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In Vision It Is Groups, Rather Than Maps, That Determine How We Perceive the World. 在视觉中,是群体,而不是地图,决定了我们如何感知世界。
Q2 Medicine Pub Date : 2022-08-19 DOI: 10.3390/vision6030051
Philip T Quinlan, Keith Allen, Dale J Cohen

This paper presents the results of a study that used a speeded counting task to adjudicate between two competing theories of how perceptual representations of visual objects are derived. Boolean map (BM) theory assumes that there are strict limits on conscious awareness, such that we only have serial access to features on the same dimension (e.g., red and green). This theory contrasts with views that emphasize the early grouping of features, and which assume that feature processing is interactive and underpins figure/ground segregation as a necessary precursor to object perception. To test between these theories, we report performance in a speeded counting task in which participants were asked to judge which of two shapes was more prevalent. Displays contained squares and circles that appeared in either of two colors, with color and shape distinctions either perfectly correlated (i.e., compatible) or not (i.e., incompatible). BM theory predicts no influence of the relative coincidence of color and shape on the identification of the more prevalent shape. In contrast, grouping theory predicts that performance will be better when the color/shape distinction is compatible than when it is incompatible. Our data strongly support the grouping theory predictions. We conclude that the primary constraints on how visual objects are accessed are the number and kind of groupings that are recovered, not the number of feature maps consulted.

本文介绍了一项研究的结果,该研究使用快速计数任务来判断视觉对象的感知表征是如何衍生的两种相互竞争的理论。布尔映射(BM)理论假设意识意识存在严格的限制,例如我们只能连续访问同一维度上的特征(例如,红色和绿色)。这一理论与强调早期特征分组的观点形成了对比,后者认为特征处理是互动的,并将图像/地面分离作为物体感知的必要前提。为了测试这些理论,我们报告了参与者在快速计数任务中的表现,在这个任务中,参与者被要求判断两种形状中哪一种更普遍。显示器上有两种颜色的正方形和圆形,颜色和形状的区别要么完全相关(即相容),要么不相容(即不相容)。BM理论预测颜色和形状的相对一致性对识别更普遍的形状没有影响。相比之下,分组理论预测,当颜色/形状区分相容时,表现会比不相容时更好。我们的数据有力地支持了分组理论的预测。我们得出的结论是,如何访问可视对象的主要约束是恢复的分组的数量和类型,而不是咨询的特征映射的数量。
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引用次数: 0
Ocular Surface Squamous Neoplasia: A 12-Month Prospective Evaluation of Incidence in Waikato, New Zealand. 眼表鳞状瘤变:新西兰怀卡托地区发病率的12个月前瞻性评估。
Q2 Medicine Pub Date : 2022-08-12 DOI: 10.3390/vision6030050
Ruhella R Hossain, Jee Ah Oh, Cameron McLintock, Chris Murphy, James McKelvie

Ocular surface squamous neoplasia (OSSN) has a high incidence in the southern hemisphere. This prospective study evaluated the incidence of OSSN in the Waikato region of New Zealand. All patients presenting with pterygium or conjunctival lesions in the Waikato region in 2020 were included. All surgeons in the region were asked to send all conjunctival and corneal specimens excised for histopathologic examination. The primary outcome measure was the incidence of OSSN. Eighty-eight percent of all excised specimens were sent for histopathologic examination. Of the 185 excised lesions sent for histopathological assessment, 18 (10%) were reported as OSSN. Patients were on average 69.4 years of age (standard deviation, SD = 6.9), predominantly male (78%), and of New Zealand-European ethnicity (89%). The OSSN annual incidence was 3.67/100,000/year. Histology grades included conjunctival intraepithelial neoplasia (CIN)-I (25%), CIN-II (25%), CIN-III (12.5%), carcinoma in situ (25%), and invasive squamous cell carcinoma (SCC) (12.5%). One patient with invasive SCC required exenteration. This study identified a high incidence rate of OSSN and is the first prospective study to analyze OSSN epidemiology in New Zealand.

眼表鳞状瘤变(OSSN)在南半球发病率很高。这项前瞻性研究评估了新西兰怀卡托地区OSSN的发病率。纳入了2020年怀卡托地区所有出现翼状胬肉或结膜病变的患者。该地区所有外科医生被要求将所有结膜和角膜切除标本送去进行组织病理学检查。主要结局指标是OSSN的发生率。88%的切除标本被送去做组织病理检查。在185个切除的病变中,18个(10%)被报告为OSSN。患者平均69.4岁(标准差,SD = 6.9),主要为男性(78%),新西兰-欧洲族裔(89%)。OSSN年发病率为3.67/10万/年。组织学分级包括结膜上皮内瘤变(CIN)-I(25%)、CIN- ii(25%)、CIN- iii(12.5%)、原位癌(25%)和浸润性鳞状细胞癌(SCC)(12.5%)。1例浸润性鳞状细胞癌患者需要切除。本研究确定了OSSN的高发病率,是新西兰首个分析OSSN流行病学的前瞻性研究。
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引用次数: 0
Satisfaction of Search Can Be Ameliorated by Perceptual Learning: A Proof-of-Principle Study. 感知学习可以改善搜索满意度:一个原理证明研究。
Q2 Medicine Pub Date : 2022-08-10 DOI: 10.3390/vision6030049
Erin Park, Fallon Branch, Jay Hegdé

When searching a visual image that contains multiple target objects of interest, human subjects often show a satisfaction of search (SOS) effect, whereby if the subjects find one target, they are less likely to find additional targets in the image. Reducing SOS or, equivalently, subsequent search miss (SSM), is of great significance in many real-world situations where it is of paramount importance to find all targets in a given image, not just one. However, studies have shown that even highly trained and experienced subjects, such as expert radiologists, are subject to SOS. Here, using the detection of camouflaged objects (or camouflage-breaking) as an illustrative case, we demonstrate that when naïve subjects are trained to detect camouflaged objects more effectively, it has the side effect of reducing subjects' SOS. We tested subjects in the SOS task before and after they were trained in camouflage-breaking. During SOS testing, subjects viewed naturalistic scenes that contained zero, one, or two targets, depending on the image. As expected, before camouflage-training, subjects showed a strong SOS effect, whereby if they had found a target with relatively high visual saliency in a given image, they were less likely to have also found a lower-saliency target when one existed in the image. Subjects were then trained in the camouflage-breaking task to criterion using non-SOS images, i.e., camouflage images that contained zero or one target. Surprisingly, the trained subjects no longer showed significant levels of SOS. This reduction was specific to the particular background texture in which the subjects received camouflage training; subjects continued to show significant SOS when tested using a different background texture in which they did not receive camouflage training. A separate experiment showed that the reduction in SOS was not attributable to non-specific exposure or practice effects. Together, our results demonstrate that perceptual expertise can, in principle, reduce SOS, even when the perceptual training does not specifically target SOS reduction.

当搜索包含多个感兴趣目标对象的视觉图像时,人类受试者通常表现出搜索满意度(SOS)效应,即如果受试者找到一个目标,他们就不太可能在图像中找到其他目标。减少SOS或相应的后续搜索缺失(SSM)在许多现实世界的情况下具有重要意义,因为在这些情况下,找到给定图像中的所有目标而不仅仅是一个目标是至关重要的。然而,研究表明,即使是训练有素和经验丰富的科目,如放射科专家,也会受到SOS的影响。在这里,以伪装物体的检测(或伪装破坏)为例,我们证明,当naïve受试者被训练以更有效地检测伪装物体时,它具有降低受试者SOS的副作用。我们在受试者接受伪装训练前后分别测试了SOS任务。在SOS测试中,受试者根据图像的不同观看包含0个、1个或2个目标的自然场景。正如预期的那样,在伪装训练之前,受试者表现出强烈的SOS效应,即如果他们在给定的图像中找到了一个相对较高视觉显著性的目标,那么当图像中存在一个目标时,他们就不太可能找到一个较低显著性的目标。然后,受试者被训练在破伪装任务中使用非sos图像来判断,即包含零或一个目标的伪装图像。令人惊讶的是,经过训练的受试者不再表现出显著的SOS水平。这种减少与受试者接受伪装训练的特定背景纹理有关;受试者在没有接受伪装训练的情况下,使用不同的背景纹理进行测试时,仍然表现出明显的SOS。另一项单独的实验表明,SOS的减少不能归因于非特异性暴露或实践影响。总之,我们的研究结果表明,即使知觉训练没有专门针对SOS减少,原则上感性专业知识也可以减少SOS。
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引用次数: 0
Multitasking Effects on Perception and Memory in Older Adults. 多任务处理对老年人感知和记忆的影响
Q2 Medicine Pub Date : 2022-08-04 DOI: 10.3390/vision6030048
Giulio Contemori, Maria Silvia Saccani, Mario Bonato

Performing multiple tasks in parallel is detrimental to performance, a phenomenon generically referred to as dual-task interference (DTi). Several variables can modulate DTi at the individual level, and increasing age is typically described as negatively affecting response costs. In this study, we investigated, in 252 healthy adults aged between 50 and 89 years, how age modulates the detrimental effect of DTi during the encoding of images. We combined a visual memory task and a sustained attention task (i.e., an auditory version of the continuous performance task, ACPT) in three separate blocks. In the first block, participants had to perform a four-alternative forced-choice recognition of previously memorized images without having attended to ACPT sounds during the encoding. In the second block, during memorization, participants had to press a response key when detecting the letter "X" within a stream of letters (Low Load). In the third block, they had to respond only when the letter "X" was preceded by the letter "A" (High Load). The results showed that overall performance linearly decreased with age. In contrast with our predictions, DTi was stable across different ages. Finally, using a cluster-based approach, we found that participants who paid the highest costs when dual-tasking also demonstrated, on a self-administered cognitive screening significantly lower scores than peers. These new types of tests, which ask for concurrent task performance, might become useful for detecting outlier performance that might anticipate or correlate with aging-related cognitive decline.

同时执行多项任务不利于提高学习成绩,这种现象一般被称为双任务干扰(DTi)。在个体水平上,有几个变量可以调节 DTi,而年龄的增加通常会对反应成本产生负面影响。在这项研究中,我们以 252 名年龄在 50-89 岁之间的健康成年人为研究对象,调查了年龄如何调节图像编码过程中 DTi 的不利影响。我们将视觉记忆任务和持续注意力任务(即听觉版的持续表现任务,ACPT)结合在一起,分成三个独立的区块。在第一个区块中,受试者必须对先前记忆的图像进行四选一的强迫选择识别,而在编码过程中并没有注意到 ACPT 的声音。在第二个区块中,在记忆过程中,参与者必须在检测到字母流中的字母 "X "时按下反应键(低负荷)。在第三个区块中,只有当字母 "X "的前面出现字母 "A "时(高负荷),参与者才必须做出反应。结果表明,随着年龄的增长,总体成绩呈线性下降。与我们的预测相反,DTi 在不同年龄段都很稳定。最后,我们利用基于群组的方法发现,在双重任务中付出代价最高的参与者在自测认知筛选中的得分也明显低于同龄人。这些要求同时完成任务的新型测试可能有助于发现可能预示或与衰老相关的认知能力下降的异常表现。
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引用次数: 0
Conjunctival Swab Findings in 484 COVID-19 Patients in Four Hospital Centers in Slovakia. 斯洛伐克四家医院中心484名COVID-19患者的结膜拭子检查结果
Q2 Medicine Pub Date : 2022-07-22 DOI: 10.3390/vision6030046
Alena Furdova, Pavol Vesely, Michal Trnka, Elena Novakova, Michal Stubna, Robert Furda, Lubica Branikova, Zuzana Pridavkova

Since 2020, the COVID-19 (Coronavirus Disease 2019) has quickly become a worldwide health problem. Ophthalmologists must deal with symptoms as well. For the positive detection in the conjunctival sac swab in COVID-19 patients hospitalized in Slovakia during March 2021 in four hospital centers, we used a test based on a polymerase chain reaction (PCR). In a group of 484 patients, 264 males (55%) and 220 females (45%) with clinical symptoms were identified with COVID-19 as a clinical diagnosis. The PCR test swab results from the conjunctival sac taken on the same day were positive in 58 patients (12%), 31 males (with a mean age of 74.6 ± 13.59 years) and 27 females (with a mean age of 70.63 ± 14.17 years); negative in 417 patients (86%); and 9 patients (2%) had an unclear result. The cycle threshold values comparing the nasopharynx and conjunctiva were also different in the group of all patients divided by age and gender. In COVID-19 patients the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) was detectable using PCR test in the nasopharynx but also in the conjunctival sac swab, where the positivity rate was only 12%.

自2020年以来,COVID-19(2019冠状病毒病)迅速成为一个全球性的健康问题。眼科医生也必须处理症状。对于2021年3月期间在斯洛伐克四个医院中心住院的COVID-19患者结膜囊拭子中的阳性检测,我们使用了基于聚合酶链反应(PCR)的检测方法。在484例患者中,有临床症状的男性264例(55%),女性220例(45%),临床诊断为COVID-19。当日结膜囊PCR拭子阳性58例(12%),其中男性31例(平均年龄74.6±13.59岁),女性27例(平均年龄70.63±14.17岁);417例(86%)为阴性;9例(2%)患者结果不明确。在不同年龄和性别的患者组中,比较鼻咽和结膜的周期阈值也不同。在COVID-19患者中,鼻咽和结膜囊拭子均检测到严重急性呼吸综合征冠状病毒-2 (SARS-CoV-2),阳性率仅为12%。
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引用次数: 0
The Effects of Adding Pictorial Depth Cues to the Poggendorff Illusion. 在波根多夫幻觉中添加图像深度线索的效果
Q2 Medicine Pub Date : 2022-07-18 DOI: 10.3390/vision6030044
Gizem Y Yildiz, Bailey G Evans, Philippe A Chouinard

We tested if the misapplication of perceptual constancy mechanisms might explain the perceived misalignment of the oblique lines in the Poggendorff illusion. Specifically, whether these mechanisms might treat the rectangle in the middle portion of the Poggendorff stimulus as an occluder in front of one long line appearing on either side, causing an apparent decrease in the rectangle's width and an apparent increase in the misalignment of the oblique lines. The study aimed to examine these possibilities by examining the effects of adding pictorial depth cues. In experiments 1 and 2, we presented a central rectangle composed of either large or small bricks to determine if this manipulation would change the perceived alignment of the oblique lines and the perceived width of the central rectangle, respectively. The experiments demonstrated no changes that would support a misapplication of perceptual constancy in driving the illusion, despite some evidence of perceptual size rescaling of the central rectangle. In experiment 3, we presented Poggendorff stimuli in front and at the back of a corridor background rich in texture and linear perspective depth cues to determine if adding these cues would affect the Poggendorff illusion. The central rectangle was physically large and small when presented in front and at the back of the corridor, respectively. The strength of the Poggendorff illusion varied as a function of the physical size of the central rectangle, and, contrary to our predictions, the addition of pictorial depth cues in both the central rectangle and the background decreased rather than increased the strength of the illusion. The implications of these results with regards to different theories are discussed. It could be the case that the illusion depends on both low-level and cognitive mechanisms and that deleterious effects occur on the former when the latter ascribes more certainty to the oblique lines being the same line receding into the distance.

我们测试了知觉恒定机制的误用是否可以解释波根多夫幻觉中斜线的错位。具体来说,这些机制是否会将波根多夫刺激中间部分的矩形视为两侧长线前的遮挡物,从而导致矩形宽度明显减小,斜线错位明显增加。本研究旨在通过检测添加图像深度线索的效果来研究这些可能性。在实验 1 和 2 中,我们展示了一个由大砖或小砖组成的中央矩形,以确定这种操作是否会分别改变斜线的对齐感和中央矩形的感知宽度。实验结果表明,尽管有证据表明中央矩形的感知大小发生了改变,但这些改变并不能证明感知恒定性在驱动幻觉方面的错误应用。在实验 3 中,我们在富含纹理和线性透视深度线索的走廊背景前方和后方展示了波根多夫刺激物,以确定添加这些线索是否会影响波根多夫错觉。当中央矩形分别出现在走廊的前方和后方时,它们在物理上分别是大的和小的。波根多夫错觉的强度随中央矩形的物理大小而变化,与我们的预测相反,在中央矩形和背景中添加图像深度线索会降低而不是增加错觉的强度。本文讨论了这些结果对不同理论的影响。可能的情况是,错觉同时依赖于低水平机制和认知机制,当认知机制更确定斜线是退到远处的同一条线时,就会对前者产生有害影响。
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引用次数: 0
View Normalization of Object Size in the Right Parietal Cortex. 右顶叶皮层中对象大小的视图规范化。
Q2 Medicine Pub Date : 2022-07-01 DOI: 10.3390/vision6030041
Sylvia Hoba, Gereon R Fink, Hang Zeng, Ralph Weidner

Prior knowledge alters perception already on early levels of processing. For instance, judging the display size of an object is affected by its familiar size. Using functional magnetic resonance imaging, we investigated the neural processes involved in resolving ambiguities between familiar object size and physical object size in 33 healthy human subjects. The familiar size was either small or large, and the object was displayed as either small or large. Thus, the size of the displayed object was either congruent or incongruent with its internally stored canonical size representation. Subjects were asked to indicate where the stimuli appeared on the screen as quickly and accurately as possible, thereby ensuring that differential activations cannot be ascribed to explicit object size judgments. Incongruent (relative to congruent) object displays were associated with enhanced activation of the right intraparietal sulcus (IPS). These data are consistent with but extend previous patient studies, which found the right parietal cortex involved in matching visual objects presented atypically to prototypical object representations, suggesting that the right IPS supports view normalization of objects. In a second experiment, using a parametric design, a region-of-interest analysis supported this notion by showing that increases in size mismatch between the displayed size of an object and its familiar viewing size were associated with an increased right IPS activation. We conclude that the right IPS performs view normalization of mismatched information about the internally stored prototypical size and the current viewing size of an object.

在早期处理过程中,先验知识就已经改变了感知。例如,判断一个物体的显示尺寸会受到其熟悉尺寸的影响。我们利用功能磁共振成像技术,研究了 33 名健康人在解决熟悉物体大小和实际物体大小之间的模糊性时所涉及的神经过程。熟悉的物体尺寸要么小要么大,而显示的物体要么小要么大。因此,显示物体的大小与其内部存储的标准尺寸表征要么一致,要么不一致。受试者被要求尽可能快速准确地指出刺激物在屏幕上出现的位置,从而确保不同的激活不能归因于明确的物体大小判断。不一致(相对于一致)的物体显示与右侧顶内沟(IPS)的激活增强有关。这些数据与之前的病人研究结果一致,但又有所扩展。之前的研究发现,右顶叶皮层参与将非正常显示的视觉物体与原型物体表征相匹配,这表明右顶叶内沟支持物体的视图正常化。在第二个实验中,我们采用了参数设计,通过兴趣区域分析证明了这一观点,结果表明物体显示尺寸与熟悉的观看尺寸不匹配的增加与右侧 IPS 激活的增加有关。我们的结论是,右侧 IPS 对内部存储的原型尺寸与当前观看物体尺寸不匹配的信息进行视图归一化。
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引用次数: 0
Size Constancy Mechanisms: Empirical Evidence from Touch. 尺寸恒定机制:来自触觉的经验证据。
Q2 Medicine Pub Date : 2022-07-01 DOI: 10.3390/vision6030040
Luigi Tamè, Suzuki Limbu, Rebecca Harlow, Mita Parikh, Matthew R Longo

Several studies have shown the presence of large anisotropies for tactile distance perception across several parts of the body. The tactile distance between two touches on the dorsum of the hand is perceived as larger when they are oriented mediolaterally (across the hand) than proximodistally (along the hand). This effect can be partially explained by the characteristics of primary somatosensory cortex representations. However, this phenomenon is significantly attenuated relative to differences in acuity and cortical magnification, suggesting a process of tactile size constancy. It is unknown whether the same kind of compensation also takes place when estimating the size of a continuous object. Here, we investigate whether the tactile anisotropy that typically emerges when participants have to estimate the distance between two touches is also present when a continuous object touches the skin and participants have to estimate its size. In separate blocks, participants judged which of two tactile distances or objects on the dorsum of their hand felt larger. One stimulation (first or second) was aligned with the proximodistal axis (along the hand) and the other with the mediolateral axis (across the hand). Results showed a clear anisotropy for distances between two distinct points, with across distances consistently perceived as larger than along distances, as in previous studies. Critically, however, this bias was significantly reduced or absent for judgments of the length of continuous objects. These results suggest that a tactile size constancy process is more effective when the tactile size of an object has to be approximated compared to when the distance between two touches has to be determined. The possible mechanism subserving these results is described and discussed. We suggest that a lateral inhibition mechanism, when an object touches the skin, provides information through the distribution of the inhibitory subfields of the RF about the shape of the tactile RF itself. Such a process allows an effective tactile size compensatory mechanism where a good match between the physical and perceptual dimensions of the object is achieved.

几项研究表明,在身体的几个部位,触觉距离感知存在很大的各向异性。手背上两次触碰之间的触觉距离,在中外侧(穿过手)比近端(沿着手)被认为更大。这种效应可以部分地用初级体感皮层表征的特征来解释。然而,这种现象相对于敏锐度和皮质放大倍率的差异显著减弱,表明触觉大小恒定的过程。在估计连续物体的大小时,是否也会发生同样的补偿,这是未知的。在这里,我们研究了当参与者必须估计两次触摸之间的距离时通常出现的触觉各向异性是否也存在于连续物体接触皮肤时,参与者必须估计其大小。在不同的小组中,参与者判断两个触摸距离或手背上的物体中哪一个感觉更大。一个刺激(第一次或第二次)与近远轴(沿着手)对齐,另一个与中外侧轴(穿过手)对齐。结果显示两个不同点之间的距离具有明显的各向异性,与之前的研究一样,横向距离始终被认为大于横向距离。然而,关键的是,这种偏差在判断连续物体的长度时显着减少或不存在。这些结果表明,与确定两次触摸之间的距离相比,当物体的触觉大小必须近似时,触觉尺寸恒定过程更有效。本文描述并讨论了产生这些结果的可能机制。我们认为,当物体接触皮肤时,侧抑制机制通过射频抑制子场的分布提供有关触觉射频本身形状的信息。这样的过程允许一个有效的触觉尺寸补偿机制,在物体的物理和感知维度之间实现良好的匹配。
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引用次数: 0
Similarity and Dissimilarity in Perceptual Organization: On the Complexity of the Gestalt Principle of Similarity. 知觉组织中的相似性与差异性:论相似性格式塔原理的复杂性。
Q2 Medicine Pub Date : 2022-06-28 DOI: 10.3390/vision6030039
Baingio Pinna, Daniele Porcheddu, Jurgis Skilters

The main purpose of this work is to explore the Gestalt principle of similarity and to demonstrate that the use of this term alone is not sufficient to understand the dynamics of grouping fully and correctly. More generally, this work aims to show that the Gestalt principle of similarity alone is not sufficient for a full understanding of perceptual organization occurring both in the classical and mostly in the new phenomena here presented. Limits and incompleteness of the similarity principle have suggested the basic, more general and stronger role of dissimilarity in perceptual grouping under a large variety of conditions. Dissimilarity was shown as a basic principle of figure-ground segregation, as a tool useful to create at will new groups and visual objects within patterns where they are totally invisible, as an attribute that is able to accentuate different shape components within the same object, as a way to distort shapes and create visual illusions, but also to reduce or annul them and, finally, to decompose, ungroup and reshape single objects. The results demonstrated the necessity to introduce a principle of dissimilarity that is complementary to similarity as already studied by Gestalt psychologists.

这项工作的主要目的是探索格式塔的相似性原则,并证明单独使用这个术语不足以充分和正确地理解分组的动态。更一般地说,这项工作的目的是表明,格式塔的相似性原则本身并不足以充分理解发生在经典和主要在这里提出的新现象中的感知组织。相似性原理的局限性和不完全性表明,在多种条件下,差异性在知觉分组中的作用是基本的、更普遍的和更强的。差异性被证明是图形-背景分离的基本原则,是在完全不可见的模式中随意创建新组和视觉对象的有用工具,是能够强调同一对象中不同形状组件的属性,是扭曲形状和创造视觉错觉的一种方式,也是减少或取消它们的一种方式,最后是分解,取消组和重塑单个对象。结果表明,有必要引入一种不同的原则,这是对格式塔心理学家已经研究过的相似性的补充。
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引用次数: 1
A Systematic Review of Clinical Practice Guidelines for Cataract: Evidence to Support the Development of the WHO Package of Eye Care Interventions. 白内障临床实践指南的系统回顾:支持世卫组织一揽子眼保健干预措施发展的证据。
Q2 Medicine Pub Date : 2022-06-20 DOI: 10.3390/vision6020036
Justine H Zhang, Jacqueline Ramke, Chan Ning Lee, Iris Gordon, Sare Safi, Gareth Lingham, Jennifer R Evans, Stuart Keel

The World Health Organization (WHO) is developing a Package of Eye Care Interventions (PECI) to facilitate the integration of eye care into Universal Health Coverage. This paper presents the results of a systematic review of clinical practice guidelines for cataract in adults, to help inform PECI development. We searched academic and guideline databases, and websites of professional associations, for guidelines published between January 2010 and April 2020. Guidelines were excluded if there was commercial funding or unmanaged conflicts of interest. Quality appraisal was conducted using the Appraisal of Guidelines for Research and Evaluation (AGREE) II tool. We identified 3778 reports, 35 related to cataract guidelines, four of which met the inclusion criteria (United Kingdom: 2, United States: 1, Iran: 1). The recommendations across the four guidelines covered pre-operative (43%), intra-operative (37%), and post-operative interventions (20%). Most 'strong' recommendations were supported by good quality evidence. Differences in recommendations across guidelines may be attributable to time of publication or regional differences in surgical practice. Few guidelines met the quality criteria, and only three countries were represented. The results of this step of the PECI development process will inform subsequent phases for development of the WHO's package of evidence-based eye care interventions for cataract.

世界卫生组织(世卫组织)正在制定一揽子眼科保健干预措施,以促进将眼科保健纳入全民健康覆盖。本文介绍了成人白内障临床实践指南的系统综述结果,以帮助告知PECI的发展。我们检索了2010年1月至2020年4月期间发表的学术和指南数据库以及专业协会的网站。如果存在商业资金或未管理的利益冲突,则排除指南。使用研究和评估指南评估(AGREE) II工具进行质量评估。我们确定了3778份报告,其中35份与白内障指南相关,其中4份符合纳入标准(英国:2份,美国:1份,伊朗:1份)。四份指南的建议包括术前(43%)、术中(37%)和术后干预(20%)。大多数“强有力”的建议都得到了高质量证据的支持。不同指南中推荐的差异可能归因于出版时间或手术实践的地区差异。很少有指导方针符合质量标准,而且只有三个国家有代表。PECI发展进程这一步骤的结果将为世卫组织以证据为基础的一揽子白内障眼保健干预措施的后续发展阶段提供信息。
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引用次数: 5
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