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Create stunning font styles and text effects with our innovative font generator. Customize your text to resemble the texture and elegance of paper, adding a touch of sophistication to your designs. Elevate your typography game with our unique and versatile font styles.

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15+ Quirky Paper Cut Fonts for Playful Typography Design

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The paper cut effect is one of the latest typography trend founded in early 2018 and this quirky style is still very popular. It looks especially good when applied to typography and used for display fonts.

Today we have collection more as 15 good looking paper cut fonts for your best typography design projects. Apply these fonts and see the exciting results. Keep a good mood and enjoy!

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Free Paper Font

paper effect font

It is a cute display font that was created from real paper cut out. Letters were cut out from papers then traced to digital format, thus giving the raw sense of hand craft work.

[button link=”https://www.behance.net/gallery/49779967/Paper-A-Free-Font”]Download Source[/button]

Free West Side Font

paper effect font

Inspired by 1980s handmade poster designs and illustrations, here we present to you a block-styled handcrafted typeface called West Side. West Side typeface can be used to quickly give a retro feeling in your design.

[button link=”https://www.behance.net/gallery/54843909/West-Side-Free-Font”]Download Source[/button]

Papercute Font Collection

paper effect font

Inspired by paper cutting, this font is easy to read, easy to play. Small caps are a little different than caps to create alternative glyphs. We also designed a set of cute paper ornaments, to enhance your designs.

[button link=”https://creativemarket.com/SCType/110487-Papercute-Font-Collection?u=decolore”]Info / Download Source[/button]

Papercute Inline Font Collection

paper effect font

Inspired by paper cutting, this font is easy to read, and easy to play with 8 different styles, including 3D, outline, full or dotted line, that you can use alone or together.

[button link=”https://creativemarket.com/SCType/3186095-Papercute-Inline-Font-Collection?u=decolore”]Info / Download Source[/button]

Paper Cute Handmade Font

paper effect font

Introducing Paper Cut, a super fun and colorful font made from real cut paper shapes and handmade textures. This font gives a beautiful handmade feel to a wide range of products, from branding to web design, social media to packaging!

[button link=”https://creativemarket.com/anugrahadesign/4734463-Paper-Cut-Handmade-Font?u=decolore”]Info / Download Source[/button]

Paper Cut Font

paper effect font

A geometric, stencil type of font, created for cut-outs and laser-cut letters. All characters are in one solid piece. Great for playful typography too.

[button link=”https://creativemarket.com/alphabetypeshop/3592445-Paper-Cut?u=decolore”]Info / Download Source[/button]

Papercut Font

paper effect font

Papercut is a simple yet bold font reminiscent of paper cutouts in elementary school, giving off an air of youthful, irreverent, and playful nostalgia for your projects.

[button link=”https://creativemarket.com/regsilvadotcom/3779519-Papercut-Font?u=decolore”]Info / Download Source[/button]

Roughcut Font

paper effect font

This font include uppercase, lowercase and numbers. It is well suited for posters, quotes, logos, labels, t-shirts, advertising, book and magazine covers.

[button link=”https://creativemarket.com/ekmelica/2359336-Roughcut-font?u=decolore”]Info / Download Source[/button]

Cute Kraft Fonts

paper effect font

Artistic and lovely paper cut style fonts, suitable for many project, signature, quotes, logo, doodle, heading, title etc.

[button link=”https://creativemarket.com/YandiDesigns/3060108-Cute-Kraft-Fonts?u=decolore”]Info / Download Source[/button]

Slice O’Paper Font

paper effect font

Slice O’Paper font duo, inspired by a papercut style. Imperfect cut, shape and doodle of this typeface add more fun to your design. It really feels good for display and greetings.

[button link=”https://creativemarket.com/me55enjah/3292962-Slice-OPaper?u=decolore”]Info / Download Source[/button]

SNIP! Font Family

paper effect font

Combine these two styles to create catchy caption for your poster, book cover, social media, greeting card, packaging, art prints, gift tags, party invitations, brochures, flyers, photo overlays, scrapbooking, social media, magazines, books and so much more. This font family is perfect for design projects in cutout style.

[button link=”https://creativemarket.com/anmark/2376945-SNIP%21-Font-Family?u=decolore”]Info / Download Source[/button]

Papier Coupser – Papercut Style Font

paper effect font

A paper cut style typeface. Fun, bold and designed for display usages. Great for headings, titles and quotes. Anywhere you want to introduce some character and something unique. Works really well on products from t-shirts to mugs and bags to cushions!

[button link=”https://creativemarket.com/LittleTypeFactory/4485281-Papier-Couper-papercut-style-font?u=decolore”]Info / Download Source[/button]

Paper Phil Craft Font + Free Textures

paper effect font

A fun and funky, bold font based on cut paper letterforms. Ideal for crafters and crafting or something a little playful. Can be used for all products and merchandising such as t-shirts, mugs and packaging.

[button link=”https://creativemarket.com/LittleTypeFactory/4548036-Paper-Phil-craft-font-FREE-TEXTURES?u=decolore”]Info / Download Source[/button]

Paper Cuts Color Font

paper effect font

2 versions of the SVG font – light paper and dark paper. Best for funcy typography projects.

[button link=”https://1.envato.market/c/1270744/433854/4662?u=http%3A%2F%2Felements.envato.com%2Fpaper-cuts-color-font-VES3ZQY”]Info / Download Source[/button]

Vintii Font

paper effect font

Vintii is decorative cut-out uppercase font. Inspiration for this font comes from paper and scissors – bold, fun, asymmetric letter forms. This font is great for headlines, logos, posters packaging and short description texts.

[button link=”https://1.envato.market/c/1270744/433854/4662?u=http%3A%2F%2Felements.envato.com%2Fvintii-GUXRWS”]Info / Download Source[/button]

Block Party Font

paper effect font

Block Party is a bold and funky font that resembles chunky rocks or letters cut from paper. Perfect for any design that needs a fresh and childlike feel to it! The happy-go-lucky letters will bring an air of casual fun to any layout. Grab a cold drink and let’s party on!

[button link=”https://1.envato.market/c/1270744/433854/4662?u=http%3A%2F%2Felements.envato.com%2Fblock-party-YGT3LE5″]Info / Download Source[/button]

Chimpo Typeface

paper effect font

Chimpo typeface is a fun typeface inspired by paper-cutting and vintage poster. It has a bit festive vibes but still looks simple. You can use bonuses inside to create many possibility fancy design. Made to fit some seasonal event like horror, mexican, retro, even birthday party.

[button link=”https://1.envato.market/c/1270744/433854/4662?u=http%3A%2F%2Felements.envato.com%2Fchimpo-typeface-EXJK4T2″]Info / Download Source[/button]

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Tear it Up with the Picsart Paper Effect

Achieve an edgy, ripped aesthetic on your paper texture images.

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Try on Your Image

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The paper effect is one of the most dynamic and versatile edits out there. Adding a paper texture to your digital photos can transform even the most humdrum pics into something spectacular. In just a few clicks, the Picsart paper effect can create a realistic ripped look, making it look like the image just tore apart in your hands. You can also layer ripped photos and backgrounds over each other, creating a one-of-a-kind 3D collage. Like a pair of perfectly distressed jeans you can’t stop wearing, the torn paper effect can roughen up the edges of your images and become a staple of your editing arsenal.

Make-Your-Photos-Look-Ripped "> Make Your Photos Look Ripped

Make-Your-Photos-Look-Ripped

Anyone can use the paper effect to add style and texture to images. Picsart photo editing tools are packed with advanced effects that can be used in all kinds of different ways, and the paper effect is no exception. You can use it to artistically mash up contrasting or complementary pieces of totally different mediums – like an illustration taped onto a classic portrait, or a painting over the top of a newspaper background. Use the paper effect to combine eras, color schemes and styles to make something completely unique.

torn paper effect on an image of a blonde woman

Step Up Your Game with Stickers

Using stickers is one of the easiest ways to make seriously dramatic edits, just like the torn paper effect. Yep, you can achieve it with stickers too. With stickers, the ripped look can be yours in just a few clicks. Go to the Picsart web editor, click stickers and search for ‘ripped paper’. Browse the options and pick the right ripped sticker for your digital canvas. All that’s left to do then is reposition and resize the sticker so that it fits your design and the look you're going for. Using this method, you can continue to layer on the rips for a dramatic effect with tons of depth.

paper effect on pictures of a young woman posing with a chair

Upgrade Selfies With Layers and Textures

The Picsart paper effect can elevate even the most basic of designs into something striking. And you can add layers of mystery by creating the appearance of torn paper in a few taps. Like the canvas effect , the ripped paper edit allows you to design a digital collage that’ll look like it has been made from real materials. The paper effect is one of the most eye-catching ways to elevate any selfie or portrait. Use it to layer different facial features on a portrait, to make it look like someone else is peeking through the surface, or combine parts of a black and white shot with a color selfie for a result sure to turn heads.

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Get Creative With The Paper Effect

Go beyond selfies and simple collages with the paper effect. You can use it to create something truly outside the box. Make abstract-looking artwork by layering different backgrounds on top of each other. Create a 3D look by using it to unveil something unexpected – like a ferocious animal clawing its way out of the screen, for instance. Transform a simple piece of text into inspiring art by adding a ripped paper effect around it, as if it has been torn from the pages of a well-loved book. Or create a surrealist landscape by making the ripped paper effect look like a horizon, mountain range, or multicolored sunset. From there, apply high-quality stickers, doodles or photo effects until you get the look you want.

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How To Use The Paper Effect

  • 1 Open the Picsart Editor.
  • 2 Upload your image, or choose from the free-to-edit options.
  • 3 Click on Stickers category and type in “paper”.
  • 4 Play around with adding different sections until you get the effect you want.
  • 5 Download, save and share your design.

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  • Published: 31 January 2024

Top-predator recovery abates geomorphic decline of a coastal ecosystem

  • Brent B. Hughes   ORCID: orcid.org/0000-0002-2263-1554 1 , 2 ,
  • Kathryn M. Beheshti 3 , 4 ,
  • M. Tim Tinker 3 , 5 ,
  • Christine Angelini 6 ,
  • Charlie Endris 7 ,
  • Lee Murai 8 ,
  • Sean C. Anderson 9 , 10 ,
  • Sarah Espinosa 3 ,
  • Michelle Staedler   ORCID: orcid.org/0000-0002-1101-6580 11 ,
  • Joseph A. Tomoleoni 12 ,
  • Madeline Sanchez 1 &
  • Brian R. Silliman 2  

Nature volume  626 ,  pages 111–118 ( 2024 ) Cite this article

8285 Accesses

1 Citations

1848 Altmetric

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  • Conservation biology
  • Ecological modelling
  • Ecosystem ecology

The recovery of top predators is thought to have cascading effects on vegetated ecosystems and their geomorphology 1 , 2 , but the evidence for this remains correlational and intensely debated 3 , 4 . Here we combine observational and experimental data to reveal that recolonization of sea otters in a US estuary generates a trophic cascade that facilitates coastal wetland plant biomass and suppresses the erosion of marsh edges—a process that otherwise leads to the severe loss of habitats and ecosystem services 5 , 6 . Monitoring of the Elkhorn Slough estuary over several decades suggested top-down control in the system, because the erosion of salt marsh edges has generally slowed with increasing sea otter abundance, despite the consistently increasing physical stress in the system (that is, nutrient loading, sea-level rise and tidal scour 7 , 8 , 9 ). Predator-exclusion experiments in five marsh creeks revealed that sea otters suppress the abundance of burrowing crabs, a top-down effect that cascades to both increase marsh edge strength and reduce marsh erosion. Multi-creek surveys comparing marsh creeks pre- and post-sea otter colonization confirmed the presence of an interaction between the keystone sea otter, burrowing crabs and marsh creeks, demonstrating the spatial generality of predator control of ecosystem edge processes: densities of burrowing crabs and edge erosion have declined markedly in creeks that have high levels of sea otter recolonization. These results show that trophic downgrading could be a strong but underappreciated contributor to the loss of coastal wetlands, and suggest that restoring top predators can help to re-establish geomorphic stability.

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Data availability

All raw data files and code are available at https://github.com/bbhughes/otters-erosion .

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Borer, E. T. et al. Herbivores and nutrients control grassland plant diversity via light limitation. Nature 508 , 517–520 (2014).

Daleo, P. et al. Environmental heterogeneity modulates the effect of plant diversity on the spatial variability of grassland biomass. Nat. Commun. 14 , 1809 (2023).

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Sanchez, M. L. Using Camera Traps and Machine Learning as Monitoring Tool for the Recovering Southern Sea Otter (Enhydra lutris nereis) in a Recolonized Ecosystem . MSc thesis, Sonoma State Univ. (2021).

Wood, S. mgcv: Mixed GAM computation vehicle with automatic smoothness estimation. R package version 1.9-0 https://CRAN.R-project.org/package=mgcv (2022).

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Brooks, M. E. et al. glmmTMB balances speed and flexibility among packages for zero-inflated generalized linear mixed modeling. R J. 9 , 378–400 (2017).

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Acknowledgements

B.B.H. was funded through the David H. Smith Research Conservation Fellowship and Cedar Tree Foundation and the Rebecca and Steve Sooy Fellowship in Marine Mammals; C.A. was supported by an NSF CAREER award (1652628); and B.R.S. was supported by the Stolarz Foundation, the Lenfest Ocean Program, Foundation of the Carolinas and an NSF CAREER award. We thank P. Daleo and M. Hensel for constructive comments on this manuscript. We also thank the staff and volunteers of the Monterey Bay Aquarium Sea Otter Program and Elkhorn Slough National Estuarine Research Reserve who contributed to sea otter abundance and foraging-data collection and experimental data collection. We dedicate this paper to J. Estes, whose pioneering career and mentorship were crucial to developing this research.

Author information

Authors and affiliations.

Department of Biology, Sonoma State University, Rohnert Park, CA, USA

Brent B. Hughes & Madeline Sanchez

Division of Marine Science and Conservation, Nicholas School of the Environment, Duke University, Beaufort, NC, USA

Brent B. Hughes & Brian R. Silliman

Department of Ecology and Evolutionary Biology, University of California Santa Cruz, Santa Cruz, CA, USA

Kathryn M. Beheshti, M. Tim Tinker & Sarah Espinosa

Marine Science Institute, University of California Santa Barbara, Santa Barbara, CA, USA

Kathryn M. Beheshti

Nhydra Ecological Research, Head of St Margarets Bay, Nova Scotia, Canada

M. Tim Tinker

Department of Environmental Engineering Sciences, Engineering School for Sustainable Infrastructure and Environment, University of Florida, Gainesville, FL, USA

Christine Angelini

Moss Landing Marine Laboratories, Geological Oceanography Lab, Moss Landing, CA, USA

Charlie Endris

Division of Regional Assistance, California Department of Water Resources, West Sacramento, CA, USA

Pacific Biological Station, Fisheries and Oceans Canada, Nanaimo, British Columbia, Canada

Sean C. Anderson

Department of Mathematics, Simon Fraser University, Burnaby, British Columbia, Canada

Monterey Bay Aquarium, Monterey, CA, USA

Michelle Staedler

Western Ecological Research Center, U.S. Geological Survey, Santa Cruz, CA, USA

Joseph A. Tomoleoni

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Contributions

B.B.H. conceived the idea, which was enhanced by discussions with B.R.S. B.B.H., B.R.S., K.M.B. and C.A. designed salt marsh and crab surveys and experiments. B.B.H. and K.M.B. collected salt marsh and crab data. C.E. and L.M. collected and analysed data for salt marsh and creek aerial data. M.T.T., M. Sanchez, M. Staedler, S.E. and J.A.T. designed and collected sea otter monitoring data. B.B.H., M.T.T. and S.C.A. analysed sea otter data. B.B.H. ran all other statistical analysis with guidance from B.R.S., S.C.A. and C.A. All authors contributed to editing and writing.

Corresponding author

Correspondence to Brent B. Hughes .

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The authors declare no competing interests.

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Nature thanks J. Emmett Duffy, Johan Eklöf and Phillip Perrin for their contribution to the peer review of this work.

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Extended data figures and tables

Extended data fig. 1 results from a three-year sea otter-exclusion experiment testing the effects of otters and shore crabs on salt marsh vegetation..

a – d , Response variables measured are crab burrow density ( a ), bulk density (ww = wet weight) ( b ), sediment accretion (dw = dry weight) ( c ), and crab burrows ( d ). Crab densities (Extended Data Figs. 1 and 2 ) were sampled over three years (measured in number of shore crab per 2 m 2 ), the other response variables were sampled in year 2. The bars represent the mean, points are the data, and lines represent the differences in paired blocks (with the exception of d , which compares crab burrows in procedural controls and plots ( n  = 5) within the same creek, but are not paired). * P  < 0.05 for cage treatments using linear mixed models (continuous response data) and generalized linear mixed models (count response data) with assigning paired experimental plots (block) and site ( n  = 5) as random factors. NS, not significant.

Extended Data Fig. 2 Changes in shore crab densities when compared to the first survey in May 2014.

a , Open circles represent counts for individual plots and lines connect the same plots through time. Solid circles and vertical line segments represent the estimated mean and 95% CI for each sampling event. There was a small but significantly greater change in density of shore crab in No Otter plots compared to Otter plots when accounting for time ( P  = 0.047). b , c , Smoothers for day since start ( b ) and month used in the GAMM ( c ). Note: Final shore crab densities were analysed in December 2016 (see Extended Data Fig. 1a ).

Extended Data Fig. 3 Example of camera-trap data.

Here a sea otter is consuming a shore crab from our Procedural Control plots in one of the experimental creeks (top white box). The bottom image is a zoomed-in screenshot of the same foraging bout highlighted in the box with the sea otter floating over the Procedural Control. Shore crabs are the only known prey item for sea otters in pickleweed marshes. Photo credit: M. Sanchez.

Extended Data Fig. 4 Results of a shore crab feeding experiment on pickleweed aboveground and belowground biomass.

Each point represents a measurement of single-crab consumption (in fresh weight, fw) over a 72-h period. Controls had vegetation without crabs. Letters indicate significant differences ( P  < 0.05) using independent samples t -tests.

Extended Data Fig. 5 Results of a survey examining the relationship between shore crabs and sea otters in tidal creeks, and leverage analysis between sea otter crab consumption and erosion.

a , Results from a 2015 survey of crab densities on the marsh edge. Sea otter density was estimated using survey data from 2013−2015 in each replicate creek. Each point represents a mean along 100-m transects ( n  = 5 plots per creek) from 13 tidal creeks; grey areas represent ±95% CI, * P  < 0.05. b , Leverage analysis comparing the influence of each creek on the slope of the relationship between sea otter crab consumption and erosion.

Extended Data Fig. 6 Modelling erosion rates.

Left, erosion rate modelled as a function of time with a GAM. Individual lines represent 200 samples from the posterior distribution. Right, each posterior sample is converted to a starting creek width value of 1. The vertical lines indicate the year the second-stage model started (1992).

Extended Data Fig. 7 Illustration of the modelled reduction in the base rate of creek erosion as the number of otters increases.

The shape follows a Gompertz curve defined as implied by (1 − exp(− b O )), in which O represents the number of sea otters and b represents an estimated parameter. The line and ribbon indicate the median and 95% credible interval.

Extended Data Fig. 8 Posterior parameter distributions from modelling relative creek width as a function of a base rate of widening and an adjustment given the abundance of sea otters.

This model is referred to as the ‘second-stage model’ in the Methods. In this figure, the model is fitted to mean values from the first-stage model (that is, not propagating uncertainty) as an illustration. The full model used for inference is fitted to 200 samples from the first-stage model. Histograms on the diagonal show the distribution for an individual parameter and the off-diagonals show the bivariate distribution for pairs of parameters. The parameter ‘r’ is the base rate of widening, ‘a’ is the relative channel width in the first year, ‘b’ is the maximum reduction in widening per otter and ‘sigma’ is the lognormal observation error standard deviation.

Extended Data Fig. 9 Histograms of b and r posterior distributions from the second-stage model (while propagating uncertainty from the first model).

The parameter b represents the maximum reduction in widening per otter and r represents the base rate of widening.

Extended Data Fig. 10 Model outputs describing creek changes in width relative to the starting year and erosion accounting for sea otters.

Left, values of \({\hat{W}}_{t}\) (relative creek width) from the first-stage model (blue dots = means; blue line segments = 95% credible intervals) and predicted values μ t (black line = median; grey ribbon = 95% CI) from the second-stage model. Year increments start with year 1 as 1992. Right, the effective annual rate of erosion accounting for sea otters ( r eff ) through time as determined by the estimates of r (base rate of widening), b (maximum reduction in widening per sea otter) and the number of sea otters. Line and ribbon indicate median and 95% credible interval.

Supplementary information

Reporting summary, supplementary table 1.

Camera trapping of sea otter behaviour. Camera trap data collected in 2020 from two experimental sites documenting sea otter behaviours and foraging around experiment and non-experimental locations.

Supplementary Table 2

Summary of all datasets used in the study. This includes information about time period, spatial scale, sample frequency, sample size, the method and purpose for data collection, the response reported, the corresponding figure, and the file name as it appears on the data repository: https://github.com/bbhughes/otters-erosion .

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Hughes, B.B., Beheshti, K.M., Tinker, M.T. et al. Top-predator recovery abates geomorphic decline of a coastal ecosystem. Nature 626 , 111–118 (2024). https://doi.org/10.1038/s41586-023-06959-9

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Individualized Treatment Effects of Oxygen Targets in Mechanically Ventilated Critically Ill Adults

  • 1 Division of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, Illinois
  • 2 Division of Pulmonary and Critical Care, Department of Medicine, University of Wisconsin-Madison, Madison
  • 3 Division of Allergy, Pulmonary, and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee
  • 4 Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee
  • 5 Vanderbilt Institute for Clinical and Translational Research, Nashville, Tennessee
  • 6 Division of Clinical and Translational Research, Washington University School of Medicine, St Louis, Missouri
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  • 9 Medical Research Institute of New Zealand, Wellington, New Zealand
  • 10 Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia
  • 11 Department of Critical Care, University of Melbourne, Melbourne, Victoria, Australia
  • Editorial Personalized Oxygen Supplementation Derek C. Angus, MD, MPH JAMA
  • JAMA Guide to Statistics and Methods Heterogeneity of Treatment Effect Derek C. Angus, MD, MPH; Chung-Chou H. Chang, PhD JAMA
  • Original Investigation Lower vs Higher Oxygenation Target and Days Alive Without Life Support in COVID-19 Frederik M. Nielsen, MD; Thomas L. Klitgaard, MD, PhD; Martin Siegemund, MD; Jon H. Laake, MD, PhD; Katrin M. Thormar, MD, PhD; Jade M. Cole, RN, MSc; Søren R. Aagaard, MD, PhD; Anne-Marie G. Bunzel, RN; Stine R. Vestergaard, RN; Peter K. Langhoff, MD; Caroline H. Pedersen, MD; Josefine Ø. Hejlesen, MD; Salim Abdelhamid, MD; Anna Dietz, MD; Caroline E. Gebhard, MD; Nuria Zellweger, MD; Alexa Hollinger, MD; Lone M. Poulsen, MD; Sarah Weihe, MD; Nina C. Andersen-Ranberg, MD, PhD; Ulf G. Pedersen, MD, PhD; Ole Mathiesen, MD, PhD; Anne Sofie Andreasen, MD, PhD; Helene Brix, RN; Jonas J. Thomsen, MD; Christina H. Petersen, MD; Morten H. Bestle, MD, PhD; Sine Wichmann, MD; Martin S. Lund, MD, PhD; Karoline M. Mortensen, MD; Björn A. Brand, MD; Nicolai Haase, MD, PhD; Susanne A. Iversen, MD; Klaus V. Marcussen, MD; Anne C. Brøchner, MD, PhD; Morten Borup, MD; Thorbjørn Grøfte, MD, PhD; Thomas Hildebrandt, MD; Maj-Brit N. Kjær, RN, MSc; Janus Engstrøm, BSc; Theis Lange, MSc, PhD; Anders Perner, MD, PhD; Olav L. Schjørring, MD, PhD; Bodil S. Rasmussen, MD, PhD; HOT-COVID Trial Group; Anne S. B. Eriksen; Tina Jørgensen; Sanne Lauitzen; Lone Valbjørn; Ann B. Christensen; Niels Foldager; Henrik S. Sørensen; Trine Haberlandt; Annette Vennegaard; Tayyba N. Aslam; Helen Hill; Matthew P. Wise JAMA
  • JAMA Guide to Statistics and Methods Effect Scores to Characterize Heterogeneity of Treatment Effects Guanbo Wang, PhD; Patrick J. Heagerty, PhD; Issa J. Dahabreh, MD, ScD JAMA

Question   Among critically ill adults, do the effects of peripheral oxygen-saturation (Sp o 2 ) targets on outcomes differ based on an individual’s characteristics?

Findings   A machine learning model derived in one randomized trial and validated in another found that the predicted effect of lower vs higher Sp o 2 targets ranged from a 27% absolute reduction to a 34% absolute increase in 28-day mortality and differed significantly based on an individual’s characteristics.

Meaning   The effect of oxygen-saturation targets on mortality varied by patients’ individual characteristics.

Importance   Among critically ill adults, randomized trials have not found oxygenation targets to affect outcomes overall. Whether the effects of oxygenation targets differ based on an individual’s characteristics is unknown.

Objective   To determine whether an individual’s characteristics modify the effect of lower vs higher peripheral oxygenation-saturation (Sp o 2 ) targets on mortality.

Design, Setting, and Participants   A machine learning model to predict the effect of treatment with a lower vs higher Sp o 2 target on mortality for individual patients was derived in the Pragmatic Investigation of Optimal Oxygen Targets (PILOT) trial and externally validated in the Intensive Care Unit Randomized Trial Comparing Two Approaches to Oxygen Therapy (ICU-ROX) trial. Critically ill adults received invasive mechanical ventilation in an intensive care unit (ICU) in the United States between July 2018 and August 2021 for PILOT (n = 1682) and in 21 ICUs in Australia and New Zealand between September 2015 and May 2018 for ICU-ROX (n = 965).

Exposures   Randomization to a lower vs higher Sp o 2 target group.

Main Outcome and Measure   28-Day mortality.

Results   In the ICU-ROX validation cohort, the predicted effect of treatment with a lower vs higher Sp o 2 target for individual patients ranged from a 27.2% absolute reduction to a 34.4% absolute increase in 28-day mortality. For example, patients predicted to benefit from a lower Sp o 2 target had a higher prevalence of acute brain injury, whereas patients predicted to benefit from a higher Sp o 2 target had a higher prevalence of sepsis and abnormally elevated vital signs. Patients predicted to benefit from a lower Sp o 2 target experienced lower mortality when randomized to the lower Sp o 2 group, whereas patients predicted to benefit from a higher Sp o 2 target experienced lower mortality when randomized to the higher Sp o 2 group (likelihood ratio test for effect modification P  = .02). The use of a Sp o 2 target predicted to be best for each patient, instead of the randomized Sp o 2 target, would have reduced the absolute overall mortality by 6.4% (95% CI, 1.9%-10.9%).

Conclusion and relevance   Oxygenation targets that are individualized using machine learning analyses of randomized trials may reduce mortality for critically ill adults. A prospective trial evaluating the use of individualized oxygenation targets is needed.

  • Editorial Personalized Oxygen Supplementation JAMA

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Buell KG , Spicer AB , Casey JD, et al. Individualized Treatment Effects of Oxygen Targets in Mechanically Ventilated Critically Ill Adults. JAMA. Published online March 19, 2024. doi:10.1001/jama.2024.2933

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The Text composable has multiple optional parameters to style its content. Below, we’ve listed parameters that cover the most common use cases with text. For all the parameters of Text , see the Compose Text source code .

Whenever you set one of these parameters, you’re applying the style to the whole text value. If you need to apply multiple styles within the same line or paragraphs, see the section on multiple inline styles .

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The following sections describe common ways to style your text.

Change text color

@Composable fun BlueText() { Text("Hello World", color = Color.Blue) } TextSnippets.kt

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The words

Make text italic

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The words

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The words

The style parameter lets you set an object of type TextStyle and configure multiple parameters, for example shadow. Shadow receives a color for the shadow, the offset, or where it is located in respect of the Text and the blur radius which is how blurry it looks.

@Composable fun TextShadow() { val offset = Offset(5.0f, 10.0f) Text( text = "Hello world!", style = TextStyle( fontSize = 24.sp, shadow = Shadow( color = Color.Blue, offset = offset, blurRadius = 3f ) ) ) } TextSnippets.kt

The words

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TextStyle is for use in the Text composable, whereas SpanStyle and ParagraphStyle is for use in AnnotatedString . For more information about multiple styles in a paragraph, see Add multiple styles in a paragraph .

AnnotatedString has a type-safe builder to make it easier to create: buildAnnotatedString .

@Composable fun MultipleStylesInText() { Text( buildAnnotatedString { withStyle(style = SpanStyle(color = Color.Blue)) { append("H") } append("ello ") withStyle(style = SpanStyle(fontWeight = FontWeight.Bold, color = Color.Red)) { append("W") } append("orld") } ) } TextSnippets.kt

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val gradientColors = listOf(Cyan, LightBlue, Purple /*...*/) Text( text = text, style = TextStyle( brush = Brush.linearGradient( colors = gradientColors ) ) ) TextSnippets.kt

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You are not limited to this particular color scheme or style of coloring. While we have provided a simple example to highlight, use any of the built-in brushes or even just a SolidColor to enhance your text.

Integrations

Since you can use Brush alongside both TextStyle and SpanStyle , integration with TextField and buildAnnotatedString is seamless.

For more information about using the brush API within a TextField , see Style input with Brush API .

Additional styling using SpanStyle

Apply a brush to a span of text.

If you only want to apply a brush to parts of your text, use buildAnnotatedString and the SpanStyle API, along with your brush and gradient of choice.

Text( text = buildAnnotatedString { append("Do not allow people to dim your shine\n") withStyle( SpanStyle( brush = Brush.linearGradient( colors = rainbowColors ) ) ) { append("because they are blinded.") } append("\nTell them to put some sunglasses on.") } ) TextSnippets.kt

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To adjust the opacity of a particular span of text, use SpanStyle 's optional alpha parameter. Use the same brush for both parts of a text, and change the alpha parameter in the corresponding span. In the code sample, the first span of text displays at half opacity ( alpha =.5f ) while the second displays at full opacity ( alpha = 1f ).

val brush = Brush.linearGradient(colors = rainbowColors) buildAnnotatedString { withStyle( SpanStyle( brush = brush, alpha = .5f ) ) { append("Text in ") } withStyle( SpanStyle( brush = brush, alpha = 1f ) ) { append("Compose ❤️") } } TextSnippets.kt

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Additional resources

For additional customization examples, see the Brushing Up on Compose Text Coloring blog post. If you are interested in learning more about how Brush integrates with our Animations API, see Animating brush Text coloring in Compose .

Apply marquee effect to text

You can apply the basicMarquee modifier to any composable to produce an animated scrolling effect. The marquee effect occurs if the content is too wide to fit in the available constraints. By default, basicMarquee has certain configurations (such as velocity and initial delay) set, but you can modify these parameters to customize the effect.

The following snippet implements a basic marquee effect on a Text composable:

@OptIn(ExperimentalFoundationApi::class) @Composable fun BasicMarqueeSample() { // Marquee only animates when the content doesn't fit in the max width. Column(Modifier.width(400.dp)) { Text( "Learn about why it's great to use Jetpack Compose", modifier = Modifier.basicMarquee(), fontSize = 50.sp ) } } TextSnippets.kt

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How will the Baltimore bridge collapse affect deliveries? What to know after ship collision

The collapse of Baltimore’s Francis Scott Key Bridge could have a significant economic impact, effectively shutting down the nation’s busiest port for cars and light trucks in the U.S. and the ninth busiest port overall for an indefinite period.

The bridge provides access to the Port of Baltimore, and its sudden inability to handle imports and exports likely could mean shifting traffic to other ports on the East and West coasts, experts say. However, the reshuffling could cause product delivery delays.

Shortly after the bridge collapsed, the Port of Baltimore suspended vessel traffic “until further notice,” according to its website .

“This does not mean the Port of Baltimore is shut down. We are still processing trucks inside of our terminals,” the statement said.

But Bloomberg reported that the port “looks to be out of commission indefinitely.”

The accident comes as military conflict at the Suez Canal and low water levels at the Panama Canal separately have disrupted global shipping networks in recent weeks.

At least 40 ships are now more or less trapped inside the port, according to Reuters. At least 30 other ships had planned to arrive there.

“They will likely have to reroute shipping to other ports on the East Coast,” said Kevin Linderman, a professor and supply chain expert at Pennsylvania State University. “However, this will put additional demand on these ports, and shippers may not be able to access US markets” as efficiently, he said.

“One critical question is, can the other ports handle the products that were destined to Baltimore?”

The bridge collapse also could shift goods through West Coast ports, Bloomberg reported. But it’s not clear which other ports can handle the so-called roll on/roll off shipping containers that carry cars as well as farm and construction machinery.

Most shipments to the port come from Mexico, Germany and Japan, said Tinglong Dai, a professor of operations management and business analytics at Johns Hopkins University. Rerouting deliveries from Mexico and Germany to other East Coast ports likely would not cause significant delays, he said, but transferring Japanese imports to West Coast facilities could be more disruptive.

Although much of the port will effectively be shuttered until the bridge is rebuilt, the terminals of some companies, such as BMW, don't need access to the bridge and will be able to get up and running again relatively quickly, Dai said.

How busy is the Port of Baltimore?

Last year, the Port of Baltimore handled a record 847,158 cars and light trucks, more than any other U.S. port, according to Maryland Governor Wes Moore’s office. Overall, the port handled 52.3 million tons of foreign cargo worth $80 billion, making it the nation’s ninth busiest.

The facility also handled 1.3 million tons of farm and construction machinery, the most of any U.S. port.

The port has grown busier as many manufacturers have moved production from Asia to North America because of supply-chain bottlenecks during the pandemic, Dai said.

GM, Ford and Stellantis — which makes Chrysler, Dodge, Jeep, Ram and Fiat vehicles — use the port mostly for exporting vehicles manufactured in North America to Europe, says Sam Fiorani, vice president of global vehicle forecasting at AutoForecast Solutions of Chester Springs, Pennsylvania. So any interruption to exports will, "require costly relocation of products to New Jersey, Virginia, or South Carolina. This will also hold up ships, already in short supply and now locked into the port, from keeping the trade routes flowing."

Ford CFO John Lawler told Bloomberg TV Tuesday the incident will have a negative impact on deliveries of parts. He said Ford is looking to reroute car parts to other east coast ports and it would draw on its experience with COVID-related supply chain disruptions, but that the supply chains will inevitably be lengthened.

“It’s a large port with a lot of flow through it, so it’s going to have an impact,” Lawler said on  Bloomberg TV . “We’ll work on the workarounds.”

GM spokesman Kevin Kelly said GM uses the port to ship some vehicles "to select export markets." GM exports the Chevrolet Corvette, built in Bowling Green, Kentucky, to the United Kingdom through Baltimore as one example. Kelly said GM is working with its logistics providers to find shipping options at other ports, but GM expects only a minor impact on operations.

Stellantis spokeswoman Jodi Tinson said in an emailed statement, "The Port of Baltimore is an important waterway for the automotive industry. We are initiating discussions with our various transportation providers on contingency plans to ensure an uninterrupted flow of vehicles to our customers and will continue to carefully monitor this situation."

JPMorgan Chase economists Michael Feroli and Daniel Silver will have "minimal implications for vehicle inflation."

"While Baltimore is the most important port for vehicle imports, many more vehicles are imported over land from Canada and Mexico. the economists wrote in a note to clients.

And less than 24 hours after the disaster, vessels were already diverted to other East Coast ports, they added. "According to the Port of Virginia those ports will have sufficient capacity to handle all the diverted cargo," they wrote.

Will the port shutdown affect consumer goods, prices?

Several big firms have distribution warehouses in an industrial park near the bridge and port, including Amazon, FedEx, Under Armour, Home Depot and BMW, according to Bloomberg and one analyst's tweet on X.  

Some analysts, however, predict only a minimal impact on the movement of goods up and down the East Coast from the bridge collapse.

Baltimore’s port holds just 4% of all East Coast trade volume, according to S&P Global. New York’s port, by contrast, does 38% of that business.

What makes the Port of Baltimore an attractive destination for the shipping industry?

Yet, the port offers the deepest harbor in Maryland’s Chesapeake Bay, is closer to the Midwest than any other East Coast port, and is within an overnight drive of one-third of the US population, according to the port website . The port boasts five public and 12 private terminals.

“For the American consumer, the biggest impact will be felt in terms of imported motor vehicles,” said Jason Miller, a business professor at Michigan State University. “As such, so long as motor vehicle sales remain strong, we could see inventories drop on the lots of dealers that sell imported vehicles until alternative arrangements can be made. This could increase motor vehicle prices for some makes and models.”

Contributing: Jamie L, LaReau of the Detroit Free Press

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Governor DeSantis Signs Legislation to End the Squatters Scam in Florida

ORLANDO, Fla.— Today, Governor Ron DeSantis signed HB 621, which protects property rights, provides homeowners remedies against squatting, and increases penalties on squatters.

“We are putting an end to the squatters scam in Florida,”  said Governor Ron DeSantis . “While other states are siding with the squatters, we are protecting property owners and punishing criminals looking to game the system.”

“Florida is once again leading the nation, this time in securing our state against squatters,”  said  Attorney General Ashley Moody . “Biden has allowed millions of illegal immigrants to flood across the border. After video evidence of their plan to take over homes emerged, we’re ensuring Floridians are protected from this egregious and brazen scheme. I’m grateful to Governor DeSantis for signing this important legislation into law, and to Representative Kevin Steele for carrying this bill through Session.”

Under HB 621, a property owner can request law enforcement to immediately remove a squatter from their property if the following conditions are met:

  • The individual has unlawfully entered and remains on the property;
  • The individual has been directed to leave the property by the owner but has not done so; and
  • The individual is not a current or former tenant in a legal dispute.

In Florida, it will be quick and simple to reclaim your home from squatters, avoiding costly delays, litigation, and missed rents.

HB 621 also creates harsh penalties for those engaged in squatting and for those who encourage squatting and teach others the scam. The bill makes it:

  • A first-degree misdemeanor for making a false statement in writing to obtain real property or for knowingly and willfully presenting a falsified document conveying property rights;
  • A second-degree felony for any person who unlawfully occupies or trespasses in a residential dwelling and who intentionally causes $1,000 or more in damages; and
  • A first-degree felony for knowingly advertising the sale or rent of a residential property without legal authority or ownership.

For more on HB 621, click  here .

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New York Takes Crucial Step Toward Making Congestion Pricing a Reality

The board of the Metropolitan Transportation Authority voted to approve a new $15 toll to drive into Manhattan. The plan still faces challenges from six lawsuits before it can begin in June.

Multiple cars are stopped at a traffic light at a Manhattan intersection. A person responsible for controlling traffic stands nearby wearing a yellow reflective vest.

By Winnie Hu and Ana Ley

New York City completed a crucial final step on Wednesday in a decades-long effort to become the first American city to roll out a comprehensive congestion pricing program, one that aims to push motorists out of their cars and onto mass transit by charging new tolls to drive into Midtown and Lower Manhattan.

The program could start as early as mid-June after the board of the Metropolitan Transportation Authority, the state agency that will install and manage the program, voted 11-to-1 to approve the final tolling rates, which will charge most passenger cars $15 a day to enter at 60th Street and below in Manhattan. The program is expected to reduce traffic and raise $1 billion annually for public transit improvements.

It was a historic moment for New York’s leaders and transportation advocates after decades of failed attempts to advance congestion pricing even as other gridlocked cities around the world, including London, Stockholm and Singapore, proved that similar programs could reduce traffic and pollution.

While other American cities have introduced related concepts by establishing toll roads or closing streets to traffic, the plan in New York is unmatched in ambition and scale.

Congestion pricing is expected to reduce the number of vehicles that enter Lower Manhattan by about 17 percent, according to a November study by an advisory committee reporting to the M.T.A. The report also said that the total number of miles driven in 28 counties across the region would be reduced.

“This was the right thing to do,” Janno Lieber, the authority’s chairman and chief executive, said after the vote. “New York has more traffic than any place in the United States, and now we’re doing something about it.”

Congestion pricing has long been a hard sell in New York, where many people commute by car from the boroughs outside of Manhattan and the suburbs, in part because some of them do not have access to public transit.

New York State legislators finally approved congestion pricing in 2019 after Gov. Andrew M. Cuomo helped push it through. A series of recent breakdowns in the city’s subway system had underscored the need for billions of dollars to update its aging infrastructure.

It has taken another five years to reach the starting line. Before the tolling program can begin, it must be reviewed by the Federal Highway Administration, which is expected to approve it.

Congestion pricing also faces legal challenges from six lawsuits that have been brought by elected officials and residents from across the New York region. Opponents have increasingly mobilized against the program in recent months, citing the cost of the tolls and the potential environmental effects from shifting traffic and pollution to other areas as drivers avoid the tolls.

A court hearing is scheduled for April 3 and 4 on a lawsuit brought by the State of New Jersey, which is seen as the most serious legal challenge. The mayor of Fort Lee, N.J., Mark J. Sokolich, has filed a related lawsuit.

Four more lawsuits have been brought in New York: by Ed Day, the Rockland County executive; by Vito Fossella, the Staten Island borough president, and the United Federation of Teachers; and by two separate groups of city residents.

Amid the litigation, M.T.A. officials have suspended some capital construction projects that were to be paid for by the program, and they said at a committee meeting on Monday that crucial work to modernize subway signals on the A and C lines had been delayed.

Nearly all the toll readers have been installed, and will automatically charge drivers for entering the designated congestion zone at 60th Street or below. There is no toll for leaving the zone or driving around in it. Through traffic on Franklin D. Roosevelt Drive and the West Side Highway will not be tolled.

Under the final tolling structure, which was based on recommendations by the advisory panel, most passenger vehicles will be charged $15 a day from 5 a.m. to 9 p.m. on weekdays, and from 9 a.m. to 9 p.m. on weekends. The toll will be $24 for small trucks and charter buses, and will rise to $36 for large trucks and tour buses. It will be $7.50 for motorcycles.

Those tolls will be discounted by 75 percent at night, dropping the cost for a passenger vehicle to $3.75.

Fares will go up by $1.25 for taxis and black car services, and by $2.50 for Uber and Lyft. Passengers will be responsible for paying the new fees, and they will be added to every ride that begins, ends or occurs within the congestion zone. There will be no nighttime discounts. (The new fees come on top of an existing congestion surcharge that was imposed on for-hire vehicles in 2019.)

The tolls will mostly be collected using the E-ZPass system. Electronic detection points have been placed at entrances and exits to the tolling zone. Drivers who do not use an E-ZPass will pay significantly higher fees — for instance, $22.50 instead of $15 during peak hours for passenger vehicles.

Emergency vehicles like fire trucks, ambulances and police cars, as well as vehicles carrying people with disabilities, were exempted from the new tolls under the state’s congestion pricing legislation .

As for discounts, low-income drivers who make less than $50,000 annually can apply to receive half off the daytime toll after their first 10 trips in a calendar month. In addition, low-income residents of the congestion zone who make less than $60,000 a year can apply for a state tax credit.

All drivers entering the zone directly from four tolled tunnels — the Lincoln, Holland, Hugh L. Carey and Queens-Midtown — will receive a “crossing credit” that will be applied against the daytime toll. The credit will be $5 round-trip for passenger vehicles, $12 for small trucks and intercity and charter buses, $20 for large trucks and tour buses, and $2.50 for motorcycles. No credits will be offered at night.

Grace Ashford contributed reporting.

Winnie Hu is a Times reporter covering the people and neighborhoods of New York City. More about Winnie Hu

Ana Ley is a Times reporter covering New York City’s mass transit system and the millions of passengers who use it. More about Ana Ley

If Faces Appear Distorted, You Could Have This Condition

Research presents a unique case of a patient with prosopometamorphopsia.

Side-by-sides of normal faces and their distortions

COVID-19 Can Cause 'Face Blindness'

Imagine if every time you saw a face, it appeared distorted. For those who have a very rare condition known as prosopometamorphopsia, which causes facial features to appear distorted, that is reality.

As the website on what is known as PMO explains, “‘Prosopo’ comes from the Greek word for face ‘prosopon’ while ‘metamorphopsia’ refers to perceptual distortions.” The distortions can affect the shape, size, color, and position of facial features, and PMO can last for days, weeks, or even years.

A new Dartmouth study published in the “Clinical Pictures” section of The Lancet reports on a unique case of a patient with PMO. The research is among the first to provide realistic visualizations of how a patient experienced facial distortions.

The patient, a 58-year-old male with PMO, sees faces without any distortions when viewed on a screen and on paper but sees distorted faces that appear “demonic” when viewed in-person. The case is especially rare because he does not see distortions of faces across all contexts.

For the study, the researchers took a photograph of a person’s face. Then, they showed the patient the photograph on a computer screen while he looked at the real face of the same person. The researchers obtained real-time feedback from the patient on how the face on the screen and the real face in front of him differed, as they modified the photograph using computer software to match the distortions perceived by the patient.

Through the process, we were able to visualize the patient’s real-time perception of the face distortions.

“In other studies of the condition, patients with PMO are unable to assess how accurately a visualization of their distortions represents what they see because the visualization itself also depicts a face, so the patients will perceive distortions on it too,” says lead author Antônio Mello , Guarini, a PhD student in the Department of Psychological and Brain Sciences .

In contrast, this patient doesn’t see distortions on a screen. This means that the researchers were able to modify the face in the photograph, and the patient could accurately compare how similar his perception of the real face was to the manipulated photograph. “Through the process, we were able to visualize the patient’s real-time perception of the face distortions,” says Mello.

In their research with other PMO cases, the co-authors state that some of their PMO participants have seen health professionals who wanted to help, but diagnosed them with another health condition, not PMO.

“We’ve heard from multiple people with PMO that they have been diagnosed by psychiatrists as having schizophrenia and put on anti-psychotics, when their condition is a problem with the visual system,” says senior author Brad Duchaine , a professor of psychological and brain sciences and principal investigator of the Social Perception Lab at Dartmouth.

Antônio Mello and Brad Duchaine

“And it’s not uncommon for people who have PMO to not tell others about their problem with face perception because they fear others will think the distortions are a sign of a psychiatric disorder,” says Duchaine. “It’s a problem that people often don’t understand.”

Through their paper, the researchers hope to increase public awareness of what PMO is .

Daniel Stehr at Dartmouth and Professor of Neurology Krzysztof Bujarski at the Geisel School of Medicine also contributed to the study.

Amy Olson can be reached at [email protected] .

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A Q&A With Film Critic and Theorist Vinzenz Hediger

Portrait of Montgomery Fellow Vinzenz Hediger

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Northern California Winter Storm Warning in effect for snow storm this weekend. See the full report

By RICHARD RAMOS

Click here for updates on this story

    SACRAMENTO, California ( KOVR ) — An incoming Northern California storm is expected to bring up to 30 inches of snow across the Lake Tahoe basin through Easter Sunday.

A Winter Storm Warning is in effect from Friday through Sunday with the heaviest snowfall expected Friday night into early Saturday. We have designated Friday a First Alert Action Day.

How much will it snow in Northern California? Around 10-20 inches are expected at elevations above 5,000 feet. At high peaks in the Sierra, especially those on the south side of Highway 50 in El Dorado County, those totals could hit 30 inches.

Minor snow accumulation is expected at elevations around 4,000 feet.

How is California’s snowpack doing? Brief snowfall Wednesday night helped the region reach another milestone for its snowpack after a slow start in January.

As of March 28, the region is at approximately 100% of its normal snowpack for this date, and 101% of its April 1 average, which is when California’s snowpack typically hits its peak.

Sugar Bowl resort received around a foot of snow Wednesday with places like Palisades Tahoe and the Sierra snow lab receiving 8-9 inches of snow.

Will it rain in Northern California? CBS Sacramernto’s weather team is also tracking widespread rain that should last through Friday night and into the early hours of Saturday.

Light rain is expected to begin rolling through the Sacramento Valley early Friday morning. Heavier rain showers are expected in and around the capital city by the afternoon.

Please note: This content carries a strict local market embargo. If you share the same market as the contributor of this article, you may not use it on any platform.

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