A visual skills inventory for children with neurological impairments.

Children with neurological impairments often have visual deficits that are difficult to quantify. We have compared visual skills evaluated by carers with results of a comprehensive visual assessment. Participants were 76 children with mild to profound intellectual and/or motor impairment (33 males, 43 females; age range 7mo-16y; mean age 5y 1mo [SD 4y 2mo]) who completed a visual skills inventory before attending a special vision clinic. The inventory included 16 questions about visual skills and responses to familiar situations. Responses were augmented by taking a structured clinical history, compared with visual evoked potential (VEP) and/or acuity card measures of visual acuity, and examined using exploratory factor analysis. Acuity ranged from normal to no light perception, and was positively associated with responses to individual questions. After excluding four uninformative questions, an association between the remaining questions and two significant independent factors was found. Factor 1 was associated with questions about visual recognition (e.g. 'Does your child see a small silent toy?') and these items were correlated with both the VEP and acuity card thresholds. Factor 2 was associated primarily with questions about visually mediated social interactions (e.g. 'Does he/she return your silent smile?'). Evaluation of visual skills in children with neurological impairment can provide valid information about the quality of children's vision. Questions with the highest validity for predicting vision are identified.

Visual event-related potentials in children with phenylketonuria.

Visual event-related potentials (ERPs) were examined in 16 children (aged 5-14 y) with phenylketonuria (PKU) and 16 age- and sex-matched controls. Lifetime median measures of phenylalanine (Phe) were 230-460 micromol/l. The most recent Phe levels were 56-624 micromol/l. ERPs were recorded whilst the children performed a discrimination task. All stimuli were square wave gratings degree, which appeared for 33 ms. A response to an infrequent grating that differed in orientation or spatial frequency was required. The older children with PKU had a delay in the first peak (P1) of the ERP, and age-related changes in the amplitude of P1. There was attenuation of the second peak across age groups in PKU. There was no evidence of reduced response accuracy or longer reaction times in children with PKU. Latencies of the cognitive P3 were not delayed in PKU. The delayed early peaks are consistent with previous studies that have shown delayed visual evoked potentials in PKU. The lack of differences in reaction time and P3 may be due to relatively good Phe control in children with PKU, or to the simplicity of the task. Suggestions are made for future ERP studies of PKU.

The peripheral drift illusion: a motion illusion in the visual periphery.

Circularly repeating patches containing sawtooth luminance gradients produce a sensation of motion when viewed in the periphery. Illusory motion is perceived in a dark-to-light direction, but only when one's gaze is directed to different locations around the stimulus, a point outside the display is fixated and the observer blinks, or when the stimulus is sequentially displayed at different locations whilst the observer fixates one point. We propose that the illusion is produced by the interaction of three factors: (i) introducing transients as a result of eye movements or blinks; (ii) differing latencies in the processing of luminance; and (iii) spatiotemporal integration of the differing luminance signals in the periphery.

Discriminating mirror symmetry in foveal and extra-foveal vision.

The ability to discriminate perfect from imperfect mirror symmetry was examined at the fovea and at eccentricities out to 10 degrees in the nasal visual field. A 2-AFC method of constant stimuli was employed in which a bilaterally symmetric pattern was presented in one interval and a degraded version of this symmetric pattern in the other. The subject's task was to decide which interval contained the perfectly symmetric pattern. Pattern size was varied by changing the viewing distance. Probit analysis revealed the degree of asymmetry corresponding to 75% correct performance. Given sufficient size scaling, perfectly symmetric stimuli can be discriminated from degraded symmetric stimuli in extra-foveal vision. Spatial scaling with an E2 value similar to that for positional acuity was successful in removing the eccentricity dependence for the task.

Stimulus duration, neural adaptation, and sweep visual evoked potential acuity estimates.

PURPOSE: Results in several studies have suggested that the visual evoked potential (VEP) amplitude can vary with stimulus duration. The purpose of this study was to determine whether acuity estimates obtained by extrapolation of the sweep VEP are altered by this adaptation effect. METHODS: Sweep VEP data were obtained from 16 healthy observers under binocular viewing conditions. Data were acquired with a commercially available VEP unit using standard electrode recording techniques. Three sweeps (high spatial frequencies, medium spatial frequencies, and low spatial frequencies) were run. The subjects' visual acuity at the monitor distance was 6/6 for the high spatial frequency sweep. For the medium and low spatial frequency sweeps, the subjects were dioptrically blurred to 6/15 (medium spatial frequencies) or 6/30 (low spatial frequencies) at the monitor distance. Each sweep consisted of six spatial frequencies (contrast 80%; temporal frequency (TF) = 7.5 Hz; screen luminance = 100 candela [cd]/m2). For each spatial frequency, the stimulus duration was 8 seconds, partitioned into 1-second bins. A minimum of eight sweeps were obtained per subject. An acuity estimate was obtained for each second's data by fitting a line to the high spatial frequencies (excluding noise) and extrapolating this line to the x-axis. With this technique, estimates could not be obtained for 29 of 384 possible acuities. RESULTS: The sweep VEP acuities for the 16 subjects did not change significantly over the 8 seconds of data collection for the high, medium, or low spatial frequency sweep (repeated measures analysis of variance [ANOVA]: high, P = 0.25; medium, P = 0.50; low, P = 0.23). In any given subject, there was a 1- to 2-octave range in acuity estimates over the 8 seconds of stimulus presentation (high, 1.23+/-0.417 octaves; medium, 1.41+/-0.593 octaves; low, 1.52+/-0.475 octaves; mean +/- SD). CONCLUSIONS: These results suggest that there is not a significant change in sweep VEP acuity estimates over an 8-second stimulus presentation. Thus, neural adaptation does not significantly affect the clinical use of the sweep VEP.

The indirect McCollough effect: an examination of an associative account.

It has been found that viewing, for example, a red-and-black vertical grating alternating with a green homogeneous field produces a color aftereffect--a McCollough effect--on a black-and-white vertical grating (i.e., green). Viewing such colored patterns also produces an aftereffect on a noninduced horizontal grating (i.e., pink)--the indirect McCollough effect. Humphrey, Dodwell, and Emerson (1989) argued that the indirect McCollough effect is caused by opponent properties of the visual system that organize the processing of contour and color along contrasting, probably orthogonal, dimensions. Recently, however, their interpretation of the indirect McCollough effect has been challenged by some findings of Eissenberg, Allan, Siegel, and Petrov (1995). These researchers have proposed that the indirect McCollough effect, like the McCollough effect, can be explained by associative principles. The results reported here question crucial aspects of the hypothesis of Eissenberg et al.

The spatial region of integration for visual symmetry detection.

Symmetry is a complex image property that is exploited by a sufficiently wide range of species to indicate that it is detected using simple visual mechanisms. These mechanisms rely on measurements made close to the axis of symmetry. We investigated the size and shape of this integration region (IR) by measuring human detection of spatially band-pass symmetrical patches embedded in noise. Resistance to disruption of symmetry (in the form of random phase noise) improves with increasing patch size, and then asymptotes when the embedded region fills the IR. The size of the IR is shown to vary in inverse proportion to spatial frequency; i.e. symmetry detection exhibits scale invariance. The IR is shown to have rigid dimensions, elongated in the direction of the axis of symmetry, with an aspect ratio of ca. 2:1. These results are consistent with a central role for spatial filtering in symmetry detection.

A 'passive' event-related potential?

Event potentials (ERPs) were recorded in response to visual patterns in two conditions: (1) where no instructions were given to subjects; and (2) where subjects pressed a button whenever a rare stimulus was detected. P3 amplitudes for the No Instructions condition were smaller than for the Active condition, but the latency of the P3s did not differ across conditions. In both conditions, the P3 was either absent or significantly smaller for frequent stimuli than for rare stimuli. It appears a 'passive' visual P3 is measurable, and it occurs at the same latency as a P3 recorded in association with an active response. Thus, it may be possible to record P3s in response to visual stimulation in subjects who cannot follow instructions to respond to rare events.

Bilateral symmetry embedded in noise is detected accurately only at fixation.

Bilateral or mirror symmetry is a ubiquitous feature of biological forms that the visual system could exploit for segmenting an object from a cluttered background. If this is so, the visual system may be prepared to detect symmetry at all retinal locations in parallel. Indeed, a biologically plausible model that responds optimally at axes of symmetry is quite easy to construct. Our data show, however, that if such a mechanism exists, it works with high efficiency only at the fovea. The detection of vertical bilateral symmetry embedded in random noise is very poor unless the axis of symmetry is very close to the point of fixation. This leads to the conclusion that symmetry does not play an important role in image segmentation and that it is important to the visual system only after it is fixated.

A neurological dissociation between shape from shading and shape from edges.

We studied the ability of a neurological patient, who has deficits in various aspects of form perception, to perform region segregation tasks requiring discriminations based on several image properties that are related to the three-dimensional structure of objects. The patient could discriminate the apparent three-dimensional structure and orientation of shapes defined by shading gradients, but could not make such discriminations for shapes in which edges were depicted as lines or as luminance discontinuities. These results suggest that the neural pathways that compute shape from shading gradients may be independent of those that compute shape based on edges, and, based on the patient's pattern of brain damage, they also indicate a relatively early functional separation in the requisite inputs.

Bilateral symmetry detection: testing a 'callosal' hypothesis.

At the end of the 19th century Mach observed that vertical symmetry is more easily perceived than is symmetry at other orientations, and proposed this resulted from bilateral symmetry in the visual system. Numerous studies of symmetry detection have been conducted, but none has been concentrated on Mach's proposal. Recent interpretations of Mach's hypothesis suggest the corpus callosum mediates the vertical-symmetry advantage. In this 'callosal' hypothesis it is suggested that the detectability of symmetry should be narrowly tuned around vertical, and that presentation of patterns away from fixation should disrupt the vertical advantage. We found that the vertical advantage was disrupted by presentation of patterns 1.2 deg from fixation, while detection of symmetry at other orientations was not disrupted. At fixation the orientation tuning was at least within +/- 10 degrees of vertical. The detection of vertical symmetry at fixation was found to be anomalous in two subjects born without a corpus callosum as compared with controls, but relatively normal for presentation off fixation. The three experiments reported are in agreement with some of the predictions derived from the callosal hypothesis. It appears that the callosal hypothesis may account for the relative advantage of vertical symmetry at fixation, but other mechanisms must operate to detect symmetry at other orientations and positions.

Seroepidemiology of herpes virus infections among dental personnel.

OBJECTIVES: To examine the possible occupational hazard of infection with human herpes viruses among dental personnel. METHODS: Sera from 81 preclinical dental students, 53 clinical dental students and 103 qualified dental surgeons were tested for antibodies to herpes simplex virus type 1 (HSV-1), cytomegalovirus (CMV), Epstein-Barr virus (EBV) and human herpes virus type 6 (HHV-6). The same number of control subjects, matched individually for age (+/- 1 year), sex and social class, was also examined. Antibodies were detected by ELISA for HSV-1, latex agglutination for CMV, indirect immunofluorescence with P3HR1 cells for EBV and indirect immunofluorescence with infected JJhan cells for HHV-6. Each participant also completed a questionnaire to permit correlation of demographic data and risk factors with serological results. RESULTS: No significant difference in seroprevalence was detected between any of the dental groups and their respective controls. There was a significantly higher prevalence of antibodies to EBV among clinical students (P = 0.02) and qualified dentists (P = 0.0003) than among preclinical students. These significant increases were not mirrored in the three corresponding control groups. CONCLUSION: The results suggest a possible occupational risk of infection with EBV in dentists. There was no evidence for a significant risk of occupational infection with HSV-1, CMV or HHV-6.

Helicobacter pylori infection in dentists--a case-control study.

To test the null hypothesis that frequent and multiple salivary exposure is not a risk factor for developing H. pylori infection, serum anti-H. pylori IgG from 179 dentists and dental students and 179 age-, sex- and socioeconomic-matched controls were assayed using an ELISA. Seroprevalence in dentists was 16% (11/70); clinical dental students 6% (3/47); and pre-clinical dental students 10% (6/62). There were no differences in H. pylori seropositivity between cases and controls. There was an increase in H. pylori seropositivity with age (chi (trend)2 9.04, p = 0.003). These data provide evidence that adults are not at high risk of developing H. pylori infection as a result of exposures to saliva from multiple sources.

Text-contingent color aftereffects: a reexamination.

Five experiments reexamined color aftereffects contingent on the semantic properties of text (Allan, Siegel, Collins, & MacQueen, 1989). The influence of different assessment techniques and the effect of eye movements and overlapping contour information on the induction of color aftereffects by word and nonword letter strings were determined. Experiment 1 showed that no aftereffect was found when a traditional method of assessing color aftereffects was used. Experiments 2 and 4 demonstrated color aftereffects for both words and nonwords, but only when subjects fixated the same locus during induction and testing and only when assessed with the technique described by Allan et al. (1989). If, however, eye movements were made during induction, no color aftereffect was obtained (Experiment 3). Induction to nontext patterns with properties similar to those of text but with fewer overlapping contours resulted in a strong color aftereffect (Experiment 5). These results suggest that the color aftereffect contingent on text is very weak and is not dependent on semantic factors, but that it is a product of induction to local color and orientation information.

Seroepidemiological study of respiratory virus infections among dental surgeons.

Sera were collected from 50 practising dental surgeons and 50 control subjects matched for age (+/- 1 year) and sex. Each participant completed a questionnaire including personal details and, in the case of dentists, information relating to protective work-wear and other cross-infection control measures employed within the surgery. The sera were examined by complement fixation tests for antibodies to influenza A, influenza B, respiratory syncytial virus and adenovirus. The dental group had a significantly elevated prevalence of antibodies to influenza A (P = 0.01), influenza B (P < 0.001) and respiratory syncytial virus (P = 0.001) compared with the controls. More dentists than controls also carried antibodies to adenoviruses, although this difference did not attain statistical significance. Wearing of masks or eye protection did not markedly reduce infection with these viruses among the dentists. It is concluded that dentists are at occupational risk of infection with respiratory tract viruses, and that mask- or spectacle-wearing afford little protection.