Qualitative perception of 3D shape from patterns of luminance curvature.

A new source of information is proposed for the perception of three-dimensional (3D) shape from shading that identifies surface concavities from the curvature of the luminance field. Two experiments measured the abilities of human observers to identify concavities on smoothly curved shaded surfaces depicted with several different patterns of illumination and several different material properties. Observers were required to identify any apparent concavities along designated cross sections of the depicted objects and to mark each concavity with an adjustable dot. To analyze the results, we computed both the surface curvature and the luminance curvature along each image cross section. The results revealed that most responses were in concave regions of the luminance profiles, although they were often shifted in phase relative to the curvature of the depicted surfaces. This pattern of performance was surprisingly robust over large changes in the pattern of illumination or surface material properties. Our analysis predicts that observers should make false alarm responses in regions where a luminance concavity does not correspond to a surface concavity, and our empirical results confirm that prediction.

Intersensory processing of faces and voices at 6 months predicts language outcomes at 18, 24, and 36 months of age.

Intersensory processing of social events (e.g., matching sights and sounds of audiovisual speech) is a critical foundation for language development. Two recently developed protocols, the Multisensory Attention Assessment Protocol (MAAP) and the Intersensory Processing Efficiency Protocol (IPEP), assess individual differences in intersensory processing at a sufficiently fine-grained level for predicting developmental outcomes. Recent research using the MAAP demonstrates 12-month intersensory processing of face-voice synchrony predicts language outcomes at 18- and 24-months, holding traditional predictors (parent language input, SES) constant. Here, we build on these findings testing younger infants using the IPEP, a more comprehensive, fine-grained index of intersensory processing. Using a longitudinal sample of 103 infants, we tested whether intersensory processing (speed, accuracy) of faces and voices at 3- and 6-months predicts language outcomes at 12-, 18-, 24-, and 36-months, holding traditional predictors constant. Results demonstrate intersensory processing of faces and voices at 6-months (but not 3-months) accounted for significant unique variance in language outcomes at 18-, 24-, and 36-months, beyond that of traditional predictors. Findings highlight the importance of intersensory processing of face-voice synchrony as a foundation for language development as early as 6-months and reveal that individual differences assessed by the IPEP predict language outcomes even 2.5-years later.

The many facets of shape.

Shape is an interesting property of objects because it is used in ordinary discourse in ways that seem to have little connection to how it is typically defined in mathematics. The present article describes how the concept of shape can be grounded within Euclidean and non-Euclidean geometry and also to human perception. It considers the formal methods that have been proposed for measuring the differences among shapes and how the performance of those methods compares with shape difference thresholds of human observers. It discusses how different types of shape change can be perceptually categorized. It also evaluates the specific data structures that have been used to represent shape in models of both human and machine vision, and it reviews the psychophysical evidence about the extent to which those models are consistent with human perception. Based on this review of the literature, we argue that shape is not one thing but rather a collection of many object attributes, some of which are more perceptually salient than others. Because the relative importance of these attributes can be context dependent, there is no obvious single definition of shape that is universally applicable in all situations.

Are mirror-symmetric objects of special importance for 3D shape perception? A reply to Sawada and Pizlo (2022).

Yu, Todd, and Petrov (2021) and Yu, Petrov, and Todd (2021) investigated failures of shape constancy that occur when objects are viewed stereoscopically at different distances. Although this result has been reported previously with simple objects such as pyramids or cylinders, we examined more complex objects with bilateral symmetry to test the claim by Li, Sawada, Shi, Kwon, and Pizlo (2011) that the perception of those objects is veridical. Sawada and Pizlo (2022) offer several criticisms of our experiments, but they seem to suggest that the concept of shape is defined by what is computable by their model. If stimuli are used that cannot be discriminated by their model, they are dismissed as degenerate, and tasks that cannot be performed by their model are assumed to be based on something other than shape. This allows them to disregard empirical evidence that is inconsistent with their model. We argue, in contrast, that all reliable aspects of shape perception are deserving of explanation. We also argue that there are many different attributes of shape and many different sources of information about shape that may be relevant in different contexts. It is unlikely that all of them can be explained by a single model.

Barriers and Facilitators to Effective Implementation of the NAMWEZA Intervention in Dar es Salaam, Tanzania.

The NAMWEZA intervention was implemented, using a ten-session group format, to build skills targeting psychosocial vulnerabilities and enhancing HIV prevention among people living with HIV (PLH) and their social networks. The overall goal of this intervention is to improve psychological wellbeing and reduce HIV risk behaviours. These analyses aim to describe the barriers and facilitators of implementing the NAMWEZA intervention from the perspective of participants and trained peer group facilitators. Twenty-four in-depth interviews were conducted with NAMWEZA participants, and 50 pooled peer facilitator self-assessment reports were obtained from 16 trained peers. Participants identified personal and structural barriers, including fear of inadvertent HIV status disclosure, time constraints, level of participant reimbursements, and limited space available for group sessions. Factors facilitating effective implementation included perceived benefits of the program, such as reduction in HIV-related risk behaviours, increased self-esteem, and improvement in confidence in HIV prevention communications. Scaling up the NAMWEZA intervention to other areas of Tanzania or regionally should take into account these facilitators and barriers to implementation.

Failures of stereoscopic shape constancy over changes of viewing distance and size for bilaterally symmetric polyhedra.

Two shape matching experiments examined the effects of viewing distance and object size on observers' judgments of 3D metric shape under binocular viewing. Unlike previous studies on this topic, the stimuli were specifically designed to satisfy the minimal conditions for computing veridical shape from symmetry. Concretely, the stimuli were complex, mirror-symmetric polyhedra whose symmetry planes were oriented at an angle of 45o relative to the line of sight in a shape-matching task. Although it is mathematically possible to accurately compute the 3D shapes of these stimuli using relatively simple algorithms, the results indicated that human observers are unable to do so. Indeed, the apparent shapes of the objects were systematically expanded or compressed in depth as a function of viewing distance, in exactly the same way as has been reported for simpler stimuli that do not satisfy the minimal conditions for an accurate computational analysis. For objects presented at near distances, we also obtained statistically significant effects of object size on observers' shape judgments.

Sustainability of Handshake Stewardship: Extending a Hand Is Effective Years Later.

BACKGROUND: Children's Hospital Colorado created a unique method of antimicrobial stewardship, called handshake stewardship, that effectively decreased hospital anti-infective use and costs in its pilot year (2013). Handshake stewardship is distinguished by: (1) the lack of prior authorization; (2) a review of all prescribed anti-infectives; (3) a shared review by the physician and the pharmacist; and (4) a daily, rounding-based, in-person approach to supporting providers. We sought to reevaluate the outcomes of the program after 5 years of experience, totaling 8 years of data. METHODS: We retrospectively measured anti-infective (antibiotic, antiviral, antifungal) use hospital-wide by unit and by drug for an 8-year period spanning October 2010 to October 2018. Aggregated monthly use was measured in days of therapy per thousand patient days (DOT/1000 PD). The percentage of children admitted ever receiving an anti-infective was also measured, as well as severity-adjusted mortality, readmissions, and lengths of stay. RESULTS: Hospital-wide mean anti-infective use significantly decreased, from 891 (95% confidence interval [CI] 859-923) in the pre-implementation phase to 655 (95% CI 637-694) DOT/1000 PD in post-implementation Year 5; in a segmented regression time series analysis, this was a rate of -2.6 DOT/1000 PD (95% CI -4.8 to -0.4). This is largely attributable to decreased antibacterial use, from 704 (95% CI 686-722) to 544 (95% CI 525 -562) DOT/1000 PD. The percentage of children ever receiving an anti-infective during admission likewise declined, from 65% to 52% (95% CI 49-54). There were no detrimental effects on severity adjusted mortality, readmissions, or lengths of stay. CONCLUSIONS: The handshake method is an effective and sustainable approach to stewardship.

Impact of Multiplex Testing on the Identification of Pediatric Clostridiodes Difficile.

OBJECTIVES: To evaluate whether the implementation of a multiplex gastrointestinal pathogen panel (GIP) was associated with changes in Clostridioides difficile (C difficile) testing and detection rates. STUDY DESIGN: We conducted an observational study using interrupted time series analysis and included pediatric patients with testing capable of detecting C difficile. From 2013 to 2015 ("conventional diagnostic era"), stool testing included C difficile-selective polymerase chain reaction and other pathogen-specific tests. From 2015 to 2017 ("GIP era"), C difficile polymerase chain reaction was available along with the GIP, which detected 22 pathogens including C difficile, and replaced the need for additional tests. Outcomes included C difficile testing and detection rates in ambulatory, emergency department, and inpatient settings. RESULTS: There were 6841 tests performed and 1214 C difficile positive results. Across the 3 settings, GIP era had significantly higher C difficile testing (1.7-2.3 times higher) and C difficile detection rates (1.9-3.4 times higher) compared with conventional diagnostic era. After adjusting for the number of tests performed, detection rates were no longer significantly different. Of C difficile positive GIPs, 31% were coinfected with another organism. With GIP testing, patients 1 year of age had a significantly higher C difficile percent positivity than 2-year-old (P = .02) and 3- to 18-year-old children (P < .01). Younger children with C difficile were more likely to be coinfected (P < .01). CONCLUSIONS: Introducing a multiplex panel led to increased C difficile testing, which resulted in increased C difficile detection rates and potential identification and treatment of colonized patients. This highlights an important target for diagnostic stewardship and the challenges associated with multiplex testing.

Impact of acute kidney injury and nephrotoxic exposure on hospital length of stay.

OBJECTIVE: Acute kidney injury (AKI) is a common occurrence among hospitalized children and leads to increased mortality and prolonged length of stay (LOS) in critically ill patients. Few studies have examined the impact of AKI on LOS for common pediatric conditions. We hypothesized that a diagnosis of AKI would be associated with a longer hospital LOS and increased exposure to nephrotoxic medications for all patients. PATIENTS AND METHODS: We performed a multicenter retrospective cross-sectional analysis of 34 children's hospitals in the Pediatric Health Information System (PHIS) database from 1/2009 through 12/2013. Patients were grouped based on primary discharge diagnosis, number of days spent in an intensive care unit, and assignment of a secondary diagnostic code for AKI. Median LOS was compared among different patient groupings. Exposure to commonly used nephrotoxic medications was collected for each admission. RESULTS: A total of 588,884 admissions from 423,337 patients were included in the analysis. The median LOS among non-critically ill patients with and without AKI was 5 days [95% CI 3-10] versus 2 days [95% CI 1-4], respectively. Among critically ill patients, median LOS for those with and without AKI was 12 days [95% CI 7-20] versus 4 days [95% CI 2-7], respectively. Patients who developed AKI were more likely to have significant nephrotoxic exposure. CONCLUSIONS: Development of AKI was associated with longer hospital length of stay and increased nephrotoxic medication exposure for all diagnostic categories. Non-critically ill children with AKI were hospitalized the same length or longer than critically ill children without AKI.

Contours produced by internal specular interreflections provide visual information for the perception of glass materials.

Two experiments are reported that investigated how the perceptual identification of glass is influenced by banding contours formed by internal specular interreflections within glass materials. Observers made material categorization judgments for images depicting glass, chrome, shiny black and shiny white objects, and for contour drawings that were created by edge filtering images of glass, chrome or textured objects. Observers rated each stimulus by adjusting four sliders to indicate their confidence that the depicted material was glass, metal, shiny black, or something else, and these adjustments were constrained so that the sum of all four settings was always 100%. The results revealed that the rendered images were all categorized correctly with a high level of confidence. The contour drawings of glass and textured materials were also categorized correctly with a high level of confidence. However, the contour drawings of chrome materials were miscategorized as glass, with an average confidence rating that was significantly lower than those obtained for the glass contours. It is hypothesized that these different contour types are perceptually distinguished from one another based on how they align with the pattern of surface curvature on an object and the smoothness of the contours.

Effects of illumination on the categorization of shiny materials.

The present research was designed to examine how patterns of illumination influence the perceptual categorization of metal, shiny black, and shiny white materials. The stimuli depicted three possible objects that were illuminated by five possible high-dynamic-range imaging light maps, which varied in their overall distributions of illuminant directions and intensities. The surfaces included a low roughness chrome material, a shiny black material, and a shiny white material with both diffuse and specular components. Observers rated each stimulus by adjusting four sliders to indicate their confidence that the depicted material was metal, shiny black, shiny white, or something else, and these adjustments were constrained so that the sum of all four settings was always 100%. The results revealed that the metal and shiny black categories are easily confused. For example, metal materials with low intensity light maps or a narrow range of illuminant directions are often judged as shiny black, whereas shiny black materials with high intensity light maps or a wide range of illuminant directions are often judged as metal. To discover the visual information on which these judgements are based, we measured several possible image statistics, and we found two that were highly correlated with the observers' confidence ratings in appropriate contexts. We also performed a spherical harmonic analysis on the different light maps to quantitatively predict how they would bias observers' judgments of metal and shiny black surfaces.

Target enrichment sequencing of 307 germplasm accessions identified ancestry of ancient and modern hybrids and signatures of adaptation and selection in sugarcane (Saccharum spp.), a 'sweet' crop with 'bitter' genomes.

Sugarcane (Saccharum spp.) is a highly energy-efficient crop primarily for sugar and bio-ethanol production. Sugarcane genetics and cultivar improvement have been extremely challenging largely due to its complex genomes with high polyploidy levels. In this study, we deeply sequenced the coding regions of 307 sugarcane germplasm accessions. Nearly five million sequence variations were catalogued. The average of 98× sequence depth enabled different allele dosages of sequence variation to be differentiated in this polyploid collection. With selected high-quality genome-wide SNPs, we performed population genomic studies and environmental association analysis. Results illustrated that the ancient sugarcane hybrids, S. barberi and S. sinense, and modern sugarcane hybrids are significantly different in terms of genomic compositions, hybridization processes and their potential ancestry contributors. Linkage disequilibrium (LD) analysis showed a large extent of LD in sugarcane, with 962.4 Kbp, 2739.2 Kbp and 3573.6 Kbp for S. spontaneum, S. officinarum and modern S. hybrids respectively. Candidate selective sweep regions and genes were identified during domestication and historical selection processes of sugarcane in addition to genes associated with environmental variables at the original locations of the collection. This research provided an extensive amount of genomic resources for sugarcane community and the in-depth population genomic analyses shed light on the breeding and evolution history of sugarcane, a highly polyploid species.

Genome-Wide Association Studies Identified Resistance Loci to Orange Rust and Yellow Leaf Virus Diseases in Sugarcane (Saccharum spp.).

Sugarcane (Saccharum spp.) supplies globally ∼80% of table sugar and 60% of bioethanol. Sugarcane orange rust and Sugarcane yellow leaf virus (SCYLV) are major sugarcane diseases, causing up to 50 and 40% yield losses, respectively. Sugarcane cultivars resistant to these diseases are needed to sustain sugarcane production in several regions. Dissecting DNA sequence variants controlling disease resistance provides a valuable tool for fulfilling a breeding strategy to develop resistant cultivars. In this study, we evaluated disease reactions to orange rust and SCYLV of a sugarcane diversity panel in repeated trials. We conducted a genome-wide association study between high-density markers and disease resistance reactions. We identified 91 putative DNA markers and 82 candidate genes significantly associated with resistance to one of the two diseases. These provide an important genetic resource for finding genes and molecular markers for disease resistance. Our results emphasized the importance of utilizing a wide germplasm collection for breeding resistant sugarcane cultivars.

Investigating healthcare contacts of Dialysis patients by age and gender.

BACKGROUND: The objective of this paper is to utilise a clinical costing system to investigate differences in the patient journey, defined as the sequence and timing of contacts with the Gold Coast Hospital and Health Services (GCHHS), for four dialysis patient groups defined based on age and gender. It is hypothesised that frequency of contact and form of contact will differ based on both gender and age. METHODS: Data were provided for 393 patients discharged from the GCHHS facility with dialysis treatment between the 1st of January 2015 and the 31st of December 2016. Features extracted from the data included the number and type of contacts (inpatient admissions, outpatient appointments, and emergency department presentations), the likelihood of subsequent contact types, and time spent in and between contact types. Likelihoods of subsequent contact types were estimated by treating the sequence of contacts observed for each patient as a Markov chain and estimating transition probabilities. RESULTS: Differences in patient journey were most prominent when considering age differences, with older patients being characterised by a greater volume of average contacts over the two-year period. The larger volume of average contacts was attributable to shorter times between all types of contacts with the GCHHS as well as an increased volume of inpatient admissions for older patients. Patient journeys did not consistently differ by gender, though some isolated differences were noted for older female patients relative to older male patients. CONCLUSIONS: Different patient groups are characterised by different patient journeys, and better understanding these differences will facilitate improved management of the resources required to service these patients. Clinical costing systems represent a valuable and easily accessible source of data for formulating institution-specific expectations of healthcare utilisation for different groups.

Reflections on glass.

An important phenomenon in the study of human perception is the ability of observers to identify different types of surface materials. The present article will consider a wide range of factors that can influence the perceptual identification of glass, including the structural complexity of an object, whether it is hollow or solid, and the pattern of illumination. Several illumination techniques used in the field of photography are described, and examples are provided to show how they interact with structural complexity. A single psychophysical experiment is reported to evaluate the perceptions of naïve observers using a novel categorization task designed to assess potential confusions among multiple material categories. Finally, the paper will enumerate a number of specific image features that are potentially diagnostic for the identification of glass, and it will evaluate their relative importance for human perception.

The visual perception of metal.

The present research was designed to examine how the presence or absence of ambient light influences the appearance of metal. The stimuli depicted three possible objects that were illuminated by three possible patterns of illumination. These were generated by a single point light source, two rectangular area lights, or projecting light onto a translucent white box that contained the object (and the camera) so that the object would be illuminated by ambient light in all directions. The materials were simulated using measured parameters of chrome with four different levels of roughness. Observers rated the metallic appearance and shininess of each depicted object using two sliders. The highest rated appearance of metal and shininess occurred for the surfaces with the lowest roughness in the ambient illumination condition, and these ratings dropped systematically as the roughness was increased. For the objects illuminated by point or area lights, the appearance of metal and shininess were significantly less than in the ambient conditions for the lowest roughness value, and significantly greater than in the ambient condition for intermediate values of roughness. We also included a control condition depicting objects with a shiny plastic reflectance function that had both diffuse and specular components. These objects were rated as highly shiny but they did not appear metallic. A theoretical hypothesis is proposed that the defining characteristic of metal (as opposed to black plastic) is the presence of specular sheen over most of the visible surface area.

Implementation of Rapid Molecular Infectious Disease Diagnostics: the Role of Diagnostic and Antimicrobial Stewardship.

New rapid molecular diagnostic technologies for infectious diseases enable expedited accurate microbiological diagnoses. However, diagnostic stewardship and antimicrobial stewardship are necessary to ensure that these technologies conserve, rather than consume, additional health care resources and optimally affect patient care. Diagnostic stewardship is needed to implement appropriate tests for the clinical setting and to direct testing toward appropriate patients. Antimicrobial stewardship is needed to ensure prompt appropriate clinical action to translate faster diagnostic test results in the laboratory into improved outcomes at the bedside. This minireview outlines the roles of diagnostic stewardship and antimicrobial stewardship in the implementation of rapid molecular infectious disease diagnostics.

3D Shape Perception in Posterior Cortical Atrophy: A Visual Neuroscience Perspective.

Posterior cortical atrophy (PCA) is a rare focal neurodegenerative syndrome characterized by progressive visuoperceptual and visuospatial deficits, most often due to atypical Alzheimer's disease (AD). We applied insights from basic visual neuroscience to analyze 3D shape perception in humans affected by PCA. Thirteen PCA patients and 30 matched healthy controls participated, together with two patient control groups with diffuse Lewy body dementia (DLBD) and an amnestic-dominant phenotype of AD, respectively. The hierarchical study design consisted of 3D shape processing for 4 cues (shading, motion, texture, and binocular disparity) with corresponding 2D and elementary feature extraction control conditions. PCA and DLBD exhibited severe 3D shape-processing deficits and AD to a lesser degree. In PCA, deficient 3D shape-from-shading was associated with volume loss in the right posterior inferior temporal cortex. This region coincided with a region of functional activation during 3D shape-from-shading in healthy controls. In PCA patients who performed the same fMRI paradigm, response amplitude during 3D shape-from-shading was reduced in this region. Gray matter volume in this region also correlated with 3D shape-from-shading in AD. 3D shape-from-disparity in PCA was associated with volume loss slightly more anteriorly in posterior inferior temporal cortex as well as in ventral premotor cortex. The findings in right posterior inferior temporal cortex and right premotor cortex are consistent with neurophysiologically based models of the functional anatomy of 3D shape processing. However, in DLBD, 3D shape deficits rely on mechanisms distinct from inferior temporal structural integrity. SIGNIFICANCE STATEMENT: Posterior cortical atrophy (PCA) is a neurodegenerative syndrome characterized by progressive visuoperceptual dysfunction and most often an atypical presentation of Alzheimer's disease (AD) affecting the ventral and dorsal visual streams rather than the medial temporal system. We applied insights from fundamental visual neuroscience to analyze 3D shape perception in PCA. 3D shape-processing deficits were affected beyond what could be accounted for by lower-order processing deficits. For shading and disparity, this was related to volume loss in regions previously implicated in 3D shape processing in the intact human and nonhuman primate brain. Typical amnestic-dominant AD patients also exhibited 3D shape deficits. Advanced visual neuroscience provides insight into the pathogenesis of PCA that also bears relevance for vision in typical AD.