Introduction of the Lip Classification of Tubercles: A Novel Approach to Minimally Invasive Aesthetic Lip Treatments.

Background: Lip enhancement procedures involving dermal fillers are one of the most sought after nonsurgical aesthetic treatments. However, current trends are associated with unnatural results and involve increased risks of complications and compromise to normal function. It appears that lips may be classified according to the presentation of their tubercles and this may be used to guide minimally invasive techniques which aim to preserve individual lip shapes and normal function. Objectives: To test the reliability of a classification system based on lip tubercle morphology, named the Lip Classification of Tubercles (LCT). Methods: To test the reliability of the LCT, a total of 214 high-definition photographs of patients' lips with no previous histories of lip treatments were classified independently by 4 experienced aesthetic practitioners on 2 separate occasions 3 months apart; the second followed a more detailed explanation of the classification. Results: When inter-rater reliability was calculated for the first attempt, the results were 36% and 43% for upper and lower lips, respectively. The second attempt following an education process resulted in 79% for both lips. When 1 practitioner was considered the standard, the average score for the remaining 3 showed some individual variation but improved significantly from 58% to 85%. Conclusions: The LCT is a reliable way to classify lip types based on the morphology of tubercles.

Discriminating autism and language impairment and specific language impairment through acuity of musical imagery.

Deficits in auditory short-term memory have been widely reported in children with Specific Language Impairment (SLI), and recent evidence suggests that children with Autism Spectrum Disorder and co-morbid language impairment (ALI) experience similar difficulties. Music, like language relies on auditory memory and the aim of the study was to extend work investigating the impact of auditory short-term memory impairments to musical perception in children with neurodevelopmental disorders. Groups of children with SLI and ALI were matched on chronological age (CA), receptive vocabulary, non-verbal intelligence and digit span, and compared with CA matched typically developing (TD) controls, on tests of pitch and temporal acuity within a voluntary musical imagery paradigm. The SLI participants performed at significantly lower levels than the ALI and TD groups on both conditions of the task and their musical imagery and digit span scores were positively correlated. In contrast ALI participants performed as well as TD controls on the tempo condition and better than TD controls on the pitch condition of the task. Whilst auditory short-term memory and receptive vocabulary impairments were similar across ALI and SLI groups, these were not associated with a deficit in voluntary musical imagery performance in the ALI group.

Can shared mechanisms of cultural evolution illuminate the process of creativity within the arts and the sciences.

All creative activity brings about change, since it results in the production of something that did not previously exist. The act of creation is itself influenced by changes that have been previously brought about by others, including previous acts of creation. As with any human behavior, creativity has both biological and cultural aspects and is therefore influenced by biological as well as cultural evolution. However, biological evolution operates slowly and over a much longer timescale than cultural evolution, and change occurring within a human lifetime must be driven by cultural and social, rather than biological processes. In order to examine changes at this timescale, we therefore assume a fixed biological substrate and examine how creativity occurs in a social and cultural context. We argue that a fuller understanding of artistic creativity arises from setting this phenomenon in a wider context that encompasses creativity in both the arts and the sciences. We analyze creativity using the BVSR model developed by Simonton and conclude that creativity is driven by similar mechanisms in both domains. We propose that the arts and the sciences are not qualitatively different intellectual domains but should be conceptualized as activities situated at different regions of a continuum of human endeavor. This suggests that it would be fruitful for both scientists and artists to devote more attention to learning from the achievements of those who generate creative ideas at different points on this continuum.

Treatment response profiles: An extension of the double dissociation concept in neuropsychological research.

The presence of double dissociations in patients with neurological damage has long been used as evidence that the dissociated functions cannot be explained in terms of a common system or module. Shallice (1988) has suggested that a second procedure, the double critical variable method, can provide evidence for a similar conclusion. In this paper we examine the situation where double dissocations are not naturally present, suggesting that the two phenomena are merely aspects of the same underlying condition. We propose that the logic of the double critical variable method can be applied in this situation, whenever responses to treatment vary in a particular manner across syndromes and patients. This logic was previously used by Beschin, Cocchini, Allen, and Della Sala (2012) to show a dissociation between anosognosia and neglect in stroke patients; we suggest that it might have a more general application. As an aid in understanding the concept we also introduce the performance/performance curve; this builds on the existing idea of performance/resource curves to draw a single graph from two such curves, whose points may be derived from direct observation. It enables the empirical testing of hypotheses about the functional form of unobservable performance/resource relationships, and may be of use beyond the existing application to treatment response profiles.

Relationship between anosognosia and depression in aphasic patients.

Depression and reduced awareness of illness (anosognosia) can be frequent complications following a brain lesion but the relationship between these two syndromes is still unclear. While some researchers suggested a protective function of anosognosia from depression, others deny a functional relationship. We investigated anosognosia and depression in a group of 30 left-brain-damaged patients using specialized methodology for aphasic patients. We observed that anosognosic patients showed levels of depression comparable to those of aware patients and that anosognosia was highly selective for specific deficits. Our findings suggest that reduced awareness for a deficit does not play a crucial role in mood disorder, whereas "simply" suffering for a deficit can per se increase the likelihood of depression. Moreover, whereas depressed and nondepressed patients did show a similar impairment on the nonverbal executive function test, almost all patients showed anosognosia associated with impairment on executive functions. Finally, depressed patients tend to deny or minimize their own mood disorder, confirming that anosognosia can also concern mood status and that self-rating measures for depression could be quite controversial.

The effects of autism and alexithymia on physiological and verbal responsiveness to music.

It has been suggested that individuals with autism will be less responsive to the emotional content of music than typical individuals. With the aim of testing this hypothesis, a group of high-functioning adults on the autism spectrum was compared with a group of matched controls on two measures of emotional responsiveness to music, comprising physiological and verbal measures. Impairment in participants ability to verbalize their emotions (type-II alexithymia) was also assessed. The groups did not differ significantly on physiological responsiveness, but the autism group was significantly lower on the verbal measure. However, inclusion of the alexithymia score as a mediator variable nullified this group difference, suggesting that the difference was due not to absence of underlying emotional responsiveness to music in autism, but to a reduced ability to articulate it.

Anosognosia and neglect respond differently to the same treatments.

Different techniques, such as optokinetic stimulation, adaptation to prismatic shift of the visual field to the right, or transcutaneous electrical nerve stimulation (TENS), have been shown to alleviate neglect, at least temporarily. We assessed the effect of these techniques on anosognosia and whether their therapeutic effect, if any, matches that on neglect. The effect of the three types of treatment on anosognosia and neglect was investigated in five patients presenting with both severe anosognosia and neglect. Patient 1 was treatment responsive to anosognosia but not to neglect, whereas patients 4 and 5 showed the reverse pattern, i.e., they were treatment responsive to neglect but not to anosognosia. This "treatment response bias" proved to be a valid means to investigate different effects of treatments in the same patient.

"With concord of sweet sounds...": new perspectives on the diversity of musical experience in autism and other neurodevelopmental conditions.

Questions about music's evolution and functions have long excited interest among scholars. More recent theoretical accounts have stressed the importance of music's social origins and functions. Autism and Williams syndrome, neurodevelopmental disorders supposedly characterized by contrasting social and musical phenotypes, have been invoked as evidence for these. However, empirical data on social skills and deficits in autism and Williams syndrome do not support the notion of contrasting social phenotypes: research findings suggest that the social deficits characteristic of both disorders may increase rather than reduce the importance of music. Current data do not allow for a direct comparison of musical phenotypes in autism and Williams syndrome, although it is noted that deficits in music cognition have been observed in Williams syndrome, but not in autism. In considering broader questions about musical understanding in neurodevelopmental disorders, we conclude that intellectual impairment is likely to result in qualitative differences between handicapped and typical listeners, but this does not appear to limit the extent to which individuals can derive benefits from the experience of listening to music.

The subjective experience of music in autism spectrum disorder.

Semi-structured interviews were conducted with 12 high-functioning adults on the autism spectrum in order to examine the nature of their personal experiences of music. The analysis showed that most participants exploit music for a wide range of purposes in the cognitive, emotional and social domains, but the autism spectrum disorder (ASD) group's descriptions of mood states reflected a greater reliance on internally focused (arousal) rather than externally focused (emotive) language, when compared with studies of typically developing individuals.

'Hath charms to soothe . . .': an exploratory study of how high-functioning adults with ASD experience music.

Semi-structured interviews were conducted with 12 high-functioning adults on the autism spectrum, in order to examine the nature of their personal experiences of music. Consistent with the literature on typically developing people's engagement with music, the analysis showed that most participants exploit music for a wide range of purposes in the cognitive, emotional and social domains, including mood management, personal development and social inclusion. However, in contrast to typically developing people, the ASD group's descriptions of mood states reflected a greater reliance on internally focused (arousal) rather than externally focused (emotive) language.

Exact solutions to Bayesian and maximum likelihood problems in facial identification when population and error distributions are known.

The reliability of traditional photogrammetric identification techniques using a small number of facial landmarks has recently come in for criticism. However, the transformation of parameters into a new face space in which the error distributions are orthogonal, yields a maximum likelihood solution to the problem of identifying a photographed face from a small, known, population which, in a simulated example, raises the success rate from 20% to 93%. A full transformation yielding simultaneously independent population and error distributions can be derived from raw population and error data using a straightforward computer procedure. Such a transformation facilitates computations for the situation where a single suspect is held in custody and the likelihood ratio of his being identical with a photograph is desired. It seems premature to condemn photogrammetry until the more efficient data-analysis approach outlined in this paper has been applied and tested.