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Tapping consistency was associated with global rather than regional brain integrity. Additionally, age differences in tapping consistency were mediated by a decline in global brain integrity as well as cognitive functioning. Together these results agree with previous proposals differentiating between timing accuracy and reliability and suggest that aging largely preserves the former but not the latter. Whereas timing accuracy may depend on an internal clock supported by robust striatocortical circuitry, timing reliability may depend on global brain and cognitive functioning, which show a pronounced age-related decline. (PsycInfo Database Record (c) 2020 APA, all rights reserved).We examined younger and older adults' item selection behaviors to assess heuristics for self-regulating learning of English meanings of Chinese characters varying widely in figural complexity. Two study-test trials were used to assess whether (a) item selection behaviors on the first study opportunity would show evidence for a difficulty-based heuristic as posited by Metcalfe's (2002) region of proximal learning (RPL) theory, or alternatively, influences of habitual English-language reading order (i.e. left-to-right, top-to-bottom); (b) whether second-trial selection behaviors were better predicted by RPL or by the discrepancy reduction model (DRM; Dunlosky & Hertzog, 1998); and (c) whether Trial 1 test performance would alter Trial 2 study in a manner predicted by RPL. DRM stipulates people select any item for study at Trial 2 that was not previously recalled. RPL states that people study only items they believe they can learn, avoiding complex items above their subjective RPL. Stimuli were 36 Chinese-English vocabulary pairs randomly presented in six 2 × 3-element grids. Both habitual reading order and stimulus complexity at Trial 1 affected order of study, with participants of both age groups manifesting a preference to study less complex characters. However, older adults showed larger effects of stimulus complexity whereas younger adults had larger effects of habitual reading order. At Trial 2, older adults showed a greater tendency to avoid studying the most complex Chinese characters, consistent with RPL, which contributed to their lower rates of vocabulary acquisition. Older adults' more conservative RPLs appeared to constrain their degree of self-regulated learning. (PsycInfo Database Record (c) 2020 APA, all rights reserved).Depression has been associated with impaired reward and punishment processing, but the specific nature of these deficits is still widely debated. We analyzed reinforcement-based decision making in individuals with major depressive disorder (MDD) to identify the specific decision mechanisms contributing to poorer performance. Individuals with MDD (n = 64) and matched healthy controls (n = 64) performed a probabilistic reversal-learning task in which they used feedback to identify which of two stimuli had the highest probability of reward (reward condition) or lowest probability of punishment (punishment condition). Learning differences were characterized using a hierarchical Bayesian reinforcement learning model. Depressed individuals made fewer optimal choices and adjusted more slowly to reversals in both the reward and punishment conditions. Computational modeling revealed that depressed individuals showed lower learning-rates and, to a lesser extent, lower value sensitivity in both the reward and punishment conditions. Learning-rates also predicted depression more accurately than simple performance metrics. These results demonstrate that depression is characterized by a hyposensitivity to positive outcomes, but not a hypersensitivity to negative outcomes. Additionally, we demonstrate that computational modeling provides a more precise characterization of the dynamics contributing to these learning deficits, offering stronger insights into the mechanistic processes affected by depression. (PsycInfo Database Record (c) 2020 APA, all rights reserved).Occasionally, a patient may present with an intraoral tattoo, such as the patient in this instance who presented with one on the lower orolabial mucosa. Both extraoral and intraoral tattooing could be considered a potential indicator of risk-taking behaviors and possible increased risk of mental health or sleep disorders in this patient population. This article discusses risks of ornamental tattooing and the role oral healthcare providers can play in early identification of possible systemic diseases.This article describes the case of a partially edentulous patient who had undergone template-guided implant placement and was treated using a triple digital scanning protocol that allowed for CAD/CAM prosthodontic rehabilitation in a complete digital workflow. At the impression appointment, the provisional implant-supported screw-retained prosthesis was digitally scanned both intraorally (first scan) and, after removal, extraorally (second scan). After the second scan, scan bodies were placed intraorally and an implant-level digital impression was taken (third scan). The three standard tessellation language (STL) files derived from the three digital scans were imported in a CAD software and superimposed into one file that contained all of the information from the implant 3D position, prosthesis contours, and transmucosal part of the peri-implant soft tissues. The superimposition of the three STL files led to one master file to serve as a blueprint for the definitive prosthesis. read more The definitive monolithic zirconia prosthesis was CAM copy-milled, externally stained, and inserted. The patient was satisfied with both the esthetic and functional outcome and the minimally invasive, time-efficient, two-visit restorative protocol. In summary, this case report illustrates a technique for a complete digital workflow in an implant rehabilitation for the replacement of multiple missing teeth in the esthetic zone in two visits.Recession defects can affect both tooth and implant sites. The objective of connective tissue grafting is to correct recession defects and develop a soft-tissue architecture that is both stable and natural in appearance. By protecting the integrity of the interdental papillae, tunnel techniques are intended to maximize esthetic results. The use of an acellular dermal matrix (ADM) allows treatment of multiple adjacent recession defects without the need for a palatal donor site. The dental literature is scarce on the use of ADMs to treat recession affecting implant sites. The purpose of this article is to discuss and demonstrate the use of a modified tunnel technique and a double layer of an ADM in the treatment of recession defects affecting multiple teeth and an implant.