Picture Onset Research Articles

The Concise Language Paradigm (CLaP), a framework for studying the intersection of comprehension and production: electrophysiological properties.

Studies investigating language commonly isolate one modality or process, focusing on comprehension or production. Here, we present a framework for a paradigm that combines both: the Concise Language Paradigm (CLaP), tapping into comprehension and production within one trial. The trial structure is identical across conditions, presenting a sentence followed by a picture to be named. We tested 21 healthy speakers with EEG to examine three time periods during a trial (sentence, pre-picture interval, picture onset), yielding contrasts of sentence comprehension, contextually and visually guided word retrieval, object recognition, and naming. In the CLaP, sentences are presented auditorily (constrained, unconstrained, reversed), and pictures appear as normal (constrained, unconstrained, bare) or scrambled objects. Imaging results revealed different evoked responses after sentence onset for normal and time-reversed speech. Further, we replicated the context effect of alpha-beta power decreases before picture onset for constrained relative to unconstrained sentences, and could clarify that this effect arises from power decreases following constrained sentences. Brain responses locked to picture-onset differed as a function of sentence context and picture type (normal vs. scrambled), and naming times were fastest for pictures in constrained sentences, followed by scrambled picture naming, and equally fast for bare and unconstrained picture naming. Finally, we also discuss the potential of the CLaP to be adapted to different focuses, using different versions of the linguistic content and tasks, in combination with electrophysiology or other imaging methods. These first results of the CLaP indicate that this paradigm offers a promising framework to investigate the language system.

Task-related modulation of motor response to emotional bodies: A TMS motor-evoked potential study

Exposure to emotional body postures during perceptual decision-making tasks has been linked to transient suppression of motor reactivity, supporting the monitoring of emotionally relevant information. However, it remains unclear whether this effect occurs implicitly, i.e., when emotional information is irrelevant to the task. To investigate this issue, we used single-pulse transcranial magnetic stimulation (TMS) to assess motor excitability while healthy participants were asked to categorize pictures of body expressions as emotional or neutral (emotion recognition task) or as belonging to a male or a female actor (gender recognition task) while receiving TMS over the motor cortex at 100 and 125 ms after picture onset. Results demonstrated that motor-evoked potentials (MEPs) were reduced for emotional body postures relative to neutral postures during the emotion recognition task. Conversely, MEPs increased for emotional body postures relative to neutral postures during the gender recognition task. These findings indicate that motor inhibition, contingent upon observing emotional body postures, is selectively associated with actively monitoring emotional features. In contrast, observing emotional body postures prompts motor facilitation when task-relevant features are non-emotional. These findings contribute to embodied cognition models that link emotion perception and action tendencies.

Validity of chronometric TMS for probing the time-course of word production: a modified replication.

In the present study, we used chronometric TMS to probe the time-course of 3 brain regions during a picture naming task. The left inferior frontal gyrus, left posterior middle temporal gyrus, and left posterior superior temporal gyrus were all separately stimulated in 1 of 5 time-windows (225, 300, 375, 450, and 525ms) from picture onset. We found posterior temporal areas to be causally involved in picture naming in earlier time-windows, whereas all 3 regions appear to be involved in the later time-windows. However, chronometric TMS produces nonspecific effects that may impact behavior, and furthermore, the time-course of any given process is a product of both the involved processing stages along with individual variation in the duration of each stage. We therefore extend previous work in the field by accounting for both individual variations in naming latencies and directly testing for nonspecific effects of TMS. Our findings reveal that both factors influence behavioral outcomes at the group level, underlining the importance of accounting for individual variations in naming latencies, especially for late processing stages closer to articulation, and recognizing the presence of nonspecific effects of TMS. The paper advances key considerations and avenues for future work using chronometric TMS to study overt production.

Neurophysiology of predictable unpleasant event processing in preadolescents and early adolescents, part I: Event-related potential markers of unpleasant image anticipation and processing.

The ability to anticipate and process predictable unpleasant events, while also regulating emotional reactivity, is an adaptive skill. The current article and a companion in this issue test for potential changes in predictable event processing across the childhood-to-adolescence transition, a key developmental period for biological systems that support cognitive/emotional abilities. While the companion article focuses on emotion regulation and peripheral attention modulation in predictable unpleasant contexts, the current paper presents neurophysiological markers of predictable event processing itself. 315 third-, sixth-, or ninth-grade individuals saw 5-s cues predicting "scary," "every day," or uncertain image content; in this paper, cue- and picture-locked event-related potentials (ERPs) are analyzed. During the cue, early ERP positivities were increased and later slow-wave negativities were reduced when predicted content was scary as compared with mundane. After picture onset, a picture processing-related positivity was then increased for scary compared with everyday images regardless of predictability. Cue-interval data suggest enhanced processing of scary cues and reduced anticipatory processing of scary images-opposite to adults. After event onset, meanwhile, emotional ERP enhancement regardless of predictability is similar to adults and suggests that even preadolescent individuals maintain preferential engagement with unpleasant events when they are predictable.

Neurophysiology of predictable unpleasant event processing in pre-adolescents and early adolescents, part II: Reflex and event-related potential markers of defensive reactivity and peripheral attention modulation.

The ability to anticipate and process predictable unpleasant events, while also regulating emotional reactivity, is an adaptive skill. The current article and a companion in this issue test for potential changes in predictable event processing across the childhood-to-adolescence transition, a key developmental period for biological systems that support cognitive/ emotional abilities. While the companion article focuses on neurophysiology of predictable event processing itself, the present article examines peripheral emotional response regulation and attention modulation that coincides with event processing. A total of 315 third-, sixth-, or ninth-grade individuals saw 5-s cues predicting "scary," "every day," or uncertain pictures, and here, blink reflexes and brain event-related potentials (ERPs) elicited by peripheral noise probes are analyzed. During the cue, blink reflexes and probe ERP (P200) amplitudes were increased when the cue predicted scary, compared to everyday, content. After picture onset, reflex enhancement by scary content then disappeared for predictable images, whereas ERP modulation was similar regardless of predictability. Patterns are similar to those in adults and suggest (1) sustained defensive response priming and enhancement of peripheral attention during aversive anticipation, and (2) an ability, even in pre-adolescents, to downregulate defensive priming while maintaining attentional modulation once an awaited predictable aversive event occurs.

450 A Shared Cortical Language Network for Multimodal Naming

INTRODUCTION: Surgical resections for epilepsy or neoplasms often result in naming deficits. While various brain regions are hypothesized to support separable processes, the language network and its functional mapping to naming remain unclear. However, such knowledge could improve the localization of critical brain regions to preserve language function. METHODS: Data were obtained from epilepsy patients who underwent invasive electrophysiology. Recordings were acquired during three cued-naming tasks using pictures (n = 120), auditory descriptions (n = 82), and orthographic descriptions (n = 68). High-gamma power (65-115Hz) was used to measure activity, and group-level activity was estimated using surface-based mixed-effects multilevel analysis. RESULTS: Analyses showed left-lateralized heteromodal activity in the inferior frontal gyrus (IFG), the middle fusiform gyrus (mFus), and the intraparietal sulcus (IPS) following sensory processing. Activation of mFus peaked 150ms before stimulus offset for auditory (15.2%, p < 10-6) and orthographic (21.4%, p < 10-6) naming and 350ms after picture onset (39.0%, p < 10-6) for visual naming. IPS activation peaked just before stimulus offset for auditory (38.1%, p = 7.7*10-5) and orthographic (27.5%, p = 0.008) naming and 450ms following picture onset (43.0%, p < 10-6) for visual naming. IFG activation peaked just before stimulus offset for auditory (30.1%, p < 10-6) and orthographic (40.1%, p = 10-6) naming and 500ms after picture onset (36.4%, p < 10-6) for visual naming. The left posterior middle temporal gyrus (pMTG) showed heteromodal activity for auditory and orthographic but not visual stimuli with peak activation occurring before convergence of all tasks 250ms before stimulus offset (auditory = 34.1%, p < 10-6;orthographic = 25.5%, p = 0.0035). CONCLUSIONS: These results reveal a heteromodal network of IFG, mFus, and IPS supporting lexical access. Our findings also implicate the role of pMTG in phonological access. Altogether, this work characterizes the roles of key regions within language networks, which could influence surgical approaches to minimize postoperative language deficits.

Electrophysiological signature of the interplay between habits and inhibition in response to smoking-related cues in individuals with a smoking habit: An event-related potential study.

The rigid, stimulus-bound nature of drug seeking that characterizes substance use disorder (SUD) has been related to a dysregulation of motivational and early attentional reflexive and inhibitory reflective systems. However, the mechanisms by which these systems are engaged by drug-paired conditioned stimuli (CSs) when they promote the enactment of seeking habits in individuals with a SUD have not been elucidated. The present study aimed behaviourally and electrophysiologically to characterize the nature of the interaction between the reflexive and reflective systems recruited by CSs in individuals with a smoking habit. We measured the behavioural performance and associated event-related potentials (ERPs) of 20 individuals with a smoking habit and 20 controls, who never smoked regularly, in a modified Go/NoGo task during which smoking-related CSs, appetitive and neutral pictures, presented either in first or third-person visual perspective were displayed 250 ms before the Go/NoGo cue. We show that smoking-related cues selectively influence early incentive motivation-related attention bias (N2 after picture onset), motor readiness and behavioural inhibition (Go-P3, NoGo-P3 and Pc) of individuals with a smoking habit only when presented from a first-person visual perspective. These data together identify the neural signature of the aberrant engagement of the reflexive and reflective systems during the recruitment of an incentive habit by CSs presented as if they had been response-produced, that is, as conditioned reinforcers.

Did you get the joke? Physiological, subjective and behavioral responses to mirth.

Mirth is elicited by the perception of humor, which requires the resolution of an incongruity in an unexpected and playful manner. Previous psychophysiological research using affective pictures is scarce, and did not elucidate the cognitive and affective components of the humor process. In this study, the passive viewing paradigm is applied to mirthful, incongruent, neutral and erotic pictures to characterize the emotional response of mirth. Physiological (zygomaticus major [ZM] activity, skin conductance response [SCR] and heart rate [HR]), behavioral (free viewing time) and subjective responses (mirthful ratings) were recorded from 63 participants. The presence of an inflection change in the ZM response and mirthfulness ratings were used as markers of humor comprehension. Participants showed the greatest ZM and HR in response to mirthful compared to incongruent, erotic and neutral pictures, as well as a stronger SCR response to mirthful compared to incongruent and neutral pictures. The overall results shed light on the temporal course of the humor process, suggesting that humor comprehension (cognitive component) occurred around 1000-1500 ms after picture onset, according to the ZM and SCR responses; and the humor appreciation stage (emotional component) occurred at around 3500 ms after stimulus onset, according to the HR and SCR changes. Moreover, marked interindividual variability was observed in the number of smiles, and in the pictures that provoked them. This points to the complexity of the humor process, and suggests the need to develop methods to elicit mirth and elucidate the factors potentially underlying individual differences in humor.

Heart Rate as a Correlate for the Emotional Processing of Body Stimuli in Anorexia Nervosa.

In anorexia nervosa, aberrant emotional reactions toward body stimuli have been discussed. We investigated heart rate as a physiological marker when viewing body stimuli and hypothesized altered HR reactions toward those highly significant and emotional stimuli in anorexia nervosa. In total, 37 anorexia nervosa patients and 43 control participants viewed pictures of women of five different weight categories, while their cardiac activity was recorded. R-R intervals following picture onset were determined, and means were calculated for three distinct time periods. The overall change in HR relative to baseline across all picture categories was greater in the patient group than in the control group (significant effect of "group", p = 0.002, partial η2 = 0.120). A significant decrease in HR 2 to 8 s after picture presentation was found for pictures of women of extreme weight in both participant groups (significant "category ∗ time segment interaction", p = 0.01, partial η2 = 0.037) and correlated with scores of sociocultural attitudes toward the appearance for the extremely underweight category (r = -0.33, p = 0.005). Therefore, differential HR reactions for anorexia nervosa patients and control participants were found for body stimuli in general. The highest HR decelerations in response to pictures of strongly underweight and overweight women may reflect emotional processes such as anxiety due to social comparison.

On the latency of object recognition and affect: Evidence from temporal order and simultaneity judgments.

According to the semantic primacy hypothesis of emotion generation, stimuli must be semantically categorized to evoke emotions. This hypothesis was tested for the subjective component of emotions in four chronometric experiments in which the conscious recognition of emotion-eliciting objects and the onset of affect was timed using temporal order judgments (TOJs, Exp. 1a, 1b, and 3) and simultaneity judgments (SJs, Exp. 2). Participants viewed pictures that elicited pleasant or unpleasant feelings. At varying intervals before and after picture onset, a visual probe stimulus was presented. In separate blocks of trials, the participants judged when they recognized the object shown in the picture and noticed the feeling evoked by the picture: Before or after the probe (TOJs), or simultaneously/not simultaneously with the probe (SJs). Psychometric functions were fitted to the data of the individual participants to determine the point of subjective simultaneity (PSS) of the target events and the probe. In both tasks, the mean PSS of affect occurred significantly later than the PSS of object recognition, with an average delay of about 120 ms. A positive lag between object recognition and affect was found for nearly all participants and pictures. In addition, the latencies of object recognition and affect were positively correlated. The found temporal order of object recognition and affect is consistent with the findings of previous studies using speeded reaction time tasks. Implications of the findings for the cognition-emotion debate and for bodily feedback theories of emotional experience are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

The time course of lexical and sublexical phonological activation in Chinese written production

The time course of sublexical processing in written production is scarcely investigated due to transparent sound-to-spelling correspondence in most alphabetical languages. By taking advantage of the opaque orthography of Chinese, we were able to dissociatively manipulate sublexical relatedness and lexical relatedness in a picture-word interference task. The ERP technique was also used to provide a fine-grained time course of sublexical processing. Participants were asked to handwrite picture names while ignoring distractors overlain on the pictures. Distractors were phonologically related to the picture names (lexically related), phonologically related to the phonetic radicals of picture names (sublexically related), or unrelated to picture names. ERP results revealed that sublexical relatedness affected ERPs in the time window of 370–470 ms after picture onset, which was later than the early time window (200–260 ms) of the effect of lexical relatedness. We suggest that the sublexical phonological activation happens in the stages of sublexical POC procedure and/or the graphemic output buffer in written production. The relatively later time window of the sublexical effect is consistent with the later loci of the sublexical processes in the model of written production.

Decoding the temporal dynamics of affective scene processing

Natural images containing affective scenes are used extensively to investigate the neural mechanisms of visual emotion processing. Functional fMRI studies have shown that these images activate a large-scale distributed brain network that encompasses areas in visual, temporal, and frontal cortices. The underlying spatial and temporal dynamics, however, remain to be better characterized. We recorded simultaneous EEG-fMRI data while participants passively viewed affective images from the International Affective Picture System (IAPS). Applying multivariate pattern analysis to decode EEG data, and representational similarity analysis to fuse EEG data with simultaneously recorded fMRI data, we found that: (1) ∼80 ms after picture onset, perceptual processing of complex visual scenes began in early visual cortex, proceeding to ventral visual cortex at ∼100 ms, (2) between ∼200 and ∼300 ms (pleasant pictures: ∼200 ms; unpleasant pictures: ∼260 ms), affect-specific neural representations began to form, supported mainly by areas in occipital and temporal cortices, and (3) affect-specific neural representations were stable, lasting up to ∼2 s, and exhibited temporally generalizable activity patterns. These results suggest that affective scene representations in the brain are formed temporally in a valence-dependent manner and may be sustained by recurrent neural interactions among distributed brain areas.

Neural reactivity to affective stimuli and internalizing symptom dimensions in a transdiagnostic patient sample.

Internalizing psychopathologies (IPs) are highly comorbid and exhibit substantial overlap, such as aberrant affective reactivity. Neural reactivity to emotional images, measured via the late positive potential (LPP) event-related potential (ERP) component, has been utilized to index affective reactivity in IPs. The LPP is often examined in isolation with a specific disorder, ignoring overlap between IPs. The current study examined how transdiagnostic IP symptom dimensions relate to neural affective reactivity in a highly comorbid patient sample. Participants (N = 99) completed a battery of IP symptom assessments as well as a target categorization task while viewing pleasant, unpleasant, and neutral images during electroencephalography recording. ERPs to each image valence were averaged from 400 to 1000 ms following picture onset at pooled centroparietal and occipital electrodes to calculate the LPP. A principal components analysis performed on the IP symptom measures resulted in two factors: affective distress/misery and fear-based anxiety. Fear-based anxiety was associated with enhanced LPP reactivity to unpleasant, but not pleasant, images. Distress/misery was related to attenuated average LPP reactivity across images. Results revealed a dissociable effect of IP symptom factors in a transdiagnostic sample such that enhanced reactivity to negative images was specific to enhanced fear-based anxiety symptoms while distress/misery symptoms predicted blunted affective reactivity. Neural affective reactivity may serve as an objective biological marker to elucidate the nature of psychological concerns in individuals with comorbid IPs.

The Time Course of Language Production as Revealed by Pattern Classification of MEG Sensor Data.

Language production involves a complex set of computations, from conceptualization to articulation, which are thought to engage cascading neural events in the language network. However, recent neuromagnetic evidence suggests simultaneous meaning-to-speech mapping in picture naming tasks, as indexed by early parallel activation of frontotemporal regions to lexical semantic, phonological, and articulatory information. Here we investigate the time course of word production, asking to what extent such “earliness” is a distinctive property of the associated spatiotemporal dynamics. Using MEG, we recorded the neural signals of 34 human subjects (26 males) overtly naming 134 images from four semantic object categories (animals, foods, tools, clothes). Within each category, we covaried word length, as quantified by the number of syllables contained in a word, and phonological neighborhood density to target lexical and post-lexical phonological/phonetic processes. Multivariate pattern analyses searchlights in sensor space distinguished the stimulus-locked spatiotemporal responses to object categories early on, from 150 to 250 ms after picture onset, whereas word length was decoded in left frontotemporal sensors at 250-350 ms, followed by the latency of phonological neighborhood density (350-450 ms). Our results suggest a progression of neural activity from posterior to anterior language regions for the semantic and phonological/phonetic computations preparing overt speech, thus supporting serial cascading models of word production.SIGNIFICANCE STATEMENT Current psycholinguistic models make divergent predictions on how a preverbal message is mapped onto articulatory output during the language planning. Serial models predict a cascading sequence of hierarchically organized neural computations from conceptualization to articulation. In contrast, parallel models posit early simultaneous activation of multiple conceptual, phonological, and articulatory information in the language system. Here we asked whether such earliness is a distinctive property of the neural dynamics of word production. The combination of the millisecond precision of MEG with multivariate pattern analyses revealed subsequent onset times for the neural events supporting semantic and phonological/phonetic operations, progressing from posterior occipitotemporal to frontal sensor areas. The findings bring new insights for refining current theories of language production.

Auditory enhancement of visual searches for event scenes.

Increasing research has revealed that uninformative spatial sounds facilitate the early processing of visual stimuli. This study examined the crossmodal interactions of semantically congruent stimuli by assessing whether the presentation of event-related characteristic sounds facilitated or interfered with the visual search for corresponding event scenes in pictures. The search array consisted of four images: one target and three non-target pictures. Auditory stimuli were presented to participants in synchronization with picture onset using three types of sounds: a sound congruent with a target, a sound congruent with a distractor, or a control sound. The control sound varied across six experiments, alternating between a sound unrelated to the search stimuli, white noise, and no sound. Participants were required to swiftly localize a target position while ignoring the sound presentation. Visual localization resulted in rapid responses when a sound that was semantically related to the target was played. Furthermore, when a sound was semantically related to a distractor picture, the response times were longer. When the distractor-congruent sound was used, participants incorrectly localized the distractor position more often than at the chance level. These findings were replicated when the experiments ruled out the possibility that participants would learn picture-sound pairs during the visual tasks (i.e., the possibility of brief training during the experiments). Overall, event-related crossmodal interactions occur based on semantic representations, and audiovisual associations may develop as a result of long-term experiences rather than brief training in a laboratory.

Social reward from giving food to others affects food craving and brain potentials: An imagery-based event-related potential study

The interactions between social and eating behaviors can be quite pronounced and are mediated by overlapping neural circuits. The present event-related potential study tested whether the imagery of a specific prosocial behavior (giving chocolates to grateful children) can influence food cue reactivity. A total of 92 females (mean age = 23.5 years) were randomly assigned to one of three guided imagery conditions. The participants listened to an audio recording and were instructed to imagine one of three possible scenes; giving 30 M&Ms to children, eating 30 M&Ms, or sorting 30 marbles. Directly after the imagery task, the participants were presented with images of M&Ms and marbles while their electroencephalogram was recorded. We examined the Late Positive Potential (LPP) across a fronto-central and a parieto-occipital cluster, M&M craving, and subsequent consumption of (real) M&Ms. The mental imagery of offering M&Ms to children was associated with lower M&M craving and higher fronto-central LPP amplitudes (300–600 ms after picture onset) compared to the other imagery conditions. The consumption of M&Ms did not differ between the groups. The LPP is sensitive to the implementation of craving regulation strategies. Furthermore, heightened LPPs are reliably observed in response to motivationally significant stimuli, conflict, and social context. Future studies are needed to specify the specific psychological processes that are associated with the observed LPP effect. In conclusion, this study demonstrated that mental imagery of receiving a social reward from giving food to others can change components of food cue reactivity in healthy females.

Early Right Motor Cortex Response to Happy and Fearful Facial Expressions: A TMS Motor-Evoked Potential Study.

The ability to rapidly process others’ emotional signals is crucial for adaptive social interactions. However, to date it is still unclear how observing emotional facial expressions affects the reactivity of the human motor cortex. To provide insights on this issue, we employed single-pulse transcranial magnetic stimulation (TMS) to investigate corticospinal motor excitability. Healthy participants observed happy, fearful and neutral pictures of facial expressions while receiving TMS over the left or right motor cortex at 150 and 300 ms after picture onset. In the early phase (150 ms), we observed an enhancement of corticospinal excitability for the observation of happy and fearful emotional faces compared to neutral expressions specifically in the right hemisphere. Interindividual differences in the disposition to experience aversive feelings (personal distress) in interpersonal emotional contexts predicted the early increase in corticospinal excitability for emotional faces. No differences in corticospinal excitability were observed at the later time (300 ms) or in the left M1. These findings support the notion that emotion perception primes the body for action and highlights the role of the right hemisphere in implementing a rapid and transient facilitatory response to emotional arousing stimuli, such as emotional facial expressions.

Electrophysiological signatures of conceptual and lexical retrieval from semantic memory

Retrieval from semantic memory of conceptual and lexical information is essential for producing speech. It is unclear whether there are differences in the neural mechanisms of conceptual and lexical retrieval when spreading activation through semantic memory is initiated by verbal or nonverbal settings. The same twenty participants took part in two EEG experiments. The first experiment examined conceptual and lexical retrieval following nonverbal settings, whereas the second experiment was a replication of previous studies examining conceptual and lexical retrieval following verbal settings. Target pictures were presented after constraining and nonconstraining contexts. In the nonverbal settings, contexts were provided as two priming pictures (e.g., constraining: nest, feather; nonconstraining: anchor, lipstick; target picture: BIRD). In the verbal settings, contexts were provided as sentences (e.g., constraining: “The farmer milked a …“; nonconstraining: “The child drew a …“; target picture: COW). Target pictures were named faster following constraining contexts in both experiments, indicating that conceptual preparation starts before target picture onset in constraining conditions. In the verbal experiment, we replicated the alpha-beta power decreases in constraining relative to nonconstraining conditions before target picture onset. No such power decreases were found in the nonverbal experiment. Power decreases in constraining relative to nonconstraining conditions were significantly different between experiments. Our findings suggest that participants engage in conceptual preparation following verbal and nonverbal settings, albeit differently. The retrieval of a target word, initiated by verbal settings, is associated with alpha-beta power decreases. By contrast, broad conceptual preparation alone, prompted by nonverbal settings, does not seem enough to elicit alpha-beta power decreases. These findings have implications for theories of oscillations and semantic memory.

A clinical epidemiological onsite study of a massive outbreak of Scombroid fish poisoning after consumption of yellowtail kingfish in northern Chile

Scombroid fish poisoning (SFP) is an acute illness caused by the consumption of poorly preserved fish containing high levels of histamine. Symptoms develop within 1-2 h, with gastrointestinal, dermatologic, and cardiopulmonary manifestations. The diagnosis relies exclusively on the clinical picture. To describe an onsite clinical-epidemiological study of a massive outbreak of SFP occurring in Chile. Descriptive study of an outbreak occurring in a closed Convention Center after lunch with Chilean Palometa or Seriola lalandi (Yellowtail kingfish). An Onsite questionnaire was answered by all attendants within 24 h. Local health officials supervised the place with a second survey and sample recollection of suspected fish. Eighty-three adults attended the event, of which 81 ate fish. Mean age: 58.5 years old, 82.7% women. The symptomatic attack rate of people eating suspected poisoned fish was 79% (64 out of 81 participants). Most common symptoms included: diarrhea (68%); headache (64%); flushing (64%) and diffuse redness (56%). Mean incubation period: 77 min (30-240 min). 98.4% of patients recovered within 10 h. Ten patients were referred to the emergency room, but none were admitted. There was a presumption of loss of refrigeration in the handling of fish, and confirmation of SFP by clinical basis, incubation period and attack rate. Fish was the only food item associated with illness (Odds ratio: 19, p = 0.014; Fisher two tails). This is one of the 5 largest outbreaks of SFP with fresh fish, ever reported in the literature. The clinical picture and rapid onset of symptoms made it possible to suspect SFP allowing timely management of patients. It is relevant to spread the knowledge about this underdiagnosed and underreported syndrome.

Semantic word integration in children with cochlear implants: electrophysiological evidence

ABSTRACT Differential auditory experiences of children with hearing-loss who receive cochlear implants (CIs) may influence the integration of lexical and conceptual information. Here we measured event-related potentials during a word-picture priming task in CI-using children (n = 29, mean age = 81 months) and typically-hearing children (n = 19, mean age = 75 months) while they viewed audiovisual-word primes and picture targets that were semantically congruent or incongruent. In both groups, semantic relatedness modulated ERP amplitude 300–500 ms after picture onset, signifying an N400 semantic effect. Critically, the CI-using children’s responses to unrelated pairs were significantly more negative than hearing children’s responses. Group differences were mirrored in an earlier 150–275 ms time window associated with a P2 response. The present findings suggest attentional and/or strategic differences impact semantic processing and contribute to the N400 differences observed between groups.