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Biomedical subjects

Linda Jeffery

Publications and source records attributed to Linda Jeffery.

9 recordsLinked to original sources

[Medication errors on hospital admission].

INTRODUCTION: This study investigated the number of medication errors on hospital admission and the clinical relevance of these errors. The new personal electronic medicine profile (PEM) was tested to establish whether it can contribute further information about the patient's medication on admission. MATERIALS AND METHODS: This cross-sectional study included patients admitted to an acute medical admissions ward. In addition to the ward's usual admission procedure, a clinical pharmacist created an extra medication history by carrying out semi-structured interviews and obtaining additional information from the patient's GP. Information was then obtained from the PEM. A clinical expert panel assessed the potential clinical relevance of the discrepancies. RESULTS: Of 67 patients admitted, 48 were interviewed. The patients' average age was 71, and they used an average of 6.4 medications each. There were 309 prescriptions registered, producing 85 errors: the extra medication history highlighted 73 of these errors, and the subsequent check of the PEM revealed a further 12 errors. Thirty-three patients (69%) were affected by one or more errors, of which the expert panel considered six (18%) to be potentially serious. CONCLUSION: Medication errors on admission to hospital reduce the quality of treatment and can lead to adverse events. The PEM cannot replace the traditional medication history, but the use of a PEM and the increased focus on medication histories can contribute to an improved hospital stay.

Adult↗

Adaptive norm-based coding of facial identity.

Identification of a face is facilitated by adapting to its computationally opposite identity, suggesting that the average face functions as a norm for coding identity [Leopold, D. A., O'Toole, A. J., Vetter, T., & Blanz, V. (2001). Prototype-referenced shape encoding revealed by high-level aftereffects. Nature Neuroscience, 4, 89-94; Leopold, D. A., Rhodes, G., Müller, K. -M., & Jeffery, L. (2005). The dynamics of visual adaptation to faces. Proceedings of the Royal Society of London, Series B, 272, 897-904]. Crucially, this interpretation requires that the aftereffect is selective for the opposite identity, but this has not been convincingly demonstrated. We demonstrate such selectivity, observing a larger aftereffect for opposite than non-opposite adapt-test pairs that are matched on perceptual contrast (dissimilarity). Component identities were also harder to detect in morphs of opposite than non-opposite face pairs. We propose an adaptive norm-based coding model of face identity.

Adaptation, Physiological↗

View-specific coding of face shape.

Monkey and human cortex contain view-specific face neurons, but it remains unclear whether they code face shape. We tested the view specificity of face-shape coding by inducing figural face aftereffects at one viewpoint (3/4 left) and testing generalization to different viewpoints (front view and 3/4 right). The aftereffects were induced by adaptation to consistent figural distortions (contracted or expanded), which shifts the distortion perceived as most normal toward the adapting distortion. The strong aftereffect that was observed at the adapting view was significantly and substantially reduced for both front-view test faces and mirror-image (3/4 right) test faces, indicating view specificity. The limited transfer across mirror views is strong evidence of view specificity, given their figural similarity. The aftereffects survived a size change between adaptation and test faces (Experiment 2), a result that rules out low-level adaptation as an explanation. These results provide strong evidence that face-shape coding is view-specific.

Face↗

The dynamics of visual adaptation to faces.

Several recent demonstrations using visual adaptation have revealed high-level aftereffects for complex patterns including faces. While traditional aftereffects involve perceptual distortion of simple attributes such as orientation or colour that are processed early in the visual cortical hierarchy, face adaptation affects perceived identity and expression, which are thought to be products of higher-order processing. And, unlike most simple aftereffects, those involving faces are robust to changes in scale, position and orientation between the adapting and test stimuli. These differences raise the question of how closely related face aftereffects are to traditional ones. Little is known about the build-up and decay of the face aftereffect, and the similarity of these dynamic processes to traditional aftereffects might provide insight into this relationship. We examined the effect of varying the duration of both the adapting and test stimuli on the magnitude of perceived distortions in face identity. We found that, just as with traditional aftereffects, the identity aftereffect grew logarithmically stronger as a function of adaptation time and exponentially weaker as a function of test duration. Even the subtle aspects of these dynamics, such as the power-law relationship between the adapting and test durations, closely resembled that of other aftereffects. These results were obtained with two different sets of face stimuli that differed greatly in their low-level properties. We postulate that the mechanisms governing these shared dynamics may be dissociable from the responses of feature-selective neurons in the early visual cortex.

Face↗

Attractiveness of own-race, other-race, and mixed-race faces.

Averaged face composites, which represent the central tendency of a familiar population of faces, are attractive. If this prototypicality contributes to their appeal, then averaged composites should be more attractive when their component faces come from a familiar, own-race population than when they come from a less familiar, other-race population. We compared the attractiveness of own-race composites, other-race composites, and mixed-race composites (where the component faces were from both races). In experiment 1, Caucasian participants rated own-race composites as more attractive than other-race composites, but only for male faces. However, mixed-race (Caucasian/Japanese) composites were significantly more attractive than own-race composites, particularly for the opposite sex. In experiment 2, Caucasian and Japanese participants living in Australia and Japan, respectively, selected the most attractive face from a continuum with exaggerated Caucasian characteristics at one end and exaggerated Japanese characteristics at the other, with intervening images including a Caucasian averaged composite, a mixed-race averaged composite, and a Japanese averaged composite. The most attractive face was, again, a mixed-race composite, for both Caucasian and Japanese participants. In experiment 3, Caucasian participants rated individual Eurasian faces as significantly more attractive than either Caucasian or Asian faces. Similar results were obtained with composites. Eurasian faces and composites were also rated as healthier than Caucasian or Asian faces and composites, respectively. These results suggest that signs of health may be more important than prototypicality in making average faces attractive.

Asian People↗

Orientation-contingent face aftereffects and implications for face-coding mechanisms.

Humans have an impressive ability to discriminate between faces despite their similarity as visual patterns. This expertise relies on configural coding of spatial relations between face features and/or holistic coding of overall facial structure. These expert face-coding mechanisms appear to be engaged most effectively by upright faces, with inverted faces engaging primarily feature-coding mechanisms. We show that opposite figural aftereffects can be induced simultaneously for upright and inverted faces, demonstrating that distinct neural populations code upright and inverted faces. This result also suggests that expert (upright) face-coding mechanisms can be selectively adapted. These aftereffects occur for judgments of face normality and face gender and are robust to changes in face size, ruling out adaptation of low-level, retinotopically organized coding mechanisms. Our results suggest a resolution of a paradox in the face recognition literature. Neuroimaging studies have found surprisingly little orientation selectivity in the fusiform face area (FFA) despite evidence that this region plays a role in expert face coding and that expert face-coding mechanisms are selectively engaged by upright faces. Our results, demonstrating orientation-contingent adaptation of face-coding mechanisms, suggest that the FFA's apparent lack of orientation selectivity may be an artifact of averaging across distinct populations within the FFA that respond to upright and inverted faces.

Adult↗

Components of the DNA methylation system of chromatin control are RNA-binding proteins.

The view that autosomal gene expression is controlled exclusively by protein trans-acting factors has been challenged recently by the identification of RNA molecules that regulate chromatin. In the majority of cases where RNA molecules are implicated in DNA control, the molecular mechanisms are unknown, in large part because the RNA.protein complexes are uncharacterized. Here, we identify a novel set of RNA-binding proteins that are well known for their function in chromatin regulation. The RNA-interacting proteins are components of the mammalian DNA methylation system. Genomic methylation controls chromatin in the context of transposon silencing, imprinting, and X chromosome dosage compensation. DNA methyltransferases (DNMTs) catalyze methylation of cytosines in CGs. The methyl-CGs are recognized by methyl-DNA-binding domain (MBD) proteins, which recruit histone deacetylases and chromatin remodeling proteins to effect silencing. We show that a subset of the DNMTs and MBD proteins can form RNA.protein complexes. We characterize the MBD protein RNA-binding activity and show that it is distinct from the methyl-CG-binding domain and mediates a high affinity interaction with RNA. The RNA and methyl-CG binding properties of the MBD proteins are mutually exclusive. We speculate that DNMTs and MBD proteins allow RNA molecules to participate in DNA methylation-mediated chromatin control.

Animals↗

Fitting the mind to the world: face adaptation and attractiveness aftereffects.

Average faces are attractive, but what is average depends on experience. We examined the effect of brief exposure to consistent facial distortions on what looks normal (average) and what looks attractive. Adaptation to a consistent distortion shifted what looked most normal, and what looked most attractive, toward that distortion. These normality and attractiveness aftereffects occurred when the adapting and test faces differed in orientation by 90 degrees (+45 degrees vs. -45 degrees ), suggesting adaptation of high-level neurons whose coding is not strictly retino- topic. Our results suggest that perceptual adaptation can rapidly recalibrate people's preferences to fit the faces they see. The results also suggest that average faces are attractive because of their central location in a distribution of faces (i.e., prototypicality), rather than because of any intrinsic appeal of particular physical characteristics. Recalibration of preferences may have important consequences, given the powerful effects of perceived attractiveness on person perception, mate choice, social interactions, and social outcomes for individuals.

Choice Behavior↗

Are average and symmetric faces attractive to infants? Discrimination and looking preferences.

Young infants prefer to look at faces that adults find attractive, suggesting a biological basis for some face preferences. However, the basis for infant preferences is not known. Adults find average and symmetric faces attractive. We examined whether 5-8-month-old infants discriminate between different levels of averageness and symmetry in faces, and whether they prefer to look at faces with higher levels of these traits. Each infant saw 24 pairs of female faces. Each pair consisted of two versions of the same face differing either in averageness (12 pairs) or symmetry (12 pairs). Data from the mothers confirmed that adults preferred the more average and more symmetric versions in each pair. The infants were sensitive to differences in both averageness and symmetry, but showed no looking preference for the more average or more symmetric versions. On the contrary, longest looks were significantly longer for the less average versions, and both longest looks and first looks were marginally longer for the less symmetric versions. Mean looking times were also longer for the less average and less symmetric versions, but those differences were not significant. We suggest that the infant looking behaviour may reflect a novelty preference rather than an aesthetic preference.

Adult↗