Eye movement strategies employed by humans to identify conspecifics are not universal. Westerners predominantly fixate the eyes during face recognition, whereas Easterners more the nose region, yet recognition accuracy is comparable. However, natural fixations do not unequivocally represent information extraction. So the question of whether humans universally use identical facial information to recognize faces remains unresolved. We monitored eye movements during face recognition of Western Caucasian (WC) and East Asian (EA) observers with a novel technique in face recognition that parametrically restricts information outside central vision. We used ‘Spotlights’ with Gaussian apertures of 2°, 5° or 8° dynamically centered on observers' fixations. Strikingly, in constrained Spotlight conditions (2° and 5°) observers of both cultures actively fixated the same facial information: the eyes and mouth. When information from both eyes and mouth was simultaneously available when fixating the nose (8°), as expected EA observers shifted their fixations towards this region. Social experience and cultural factors shape the strategies used to extract information from faces, but these results suggest that external forces do not modulate information use. Human beings rely on identical facial information to recognize conspecifics, a universal law that might be dictated by the evolutionary constraints of nature and not nurture.

Background: Antimicrobial resistance is a global public health concern, with extensive associated health and economic implications. Actions to slow and contain the development of resistance are imperative. Despite the fact that overuse and misuse of antibiotics are highlighted as major contributing factors to this resistance, no sufficiently validated measures aiming to investigate the drivers behind consumer behaviour amongst the general population are available. The objective of this study was to develop and investigate the psychometric properties of an original, novel and multiple-item questionnaire, informed by the Theory of Planned Behaviour, to measure factors contributing to self-reported antibiotic use within the community. Method: A three-phase process was employed, including literature review and item generation; expert panel review; and pre-test. Investigation of the questionnaire was subsequently conducted through a cross-sectional, anonymous survey. Orthogonal principal analysis with varimax rotation, cronbach alpha and linear mixed-effects modelling analyses were conducted. A 60 item questionnaire was produced encompassing demographics, social desirability, three constructs of the Theory of Planned Behaviour including: attitudes and beliefs; subjective norm; perceived behavioural control; behaviour; and a covariate – knowledge. Results: Three hundred seventy-three participants completed the survey. Eighty participants (21%) were excluded due to social desirability concerns, with data from the remaining 293 participants analysed. Results showed modest but acceptable levels of internal reliability, with high inter-item correlations within each construct. All four variables and the outcome variable of antibiotic use behaviour comprised four items with the exception of social norms, for which there were two items, producing a final 18 item questionnaire. Perceived behavioural control, social norms, the interaction between attitudes and beliefs and knowledge, and the presence of a healthcare worker in the family were all significant predictors of antibiotic use behaviour. All other predictors tested produced a nonsignificant relationship with the outcome variable of self-reported antibiotic use. Conclusion: This study successfully developed and validated a novel tool which assesses factors influencing community antibiotic use and misuse. The questionnaire can be used to guide appropriate intervention strategies to reduce antibiotic misuse in the general population. Future research is required to assess the extent to which this tool can guide community-based intervention strategies.

Face recognition is not rooted in a universal eye movement information-gathering strategy. Western observers favor a local facial feature sampling strategy, whereas Eastern observers prefer sampling face information from a global, central fixation strategy. Yet, the precise qualitative (the diagnostic) and quantitative (the amount) information underlying these cultural perceptual biases in face recognition remains undetermined. To this end, we monitored the eye movements of Western and Eastern observers during a face recognition task, with a novel gaze-contingent technique: the Expanding Spotlight. We used 2° Gaussian apertures centered on the observers’ fixations expanding dynamically at a rate of 1° every 25 ms at each fixation – the longer the fixation duration, the larger the aperture size. Identity-specific face information was only displayed within the Gaussian aperture; outside the aperture, an average face template was displayed to facilitate saccade planning. Thus, the Expanding Spotlight simultaneously maps out the facial information span at each fixation location. Data obtained with the Expanding Spotlight technique confirmed that Westerners extract more information from the eye region, whereas Easterners extract more information from the nose region. Interestingly, this quantitative difference was paired with a qualitative disparity. Retinal filters based on spatial-frequency decomposition built from the fixations maps revealed that Westerners used local high-spatial-frequency information sampling, covering all the features critical for effective face recognition (the eyes and the mouth). In contrast, Easterners achieved a similar result by using global low-spatial-frequency information from those facial features. Our data show that the face system flexibly engages into local or global eye movement strategies across cultures, by relying on distinct facial information span and culturally tuned spatially filtered information. Overall, our findings challenge the view of a unique putative process for face recognition.