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Extraction and use of linguistic patterns for modelling medical guidelines.

OBJECTIVE: The quality of knowledge updates in evidence-based medical guidelines can be improved and the effort spent for updating can be reduced if the knowledge underlying the guideline text is explicitly modelled using the so-called linguistic guideline patterns, mappings between a text fragment and a formal representation of its corresponding medical knowledge. METHODS AND MATERIAL: Ontology-driven extraction of linguistic patterns is a method to automatically reconstruct the control knowledge captured in guidelines, which facilitates a more effective modelling and authoring of medical guidelines. We illustrate by examples the use of this method for generating and instantiating linguistic patterns in the text of a guideline for treatment of breast cancer, and evaluate the usefulness of these patterns in the modelling of this guideline. RESULTS: We developed a methodology for extracting and using linguistic patterns in guideline formalization, to aid the human modellers in guideline formalization and reduce the human modelling effort. Using automatic transformation rules for simple linguistic patterns, a good recall (between 72% and 80%) is obtained in selecting the procedural knowledge relevant for the guideline model, even though the precision of the guideline model generated automatically covers only between 20% and 35% of the human-generated guideline model. These results indicate the suitability of our method as a pre-processing step in medical guideline formalization. CONCLUSIONS: Modelling and authoring of medical texts can benefit from our proposed method. As pre-requisites for generating automatically a skeleton of the guideline model from the procedural part of the guideline text, to aid the human modeller, the medical terminology used by the guideline must have a good overlap with existing medical thesauri and its procedural knowledge must obey linguistic regularities that can be mapped into the control constructs of the target guideline modelling language.

Artificial Intelligence↗

Adult age differences in memory and linguistic integration revisited.

In recent studies questioning whether linguistic integration of semantic information declines with age, the performance measures were based on recognition of related sentences in the Bransford/Franks paradigm; and the conclusions about age differences in linguistic integration were based on equivalent recognition performance of young and old adults. In the current study, the measure of linguistic integration was based on inference in a linear ordering task. Subjects were students at the University of Maryland - 34 between 18 and 23 years of age and 33 between 60 and 72. Recognition performance was equivalent for old and young groups, but linguistic integration was age related. Young subjects inferred the truth status of more sentences than did old subjects. These findings indicate that linguistic integration based on inference is age related and that equivalent recognition performance is not adequate evidence for equivalent linguistic integration. Furthermore, recent findings indicate that age deficits in making inferences using new information presented auditorily are due to deficits in memory for facts and in working memory. This study supports those findings and indicates that they can be generalized to information presented visually.

Adolescent↗

Distinct frontal regions subserve evaluation of linguistic and emotional aspects of speech intonation.

In addition to the propositional content of verbal utterances, significant linguistic and emotional information is conveyed by the tone of speech. To differentiate brain regions subserving processing of linguistic and affective aspects of intonation, discrimination of sentences differing in linguistic accentuation and emotional expressiveness was evaluated by functional magnetic resonance imaging. Both tasks yielded rightward lateralization of hemodynamic responses at the level of the dorsolateral frontal cortex as well as bilateral thalamic and temporal activation. Processing of linguistic and affective intonation, thus, seems to be supported by overlapping neural networks comprising partially right-sided brain regions. Comparison of hemodynamic activation during the two different tasks, however, revealed bilateral orbito-frontal responses restricted to the affective condition as opposed to activation of the left lateral inferior frontal gyrus confined to evaluation of linguistic intonation. These findings indicate that distinct frontal regions contribute to higher level processing of intonational information depending on its communicational function. In line with other components of language processing, discrimination of linguistic accentuation seems to be lateralized to the left inferior-lateral frontal region whereas bilateral orbito-frontal areas subserve evaluation of emotional expressiveness.

Acoustic Stimulation↗

Understanding linguistic evolution by visualizing the emergence of topographic mappings.

We show how cultural selection for learnability during the process of linguistic evolution can be visualized using a simple iterated learning model. Computational models of linguistic evolution typically focus on the nature of, and conditions for, stable states. We take a novel approach and focus on understanding the process of linguistic evolution itself. What kind of evolutionary system is this process? Using visualization techniques, we explore the nature of replicators in linguistic evolution, and argue that replicators correspond to local regions of regularity in the mapping between meaning and signals. Based on this argument, we draw parallels between phenomena observed in the model and linguistic phenomena observed across languages. We then go on to identify issues of replication and selection as key points of divergence in the parallels between the processes of linguistic evolution and biological evolution.

Artificial Intelligence↗

High mitochondrial sequence diversity in linguistic isolates of the Alps.

Segment I of the control region of mtDNA (360 bases) was sequenced in seven samples, each of 10 individuals inhabiting villages in the eastern Italian Alps (South Tyrol and Trentino). Three linguistic groups, German, Italian, and Ladin, were represented by two samples each; the seventh sample comes from an isolated group of German origin, the Mocheni, who are linguistically distinct and geographically separated from the bulk of the German speakers. Seventy-four polymorphic sites were identified, defining 63 different haplotypes. Mocheni and Ladin speakers tend to form two clusters in the evolutionary trees inferred from sequences. Analysis of molecular variance shows significant differentiation within samples, among them, and among linguistic groups. Genetic differences between the Ladins and the other groups are not much smaller than between Europeans and some Africans; variation is large within groups, as well, with the exception of only the Mocheni. In the evolutionary trees where the four alpine groups are compared with other European populations, Mocheni and especially Ladins appear as clear outliers. Romansch-speaking Swiss, who are linguistically related to Ladins, are not genetically similar to them, for this segment of DNA. Because the time elapsed since colonization of the Alps (< or = 12,000 years) is short in mutational terms, the only model accounting for the observed relationships between mtDNA variation and linguistic identity seems one in which a population ancestral to Ladin speakers was already differentiated long before the Alps were settled and the current linguistic affiliations were established. For the Mocheni, the results are consistent with a simpler episode of allele loss, from an original genetic pool common to the ancestors of the current German speakers.

DNA, Mitochondrial↗

Why aren't identical twins linguistically identical? Genetic, prenatal and postnatal factors.

Results of twin studies clearly demonstrate that genetic factors play an important role in the rate of language acquisition and linguistic proficiency attained by normal and impaired children and adults [see Stromswold, K. (2001). The heritability of language: A review and meta-analysis of twin, adoption and linkage studies. Language, 77, 647-723.]. That said, twin-based heritability estimates for language rarely exceed .6 and monozygotic (MZ) twins (who are usually assumed to have identical genetic and environmental endowments) sometimes have very different linguistic profiles. In addition, twins are more likely to suffer linguistic delays and impairments than singletons. Postnatal factors, such as differences in linguistic input twins receive, are usually assumed to be the major reason for these findings. This paper discusses how genetic, epigenetic, and perinatal environmental factors can lower heritability estimates for language, cause MZ twins to be linguistically discordant, and increase the risk of language impairments in twins. We present results from our ongoing Perinatal Environment and Genetic Interaction (PEGI) study that suggest that perinatal environmental factors affect linguistic development more than postnatal factors, and that postnatal factors affect cognitive development more than perinatal factors. Because perinatal factors are overwhelming biological, whereas postnatal factors tend to be psychosocial (e.g., how and how much parents speak to their children), these results support nativist/biological theories of language and language development and call into question empiricist/emergentist theories. These results are also consistent with modularist theories of language. We end by suggesting new methods that can be used to tease apart the effects of prenatal and postnatal environment and to investigate how these factors interact with genetic factors.

Child Development↗

Linguistic performance and regional cerebral blood flow in persons who stutter.

In a series of studies regarding CNS dysfunction in stuttering, we have examined linguistic and motoric performance in the context of measures of brain function. Previous studies of adults with developmental stuttering identified alterations in brain function (metabolic and electrophysiologic) in cortical regions implicated in models of speech motor control and language processing. We also identified a sub-group of these subjects who exhibited linguistic performance deficits related to speech performance deficits. The present study examined the hypothesis that adults who stutter and who show linguistic performance deficits will also show metabolic alterations in cortical regions classically related to language processing, whereas adults who stutter but who do not show linguistic performance deficits will not show these cortical metabolic alterations. Significant relative blood flow asymmetry (left < right) was observed in middle temporal and inferior frontal cortical regions only for adults who both stuttered and showed linguistic performance deficits. Results support models that explicitly recognize that efficient integration of linguistic, motoric, and cognitive processes is critical to the production of oral/verbal fluency and to understanding sources of fluency failure.

Adult↗

Gender and teachers' rating of linguistic skills among second-grade schoolchildren.

The aim of the study was to evaluate the possible differences in linguistic skills and school achievement between girls and boys. In a nation-wide study, the achievement of 1,936 second-grade Finnish girls and boys was appraised according to the teachers' rating. The results were compared with the linguistic test performance of 364 pupils from the nearby area. The mean rates of girls in writing, reading, oral performance and attention were significantly higher than those of boys as evaluated by the teachers (p < 0.01). Also, the risk of boys to be below the median in their achievement rates compared with girls was higher (risk ratios 1.3-1.6, 95% confidence intervals 1.2-1.7, p < 0.01). In multiple regression analysis where birth order, duration of nursery day care, number of otitis media episodes and parental education were controlled for, male gender proved to be a risk factor for linguistic skills as graded by the teachers. Yet, performance in linguistic tests did not support the superiority of girls in linguistic skills. Professionals taking care of linguistic problems in children should be aware that teachers' evaluations are influenced by the gender of the pupil.

Child↗

The emotional basis of linguistic and nonlinguistic intonation: implications for hemispheric specialization.

Clinical and experimental studies suggest that the right cerebral hemisphere is dominant for intonation or the "melody of language." In light of this brain-behavior correlation, an assessment of intonation is a useful adjunct of the linguistic, cognitive, and neurological evaluation of patients with brain damage. However, the neural basis of intonation is controversial. This article examines 1 of the unresolved issues--the hypothesis that emotional versus linguistic categories of intonation are lateralized to the opposite hemispheres. A review of linguistic and neurobehavioral evidence fails to support the claim that intonation is divided into dichotomous categories. Linguistic analysis suggests that even intonation patterns traditionally described as nonemotional have their underpinnings in the speaker's emotions. Similarly, studies of adults and children with brain damage indicate that intonation patterns described as either linguistic or emotional are mediated by right-hemisphere substrate specialized for emotional experience. The cross-disciplinary findings support a general right-hemisphere hypothesis that unifies linguistic and emotional uses of intonation in children and adults. Implications of the hypothesis are discussed in relation to the diagnosis of developmental disorders, with special attention to the problem of identifying language impairment in infants and toddlers.

Adult↗

Genetic and linguistic affinities between human populations in Eurasia and West Africa.

This study examines the relationship between genetic distance and linguistic affiliation for five regional sets of populations from Eurasia and West Africa. Human genetic and linguistic diversity have been proposed to be generally correlated, either through a direct link, whereby linguistic and genetic affiliations reflect the same past population processes, or an indirect one, where the evolution of the two types of diversity is independent but conditioned by the same geographical factors. By controlling for proximity, indirect correlations due to common geography are eliminated, and any residual relationships found are likely to reflect common linguistic-genetic processes. Clear relationships between genetic distances and linguistic relatedness are detectable in Europe and East and Central Asia, but not in the Middle East, Southeast Asia, or West Africa. We suggest that linguistic and genetic affiliations will only be correlated under specific conditions, such as where there have been large-scale demic diffusions in the last few thousand years, and relative sedentism in the subsequent period.

Africa, Western↗

Electrophysiologic indices of Stroop and Garner interference reveal linguistic influences on auditory and visual processing.

The purpose of this study was to examine linguistic influences on the auditory and visual processing of words both behaviorally and electrophysiologically. Our task yielded measures of the effect of irrelevant semantic content (Stroop interference) and of the effect of irrelevant linguistic variability (Garner interference). The behavioral results allow us to assess whether the linguistic and nonlinguistic dimensions of verbal stimuli are processed dependently or independently. The electrophysiologic results allow us to determine where any processing interactions are arising, particularly regarding perceptual versus postperceptual underpinnings, and to evaluate the similarity and dissimilarity between the two interference effects. Results show pronounced Stroop and Garner interference both behaviorally and electrophysiologically, indicating linguistic influences on auditory and visual processing. Subjects could not ignore the irrelevant linguistic dimension and attend selectively to the physical dimension of either spoken or written words. The results indicate that the physical and linguistic dimensions of words are not processed independently. With regard to the stage of processing underlying the interference effects, our results suggest that both Stroop and Garner interference involve multiple stages of processing. The two interference effects are not duplicate measures, however, and different electrophysiologic signatures were observed. Stroop interference is characterized by perceptual and postperceptual components. Similar electrophysiologic patterns within the auditory and visual modalities suggest that each interference effect is tapping similar processes for spoken and written stimuli.

Adult↗

The ability to perceive and comprehend intonation in linguistic and affective contexts by brain-damaged adults.

Receptive tasks of linguistic and affective prosody were administered to 9 right-hemisphere-damaged (RHD), 10 left-hemisphere-damaged (LHD), and 10 age-matched control (NC) subjects. Two tasks measured subjects' ability to discriminate utterances based solely on prosodic cues, and six tasks required subjects to identify linguistic or affective intonational meanings. Identification tasks manipulated the degree to which the auditory stimuli were structured linguistically, presenting speech-filtered, nonsensical, and semantically well-formed utterances in different tasks. Neither patient group was impaired relative to normals in discriminating prosodic patterns or recognizing affective tone conveyed suprasegmentally, suggesting that neither the LHD nor the RHD patients displayed a receptive disturbance for emotional prosody. The LHD group, however, was differentially impaired on linguistic rather than emotional tasks and performed significantly worse than the NC group on linguistic tasks even when semantic information biased the target response.

Adult↗

Temporal dynamics of linguistic processes are reorganized in aphasics' cortex: an EEG mapping study.

Brain lesions are known to elicit reorganization of function in representational cortex. Using linguistic function as an example, we show that (a) injury-related reorganization may also be observed in language-related cortex and (b) this reorganization not only appears in cortical space but also in the dynamic flow of activity. The present study investigated cortical reorganization in a group of 10 nonfluent aphasics who demonstrated partial recovery of linguistic functions. Compared with controls, linguistic functions were organized in an atypical manner, both in terms of spatial structures involved and in the time course of the linguistic processes, from word reading to late stages of word encoding in working memory. For this purpose, event-related potentials were recorded in a two-stimulus design comprising phonological and semantic tasks. Subjects were asked to judge whether two words, separated by a 2-s interval, rhymed (phonological task) or were semantically associated. During word reading of the phonological task, controls showed negativity/activation over occipital sites, whereas patients displayed negativity at left-medial orbitofrontal locations anterior to the common sites of lesion. During the subsequent 2-s interval associated with word encoding, the two groups showed a reversed pattern: significant left-right anterior asymmetry prevailed in controls, whereas lateralization was absent in patients. Aphasics displayed maximum positivity/inhibition over the left frontal regions, at the typical site of lesion. Compared with controls, patients exhibited significant disinhibition (decreased positivity) of right frontal areas and greater activation of left temporal sites. These results suggest that the concept of language plasticity should include, in addition to spatial aspects of linguistic reorganization, the reorganized temporal dynamics associated with recovery of impaired functions.

Adult↗

The linguistic repudiation of Wundt.

Wilhelm Wundt's influence on the development of linguistics and psychology was pervasive. The foundations for this web of influence on the sciences of mind and language were laid down in Wundt's own research program, which was quite different from other attempts at founding a new psychology, as it was deeply rooted in German philosophy. This resulted in certain gaps in Wundt's conception of mind and language. These gaps provoked a double repudiation of Wundt's theories, by linguists and psychologists. The psychological repudiation has been studied by historians of psychology, and the linguistic repudiation has been studied by historians of linguistics. The intent of this article is to bring the linguistic repudiation to the attention of historians of psychology, especially the one outlined by two important figures in the history of psychology: Karl Buhler and George Mead.

History, 19th Century↗

Speech interactions with linguistic, cognitive, and visuomotor tasks.

Lip movements were examined across several repetitive speaking conditions (speech alone and speaking concurrently with a linguistic, cognitive, or visuomotor challenge task) in 20 young adults. Performance in these nonspeech activities was also compared between isolated tasks and concurrent speech conditions. Linguistic challenges resulted in increased spatiotemporal variability of lip displacement across repetitions. Motor challenges led to more rapid speech with smaller lip displacement. These qualitatively different changes suggest that different aspects of attention are required for linguistic versus manual visuomotor activity. Vocal intensity increased for all concurrent task conditions compared with speech alone, suggesting increased effort compared to the control condition. Scores for linguistic performance decreased when utterance repetition occurred concurrently with the syntactic challenge. These findings reveal that speech motor activity can influence linguistic performance as well as be influenced by it. Although these data come from healthy speakers, they suggest that clinicians working with disordered speakers should not overlook the potential interactions among the demands of language formulation, cognitive activity, and speech motor performance.

Adult↗

Conversational success in Williams syndrome: communication in the face of cognitive and linguistic limitations.

Williams syndrome (WS) is characterized by apparent relative strengths in language, facial processing and social cognition but by profound impairment in spatial cognition, planning and problem solving. Following recent research which suggests that individuals with WS may be less linguistically able than was once thought, in this paper we begin to investigate why and how they may give the impression of linguistic proficiency despite poor standardized test results. This case study of Brendan, a 12-year-old boy with WS, who presents with a considerable lack of linguistic ability, suggests that impressions of linguistic competence may to some extent be the result of conversational strategies which enable him to compensate for various cognitive and linguistic deficits with a considerable degree of success. These conversational strengths are not predicted by his standardized language test results, and provide compelling support for the use of approaches such as Conversation Analysis in the assessment of individuals with communication impairments.

Child↗

Neuropsychological studies of linguistic and affective facial expressions in deaf signers.

For deaf users of American Sign Language (ASL), facial behaviors function in two distinct ways: to convey affect (as with spoken languages) and to mark certain specific grammatical structures (e.g., relative clauses), thus subserving distinctly linguistic functions in ways that are unique to signed languages. The existence of two functionally different classes of facial behaviors raises questions concerning neural control of language and nonlanguage functions. Examining patterns of neural mediation for differential functions of facial expressions, linguistic versus affective, provides a unique perspective on the determinants of hemispheric specialization. This paper presents two studies which explore facial expression production in deaf signers. An experimental paradigm uses chimeric stimuli of ASL linguistic and affective facial expressions (photographs of right vs. left composites of posed expressions) to explore patterns of productive asymmetries in brain-intact signers. A second study examines facial expression production in left and right brain lesioned deaf signers, specifying unique patterns of spared and impaired functions. Both studies show striking differences between affective and linguistic facial expressions. The data indicate that for deaf signing individuals, affective expressions appear to be primarily mediated by the right-hemisphere. In contrast, these studies provide evidence that linguistic facial expressions involve left hemisphere mediation. This represents an important finding, since one and the same muscular system is involved in two functionally distinct types of facial expressions. For hearing persons, the right-hemisphere may be predominant in affective facial expression, but for deaf signers, hemispheric specialization for facial signals is influenced by the purposes those signals serve. Taken together, the data provide important new insights into the determinants of the specialization of the cerebral hemispheres in humans.

Affect↗

Relationships of linguistic and motivation variables with drinking outcomes following two mailed brief interventions.

OBJECTIVE: This study was a post hoc analysis of linguistic and motivation variables found in writing samples following the administration of two mailed brief interventions. METHOD: At-risk college drinkers (N = 100) received personalized normative feedback (PNF) or an alcohol education (AE) brochure via mail. Participants responded to open-ended questions describing their reactions to the information they received. The writing samples were then coded for linguistic characteristics using the Linguistic Inquiry and Word Count program and for proportions of self-motivational statements using a modified version of the Motivational Interviewing Skills Code. RESULTS: Group comparisons indicated that the PNF group used a significantly higher percentage of first-person-singular and school-related words, whereas the AE group used a higher percentage of discrepancy, second-person and body-related words. Furthermore, the PNF group produced more language consistent with motivation to change than did the AE group. Hierarchical regressions testing mediation and moderation indicated that linguistic references to school and motivation moderated the group effect on changes in consumption during the heaviest drinking week. Further, although the group predicted reduction in heavy, episodic drinking, its effect was completely mediated by linguistic variables. CONCLUSIONS: Findings confirmed that PNF elicits distinct verbal responses that are associated with increased motivation and behavior change.

Adult↗