IQ in high school as a predictor of midlife alcohol drinking patterns.

AIMS: The aim of the present study was to assess the relationship between adolescent IQ and midlife alcohol use and to explore possible mediators of this relationship. METHODS: Study data were from 6300 men and women who participated in the Wisconsin Longitudinal Study of high-school students graduating in 1957. IQ scores were collected during the participants' junior year of high school. In 2004, participants reported the number of alcoholic beverages consumed (past 30 days) and the number of binge-drinking episodes. A multinomial logistic regression was conducted to determine the relationship between adolescent IQ and future drinking pattern (abstainer, moderate drinker, or heavy drinker), and Poisson regression was used to examine the number of binge-drinking episodes. Two mediators-income and education-were also explored. RESULTS: Every one-point increase in IQ score was associated with a 1.6% increase in the likelihood of reporting moderate or heavy drinking as compared to abstinence. Those with higher IQ scores also had significantly fewer binge-drinking episodes. Household income, but not education, partially mediated the relationship between IQ and drinking pattern. CONCLUSIONS: The present study suggests that higher adolescent IQ may predict a higher likelihood of moderate or heavy drinking in midlife, but fewer binge-drinking episodes. The study also suggests that this relationship is mediated by other psychosocial factors, specifically income, prompting future exploration of mediators in subsequent studies.

Changes in functional connectivity associated with facial expression processing over the working adult lifespan.

The recognition of negative emotions from facial expressions is shown to decline across the adult lifespan, with some evidence that this decline begins around middle age. While some studies have suggested ageing may be associated with changes in neural response to emotional expressions, it is not known whether ageing is associated with changes in the network connectivity associated with processing emotional expressions. In this study, we examined the effect of participant age on whole-brain connectivity to various brain regions that show connectivity during emotion processing, namely, the left and right amygdalae, medial prefrontal cortex (mPFC), and right posterior superior temporal sulcus (rpSTS). The study involved healthy participants aged 20-65 years who completed an implicit affect processing task involving facial expressions displaying anger, fear, happiness, and neutral expressions during functional magnetic resonance imaging (fMRI). Participants were also tested on recognition accuracy during an emotion labelling task. We found that participant age was negatively associated with connectivity between the left amygdala and voxels in the left occipital pole; between the rpSTS and voxels in the orbitofrontal cortex; and between the mPFC and cingulate cortex and left insular cortex. Furthermore, these effects were due to a greater age-related decline in brain connectivity for negative expressions compared to happy and neutral expressions. There was, however, no significant relationship between age and emotion recognition accuracy (though in the expected direction), and between connectivity strength and emotion recognition accuracy. Together, these results provide evidence for a specific age-related decline in the neural processing of negative emotions, and could suggest that changes in underlying network connectivity over the working adult lifespan might occur before any marked decline in the recognition of the emotion.

The role of stimulus-based cues and conceptual information in processing facial expressions of emotion.

Face shape and surface textures are two important cues that aid in the perception of facial expressions of emotion. Additionally, this perception is also influenced by high-level emotion concepts. Across two studies, we use representational similarity analysis to investigate the relative roles of shape, surface, and conceptual information in the perception, categorisation, and neural representation of facial expressions. In Study 1, 50 participants completed a perceptual task designed to measure the perceptual similarity of expression pairs, and a categorical task designed to measure the confusability between expression pairs when assigning emotion labels to a face. We used representational similarity analysis and constructed three models of the similarities between emotions using distinct information. Two models were based on stimulus-based cues (face shapes and surface textures) and one model was based on emotion concepts. Using multiple linear regression, we found that behaviour during both tasks was related with the similarity of emotion concepts. The model based on face shapes was more related with behaviour in the perceptual task than in the categorical, and the model based on surface textures was more related with behaviour in the categorical than the perceptual task. In Study 2, 30 participants viewed facial expressions while undergoing fMRI, allowing for the measurement of brain representational geometries of facial expressions of emotion in three core face-responsive regions (the Fusiform Face Area, Occipital Face Area, and Superior Temporal Sulcus), and a region involved in theory of mind (Medial Prefrontal Cortex). Across all four regions, the representational distances between facial expression pairs were related to the similarities of emotion concepts, but not to either of the stimulus-based cues. Together, these results highlight the important top-down influence of high-level emotion concepts both in behavioural tasks and in the neural representation of facial expressions.

Pressure dressings in mastoid and middle ear surgery: are they necessary? A retrospective review of patient outcomes.

BACKGROUND: The application of mastoid pressure dressings following mastoid and middle ear surgery is widely practised to reduce the risk of haematoma and seroma. There are a number of minor morbidities associated with use of the dressings, as well as a financial cost associated with an overnight stay in hospital or a return appointment for removal of the dressings. The benefit of having these dressings in situ overnight is questionable. METHODS: A retrospective review of 133 patients who had their mastoid dressing removed 2 h after their procedure was undertaken at our Hospital. The patient records were scanned for procedure-related morbidities, and perioperative data were analysed. RESULTS: No haematomas or seromas occurred in any of the 133 patients studied. Minor morbidities associated with prolonged use of mastoid pressure dressings were avoided. CONCLUSION: Removal of mastoid pressure dressings 2 h following ear surgery is safe and effective. Furthermore, a mastoid dressing should not be a factor in the decision as to whether to treat a patient as a day case or overnight admission.

Relaxin as a hormonal aid to evaluate pregnancy and pregnancy loss in bottlenose dolphins (Tursiops truncatus).

This study was conducted to critically evaluate weekly and monthly circulating concentrations of immunoreactive relaxin throughout pregnancies that resulted in live births, stillbirths, and abortions in aquarium-based bottlenose dolphins. A relaxin RIA was used to analyze serum collected during 74 pregnancies involving 41 dolphins and 8 estrous cycles as well as 8 non-pregnant dolphins. Pregnancies resulted in live births (n=60), stillbirths (n=7), or abortions (n=7). Relative to parturition (Month 0), monthly changes (P<0.0001) in relaxin was indicated by relatively low concentrations during early pregnancy (Months -12 to -9) which subsequently increased (P<0.05) during mid- (Months -8 to -5) to late (Months -4 to -1) pregnancy; relaxin was highest (P<0.05) at the time of parturition. Post-parturition (Month 1), concentrations decreased (P<0.05). During the first 4weeks post-ovulation, relaxin concentrations were not different between pregnant and non-pregnant dolphins (status-by-week interaction, P=0.59). Status-by-month interaction (P<0.0002) involving different pregnancy outcomes was due, impart, to an increase in relaxin during early pregnancy (P<0.05) that was comparable among dolphins with live births, stillbirths, and abortions except concentrations were lower (P<0.05; 52%) at mid-pregnancy in association with pregnancy loss. Thereafter, concentrations increased (P<0.05) during late pregnancy in dolphins with stillbirths but not in dolphins with abortions. In conclusion, this study provided new information on the pregnancy-specific nature of relaxin, critical evaluation of the fundamental characteristics of relaxin during pregnancy and pregnancy loss, and clarification on the strengths and limitations of relaxin as a diagnostic aid to determine pregnancy status and assess maternal-fetal health in bottlenose dolphins.

Neural correlates of facial motion perception.

Several neuroimaging studies have revealed that the superior temporal sulcus (STS) is highly implicated in the processing of facial motion. A limitation of these investigations, however, is that many of them utilize unnatural stimuli (e.g., morphed videos) or those which contain many confounding spatial cues. As a result, the underlying mechanisms may not be fully engaged during such perception. The aim of the current study was to build upon the existing literature by implementing highly detailed and accurate models of facial movement. Accordingly, neurologically healthy participants viewed simultaneous sequences of rigid and nonrigid motion that was retargeted onto a standard computer generated imagery face model. Their task was to discriminate between different facial motion videos in a two-alternative forced choice paradigm. Presentations varied between upright and inverted orientations. In corroboration with previous data, the perception of natural facial motion strongly activated a portion of the posterior STS. The analysis also revealed engagement of the lingual gyrus, fusiform gyrus, precentral gyrus, and cerebellum. These findings therefore suggest that the processing of dynamic facial information is supported by a network of visuomotor substrates.

Categorizing identity from facial motion.

Advances in marker-less motion capture technology now allow the accurate replication of facial motion and deformation in computer-generated imagery (CGI). A forced-choice discrimination paradigm using such CGI facial animations showed that human observers can categorize identity solely from facial motion cues. Animations were generated from motion captures acquired during natural speech, thus eliciting both rigid (head rotations and translations) and nonrigid (expressional changes) motion. To limit interferences from individual differences in facial form, all animations shared the same appearance. Observers were required to discriminate between different videos of facial motion and between the facial motions of different people. Performance was compared to the control condition of orientation-inverted facial motion. The results show that observers are able to make accurate discriminations of identity in the absence of all cues except facial motion. A clear inversion effect in both tasks provided consistency with previous studies, supporting the configural view of human face perception. The accuracy of this motion capture technology thus allowed stimuli to be generated that closely resembled real moving faces. Future studies may wish to implement such methodology when studying human face perception.

Impaired perception of facial motion in autism spectrum disorder.

Facial motion is a special type of biological motion that transmits cues for socio-emotional communication and enables the discrimination of properties such as gender and identity. We used animated average faces to examine the ability of adults with autism spectrum disorders (ASD) to perceive facial motion. Participants completed increasingly difficult tasks involving the discrimination of (1) sequences of facial motion, (2) the identity of individuals based on their facial motion and (3) the gender of individuals. Stimuli were presented in both upright and upside-down orientations to test for the difference in inversion effects often found when comparing ASD with controls in face perception. The ASD group's performance was impaired relative to the control group in all three tasks and unlike the control group, the individuals with ASD failed to show an inversion effect. These results point to a deficit in facial biological motion processing in people with autism, which we suggest is linked to deficits in lower level motion processing we have previously reported.

Event-related alpha suppression in response to facial motion.

While biological motion refers to both face and body movements, little is known about the visual perception of facial motion. We therefore examined alpha wave suppression as a reduction in power is thought to reflect visual activity, in addition to attentional reorienting and memory processes. Nineteen neurologically healthy adults were tested on their ability to discriminate between successive facial motion captures. These animations exhibited both rigid and non-rigid facial motion, as well as speech expressions. The structural and surface appearance of these facial animations did not differ, thus participants decisions were based solely on differences in facial movements. Upright, orientation-inverted and luminance-inverted facial stimuli were compared. At occipital and parieto-occipital regions, upright facial motion evoked a transient increase in alpha which was then followed by a significant reduction. This finding is discussed in terms of neural efficiency, gating mechanisms and neural synchronization. Moreover, there was no difference in the amount of alpha suppression evoked by each facial stimulus at occipital regions, suggesting early visual processing remains unaffected by manipulation paradigms. However, upright facial motion evoked greater suppression at parieto-occipital sites, and did so in the shortest latency. Increased activity within this region may reflect higher attentional reorienting to natural facial motion but also involvement of areas associated with the visual control of body effectors.

New perspectives on the surgical anatomy and nomenclature of the temporal region: literature review and dissection study.

BACKGROUND: Understanding of the temporal region remains confused, largely because of the ambiguous nomenclature. Aspects of the anatomy also remain unclear and are variably reported in the literature. The aim of this study was twofold: (1) to clarify details of the anatomy, using fresh cadaver dissections; and (2) to propose a standardized nomenclature that is based on recognized principles of nomenclature, contemporary use, and correct anatomical detail. METHODS: A cadaver dissection study on 24 fresh hemifaces (13 male, 11 female; mean age, 72 years) was undertaken at the University of Melbourne to clarify the anatomy of the tissue layers and dissection planes of the region. A comprehensive literature review was undertaken to clarify the nomenclature of the region and to investigate the current understanding of the anatomy itself. RESULTS: The tissue layers, ligamentous structures, and anatomy of two separate soft-tissue compartments within the temporal region were consistently identified across all dissection specimens. A standardized nomenclature system for the temporal region has been proposed. CONCLUSIONS: The use of consistent nomenclature to describe the structures in the temporal region facilitates understanding and discussion of the anatomy. Two separate soft-tissue compartments exist in the temporal region, bounded by ligamentous structures. The tissue layers differ considerably between the two compartments, and anatomical landmarks within these layers provide useful information to the surgeon operating in the temporal region.

The effect of nonsteroidal anti-inflammatory drug administration on acute phase fracture-healing: a review.

BACKGROUND: The analgesic efficacy of nonsteroidal anti-inflammatory drugs (NSAIDs) is well established, and these agents often form an integral part of posttraumatic pain management. However, potentially deleterious effects of resulting prostaglandin suppression on fracture-healing have been suggested. METHODS: A systematic literature review involving searches of electronic databases and online sources was performed to identify articles exploring the influence of NSAIDs on fracture-healing. RESULTS: A structured search approach identified 316 papers as potentially relevant to the topic, and these were manually reviewed. The majority described small-scale studies that were retrospective or observational in nature, with limited control of potentially confounding variables, or presented little key information that was not also present in other studies. CONCLUSIONS: Although increasing evidence from animal studies suggests that cyclooxygenase-2 (COX-2) inhibition suppresses early fracture-healing, in vivo studies involving human subjects have not provided convincing evidence to substantiate this concern. We found no robust evidence to attest to a significant and appreciable patient detriment resulting from the short-term use of NSAIDs following a fracture. The balance of evidence in the available literature appears to suggest that a short-duration NSAID regimen is a safe and effective supplement to other modes of post-fracture pain control, without a significantly increased risk of sequelae related to disrupted healing.

Relationship of the temporofrontal rami of the facial nerve to the fascial layers of the temporal region.

BACKGROUND: Historically, dissection of the temporoparietal fascia immediately above the zygomatic arch has been avoided due to the risk of transection of the temporofrontal rami of the facial nerve. METHODS: A total of 8 fresh cadaveric hemi-faces have been dissected to investigate the relationship of the temporofrontal rami of the facial nerve to the fascial layers in the temporal region. RESULTS: The relationship of the temporofrontal rami of the facial nerve to the fascial layers in the temporal region is variable, with some deep rami coursing below the parotid-temporal fascia and other superficial rami reaching the temporoparietal fascia before entering the lateral edge of the orbicularis oculi. CONCLUSIONS: Dissection of the temporoparietal fascia immediately above the zygomatic arch may place superficial branches of the temporofrontal rami at risk.

Lore's fascia and the platysma-auricular ligament are distinct structures.

BACKGROUND: Lore's fascia and the platysma-auricular ligament are discreet fascial structures anterior and inferior to the auricle respectively. The nomenclature and descriptions of these structures have been presented inconsistently in the literature. There is also concern that placement of platysma suspension sutures into these structures may risk damage to the underlying facial nerve trunk. The aim of this study was to clarify the anatomy of Lore's fascia and the platysma-auricular ligament, and their relationship to the facial nerve trunk. MATERIALS & METHODS: A cadaveric study utilising twelve fresh cadaveric hemi-faces was undertaken, investigating the anatomy of Lore's fascia and the platysma-auricular ligament. This comprised dissection of the periauricular fascial layers and identification of the relationship of these two structures to the facial nerve trunk. A histological study of Lore's fascia was performed. RESULTS: Lore's fascia and the platysma-auricular ligament were identified in all 12 hemi-faces. The structures were anatomically distinct in all cases. The relationship of the facial nerve was documented in each case, with the facial nerve trunk found to lie at least 2 cm deep to the most superficial parts of both structures. Lore's fascia was demonstrable with histology. CONCLUSIONS: Lore's fascia and the platysma-auricular ligament are separate and consistently demonstrable structures. Both are suitable for platysma suspension sutures in terms of facial nerve trunk safety, and Lore's ligament can be used as a guide to facial nerve preservation in parotidectomy.

Comparison of form and motion coherence processing in autistic spectrum disorders and dyslexia.

A large body of research has reported visual perception deficits in both people with dyslexia and autistic spectrum disorders. In this study, we compared form and motion coherence detection between a group of adults with high-functioning autism, a group with Asperger's disorder, a group with dyslexia, and a matched control group. It was found that motion detection was intact in dyslexia and Asperger. Individuals with high-functioning autism showed a general impaired ability to detect coherent form and motion. Participants with Asperger's syndrome showed lower form coherence thresholds than the dyslexic and normally developing adults. The results are discussed with respect to the involvement of the dorsal and ventral pathways in developmental disorders.

Fractal rotation isolates mechanisms for form-dependent motion in human vision.

Here, we describe a motion stimulus in which the quality of rotation is fractal. This makes its motion unavailable to the translation-based motion analysis known to underlie much of our motion perception. In contrast, normal rotation can be extracted through the aggregation of the outputs of translational mechanisms. Neural adaptation of these translation-based motion mechanisms is thought to drive the motion after-effect, a phenomenon in which prolonged viewing of motion in one direction leads to a percept of motion in the opposite direction. We measured the motion after-effects induced in static and moving stimuli by fractal rotation. The after-effects found were an order of magnitude smaller than those elicited by normal rotation. Our findings suggest that the analysis of fractal rotation involves different neural processes than those for standard translational motion. Given that the percept of motion elicited by fractal rotation is a clear example of motion derived from form analysis, we propose that the extraction of fractal rotation may reflect the operation of a general mechanism for inferring motion from changes in form.

Visual form-processing deficits in autism.

People with autism have a number of reported deficits in object recognition and global processing. Is there a low-level spatial integration deficit associated with this? We measured spatial-form-coherence detection thresholds using a Glass stimulus in a field of random dots, and compared performance to a similar motion-coherence task. A coherent visual patch was depicted by dots separated by a rotational transformation in space (form) or space-time (motion). To measure parallel visual integration, stimuli were presented for only 250 ms. We compared detection thresholds for children with autism, children with Asperger syndrome, and a matched control group. Children with autism showed a significant form-coherence deficit and a significant motion-coherence deficit, while the performance of the children with Asperger syndrome did not differ significantly from that of controls on either task.

Infants' discrimination of faces by using biological motion cues.

We report two experiments in which we used animated averaged faces to examine infants' ability to perceive and discriminate facial motion. The faces were generated by using the motion recorded from the faces of volunteers while they spoke. We tested infants aged 4-8 months to assess their ability to discriminate facial motion sequences (condition 1) and discriminate the faces of individuals (condition 2). Infants were habituated to one sequence with the motion of one actor speaking one phrase. Following habituation, infants were presented with the same sequence together with motion from a different actor (condition 1), or a new sequence from the same actor coupled with a new sequence from a new actor (condition 2). Infants demonstrated a significant preference for the novel actor in both experiments. These findings suggest that infants can not only discriminate complex and subtle biological motion cues but also detect invariants in such displays.