Individuals with Rett syndrome (RS) present severe motor, language and cognitive deficits, as well as spontaneous hand movement loss. On the other hand, there are strong evidence that these individuals use the eyes with intentional purpose. Ten girls aged 4y8m to 12y10m with RS were assessed with a computer system for visual tracking regarding their ability of indicating with eyes the recognition of concepts of color (red, yellow and blue), shape (circle, square and triangle), size (big and small) and spatial position (over and under) to which they were first exposed to. Results from comparing the time of eyes fixation on required and not required concepts did not differ significantly. Children did not show with eyes the recognition of the required concepts when assessed with eye tracking system.

The cognitive neuroscience of semantics has focused largely on object knowledge. By contrast, spatial semantics, especially as related to language, has received little attention. Spatial thought and language gives our semantic system a rich texture by introducing relational thinking and greater levels of abstraction than is evoked by object semantics. This article describes the neural instantiation of spatial thought and language based on imaging and lesion studies. We underscore two functional-anatomical organizational principles. First, perceptual and conceptual representations have a parallel organizational structure within the nervous system. Lateral temporal cortices are important for manners of motion, action representations, and action verbs. More dorsal regions are important for paths of motion, locative representations, and prepositions. Second, posterior perceptual representations serve as points of entry for more anterior and centripetally located peri-Sylvian conceptual and linguistic representations.

Contrary to the conventional view of infancy as a sensorimotor period without conceptual thought, research over the past 20 years has shown that preverbal infants are capable of at least 3 conceptual functions: forming concepts with which to interpret the world, recall of the past, and engaging in conceptual generalization. Research is described indicating that the 1st concepts tend to be global in scope, such as animal or container, and that the course of conceptual development in the first 2 years is largely one of differentiating global concepts into more detailed concepts, such as dog or cup. A theory of how the 1st global concepts are formed from spatial information is briefly presented, including (a) a mechanism that redescribes spatial information into simpler but accessible form and (b) the primitives it uses for this purpose. Finally, the way concepts become more complex by means of language and analogical extension to nonspatial information is discussed.(PsycINFO Database Record (c) 2007 APA, all rights reserved).

Two experiments explored how infants learn to form an abstract categorical representation of support (i.e., on) when habituated to few (i.e., 2) or many (i.e., 6) examples of the relation. When habituated to 2 pairs of objects in a support relation, 14-month-olds, but not 10-month-olds, formed the abstract spatial category (i.e., generalized the relation to novel objects). When habituated to 6 object pairs in a support relation, infants did not attend to the relation. The results indicate that infants learn to form an abstract spatial category of support between 10 and 14 months and that having fewer object pairs depicting this relation facilitates their acquisition of the abstract categorical representation.

Using a matching-to-sample procedure, the researchers investigated tufted capuchins'(Cebus apella) ability to form categorical representations of above and below spatial relations. In Experiment 1, 5 capuchins correctly matched bar-dot stimuli on the basis of the relative above and below location of their constituent elements. The monkeys showed a positive transfer of performance both when the bar-dot distance in the two comparison stimuli differed from that of the sample and when the actual location of the matching stimulus and the nonmatching stimulus on the apparatus was modified. In Experiment 2, the researchers systematically changed the shapes of the located object (the dot) or the reference object (the horizontal bar). These manipulations did not affect the monkeys' performance. Overall, the data suggest that capuchins can form abstract, conceptual-like representations for above and below spatial relations.

The spatial representation abilities of 3- to 4-month-old infants were examined in four experiments. Experiments 1 and 2 showed that infants familiarized with a diamond appearing in distinct locations to the left or right of a vertical bar subsequently preferred a stimulus depicting the diamond on the opposite side of the bar over a stimulus depicting the diamond in a novel location on the same side of the bar. Experiment 3 was a replication of Experiment 1, except that the bar was oriented at 45 degrees. In this instance, infants divided their attention between the stimulus depicting the diamond on the opposite side of the bar and the stimulus depicting the diamond in a novel location on the same side of the bar. Experiment 4 demonstrated that the results of Experiment 3 were not a consequence of a failure to process the diagonal bar. When considered with previous reports that infants can represent the categories of above and below (Quinn, 1994), the present results suggest that (1) infants can also represent the categories of left and right, and (2) performance cannot be interpreted as a response to an arbitrary crossing of one object relative to another. Although recent discussions of the relation between language and cognition have pointed to the ways in which spatial language influences spatial cognition (Bowerman & Levinson, 2001), the present findings are consistent with an influence in the opposite direction: Spatial cognition may in some instances shape spatial language.

ABSTRACT: BACKGROUND: Colorectal cancer is the third leading cause of death from cancer worldwide with over 900 000 diagnoses and 639 000 deaths each year. Although, shared decision making is broadly advocated as a mechanism by which to achieve patient-centred care, there has been little investigation of patient and physician shared decision making preferences and practices or the outcomes associated with shared decision making in the context of colorectal cancer. AIMS: The aim of this study is to determine patient and physician attitudes towards the use of shared decision making in the setting of colorectal cancer. METHODS: Standard principles of qualitative research will be used to sample and interview 20 colorectal cancer patients in each of three tertiary care hospitals (n=60) and 15 surgeons, radiation oncologists and medical oncologists (n=45) affiliated with cancer centres. The interview questions will be guided by a conceptual framework defining patient and physician factors that influence the shared decision making process and associated outcomes in the setting of colorectal cancer. An inductive, grounded approach will be used by two investigators to independently analyze the interview transcripts. These investigators will meet to compare and achieve consensus on themes that will be tabulated to compare barriers, enablers and outcomes of shared decision making by patient, physician and contextual factors. DISCUSSION: This study is the first to examine both patient and physician perspectives on the use of shared decision making for colorectal cancer in North America or elsewhere. It will provide a framework that can be used to describe the shared decision making process and its outcomes and evaluate strategies to facilitate this process for patients with colorectal cancer.

ABSTRACT: BACKGROUND: Although magnetic resonance imaging (MRI) is an important imaging modality for pre-operative staging and surgical planning of rectal cancer, to date there has been little investigation on the completeness and overall quality of MRI reports. This is important because optimal patient care depends on the quality of the MRI report and clear communication of these reports to treating physicians. Previous work has shown that the use of synoptic pathology reports improves the quality of pathology reports and communication between physicians. METHODS: The aims of this project are to develop a synoptic MRI report for rectal cancer and determine the enablers and barriers toward the implementation of a synoptic MRI report for rectal cancer in the clinical setting. A three-step Delphi process with an expert panel will extract the key criteria for the MRI report to guide pre-operative chemoradiation and surgical planning following a review of the literature, and a synoptic template will be developed. Furthermore, standardized qualitative research methods will be used to conduct interviews with radiologists to determine the enablers and barriers to the implementation and sustainability of the synoptic MRI report in the clinic setting. CONCLUSIONS: Synoptic MRI reports for rectal cancer are currently not used in North America and may improve the overall quality of MRI report and communication between physicians. This may, in turn, lead to improved patient care and outcomes for rectal cancer patients.

The other-race effect is a collection of phenomena whereby faces of one's own race are processed differently from those of other races. Previous studies have revealed a paradoxical mirror pattern of an own-race advantage in face recognition and an other-race advantage in race-based categorisation. With a well-controlled design, we compared recognition and categorisation of own-race and other-race faces in both Caucasian and Chinese participants. Compared with own-race faces, other-race faces were less accurately and more slowly recognised, whereas they were more rapidly categorised by race. The mirror pattern was confirmed by a unique negative correlation between the two effects in terms of reaction time with a hierarchical regression analysis. This finding suggests an antagonistic interaction between the processing of face identity and that of face category, and a common underlying processing mechanism.

ABSTRACT- Previous research has demonstrated that organizational principles become functional over different time courses of development: Lightness similarity is available at 3 months of age, but form similarity is not readily in evidence until 6 months of age. We investigated whether organization would transfer across principles and whether perceptual scaffolding can occur from an already functional principle to a not-yet-operational principle. Six- to 7-month-old infants (Experiment 1) and 3- to 4-month-old infants (Experiment 2) who were familiarized with arrays of elements organized by lightness similarity displayed a subsequent visual preference for a novel organization defined by form similarity. Results with the older infants demonstrate transfer in perceptual grouping: The organization defined by one grouping principle can direct a visual preference for a novel organization defined by a different grouping principle. Findings with the younger infants suggest that learning based on an already functional organizational process enables an organizational process that is not yet functional through perceptual scaffolding.

There has been a recent surge of interest in the question of how infants respond to the social attributes of race and gender information in faces. This work has demonstrated that by 3 months of age, infants will respond preferentially to same-race faces and faces depicting the gender of the primary caregiver. In the current study, we investigated emergence of the female face preference for same- versus other-race faces to examine whether the determinants of preference for face gender and race are independent or interactive in young infants. In Expt I, 3-month-old Caucasian infants displayed a preference for female over male faces when the faces were Caucasian, but not when the faces were Asian. In Expt 2, new-born Caucasian infants did not demonstrate a preference for female over male faces for Caucasian faces. The results are discussed in terms of a face prototype that becomes progressively tuned as it is structured by the interaction of the gender and race of faces that are experienced during early development.

Although several studies have examined infants' sensitivity to perceptual organizational cues, few have examined the functional relations among these cues. We examined how uniform connectedness (UC) functions in relation to shape and luminance similarity. UC has been characterized as the entry-level mechanism of perceptual organization and would therefore be predicted to be more salient than the other two cues. We found that UC was more salient than shape similarity organization was, to the point that 6- to 7-month-old infants failed to even organize on the basis of shape in the presence of UC. Luminance similarity, however, was more salient than UC, even though UC was detected by infants in the presence of luminance cues. We conclude that UC is not necessarily the most salient mechanism of perceptual organization in infancy. Moreover, the luminance-UC-shape salience hierarchy exhibited by 6- to 7-month-olds in the present study is consistent with the order of development of sensitivity to these organizational cues.

The other-race effect in face processing develops within the first year of life in Caucasian infants. It is currently unknown whether the developmental trajectory observed in Caucasian infants can be extended to other cultures. This is an important issue to investigate because recent findings from cross-cultural psychology have suggested that individuals from Eastern and Western backgrounds tend to perceive the world in fundamentally different ways. To this end, the current study investigated 3-, 6-, and 9-month-old Chinese infants' ability to discriminate faces within their own racial group and within two other racial groups (African and Caucasian). The 3-month-olds demonstrated recognition in all conditions, whereas the 6-month-olds recognized Chinese faces and displayed marginal recognition for Caucasian faces but did not recognize African faces. The 9-month-olds' recognition was limited to Chinese faces. This pattern of development is consistent with the perceptual narrowing hypothesis that our perceptual systems are shaped by experience to be optimally sensitive to stimuli most commonly encountered in one's unique cultural environment.

Previous looking time studies have shown that infants use the heads of cat and dog images to form category representations for these animal classes. The present research used an eye-tracking procedure to determine the time course of attention to the head and whether it reflects a preexisting bias or online learning. Six- to 7-month-olds were familiarized with cats or dogs in upright or inverted orientations and then tested with a novel cat and novel dog in the same orientation. In the upright orientation, infants fixated head over body throughout familiarization; with inversion, no head preference was observed. These findings suggest that infant reliance on the head to categorize cats versus dogs results from a bias that pushes attention to the head.

Oncocytic rectal carcinomas are rare and have only been documented sporadically. Oncocytes are encountered in 2 distinct settings: after preoperative chemoradiation (commoner) and without antecedent chemoradiation (uncommon). The aim of this study was to ascertain the incidence and clinicopathologic features of rectal cancers with a significant (>25%) component of oncocytes in cases not receiving chemoradiation. Of 72 cases encountered over the study period, 8 fulfilled the criteria as oncocytes. These tumors, except for the cellular component of oncocytes, were similar to conventional adenocarcinomas pathologically and immunophenotypically. Cells with eosinophilic cytoplasm are commonly seen in rectal adenocarcinomas, and they should be separated from oncocytic examples. True oncocytes may be seen in conventional adenocarcinomas as individual cells or glands, especially at the infiltrating edge of the tumor. All 8 cases appeared to have behaved aggressively with rapid local and/or distant spread over a short duration.

Two experiments were used to investigate the scope of imitation by testing whether 36-month-olds can learn to produce a categorization strategy through observation. After witnessing an adult sort a set of objects by a visible property (their color; Experiment 1) or a nonvisible property (the particular sounds produced when the objects were shaken; Experiment 2), children showed significantly more sorting by those dimensions relative to children in control groups, including a control in which children saw the sorted endstate but not the intentional sorting demonstration. The results show that 36-month-olds can do more than imitate the literal behaviors they see; they also abstract and imitate rules that they see another person use.

Infants' categorization of objects in different object-context relations was investigated. The experiment used a multiple-exemplar habituation-categorization procedure where 92 6-month olds formed categories of animals and vehicles embedded in congruent, incongruent, and homogeneous object-context relations. Across diverse object-context relations, infants habituated to multiple exemplars within a category and categorized novel members of both animal and vehicle categories. Infants showed a slight advantage for categorizing animals. Infant object categorization appears to be robust to diversity in object-context relations.

Piaget proposed that understanding permanency, understanding occlusion events, and forming mental representations were synonymous; however, accumulating evidence indicates that those concepts are not unified in development. Infants reach for endarkened objects at younger ages than for occluded objects, and infants' looking patterns suggest that they expect occluded objects to reappear at younger ages than they reach for them. We reaffirm the latter finding in 5- to 6-month-olds and find similar responses to faded objects, but we fail to find that pattern in response to endarkened objects. This suggests that looking behavior and reaching behavior are both sensitive to method of disappearance, but with opposite effects. Current cognition-oriented (i.e. representation-oriented) explanations of looking behavior cannot easily accommodate these results; neither can perceptual-preference explanations, nor the traditional ecological reinterpretations of object permanence. A revised ecological hypothesis, invoking affordance learning, suggests how these differences could arise developmentally.

Combining theoretical hypotheses of infant cognition and adult perception, we present evidence that infants can maintain visual representations despite their failure to detect a change. Infants under 12 months typically fail to notice a change to an object's height in a covering event. The present experiments demonstrated that 11-month-old infants can nevertheless maintain a viable representation of both the pre- and post-change heights despite their 'change blindness'. These results suggest that infants, like adults, can simultaneously maintain multiple representations, even if they do not optimally use them.

In 8 experiments, the authors examined the use of representations of self-to-object or object-to-object spatial relations during locomotion. Participants learned geometrically regular or irregular layouts of objects while standing at the edge or in the middle and then pointed to objects while blindfolded in 3 conditions: before turning (baseline), after rotating 240 degrees (updating), and after disorientation (disorientation). The internal consistency of pointing in the disorientation condition was equivalent to that in the updating condition when participants learned the regular layout. The internal consistency of pointing was disrupted by disorientation when participants learned the irregular layout. However, when participants who learned the regular layout were instructed to use self-to-object spatial relations, the effect of disorientation on pointing consistency appeared. When participants who learned the irregular layout at the periphery of the layout were instructed to use object-to-object spatial relations, the effect of disorientation disappeared. These results suggest that people represent both self-to-object and object-to-object spatial relations and primarily use object-to-object spatial representation in a regular layout and self-to-object spatial representation in an irregular layout.(PsycINFO Database Record (c) 2009 APA, all rights reserved).

This study explored 14-month-old infants' ability to form novel word-spatial relation associations. During habituation, infants heard 1 novel word (e.g., teek) while viewing dynamic containment events (i.e., Big Bird placed in a box) and, on other habituation trials, a second novel word (e.g., blick) while viewing dynamic support events (i.e., Big Bird placed on the box). Each novel word was presented in a sentence (e.g.,"She's putting Big Bird teek the box"). During the test, infants discriminated an event that maintained the habituation word-relation pairing from one that presented a switch in this pairing. The results indicate that 14-month-olds can learn to form word-relation associations quickly, requiring only a few minutes of experience with each word-relation pairing.

Although infants and animals respond to the approximate number of elements in visual, auditory, and tactile arrays, only human children and adults have been shown to possess abstract numerical representations that apply to entities of all kinds (e.g., 7 samurai, seas, or sins). Do abstract numerical concepts depend on language or culture, or do they form a part of humans' innate, core knowledge? Here we show that newborn infants spontaneously associate stationary, visual-spatial arrays of 4-18 objects with auditory sequences of events on the basis of number. Their performance provides evidence for abstract numerical representations at the start of postnatal experience.

Two experiments explored the ability of 18-month-old infants to form an abstract categorical representation of tight-fit spatial relations in a visual habituation task. In Experiment 1, infants formed an abstract spatial category when hearing a familiar word (tight) during habituation but not when viewing the events in silence or when hearing a novel word. In Experiment 2, infants were given experience viewing and producing tight-fit relations while an experimenter labeled them with a novel word. Following this experience, infants formed the tight-fit spatial category in the visual habituation task, particularly when hearing the novel word again during habituation. Results suggest that even brief experience with a label and tight-fit relations can aid infants in forming an abstract categorical representation of tight-fit relations.(PsycINFO Database Record (c) 2009 APA, all rights reserved).

Recent studies on nonsymbolic arithmetic have illustrated that under conditions that prevent exact calculation, adults display a systematic tendency to overestimate the answers to addition problems and underestimate the answers to subtraction problems. It has been suggested that this operational momentum results from exposure to a culture-specific practice of representing numbers spatially; alternatively, the mind may represent numbers in spatial terms from early in development. In the current study, we asked whether operational momentum is present during infancy, prior to exposure to culture-specific representations of numbers. Infants (9-month-olds) were shown videos of events involving the addition or subtraction of objects with three different types of outcomes: numerically correct, too large, and too small. Infants looked significantly longer only at those incorrect outcomes that violated the momentum of the arithmetic operation (i.e., at too-large outcomes in subtraction events and too-small outcomes in addition events). The presence of operational momentum during infancy indicates developmental continuity in the underlying mechanisms used when operating over numerical representations.

The experiments reported here investigated the development of a fundamental component of cognition: to recognize and generalize abstract relations. Infants were presented with simple rule-governed patterned sequences of visual shapes (ABB, AAB, and ABA) that could be discriminated from differences in the position of the repeated element (late, early, or nonadjacent, respectively). Eight-month-olds were found to distinguish patterns on the basis of the repetition, but appeared insensitive to its position in the sequence; 11-month-olds distinguished patterns over the position of the repetition, but appeared insensitive to the nonadjacent repetition. These results suggest that abstract pattern detection may develop incrementally in a process of constructing complex relations from more primitive components.