How experts and novices judge other people's knowledgeability from language use.

How accurate are people in judging someone else's knowledge based on their language use, and do more knowledgeable people use different cues to make these judgments? We address this by recruiting a group of participants ("informants") to answer general knowledge questions and describe various images belonging to different categories (e.g., cartoons, basketball). A second group of participants ("evaluators") also answer general knowledge questions and decide who is more knowledgeable within pairs of informants, based on these descriptions. Evaluators perform above chance at identifying the most knowledgeable informants (65% with only one description available). The less knowledgeable evaluators base their decisions on the number of specific statements, regardless of whether the statements are true or false. The more knowledgeable evaluators treat true and false statements differently and penalize the knowledge they attribute to informants who produce specific yet false statements. Our findings demonstrate the power of a few words when assessing others' knowledge and have implications for how misinformation is processed differently between experts and novices.

Combination of Fibrosis-4, liver-stiffness measurement, and Fibroscan-AST score to predict liver-related outcomes in nonalcoholic fatty liver disease.

INTRODUCTION: Noninvasive tests, such as Fibrosis-4 (FIB-4), liver-stiffness measurement (LSM) by vibration-controlled transient elastography, and Fibroscan-AST (FAST), are frequently used for risk stratification in NAFLD. The comparative performance of FIB-4 and LSM and FAST to predict clinical outcomes of patients with NAFLD remained unclear. We aim to evaluate the performance of FIB-4, LSM, and FAST scores to predict clinical outcomes in patients with NAFLD. METHODS: We included consecutive adult patients with NAFLD with transient elastography performed between 2015 and 2022 from the United States and Singapore. Patients with NAFLD stratified based on baseline FIB-4, LSM, and FAST score were followed up until clinical outcomes notably liver-related events (LREs), LREs or death, death, and major adverse cardiac events. RESULTS: A total of 1262 patients with NAFLD (63% with obesity and 37% with diabetes) with vibration-controlled transient elastography were followed up for median 3.5 years. FIB-4 stratified patients with NAFLD into low-risk (<1.3), intermediate-risk (1.3-2.67), and high-risk (>2.67) in 59.4%, 31.5%, and 9.1%, respectively. No LRE occurred with baseline FIB-4 <1.3, regardless of LSM and FAST score. Higher FIB-4 was associated with a higher risk of LREs within each LSM category. FIB-4 had a higher area under the received operating characteristic curve than LSM or FAST score to predict LRE. CONCLUSIONS: In this multicenter international study, FIB-4 and LSM synergistically predicted the risk of LRE. In patients with FIB-4 <1.3, vibration-controlled transient elastography may incorrectly classify up to 10% of the patients as high risk. FIB-4 should be incorporated into risk stratification in NAFLD even among patients who underwent VCTE.

Inferential eye movement control while following dynamic gaze.

Attending to other people's gaze is evolutionary important to make inferences about intentions and actions. Gaze influences covert attention and triggers eye movements. However, we know little about how the brain controls the fine-grain dynamics of eye movements during gaze following. Observers followed people's gaze shifts in videos during search and we related the observer eye movement dynamics to the time course of gazer head movements extracted by a deep neural network. We show that the observers' brains use information in the visual periphery to execute predictive saccades that anticipate the information in the gazer's head direction by 190-350ms. The brain simultaneously monitors moment-to-moment changes in the gazer's head velocity to dynamically alter eye movements and re-fixate the gazer (reverse saccades) when the head accelerates before the initiation of the first forward gaze-following saccade. Using saccade-contingent manipulations of the videos, we experimentally show that the reverse saccades are planned concurrently with the first forward gaze-following saccade and have a functional role in reducing subsequent errors fixating on the gaze goal. Together, our findings characterize the inferential and functional nature of social attention's fine-grain eye movement dynamics.

Head and body cues guide eye movements and facilitate target search in real-world videos.

Static gaze cues presented in central vision result in observer shifts of covert attention and eye movements, and benefits in perceptual performance in the detection of simple targets. Less is known about how dynamic gazer behaviors with head and body motion influence search eye movements and performance in perceptual tasks in real-world scenes. Participants searched for a target person (yes/no task, 50% presence), whereas watching videos of one to three gazers looking at a designated person (50% valid gaze cue, looking at the target). To assess the contributions of different body parts, we digitally erase parts of the gazers in the videos to create three different body parts/whole conditions for gazers: floating heads (only head movements), headless bodies (only lower body movements), and the baseline condition with intact head and body. We show that valid dynamic gaze cues guided participants' eye movements (up to 3 fixations) closer to the target, speeded the time to foveate the target, reduced fixations to the gazers, and improved target detection. The effect of gaze cues in guiding eye movements to the search target was the smallest when the gazer's head was removed from the videos. To assess the inherent information about gaze goal location for each body parts/whole condition, we collected perceptual judgments estimating gaze goals by a separate group of observers with unlimited time. Observers' perceptual judgments showed larger estimate errors when the gazer's head was removed. This suggests that the reduced eye movement guidance from lower body cueing is related to observers' difficulty extracting gaze information without the presence of the head. Together, the study extends previous work by evaluating the impact of dynamic gazer behaviors on search with videos of real-world cluttered scenes.

Single-incision transgastric resection for gastric gastrointestinal stromal tumors in anatomically challenging locations.

Surgical resection is the mainstay treatment for resectable gastrointestinal stromal tumors (GISTs). However, resection in anatomically challenging locations, such as near the gastroesophageal junction, lesser curve and fundus, remain technically challenging. We herein report the outcomes of the largest series of patients who underwent single-incision transgastric resection of an intraluminal gastric GIST. Our reduced-port resection technique for intraluminal GISTs in these anatomically challenging locations involves a single incision in the left hypochondrium, deepened to access the gastric lumen, with the surgery completed in a transgastric manner. A total of 22 patients received surgery with this technique at the National University Hospital in Singapore from November 2012 to September 2020. The median operative time was 101 (range 50-253) min, with no conversions to open surgery, median lesion size 3.6 (range 1.8-8.2) cm and median postoperative length of stay 5 (range 1-13) days. There was no 30-day mortality and no recurrence during the follow-up period. Our laparoscopic approach for reduced-port transgastric excision of intraluminal GISTs allows for adequate surgical clearance, convenient extraction and secure gastrostomy closure with low morbidity.

Impact of fatty liver on long-term outcomes in chronic hepatitis B: a systematic review and matched analysis of individual patient data meta-analysis.

BACKGROUND/AIMS: Chronic hepatitis B (CHB) and fatty liver (FL) often co-exist, but natural history data of this dual condition (CHB-FL) are sparse. Via a systematic review, conventional meta-analysis (MA) and individual patient-level data MA (IPDMA), we compared liver-related outcomes and mortality between CHB-FL and CHB-no FL patients. METHODS: We searched 4 databases from inception to December 2021 and pooled study-level estimates using a random- effects model for conventional MA. For IPDMA, we evaluated outcomes after balancing the two study groups with inverse probability treatment weighting (IPTW) on age, sex, cirrhosis, diabetes, ALT, HBeAg, HBV DNA, and antiviral treatment. RESULTS: We screened 2,157 articles and included 19 eligible studies (17,955 patients: 11,908 CHB-no FL; 6,047 CHB-FL) in conventional MA, which found severe heterogeneity (I2=88-95%) and no significant differences in HCC, cirrhosis, mortality, or HBsAg seroclearance incidence (P=0.27-0.93). IPDMA included 13,262 patients: 8,625 CHB-no FL and 4,637 CHB-FL patients who differed in several characteristics. The IPTW cohort included 6,955 CHB-no FL and 3,346 CHB-FL well-matched patients. CHB-FL patients (vs. CHB-no FL) had significantly lower HCC, cirrhosis, mortality and higher HBsAg seroclearance incidence (all p≤0.002), with consistent results in subgroups. CHB-FL diagnosed by liver biopsy had a higher 10-year cumulative HCC incidence than CHB-FL diagnosed with non-invasive methods (63.6% vs. 4.3%, p<0.0001). CONCLUSION: IPDMA data with well-matched CHB patient groups showed that FL (vs. no FL) was associated with significantly lower HCC, cirrhosis, and mortality risk and higher HBsAg seroclearance probability.

Test Review of the Feifer Assessment of Reading (FAR).

The Feifer Assessment of Reading (FAR) is a comprehensive reading test for children ages 4 through 21 years. The FAR was designed to evaluate the underlying cognitive and linguistic processes of reading. It has 15 subtests to evaluate aspects of phonological development, orthographical processing, decoding, reading fluency, and comprehension skills. Academic achievement tests endeavor to evaluate core neuropsychological and theoretical perspectives that identify students at risk. However, reading tests have historically not focused on why a student may struggle with reading interventions. A neuropsychological approach to reading posits that multiple neural pathways assist the reading process. These processes include orthographic mapping, phonemic awareness, fluency, decoding, and comprehension. The aim of the test is to help the evaluator learn why a student is struggling with reading, as well as to inform intervention. This review explores the Feifer Assessment of Reading (FAR), and its contribution to the neuropsychological evaluation of reading.

Gaze-cued shifts of attention and microsaccades are sustained for whole bodies but are transient for body parts.

Gaze direction is an evolutionarily important mechanism in daily social interactions. It reflects a person's internal cognitive state, spatial locus of interest, and predicts future actions. Studies have used static head images presented foveally and simple synthetic tasks to find that gaze orients attention and facilitates target detection at the cued location in a sustained manner. Little is known about how people's natural gaze behavior, including eyes, head, and body movements, jointly orient covert attention, microsaccades, and facilitate performance in more ecological dynamic scenes. Participants completed a target person detection task with videos of real scenes. The videos showed people looking toward (valid cue) or away from a target (invalid cue) location. We digitally manipulated the individuals in the videos directing gaze to create three conditions: whole-intact (head and body movements), floating heads (only head movements), and headless bodies (only body movements). We assessed their impact on participants' behavioral performance and microsaccades during the task. We show that, in isolation, an individual's head or body orienting toward the target-person direction led to facilitation in detection that is transient in time (200 ms). In contrast, only the whole-intact condition led to sustained facilitation (500 ms). Furthermore, observers executed microsaccades more frequently towards the cued direction for valid trials, but this bias was sustained in time only with the joint presence of head and body parts. Together, the results differ from previous findings with foveally presented static heads. In more real-world scenarios and tasks, sustained attention requires the presence of the whole-intact body of the individuals dynamically directing their gaze.

Peripheral facial features guiding eye movements and reducing fixational variability.

Face processing is a fast and efficient process due to its evolutionary and social importance. A majority of people direct their first eye movement to a featureless point just below the eyes that maximizes accuracy in recognizing a person's identity and gender. Yet, the exact properties or features of the face that guide the first eye movements and reduce fixational variability are unknown. Here, we manipulated the presence of the facial features and the spatial configuration of features to investigate their effect on the location and variability of first and second fixations to peripherally presented faces. Our results showed that observers can utilize the face outline, individual facial features, and feature spatial configuration to guide the first eye movements to their preferred point of fixation. The eyes have a preferential role in guiding the first eye movements and reducing fixation variability. Eliminating the eyes or altering their position had the greatest influence on the location and variability of fixations and resulted in the largest detriment to face identification performance. The other internal features (nose and mouth) also contribute to reducing fixation variability. A subsequent experiment measuring detection of single features showed that the eyes have the highest detectability (relative to other features) in the visual periphery providing a strong sensory signal to guide the oculomotor system. Together, the results suggest a flexible multiple-cue approach that might be a robust solution to cope with how the varying eccentricities in the real world influence the ability to resolve individual feature properties and the preferential role of the eyes.