Two-staged surgical management for complicated Boerhaave syndrome with esophagectomy and deferred gastroplasty: A case report

In our daily lives, we routinely look at the faces of others to try to understand how they are feeling. Few studies have examined the perceptual strategies that are used to recognize facial expressions of emotion, and none have attempted to isolate visual information use with eye movements throughout development. Therefore, we recorded the eye movements of children from 5 years of age up to adulthood during recognition of the six "basic emotions" to investigate when perceptual strategies for emotion recognition become mature (i.e., most adult-like). Using iMap4, we identified the eye movement fixation patterns for recognition of the six emotions across age groups in natural viewing and gaze-contingent (i.e., expanding spotlight) conditions. While univariate analyses failed to reveal significant differences in fixation patterns, more sensitive multivariate distance analyses revealed a U-shaped developmental trajectory with the eye movement strategies of the 17- to 18-year-old group most similar to adults for all expressions. A developmental dip in strategy similarity was found for each emotional expression revealing which age group had the most distinct eye movement strategy from the adult group: the 13- to 14-year-olds for sadness recognition; the 11- to 12-year-olds for fear, anger, surprise, and disgust; and the 7- to 8-year-olds for happiness. Recognition performance for happy, angry, and sad expressions did not differ significantly across age groups, but the eye movement strategies for these expressions diverged for each group. Therefore, a unique strategy was not a prerequisite for optimal recognition performance for these expressions. Our data provide novel insights into the developmental trajectories underlying facial expression recognition, a critical ability for adap-tive social relations. (c) 2022 The Author(s). Published by Elsevier Inc.