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PloS One 2024Uncorrected refractive errors pose a significant challenge globally, particularly in remote regions of low-middle income countries where access to optometric care is...
INTRODUCTION
Uncorrected refractive errors pose a significant challenge globally, particularly in remote regions of low-middle income countries where access to optometric care is often limited. Telerefraction, which involves refraction by a trained technician followed by real-time consultation with remote optometrist, is a promising approach for such remote settings. This study aimed to evaluate the accuracy of this model.
METHODS
This prospective study, conducted in New Delhi, compared tele-refraction to in-person examinations. Trained technicians used a simple device, Click-check, to perform objective refraction and a tele-refraction platform to enter the findings of objective refraction. Final prescription was made after consulting a remote optometrist on that platform. Masked face-to-face optometrists served as the gold standard. The study involved refraction in 222 patients and 428 eyes.
RESULTS
Tele-refraction demonstrated a strong agreement with in-person optometry, achieving 84.6% in spherical correction and 81% conformity in spherical equivalent. The mean difference of spherical equivalent between the two arms was only 0.11 D. The consultation with a remote optometrist improved conformity of spherical equivalent by 14.8% over objective refraction. 82 percent eyes matched in best corrected visual acuity and 92 percent were within 0.1 logMAR difference. For cylindrical axis, 74% eye were within acceptable 10 degrees of difference. The mismatch amongst the individual trained technicians, in terms of difference between the tele-refraction arm and the face-to face optometrist arm was found to be significant for cylindrical axis and not for spherical power and spherical equivalent.
CONCLUSION
Our study found tele-refraction by a trained technician comparable to refraction done by face-to-face optometrist. Tele-refraction, coupled with remote optometrist guidance can address the optometry resource gap in underserved areas. Thus, this model offers a transformative approach to enhancing the accessibility and quality of eye care services, which can significantly contribute to our efforts in achieving the global targets set by the World Health Organization for effective refractive error coverage. More standardized training for these technicians on ClickCheckTM for detecting the cylindrical axis with better accuracy, can improve this model further.
Topics: Humans; Refractive Errors; Adult; Female; Male; Prospective Studies; Remote Consultation; Optometrists; Middle Aged; Reproducibility of Results; Optometry; Telemedicine; Young Adult; Adolescent; Refraction, Ocular; Visual Acuity; Aged
PubMed: 38913708
DOI: 10.1371/journal.pone.0299491 -
ELife Jun 2024Autism spectrum disorder (ASD) presents a range of challenges, including heightened sensory sensitivities. Here, we examine the idea that sensory overload in ASD may be...
Autism spectrum disorder (ASD) presents a range of challenges, including heightened sensory sensitivities. Here, we examine the idea that sensory overload in ASD may be linked to issues with efference copy mechanisms, which predict the sensory outcomes of self-generated actions, such as eye movements. Efference copies play a vital role in maintaining visual and motor stability. Disrupted efference copies hinder precise predictions, leading to increased reliance on actual feedback and potential distortions in perceptions across eye movements. In our first experiment, we tested how well healthy individuals with varying levels of autistic traits updated their mental map after making eye movements. We found that those with more autistic traits had difficulty using information from their eye movements to update the spatial representation of their mental map, resulting in significant errors in object localization. In the second experiment, we looked at how participants perceived an object displacement after making eye movements. Using a trans-saccadic spatial updating task, we found that those with higher autism scores exhibited a greater bias, indicating under-compensation of eye movements and a failure to maintain spatial stability during saccades. Overall, our study underscores efference copy's vital role in visuo-motor stability, aligning with Bayesian theories of autism, potentially informing interventions for improved action-perception integration in autism.
Topics: Humans; Male; Female; Autism Spectrum Disorder; Adult; Young Adult; Eye Movements; Psychomotor Performance; Visual Perception; Adolescent; Saccades; Autistic Disorder
PubMed: 38913073
DOI: 10.7554/eLife.94946 -
Journal of Vision Jun 2024The watercolor effect (WCE) is a striking visual illusion elicited by a bichromatic double contour, such as a light orange and a dark purple, hugging each other on a... (Review)
Review
The watercolor effect (WCE) is a striking visual illusion elicited by a bichromatic double contour, such as a light orange and a dark purple, hugging each other on a white background. Color assimilation, emanating from the lighter contour, spreads onto the enclosed surface area, thereby tinting it with a chromatic veil, not unlike a weak but real color. Map makers in the 17th century utilized the WCE to better demarcate the shape of adjoining states, while 20th-century artist Bridget Riley created illusory watercolor as part of her op-art. Today's visual scientists study the WCE for its filling-in properties and strong figure-ground segregation. This review emphasizes the superior strength of the WCE for grouping and figure-ground organization vis-à-vis the classical Gestalt factors of Max Wertheimer (1923), thereby inspiring a notion of form from induced color. It also demonstrates that a thin chromatic line, flanking the inside of a black Mondrian-type pattern, induces the WCE across a large white surface area. Phenomenological, psychophysical, and neurophysiological approaches are reviewed.
Topics: Humans; Color Perception; History, 20th Century; Optical Illusions; Form Perception; History, 17th Century; History, 19th Century; History, 18th Century
PubMed: 38913017
DOI: 10.1167/jov.24.6.15 -
Journal of Vision Jun 2024Humans saccade to faces in their periphery faster than to other types of objects. Previous research has highlighted the potential importance of the upper face region in...
Humans saccade to faces in their periphery faster than to other types of objects. Previous research has highlighted the potential importance of the upper face region in this phenomenon, but it remains unclear whether this is driven by the eye region. Similarly, it remains unclear whether such rapid saccades are exclusive to faces or generalize to other semantically salient stimuli. Furthermore, it is unknown whether individuals differ in their face-specific saccadic reaction times and, if so, whether such differences could be linked to differences in face fixations during free viewing. To explore these open questions, we invited 77 participants to perform a saccadic choice task in which we contrasted faces as well as other salient objects, particularly isolated face features and text, with cars. Additionally, participants freely viewed 700 images of complex natural scenes in a separate session, which allowed us to determine the individual proportion of first fixations falling on faces. For the saccadic choice task, we found advantages for all categories of interest over cars. However, this effect was most pronounced for images of full faces. Full faces also elicited faster saccades compared with eyes, showing that isolated eye regions are not sufficient to elicit face-like responses. Additionally, we found consistent individual differences in saccadic reaction times toward faces that weakly correlated with face salience during free viewing. Our results suggest a link between semantic salience and rapid detection, but underscore the unique status of faces. Further research is needed to resolve the mechanisms underlying rapid face saccades.
Topics: Humans; Saccades; Male; Female; Reaction Time; Adult; Young Adult; Facial Recognition; Photic Stimulation; Individuality; Fixation, Ocular; Adolescent
PubMed: 38913016
DOI: 10.1167/jov.24.6.16 -
Translational Vision Science &... Jun 2024To assess longitudinal reproducibility of metrics of foveal density (peak cone density [PCD], cone density centroid [CDC], and 80th percentile centroid area) in...
PURPOSE
To assess longitudinal reproducibility of metrics of foveal density (peak cone density [PCD], cone density centroid [CDC], and 80th percentile centroid area) in participants with normal vision.
METHODS
Participants (n = 19; five male and 14 female) were imaged at two time points (average interval of 3.2 years) using an adaptive optics scanning light ophthalmoscope (AOSLO). Foveally centered regions of interest (ROIs) were extracted from AOSLO montages. Cone coordinate matrices were semiautomatically derived for each ROI, and cone mosaic metrics were calculated.
RESULTS
On average, there were no significant changes in cone mosaic metrics between visits. The average ± SD PCD was 187,000 ± 20,000 cones/mm2 and 189,000 ± 21,700 cones/mm2 for visits 1 and 2, respectively (P = 0.52). The average ± SD density at the CDC was 183,000 ± 19,000 cones/mm2 and 184,000 ± 20,800 cones/mm2 for visits 1 and 2, respectively (P = 0.78). The average ± SD 80th percentile isodensity contour area was 15,400 ± 1800 µm2 and 15,600 ± 1910 µm2 for visits 1 and 2, respectively (P = 0.57).
CONCLUSIONS
Foveal cone mosaic density metrics were highly reproducible in the cohort examined here, although further study is required in more diverse populations.
TRANSLATIONAL RELEVANCE
Determination of the normative longitudinal changes in foveal cone topography is key for evaluating longitudinal measures of foveal cone topography in patients with progressive retinal dystrophies.
Topics: Humans; Retinal Cone Photoreceptor Cells; Male; Fovea Centralis; Female; Adult; Reproducibility of Results; Middle Aged; Cell Count; Young Adult; Ophthalmoscopy; Tomography, Optical Coherence; Visual Acuity
PubMed: 38913007
DOI: 10.1167/tvst.13.6.18 -
Frontiers in Psychology 2024Most people, evidence suggests, have a hard time thinking straight. is a tool that can help remedy this problem. Unfortunately, it is highly abstract and uses symbols... (Review)
Review
Most people, evidence suggests, have a hard time thinking straight. is a tool that can help remedy this problem. Unfortunately, it is highly abstract and uses symbols whose meanings rely on unintuitive arbitrary conventions. Without sacrificing rigor, is more concrete and uses icons that resemble what they stand for and whose meanings are thus easier to picture, process, and remember. Here I review and critique iconic and -the former link iconic logic to iconic mathematics; the latter expand popular Euler or Venn diagrams and have, to some degree, been empirically investigated for user-friendliness. I lay out how expertise in perception, cognition, and genetics can inform and improve such empirical research to help make iconic logic more ergonomic. After all, logic is a tool, and tools should not only suit their use but also their user.
PubMed: 38911953
DOI: 10.3389/fpsyg.2024.1368989 -
Frontiers in Human Neuroscience 2024People who regularly exercise and receive training perform better when actioning unconscious cognitive tasks. The information flow triggered by a single unconscious...
INTRODUCTION
People who regularly exercise and receive training perform better when actioning unconscious cognitive tasks. The information flow triggered by a single unconscious visual stimulus has been extensively investigated, but it remains unclear whether multiple unconscious visual stimuli interact. This study aimed to explore the relationship between three simultaneous subliminal arrow stimuli (pointing in same or different directions), focusing on how they interact with each other and the subsequent priming effect on the target arrow in active and sedentary groups.
METHODS
We used a priming paradigm combining flanker task to test the hypothesis. A total of 42 participants were recruited. Of these, 22 constituted the active group and 20 constituted the sedentary group.
RESULTS
Behavioral data results revealed that the main effects of group and prime-target compatibility were significant. In the neurophysiological data, prime-target compatibility significantly influenced the latency of PP1. The amplitude of TP1 and TN2 mainly influenced the prime-flanker congruency. The prime-flanker congruency and groups interacted when the prime-target showed sufficient compatibility. The prime-flanker congruency, and the prime-target compatibility considerably influenced the TP3 amplitude in the anterior central frontal region (CZ electrode point).
CONCLUSION
Event-related potentials revealed the interactions between conscious processing and subliminal conflict in the early stages of perceptual and attention processing (target-related P1 potential component). These results suggest that exercise is helpful for coping with unconscious cognitive conflict.
PubMed: 38911228
DOI: 10.3389/fnhum.2024.1400930 -
Scientific Reports Jun 2024Detecting emotions from facial images is difficult because facial expressions can vary significantly. Previous research on using deep learning models to classify...
Detecting emotions from facial images is difficult because facial expressions can vary significantly. Previous research on using deep learning models to classify emotions from facial images has been carried out on various datasets that contain a limited range of expressions. This study expands the use of deep learning for facial emotion recognition (FER) based on Emognition dataset that includes ten target emotions: amusement, awe, enthusiasm, liking, surprise, anger, disgust, fear, sadness, and neutral. A series of data preprocessing was carried out to convert video data into images and augment the data. This study proposes Convolutional Neural Network (CNN) models built through two approaches, which are transfer learning (fine-tuned) with pre-trained models of Inception-V3 and MobileNet-V2 and building from scratch using the Taguchi method to find robust combination of hyperparameters setting. The proposed model demonstrated favorable performance over a series of experimental processes with an accuracy and an average F1-score of 96% and 0.95, respectively, on the test data.
Topics: Humans; Emotions; Neural Networks, Computer; Facial Expression; Deep Learning; Image Processing, Computer-Assisted; Facial Recognition; Female; Male
PubMed: 38910179
DOI: 10.1038/s41598-024-65276-x -
Acta Psychologica Jun 2024Although considerable research has been done on memory for temporal information, as well as on the relationship between context and cognition, not much is known about...
Although considerable research has been done on memory for temporal information, as well as on the relationship between context and cognition, not much is known about the influence of temporal context on memory formation and retention. In this study, given that our sample comes from a largely Roman Catholic population, we used religious practices that occur throughout the calendar year to operationalize temporal context into two religious seasons (Lent and Ordinary Time). In addition, we used religious art to assess experience and memory as a function of whether there was temporal congruity or incongruity. This allowed us to explore different levels of memory representation; namely, memory for perceptual details of the art, memory for more inferential understanding of the art, and autobiographical memory for the initial experience of the art. Participants viewed 22 representational and abstract artworks during either Lent or Ordinary Time. After viewing, memory was tested at immediate, 1-day, and 7-day delays. We expected that the congruent temporal context (i.e., Lent) would lead to more activated semantic knowledge, which would then aid memory encoding and retention. This was the case only for perceptual details of the art. In addition, during Lent, forgetting followed a more linear pattern. These results suggest that priming semantic knowledge through temporal context leads encoding to focus on low-level information, as opposed to the processing of more complex information. Overall, these findings suggest that temporal context can influence cognition, but to a limited extent.
PubMed: 38909397
DOI: 10.1016/j.actpsy.2024.104349 -
Scientific Reports Jun 2024Individuals experience difficulty falling asleep in a new environment, termed the first night effect (FNE). However, the impact of the FNE on sleep-induced brain...
Individuals experience difficulty falling asleep in a new environment, termed the first night effect (FNE). However, the impact of the FNE on sleep-induced brain plasticity remains unclear. Here, using a within-subject design, we found that the FNE significantly reduces visual plasticity during sleep in young adults. Sleep-onset latency (SOL), an indicator of the FNE, was significantly longer during the first sleep session than the second session, confirming the FNE. We assessed performance gains in visual perceptual learning after sleep and increases in the excitatory-to-inhibitory neurotransmitter (E/I) ratio in early visual areas during sleep using magnetic resonance spectroscopy and polysomnography. These parameters were significantly smaller in sleep with the FNE than in sleep without the FNE; however, these parameters were not correlated with SOL. These results suggest that while the neural mechanisms of the FNE and brain plasticity are independent, sleep disturbances temporarily block the neurochemical process fundamental for brain plasticity.
Topics: Humans; Neuronal Plasticity; Male; Sleep; Female; Young Adult; Adult; Polysomnography; Visual Perception; Magnetic Resonance Spectroscopy; Learning; Brain
PubMed: 38909129
DOI: 10.1038/s41598-024-64091-8