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Background
Simple water-swallowing screening tools are not predictive of aspiration and dysphagia in patients with Parkinson's Disease (PD). We investigated the diagnostic accuracy of a multi-texture screening tool, the Gugging Swallowing Screen (GUSS) to identify aspiration and dysphagia/penetration in PD patients compared to flexible endoscopic evaluation of swallowing (FEES).
Methods
Swallowing function was evaluated in 51 PD participants in clinical 'on-medication' state with the GUSS and a FEES examination according to standardized protocols. Inter-rater reliability and convergent validity were determined and GUSS- and FEES-based diet recommendations were compared.
Key Results
Inter-rater reliability of GUSS ratings was high (r(s) = 0.8; p < 0.001). Aspiration was identified by the GUSS with a sensitivity of 50%, and specificity of 51.35% (PPV 28%, NPV 73%, LR+ 1.03, LR- 0.97), dysphagia/penetration was identified with 72.97% sensitivity and 35.71% specificity (PPV 75%, NPV 33.33%, LR+ 1.14, LR- 0.76). Agreement between GUSS- and FEES-based diet recommendations was low (r(s) = 0.12, p = 0.42) with consistent NPO (Nil per Os) allocation by GUSS and FEES in only one participant.
Conclusions and Inferences
The multi-texture screening tool GUSS in its current form, although applicable with good inter-rater reliability, does not detect aspiration in PD patients with acceptable accuracy. Modifications of the GUSS parameters "coughing," "voice change" and "delayed swallowing" might enhance validity. The GUSS' diet recommendations overestimate the need for oral intake restriction in PD patients and should be verified by instrumental swallowing examination.
In syntactic dependency trees, when arcs are drawn from syntactic heads to dependents, they rarely cross. Constraints on these crossing dependencies are critical for determining the syntactic properties of human language, because they define the position of natural language in formal language hierarchies. We study whether the apparent constraints on crossing syntactic dependencies in natural language might be explained by constraints on dependency lengths (the linear distance between heads and dependents). We compare real dependency trees from treebanks of 52 languages against baselines of random trees which are matched with the real trees in terms of their dependency lengths. We find that these baseline trees have many more crossing dependencies than real trees, indicating that a constraint on dependency lengths alone cannot explain the empirical rarity of crossing dependencies. However, we find evidence that a combined constraint on dependency length and the rate of crossing dependencies might be able to explain two of the most-studied formal restrictions on dependency trees: gap degree and well-nestedness.
On the basis of certain semantic intuitions, Barros (2012) argues that ellipsis does not require structural isomorphism between elided structure and its antecedent. We tackle this claim. Semantic intuitions cannot be a pointer to the analysis of silent structure. We provide empirical evidence that raises the question of to what extent semantic intuitions about plausible articulable syntax must inform one's analysis of silent structure. We conclude that the answer to this question must be crosslinguistically informed. We conjecture that ellipsis introduces ellipsis-specific interpretive mechanisms, so that intuitions about "how the unelided structure would be interpreted" are not empirically relevant.
Pivots revisited
(2021)
The term "pivot" usually refers to two overlapping syntactic units such that the completion of the first unit simultaneously launches the second. In addition, pivots are generally said to be characterized by the smooth prosodic integration of their syntactic parts. This prosodic integration is typically achieved by prosodic-phonetic matching of the pivot components. As research on such turns in a range of languages has illustrated, speakers routinely deploy pivots so as to be able to continue past a point of possible turn completion, in the service of implementing some additional or revised action. This article seeks to build on, and complement, earlier research by exploring two issues in more detail as follows: (1) what exactly do pivotal turn extensions accomplish on the action dimension, and (2) what role does prosodic-phonetic packaging play in this? We will show that pivot constructions not only exhibit various degrees of prosodic-phonetic (non-)integration, i.e., differently strong cesuras, but that they can be ordered on a continuum, and that this cline maps onto the relationship of the actions accomplished by the components of the pivot construction. While tighter prosodic-phonetic integration, i.e., weak(er) cesuring, co-occurs with post-pivot actions whose relationship to that of the pre-pivot tends to be rather retrospective in character, looser prosodic-phonetic integration, i.e., strong(er) cesuring, is associated with a more prospective orientation of the post-pivot's action. These observations also raise more general questions with regard to the analysis of action.
The present volume contains a selection of papers presented at the Fifth International Symposium Russian Grammar: System–Usus–Language Variation, from September 22 to 24, 2021, at the University of Potsdam (Germany). The selected essays tackle the issues that arise when Russian Grammar meets new linguistic paradigms (such as corpus linguistics) and new challenges (such as heritage languages). The relevant findings are discussed with a particular focus on an updated version of the 1980 Academy grammar of Russian.
Background
Simple water-swallowing screening tools are not predictive of aspiration and dysphagia in patients with Parkinson's Disease (PD). We investigated the diagnostic accuracy of a multi-texture screening tool, the Gugging Swallowing Screen (GUSS) to identify aspiration and dysphagia/penetration in PD patients compared to flexible endoscopic evaluation of swallowing (FEES).
Methods
Swallowing function was evaluated in 51 PD participants in clinical 'on-medication' state with the GUSS and a FEES examination according to standardized protocols. Inter-rater reliability and convergent validity were determined and GUSS- and FEES-based diet recommendations were compared.
Key Results
Inter-rater reliability of GUSS ratings was high (r(s) = 0.8; p < 0.001). Aspiration was identified by the GUSS with a sensitivity of 50%, and specificity of 51.35% (PPV 28%, NPV 73%, LR+ 1.03, LR- 0.97), dysphagia/penetration was identified with 72.97% sensitivity and 35.71% specificity (PPV 75%, NPV 33.33%, LR+ 1.14, LR- 0.76). Agreement between GUSS- and FEES-based diet recommendations was low (r(s) = 0.12, p = 0.42) with consistent NPO (Nil per Os) allocation by GUSS and FEES in only one participant.
Conclusions and Inferences
The multi-texture screening tool GUSS in its current form, although applicable with good inter-rater reliability, does not detect aspiration in PD patients with acceptable accuracy. Modifications of the GUSS parameters "coughing," "voice change" and "delayed swallowing" might enhance validity. The GUSS' diet recommendations overestimate the need for oral intake restriction in PD patients and should be verified by instrumental swallowing examination.
Respect the surroundings
(2021)
Fourteen-month-olds' ability to distinguish a just learned word, /bu?k/, from its minimally different word, /du?k/, was assessed under two pre-exposure conditions: one where /b, d/-initial forms occurred in a varying vowel context and another where the vowel was fixed but the final consonant varied. Infants in the experiments benefited from the variable vowel but not from the variable final consonant context, suggesting that vowel variability but not all kinds of variability are beneficial. These results are discussed in the context of time-honored observations on the vowel-dependent nature of place of articulation cues for consonants.
In a cue-distractor task, speakers' response times (RTs) were found to speed up when they perceived a distractor syllable whose vowel was identical to the vowel in the syllable they were preparing to utter. At a more fine-grained level, subphonemic congruency between response and distractor-defined by higher number of shared phonological features or higher acoustic proximity-was also found to be predictive of RT modulations. Furthermore, the findings indicate that perception of vowel stimuli embedded in syllables gives rise to robust and more consistent perceptuomotor compatibility effects (compared to isolated vowels) across different response-distractor vowel pairs.
The ability to determine how many objects are involved in physical events is fundamental for reasoning about the world that surrounds us. Previous studies suggest that infants can fail to individuate objects in ambiguous occlusion events until their first birthday and that learning words for the objects may play a crucial role in the development of this ability. The present eye-tracking study tested whether the classical object individuation experiments underestimate young infants’ ability to individuate objects and the role word learning plays in this process. Three groups of 6-month-old infants (N = 72) saw two opaque boxes side by side on the eye-tracker screen so that the content of the boxes was not visible. During a familiarization phase, two visually identical objects emerged sequentially from one box and two visually different objects from the other box. For one group of infants the familiarization was silent (Visual Only condition). For a second group of infants the objects were accompanied with nonsense words so that objects’ shape and linguistic labels indicated the same number of objects in the two boxes (Visual & Language condition). For the third group of infants, objects’ shape and linguistic labels were in conflict (Visual vs. Language condition). Following the familiarization, it was revealed that both boxes contained the same number of objects (e.g. one or two). In the Visual Only condition, infants looked longer to the box with incorrect number of objects at test, showing that they could individuate objects using visual cues alone. In the Visual & Language condition infants showed the same looking pattern. However, in the Visual vs Language condition infants looked longer to the box with incorrect number of objects according to linguistic labels. The results show that infants can individuate objects in a complex object individuation paradigm considerably earlier than previously thought and that linguistic cues enforce their own preference in object individuation. The results are consistent with the idea that when language and visual information are in conflict, language can exert an influence on how young infants reason about the visual world.