Direct eye contact influences the neural processing of objects in 5-month-old infants

Do 5-month-old infants show differences in processing objects as a function of a prior interaction with an adult? Using a live ERP paradigm we assessed this question utilizing a within-subjects design. Infants saw objects during two pretest phases with an adult experimenter. We recorded event-related potentials to the presentation of objects following the interactive pretest phases. Experimental conditions differed only in the nature of eye contact between the infant and the experimenter during the pretests. In one condition the experimenter engaged the infant with direct eye contact. In a second condition the experimenter looked only at the infant's chest. We found that the negative component, related to attentional processes, showed differences between experimental conditions in left fronto-central locations. These data show that 5-month-old infants allocate more attention to objects that have been previously seen during direct eye-contact interaction. In addition, these results clarify the functional nature of the negative component

The neural correlates of infant and adult goal prediction: evidence for semantic processing systems

The adult N400 has been related to the semantic processing of language and action. Little is known on the development of this system. The sequential nature of action ensures that an individual can anticipate the conclusion of an observed action via the use of semantic rules. We developed an Event-related potential paradigm where infants and adults observed simple sequences of actions. In one condition the conclusion of the sequence was anticipated whereas in the other condition the conclusion was not anticipated. Adults and infants at 9 and 7 months were assessed via the same neural mechanisms – the N400 component of the event-related potential and analysis of the theta frequency. Results indicated that adults and infants at 9 months produced N400-like responses when anticipating the conclusion of actions. The infants at 7 months displayed no N400 component. Analysis of the theta frequency provided support for the relation between the N400 and semantic processing. This study suggests that infants at 9 months anticipate goals and use similar cognitive mechanisms to adults in this task. In addition, this result suggests that components of language processing may derive from action understanding in early development

Semuloparin for prevention of venous thromboembolism after major orthopedic surgery: Results from three randomized clinical trials, SAVE-HIP1, SAVE-HIP2 and SAVE-KNEE

Background: Semuloparin is a novel ultra-low-molecular-weight heparin under development for venous thromboembolism (VTE) prevention in patients at increased risk, such as surgical and cancer patients. Objectives: Three Phase III studies compared semuloparin and enoxaparin after major orthopedic surgery: elective knee replacement (SAVE-KNEE), elective hip replacement (SAVE-HIP1) and hip fracture surgery (SAVE-HIP2). Patients/Methods: All studies were multinational, randomized and double-blind. Semuloparin and enoxaparin were administered for 7-10days after surgery. Mandatory bilateral venography was to be performed between days 7 and 11. The primary efficacy endpoint was a composite of any deep vein thrombosis, non-fatal pulmonary embolism or all-cause death. Safety outcomes included major bleeding, clinically relevant non-major (CRNM) bleeding, and any clinically relevant bleeding (major bleeding plus CRNM). Results: In total, 1150, 2326 and 1003 patients were randomized in SAVE-KNEE, SAVE-HIP1 and SAVE-HIP2, respectively. In all studies, the incidences of the primary efficacy endpoint were numerically lower in the semuloparin group vs. the enoxaparin group, but the difference was statistically significant only in SAVE-HIP1. In SAVE-HIP1, clinically relevant bleeding and major bleeding were significantly lower in the semuloparin vs. the enoxaparin group. In SAVE-KNEE and SAVE-HIP2, clinically relevant bleeding tended to be higher in the semuloparin group, but rates of major bleeding were similar in the two groups. Other safety parameters were generally similar between treatment groups. Conclusions: Semuloparin was superior to enoxaparin for VTE prevention after hip replacement surgery, but failed to demonstrate superiority after knee replacement surgery and hip fracture surgery. Semuloparin and enoxaparin exhibited generally similar safety profiles. \ua9 2012 International Society on Thrombosis and Haemostasis