Frozen with Fear? Attentional Mechanisms in Children with Selective Mutism

Background Children with selective mutism (SM) are consistently unable to speak in certain social situations. Due to an overlap between SM and social anxiety disorder (SAD) in children, similar mechanisms could apply to both disorders. Especially biased attentional processing of threat and fear-induced reduced visual exploration (referred to as attentive freezing) appear promising in SM. Methods A total of N = 84 children (8–12 years, SM: n = 28, SAD: n = 28, typical development (TD): n = 28) participated in an eye-tracking paradigm with videos of a social counterpart expressing a question, a social evaluation or a neutral statement. We investigated gaze behavior towards the social counterpart’s eye-region and the extent of visual exploration (length of scanpath), across conditions. Results There were no group differences regarding gaze behavior on the eye region. Neither gaze behavior with respect to the eye region nor visual exploration were dependent on the video condition. Compared to children with TD, children with SM generally showed less visual exploration, however children with SAD did not. Conclusion Reduced visual exploration might be due to the mechanism of attentive freezing, which could be part of an extensive fear response in SM that might also affect speech-production. Interventions that counteract the state of freezing could be promising for the therapy of SM.

Deep Eye Clouds Observed in Tropical Cyclone Trami (2018) during T-PARCII Dropsonde Observations

The sporadic formation of short-lived convective clouds in the eye of Tropical Cyclone (TC) Trami (2018) is investigated using dropsonde data and simulation results from a coupled atmosphere–ocean model. According to the satellite data, top height of the convective clouds exceeds 9 km above mean sea level, considerably taller than that of typical hub clouds (2–3 km). These clouds are located 10–30 km away from the TC center. Hence, these convective clouds are called deep eye clouds (DECs) in this study. The dropsonde data reveal increase in relative humidity in the eye region during the formation of DECs. Short-lived convective clouds are simulated up to the middle troposphere in the eye region in the coupled model. Investigation of thermodynamic conditions shows a weakened low-level warm core and associated favorable conditions for convection in the eye region during the formation of DECs. DECs are formed after the weakening and outward displacement of convective heating within the eyewall. To elucidate the influence of the changes in convective heating within the eyewall on the formation of DECs, we calculate secondary circulation and associated adiabatic warming induced by convective heating within the eyewall using the Sawyer–Eliassen equation. In the eye region, weakenings of subsidence and associated vertical potential temperature advection are observed as DECs are formed. This suggests that the weakening and outward displacement of convective heating within the eyewall create favorable conditions for the sporadic formation of DECs.

Characterization of M Cells in Tear Duct-Associated Lymphoid Tissue of Mice: A Potential Role in Immunosurveillance on the Ocular Surface

The ocular mucosal tissues are exposed to potentially harmful foreign antigens in the air and tear fluid. The tear duct-associated lymphoid tissue (TALT) may contribute to immune surveillance in the eye region. Follicle-associated epithelium (FAE) of TALTs is classified as stratified squamous epithelium and consists of squamous epithelial cells arranged in layers on the basement membrane. In contrast, most mucosa-associated lymphoid tissue is covered by a monolayer of epithelium containing microfold (M) cells. Therefore, antigen uptake and the presence of M cells in TALT are not fully understood. The present study found that a small population of FAE cells in the TALT expressed intestinal M-cell markers, namely Sox8, Tnfaip2, GP2, and OPG. This cell population was identified as functional M cells because of their uptake capacity of luminal nanoparticles. In addition, RANKL, which is essential for M-cell differentiation, was expressed by stroma-like cells at the subepithelial region and its receptor RANK by the FAE in the TALT. The administration of RANKL markedly increased the number of Sox8+ M cells. In contrast, deficiency in OPG, an endogenous inhibitor of RANKL, increased the number of M cells in the TALT. These data demonstrate that the RANKL-RANK axis is essential for M-cell differentiation in the TALT. Furthermore, immunization via eye drops elicited the production of antigen-specific antibodies in tears, which was enhanced by RANKL administration. Thus, TALT M cells play an important role in the immunosurveillance of the eye region.

The Report on China-Spain Joint Clinical Testing for Rapid COVID-19 Risk Screening by Eye-region Manifestations

Background The worldwide surge in coronavirus cases has led to the COVID-19 testing demand surge. Rapid, accurate, and cost-effective COVID-19 screening tests working at a population level are in imperative demand globally. Methods Based on the eye symptoms of COVID-19, we developed and tested a COVID-19 rapid prescreening model using the eye-region images captured in China and Spain with cellphone cameras. The convolutional neural networks (CNNs)-based model was trained on these eye images to complete binary classification task of identifying the COVID-19 cases. The performance was measured using area under receiver-operating-characteristic curve (AUC), sensitivity, specificity, accuracy, and F1. The application programming interface was open access. Findings The multicenter study included 2436 pictures corresponding to 657 subjects (155 COVID-19 infection, 23.6%) in development dataset (train and validation) and 2138 pictures corresponding to 478 subjects (64 COVID-19 infections, 13.4%) in test dataset. The image-level performance of COVID-19 prescreening model in the China-Spain multicenter study achieved an AUC of 0.913 (95% CI, 0.898-0.927), with a sensitivity of 0.695 (95% CI, 0.643-0.748), a specificity of 0.904 (95% CI, 0.891 -0.919), an accuracy of 0.875(0.861-0.889), and a F1 of 0.611(0.568-0.655). Interpretation The CNN-based model for COVID-19 rapid prescreening has reliable specificity and sensitivity. This system provides a low-cost, fully self-performed, non-invasive, real-time feedback solution for continuous surveillance and large-scale rapid prescreening for COVID-19. Funding This project is supported by Aimomics (Shanghai) Intelligent

Effects of age on face perception: Reduced eye region discrimination ability but intact holistic processing

While age-related decline in face recognition memory is well established, the degree of decline in face perceptual abilities across the lifespan and their underlying mechanisms are incompletely characterized. In the current study, using the part-whole task, we sought to examine how age relates to facial feature discrimination ability and holistic face processing in a large sample of 3,341 online participants aged 18-69 years. We evaluated performance on the part-whole eye and mouth trials and the magnitude of the part-whole holistic advantage across the lifespan. We found that while discrimination of the eye region decreased beginning in the 50s, both mouth discrimination accuracy and the magnitude of the holistic advantage were stable with age. When investigating gender differences, we found that age-related declines in eye region accuracy were more pronounced in men than women, but this was not true for mouth accuracy or holistic processing. We discuss potential mechanistic explanations for this eye region-specific aging effect, including age-related hearing loss and its potential relationship with the age-related positivity effect.

Developmental differences in the visual processing of emotionally ambiguous neutral faces based on perceived valence

The aim of the present research was to assess age-related differences in how children and adults interpret and visually process emotionally ambiguous neutral faces. Children and adults provided neutral child faces with valence and arousal ratings while eye movements were recorded. Consistent with previous research, children and adults both interpreted the neutral faces as negatively valenced. Both age groups showed fewer fixations to the eye region when they rated the faces as positive. However, adults fixated more on the eye region when they rated the faces as negative whereas children fixated more on the eye region when they rated the faces as neutral. This finding may suggest that children strategically allocate attentional resources to the eye region when processing emotionally ambiguous faces to gather critical affective information. These findings have implications for the utilization of neutral faces as an experimental control condition and serve as the foundation for future research on the development of mechanisms that underlie the interpretation of emotionally ambiguous faces.

NOVEL TOPICAL, REGIONAL & TRANSDERMAL DOSAGE FORMS USING NANOTECHNOLOGY: A REVIEW

Purpose: To summarize main findings of topical or transdermal preparation delivered in the skin or eye region using novel nano-technology. Method: Narrative review of all relevant papers from peer reviewed and high impact journals. Results: The delivery system of pharmaceutical preparations for skin and eyes are now elevated to novel aerosolized gels, foams, sprays and other forms that are delivered using nano-pharmaceutical dynamics such as Ag nanoparticles,impregnated urethanes, liposomes, nanoemulsions,polymers and nanopolymers. And these trends provide elevation from benefits and limitations of conventional systems such as enhanced spread and permeation, better bioavailability, prolonged efficacy, reduced toxicity and superior stability. Conclusion: An improved delivery system was made possible by novel discoveries using nano-technology. More and more studies in pharmaceutics are centered on using this technological dynamics to formulate and reformulate drugs that are delivered topically or transdermally.

Report on Three Round COVID-19 Risk Blind Tests by Screening Eye-region Manifestations

The Coronavirus disease 2019 (COVID-19) has affected several million people since 2019. Despite various vaccines of COVID-19 protect million people in many countries, the worldwide situations of more the asymptomatic and mutated strain discovered are urging the more sensitive COVID-19 testing in this turnaround time. Unfortunately, it is still nontrivial to develop a new fast COVID-19 screening method with the easier access and lower cost, due to the technical and cost limitations of the current testing methods in the medical resource-poor districts. On the other hand, there are more and more ocular manifestations that have been reported in the COVID-19 patients as growing clinical evidence[1]. This inspired this project. We have conducted the joint clinical research since January 2021 at the ShiJiaZhuang City, Heibei province, China, which approved by the ethics committee of The fifth hospital of ShiJiaZhuang of Hebei Medical University. We undertake several blind tests of COVID-19 patients by Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Meantime as an important part of the ongoing globally COVID-19 eye test program by AIMOMICS since February 2020, we propose a new fast screening method of analyzing the eye-region images, captured by common CCD and CMOS cameras. This could reliably make a rapid risk screening of COVID-19 with the sustainable stable high performance in different countries and races. For this clinical trial in ShiJiaZhuang, we compare and analyze 1194 eye-region images of 115 patients, including 66 COVID-19 positive patients, 44 rehabilitation patients (nucleic acid changed from positive to negative), 5 liver patients, as well as 117 healthy people. Remarkably, we consistently achieved very high testing results (> 0.94) in terms of both sensitivity and specificity in our blind test of COVID-19 patients. This confirms the viability of the COVID-19 fast screening by the eye-region manifestations. Particularly and impressively, the results have the similar conclusion as the other clinical trials of the globally COVID-19 eye test program[1]. Hopefully, this series of ongoing globally COVID-19 eye test study, and potential rapid solution of fully self-performed COVID risk screening method, can be inspiring and helpful to more researchers in the world soon. Our model for COVID-19 rapid prescreening have the merits of the lower cost, fully self-performed, non-invasive, importantly real-time, and thus enables the continuous health surveillance. We further implement it as the open accessible APIs, and provide public service to the world. Our pilot experiments show that our model is ready to be usable to all kinds of surveillance scenarios, such as infrared temperature measurement device at airports and stations, or directly pushing to the target people groups smartphones as a packaged application.

Eye-Tracking Reveals a Role of Oxytocin in Attention Allocation Towards Familiar Faces

Visual attention directed towards the eye-region of a face emerges rapidly, even before conscious awareness, and regulates social interactions in terms of approach versus avoidance. Current perspectives on the neuroendocrine substrates of this behavioral regulation highlight a role of the peptide hormone oxytocin (OXT), but it remains unclear whether the facilitating effects of OXT vary as a function of facial familiarity. Here, a total of 73 healthy participants was enrolled in an eye-tracking experiment specifically designed to test whether intranasal OXT (24 IU) augments gaze duration toward the eye-region across four different face categories: the participants’ own face, the face of their romantic partner, the face of a familiar person (close friend) or an unfamiliar person (a stranger). We found that OXT treatment induced a tendency to spend more time looking into the eyes of familiar persons (partner and close friend) as compared to placebo. This effect was not evident in the self and unfamiliar conditions. Independent of treatment, volunteers scoring high on autistic-like traits (AQ-high) spent less time looking at the eyes of all faces except their partner. Collectively, our results show that the OXT system is involved in facilitating an attentional bias towards the eye region of familiar faces, which convey safety and support, especially in anxious contexts. In contrast, autistic-like traits were associated with reduced attention to the eye region of a face regardless of familiarity and OXT-treatment.