Developmental change in children's speech processing of auditory and visual cues: An eyetracking study.

This study investigates how children aged two to eight years (N = 129) and adults (N = 29) use auditory and visual speech for word recognition. The goal was to bridge the gap between apparent successes of visual speech processing in young children in visual-looking tasks, with apparent difficulties of speech processing in older children from explicit behavioural measures. Participants were presented with familiar words in audio-visual (AV), audio-only (A-only) or visual-only (V-only) speech modalities, then presented with target and distractor images, and looking to targets was measured. Adults showed high accuracy, with slightly less target-image looking in the V-only modality. Developmentally, looking was above chance for both AV and A-only modalities, but not in the V-only modality until 6 years of age (earlier on /k/-initial words). Flexible use of visual cues for lexical access develops throughout childhood.

Rethinking the phonetics of baby-talk: Differences across Canada and Vanuatu in the articulation of mothers' speech to infants.

Infant-directed speech (IDS) is phonetically distinct from adult-directed speech (ADS): It is typically considered to have special prosody-like higher pitch and slower speaking rates-as well as unique speech sound properties, for example, more breathy, hyperarticulated, and/or variable consonant and vowel articulation. These phonetic features are widely observed in the IDS of caregivers from urbanized contexts who speak a handful of very well-researched languages. Yet studies with more diverse socio-cultural and linguistic samples show that this "typical" IDS prosody is not consistently observed across cultures. We extended cross-cultural work by examining IDS speech segment articulation, which-like prosody-is also thought to be a characteristic phonetic feature of IDS that might aid speech and language development. Here we asked whether IDS vowels have different articulatory features compared to ADS vowels in two distinct linguistic and socio-cultural contexts: urban English-speaking Canadian mothers, and rural Lenakel- and Southwest Tanna-speaking ni-Vanuatu mothers (n = 57, 20-46 years of age). Replicating prior work, Canadian mothers had more variable vowels in IDS compared to ADS, but also did not show clear register differences for breathiness or hyperarticulation. Vowels spoken by ni-Vanuatu mothers showed very distinct articulatory tendencies, using less variable (and less breathy) IDS vowels. Along with other work showing diversity in IDS phonetics across populations, this paper suggests that any understanding of how IDS might aid speech and language development are best examined through a culturally- and linguistically-specific lens.

Postoperative surgical site infection rate in patients with diabetes following Mohs micrographic surgery: a retrospective analysis.

BACKGROUND: Incidence of surgical site infection (SSI) following Mohs micrographic surgery (MMS) amongst patients with diabetes is largely unknown. OBJECTIVE: Evaluate diabetes as a potential SSI risk factor in MMS by comparing SSI incidence in a cohort of patients with and without diabetes. METHODS: A 5-year retrospective review to determine SSI rate in patients with diabetes compared to patients without diabetes. SSI incidence in patients with diabetes was further compared by A1c, and the impact of antibiotics on SSI rate was also examined. RESULTS: Overall rate of SSI was 1.47% (53/3597 cases). SSI rate amongst patients with diabetes was 1.95% (14/719 cases) compared to 1.35% (39/2878 cases) in patients without diabetes, with a non-significant odds ratio for SSI of 1.45 (95% CI = 0.78-2.68, P = 0.241). Multivariable logistic regression analysis revealed no difference in SSI. Stratification of diabetic patients by A1c into ≥7.0 and <7.0 compared to patients without diabetes yielded no statistically significant difference in SSI amongst all groups (P = 0.815). Whether an antibiotic was prescribed did not significantly impact SSI rate between groups. CONCLUSION: No significant difference in postoperative SSI was found in patients with diabetes compared to patients without diabetes following MMS regardless of degree of glycaemic control.

Stabilization of the Closed-Ring Isomer of Spiropyran by Amide Naphthotube in Water and Its Application in Naked-Eye Detection of Toxic Paraoxon.

The thermodynamically unstable, colourless closed-ring isomer of spiropyran can be stabilized in water by the anti-configurational isomer of amide naphthotube. The influence of the binding on the thermodynamics and kinetics of spiropyran have been studied. The complex was further used to prepare a test paper that allows naked-eye detection of toxic paraoxon.

In-situ calibration of laser/galvo scanning system using dimensional reference artefacts.

Laser powder bed fusion systems use a high-power laser, steered by two galvanometer (galvo) mirrors to scan a pattern on metal powder layers. Part geometric tolerances depend on the positioning accuracy of the laser/galvo system. This paper describes an in-situ calibration technique utilizing a camera coaxially aligned with the laser imaging a dimensional reference artefact. The laser positions are determined from the images captured by the camera while scanning the artefact. The measurement uncertainty is estimated using simulations. The in-situ calibration results are compared with the results obtained from the typical 'mark and measure' galvo calibration method.

Thermodynamic and Kinetic Effects in the Crystallization of Metal-Organic Frameworks.

The evolution of metal-organic frameworks (MOFs) has been one of the most exciting aspects of materials chemistry over the last 20 years. In this Account, we discuss the development during this period in our understanding of the factors that control the crystallization of MOFs from solution. Both classical porous MOFs and dense MOF phases are considered. This is an opportune time at which to examine this complex area because the experimental tools now available to interrogate crystallization processes have matured significantly in the last 5 years, particularly with the use of in situ synchrotron X-ray diffraction. There have also been impressive developments in the use of density functional theory (DFT) to treat not only the energies of very complex structures but also their entropies. This is particularly important in MOF frameworks because of their much greater flexibility compared with inorganic structures such as zeolites. The first section of the Account describes how early empirical observations on the crystallization of dense MOFs pointed to a strong degree of thermodynamic control, with both enthalpic and entropic factors playing important roles. For example, reactions at higher temperatures tend to lead to denser structures with higher degrees of framework connectivity and lower levels of solvation, and polymorphs tend to form according to their thermodynamic stabilities. In the case of metal tartrates, these trends have been validated by calorimetric studies. It has been clear for more than a decade, however, that certain phases crystallize under kinetic control, especially when a change in conformation of the ligand or coordination around a metal center might be necessary to form the thermodynamically preferred product. We describe how this can lead to time-dependent crystallization processes that evolve according to the Ostwald rule of stages and can be observed by in situ methods. We then consider the crystallization of porous MOFs, which presents additional challenges because of solvation effects. In spite of these problems, much has been learned about the energetics of the underlying frameworks, where the relationship between porosity and stability initially seemed to mirror the behavior of zeolites, with more porous structures being less stable. Recently, however, this simple relationship has had to be reconsidered with the emergence of some very flexible structures wherein the open structures are more stable than their denser analogues at finite temperatures because of their large vibrational entropies. In the final section we describe how the concepts developed in the MOF work have been extended into the closely related area of hybrid organic-inorganic perovskites. We describe recent studies on polymorphism in hybrid perovskites, which is amenable to total free energy calculations using a combination of DFT and lattice dynamics methods.

Infants' statistical word segmentation in an artificial language is linked to both parental speech input and reported production abilities.

Individual variability in infant's language processing is partly explained by environmental factors, like the quantity of parental speech input, as well as by infant-specific factors, like speech production. Here, we explore how these factors affect infant word segmentation. We used an artificial language to ensure that only statistical regularities (like transitional probabilities between syllables) could cue word boundaries, and then asked how the quantity of parental speech input and infants' babbling repertoire predict infants' abilities to use these statistical cues. We replicated prior reports showing that 8-month-old infants use statistical cues to segment words, with a preference for part-words over words (a novelty effect). Crucially, 8-month-olds with larger novelty effects had received more speech input at 4 months and had greater production abilities at 8 months. These findings establish for the first time that the ability to extract statistical information from speech correlates with individual factors in infancy, like early speech experience and language production. Implications of these findings for understanding individual variability in early language acquisition are discussed.

Automated real-time detection of drug-resistant Mycobacterium tuberculosis on a lab-on-a-disc by Recombinase Polymerase Amplification.

With the emergence of multi- and extensive-drug (MDR/XDR) resistant Mycobacterium tuberculosis (M. tb), tuberculosis (TB) persists as one of the world's leading causes of death. Recently, isothermal DNA amplification methods received much attention due to their ease of translation onto portable point-of-care (POC) devices for TB diagnosis. In this study, we aimed to devise a simple yet robust detection method for M. tb. Amongst the numerous up-and-coming isothermal techniques, Recombinase Polymerase Amplification (RPA) was chosen for a real-time detection of TB with or without MDR. In our platform, real-time RPA (RT-RPA) was integrated on a lab-on-a-disc (LOAD) with on-board power to maintain temperature for DNA amplification. Sputa collected from healthy volunteers were spiked with respective target M. tb samples for testing. A limit of detection of 102 colony-forming unit per millilitre in 15 min was achieved, making early detection and differentiation of M. tb strains highly feasible in extreme POC settings. Our RT-RPA LOAD platform has also been successfully applied in the differentiation of MDR-TB from H37Ra, an attenuated TB strain. In summary, a quantitative RT-RPA on LOAD assay with a high level of sensitivity was developed as a foundation for further developments in medical bedside and POC diagnostics.

High-functioning autism patients share similar but more severe impairments in verbal theory of mind than schizophrenia patients.

BACKGROUND: Evidence suggests that autism and schizophrenia share similarities in genetic, neuropsychological and behavioural aspects. Although both disorders are associated with theory of mind (ToM) impairments, a few studies have directly compared ToM between autism patients and schizophrenia patients. This study aimed to investigate to what extent high-functioning autism patients and schizophrenia patients share and differ in ToM performance. METHODS: Thirty high-functioning autism patients, 30 schizophrenia patients and 30 healthy individuals were recruited. Participants were matched in age, gender and estimated intelligence quotient. The verbal-based Faux Pas Task and the visual-based Yoni Task were utilised to examine first- and higher-order, affective and cognitive ToM. The task/item difficulty of two paradigms was examined using mixed model analyses of variance (ANOVAs). Multiple ANOVAs and mixed model ANOVAs were used to examine group differences in ToM. RESULTS: The Faux Pas Task was more difficult than the Yoni Task. High-functioning autism patients showed more severely impaired verbal-based ToM in the Faux Pas Task, but shared similar visual-based ToM impairments in the Yoni Task with schizophrenia patients. CONCLUSIONS: The findings that individuals with high-functioning autism shared similar but more severe impairments in verbal ToM than individuals with schizophrenia support the autism-schizophrenia continuum. The finding that verbal-based but not visual-based ToM was more impaired in high-functioning autism patients than schizophrenia patients could be attributable to the varied task/item difficulty between the two paradigms.

Patient satisfaction with treatments for moderate-to-severe plaque psoriasis in clinical practice.

BACKGROUND: Treatment satisfaction among patients with moderate-to-severe psoriasis has not been studied and compared across treatments using a validated instrument. OBJECTIVES: To assess patient-reported satisfaction with systemic and phototherapy treatments for moderate-to-severe psoriasis in clinical practice and to correlate satisfaction with disease severity and quality-of-life measures. METHODS: This was a cross-sectional study of 1182 patients with moderate-to-severe psoriasis in the Dermatology Clinical Effectiveness Research Network in the U.S.A. Patients receiving either topical therapies only; monotherapy with oral systemic therapies, biologics or narrowband ultraviolet B phototherapy; or combination therapy with biologics and methotrexate completed the Treatment Satisfaction Questionnaire for Medication version II. RESULTS: Median unadjusted overall satisfaction scores were highest for patients receiving biologic monotherapies, biologic-methotrexate combinations, or phototherapy (83.3); scores were lowest for those receiving topical therapies only or acitretin (66.7). In fully adjusted models, compared with patients receiving methotrexate monotherapy, those receiving adalimumab, etanercept, ustekinumab, phototherapy or adalimumab with methotrexate had significantly higher median overall satisfaction scores by 7.2-8.3 points, while those receiving topical therapies only had significantly lower overall satisfaction by 8.9 points. Adjusted convenience scores were lowest for patients receiving topical therapies only or infliximab. Modest but significant correlations were found between the overall satisfaction subscale and both the Psoriasis Area and Severity Index (ρ = -0.36, P < 0.001) and the Dermatology Life Quality Index (ρ = -0.47, P < 0.001). CONCLUSIONS: Discernible differences were found in treatment satisfaction among therapies, particularly regarding treatment effectiveness and convenience. Further application of treatment satisfaction measures may inform treatment decisions and guideline development.

Referential labeling can facilitate phonetic learning in infancy.

All languages employ certain phonetic contrasts when distinguishing words. Infant speech perception is rapidly attuned to these contrasts before many words are learned, thus phonetic attunement is thought to proceed independently of lexical and referential knowledge. Here, evidence to the contrary is provided. Ninety-eight 9-month-old English-learning infants were trained to perceive a non-native Cantonese tone contrast.Two object­tone audiovisual pairings were consistently presented, which highlighted the target contrast (Object A with Tone X; Object B with Tone Y). Tone discrimination was then assessed. Results showed improved tone discrimination if object­tone pairings were perceived as being referential word labels, although this effect was modulated by vocabulary size. Results suggest how lexical and referential knowledge could play a role in phonetic attunement.

Visual scanning patterns of a talking face when evaluating phonetic information in a native and non-native language.

When comprehending speech, listeners can use information encoded in visual cues from a face to enhance auditory speech comprehension. For example, prior work has shown that the mouth movements reflect articulatory features of speech segments and durational information, while pitch and speech amplitude are primarily cued by eyebrow and head movements. Little is known about how the visual perception of segmental and prosodic speech information is influenced by linguistic experience. Using eye-tracking, we studied how perceivers' visual scanning of different regions on a talking face predicts accuracy in a task targeting both segmental versus prosodic information, and also asked how this was influenced by language familiarity. Twenty-four native English perceivers heard two audio sentences in either English or Mandarin (an unfamiliar, non-native language), which sometimes differed in segmental or prosodic information (or both). Perceivers then saw a silent video of a talking face, and judged whether that video matched either the first or second audio sentence (or whether both sentences were the same). First, increased looking to the mouth predicted correct responses only for non-native language trials. Second, the start of a successful search for speech information in the mouth area was significantly delayed in non-native versus native trials, but just when there were only prosodic differences in the auditory sentences, and not when there were segmental differences. Third, (in correct trials) the saccade amplitude in native language trials was significantly greater than in non-native trials, indicating more intensely focused fixations in the latter. Taken together, these results suggest that mouth-looking was generally more evident when processing a non-native versus native language in all analyses, but fascinatingly, when measuring perceivers' latency to fixate the mouth, this language effect was largest in trials where only prosodic information was useful for the task.

Predicting Social Competence in Autistic and Non-Autistic Children: Effects of Prosody and the Amount of Speech Input.

PURPOSE: Autistic individuals often face challenges perceiving and expressing emotions, potentially stemming from differences in speech prosody. Here we explore how autism diagnoses between groups, and measures of social competence within groups may be related to, first, children's speech characteristics (both prosodic features and amount of spontaneous speech), and second, to these two factors in mothers' speech to their children. METHODS: Autistic (n = 21) and non-autistic (n = 18) children, aged 7-12 years, participated in a Lego-building task with their mothers, while conversational speech was recorded. Mean F0, pitch range, pitch variability, and amount of spontaneous speech were calculated for each child and their mother. RESULTS: The results indicated no differences in speech characteristics across autistic and non-autistic children, or across their mothers, suggesting that conversational context may have large effects on whether differences between autistic and non-autistic populations are found. However, variability in social competence within the group of non-autistic children (but not within autistic children) was predictive of children's mean F0, pitch range and pitch variability. The amount of spontaneous speech produced by mothers (but not their prosody) predicted their autistic children's social competence, which may suggest a heightened impact of scaffolding for mothers of autistic children. CONCLUSION: Together, results suggest complex interactions between context, social competence, and adaptive parenting strategies in driving prosodic differences in children's speech.

Lip movements affect infants' audiovisual speech perception.

Speech is robustly audiovisual from early in infancy. Here we show that audiovisual speech perception in 4.5-month-old infants is influenced by sensorimotor information related to the lip movements they make while chewing or sucking. Experiment 1 consisted of a classic audiovisual matching procedure, in which two simultaneously displayed talking faces (visual [i] and [u]) were presented with a synchronous vowel sound (audio /i/ or /u/). Infants' looking patterns were selectively biased away from the audiovisual matching face when the infants were producing lip movements similar to those needed to produce the heard vowel. Infants' looking patterns returned to those of a baseline condition (no lip movements, looking longer at the audiovisual matching face) when they were producing lip movements that did not match the heard vowel. Experiment 2 confirmed that these sensorimotor effects interacted with the heard vowel, as looking patterns differed when infants produced these same lip movements while seeing and hearing a talking face producing an unrelated vowel (audio /a/). These findings suggest that the development of speech perception and speech production may be mutually informative.

Inner speech captures the perception of external speech.

Talking silently to ourselves occupies much of our mental lives, yet the mechanisms underlying this experience remain unclear. The following experiments provide behavioral evidence that the auditory content of inner speech is provided by corollary discharge. Corollary discharge is the motor system's prediction of the sensory consequences of its actions. This prediction can bias perception of other sensations, pushing percepts to match with prediction. The two experiments below show this bias induced by inner speech, demonstrating that inner speech causes external sounds to be heard as similar to the imagined speech, and that this bias operates on subphonemic content.

Haematospermia as a presenting symptom: outcomes of investigation in 300 men.

BACKGROUND AND AIMS: The optimum investigation of haematospermia is unknown. The association of this condition in relation to pathology and in particular prostate cancer is controversial and there is a paucity of evidence based literature regarding the above. The aim of this study was to investigate haematospermia as a presenting symptom of significant underlying pathology and to assess the diagnostic value of routine urological investigations. METHODS: 300 consecutive patients referred from primary care to a tertiary urology referral centre presenting with haematospermia were included in this observational case series. Data on patient age, concurrent presenting symptoms and urological history were collected. Subsequent patient investigations and final diagnoses were recorded. PSA and digital rectal examination (DRE) findings were noted in the over 40 age group. RESULTS: Of 469 investigative episodes, comprising: 206 flexible cystoscopies, 232 renal ultrasounds, 16 intravenous urograms (IVUs) and 15 scrotal ultrasounds; only 2 (0.4%) resulted in findings of significant new pathology which required surgical intervention. 13 prostate cancers were detected (5.7%) and 2 of dysplasia, all in men over 40 years either with a PSA of >3.0 ng/dl or an abnormal DRE. CONCLUSIONS: PSA measurement and a DRE should be carried out in patients over the age of 40 years presenting with haematospermia to screen for prostate cancer. Investigation of haematospermia in the form of flexible cystoscopy, ultrasound or IVU has a very poor diagnostic yield and is not recommended routinely for an initial presentation of haematospermia.