The ability to cope with changing environments is critical for healthy functioning, yet this flexibility is impaired in many neuropsychiatric disorders. However, neural mechanisms underlying flexible behavior remain elusive. Here, we report that oscillatory dynamics in the medial prefrontal cortex (mPFC) support learning to flexibly overcome established behavioral bias. Mice performed a delayed non-match-to-sample task that required trial-by-trial adjustment of arm choice strategy despite persistent arm bias. Decoding analysis of delay-period local field potentials (LFPs) and single-unit activities revealed evolving neural representations across trials as mice adapted to the task. Notably, mPFC neurons modulated by theta (4~12 Hz) bursts selectively encoded upcoming choice information after acquiring the new rule. In contrast, beta (12~30 Hz) bursts correlated with perseverative behavior and appeared to inhibit theta-modulated neuronal firing in mice showing adaptive behavior. These theta and beta bursts were temporally separated over the delay period, reflecting a dynamic gating mechanism. Thus, beta bursts shape neuronal ensembles that are modulated by theta bursts to facilitate flexible learning. This dynamic interaction provides a mechanistic basis for cognitive flexibility and provides insights into cognitive rigidity seen in neuropsychiatric disorders such as schizophrenia and autism.

Background: In ceramic-on-ceramic total hip arthroplasty, firm locking is necessary between a ceramic liner and an acetabular metal shell to prevent dissociation of the liner from the metal shell. We evaluated surgeons’ awareness of the technique for inserting the ceramic liner and measured the impaction force applied by surgeons during the insertion of the ceramic liner. Methods: To evaluate the awareness, we conducted a survey using a questionnaire including techniques for ceramic liner insertion. The impaction force was measured using an impaction simulator in 224 surgeons. Results: Most surgeons answered that they cleaned and dried up the inner surface of the metal shell before inserting a ceramic liner (96.4% and 86.2%, respectively), and 74.6% checked the correct seating of the ceramic liner. However, only 23.2% correctly answered that a minimum of 2kN (a light strike) was necessary to obtain a sufficient fit between the metal shell and the ceramic liner. The impaction force was weaker than 2 kN in 9.4% of the surgeons. Conclusions Education about the adequate impaction force to obtain a firm fit of the ceramic liner is necessary for surgeons who perform total hip arthroplasty using ceramic-on-ceramic bearings