Computer-assisted navigation and the acquisition of route and survey knowledge

The incidental acquisition of spatial orientation knowledge when using a pedestrian navigation assistance system for wayfinding was compared to incidental learning during map-based wayfinding. First-time visitors to a real environment (a zoo) took a guided tour. In the navigation assistance conditions, users were provided with direction information and view-based pictures of the current intersection at each decision point, presented on a hand-held computer. In the map-based condition, participants derived route segments from a map (each segment comprising three or four intersections), and then walked the partial routes from memory. After walking, unexpected tests on route memory and survey knowledge were administered. Navigation assistance users showed good route knowledge and poor survey knowledge. In contrast, map users showed better survey knowledge and nearly perfect route knowledge. Variations of information presentation within navigation assistance conditions (auditory vs. visual direction command, additional presentation of allocentric spatial information) was not effective. Results are explained with an active encoding principle. Only information that is actually encoded, transformed, and/or memorized during the primary wayfinding activity, is incidentally learned. Since navigation assistance systems do not require users to encode, transform, and memorize spatial information, the spatial orientation knowledge of navigation assistance users is poor.     

Cardiotocographic and sonographic findings in two cases of antenatally diagnosed intrauterine fetal brain death

Intrauterine fetal brain death is a rare cause of a fixed fetal heart rate pattern. Seven cases have been previously reported in the literature, but only two of them were diagnosed prenatally and all the newborns died soon after delivery. Two additional cases of antepartum diagnosis of intrauterine fetal brain death, managed expectantly, are reported. We had the unique opportunity to document progressive sonographic cerebral changes during the follow-up period, following the neurological event, while the fetus continued life and growth in utero. The cardiographic and sonographic findings suggesting intrauterine fetal brain death were a prolonged fixed fetal heart rate, even following a vibroacoustic and contraction stress test; an atonic fetus without breathing and body movement; and the appearance of hydramnios and the development of ventriculomegaly.