This study analyzes data from 19 countries (from April 2009 to Jan 2010), comprising some 70,000 hospitalized patients with severe H1N1 infection, to reveal risk factors for severe pandemic influenza, which include chronic illness, cardiac disease, chronic respiratory disease, and diabetes.

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Evidence indicates the involvement of the rostral part of the dorsal premotor cortex (pre-PMd) in executive processes during working memory tasks. However, it remains unclear what the executive function of pre-PMd is in relation to that of the dorsolateral prefrontal cortex (DLPFC) and how these two areas interact. Using functional magnetic resonance imaging (fMRI), brain activity was examined during a delayed-encoding recognition task. Fifteen subjects had prelearned several four-code standard sequences and super sequences (SUPs) consisting of a train of two standard sequences to form "chunks" in long-term memory. During fMRI, subjects remembered eight-code encoding stimuli presented as an SUP or two unlinked standard sequences (2STs). A memory probe prompted the subjects to recognize codes across two chunks (ACROSS) or within a single chunk. A 2 ϫ 2 factorial design was used to test two types of working memory manipulation: (1) a reductive operation selecting codes from chunks ("segmenting") and (2) a synthetic operation converting unlinked codes into a sequence ("binding"). Response time data supported the behavioral effects of each operation. Event-related fMRI showed that the "segmenting operation" activated the DLPFC bilaterally, whereas the "binding operation" enhanced the left pre-PMd activity. Activity in the ventrolateral prefrontal cortex suggested its involvement in the retrieval of task-relevant information from long-term memory. Furthermore, effective connectivity analysis indicated that the left pre-PMd and ipsilateral DLPFC interacted specifically during the ACROSS recognition of 2STs, the condition that involved both operations. We propose specific neural substrates for working memory manipulation: the DLPFC for segmenting/attentional selection and the pre-PMd for binding/sequencing. The functional coupling between the DLPFC and pre-PMd appears to play a role in combining these distinct operations.

The visual perception of words is known to activate the auditory representation of their spoken forms automatically. We examined the neural mechanism for this phonological activation using transcranial magnetic stimulation (TMS) with a masked priming paradigm. The stimulation sites (left superior temporal gyrus [L-STG] and inferior parietal lobe [L-IPL]), modality of targets (visual and auditory), and task (pronunciation and lexical decision) were manipulated independently. For both within- and cross-modal conditions, the repetition priming during pronunciation was eliminated when TMS was applied to the L-IPL, but not when applied to the L-STG, whereas the priming during lexical decision was eliminated when the L-STG, but not the L-IPL, was stimulated. The observed double dissociation suggests that the conscious task instruction modulates the stimulus-driven activation of the lateral temporal cortex for lexico-phonological activation and the inferior parietal cortex for spoken word production, and thereby engages a different neural network for generating the appropriate behavioral response.

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Because vertical and radial neglect may affect the ability to perform functional daily activities, occupational therapists need to address the existence of vertical and radial neglect when evaluating and training patients with brain damage.