Centering, Anaphora Resolution, and Discourse Structure

Centering was formulated as a model of the relationship between attentional state, the form of referring expressions, and the coherence of an utterance within a discourse segment (Grosz, Joshi and Weinstein, 1986; Grosz, Joshi and Weinstein, 1995). In this chapter, I argue that the restriction of centering to operating within a discourse segment should be abandoned in order to integrate centering with a model of global discourse structure. The within-segment restriction causes three problems. The first problem is that centers are often continued over discourse segment boundaries with pronominal referring expressions whose form is identical to those that occur within a discourse segment. The second problem is that recent work has shown that listeners perceive segment boundaries at various levels of granularity. If centering models a universal processing phenomenon, it is implausible that each listener is using a different centering algorithm.The third issue is that even for utterances within a discourse segment, there are strong contrasts between utterances whose adjacent utterance within a segment is hierarchically recent and those whose adjacent utterance within a segment is linearly recent. This chapter argues that these problems can be eliminated by replacing Grosz and Sidner's stack model of attentional state with an alternate model, the cache model. I show how the cache model is easily integrated with the centering algorithm, and provide several types of data from naturally occurring discourses that support the proposed integrated model. Future work should provide additional support for these claims with an examination of a larger corpus of naturally occurring discourses.Comment: 35 pages, uses elsart12, lingmacros, named, psfi

Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis.

BACKGROUND: We studied the incidence, prevalence, and radiographic progression of symptomatic adjacent-segment disease, which we defined as the development of new radiculopathy or myelopathy referable to a motion segment adjacent to the site of a previous anterior arthrodesis of the cervical spine. METHODS: A consecutive series of 374 patients who had a total of 409 anterior cervical arthrodeses for the treatment of cervical spondylosis with radiculopathy or myelopathy, or both, were followed for a maximum of twenty-one years after the operation. The annual incidence of symptomatic adjacent-segment disease was defined as the percentage of patients who had been disease-free at the start of a given year of follow-up in whom new disease developed during that year. The prevalence was defined as the percentage of all patients in whom symptomatic adjacent-segment disease developed within a given period of follow-up. The natural history of the disease was predicted with use of a Kaplan-Meier survivorship analysis. The hypothesis that new disease at an adjacent level is more likely to develop following a multilevel arthrodesis than it is following a single-level arthrodesis was tested with logistic regression. RESULTS: Symptomatic adjacent-segment disease occurred at a relatively constant incidence of 2.9 percent per year (range, 0.0 to 4.8 percent per year) during the ten years after the operation. Survivorship analysis predicted that 25.6 percent of the patients (95 percent confidence interval, 20 to 32 percent) who had an anterior cervical arthrodesis would have new disease at an adjacent level within ten years after the operation. There were highly significant differences among the motion segments with regard to the likelihood of symptomatic adjacent-segment disease (p CONCLUSIONS: Symptomatic adjacent-segment disease may affect more than one-fourth of all patients within ten years after an anterior cervical arthrodesis. A single-level arthrodesis involving the fifth or sixth cervical vertebra and preexisting radiographic evidence of degeneration at adjacent levels appear to be the greatest risk factors for new disease. Therefore, we believe that all degenerated segments causing radiculopathy or myelopathy should be included in an anterior cervical arthrodesis. Although our findings suggest that symptomatic adjacent-segment disease is the result of progressive spondylosis, patients should be informed of the substantial possibility that new disease will develop at an adjacent level over the long term

Oceanic Core Complex die off and generation of enhanced mantle upwelling on the Mid-Atlantic Ridge - 22° N

EGU2011-13199 Images of crustal construction provide a key to understand the interplay of magmatism and tectonism while oceanic crust is build up. Bathymetric data show that the crustal construction is highly variable. Areas that are dominated by magmatic processes are adjacent to areas that are highly tectonised and where mantle rocks were found. The Mid-Atlantic Ridge at 22°N shows this high variability along the ridge axis, within the TAMMAR segment, and from segment to segment. However, this strong variability occurs also off-axis, spreading parallel, representing different times in the same area of the ridge. A fracture zone, with limited magma supply, has been replaced by a segment centre with a high magmatic budget. Roughly 4.5 million years ago, the growing magmatic active TAMMAR segment, propagated into the fracture zone, started the migration of the ridge offset to the south, and stopped the formation of core complexes. We present data from seismic refraction and wide-angle reflection profiles that surveyed the crustal structure across the ridge crest of the TAMMAR segment. These yield the crustal structure at the segment centre as a function of melt supply. The results suggest that crust is ~8 km thick near the ridge and decreases in thickness with offset to the ridge axis. Seismic layer 3 shows profound changes in thickness and becomes rapidly one kilometre thicker approx. 5 million years ago. This correlates with gravimetric data and the observed “Bull’s eye” anomaly in that region. Our observations support a temporal change from thick lithosphere with oceanic core complex formation to thin lithosphere with focussed mantle upwelling and segment growing. The formation of ‘thick-crust’ volcanic centre seems to have coincided with the onset of propagation 4.5 million years ago

Lumbar intervertebral disc allograft transplantation: long-term mobility and impact on the adjacent segments

Purpose: Fresh-frozen intervertebral disc (IVD) allograft transplantation has been successfully performed in the human cervical spine. Whether this non-fusion technology could truly decrease adjacent segment disease is still unknown. This study evaluated the long-term mobility of the IVD-transplanted segment and the impact on the adjacent spinal segments in a goat model. Methods: Twelve goats were used. IVD allograft transplantation was performed at lumbar L4/L5 in 5 goats; the other 7 goats were used as the untreated control (5) and for the supply of allografts (2). Post-operation lateral radiographs of the lumbar spine in the neutral, full-flexion and full-extension positions were taken at 1, 3, 6, 9 and 12 months. Disc height (DH) of the allograft and the adjacent levels was calculated and range of motion (ROM) was measured using the Cobb’s method. The anatomy of the adjacent discs was observed histologically. Results: DH of the transplanted segment was decreased significantly after 3 months but no further reduction was recorded until the final follow-up. No obvious alteration was seen in the ROM of the transplanted segment at different time points with the ROM at 12 months being comparable to that of the untreated control. The DH and ROM in the adjacent segments were well maintained during the whole observation period. At post-operative 12 months, the ROM of the adjacent levels was similar to that of the untreated control and the anatomical morphology was well preserved. Conclusions: Lumbar IVD allograft transplantation in goats could restore the segmental mobility and did not negatively affect the adjacent segments after 12 months.postprin

Dynamic stabilization versus fusion for treatment of degenerative spine conditions.

Study design Comparative effectiveness review.Study rationale Spinal fusion is believed to accelerate the degeneration of the vertebral segment above or below the fusion site, a condition called adjacent segment disease (ASD). The premise of dynamic stabilization is that motion preservation allows for less loading on the discs and facet joints at the adjacent, non-fused segments. In theory, this should decrease the rate of ASD. However, clinical evidence of this theoretical decrease in ASD is still lacking. We performed a systematic review to evaluate the evidence in the literature comparing dynamic stabilization with fusion.Clinical question In patients 18 years or older with degenerative disease of the cervical or lumbar spine, does dynamic stabilization lead to better outcomes and fewer complications, including ASD, than fusion in the short-term and the long-term?Methods A systematic search and review of the literature was undertaken to identify studies published through March 7, 2011. PubMed, Cochrane, and National Guideline Clearinghouse Databases as well as bibliographies of key articles were searched. Two individuals independently reviewed articles based on inclusion and exclusion criteria which were set a priori. Each article was evaluated using a predefined quality-rating scheme.Results No significant differences were identified between fusion and dynamic stabilization with regard to VAS, ODI, complications, and reoperations. There are no long-term data available to show whether dynamic stabilization decreases the rate of ASD.Conclusions There are no clinical data from comparative studies supporting the use of dynamic stabilization devices over standard fusion techniques

The conduction pore of a cardiac potassium channel.

Ion channels form transmembrane water-filled pores that allow ions to cross membranes in a rapid and selective fashion. The amino acid residues that line these pores have been sought to reveal the mechanisms of ion conduction and selectivity. The pore (P) loop is a stretch of residues that influences single-channel-current amplitude, selectivity among ions and open-channel blockade and is conserved in potassium-channel subunits previously recognized to contribute to pore formation. To date, potassium-channel pores have been shown to form by symmetrical alignment of four P loops around a central conduction pathway. Here we show that the selectivity-determining pore region of the voltage-gated potassium channel of human heart through which the I(Ks) current passes includes the transmembrane segment of the non-P-loop protein minK. Two adjacent residues in this segment of minK are exposed in the pore on either side of a short barrier that restricts the movement of sodium, cadmium and zinc ions across the membrane. Thus, potassium-selective pores are not restricted to P loops or a strict P-loop geometry