a maximum value of correlation score across a region of interest (ROI), or across the whole brain, from each of our second-level analyses, comparing against the correlation value in the original analysis. We found that the effects in vmPFC (P < 0.001, randomization whole-brain FWE-corrected) and caudate (P < 0.01, randomization whole-brain FWE-corrected) survived this Fourier phase-randomization test (fig. S8B; please also see fig. S9).

A more detailed inspection of these signals, during the waiting period, showed that the time course of vmPFC activity closely resembled our models predictions. In Fig. 2D, we plot the time course of average fMRI signals in the vmPFC cluster shown in Fig. 2C during the waiting period separately for two conditions, namely, when participants received a reward predictive cue (red) and when participants received a no-information cue (magenta). The time courses track the models predictions in each condition (black).

We note that a standard expected value of future reward signal was also included in the same GLM so that we can evaluate unique correlations for the utility of anticipation. Both signals showed similar ramping toward reward (please see fig. S5 for an example participant); therefore, anticipatory utility signals may have previously been classified as the expected value of future reward signal. As a confirmatory analysis, we compared the correlation of the vmPFC with our models anticipatory utility signal and to that with a standard expected reward signal. In Fig. 2E, we plotted average values in the vmPFC cluster for the anticipatory utility and for the standard expected reward (note that both regressors are present in the same GLM) and confirmed that the difference between the coefficients was significant (P < 0.001, permutation test). We stress that this is a confirmatory analysis, because we already know that vmPFC is significantly correlated with the anticipatory utility and not with the expected value signal. The models expected reward signal was instead correlated significantly with regions, including the superior temporal gyrus (P < 0.05, whole-brain FWE correction; [48, 48,16], t = 5.28; fig. S10A). This also survived a phase-randomization test (P < 0.001).

We also tested whether our found signal is distinct from a more generic ramping signal, such as a linear ramping signal. To test this, we added a regressor that ramps up linearly in each anticipatory period to the original GLM and compared the average coefficients of this regressor against that of the utility of anticipation. We confirmed that the coefficients of the utility of anticipation are significantly larger than those of the linear ramping signal (fig. S11), supporting that our results show neural correlates of the utility of anticipation, instead of other types of ramping signals.

We further asked whether BOLD in the vmPFC during the waiting period correlated with a simpler signal, such as constant expected outcome value. When the immediate-information cue is presented, this is the same as the value of reward or no reward without discounting or anticipatory modulation; otherwise, it is an average of the values of reward and no reward weighted by their respective probabilities. We examined the singular contribution of this signal by adding it as another parametric boxcar regressor during waiting periods to the original GLM and then comparing the average values of the vmPFC cluster between the anticipation utility and the expected value, regressor. In this way, we estimated the partial correlation of each regressor. As shown in fig. S12, vmPFC BOLD was more strongly correlated with the models anticipatory utility signal than with the constant expected value signal (P < 0.001, permutation test). BOLD was still positively correlated with the models anticipatory utility signal (P < 0.001, t test, t38 = 3.93), and the effect of an expected value signal was not significant. We again note that this is a confirmatory analysis.

For completeness, we report descriptively that an anticipatory urgency signal, which is an anticipation signal before integration (Eq. 15 in Materials and Methods), correlated with anterior insular cortex (11) ([34,30,2], phase-randomization test, P < 0.01; fig. S10B).

The aRPE arising at advanced information cues is a unique and critical signal in our model. First, unlike conventional models relying on reward, our models aRPE is computed from the value arising from both reward anticipation and reward itself (Eq. 5 in Materials and Methods). Second, while in a standard reinforcement learning model, an RPE serves as a learning signal; in our model, it triggers a surprise that is associated with enhancement (boosting) of anticipatory utility (Eq. 2 in Materials and Methods). In this regard, aRPE also differs from a conventional temporal difference prediction error signal (15), which considers conventionally discounted outcomes alone and does not involve boosting. Rather, our computational models aRPE signal encompasses both a standard RPE and the so-called information prediction error (IPE) (23, 24, 36, 37), both of which have been shown to be represented in the activity of dopamine neurons (23). Dopamine has also been implicated in enhanced motivation [e.g., (38)]. Therefore, on the basis of extensive prior studies, we hypothesized that an aRPE signal arising at the time of advanced information cues would be encoded in the midbrain dopaminergic regions and ventral striatum [e.g., (10, 23, 39)].

For this, using each participants MAP parameter estimates obtained from fitting our model to choice behavior, we calculated a full, signed, aRPE signal, at the onset of advanced information cues (reward predictive, no-reward predictive, and no-information cues), based on the discounted utility of anticipation (including both positive and negative cases) and that of outcomes (Eq. 17).

We assumed that participants fully learned the task in the training period. Therefore, the size of aRPE was determined entirely by each trials experimental conditions (probability and delay of the reward) as well as the models fitted parameters, meaning that an aRPE was not affected by recent trials outcomes. Therefore, we analyzed the fully self-consistent aRPE (please see Materials and Methods, Eq. 17).

We found that the models signal correlated significantly with BOLD in a midbrain dopaminergic region, encompassing the ventral tegmental area and substantia nigra (VTA/SN) [Fig. 3A; P < 0.05, small volume FWE correction with an anatomical ROI; (39) [4, 26, 20], t = 3.78]. We analyzed VTA/SN with an anatomical ROI following previous literature (39). We note that this correlation at VTA/SN also survives FWE correction over the extended ROI that covers two regions: VTA/SN and ventral striatum (39) (P < 0.05, FWE small volume correction). In addition, we also found that BOLD in the medial posterior parietal cortex (mPPC) (40) correlated significantly with the models predicted signal (Fig. 3A; P < 0.05, cluster-level whole-brain FWE correction with the height threshold P < 0.001; k = 166, peak at [0, 42, 50]). We did not find significant associations in ventral striatum, perhaps because cue and reward onsets were unusually temporally distant (up to 40 s), a finding consistent with a previous report that ventral striatum is not relevant for learning when feedback is delayed (although hippocampus is) (41). Further, we explored whether locus coeruleus (LC) is correlated with this signal; however, we did not find a significant effect.

(A) The ventral tegmental area and substantia nigra (VTA/SN) and medial posterior parietal cortex (mPPC) BOLD positively correlated with the models aRPE at the time of advanced information cue presentations [VTA/SN, P < 0.05 FWE small volume correction (39); mPPC, P < 0.05 whole-brain FWE, cluster-corrected at P < 0.001]. Voxels at P < 0.005 (uncorrected) are highlighted for display purposes. (B) Our confirmatory analysis shows that both the VTA/SN and the mPPC show paradigmatic correlations with aRPE. At the time of advanced information cue presentations, BOLD in the VTA/SN and the mPPC positively correlated with the models actual cue value signal and negatively with the models expected cue value signal, indicating that both regions express canonical prediction errors. The difference was significant in the VTA/SN (P < 0.001, permutation test) and in the mPPC (P < 0.001, permutation test). The positive correlation with cue outcome values and the negative correlation with expected values were all significant (received cue value, P < 0.01 for the VTA/SN and the mPPC by t test, t38 = 3.24 and t38 = 3.40; expected cue value, P < 0.01 for the VTA/SN and P < 0.001 for the mPPC by t test, t38 = 2.82 and t38 = 4.37). (C) Our confirmatory analysis shows that both regions express stronger correlations with our models full aRPE than with standard prediction error with discounted reward (RPE) at advanced information cues. The difference was significant between the VTA/SN and in the mPPC cluster (P < 0.05, permutation test). ***P < 0.001, **P < 0.01, and *P < 0.05.

Previous studies suggest that significant correlations reported between fMRI signals and prediction errors might be attributable to strong correlations with actual cue value alone, regardless of the presence of negative correlations with expected cue value (42). To rule out this possibility, we performed a confirmatory analysis by constructing a GLM with separate regressors for the models values of presented cue values and the models expected cue values, both of which were computed from the utility of anticipation and reward (Eq. 5). The average regression coefficients correlated positively with the models (actually presented) cue value and correlated negatively with the models expected (average) cue value (Fig. 3B in both the VTA/SN and in the mPPC clusters shown in Fig. 3A). Thus, responses in these regions had the characteristic of canonical prediction error signals (42).

Because our models aRPE signal, with the values of anticipation and reward, is more complex than a standard RPE signal with reward value alone, we performed a further confirmatory analysis. Here, we constructed a GLM that included the models full aRPE signal (Eq. 8) and a standard RPE error signal based exclusively on reward values (Eq. 19). We then compared the partial correlations associated with these regressors. We found in both VTA/SN (39) and the mPPC cluster that the average partial correlation is greater for our models full aRPE signal than for the standard RPE signal with discounted reward value alone (Fig. 3C).

Last, BOLD in the mPPC has previously been reported to covary with a simpler prediction error signal, the state prediction error (SPE) signal (43). In our experiment, this SPE signal is the absolute value of the difference between outcome (1 or 0) and expectation (the presented probability of reward; Eq. 18). To rule out SPE as a driver of our results, we performed a confirmatory analysis, by constructing a GLM that included the models full aRPE signal and its SPE signal and then compared the values of partial correlations associated with these regressors. For both the VTA/SN (39) and the mPPC cluster, the average partial correlation weights for the models full RPE were greater than those for the SPE signal (fig. S13).

Our computational model predicts an enhanced anticipation utility following a surprise that is coincident with advanced information cues. The magnitude of this enhancement is proportional to the surprise, which is defined simply by the absolute value (27) of aRPE (Eq. 2 in Materials and Methods). Our model also predicts that any boosting should be sustained over the entire duration of a waiting period (Fig. 4A), unlike the phasic (a)RPE signals that we just examined (23, 44).

(A) Our model predicts that a surprise, quantified by the absolute value of aRPE, can boost the utility value of anticipation. The model predicts the effect of boosting to be sustained during the anticipatory period, in contrast to the phasic, short, aRPE signal. (B) A surprise at advanced information cues, quantified by the absolute value of aRPE, significantly correlated with BOLD in the hippocampus [FWE, P < 0.05, small volume correction (46)]. (C) The temporal dynamics of fMRI signal in the hippocampus. Changes in activity averaged over participants after receiving a reward predictive cue (orange), and after receiving a no-information cue (magenta), are shown. The phasic response confirmed in (B) is apparent in the early phase of the delay period (blue). Still, the coding of boosting-related value is sustained throughout the entire waiting period (blue and yellow), which is what our model predicted. The error bar indicates the SEM. Please also see fig. S14 for responses to a no-reward predictive cue.

Previous research suggests that the hippocampus is an ideal substrate for this effect. First, in the context of recognition tasks, the hippocampus encodes surprise (mismatch, novelty) signals [e.g., (17)]. In addition, the hippocampus is associated with learning for an association between cues and delayed feedback. Further, extensive studies implicate a coupling of the hippocampus with the VTA/SN and with the PFC [e.g., (16, 17, 20, 45)], the two regions that we show are linked most to our models computation. Also, although we do not specify the psychological roots of our computational models enhancement of anticipation utility, we note that in the original study of anticipatory utility, the magnitude of anticipation utility is suggested to relate to the strength of imagination for future reward (1). Many studies link hippocampal activity to the imagination of future prospects [e.g., (18)], where prefrontal-medial temporal interactions influence the effects of imagination on valuation (19), as well as support the mental construction of future events (20).

Therefore, we first examined the phasic response of the hippocampus to a surprise at the onset of the advanced information cue presentation, quantified by the absolute value of the models aRPE. As predicted, we found that hippocampal activity was significantly correlated with the magnitude of a surprise {P < 0.05, FWE small volume correction by an anatomical mask of hippocampus; [32, 24, 12], t = 3.60; Fig. 4B (46)}. The phasic response to surprise is an important feature for the models boosting anticipation utility, but as outlined, the model predicts that activity associated with boosting should be sustained until ultimate reward delivery (Fig. 4A). We found that hippocampal activity in the cluster that responded phasically to surprise at cue (the cluster is taken at P < 0.05, FWE small volume correction from the analysis in Fig. 4B) was greater throughout the waiting period after a reward predictive cue was presented (in which case, a surprise was induced), compared to that following presentation of a no-information cue (in which case no surprise was induced), as seen in Fig. 4C (see also fig. S14 for responses to a no-reward predictive cue). This was quantified in fig. S15 (P < 0.05, permutation test). Thus, in addition to expressing the magnitude of a surprise at advanced information cues, hippocampal BOLD during the wait suggests features associated with our models signal that relates to boosting anticipation utility.

We also explored the possibility that amygdala correlates with the surprise at the cues. However, we found no voxel in amygdala showing significant correlations with this.

So far, we have shown that distinct regions encode our models computational signals. The vmPFC encodes our models utility value of anticipation; the VTA/SN (as well as the mPPC) encodes an aRPE signal that is associated with a trigger for boosting of the utility of anticipation, and the hippocampus encodes a sustained signal associated with our models boosting of the utility of anticipation. In our computational model, these three signals are functionally coupled (please see Figs. 1, E and F, and 4A for schematic illustrations and Eqs. 1 and 2 in Materials and Methods for a more precise mathematical description). Specifically, as illustrated in Fig. 4A, our model expects that a region that encodes a signal associated with a sustained effect of boosting should be functionally coupled both to a region encoding aRPE and to a region encoding the utility of anticipation. The hippocampal BOLD signal in Fig. 4C suggests that it encodes both phasic (related to aRPE) and sustained (related to anticipation utility) signals (fig. S15). Furthermore, extensive studies implicate functional couplings of hippocampus with the VTA/SN as well as with the PFC (16, 17, 45).

We hypothesized that sustained hippocampal activity mediates our models anticipation utility computation. In essence, to boost anticipation utility, the hippocampus links computations in the VTA/SN (aRPE) and the vmPFC (anticipation utility). If the hippocampus is coupled to both the VTA/SN and the vmPFC, then it should correlate with mixed variables (interaction) from the VTA/SN and the vmPFC. To formally test this idea, we analyzed functional connectivity using dual psychophysiological interaction (PPI) regressors based on two a priori seed regions: (i) the vmPFC (which encodes anticipation utility) and the models aRPE signal at advanced information cues (which is encoded at the VTA/SN) as a psychological variable, and (ii) the VTA/SN (which encodes aRPE) as a seed and the models anticipation utility signal (which is encoded at the vmPFC) as a psychological variable. The PPI was constructed in this manner because we wanted to test whether the hippocampus couples to both the VTA/SN and the vmPFC. Each of these two PPI regressors includes variables relating to both the vmPFC (anticipation) and the VTA/SN (aRPE), and these variables are coupled in our computational model through the notion of boosting; therefore, each regressor tests our hypothesis that the hippocampus links the VTA/SN (aRPE) and the vmPFC (anticipation) as a potential substrate of boosting. Thus, we included these two sets of regressors into the single GLM we used so far (see Materials and Methods) and tested whether hippocampal activity significantly correlated with these PPI regressors. We also explored the possibility that amygdala contributes to this interactive computation. However, we found no voxel in amygdala, showing significant correlations with either of the PPI regressors.

We found significant correlations in the hippocampus for both PPI regressors. Thus, the functional coupling between the VTA/SN (the area encoding aRPE) and the hippocampus was significantly modulated by our models anticipation utility signal {P < 0.05, FWE small volume correction; [22, 32, 6], t = 3.89; Fig. 5A (46)}. In addition, the functional coupling between the vmPFC and the hippocampus (47) was significantly modulated by our models aRPE signal {P < 0.05, FWE small volume correction; [30, 34, 6], t = 3.70; Fig. 5B (46)}. We also performed a conjunction analysis to see whether the two regions that are correlated with two PPI regressors overlapped. However, we found null results, suggesting that coupling to the VTA/SN and to the vmPFC may be mediated by different subregions in the hippocampus.

(A) Functional coupling between the VTA/SN and the hippocampus is positively modulated by the models anticipation utility signal [P < 0.05, FWE small volume correction (46)]. PPI regressor: BOLD signal in VTA/SN modulated by models anticipation utility signal. (B) Functional coupling between the vmPFC and the hippocampus is positively modulated by the models aRPE signal [P < 0.05 FWE small volume correction (46)]. PPI regressor: BOLD signal in vmPFC modulated by the models aRPE signal. (C) The functional coupling strength between the vmPFC and the hippocampus mediated by the models prediction error signal is positively correlated with the models boosting coefficient parameter estimated by the behavior of participants (r = 0.37, P < 0.05). (D) Three distinctive regions contributed to construct the anticipation utility, in a manner that is predicted by our computational model. The three-dimensional brain image was constructed by the mean T1 brain images, which were cut at y = 34 and z = 15.

If the hippocampal-vmPFC coupling mediates our computational models boosting of anticipation, then the coupling strength that we estimated in our PPI analysis should relate to the models magnitude of boosting that we estimated from choice behavior. Our model predicts that the magnitude of boosting is linearly correlated with a parameter C, the linear boosting coefficient (Eq. 3, Fig. 5C), which we had already fit to each participant. Therefore, we tested whether the linear boosting coefficient (that we estimated from our behavioral model-fitting) and the hippocampal-vmPFC coupling strength (that we estimated from our fMRI PPI analysis) are correlated with each other. As seen in Fig. 5C, we found that these two variables estimated separately from imaging and behavioral data are positively correlated across participants. This provides further evidence supporting the idea that this three-region network is involved in our models anticipatory utility computation. We note that we z-scored aRPE so that the size of aRPE is not directly correlated with a preference of advanced information.

We also note a recent study suggesting cautious attitudes when interpreting between-subjects correlation using model-based neuroimaging analysis (48). Although our analysis involves an interaction term (a PPI regressor), which itself includes a BOLD sequence, here, we aimed to test the proportional coding, whether the magnitude of functional coupling is correlated with the models parameter. To ensure that our correlation is not trivial, following (48), we tested whether there is a correlation between the models parameter C and the variance of the PPI regressor. Unlike the example given previously (48), we found no significant correlation between these two variables (fig. S16).

These functional connectivity results support our hypothesis that the hippocampus plays a key coordinating role in our models computation, that is, potentially boosting the utility of anticipation and linking the vmPFCs encoding of the utility of anticipation with the VTA/SNs encoding of prediction errors at advanced information. The findings point to these regions functioning as a large-scale neural network for linking advanced information to the utility of anticipation (Fig. 5D), driving a preference for advanced information in our task.

The utility of anticipation has long been recognized as a critical notion in behavioral economics and the cognitive sciences. While it has been linked to a wide range of human behavior that standard reward valuebased decision theories struggle to account for (e.g., a preference for advanced information, risk-seeking, and addiction), the neural basis of the theory is unknown. It is a different notion from the standard expected value of future reward (and we duly controlled for this standard value throughout our analyses). Here, we took advantage of a new link between computational theory and behavior and applied this perspective to fMRI data to uncover how the utility of anticipation arises in the brain and how advanced information links to the utility of anticipation (please see fig. S17 for a visual summary of Discussion).

Crucially, we show a network for computing the utility of anticipation and liking of advanced information, consisting of three specific brain regions. First, we show that vmPFC represents the time course of an anticipation utility signal that evolved separately from a standard reward expectation signal during a waiting period. Second, dopaminergic midbrain regions, encompassing VTA/SN, encoded the models aRPE that signals changes in expected utility of anticipation and reward at advanced information cues. Third, the hippocampus, whose activity indexed our models surprise signal, was functionally coupled both to vmPFC and to the VTA/SN, in a sustained manner consistent with our models predicted boosting of anticipation utility. While the three-region functional coupling has been previously implicated in other settings (16, 17, 45), our study provides evidence for an explicit, mathematically defined, computational role. We suggest that its role in the context of our study is to link advanced information to a utility of anticipation that works as a reinforcement for behavior.

Our study provides insights into neural processes underlying human decision-making that standard decision theories struggle to explain. A case in point, in our current study, concerns a preference for early resolution of uncertainty (4), also known as information-seeking (2224, 49), or observing (50, 51). Humans and other animals are willing to incur costs to find out their true fate, even if this knowledge does not change actual outcome. An alternative idea, as opposed to that of boosted anticipatory utility, is the notion that people derive value from information itself (23). However, this so-called intrinsic value of information cannot explain why a preference for advanced information is valence dependent (24), that it depends on the reward probability in a way that does not covary with information-theoretic surprise (52), and manifests a sensitivity to delay until reward (as we also demonstrated here) (8, 25). All of these findings are a natural consequence of the coupling of information to the utility of anticipation (but not of information per se).

Consequently, our results account for previous neural findings of the intrinsic value of information. This so-called IPE signal is presumed to arise from the value of information (2224, 36, 37) and has been reported in the same midbrain dopaminergic regions as standard RPEs (22, 23), implying that the two signals might be strongly related. Our model accounts for IPEs as a side effect of anticipation-dependent aRPE. We found that an aRPE signal correlates positively with BOLD signal in dopaminergic midbrain regions (22, 23) and in the mPPC (40). We found that clusters in these regions are more strongly correlated with our models aRPE signal than with a standard RPE signal with no utility of anticipation. This implicates that these regions encode our aRPE signal that unifies standard RPE signals and IPE signals.

More broadly, our results offer alternative accounts for addiction and the possibility of individually tailored psychiatric interventions (fig. S17). While initial phases of addiction (53) involve excessive dopamine release at the time of drug consumption (54), later phases involve intense craving. Our model implies that people boost anticipation utility when a likelihood of drug administration increases (e.g., when purchasing drugs). People may feel greater value from obtaining drugs (which can act as a kind of conditioned stimuli) than from administering them, because the former includes utilities associated with an anticipation of future administration. Our model predicts that people with certain parameter values (e.g., large boosting coefficients) could repeatedly overboost the value of anticipating drugs, resulting in excessive, pathological, drug-seeking (see Eq. 10). Although the learning process leading to pathological behavior may be very slow in a natural world, by fitting our model to participants performing the task used here, we can, in principle, link an individuals tendency toward addiction with a unique cause of this disorder (e.g., excessive boosting or imbalance between anticipation and discounting). This, in turn, can suggest interventions tailored to individual patients, such as cognitive behavioral therapy focusing on controlling anxiety and craving (55), as well as possible dopaminergic antagonists to control boosting.

Our study is relevant also for unifying separate notions concerning gambling: preference for risk and time delay (the latter is called time preference in behavioral economics). While these two economic phenomena have often been treated separately, there is increasing evidence in favor of an interactive relationship [e.g., (56)]. Our computational model of anticipation explicitly offers an interaction between risk (prediction error) and delay (anticipation) because the former can enhance the value of the latter. This interaction creates well-documented effects, such as nonlinear coding of probabilities of anticipated rewards (57). It would be interesting to test our models predictions as to how pharmacological manipulations (e.g., on dopamine) affect risk and time (delay) preference, where dopamine is likely to be heavily involved in computing aRPE. Further studies may allow us to design a behavioral task for psychiatric interventions, in which patients can lessen their preference for addictive substances, or even their risk preference in general, because our model can find the optimal task parameters for each individual to achieve this goal.

We found that the hippocampus was involved in value computation arising from reward anticipation, through its coupling with the VTA/SN and the vmPFC. Both hippocampus-VTA/SN and hippocampus-(v)mPFC couplings have been extensively reported previously in animal studies as well as in some human studies [e.g., (16, 17, 20, 45)]. In rodents, hippocampus-PFC coupling has been shown to be gated by neurons in the VTA (16). Oscillatory synchronization has also been reported in the PFC-VTA-hippocampus axis in rodents performing a working memory task. Our finding is consistent with a previous observation in humans showing that activity in VTA influences the baseline activity in posterior hippocampus (45). The posterior hippocampus, which we report in our PPI analysis, has also been linked to future simulation that we think likely relates to our models anticipation utility computation. Our functional connectivity analyses suggest that an aRPE signal encoded in the VTA/SN affects a functional coupling between the hippocampus and the vmPFC, which encode the enhancement of the utility of anticipation; this can be tested in future studies involving pharmacological manipulations (e.g., on dopamine). Because the hippocampus has a rich anatomical structure, further studies will illuminate how different parts of the hippocampus contribute to value computation arising from reward anticipation.

Neuroeconomic studies show that people make decisions between goods in different categories, by expressing the value of those goods in a so-called common currency primarily encoded in the vmPFC. Here, we found that the utility of anticipation is expressed in the vmPFC [please also see (7)]. This invites an alternative interpretation of previously reported ramping activity in the vmPFC while waiting for rewards [e.g., (58)] in terms of an anticipation-sensitive value signal, which has been interpreted as a reward-timing signal.

An alternative interpretation of our behavioral results is that participants do not like uncertainty. However, a previous study using the same task with aversive outcomes has shown that people avoid advanced information when the outcomes are aversive (49), while another study has also shown that a preference for advanced information is valence dependent (24). These findings are consistent with our models predictions but contradict simple uncertainty avoidance. In our model, advanced information can boost negative anticipation for an aversive outcome [i.e., dread (2, 26)], leading to an avoidance of (negative) advanced information. Further studies will illuminate how advanced information modulates dread in the brain, possibly through hippocampal coding of a sustained signal during a waiting period for no reward (fig. S14; note: people assigned negative value to no reward in our task, confirmed by our model fitting and self-reports), and may suggest that a similar circuit presented here is involved in this computation.

As is the case for value of a reward [whose psychological roots have been shown to be very complex (29)], the psychological roots of anticipation utility are likely to be complex. While we acknowledge that we had no control over what participants were thinking while waiting for outcomes in the scanner, participants informal self-reports were largely consistent with the idea that reward predictive cues made participants more excited while waiting for the reward. We acknowledge that other psychological interpretations of our computational model are possible, as is the case for the roots of reward in a standard reinforcement learning model (29). For example, we note an influential suggestion (4) that future uncertainty drives other forms of anticipatory utility, such as anxiety. We did not consider this notion directly in our computational model, but in our model, an agent can experience a mixture of positive and negative utilities of anticipation according to the probabilities of these outcomes (please see Materials and Methods). It would be interesting to study how this mixed anticipatory utility of our model relates to the notion of anxiety (4), which may help the design of more effective psychiatric interventions for anxiety disorders. Also, in this current study, we used a primary reward (image) instead of a secondary reward (money); it would be interesting to administer our task using a secondary reward. We used primary reward inspired by the classic study of the utility of anticipation (1); however, recent studies implicate that similar results will be obtained with monetary reward (6, 24).

Last, our study offers an alternative view to a long-standing problem in neuroscience and machine learning. We refer here to the so-called temporal credit assignment problem, which raises the issue of how neurons operating on a time scale of milliseconds learn relationships on a behaviorally relevant timescale (such as actions and rewards in our task). Designing a machine learning algorithm that overcomes this problem remains a challenge. Cognitively, our computational model suggests that the anticipation of future reward could serve as an aid to solve this problem, because a sustained anticipation signal can bridge the temporal gap between a reward predictive cue and an actual reward. A recent physiological study demonstrated that synaptic plasticity in hippocampal pyramidal neurons (e.g., place cells) can learn associations on a behaviorally relevant time scale, with the aid of ramping-like, slow, external inputs in a realistic setting (59). This has been shown to arise out of a slow input that can trigger a slow ramp-like depolarization of synaptic potential, which, in turn, unblocks N-methyl-d-aspartate (NMDA) receptors, leading to synaptic learning that spans a duration of seconds (59). Thus, our results suggest that a slow anticipatory utility signal in the vmPFC that is sustained throughout long delay periods (or the sustained, coupled, activity in the hippocampus) could serve as such input to neurons in the hippocampus, bridging the temporal gap over behavioral time scales. A dopaminergic input from the VTA/SN to the hippocampus may facilitate this type of learning (17).

In summary, we identify a novel neural substrate for computing the utility value arising from anticipation. Our results implicate that a functional coupling of three distinctive brain regions links the arrival of advanced information to resolve future uncertainty to the boosted utility of anticipation. We suggest that this boosted anticipatory utility drives a range of behaviors, including information-seeking, addiction, and gambling. Our study may also provide seed for designing individually tailored interventions for psychiatric disorders.

Thirty-nine self-declared heterosexual male participants (21) were recruited from the University College London (UCL) community. Participants provided informed consent for their participation in the study, which was approved by the UCL ethics committee.

The task was a variant of that in (8), which itself was inspired by a series of animal experiments into information-seeking or observing behavior [e.g., (22, 25)]. At the beginning of each trial, a pair of task-information stimuli (hourglass and partially covered human silhouette) were shown, along with two choice targets. The number on the hourglass indicated how long the participants had to wait until seeing a reward or no reward, where 1/2, 1, 2, 4, and 8 hourglass meant 1, 5, 10, 20, and 40 s of waiting time, respectively. The other stimulus, a partially covered human silhouette, indicated the probability of seeing a reward, specified by the area of the uncovered semicircle (5, 25, 50, 75, and 95% chance of rewards). Two lateral rectangular targets were presented as choices: the immediate-information target marked as Find out now and the no-information target marked as Keep it secret. The positions of the hourglass and the covered silhouette were kept the same every trial, but the locations of choice targets were randomly alternated between left and right on each trial.

The participants were required to choose between left and right targets by pressing a button within 3 s. Once the participants chose a target, one of the three cues appeared in the center of the screen. If the participants chose the immediate-information target, then a cue that signaled upcoming reward or no reward appeared on the screen until the onset of reward or no reward. If the participant chose the no-information target, then a cue that signaled no information about reward appeared on the screen. The meaning of the cues was fully instructed to participants beforehand. The meanings of the cues were counterbalanced across participants. To ensure immediate consumption, rewards were images of attractive female models from a set that had previously been validated as being suitably appetitive to heterosexual male participants (8, 21); reward images were presented for 1 s. Images were chosen randomly from the top 100 highest-rated pictures that were introduced in (21). No image was presented more than twice to the same participants. In case of no reward, an image signaling absence of a reward was presented for 1 s. In either case, a blank screen was presented for 1 s before starting a new trial. These timings were set to reduce the timing uncertainty, which may cause prediction error that can interfere with our models value computation.

Participants were fully instructed about the task structure, including the meaning of stimuli about the probability and delay conditions, as well as the advanced information cues. Then, participants underwent extensive training that consisted of three tasks: a variable-delay but fixed-probability task, a fixed-delay but variable-probability task, and a variable-delay and variable-probability task. This ensured that participants had fully learned the task and had adequately developed preferences before being scanned. Scanning was split into three separate runs, each of which consisted of 25 trials that covered all conditions once. Trial orders were randomized across participants. Participants had a break of approximately 30 s between runs.

We used the model described in (8). Briefly, following Loewensteins suggestion that the anticipation of rewards itself has hedonic value (1, 2) (e.g., participants enjoy thinking about rewards while waiting for them), we extended a standard reinforcement learning framework to include explicit reward anticipation, which is often referred to as savoring (1). The models innovation is to suggest that the utility of anticipation can be boosted by RPEs associated with advanced information about upcoming rewards (8). We note that savoring here is a mathematically defined economics term and is different from (although may be related to) savoring in positive psychology (the acts of enhancing positive emotions).

To describe the model formally, consider a task in which if a participant chooses the immediate-information target, then they receive at t = 0 a reward predictive cue S+ with a probability of q, or a no-reward predictive cue S with a probability of 1 q. Subsequently, the subject receives a reward or no reward at t = T( = Tdelay), with a value of R+ or R, respectively. In our recent experiment, we found that participants assigned a negative value to an absence of reward (8), but this is not necessary to account for preference for advanced information that has been observed in animals (3, 25).

On the basis of the observation that participants prefer to delay consumption of certain types of rewards, Loewenstein proposed that participants extract utility while waiting for reward (1, 2, 26). Formally, the anticipation of a future reward R+ at time t is worth a(t) = R+e+(T t), where + governs its rate. Including R itself, and taking temporal discounting into account, the total value of the reward predictive cue, QS+, isQS+=V[anticipation]+V[reward]=0Te+ta(t)dt+R+e+T=R+++(e+Te+T)+R+e+T(1)where is the relative weight of anticipation, + is the discounting rate, and T is the duration of delay until the reward is delivered. In a prior work, had been treated as a constant that relates to subjects ability to imagine future outcomes (1); however, we proposed that it can vary. The size of modulation is determined by the aRPE at the time of the predicting cue (8). Our proposal was inspired by findings of the dramatically enhanced excitement that follows such cues (25). A simple form of boosting arises from the relationship=0+C|aRPE|(2)where 0 specifies the base anticipation and C determines the gain. That anticipation is boosted by the absolute value of aRPE is important in applying our model to comparatively unpleasant outcomes (8). The boosting is sustained throughout a waiting period.

The total value of the no-reward predictive cue, QS, is thenQS=0Teta(t)dt+ReT=R(eTeT)+ReT(3)

Following our previous work, we assumed that = + = .

An aRPE affects the total cue values QS+ and QS, which, in turn, affect subsequent aRPEs. Therefore, the linear ansatz for the boosting of anticipation by aRPE (Eq. 2) could lead to instability due to unbounded boosting. This instability could account for maladaptive behavior such as addiction and gambling. However, in a wide range of parameters, this ansatz has a stable, self-consistent, solution. In our experiment, the aRPE for the reward and no-reward predictive cues can be expressed asaRPES+=QS+(qQS++(1q)QS)(4)aRPES=QS(qQS++(1q)QS)(5)which are, assuming the linear ansatz{aRPES+=(1q)((0+CaRPES+)A++B+((0+C|aRPES|)A+B)aRPES=q((0+C|aRPES+|)A++B+((0+C|aRPES|)A+B)(6)where{A+=R++(eTe+T)A=R(eTeT)B+=R+eTB=ReT(7)

Assuming that R 0 and 0 R+, Eq. 6 implies that aRPES+>0 and aRPES<0. With this, Eq. 6 can be reduced to{aRPES+=(1q)(0(A+A)+B+B)1C((1q)A+qA)aRPES=q(0(A+A)+B+B)1C((1q)A+qA)(8)

Because (0(A+ A) + B+ B) > 0, in order that aRPES+>0 and aRPES<0 hold for all q and T, the denominators must be positive for all 0 q 1 and 0 T. In other words1C((1q)A+qA)>0(9)for 0 q 1 and 0 T, or C<1((1q)A+qA), for 0 q 1 and 0 T. This means that C<1max(A+,|A|) for 0 T. It is straightforward to show that A+ takes its maximum at T=ln(+)+, and A at T=ln(). Thus, the condition that the linear ansatz gives a stable self-consistent solution isC

In our model fitting, we imposed this stability condition. Violating it could account for maladaptive behavior such as addiction and pathological risk-seeking. We generated choice probability from our model by taking a difference between the expected value of immediate information target and that of no-information target and taking it through sigmoid with a noise parameter (8).

An alternative to imposing such a stability condition would be to assume that boosting saturates in a nonlinear manner (8)=0+c1tanh(c2|aRPE|)

However, the models qualitative behavior does not depend strongly on the details of the aRPE dependence of anticipation (8). Hence, we only used the linear ansatz in our analysis in the current study.

For our model comparison, we also fit a model with no anticipation = 0 and a model with anticipation but that is not boosted by aRPE, i.e., C = 0.

Our computational model makes specific predictions about temporal dynamics of anticipatory, reward, value signals during waiting periods, and unique aRPE signals at predictive cue onsets. Using the parameters (MAP estimates) for each participant, we generated the following variables for each participant as parametric regressors for the fMRI analysis.

The temporal dynamics of anticipatory utility signal for positive domain at time t during waiting period until reward onsets t = T areVAnt.,+(t)=R+(0+C|pe[S+,q,T]|)+(e(Tt)e+(Tt))(11)

For the negative domain, they areVAnt.,(t)=R(0+C|pe[S,q,T]|)(e(Tt)e(Tt))(12)

We expressed these as two separate regressors. When the outcome was uncertain, i.e., after receiving a no-information cue, but would be given with a probability q (or 1 q), the anticipatory utility values (Eqs. 11 and 12) were multiplied with q (or 1 q).

Because aRPEs explicitly enter the value function of the immediate information via boosting, aRPE and the value of the immediate information target that influence each other needed to be computed in a self-consistent manner (Eq. 5). We assumed that the consistency was achieved for participants through their extensive training sessions. The aRPE pe[+/,q,T] are determined for each delay T and reward probability q condition self-consistently (see below). After a no-information choice, these signals are scaled by the probability of reward q or no reward 1 q (and no prediction errors). Note that we set R+ = 1 without loss of generality.

The discounted reward signal at t during the waiting period is expressed asVReward,+(t)=R+e(Tt)(13)while the discounted no-reward signal at t isVReward,(t)=Re(Tt)(14)

Note that the anticipation utility signal is an integral of (discounted) anticipation urgency signalVAnt.Urgency,+(t)=R+(0+C|pe[S+,q,T]|)e+(Tt)(15)andVAnt.Urgency,(t)=R(0+C|pe[S,q,T]|)e(Tt)(16)which we also included to the GLM.

The aRPE at information cue onsets are computed for each condition (q, T) self-consistently according to Eq. 8. That is{pe[S+,q,T]=(1q)(0(A+A)+B+B)1C((1q)A+qA)pe[S,q,T]=q(0(A+A)+B+B)1C((1q)A+qA)(17)where A+/ and B+/ are given by Eq. 7. In our analysis, we put positive and negative aRPE as a single parametric regressor at information cue onsets. Because the aRPE is expressed as the difference between the models presented cue value and the models expected cue value in Eq. 5, we also tested a region that is positively correlated with the models presented cue value and negatively correlated with the models expected cue value in Eq. 5.

Note that the aRPE signal is different from other conventional prediction error signals, including the so-called SPEs (43){speS+=1qspeS=|0q|(18)and a standard RPE signal with reward value alone (we can obtain this by setting C = 0 = 0 in Eq. 17){pestandard[S+,q,T]=(1q)(B+B)pestandard[S,q,T]=q(B+B)(19)which we used for a confirmatory analysis.

We used a hierarchical Bayesian, random effects analysis (8). In this, the (suitably transformed) parameters hi of participant i are treated as a random sample from a Gaussian distribution with means and variance = {, } characterizing the whole population of participants, and we find the maximum likelihood values of .

The prior distribution can be set as the maximum likelihood estimateMLargmax{p(D|)}=argmax{i=1Ndhip(Di|hi)p(hi|)}(20)

We optimized using an approximate expectation-maximization procedure. For the E step of the kth iteration, a Laplace approximation gives usmikargmaxh{p(Di|h)p(h|k1)}(21)p(hik|Di)N(mik,ik)(22)where N(mik,ik) is a normal distribution with mean mik and covariance ik that is obtained from the inverse Hessian around mik. For the M stepk+1=1Ni=1Nmik(23)k+1=1Ni=1N(mikmikT+ik)k+1k+1T(24)

For simplicity, we assumed that the covariance k had zero off-diagonal terms, assuming that the effects were independent.

We compared the goodness of fit for different computational models according to their iBIC scores (8). Briefly, in this method, we sampled parameters randomly from the estimated distributions and tested how these randomly sampled models can predict the individual subjects choice. We analyzed log-likelihood of data D given a model M, log p(DM)logp(D|M)=dp(D|)p(|M)(25)12iBIC=logp(D|ML)12|M|log|D|(26)where iBIC is the integrated Bayesian information criterion, M is the number of fitted prior parameters, and D is the number of data points (total number of choice made by all subjects). Here, log p(DML) can be computed by integrating out individual parameterslogp(D|ML)=ilogdhp(Di|h)p(h|ML)(27)ilog1Kj=1Kp(Di|hj)(28)where we approximated the integral as the average over K samples hjs generated from the prior p(hML).

We acquired MRI data using a Siemens Trio 3-T scanner with a 32-channel head coil. The Echo planar imaging (EPI) sequence was optimized for minimal signal dropout in striatal, medial prefrontal, and brainstem regions: 48 slices with 3-mm isotropic voxels with a repetition time of 3.36 s, an echo time of 30 ms, and a slice tilt of 30. In addition, field maps (3-mm isotropic, whole brain) were acquired to correct the EPIs for field-strength inhomogeneity.

We used SPM12 (Wellcome Trust Centre for Neuroimaging, UCL, London) for standard preprocessing and image analysis. The standard preprocessing includes the following: slice-timing correction; realigned and unwarped with the field maps that were obtained before the task; coregistration of structural T1-weighted images to the sixth functional image of each subject; segmenting structural images into gray matter, white matter, and cerebrospinal fluid; normalizing structural and functional images spatially to the MNI space; and spatially smoothing with a Gaussian kernel with full width at half maximum of 8 mm. The motion correction parameters were estimated from the realignment procedure and were included to the first-level GLM analysis.

We performed a standard GLM analysis with SPM, with high-pass filter at 128 s. We regressed fMRI time series with GLMs that consist of onset regressors (the presentations of the initial screen, the presentations of cues, and the presentation of outcomes), our models signals that we described in Materials and Methods (parametric regressors: models aRPE at cues and reward or no reward at outcome; models time-varying regressors: anticipatory utility signals for positive and negative outcomes, expected value signals for positive and negative outcomes, anticipatory urgency signals for positive and negative outcomes), and nuisance regressors. The onsets of cues preceding the shortest delay (1 s) was separately modeled so that the prediction errors at the cues were not affected by reward. The models predictive signals were generated for each of the anticipatory periods, using the model that was fit to each participant, which were then convolved with the canonical HRF function. We added nuisance parameters that consist of movement estimated from preprocessing, large derivatives of movement between volumes that were larger than 1 mm, boxcar function during the anticipatory periods, and boxcar function for each experimental run. In our confirmatory analysis, we also added boxcar function during the anticipatory periods that was parametrically modulated by constant expectation of reward, parametrically modulated cue presentation with SPEs. Please see Models fMRI predictions (parametric and time-varying regressors) for the full equations.

Continued here:
The value of what's to come: Neural mechanisms coupling prediction error and the utility of anticipation - Science Advances

Why Did The Turtle Cross The Road? | WNIJ and WNIU – WNIJ and WNIU

Here's a joke: Why did the turtle cross the road?

Answer: To find food, water, a mate and a nesting location.

Of course, that's not really a joke. Turtles all across Illinois are making their way across the state's 140,000 miles of roadways. Some are looking for food and water, but it's also breeding season. That means turtles are looking for mates and trying to find places to lay their eggs.

Peggy Doty is an educator with the environmental and energy stewardship team at the University of Illinois Extension. She said turtles often breed on one side of the road and lay their eggs on the other side.

"Roads tend to divide habitats," she said. "So where there used to not be a road, now there is one through the animal's habitat." Furthermore, with Illinois on track to move into Phase 4, the roads are filling up with more traffic. Doty wants motorists to be safe and slow down.

"If a turtle is crossing the road, do your best to let it cross," she said. "Do not get in a physical automobile accident. Human health needs to come first."

With that in mind, she said, "If it's completely safe for you and you are unafraid to sensibly move it to the direction it's going -- not where it's been -- try to figure which direction it's going and get it across the road."

Despite their reputation, turtles are quick, and all species bite and scratch. And if they are picked up, chances are they will empty the contents of their bladder on you. Knowing this, if you pick one up, carefully lift it along the shell's edge near the middle of its body, as long as it is not a snapper.

Assisting snapping turtles requires bravery and sturdy tools. If it's safe to do so, use a shovel or a rubber floor mat to help prod them across the road. If you have a sturdy branch, you can try to gently push it along but a frightened turtle will either retreat into its shell or feel threatened and try to bite you. If you aren't prepared or feel uneasy, it's best to put your safety first and get back into your car. Doty said to remember to look both ways before you go back to your car. Cars approach very quickly and drivers, especially if they are tired and/or distracted are not expecting to see humans or turtles on the road.

If you find an injured turtle, here is a list of statewide wildlife rehabilitators who have permits from the Illinois Department of Natural Resources.

Illinois has 17 species of turtles; four are on the endangered species list and one is threatened. Doty said we are responsible for the survival of turtles. "Human behavior affects habitat," she said. "Without habitat, we have nowhere to go when we need to protect ourselves from something. Our home is our habitat and it's critical that we protect the habitats that protect the turtles."

And if you see a turtle in your yard, Doty said, "Just leave it alone and watch it." She added, "Just because you find a tadpole or a turtle -- that doesn't mean it's yours. It's not 'Finders Keepers.' It's wildlife. Is isn't a 'free shopping day.'"

Excerpt from:
Why Did The Turtle Cross The Road? | WNIJ and WNIU - WNIJ and WNIU

As labs reopen, Rochester researchers adapt to COVID-19 precautions in innovative ways – University of Rochester

June 19, 2020

Time sharing, staggered shifts, and reconfigured spaces are among the adaptations the University has made for research to resume.

Earlier this month, researchers sat in their living rooms in California, helping to coordinate laser experiments at the Laboratory for Laser Energetics in Rochester, New York.

Just as if they were sitting in the control room themselves.

How? By participating in Remote PIessentially a souped-up Zoom meeting, with control room screens, audio, and video being shared, says Samuel Morse, director of LLEs Omega Laser Facility.

Its an example of how University of Rochester researchers are adapting to social distancing and other COVID-19 preventive measures as they reopen their labs and research facilities after an eight-week shutdown. In doing so, they are discovering that some of the adaptations are actually an improvement over what they were doing before.

Find the latest information on the Universitys COVID-19 restart and recovery efforts.

Find out what to do if you or a close contact have symptoms or think you may have been exposed.

Given the disruption of air travel, the new Remote PI environment that weve created is something that many PIs (principal investigators) are going to want to use to interact with the facility, says Morse. Weve gone to an all-electronic transfer of information (during the experimental shots) that is faster and just as reliable as the old paper transactions that occurred when the PIs were actually present in the control room.

Even when air travel is back to normal, Remote PI will give investigators the option to stay at their home institutions rather than spend time traveling to and from Rochester. It will enable even more collaborators to sit in on the experiments remotely, Morse says.

The University of Rochesterhas been an innovator in fields as diverse as geology, optics, medical education, economics, political theory, and human behavior. The Universitys Medical Center is a leader in neuroscience and in developing vaccines used worldwide. The Laboratory for Laser Energetics is a national resource for research into the interaction of intense radiation with matter.

River Campus faculty in the School of Arts & Sciences, Hajim School of Engineering & Applied Sciences, Simon Business School, and Warner School of Educationmany of whom are also affiliated with the Universitys Goergen Institute for Data Sciencehave pioneered statistical methods of research in economics, political science, and clinical and social sciences, and have contributed major advancements in biomedical imaging, quantum optics, evolutionary biology, and visual and cultural studies.

When New York state ordered a shutdown of all nonessential activities in March as part of its NY Pause program, only the followingareas of University researchwere permitted to continue on-site:

Essentially this meant closing all labs on the River Campus and at LLE.

Now research is rebooting all across the University, in lab facilities big and small, from the 18,000-square-foot Omega laser bay, to the 2,000-square-foot URnano cleanroom, to the Rush Rhees Library cubbyhole where history professor Mike Jarvis uses five high-powered computers to digitally reconstruct historic structures from Bermuda and the coast of Ghana.

When New York state approved a phased reopening of businesses and other activities in the Finger Lakes region last month, LLE reopened on May 18 with approximately 30 to 40 percent of its workforce. At the River Campus, John Tarduno, dean of research for Arts, Sciences & Engineering, has approved the reopening of 97 faculty-led science and engineering research laboratories, three multi-user facilities in science and engineering, and seven researchspaces in social sciences and humanities.

This represents about 500 people, including faculty, research scientists, technicians, graduatestudents and a few undergraduates supported on grants, Tarduno says. We have a rigorous and tiered approval process involving department chairs, program directors, and deans with an eye toward reviewing compliance with training, healthmonitoring, PPE use, and lab use, designed to allow social distancing in a research setting.

Heres a closer look at what is happening in variety of labs across the University.

Each year hundreds of researchers from across the world come to the Laboratory for Laser Energetics at the University of Rochester to use its powerful lasers for experiments involving high-energy-density physics, inertial confinement fusion, and security of the national stockpile of nuclear weapons.

In fact, about 60 percent of the laser shots on LLEs Omega and Omega-EP lasers are conducted for researchers at Lawrence Livermore, other national labs, and universities and research institutions worldwide.

With Remote PI in place, the Omega facility has achieved 25 to 26 shots a week on each of the laser systems since reopening and going through an initial shakedown period. We are at the same cadence we were when PIs were on site, Morse says. I dont think were going to take a hit to the shot rate.

Douglas Jacobs-Perkins, LLEs chief safety officer and a scientist there, says 175 of LLEs 540 researchers, students, and employees are back on site, distributed over multiple shifts.

They primarily involve staff engaged in:

Also, a limited number of graduate students are back in the facility conducting thesis research.

Social distancing is being enforced, masks are worn in all public places, and the protocol we have in place now is setting a good precedent for how we will continue to operate when we have more people on site, Jacobs-Perkins says, referring to the LLE COVID-19 Workplace Safety Policy now in force.

LLE has adopted time sharing and staggered shifts among employees now back in the building so offices are not occupied by more than one person at a time. The control rooms for Omega laser experiments were reconfigured so that all consoles are at least six feet apart, and no operators are facing each other or sitting side by side.

All staff underwent training in the new protocols, engendering lots of questions, some healthy push back, and constructive suggestions that have been adopted, Jacobs-Perkins says. So there has been a lot of give and take, and its been very effective.

I think what has probably helped make this effective is we established the overall policies for what people had to do, but the supervisors (of each division) had to determine how to effectively implement those policies in their respective work areas. I think that has given people pride of ownership.

The Department of Biomedical Engineering is a center of research in biomechanics, biomaterials, ultrasound, optics, cell and tissue engineering, nanotechnology, imaging, and neuroengineering. Its close proximity to the Medical Center fosters opportunities for the departments faculty to collaborate with clinicians and medical researchers.

All but one of the departments nearly 20 faculty-led labs and its shared research facilities have now reopened, and the remaining faculty-led lab is in process of doing so.

Dean Tarduno has been working heroically to help us all re-open our research labs. He has set up an effective procedure for keeping people safe and productive at the same time, says Diane Dalecki, the department chair and Kevin J. Parker Distinguished Professor in Biomedical Engineering.

For example, no more than three people are allowed in any of the faculty-led labs at one timeand fewer in lab sub-rooms. And only one person at a time is allowed to use the smaller shared labs used for microscopy, cell culture, mechanical testing, and other core spaces, Dalecki says.

The protocol has required a carefully orchestrated system of schedulingboth within and among labsto ensure that social distancing requirements are met. This has required students and staff to think about their experiments carefully, figuring out ahead of time what the next step will be when an experiment gets to certain point, so they can schedule their time in the lab accordingly, Dalecki says.

Some of the faculty-led labs have set up regular daily shifts when individual staff members and students can come in without violating the social distancing requirements. Other faculty-led labs have adopted a more flexible calendaring system monitored by the PI (faculty principal investigator).

The departments committee that oversees the shared labs, chaired by faculty members Scott Seidman and Kanika Vats, has worked very hard to prepare the protocols for those important shared resource spaces.

So far, so good, Dalecki says. On the plus side, the experience students are gaining in carefully planning their experiments and scheduling lab time in advance will have real value for them when they go into industry and they have to plan their experiments for a long period of time, and work together with one or more teams.

Even the shutdown, disruptive as it was, had some benefits, Dalecki says. It allowed some of her graduate students to devote additional, undistracted time to writing their thesis proposals and scientific articles.

The shutdown also demonstrated that Zoom meetings have some real benefits in certain circumstances, and will absolutely continue to be used, Dalecki says. You can bring experts in much more easily to talk with your labs. It is an easy way to share data. And it has been seamless in terms of being able to get people together for lab meetings.

Brian McIntye, director of operations at the Integrated Nanosystems Center (URnano) is understandably proud that the research and fabrication lab, which includes a clean room and separate metrology and microscopy rooms, is back in business.

We were the first multi-user facility on the River Campus to reopen, he says. And many of the clean rooms at our peer institutions are still shut down.

For example, McIntyre is currently helping a Medical Center researcher with metrology for a protein imaging project. A physics research group is fabricating qubits and other nanoscale structures. Other researchers are doing thin film deposition for electronic and optical devices or doing etching and reactive plasma processing.

Were fully up to where we were before we closed down, McIntyre says.

The URnano clean room is the largest clean space on River Campus. Even before COVID-19, researchers using the room were required to don hairnets, gloves, head-to-toe gownseven beard bags, if necessaryto preserve the reduced-air particle environment needed for researching and fabricating materials at the nanoscale.

So, at first glance, it might seem like few adjustments would be needed for the facility to reopen. However, several changes were made to the centers already stringent safety and operating protocols to protect against Covid-19starting at URnanos front door.

We needed to ensure that the people going into the clean room were properly isolated, starting at the hallway, says McIntyre.

Clean room staff have been handing out gloves even before visiting researchers touch the outside doorknob, to prevent possible contamination of the surface. And theyve made sure the visitors shed their COVID-19 protective face masks, because even N95 masks shed fibers that will contaminate a clean room, McIntyre says.

Initially that posed a problem, because clean room masks have recently been in short supplypresumably because manufacturers have switched to meeting the demand for N95 masks. So, McIntyre proposed that URnano make its own clean room masks from the centers supply of clean room compatible cloth. An initial 150 masks have been made by Ralph Wiegandt, a research conservator and former NSF researcher at the George Eastman Museum, working in a clean area in his home. Weigandt is working on another 100.

Out of an abundance of caution, occupancy is limited even in the clean room to no more than three external users (with one URnano staff overseeing) at a time to help ensure social distancing, McIntyre says. He has also staggered his hours with staff engineers Nursah Kokbudak and James Mitchell, who help run URnano, so if one of us gets sick, we wont all get sick.

Were going the extra mile.

Amid narrow hallways and small offices on the fourth floor of Rush Rhees Library, Michael Jarvis, associate professor in the Department of History, has created a small but high-powered computer lab. The former director of Digital Media Studies uses photogammetry to create 3D virtual reconstructions of the archaeological digs he has conducted in Bermuda and the historic slave trade forts he has helped survey along the coast of Ghana.

Five high-end computers store several hundred thousand images that Jarvis and his students have captured using laser scanning, aerial drones, and DSLRs. They also store the exciting interactive videogames they are creating that allowing participants to virtually wander through historic structures, for example, or reenact a shipwreck in Bermuda.

Reopening this lab will not require carefully orchestrated access to maintain proper social distancing. The room is so small, that even if people using computers at opposite ends met the distancing requirements, it still would probably not be good for them to be working together and breathing the same air for six to eight hours, Jarvis says.

And thats okay. Even before COVID-19, Jarvis was able to do much of his work remotelyin the field or at home. And as the shutdown loomed, he retrieved one of the computers from his lab and took it home, giving him access to all the stored data and processing power he needs. Thats the beauty of dataI can bring home an entire library of Dutch sources, 10,000 Bermuda deeds, and a dozen castle models and still have empty space on a 10 TB hard drive, Jarvis notes. Hell still want students to have access to the lab when they need to do work that is not feasible remotely. However, since hes starting a year-long leave from teaching to focus on research, hell be working primarily with a handful of graduate students, limiting the need for more than one student to have access to the lab.

So, the bigger challenge for Jarvis right now is not proper use of PPE or maintaining social distancing as his research lab reboots. Instead, it is finding a proper balance while continuing to do much of his work remotely.

Jarvis spent so much time sitting in front his computer while teaching classes remotely this spring, that he developed a slipped disc.

When youre an academic, and you can work from home, the danger is that the difference between home life and work life collapses, and you end up working all the time, Jarvis says.

Now Im trying to strike more of a balance. Getting more exercise, for example. And limiting the time spent continuously staring at computers.

And to think its only taken me 30 years to learn these basic lessons, he says, laughing.

Tags: Arts Sciences and Engineering, COVID-19, Laboratory for Laser Energetics, research, Rochester Restart

Category: University News

Follow this link:
As labs reopen, Rochester researchers adapt to COVID-19 precautions in innovative ways - University of Rochester