[Resident and supervisor perception of learning climate in public health resident training in the Netherlands]. / Leerklimaat perceptie van aios en supervisors binnen de vernieuwde medische vervolgopleiding arts Maatschappij + Gezondheid.

Introduction: The purpose of this study was to evaluate the perceived quality of the learning climate by public health residents in the Netherlands and compare residents' and supervisors' perceptions. Methods: Residents of five public health subfields, who started their residency programs in 2019 and onwards, as well as supervisors involved in the residency program, were invited to complete a web-based survey based on an adapted version of the D­RECT questionnaire. Answers of residents and supervisors of the same training site and public health subfield were matched to compare perceived quality of the learning climate. Results: One hundred fourteen residents responded (response rate 50.9%). Residents' overall assessment of the learning climate showed a mean score of 4.19 on a 5-point-scale. Thirty-eighth supervisor-resident matches were formed. There were no notable differences in the perception of residents and supervisors. Conclusion: Residents' overall assessment of the learning climate was positive. Supervisors and residents' perception of learning climate is equal. Our adapted version of D­RECT seems to be suitable to evaluate the learning climate for public health residency programs in the Netherlands. Further research is necessary to validate our questionnaire and to confirm our findings.

Visual scanning in very young children with autism and their unaffected parents.

This study of gaze patterns in very young children with autism and their parents included 23 cases (with 16 fathers and 19 mothers) and 46 controls (with 14 fathers and 28 mothers). Children (mean age 3.3 ± 1.5 years) with autism met DSM-IV and ADOS-G diagnostic criteria. The participants' gaze patterns were recorded while they viewed four simple movies that did not feature people. In children, severity of autism is related to spending more time watching irrelevant regions in one of the four movies. The mothers of children with autism showed an atypical pattern for three movies, whereas the fathers of children with autism did not show an atypical gaze pattern. The gaze pattern of the mothers was positively correlated with that of their children. The atypical viewing pattern of autistic individuals appears not to be restricted to people and social situations but is also seen in other situations, suggesting that there is a perceptual broad autism phenotype.

Facing threat: infants' and adults' visual scanning of faces with neutral, happy, sad, angry, and fearful emotional expressions.

Human faces are among the most important visual stimuli that we encounter at all ages. This importance partly stems from the face as a conveyer of information on the emotional state of other individuals. Previous research has demonstrated specific scanning patterns in response to threat-related compared to non-threat-related emotional expressions. This study investigated how visual scanning patterns toward faces which display different emotional expressions develop during infancy. The visual scanning patterns of 4-month-old and 7-month-old infants and adults when looking at threat-related (i.e., angry and fearful) versus non-threat-related (i.e., happy, sad, and neutral) emotional faces were examined. We found that infants as well as adults displayed an avoidant looking pattern in response to threat-related emotional expressions with reduced dwell times and relatively less fixations to the inner features of the face. In addition, adults showed a pattern of eye contact avoidance when looking at threat-related emotional expressions that was not yet present in infants. Thus, whereas a general avoidant reaction to threat-related facial expressions appears to be present from very early in life, the avoidance of eye contact might be a learned response toward others' anger and fear that emerges later during development.

Bricks, butter, and slices of cucumber: investigating semantic influences in amodal completion.

Objects in our world are partly occluded by other objects or sometimes even partly by themselves. Amodal completion is a visual process that enables us to perceive these objects as complete and is influenced by both local object information, present at contour intersections, and overall (global) object shape. In contrast, object semantics have been demonstrated to play no role in amodal completion but do so only by means of subjective methods. In the present study, object semantics were operationalised by material hardness of familiar objects which was varied to test whether it leaves amodal completion unaffected. Specifically, we investigated the perceived form of joined naturalistic objects that differ in perceived material hardness, employing the primed matching paradigm. In experiments 1 and 2, probing three different prime durations, amodal completion of a notched circular object changes systematically with the hardness of the object it was joined to. These results are in line with the view that amodal completion is inseparable from general object interpretation, during which object semantics may dominate.

The significance of event information for 6- to 16-month-old infants' perception of containment.

Four experiments familiarized 6-, 9-, 12-, and 16-month-old infants to a solid block that was repeatedly lowered into a semitransparent container. In test trials the end state, containment, was either compatible or incompatible with the objects' size and position. In Experiment 1, infants saw the block and box successively before they observed the end state. This forced infants to attend to each object individually and memorize its size and position while observing the end state. In Experiments 2 and 3, the block and container were shown simultaneously, the block suspended above the container at a distance of either 25 cm (Experiment 2) or 2 cm (Experiment 3). The shorter distance made direct comparison easier to perform. In Experiment 4, the full event was shown in which the block was lowered inside the container from a distance of 25 cm. Infants' perception of containment was related to the visual information that was available. When the event made it easier to grasp the relevant information, infants could perceive whether the block could pass in the container at a progressively younger age.

Sensitivity to second-order motion in 10-month-olds.

Ten-month-old infants' sensitivity to first-order motion (FOM) defined by luminance and second-order motion (SOM) defined by flickering was measured in an eye-tracking paradigm. We used a small single disc or gratings moving horizontally. Although infants could track the SOM of a small disc, they failed to exhibit smooth pursuit eye movements. They also failed to track SOM gratings with smooth pursuit. However, the gain of tracking based on slow eye movement was influenced by the motion direction of SOM in cases when both FOM and SOM were presented simultaneously, suggesting some sensitivity to SOM.

Visual completion and complexity of visual shape in children with pervasive developmental disorder.

Much evidence has been gathered for differences in visual perceptual processing in individuals with Autistic Spectrum Disorder. The presence of the fundamental process of visual completion was tested in a group of children with Pervasive Developmental Disorder (PDD), as this requires perceptually integrating visual structure into wholes. In Experiment 1, it was investigated whether visual completion is present for simple partly occluded shapes in a group of children with PDD and a typically developing group. In Experiment 2, the presence of contextual influences in visual completion was investigated for the two groups. A total of 19 children with PDD and 28 controls who were matched for chronological age and IQ took part in two primed-matching tasks. For both groups, visual completion was present and for both groups, contextual influences were found to be dominant in this process. However, only for the group with PDD no priming effects (PEs) were found from less regular primes on congruent test pairs. The group with PDD did integrate visual information into wholes and did this in a contextually dependent way. However, for more complex shapes, visual completion is weaker for this group.

Con-fusing contours & pieces of glass.

We present a new illusory display in which illusory contours are misaligned with physical contours. In these displays, illusory Kanizsa squares, induced by the so-called pacmen, are positioned on top of a background grid of bars. The misalignment of the illusory contours with respect to physical contours of the grid of bars induces an overall 'restless' appearance and evokes the impression that parts of the grid within the illusory square are shifted. To test this impression, we created stimuli in which illusory squares were superimposed on a grid at different positions, where the grid could consist of either straight bars or indented bars. After briefly flashing these stimuli, observers reported indentations of the background grid for those cases in which physical and illusory contours were misaligned. In a control condition, the pacmen were replaced by crosses (not inducing an illusory square) at the same positions; as expected much less illusory shifts were reported in this condition. In a second experiment, we further tested the direction of the perceived shifts, revealing similar trends as in the first experiment and a consistent result with respect to the reported direction of the shifts. We explore and discuss possible underlying mechanisms with regard to our illusory display.

Cortical responses to contextual influences in amodal completion.

Amodal completion refers to the process in the visual system that enables us to perceive partly occluded objects as whole objects. Both the overall shape of a visual object (global aspect) and the region immediately surrounding the occluder (local aspect) are known to determine the process of completion. We investigated the influence of overall shape context in completion on human brain activity using MEG recordings. Subjects were presented with two different types of shapes that were partly occluded by a rectangle. In the so-called convergent shapes, the local and global contexts trigger the same completion, and in the so-called divergent shapes, local and global contexts trigger different completions. The occluder was removed after 1 s, revealing the whole (completed) shape where expectancies based on the local and global context could either be fulfilled or violated. We found an early (from 200 ms on) left occipital component, which was predominantly sensitive to the figural aspects of the uncovered continuation, but was also modulated by the congruency between the physical shape and the perceived shape (based on the contextual cues). In contrast, an early right occipital component and a later (400 ms) anterior temporal component were sensitive only to the congruency between the physical and the perceived shape, showing the relevance of the global context in amodal completion.

Luminance edges are not necessary for visual completion.

Luminance edges seem to have an important role in visual feature binding and, more specifically, in visual completion because luminance differences are important for the perception of depth. We investigated this claim in two experiments in which the primed-matching paradigm was used. In Experiment 1, we investigated conditions under which either a partly occluded shape or an occluder was isoluminant with respect to the background. In Experiment 2, the partly occluded shape and the occluder were isoluminant with respect to each other. Evidence was found for visual completion in all cases, and we therefore conclude that luminance edges are not essential for visual completion.

Global visual completion of quasi-regular shapes.

The topic of amodal completion has often been investigated by using partly occluded shapes that are regular. In research that has typically been done with displays such as these regular shapes, it has been shown that global aspects of a shape can determine completion. To see how robust these global influences in the completion process are, we investigated quasi-regular shapes, ie shapes with a certain overall regularity but not based on metrical identities. First, in experiment 1 participants had to complete quasi-regular shapes in a drawing task. Then, in experiment 2 the primed-matching paradigm was used. Results from both experiments provided evidence for global completions. In experiment 3 we found that multiple global completions can be primed, which, as a control experiment showed, cannot be explained by some inability of the visual system to see the difference between the different completions. These data support the notion that global influences on visual occlusion are apparent even when the partly occluded stimulus is outside the domain of regular shapes. Implications for a global approach are provided.