Lateral spatial biases in naturalistic and simulated driving: Does pseudoneglect influence performance?

Whereas a rightward bump is more likely than a leftward bump when walking through a doorway, investigations into potential similar asymmetries for drivers are limited. The research presented here aims to determine the influence of innate lateral spatial biases when driving. Data from the Strategic Highway Research Program Naturalistic Driving Study (SHRP 2 NDS) and a driving simulation were used to address our research questions. Data points from SHRP 2 were aggregated within relevant variables (e.g., left/right obstacles). In the simulation, participants drove in ways that were consistent with their everyday driving in urban and rural environments. Collision frequency, collision severity and average lateral lane position were analyzed with rightward biases throughout both analyzes. SHRP 2 data indicated greater likelihoods of collisions when vehicles crossed the right line/edge of the road and when making a right turn. There were more collisions with obstacles on the right side, which were also more severe, and greater rightward lane deviations in the driving simulation, contrasted with more severe collisions on the left side in SHRP 2 data, possibly because of the presence of traffic. These findings suggest that previously observed rightward biases in distant space when walking are also present when driving.

Weight Bearing as Tolerated After Intramedullary Nailing of the Femur: A Retrospective Analysis of Clinical and Radiographic Outcomes.

Intramedullary nailing of femur fractures has become the standard of care, with high union rates. Few high-level studies have discussed the effect that early weight bearing has on the healing of these fractures, regardless of nail size or fracture pattern. The goal of this study was to determine the clinical and radiographic outcomes of femoral shaft fractures for patients allowed immediate weight bearing after intramedullary nailing. We performed a retrospective review of 341 femoral shaft fractures, with 131 allowed immediate weight bearing, 99 allowed partial weight bearing, and 111 kept non-weight bearing. Demographic, intraoperative, and postoperative variables were collected and analyzed. Increased fracture complexity was associated with higher likelihood of delayed weight bearing. No significant difference was found for nail size or rate of failure with different nail sizes. A total of 50 nonunions were noted (14.7%), with no difference in nonunion rates between weight bearing cohorts. The only significant predictor of nonunion was Orthopaedic Trauma Association (OTA) classification of OTA32B fractures (P=.02), which were 2 times and 4 times as likely to occur compared with OTA32A and OTA32C fractures, respectively. Failure of interlocking screws occurred among 15 patients (4.4%) and was more common with older patients, osteoporotic bone, and larger diameter nails. In summary, unilateral intramedullary nailing of adult femoral shaft fractures does not show a difference in fracture union rates or implant failure with unrestricted, immediate weight bearing, regardless of nail characteristics. [Orthopedics. 2022;45(3):e148-e153.].

Oral and Maxillofacial Surgery (OMFS) Consultant Workforce in the UK: reducing consultant numbers resulting from recruitment issues, pension pressures, changing job-plans, and demographics when combined with the COVID backlog in elective surgery, requires urgent action.

Mean retirement age for UK doctors is 59.6 years, giving the average OMFS consultant approximately 20 years of practice. Current pension tax regulations, new consultant posts typically restricted to a maximum of 10 sessions (40 hours), increasing proportions of consultants working less than full time (LTFT), all combined with the backlog of elective care created by COVID-19 will create a significant gap between workforce capacity and clinical demand. The age of current OMFS consultants was estimated using the date of their primary medical/dental qualification. Changes in job plans were estimated using data from the BAOMS Workforce Census and from recently advertised posts. Reports of unfilled posts were collated by OMFS Regional Specialty Professional Advisors (RSPAs). First degree dates were identified for 476 OMFS substantive consultant posts. Estimated current average age of OMFS consultants was 52.7 years (minimum 35.9, maximum 72.1), 75th centile age 59.0 and 23% of the current consultant workforce above the average retirement age for doctors. The 10 sessions of new OMFS consultants posts is significantly less than existing consultants' average of 12.1 sessions (48.4 hours). Unfilled consultant posts in Great Britain are 13% of the total compared to 20% in Northern Ireland and Ireland. Many (23%) of the OMFS consultant workforce are above average retirement age. Forty-hour contracts; new consultants working LTFT; and early loss of senior colleagues because of pension pressure will reduce NHS' capacity to treat OMFS disorders and injuries. This paper suggests increasing consultant posts, increasing trainee numbers, and actively retaining senior surgeons to maintain capacity.

Lateral biases in aesthetic and spatial location judgments: differences between tasks and native reading directions.

People exhibit consistent leftward spatial biases across a variety of tasks. However, individuals with a native reading direction other than left-to-right (LTR) show an attenuation of the leftward bias. The current study used procedurally similar tasks to examine spatial ability and aesthetic preferences in LTR and right-to-left (RTL) groups. In the spatial task participants viewed a centred rectangle partially occluded by an overlapping circle and estimated the centre of the circle with a single mouse click. In the aesthetic task participants used the mouse to control a "virtual flashlight" to light images of abstract paintings in the most aesthetically pleasing way. Contrary to predictions, smaller errors were made for circles on the right and estimations were progressively less accurate as circle size increased in the spatial task. On the aesthetic task, light placements of LTR participants were biased to the left and significantly different from the slightly rightward placements of RTL participants. As predicted, when completing the aesthetics task amounts of time scanning left or right visual space were different between groups. Findings support the theory that directional scanning biases attenuate leftward lateral biases and further, the nature of the visuospatial task may vary the strength of lateral bias.

Management of Concomitant Moyamoya Disease, Arterial Venous Malformation, and Intracranial Aneurysm: Case Illustration, Literature Review, and Management Algorithm.

BACKGROUND: Moyamoya disease (MMD), arterial venous malformations (AVMs), and intracranial aneurysms are distinct cerebrovascular disease processes that most commonly occur in isolation. The literature on the treatment algorithm of each individual condition is well established. An association between MMD and intracranial aneurysms is also known, but MMD in association with AVM is rare. CASE DESCRIPTIONS: The authors discuss various dilemmas in the multimodality management of these conditions when they coexist with an illustrative case of a 46-year-old woman who presented following a stroke, with 1) left-sided MMD, 2) left-sided frontal AVM, and 3) an aneurysm arising from the A1 segment of the right anterior cerebral artery. These were managed respectively by 1) the left external carotid artery to M2 segment of middle cerebral artery bypass using an autologous radial artery graft and left indirect superior temporal artery-encephaloduroarteriosynangiosis, 2) stereotactic radiosurgery, and 3) endovascular coiling of the aneurysm. Three years following intervention, cerebral angiography showed a patent bypass, complete obliteration of the AVM, and no residual filling of the coiled aneurysm. CONCLUSIONS: Our strategy of surgical revascularization for MMD, radiosurgery for AVM, and endovascular coiling for aneurysm resulted in a positive long-term clinical outcome. In view of the rarity of the condition, the authors propose a management algorithm for such patients.

Calibration and evaluation of PUF-PAS sampling rates across the Global Atmospheric Passive Sampling (GAPS) network.

Passive air samplers equipped with polyurethane foam (PUF-PAS) are frequently used to measure persistent organic pollutants (POPs) in ambient air. Here we present and evaluate a method to determine sampling rates (RS), and the effective sampling volume (Veff), for gas-phase chemical compounds captured by a PUF-PAS sampler deployed anywhere in the world. The method uses a mathematical model that requires only publicly available hourly meteorological data, physical-chemical properties of the target compound, and the deployment dates. The predicted RS is calibrated from sampling rates determined from 5 depuration compounds (13C PCB-9, 13C PCB-15, 13C PCB-32, PCB-30, and d6-γ-HCH) injected in 82 samples from 24 sites deployed by the Global Atmospheric Passive Sampling (GAPS) network around the world. The dimensionless fitting parameter, gamma, was found to be constant at 0.267 when implementing the Integrated Surface Database (ISD) weather observations and 0.315 using the Modern Era Retrospective-Analysis for Research and Applications (MERRA) weather dataset. The model provided acceptable agreement between modelled and depuration determined sampling rates, with 13C PCB-9, 13C PCB-32, and d6-γ-HCH having mean percent bias near zero (±6%) for both weather datasets (ISD and MERRA). The model provides inexpensive and reliable PUF-PAS gas-phase RS and Veff when depuration compounds produce unusual or suspect results and for sites where the use of depuration compounds is impractical, such as sites experiencing low average wind speeds, very cold temperatures, or remote locations.

Take your seats: leftward asymmetry in classroom seating choice.

Despite an overall body symmetry, human behavior is full of examples of asymmetry, from writing or gesturing to kissing and cradling. Prior research has revealed that theatre patrons show a bias towards sitting on the right side of a movie theatre. Two competing theories have attempted to explain this seating asymmetry: one posits that expectation of processing demand drives the bias; the other posits that basic motor asymmetries drive the bias. To test these theories we assessed the real-world classroom seating choices of university students using photographs. A bias for students to choose seats on the left side of the classroom was observed, in contrast to the right side bias observed in theatre seating studies. These results provide evidence in support of a processing-expectation bias.

Native reading direction influences lateral biases in the perception of shape from shading.

Although neurologically normal individuals often exhibit leftward biases of perception and attention, known as pseudoneglect, factors such as lighting, spatial location and native reading direction have been found to modulate these biases. To investigate lighting and spatial biases in left-to-right and right-to-left readers search times were measured in a target finding task where lighting and target locations were manipulated. Target search times under upper-left lighting were significantly shorter than lower-left, upper-right and lower-right lighting among left-to-right readers. Right-to-left readers did not display the same leftward bias, even displaying significantly shorter search times under upper-right lighting than those of left-to-right readers. Significantly shorter search times for targets located in the upper-left quadrant (compared to other quadrants) were observed for left-to-right readers, while search times for upper-right located targets were significantly shorter for right-to-left readers compared to those of left-to-right readers. Participant scan times of stimuli divided into equal quadrants were monitored by an eye-tracking camera. Both groups displayed greater scan times in upper quadrants. These findings suggest that native reading direction modulates spatial and light perception biases resulting in weaker leftward, or a lack of lateral biases among right-to-left readers.

Native reading direction and corresponding preferences for left- or right-lit images.

The first language an individual learns has been shown to influence performance on cognitive tasks. Individuals who first learn to read and write in a left-to-right direction (native left-to-right readers) tend to bisect lines left of centre and draw counterclockwise circles, whereas those who learn to read and write from right-to-left (native right-to-left readers) will bisect lines closer to the objective centre and draw circles in a clockwise direction. The aim of the current study was to assess group differences in image preferences and eye movements when participants are simultaneously presented with an original and mirror image with an obvious illumination difference. Twenty native left-to-right readers (4 men, 16 women) and 25 native right-to-left readers (13 men, 12 women) participated. Left-to-right readers made more fixations on the left side of images and exhibited a significantly different left-lit image bias than right-to-left readers' choices. These results draw attention to the influence that reading direction has on scanning distributions and lighting preferences, and question previous results finding no difference between groups.

IgG4-related sclerosing disease clinically mimicking oral squamous cell carcinoma.

IgG4-related sclerosing disease is a distinct clinicopathologic entity known to involve the maxillofacial region, particularly the salivary, lacrimal, and pituitary glands. We report a case with lesions involving the tongue and palatine tonsil with associated skin lesions. A 45-year-old female patient presented with a history of soreness, dysphagia, and an asymptomatic rash involving the upper trunk. The initial clinical diagnosis of her oral lesions was squamous cell carcinoma. The diagnosis of an IgG4-related lesion was confirmed by histologic examination of the oral and skin lesions as well as confirmation of raised serum IgG4 levels. Tapering systemic corticosteroid therapy resulted in complete resolution of the lesions. This is the first report of IgG4-related sclerosing disease presenting as concurrent oral and skin lesions, with the oral lesion clinically resembling oral squamous cell carcinoma. Such lesions present a diagnostic challenge, but the outcome is very favorable.