P–732 Maternal over-the-counter analgesics use during pregnancy and adverse perinatal outcomes: cohort study of 151,141 singleton pregnancies

Study question

Is in utero exposure to five over-the-counter (non-prescription) analgesics (paracetamol, ibuprofen, aspirin, diclofenac, naproxen) associated with offspring health outcomes?

Summary answer

Consumption of over-the-counter analgesics during pregnancy, either as single compounds or in combinations, is significantly associated with a variety of adverse offspring health outcomes.

What is known already

A high percentage of pregnant women use over-the-counter analgesics during pregnancy globally. Some of these compounds such as paracetamol are considered safe to use, while contraindications exist for others, such as NSAIDs use beyond gestational week 30. Current evidence regarding the safety of use during pregnancy in humans is largely conflicting. Results from many published human studies on the topic suffer from limitations including use of small cohorts, short study time or failure to adjust for important confounders. These may explain conflicting results that cause significant concern regarding evidence-based prenatal guidance on use during pregnancy.

Study design, size, duration

Retrospective cohort study using the Aberdeen Maternity and Neonatal Databank. Data from 151,141 singleton pregnancies over 30 years (between 1985 and 2015) were used. Consumption of paracetamol, ibuprofen, aspirin, diclofenac and naproxen during pregnancy was recorded in medical notes of each woman. In our analysis, the control group was pregnancies where no analgesic was consumed, and the exposure groups included pregnancies with over-the-counter analgesic consumption either in combinations or as single compound use.

Participants/materials, setting, methods

Maternal baseline characteristics were compared using χ2 tests for categorical variables and Mann-Whitney for continuous variables (significance at < 0.05). Premature delivery, stillbirth, neonatal death, baby weight, neonatal unit admission, APGAR score at 1 and 5 minutes, neural tube defects, amniotic band defects, gastroschisis, and, in males only, hypospadias and cryptorchidism, were the outcomes assessed. Crude (cORs) and adjusted odds ratios (aORs) with 95% confidence intervals (CIs) were calculated using logistic regression to control for confounders.

Main results and the role of chance

The overall prevalence of over-the-counter analgesics use during pregnancy was 29.1%, increasing over the 30-year study period, to over 60% of women in the last seven years of the study. 83.7% of those women reported first trimester use when specifically asked at their first antenatal clinic visit. Pregnancies exposed to at least one of the five analgesics were independently associated with increased risks for premature delivery <37 weeks (aOR=1.50, 95%CI 1.43–1.58), stillbirth (aOR=1.33, 95%CI 1.15–1.54), neonatal death (aOR=1.56, 95%CI 1.27–1.93), birthweight <2,500g (aOR=1.28, 95%CI 1.20–1.37), birthweight >4,000g (aOR=1.09, 95%CI 1.05–1.13), admission to neonatal unit (aOR=1.57, 95%CI 1.51–1.64), APGAR score <7 at 1 minute (aOR=1.18, 95%CI 1.13–1.23) and 5 minutes (aOR=1.48, 95%CI 1.35–1.62), neural tube defects (aOR=1.64, 95%CI 1.08–2.47) and hypospadias (aOR=1.27, 95%CI 1.05–1.54 males only). ). Associations of paracetamol alone with high birth weight, neural tube defects and hypospadias were not significant in the adjusted analysis. Diclofenac consumption was associated with significantly decreased odds of stillbirth (aOR=0.59, 95%CI 0.41–0.87).

Limitations, reasons for caution

Our data were based on medical notes; however, consumption is self-reported, and details on the timing, dosage, product type (single-ingredient vs combination) and administration type were not available in the database. Our study only considered neonatal health outcomes and longer-term follow-up of the offspring was not available at this time.

Wider implications of the findings: This is one of the largest and most comprehensive studies into analgesic use in pregnancy. The increased risks of adverse neonatal outcomes associated with non-prescribed, over-the-counter, analgesics use during pregnancy indicate that healthcare guidance for pregnant women regarding analgesic use should be re-assessed.

Trial registration number

N/A

Genome-wide expression changes induced by bisphenol A, F and S in human stem cell derived hepatocyte-like cells

The debate about possible adverse effects of bisphenol A (BPA) has been ongoing for decades. Bisphenol F (BPF) and S (BPS) have been suggested as “safer” alternatives. In the present study we used hepatocyte-like cells (HLCs) derived from the human embryonic stem cell lines Man12 and H9 to compare the three bisphenol derivatives. Stem cell-derived progenitors were produced using an established system and were exposed to BPA, BPF and BPS for 8 days during their transition to HLCs. Subsequently, we examined cell viability, inhibition of cytochrome P450 (CYP) activity, and genome-wide RNA profiles. Sub-cytotoxic, inhibitory concentrations (IC₅₀) of CYP3A were 20, 9.5 and 25 µM for BPA, BPF and BPS in Man12 derived HLCs, respectively. The corresponding concentrations for H9-derived HLCs were 19, 29 and 31 µM. These IC₅₀ concentrations were used to study global expression changes in this in vitro study and are higher than unconjugated BPA in serum of the general population. A large overlap of up- as well as downregulated genes induced by the three bisphenol derivatives was seen. This is at least 28-fold higher compared to randomly expected gene expression changes. Moreover, highly significant correlations of expression changes induced by the three bisphenol derivatives were obtained in pairwise comparisons. Dysregulated genes were associated with reduced metabolic function, cellular differentiation, embryonic development, cell survival and apoptosis. In conclusion, no major differences in cytochrome inhibitory activities of BPA, BPF and BPS were observed and gene expression changes showed a high degree of similarity.

Development of a cost-effective automated platform to produce human liver spheroids for basic and applied research

Liver disease represents an increasing cause of global morbidity and mortality. Currently, liver transplant is the only treatment curative for end-stage liver disease. Donor organs cannot meet the demand and therefore scalable treatments and new disease models are required to improve clinical intervention. Pluripotent stem cells represent a renewable source of human tissue. Recent advances in three-dimensional cell culture have provided the field with more complex systems that better mimic liver physiology and function. Despite these improvements, current cell-based models are variable in performance and expensive to manufacture at scale. This is due, in part, to the use of poorly defined or cross-species materials within the process, severely affecting technology translation. To address this issue, we have developed an automated and economical platform to produce liver tissue at scale for modelling disease and small molecule screening. Stem cell derived liver spheres were formed by combining hepatic progenitors with endothelial cells and stellate cells, in the ratios found within the liver. The resulting tissue permitted the study of human liver biology 'in the dish' and could be scaled for screening. In summary, we have developed an automated differentiation system that permits reliable self-assembly of human liver tissue for biomedical application. Going forward we believe that this technology will not only serve as anin vitroresource, and may have an important role to play in supporting failing liver function in humans.

Pluripotent stem cell derived hepatocytes: using materials to define cellular differentiation and tissue engineering

Pluripotent stem cell derived liver cells (hepatocytes) represent a promising alternative to primary tissue for biological and clinical applications. To date, most hepatocyte maintenance and differentiation systems have relied upon the use of animal derived components. This serves as a significant barrier to large scale production and application of stem cell derived hepatocytes. Recently, the use of defined biologics has overcome those limitations in two-dimensional monolayer culture. In order to improve the cell phenotype further, three-dimensional culture systems have been employed to better mimic the in vivo situation, drawing upon materials chemistry, engineering and biology. In this review we discuss efforts in the field, to differentiate pluripotent stem cells towards hepatocytes under defined conditions.

Prospective purification of perivascular presumptive mesenchymal stem cells from human adipose tissue: process optimization and cell population metrics across a large cohort of diverse demographics

BACKGROUND

Adipose tissue is an attractive source of mesenchymal stem cells (MSC) as it is largely dispensable and readily accessible through minimally invasive procedures such as liposuction. Until recently MSC could only be isolated in a process involving ex-vivo culture and their in-vivo identity, location and frequency remained elusive. We have documented that pericytes (CD45-, CD146+, and CD34-) and adventitial cells (CD45-, CD146-, CD34+) (collectively termed perivascular stem cells or PSC) represent native ancestors of the MSC, and can be prospectively purified using fluorescence activated cell sorting (FACS). In this study we describe an optimized protocol that aims to deliver pure, viable and consistent yields of PSC from adipose tissue. We analysed the frequency of PSC within adipose tissue, and the effect of patient and procedure based variables on this yield.

METHODS

Within this twin centre study we analysed the adipose tissue of n = 131 donors using flow cytometry to determine the frequency of PSC and correlate this with demographic and processing data such as age, sex, BMI and cold storage time of the tissue.

RESULTS

The mean number of stromal vascular fraction (SVF) cells from 100 ml of lipoaspirate was 34.4 million. Within the SVF, mean cell viability was 83 %, with 31.6 % of cells being haematopoietic (CD45+). Adventitial cells and pericytes represented 33.0 % and 8 % of SVF cells respectively. Therefore, a 200 ml lipoaspirate would theoretically yield 23.2 million viable prospectively purified PSC - sufficient for many reconstructive and regenerative applications. Minimal changes were observed in respect to age, sex and BMI suggesting universal potential application.

CONCLUSIONS

Adipose tissue contains two anatomically and phenotypically discreet populations of MSC precursors - adventitial cells and pericytes - together referred to as perivascular stem cells (PSC). More than 9 million PSC per 100 ml of lipoaspirate can be rapidly purified to homogeneity using flow cytometry in clinically relevant numbers potentially circumventing the need for purification and expansion by culture prior to clinical use. The number and viability of PSC are minimally affected by patient age, sex, BMI or the storage time of the tissue, but the quality and consistency of yield can be significantly influenced by procedure based variables.

Surgical findings in the treatment of Dupuytren's disease after initial treatment with clostridial collagenase (Xiaflex)

We investigated the difficulty of surgical fasciectomy after previous treatment with clostridial collagenase injection. The 35 clinicians who had participated in the initial trials of this injection were contacted via email. Twenty-eight responded, nine of whom reported on 15 patients. Most (seven of nine) felt there was no significant distortion of anatomy and rated the level of technical difficulty as equivalent to a primary Dupuytren's fasciectomy at the observed degree of contracture (nine of 15 cases). One respondent (four of 15 cases) reported significantly more difficulty and grossly distorted anatomy. One surgical complication, a wound dehiscence, was reported.

Differentiation and molecular profiling of human embryonic stem cell-derived corneal epithelial cells

It has been suggested that the isolation of scalable populations of limbal stem cells may lead to radical changes in ocular therapy. In particular, the derivation and transplantation of corneal stem cells from these populations may result in therapies providing clinical normality of the diseased or damaged cornea. Although feasible in theory, the lack of donor material in sufficient quantity and quality currently limits such a strategy. A potential scalable source of corneal cells could be derived from pluripotent stem cells (PSCs). We developed an in vitro and serum-free corneal differentiation model which displays significant promise. Our stepwise differentiation model was designed with reference to development and gave rise to cells which displayed similarities to epithelial progenitor cells which can be specified to cells displaying a corneal epithelial phenotype. We believe our approach is novel, provides a robust model of human development and in the future, may facilitate the generation of corneal epithelial cells that are suitable for clinical use. Additionally, we demonstrate that following continued cell culture, stem cell-derived corneal epithelial cells undergo transdifferentiation and exhibit squamous metaplasia and therefore, also offer an in vitro model of disease.

Ethical, legal and practical issues of establishing an adipose stem cell bank for research

Access to human tissue is critical to medical research, however the laws and regulations surrounding gaining ethical and legal access to tissue are often poorly understood. Recently, there has been a huge increase in the interest surrounding the therapeutic application of adipose tissue, and adipose-derived stem cells. To facilitate our own research interests and possibly assist our local colleagues and collaborators, we established a Research Tissue Bank (RTB) to collect, store and distribute human adipose tissue derived cells with all the appropriate ethical approval for subsequent downstream research. Here we examine the legal, ethical and practical issues relating to the banking of adipose tissue for research in the UK, and discuss relevant international guidelines and policies. We also share our experiences of establishing an RTB including the necessary infrastructure and the submission of an application to a Research Ethics Committee (REC).

Interaction between hnRNPA1 and IkappaBalpha is required for maximal activation of NF-kappaB-dependent transcription

Transcriptional activation of NF-kappaB is mediated by signal-induced phosphorylation and degradation of its inhibitor, IkappaBalpha. NF-kappaB activation induces a rapid resynthesis of IkappaBalpha which is responsible for postinduction repression of transcription. Following resynthesis, IkappaBalpha translocates to the nucleus, removes template bound NF-kappaB, and exports NF-kappaB to the cytoplasm in a transcriptionally inactive form. Here we demonstrate that IkappaBalpha interacts directly with another nucleocytoplasmic shuttling protein, hnRNPA1, both in vivo and in vitro. This interaction requires one of the N-terminal RNA binding domains of hnRNPA1 and the C-terminal region of IkappaBalpha. Cells lacking hnRNPA1 are defective in NF-kappaB-dependent transcriptional activation, but the defect in these cells is complemented by ectopic expression of hnRNPA1. hnRNPA1 expression in these cells increased the amount of IkappaBalpha degradation, compared to that of the control cells, in response to activation by Epstein-Barr virus latent membrane protein 1. Thus in addition to regulating mRNA processing and transport, hnRNPA1 also contributes to the control of NF-kappaB-dependent transcription.

Testing instance models of face repetition priming

Two experiments examining repetition priming in face recognition are reported. They employed eight rather than the more usual two presentation trials so that the prediction made by Logan's (1988) instance model of power function speedup of response time (RT) distributions could be examined. In Experiment 1, we presented the same photograph on each trial; in Experiment 2, we presented photographs of varying poses. Both experiments showed repetition priming effects for familiar and unfamiliar faces, power function speedup for both the mean and the standard deviation of RT and the power function speedup of the quanties of the RT distributions. We argue that our findings are consistent with the predictions made by the instance model and provide an explanatory challenge for alternative theoretical approaches.

Movement, face processing and schizophrenia: evidence of a differential deficit in expression analysis

Three dynamic face-processing tasks based on the Bruce & Young (1986) functional model of face processing were presented to 10 schizophrenic and 10 depressed inpatients and to 10 non-patient subjects. Familiar face recognition, facial expression recognition and unfamiliar face matching were examined. Schizophrenic patients' performance was significantly poorer than that of depressed patients and non-patient controls. Significantly lower scores were obtained on the facial expression recognition task than on the familiar face recognition task. There was a differential pattern of group performance on each of the three tasks: schizophrenic and depressed patients were as accurate as non-patient controls on the familiar face recognition task, but significantly less accurate than non-patient controls on the unfamiliar face-matching task. Schizophrenic patients were significantly less accurate than depressed patients and non-patient controls on the facial expression recognition task. The results are contrasted with an analogous static face-processing study.

Face perception after brain injury. Selective impairments affecting identity and expression

Current theoretical models of face perception postulate separate routes for processing information needed in the recognition of a familiar face, for matching photographs of unfamiliar faces and for the analysis of facial expressions. The present study investigated this claim in a group of ex-servicemen who had sustained unilateral brain injuries affecting posterior areas of the left or right cerebral hemisphere. Care was taken to confirm the nature of impairment by using two different tasks to assess each of the three theoretically defined abilities (leading to a total of six tasks). We adopted a stringent application of the double dissociation methodology to investigate the pattern of performance across tasks of individual ex-servicemen. A selective impairment was defined as a significantly impoverished performance on both tests of a specific ability, while all other tasks were performed within normal limits. In addition, we used both accuracy and response latency measures to substantiate evidence for spared or defective abilities. The results showed selective impairments of all three abilities on accuracy scores. Response latency data confirmed the finding of a selective deficit in the processing of facial expressions, but produced evidence suggesting that impairments affecting familiar face recognition and unfamiliar face matching were not completely independent from each other in this group of ex-servicemen.

Impaired discrimination of familiar from unfamiliar faces

We report investigations of the face processing abilities of J.T., a man who had suffered a right hemisphere stroke. J.T. showed a marked problem in discriminating between familiar and unfamiliar faces, with no corresponding problem in discriminating familiar from unfamiliar names. The problem with faces was still found 2 years after the stroke, but had resolved at long-term follow-up (9 years post stroke). When given unlimited time to respond, J.T. did not show any problem in recognising familiar faces, but tended to think that he recognised unfamiliar faces. When under time pressure, however, J.T. also failed to recognise a number of familiar faces which he could readily identify when the time pressure was removed. J.T.'s ability to remember a face and to think of other people who might be similar in appearance was affected by whether or not the face seemed familiar or unfamiliar to him. Hence, whatever underlay the spurious sense of familiarity was sufficient to produce real differences between the way in which genuinely unfamiliar and spuriously familiar faces were seen, leading us to suggest that his impaired discrimination of unfamiliar from familiar faces reflected a malfunction of face recognition units.

Face processing in psychiatric conditions

Functional models of face processing have indicated that dissociations exist between the various processes involved, e.g. between familiar face recognition and matching of unfamiliar faces, and between familiar face recognition and facial expression analysis. These models have been successfully applied to the understanding of the different types of impairment that can exist in neuropsychological patients. In the present study, aspects of face processing in psychiatric patients were investigated in relation to Bruce & Young's (1986) model. Based on this functional model different predictions can be made. We contrast here the impaired expression analysis hypothesis, which is that psychiatric patients would show a deficit in facial expression recognition, but not in facial identity recognition or unfamiliar face matching, with the generalized deficit hypothesis, that patients would be impaired on all tasks. These hypotheses were examined using three forced-choice tasks (facial recognition, facial expression recognition, and unfamiliar face matching) which were presented to schizophrenic and depressed patients, and to non-patient controls. Results showed that schizophrenic patients performed at a significantly lower level than non-patient controls on all three tasks, supporting the generalized deficit hypothesis.

Routes through the face recognition system

Two experiments are reported which seek to examine the proposition first put forward by Hay and Young (1982), that recognition of a known person after seeing his or her face proceeds through a series of sequentially organized stages. In both experiments subjects were shown a selection of famous and unfamiliar faces and required to state whether each face was familiar. They were then asked to recall semantic information and the person's name. Of all the possible response types, only some are predicted by models derived from Hay and Young (1982), and only these responses were observed in Experiment 1. In order to give as complete an account as possible of the slips and errors made by subjects, they were interrogated some days after completing the testing phase in Experiment 2. As in the first experiment, the results supported the view that distinct but successive stages are involved in everyday face recognition. The method developed here provides an extension of the "dairy" type of study of everyday recognition errors into laboratory conditions, which confirms the findings of studies of everyday errors and provides strong support for sequential models.

Facial neglect

Following a stroke, a retired industrial chemist, K.L., complained that faces looked "different" and had become difficult to recognize. Investigation of this problem revealed that it particularly affected the left half of a face as seen by K.L. Defective recognition of this (left) half was found for normal faces, chimaeric faces, and for half-faces presented in isolation, whether upright or inverted. The problem was apparent for both internal and external facial features. Further studies with chimaeric faces demonstrated inattention to left-side features in K.L.'s judgements of facial expression and of resemblance between faces. Moreover, the left-half of a chimaeric face was affected even when it was itself forming part of the face positioned on the right in a display of two horizontally aligned chimaerics. K.L.'s spatial contrast sensitivity function was within normal limits for his age. He did not experience differential difficulty in recognizing the left side of everyday objects or of car-fronts (another stimulus class demanding within-category discrimination between visually similar items that display approximate left-right symmetry). He was also able to sort left or right half-stimuli correctly into the categories "human face", "dog face", or "tree". Although K.L. had a left visual field defect, the problem with faces occurred within otherwise intact parts of his field of vision. We suggest that his disorder can be considered a domain-specific form of unilateral neglect.

Configurational information in face perception

A new facial composites technique is demonstrated, in which photographs of the top and bottom halves of different familiar faces fuse to form unfamiliar faces when aligned with each other. The perception of a novel configuration in such composite stimuli is sufficiently convincing to interfere with identification of the constituent parts (experiment 1), but this effect disappears when stimuli are inverted (experiment 2). Difficulty in identifying the parts of upright composites is found even for stimuli made from parts of unfamiliar faces that have only ever been encountered as face fragments (experiment 3). An equivalent effect is found for composites made from internal and external facial features of well-known people (experiment 4). These findings demonstrate the importance of configurational information in face perception, and that configurations are only properly perceived in upright faces.

Repetition priming of face recognition

Three experiments investigating the priming of the recognition of familiar faces are reported. In Experiment 1, recognizing the face of a celebrity in an “Is this face familiar?” task was primed by exposure several minutes earlier to a different photograph of the same person, but not by exposure to the person's written name (a partial replication of Bruce and Valentine, 1985). In Experiment 2, recognizing the face of a personal acquaintance was again primed by recognizing a different photograph of their face, but not by recognizing the acquaintance from that person's body shape, clothes etc. Experiment 3 showed that maximum repetition priming is obtained from prior exposure to an identical photograph of a famous face, less from a similar photograph, and least (but still significant) from a dissimilar photograph.

We argue that repetition priming is a function of the degree of physical similarity between two stimuli and that lack of priming between different stimulus types (e.g., written names and faces, or bodies and faces) may be attributable to lack of physical similarity between prime and test stimuli. Repetition priming effects may be best explained by some form of “instance-based” model such as that proposed by McClelland and Rumelhart (1985).

Face-name interference

Interference effects between the processing of simultaneously presented photographs of faces of familiar people and printed names of familiar people were investigated. Printed names interfered with identifying faces, whereas faces did not interfere with saying printed names (Experiments 1 and 3). In contrast, faces interfered more with name categorization than names interfered with face categorization (Experiments 2 and 4). Despite a priori reasons as to why faces might be thought to possess functional properties different from those of other visual objects, the observed effects are comparable to those found in object-word interference studies, with photographs of faces behaving like pictures of objects and printed people's names behaving like printed names of objects. In face naming tasks, the presence of related names produced more interference than did the presence of unrelated names (Experiment 1). This effect was examined in greater detail in Experiment 3, where we found that the effect arises when the face and the name belong to people of similar appearance. An effect of common category membership was not found in Experiment 3. Experiment 5, however, showed that names of people highly associated with the person whose face is presented also produce more interference than do names of unrelated people.

Access to identity-specific semantic codes from familiar faces

Information codes that can specify the surface form of a face are contrasted with semantic codes describing the properties of the person to whom the face belongs. Identity-specific semantic codes that specify characteristics of familiar people based on personal knowledge are in turn contrasted with the visually derived semantic codes and expression codes that can be derived even from unfamiliar faces. The idea that familiarity decisions (i.e., categorizing faces as belonging to known or unknown people) can be based on surface form, whereas certain types of semantic decision demand additional access to identity-specific semantic codes was investigated in four experiments. Experiments 1 and 3 showed that decisions based on identity-specific semantic codes (semantic decisions) usually take longer than decisions that do not demand access to an identity-specific semantic code (familiarity decisions). Experiment 2 showed that the use of familiar faces drawn from consistent or mixed categories affected reaction times for semantic decisions but not for familiarity decisions. Experiment 4 showed that semantic decisions to faces are taken more quickly (primed) when the faces have been recently seen, whereas there is no differential effect on semantic decisions to faces from previous semantic decisions involving the same people's names. These findings are consistent with the view that identity-specific semantic codes are accessed via face recognition units, and that outputs from face recognition units (which respond to the face's surface form) can be used as the basis for familiarity decisions.

Naming and categorizing faces and written names

In naming and categorization tasks, subjects were able to name aloud written names faster than photographs of faces, but were usually able to classify faces on familiarity (Experiment 1) or occupation (Experiments 2, 3 and 4) faster than written names. Faces were categorized faster than they were named, but written names were named faster than they could be categorized. Experiment 5 showed that familiar names were named more quickly than “rearranged” names made by exchanging the first and second names of familiar people.

This pattern of findings is consistent with the view that faces can only access name (phonological) codes via an intervening semantic representation, whereas written names can access semantic and name codes in parallel. In this respect, faces show properties similar to those of other visual objects, despite a priori reasons why this might not have been expected to be the case.

Face–name interference

Interference effects between the processing of simultaneously presented photographs of faces of familiar people and printed names of familiar people were investigated. Printed names interfered with identifying faces, whereas faces did not interfere with saying printed names (Experiments 1 and 3). In contrast, faces interfered more with name categorization than names interfered with face categorization (Experiments 2 and 4). Despite a priori reasons as to why faces might be thought to possess functional properties different from those of other visual objects, the observed effects are comparable to those found in object-word interference studies, with photographs of faces behaving like pictures of objects and printed people's names behaving like printed names of objects. In face naming tasks, the presence of related names produced more interference than did the presence of unrelated names (Experiment 1). This effect was examined in greater detail in Experiment 3, where we found that the effect arises when the face and the name belong to people of similar appearance. An effect of common category membership was not found in Experiment 3. Experiment 5, however, showed that names of people highly associated with the person whose face is presented also produce more interference than do names of unrelated people.

Matching familiar and unfamiliar faces on internal and external features

Two experiments are reported in which subjects were asked to match a photograph of a complete face and a simultaneously presented photograph of internal or external features of a face, deciding whether or not the two photographs were pictures of the same person. In experiment 1 'same' pairs were derived from different pictures of the same face, so that subjects had to match the faces and not the particular photographs used. Matches based on internal features were found to be faster for familiar than for unfamiliar faces, whereas there was no difference in reaction time between matches based on the external features of familiar and unfamiliar faces. Faster matching of internal features of familiar faces was found to hold equally for pairs of photographs that differed in orientation of the face or in facial expression. In experiment 2 'same' pairs were derived from the same photographs, which gave subjects the choice of matching on the basis of the features of the depicted faces or matching the photographs. Reaction times were faster than in experiment 1, and there were no differences between familiar and unfamiliar faces. The study confirms reports of differential saliency of the internal features of familiar faces, and shows that this only holds when stimuli are treated as faces. The finding thus reflects properties of structural rather than pictorial codes.

The faces that launched a thousand slips: everyday difficulties and errors in recognizing people

Twenty-two people kept records of difficulties and errors they experienced in recognizing people, producing a main set of 922 records of difficulties and errors collected over a seven-week period, and a subsidiary set of 86 records of experiences in which an encountered person was noticed to resemble a known person in some way(s). These records are classified into different types, and used to develop a model of person recognition in which representational systems create structural descriptions of the encountered person that are submitted to checks for resemblances to known people (by recognition units); any such resemblances can then be used to access person identity information (held in person identity nodes), and then additional information (including the appropriate name) held in separate stores. Outputs from the recognition units and from the person identity nodes go to the rest of the cognitive system, which can be important in taking decisions as to the 'real' identity of an encountered person, and which also has at its disposal various ways of gaining further information that may assist such decisions.

Familiarity decisions for faces presented to the left and right cerebral hemispheres

Right-handed subjects were asked to decide whether or not faces presented briefly in the RVF or in the LVF were familiar (familiar faces were those of famous people). This task avoids the need for extensive semantic processing or temporary storage involved in conventional naming or identification tasks, and thus eliminates the contribution of such factors to any observed asymmetry. The resulting finding of faster reaction times to LVF faces, with no overall visual hemifield difference in error rates, is taken to indicate a right-hemisphere superiority either in the processes used to construct facial representations or in the accessing of face recognition units, or both.

Right cerebral hemisphere superiority for constructing facial representations

Right-handed people were asked to decide whether or not stimuli presented in the left visual hemifield (LVF) or in the right visual hemifield (RVF) were faces. Manual reaction times and error rates were recorded under three conditions. In Condition A, stimuli were line drawings of faces and moderately scrambled nonfaces made by rearranging the facial features. In Condition B, stimuli were line drawings of faces and highly scrambled nonfaces. In Condition C, stimuli were line drawings of faces and objects. The results show that faces are identified more quickly from the LVF than from the RVF in Condition A (faces vs moderately scrambled nonfaces), with no visual hemifield difference in reaction times to Condition B (faces vs highly scrambled nonfaces) and Condition C (faces vs objects). These findings are taken to indicate that both cerebral hemispheres are able to assign stimuli to the "face" category, but the right hemisphere is better than the left hemisphere at constructing facial representations. This cerebral hemisphere difference in ability to construct facial representations becomes evident when a detailed representation is required (as in Condition A).

Cerebral asymmetries in processing proper names: evidence of an efficiency difference

An investigation of the capacities of the cerebral hemispheres to process proper names was conducted using a memory-scanning paradigm. The results indicated that rate at which the test name was compared against the memory set items varied with the visual half-field stimulated. This is interpreted as indicating that both hemispheres employed the same comparison process but that the left hemisphere was more efficient, reflecting a quantitative hemisphere asymmetry.

Asymmetries in face processing: evidence for a right hemisphere perceptual advantage

Investigation of lateral performance asymmetries in the early stages of face processing was conducted using a task which avoided the need either to memorise or to compare two faces. Subjects were merely required to decide whether or not a laterally presented stimulus constituted a face. Analysis of the latencies indicated a LVF advantage for this task which is interpreted, in conjunction with the evidence from patients suffering from prosopagnosia, as indicating a right hemisphere superiority in synthesizing facial percepts.

Copolymerization Theory of the Vulcanization of Rubber. VI. Hydrogen Sulfide Effects and Some Self-Limiting Features

Vulcanization with sulfur is ascribed to the formation of sulfur radicals, which are believed to copolymerize with the double bonds of the rubber molecule. Hydrogen sulfide is proposed as necessary for chain initiation, but, when formed in sufficient amounts, it serves as a chain terminator. This is believed to lead to numerous self-limiting features, including ceiling temperatures, postvulcanization, and delayed-action effects. Initiation may result from the oxidation of H2S to sulfur radicals, and termination to the formation of HS radicals.

The Brabender Plastograph in the Rubber Laboratory

With suitable modifications the Brabender plastograph can be used to advantage in studying, on a small scale, the factors which influence the changes in consistency of rubbers during their mastication. Typical results reported herein show that the temperature coefficient of the rate of breakdown for natural rubber is 1.47 and for GR-S, 1.36. The rate of softening of butadiene-styrene copolymers is shown to depend, among other factors, on the original consistency of the rubber and the type of modifier used in polymerization. The influence of commercial peptizing agents on the rate of softening of natural rubber, GR-S, and GR-I at 150° C is shown. The reproducibility of the mastication test was found to be good.