Flexible social monitoring as revealed by eye movements: Spontaneous mental state updating triggered by others' unexpected actions.

Successful interactions require not only representing others' mental states but also flexibly updating them, whenever one's original inferences may no longer hold. Such situations arise, for instance, when a partner's behavior is incongruent with one's expectations. Although these situations are rather common, the question whether people update others' mental states spontaneously upon encountering unexpected behaviors and whether they use the updated mental states in novel contexts, has been largely unexplored. We addressed these issues in two experiments. In each experiment participants first performed an anticipatory looking task, reacting to a virtual 'partner', who categorized pictures based on their ambiguous or non-ambiguous color. Importantly, to perform the task participants did not have to track their partner's perspective. Following a correct categorization phase, the 'partner' started to systematically miscategorize one of the ambiguous colors (e.g., as if she would now believe that the greenish blue is green). We measured how participants' anticipatory looking preceding the partner's categorization changed across trials. Afterward, we asked whether participants implicitly transferred their knowledge about the partner's updated perspective to a new task. Finally, they performed an explicit perspective-taking task, to test whether they selectively updated the partner's perspective, but not their own. Results revealed that correct anticipations started to emerge only after a few miscategorizations, indicating the spontaneous updating of the other's perspective regarding the miscategorized color. Signatures of updating emerged somewhat earlier when the partner made similarity judgments (Experiment 2), highlighting the subjective nature of her decisions, compared to when following an explicit color-categorization rule (Experiment 1). In the explicit perspective-taking task of both experiments, roughly half of the participants could categorize items according to the partner's (spontaneously updated) perspective and also used their partner's updated perspective in the implicit transfer task to some degree, while they were the ones who displayed more pronounced anticipatory patterns as well. Such data provides strong evidence that the observed changes in anticipatory looking reflect spontaneous and flexible mental state updating. In addition, the findings also point to a high individual variability both in the updating of attributed mental states and the use of the updated mental state content.

Computed Tomographic Evaluation of the Sagittal Ridge of the Third Metacarpal Bone in Young Thoroughbred Racehorses: A Longitudinal Study.

Metacarpophalangeal joint region pain is a common cause of lameness in racehorses. Radiological abnormalities in the sagittal ridge (SR) of the third metacarpal bone have been associated with joint effusion, lameness and reduced sales prices. The aims were to describe computed tomographic (CT) appearance of the SR in racehorses, and to document the progression of these findings over three assessments. Forty yearlings were enrolled at the first examination (time 0). Re-examinations were performed twice, approximately six months apart on 31 (time 1) and 23 (time 2) horses, respectively. Computed tomographic examinations of both metacarpophalangeal regions were performed with the horses in a standing position. Computed tomographic reconstructions were analysed subjectively and objectively. The mean Hounsfield Unit values (Hus) of eight radial segments and location, size and shape of hypoattenuating lesions were recorded. Mean Hus at time 1 were higher than at time 0. There was no difference between mean HU at times 1 and 2. The mean HU values of the dorsal half were higher in the right forelimbs and in fillies. Hypoattenuation was identified in 33/80 (41.3%) limbs at time 0, in 22/62 (35.5%) limbs at time 1 and in 14/46 (30.4%) limbs at time 2. All hypoattenuations were located in the dorsodistal aspect of the SR. The most common shapes were hypoattenuating lesions elongated proximodistally and those extending towards trabecular bone. An increase in attenuation of the SR occurred in the first six months of training. Hypoattenuating lesions could decrease in size and could resolve during early training. In this population, these lesions were not associated with lameness.

The influence of another's actions and presence on perspective taking.

The ability to take each other's visuospatial perspective has been linked to people's capacity to perceive another's action possibilities and to predict their actions. Research has also shown that visuospatial perspective taking is supported by one's own mental own-body transformation. However, how these two processes of action perception and visuospatial perspective taking might interact remains largely unknown. By introducing seven angular disparities between participants and the model in the stimuli pictures across "Action" and "No Action" conditions, we investigated whether the observation of a goal-directed action facilitates perspective taking and whether this facilitation depends on the level of mental own-body transformation required to take perspective. The results showed that action observation facilitated performance independently of the level of mental-own body transformation. The processes behind this facilitation could involve anatomical mapping that is independent of the congruency between the participants' and the model's perspectives. Further, we replicated previous research findings, showing that participants were more accurate and faster when taking the perspective of a person compared to an inanimate object (a chair). The strongest facilitation effects were seen at the highest angular disparities between participants and the model in the stimuli pictures. Together, these findings enhance our knowledge of the mechanisms behind visuospatial perspective taking.

Acetabular Revision with McMinn Cup: Development and Application of a Patient-Specific Targeting Device.

BACKGROUND: Surgeries of severe periacetabular bone defects (Paprosky ≥ 2B) are a major challenge in current practice. Although solutions are available for this serious clinical problem, they all have their disadvantages as well as their advantages. An alternative method of reconstructing such extensive defects was the use of a cup with a stem to solve these revision situations. As the instrumentation offered is typically designed for scenarios where a significant bone defect is not present, our unique technique has been developed for implantation in cases where reference points are missing. Our hypothesis was that a targeting device designed based on the CT scan of a patient's pelvis could facilitate the safe insertion of the guiding wire. METHODS: Briefly, our surgical solution consists of a two-step operation. If periacetabular bone loss was found to be more significant during revision surgery, all implants were removed, and two titanium marker screws in the anterior iliac crest were percutaneously inserted. Next, by applying the metal artifact removal (MAR) algorithm, a CT scan of the pelvis was performed. Based on that, the dimensions and positioning of the cup to be inserted were determined, and a patient-specific 3D printed targeting device made of biocompatible material was created to safely insert the guidewire, which is essential to the implantation process. RESULTS: In this study, medical, engineering, and technical tasks related to the design, the surgical technique, and experiences from 17 surgical cases between February 2018 and July 2021 are reported. There were no surgical complications in any cases. The implant had to be removed due to septic reasons (independently from the technique) in a single case, consistent with the septic statistics for this type of surgery. There was not any perforation of the linea terminalis of the pelvis due to the guiding method. The wound healing of patients was uneventful, and the implant was fixed securely. Following rehabilitation, the joints were able to bear weight again. After one to four years of follow-up, the patient satisfaction level was high, and the gait function of the patients improved a lot in all cases. CONCLUSIONS: Our results show that CT-based virtual surgical planning and, based on it, the use of a patient-specific 3D printed aiming device is a reliable method for major hip surgeries with significant bone loss. This technique has also made it possible to perform these operations with minimal X-ray exposure.

Can 18-Month-Olds Revise Attributed Beliefs?

Successful social interactions rely on flexibly tracking and revising others' beliefs. These can be revised prospectively, new events leading to new beliefs, or retrospectively, when realizing that an attribution may have been incorrect. However, whether infants are capable of such belief revisions is an open question. We tested whether 18-month-olds can revise an attributed FB into a TB when they learn that a person may have witnessed an event that they initially thought she could not see. Infants first observed Experimenter 1 (E1) hiding two objects into two boxes. Then E1 left the room, and the locations of the objects were swapped. Infants then accompanied Experimenter 2 (E2) to the adjacent room. In the FB-revised-to-TB condition, infants observed E1 peeking into the experimental room through a one-way mirror, whereas in the FB-stays-FB condition, they observed E1 reading a book. After returning to the experimental room E1 requested an object by pointing to one of the boxes. In the FB-stays-FB condition, most infants chose the non-referred box, congruently with the agent's FB. However, in the FB-revised-to-TB condition, most infants chose the other, referred box. Thus, 18-month-olds revised an already attributed FB after receiving evidence that this attribution might have been wrong.

Custom-made 3D printing-based cranioplasty using a silicone mould and PMMA.

All types of cranioplasty techniques restore the morphology of the skull and affect patient aesthetics. Safe and easy techniques are required to enhance patients' recovery and the rehabilitation process. We propose a new method of cranioplasty. The 3-dimensional (3D) reconstruction of a thin-layer computed tomography (CT) scan of the skull was used to reflect the intact side onto the defect and subtract the overlapping points from one another. In this way, a 3D model of the planned implant can be built in the required shape and size. The precise fit of the implant can be checked by printing the defective part of the skull in case it can be modified. A sterilisable silicone mould based on the finalized model was created afterwards. Polymethyl methacrylate implants were prepared directly in an aseptic environment in the operating room during surgery. Between 2005 and 2020, we performed 54 cranioplasties on 52 patients whose craniotomies were performed previously for indications of traumatic brain injury, stroke or tumour surgeries. No technical problems were noted during the operations. In 2 cases, septic complications that occurred were not connected to the technique itself, and the implants were removed and later replaced. Our proposed technique based on 3D-printed individual silicone moulds is a reliable, safe, easily reproducible and low-cost method to repair different skull defects.

Comparative Analysis of Bone Ingrowth in 3D-Printed Titanium Lattice Structures with Different Patterns.

In this study, metal 3D printing technology was used to create lattice-shaped test specimens of orthopedic implants to determine the effect of different lattice shapes on bone ingrowth. Six different lattice shapes were used: gyroid, cube, cylinder, tetrahedron, double pyramid, and Voronoi. The lattice-structured implants were produced from Ti6Al4V alloy using direct metal laser sintering 3D printing technology with an EOS M290 printer. The implants were implanted into the femoral condyles of sheep, and the animals were euthanized 8 and 12 weeks after surgery. To determine the degree of bone ingrowth for different lattice-shaped implants, mechanical, histological, and image processing tests on ground samples and optical microscopic images were performed. In the mechanical test, the force required to compress the different lattice-shaped implants and the force required for a solid implant were compared, and significant differences were found in several instances. Statistically evaluating the results of our image processing algorithm, it was found that the digitally segmented areas clearly consisted of ingrown bone tissue; this finding is also supported by the results of classical histological processing. Our main goal was realized, so the bone ingrowth efficiencies of the six lattice shapes were ranked. It was found that the gyroid, double pyramid, and cube-shaped lattice implants had the highest degree of bone tissue growth per unit time. This ranking of the three lattice shapes remained the same at both 8 and 12 weeks after euthanasia. In accordance with the study, as a side project, a new image processing algorithm was developed that proved suitable for determining the degree of bone ingrowth in lattice implants from optical microscopic images. Along with the cube lattice shape, whose high bone ingrowth values have been previously reported in many studies, it was found that the gyroid and double pyramid lattice shapes produced similarly good results.

The Binding Landscape of Serum Antibodies: How Physical and Mathematical Concepts Can Advance Systems Immunology.

Antibodies constitute a major component of serum on protein mass basis. We also know that the structural diversity of these antibodies exceeds that of all other proteins in the body and they react with an immense number of molecular targets. What we still cannot quantitatively describe is how antibody abundance is related to affinity, specificity, and cross reactivity. This ignorance has important practical consequences: we also do not have proper biochemical units for characterizing polyclonal serum antibody binding. The solution requires both a theoretical foundation, a physical model of the system, and technology for the experimental confirmation of theory. Here we argue that the quantitative characterization of interactions between serum antibodies and their targets requires systems-level physical chemistry approach and generates results that should help create maps of antibody binding landscape.

Absolute Quantitation of Serum Antibody Reactivity Using the Richards Growth Model for Antigen Microspot Titration.

In spite of its pivotal role in the characterization of humoral immunity, there is no accepted method for the absolute quantitation of antigen-specific serum antibodies. We devised a novel method to quantify polyclonal antibody reactivity, which exploits protein microspot assays and employs a novel analytical approach. Microarrays with a density series of disease-specific antigens were treated with different serum dilutions and developed for IgG and IgA binding. By fitting the binding data of both dilution series to a product of two generalized logistic functions, we obtained estimates of antibody reactivity of two immunoglobulin classes simultaneously. These estimates are the antigen concentrations required for reaching the inflection point of thermodynamic activity coefficient of antibodies and the limiting activity coefficient of antigen. By providing universal chemical units, this approach may improve the standardization of serological testing, the quality control of antibodies and the quantitative mapping of the antibody-antigen interaction space.

Young domestic chicks spontaneously represent the absence of objects.

Absence is a notion that is usually captured by language-related concepts like zero or negation. Whether nonlinguistic creatures encode similar thoughts is an open question, as everyday behavior marked by absence (of food, of social partners) can be explained solely by expecting presence somewhere else. We investigated 8-day-old chicks' looking behavior in response to events violating expectations about the presence or absence of an object. We found different behavioral responses to violations of presence and absence, suggesting distinct underlying mechanisms. Importantly, chicks displayed an avian signature of novelty detection to violations of absence, namely a sex-dependent left-eye-bias. Follow-up experiments excluded accounts that would explain this bias by perceptual mismatch or by representing the object at different locations. These results suggest that the ability to spontaneously form representations about the absence of objects likely belongs to the initial cognitive repertoire of vertebrate species.

Critical analysis of in vitro stability testing of spinal implants and proposal for standardization.

BACKGROUND: The American Society for Testing and Materials (ASTM), considered the gold standard worldwide, requires only testing in physiological saline solution to simulate in vivo conditions in standard testing of spinal implants. RESEARCH DESIGN AND METHODS: We conducted an in vitro study to identify an industrial lubricant with characteristics that are most similar to those of biologically lubricating fat, blood, and tissue fluids. The use of such a material could standardize the results of in vitro mechanical tests for better clinical applications. RESULTS: Our study has shown that the lubricity of physiological saline was well below that of human soft tissues and tissue fluids, and among the motor oils, Castrol GTX3 provided a testing environment similar to that of a living organism. CONCLUSIONS: With the intention of standardizing and preventing a biological hazard, we have developed a reproducible mechanical testing proposal based on our experiments, which, in addition, would allow us to avoid many misunderstandings and contingencies.

The origins of trust: Humans' reliance on communicative cues supersedes firsthand experience during the second year of life.

How do people learn about things that they have never perceived or inferred-like molecules, miracles or Marie-Antoinette? For many thinkers, trust is the answer. Humans rely on communicated information, sometimes even when it contradicts blatantly their firsthand experience. We investigate the early ontogeny of this trust using a non-verbal search paradigm in four main studies and three supplementary studies (N = 208). Infants and toddlers first see where a reward is, and then an informant communicates to them that it is in another location. We use this general experimental set-up to assess the role of age, informants' knowledge, cue's familiarity, and communicative context on trust in communicated information. Results reveal that infants and toddlers quickly trust familiar and novel communicative cues from well-informed adults. When searching for the reward, they follow a well-informed adults' communicative cue, even when it contradicts what they just saw. Furthermore, infants are less likely to be guided by familiar and novel cues from poorly informed adults than toddlers. Thus, reliance on communication is calibrated during early childhood, up to the point of overriding evidence about informants' knowledge. Moreover, toddlers trust much more strongly a novel cue when it is used in a communicative manner. Toddlers' trust cannot be explained by mere compliance: it is highly reduced when communicated information is pitted against what participants currently see. Thus, humans' strong tendency to rely on familiar and novel communicative cues emerges in infancy, and intensifies during the second year of life.

Do "knowledge attributions" involve metarepresentation just like belief attributions do?

The authors distinguish knowledge and belief attributions, emphasizing the role of the former in mental-state attribution. This does not, however, warrant diminishing interest in the latter. Knowledge attributions may not entail mental-state attributions or metarepresentations. Even if they do, the proposed features are insufficient to distinguish them from belief attributions, demanding that we first understand each underlying representation.

Low socioeconomic position is a risk factor for delay to treatment and mortality of testicular cancer patients in Hungary, a prospective study.

BACKGROUND: In Hungary, the mortality rate for testicular germ cell cancer (TGCC) is 0,9/100000 which is significantly higher than the EU average. We prospectively evaluated the effect of socioeconomic position on patient delay and therapy outcomes. METHODS: Questionnaires on subjective social status (MacArthur Subjective Status Scale), objective socioeconomic position (wealth, education, and housing data), and on patient's delay were completed by newly diagnosed TGCC patients. RESULTS: Patients belonged to a relatively high socioeconomic class, a university degree was double the Hungarian average, Cancer-specific mortality in the highest social quartile was 1.56% while in the lowest social quartile 13.09% (p = 0.02). In terms of patient delay, 57.2% of deceased patients waited more than a year before seeking help, while this number for the surviving patients was 8.0% (p = 0.0000). Longer patient delay was associated with a more advanced stage in non-seminoma but not in seminoma, the correlation coefficient for non-seminoma was 0.321 (p < 0.001). For patient delay, the most important variables were the mother's and patient's education levels (r = - 0.21, p = 0.0003, and r = - 0.20, p = 0.0005), respectively. Since the patient delay was correlated with the social quartile and resulted in a more advanced stage in non-seminoma, the lower social quartile resulted in higher mortality in non-seminoma patients (p = 0.005) but not in seminoma patients (p = 0.36) where the patient delay was not associated with a more advanced stage. CONCLUSIONS: Based on our result, we conclude that to improve survival, we should promote testicular cancer awareness, especially among the most deprived populations, and their health care providers.

Can infants adopt underspecified contents into attributed beliefs? Representational prerequisites of theory of mind.

Recent evidence suggests that young infants, as well as nonhuman apes, can anticipate others' behavior based on their false beliefs. While such behaviors have been proposed to be accounted by simple associations between agents, objects, and locations, human adults are undoubtedly endowed with sophisticated theory of mind abilities. For example, they can attribute mental contents about abstract or non-existing entities, or beliefs whose content is poorly specified. While such endeavors may be human specific, it is unclear whether the representational apparatus that allows for encoding such beliefs is present early in development. In four experiments we asked whether 15-month-old infants are able to attribute beliefs with underspecified content, update their content later, and maintain attributed beliefs that are unknown to be true or false. In Experiment 1, infants observed as an agent hid an object to an unspecified location. This location was later revealed in the absence or presence of the agent, and the object was then hidden again to an unspecified location. Then the infants could search for the object while the agent was away. Their search was biased to the revealed location (that could be represented as the potential content of the agent's belief when she had not witnessed the re-hiding), suggesting that they (1) first attributed an underspecified belief to the agent, (2) later updated the content of this belief, and (3) were primed by this content in their own action even though its validity was unknown. This priming effect was absent when the agent witnessed the re-hiding of the object, and thus her belief about the earlier location of the object did not have to be sustained. The same effect was observed when infants searched for a different toy (Experiment 2) or when an additional spatial transformation was introduced (Experiment 4), but not when the spatial transformation disrupted belief updating (Experiment 3). These data suggest that infants' representational apparatus is prepared to efficiently track other agents' beliefs online, encode underspecified beliefs and define their content later, possibly reflecting a crucial characteristic of mature theory of mind: using a metarepresentational format for ascribed beliefs.

A multi-lab study of bilingual infants: Exploring the preference for infant-directed speech.

From the earliest months of life, infants prefer listening to and learn better from infant-directed speech (IDS) than adult-directed speech (ADS). Yet, IDS differs within communities, across languages, and across cultures, both in form and in prevalence. This large-scale, multi-site study used the diversity of bilingual infant experiences to explore the impact of different types of linguistic experience on infants' IDS preference. As part of the multi-lab ManyBabies 1 project, we compared lab-matched samples of 333 bilingual and 385 monolingual infants' preference for North-American English IDS (cf. ManyBabies Consortium, 2020: ManyBabies 1), tested in 17 labs in 7 countries. Those infants were tested in two age groups: 6-9 months (the younger sample) and 12-15 months (the older sample). We found that bilingual and monolingual infants both preferred IDS to ADS, and did not differ in terms of the overall magnitude of this preference. However, amongst bilingual infants who were acquiring North-American English (NAE) as a native language, greater exposure to NAE was associated with a stronger IDS preference, extending the previous finding from ManyBabies 1 that monolinguals learning NAE as a native language showed a stronger preference than infants unexposed to NAE. Together, our findings indicate that IDS preference likely makes a similar contribution to monolingual and bilingual development, and that infants are exquisitely sensitive to the nature and frequency of different types of language input in their early environments.

The development of gaze following in monolingual and bilingual infants: A multi-laboratory study.

Determining the meanings of words requires language learners to attend to what other people say. However, it behooves a young language learner to simultaneously encode relevant non-verbal cues, for example, by following the direction of their eye gaze. Sensitivity to cues such as eye gaze might be particularly important for bilingual infants, as they encounter less consistency between words and objects than monolingual infants, and do not always have access to the same word-learning heuristics (e.g., mutual exclusivity). In a preregistered study, we tested the hypothesis that bilingual experience would lead to a more pronounced ability to follow another's gaze. We used a gaze-following paradigm developed by Senju and Csibra (Current Biology, 18, 2008, 668) to test a total of 93 6- to 9-month-old and 229 12- to 15-month-old monolingual and bilingual infants, in 11 laboratories located in 8 countries. Monolingual and bilingual infants showed similar gaze-following abilities, and both groups showed age-related improvements in speed, accuracy, frequency, and duration of fixations to congruent objects. Unexpectedly, bilinguals tended to make more frequent fixations to on-screen objects, whether or not they were cued by the actor. These results suggest that gaze sensitivity is a fundamental aspect of development that is robust to variation in language exposure.

Seeing the World From Others' Perspective: 14-Month-Olds Show Altercentric Modulation Effects by Others' Beliefs.

Humans have a propensity to readily adopt others' perspective, which often influences their behavior even when it seemingly should not. This altercentric influence has been widely studied in adults, yet we lack an understanding of its ontogenetic origins. The current studies investigated whether 14-month-olds' search in a box for potential objects is modulated by another person's belief about the box's content. We varied the person's potential belief such that in her presence/absence an object was removed, added, or exchanged for another, leading to her true/false belief about the object's presence (Experiment 1, n = 96); or transformed into another object, leading to her true/false belief about the object's identity (i.e., the objects represented under a specific aspect, Experiment 2, n = 32). Infants searched longer if the other person believed that an object remained in the box, showing an altercentric influence early in development. These results suggest that infants spontaneously represent others' beliefs involving multiple objects and raise the possibility that infants can appreciate that others encode the world under a unique aspect.

Infants recruit logic to learn about the social world.

When perceptually available information is scant, we can leverage logical connections among hypotheses to draw reliable conclusions that guide our reasoning and learning. We investigate whether this function of logical reasoning is present in infancy and aid understanding and learning about the social environment. In our task, infants watch reaching actions directed toward a hidden object whose identity is ambiguous between two alternatives and has to be inferred by elimination. Here we show that infants apply a disjunctive inference to identify the hidden object and use this logical conclusion to assess the consistency of the actions with a preference previously demonstrated by the agent and, importantly, also to acquire new knowledge regarding the preferences of the observed actor. These findings suggest that, early in life, preverbal logical reasoning functions as a reliable source of evidence that can support learning by offering a logical route for knowledge acquisition.

How 15-month-old infants process morphologically complex forms in an agglutinative language?

While phonological development is well-studied in infants, we know less about morphological development. Previous studies suggest that infants around one year of age can process words analytically (i.e., they can decompose complex forms to a word stem and its affixes) in morphologically simpler languages such as English and French. The current study explored whether 15-month-old infants learning Hungarian, a morphologically complex, agglutinative language with vowel harmony, are able to decompose words into a word stem and a suffix. Potential differences between analytical processing of complex forms with back versus front vowels were also studied. The results of Experiment 1 indicate that Hungarian infants process morphologically complex words analytically when they contain a frequent suffix. Analytic processing is present both in the case of complex forms with back and front vowels according to the results of Experiment 2. In light of the results, we argue for the potential relevance of the early development of analytic processing for language development.