Hanging on the telephone: Maintaining visuospatial bootstrapping over time in working memory.

Visuospatial bootstrapping (VSB) refers to the phenomenon in which performance on a verbal working memory task can be enhanced by presenting the verbal material within a familiar visuospatial configuration. This effect is part of a broader literature concerning how working memory is influenced by use of multimodal codes and contributions from long-term memory. The present study aimed to establish whether the VSB effect extends over a brief (5-s) delay period, and to explore the possible mechanisms operating during retention. The VSB effect, as indicated by a verbal recall advantage for digit sequences presented within a familiar visuospatial configuration (modelled on the T-9 keypad) relative to a single-location display, was observed across four experiments. The presence and size of this effect changed with the type of concurrent task activity applied during the delay. Articulatory suppression (Experiment 1) increased the visuospatial display advantage, while spatial tapping (Experiment 2) and a visuospatial judgment task (Experiment 3) both removed it. Finally, manipulation of the attentional demands placed by a verbal task also reduced (but did not abolish) this effect (Experiment 4). This pattern of findings demonstrates how provision of familiar visuospatial information at encoding can continue to support verbal working memory over time, with varying demands on modality-specific and general processing resources.

Visuospatial bootstrapping: spatialized displays enhance digit and nonword sequence learning.

Visuospatial bootstrapping describes the observation that performance on a verbal memory task is enhanced by presenting the to-be-remembered material in a format with additional embedded spatial information. Thus far, it has only been reported in short-term memory tasks. Here, we report two experiments assessing the impact of spatial information on the learning of sequences in long-term memory. Experiment 1 used digits presented within a familiar numeric keypad as stimuli compared against single digits presented in one location. Experiment 2 used novel nonwords, which were either presented in an unchanging arrangement permitting the building-up of location knowledge or in a constantly changing arrangement. Both experiments demonstrated strong evidence that reliable spatial information facilitated sequence learning, particularly in later sequence positions. It is concluded that the incidental availability of spatialized information during study can facilitate learning of sequences of digits and nonwords. Furthermore, the spatial information can be learned during the task itself and does not need to be preexistent in long-term knowledge.

Visuospatial bootstrapping: Binding useful visuospatial information during verbal working memory encoding does not require set-shifting executive resources.

Immediate serial recall of digits is better when the digits are shown by highlighting them in a familiar array, such as a phone keypad, compared with presenting them serially in a single location, a pattern referred to as "visuospatial bootstrapping." This pattern implies the establishment of temporary links between verbal and spatial working memory, alongside access to information in long-term memory. However, the role of working memory control processes like those implied by the "Central Executive" in bootstrapping has not been directly investigated. Here, we report a study addressing this issue, focusing on executive processes of attentional shifting. Tasks in which information has to be sequenced are thought to be heavily dependent on shifting. Memory for digits presented in keypads versus single locations was assessed under two secondary task load conditions, one with and one without a sequencing requirement, and hence differing in the degree to which they invoke shifting. Results provided clear evidence that multimodal binding (visuospatial bootstrapping) can operate independently of this form of executive control process.

Fly on the right: Lateral preferences when choosing aircraft seats.

A small preference has been observed for people to choose seats on the left of aircraft when booking via an online system. Although this is consistent with pseudoneglect-the known leftward bias in perception and representation-rightward preferences have been commonly observed in seating selection tasks in other environments. Additionally, the previous research in aircraft seating was unable to dissociate a bias to one side of the screen from a bias to one side of the cabin of the aircraft. Here, we present a study in which participants were asked to select seats for a range of fictional flights. They demonstrated a preference for seats on the right of the cabin, irrespective of whether the right of the cabin appeared to either the right or the left of the screen, a preference for seats towards the front of the aircraft and a preference to favour window and aisle seats. This suggests, in contrast to previous research, that participants demonstrated a rightward lateral bias to representations of an aircraft. These results may have implications for our understanding of asymmetries in cognition as well as having potentially important practical implications for airlines.

Related but different: Examining pseudoneglect in audition, touch and vision.

Although researchers have consistently demonstrated a leftward attentional bias in visual and representational (e.g. tactile/mental number line) line bisection tasks, the results from audition have been mixed. Differences in methodology between auditory and visual bisection tasks, especially with regards to the location of stimuli of peripersonal versus extrapersonal space, have also meant that researchers have not been able to compare performance in visual, tactile and auditory line bisection directly. In this research, 39 neurologically typical individuals participated in standard visual and tactile line bisection tasks, together with a newly developed auditory line bisection task. Results demonstrated significant leftward bisection biases across all three modalities. Hence, we demonstrate auditory pseudoneglect in peripersonal space for the first time. Tactile and auditory line bisections showed a relatively small but statistically reliable correlation, but neither task correlated with visual line bisection. This suggests that the processes underlying auditory line bisection are not synonymous to those involved in visual perceptual bisection, and further we argue that this bias may be related to representational pseudoneglect.

On the Right Track? Investigating the Effect of Path Characteristics on Visuospatial Bootstrapping in Verbal Serial Recall.

Visuospatial bootstrapping (VSB) occurs when memory for verbal material is enhanced via association with meaningful visuospatial information. Sequences of digits are visually presented either in the center of the screen or within a keypad layout in which the digits may be arranged identically to familiar pin pad and mobile phone layouts, or randomly. Recall is consistently higher when digits are presented in the familiar layout. This "bootstrapping" could involve primarily long-term knowledge of the layout, primarily short-term memory of the unique spatial path, or may depend on both. We manipulated the path complexity of sequences to test whether the VSB effect depends on the quality of spatial representations in conjunction with the familiarity of the spatial layout in two experiments. We consistently observed both VSB effects and path complexity effects on verbal serial recall, but never observed any interaction between these factors, even when articulatory suppression was imposed. Analysis of recall by serial position revealed that the VSB effect was focused on the end-of-list items. Our finding of pervasive path complexity effects on verbal serial recall suggests incidental encoding of spatial path occurs during visually-presented verbal tasks regardless of layout familiarity, confirming that spatial factors can affect verbal recall, but ruling out the notion that incidental spatial paths are uniquely and voluntarily encoded with familiar layouts.

Clinical and Imaging Findings in an Infant With Zika Embryopathy.

Recent Zika virus (ZIKV) outbreaks have been associated with an increased incidence of neonatal microcephaly. Subsequently, tropism for the brain was established in human fetal brain tissue. We present the first congenital ZIKV infection in the United States, confirmed by high ZIKV immunoglobulin M antibody titers in serum and cerebrospinal fluid. The phenotypic characteristics of the patient fall within fetal brain disruption sequence, suggesting impaired brain development in the second half of gestation. Brain imaging revealed an almost agyric brain with diffuse parenchymal calcifications, hydrocephalus ex vacuo, and cerebellar hypoplasia. Ophthalmologic examination revealed macular pigment stippling and optic nerve atrophy. Liver, lungs, heart, and bone marrow were not affected. The patient had progressive neurologic deterioration in the first month of life. The discovery of ZIKV infection in human fetal brain tissue along with serologic confirmation proves the vertical transmission of ZIKV. Therefore, ZIKV has joined the group of congenital infections.

Adult developmental trajectories of pseudoneglect in the tactile, visual and auditory modalities and the influence of starting position and stimulus length.

Pseudoneglect is a tendency to pay more attention to the left side of space, typically demonstrated on tasks like visuo-spatial line bisection, tactile rod bisection and the mental representation of numbers. The developmental trajectory of this bias on these three tasks is not fully understood. In the current study younger participants aged between 18 and 40 years of age and older participants aged between 55 and 90 years conducted three spatial tasks: (1) visuospatial line bisection - participants were asked to bisect visually presented lines of different lengths at the perceived midpoint; (2) touch-driven tactile rod bisection in the absence of vision - participants were asked to feel the length of a wooden rod with their index finger and bisect the rod at the perceived centre; and (3) mental number line bisection in the absence of vision - participants were asked to listen to a pair of numbers and respond with the numerical midpoint between the pair. The results showed that both younger and older participants demonstrated pseudoneglect (leftward biases) in the visual, tactile and mental number line tasks and that the magnitude of pseudoneglect for each group was influenced by physical or mentally represented starting side (start left versus start right) and stimulus length. We provide an exploration of pseudoneglect in younger and older adults in different tasks that vary in the degree to which mental representations are accessed and argue that pseudoneglect is a result of a right hemisphere attentional orienting process that is retained throughout adulthood. Our results indicate that, contrary to some current models of cognitive ageing, asymmetrical patterns of hemispheric activity may occur in older age.

Attachment as a partial mediator of the relationship between emotional abuse and schizotypy.

Developmental theories highlight the salience of attachment theory in explaining vulnerability towards psychosis. At the same time there is increasing recognition that psychosis is associated with childhood trauma variables. This study explored the interaction between attachment and several trauma variables in relation to schizotypy levels in a non-clinical sample. 283 non-clinical participants completed online measures of schizotypy, attachment, childhood abuse and neglect. When five types of abuse/neglect were entered into a linear regression analysis emotional abuse was the sole independent predictor of schizotypy. Age, attachment anxiety and avoidance were independent predictors after the effects of emotional abuse were controlled for. The overall model was significant, explaining 34% of the variation in schizotypy. Moderation analysis indicated that the effect of emotional abuse was not conditional upon attachment. Parallel mediation analysis indicated small but significant indirect effects of emotional abuse on schizotypy through attachment avoidance (13%) and attachment anxiety (8%). We conclude that emotional abuse contributes to vulnerability towards psychosis both directly and indirectly through attachment insecurity.

Body image, visual working memory and visual mental imagery.

Body dissatisfaction (BD) is a highly prevalent feature amongst females in society, with the majority of individuals regarding themselves to be overweight compared to their personal ideal, and very few self-describing as underweight. To date, explanations of this dramatic pattern have centred on extrinsic social and media factors, or intrinsic factors connected to individuals' knowledge and belief structures regarding eating and body shape, with little research examining links between BD and basic cognitive mechanisms. This paper reports a correlational study in which visual and executive cognitive processes that could potentially impact on BD were assessed. Visual memory span and self-rated visual imagery were found to be predictive of BD, alongside a measure of inhibition derived from the Stroop task. In contrast, spatial memory and global precedence were not related to BD. Results are interpreted with reference to the influential multi-component model of working memory.

Modality specificity and integration in working memory: Insights from visuospatial bootstrapping.

The question of how meaningful associations between verbal and spatial information might be utilized to facilitate working memory performance is potentially highly instructive for models of memory function. The present study explored how separable processing capacities within specialized domains might each contribute to this, by examining the disruptive impacts of simple verbal and spatial concurrent tasks on young adults' recall of visually presented digit sequences encountered either in a single location or within a meaningful spatial "keypad" configuration. The previously observed advantage for recall in the latter condition (the "visuospatial bootstrapping effect") consistently emerged across 3 experiments, indicating use of familiar spatial information in boosting verbal memory. The magnitude of this effect interacted with concurrent activity; articulatory suppression during encoding disrupted recall to a greater extent when digits were presented in single locations (Experiment 1), while spatial tapping during encoding had a larger impact on the keypad condition and abolished the visuospatial bootstrapping advantage (Experiment 2). When spatial tapping was performed during recall (Experiment 3), no task by display interaction was observed. Outcomes are discussed within the context of the multicomponent model of working memory, with a particular emphasis on cross-domain storage in the episodic buffer (Baddeley, 2000).

Intraindividual reaction time variability affects P300 amplitude rather than latency.

The neural correlates of intraindividual response variability were investigated in a serial choice reaction time (CRT) task. Reaction times (RTs) from the faster and slower portions of the RT distribution for the task were separately aggregated and associated P300 event-related potentials computed. Independent behavioral measures of executive function and IQ were also recorded. Across frontal, fronto-central, central, centro-parietal and parietal scalp regions, P300 amplitudes were significantly greater for faster relative to slower behavioral responses. However, P300 peak amplitude latencies did not differ according to the speed of the behavioral RT. Importantly, controlling for select independent measures of executive function attenuated shared variance in P300 amplitude for faster and slower trials. The findings suggest that P300 amplitude rather than latency is associated with the speed of behavioral RTs, and the possibility that fluctuations in executive control underlie variability in speeded responding.

Frequency of intrathoracic injuries in children younger than 3 years with rib fractures.

BACKGROUND: Research documents that among children admitted to trauma intensive care units the number of rib fractures sustained indicates the child's likelihood of having and severity of intrathoracic injury. This has been misused in court to argue that children with multiple rib fractures who lack intrathoracic injury have abnormal bone fragility rather than inflicted injury. OBJECTIVE: To determine frequency of intrathoracic injuries in children younger than 3 years with rib fractures in cases of child abuse and accidental trauma. MATERIALS AND METHODS: We conducted a retrospective review of rib fractures caused by documented abuse or accidents from 2003 to 2010 in children treated at Seattle Children's Hospital and Harborview Medical Center. A senior pediatric radiologist and radiology fellow independently reviewed the imaging. Children with bone demineralization were excluded. Descriptive and simple comparative statistics were used. RESULTS: Seventy-two percent (47/65) of infants and toddlers with rib fractures were abused. Abused children had more rib fractures than accidentally injured children (5.55 vs. 3.11, P = 0.012). However intrathoracic injuries as a whole (55.6% vs. 12.8%, P < 0.001) and individual types of intrathoracic injuries were more common with accidents. Rates of other thoracic cage injuries did not differ substantially (27.8% accidents vs. 12.8% abuse, P = 0.064). Intracranial and intra-abdominal injuries and skull fractures were equally frequent, but other extrathoracic fractures were more common with abuse (70.2% vs. 16.7%, P < 0.001). CONCLUSIONS: Abused infants and toddlers have fewer intrathoracic injuries but more rib fractures than accidentally injured peers. This likely reflects different injury mechanics. Lack of intrathoracic injuries in abused children with rib fractures does not imply bone fragility.

Representational pseudoneglect: a review.

Pseudoneglect, the tendency to be biased towards the left-hand side of space, is a robust and consistent behavioural observation best demonstrated on the task of visuospatial line bisection, where participants are asked to centrally bisect visually presented horizontal lines at the perceived centre. A number of studies have revealed that a representational form of pseudoneglect exists, occurring when participants are asked to either mentally represent a stimulus or explore a stimulus using touch in the complete absence of direct visuospatial processing. Despite the growing number of studies that have demonstrated representational pseudoneglect there exists no current and comprehensive review of these findings and no discussion of a theoretical framework into which these findings may fall. An important gap in the current representational pseudoneglect literature is a discussion of the developmental trajectory of the bias. The focus of the current review is to outline studies that have observed representational pseudoneglect in healthy participants, consider a theoretical framework for these observations, and address the impact of lifespan factors such as cognitive ageing on the phenomenon.

Visuospatial bootstrapping: implicit binding of verbal working memory to visuospatial representations in children and adults.

When participants carry out visually presented digit serial recall, their performance is better if they are given the opportunity to encode extra visuospatial information at encoding-a phenomenon that has been termed visuospatial bootstrapping. This bootstrapping is the result of integration of information from different modality-specific short-term memory systems and visuospatial knowledge in long term memory, and it can be understood in the context of recent models of working memory that address multimodal binding (e.g., models incorporating an episodic buffer). Here we report a cross-sectional developmental study that demonstrated visuospatial bootstrapping in adults (n=18) and 9-year-old children (n=15) but not in 6-year-old children (n=18). This is the first developmental study addressing visuospatial bootstrapping, and results demonstrate that the developmental trajectory of bootstrapping is different from that of basic verbal and visuospatial working memory. This pattern suggests that bootstrapping (and hence integrative functions such as those associated with the episodic buffer) emerge independent of the development of basic working memory slave systems during childhood.

Voiding cystourethrography revisited: descriptive statistics for the detection of vesicoureteral reflux.

OBJECTIVE: To determine which factors might influence the detection of vesicoureteral reflux (VUR), we retrospectively reviewed factors including fluoroscopy time, number of true radiographic acquisitions, and patient characteristics from a large number of voiding cystourethrography (VCUG) examinations. MATERIALS AND METHODS: Nine hundred eighty-seven VCUG examinations performed between March 2006 and March 2009 were randomly selected for review. Data recorded were presence of VUR, patient age and sex, examination indication, follow-up status, presence of a diagnostic radiology trainee, fluoroscopy time, and number of true radiographic acquisitions. For initial examinations, descriptive comparison and logistic analyses were performed. To evaluate which variables related to reflux identification, we analyzed variables by logistic regression after stratifying by patient age (≤ 1 or > 1 year) for both the full sample and cases grouped by VUR severity (grades I and II [mild] or grades III-V [moderate to severe]). RESULTS: Nine hundred eighty-seven VCUG examinations were evaluated for the study (65.5% female; mean age, 3 years 2 months; age range, 2 weeks-16 years), and 761 cases met the inclusion criteria. VUR was detected in 101 of 349 infants (40 mild, 61 moderate to severe) and in 107 of 412 children older than 1 year (52 mild, 55 moderate to severe). A wide range of fluoroscopy times was similar between both positive and negative cases (0.033-4.233 minutes). The number of true radiographic acquisitions differed significantly between the negative and positive cases. CONCLUSION: Descriptive statistics and logistic regression analyses for a large number of VCUG examinations in a pediatric population are summarized. Our results showed that high fluoroscopy times were not associated with a higher likelihood of VUR. There may be a small benefit to the use of true radiographic acquisitions for detecting VUR.

Representational pseudoneglect in line bisection.

"Representational pseudoneglect" refers to a bias toward the left side of space that occurs when visual information is remembered. Recently a number of demonstrations of such representational pseudoneglect have appeared. In the present article, we report an experiment in which we adopted the classic line bisection paradigm to study representational pseudoneglect. Participants bisected horizontal lines that were shown in extrapersonal space. When the lines were visible on the screen, there was no evidence of any leftward bias. However, when lines were bisected from memory, the participants demonstrated a clear bias to the left. This is the first demonstration of a leftward bias in the bisection of remembered visually presented lines.

MRI of pediatric patients: Part 2, normal variants and abnormalities of the knee.

OBJECTIVE: The purpose of this article is to discuss MRI of the pediatric knee and familiarize the reader with conditions encountered in the pediatric population. Clinical scenarios are included to convey important concepts and to orient the learner to normal variants and abnormalities of the pediatric knee. The conditions discussed include, but are not limited to, distal femoral metaphysial irregularity, isolated popliteus tendon avulsion, juvenile idiopathic arthritis, and discoid meniscus. CONCLUSION: The knee is the joint that is most commonly imaged by MRI in children. Injury patterns and signs of other pathologic processes seen in skeletally immature patients are different from those seen in adults. Interpreting pediatric knee MRI studies may be a challenge for those unfamiliar with the evolving patterns of normal development and of the signs of conditions that are more prevalent in children. Through case scenarios, this article describes and provides images that depict conditions commonly encountered in the pediatric knee. Most of the described normal findings and abnormalities are more prevalent in the pediatric population than in adults, and a few of the conditions are, in fact, unique to pediatric patients.

Visuospatial bootstrapping: long-term memory representations are necessary for implicit binding of verbal and visuospatial working memory.

It has recently been shown that presenting additional visuospatial information alongside to-be-remembered numbers in a digit span task enhances participants' memory for those items. However, the mechanisms behind this visuospatial bootstrapping effect have remained unspecified. In this article, we report evidence that this effect involves an integration of information from verbal and visuospatial temporary memory with long-term-memory (LTM) representations and that the existence of a relevant LTM representation is necessary for bootstrapping to occur.

Processing orientation and emotion recognition.

There is evidence that some emotional expressions are characterized by diagnostic cues from individual face features. For example, an upturned mouth is indicative of happiness, whereas a furrowed brow is associated with anger. The current investigation explored whether motivating people to perceive stimuli in a local (i.e., feature-based) rather than global (i.e., holistic) processing orientation was advantageous for recognizing emotional facial expressions. Participants classified emotional faces while primed with local and global processing orientations, via a Navon letter task. Contrary to previous findings for identity recognition, the current findings are indicative of a modest advantage for face emotion recognition under conditions of local processing orientation. When primed with a local processing orientation, participants performed both significantly faster and more accurately on an emotion recognition task than when they were primed with a global processing orientation. The impacts of this finding for theories of emotion recognition and face processing are considered.