6,530 research outputs found

    Improving diagnostic procedures for epilepsy through automated recording and analysis of patients’ history

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    Transient loss of consciousness (TLOC) is a time-limited state of profound cognitive impairment characterised by amnesia, abnormal motor control, loss of responsiveness, a short duration and complete recovery. Most instances of TLOC are caused by one of three health conditions: epilepsy, functional (dissociative) seizures (FDS), or syncope. There is often a delay before the correct diagnosis is made and 10-20% of individuals initially receive an incorrect diagnosis. Clinical decision tools based on the endorsement of TLOC symptom lists have been limited to distinguishing between two causes of TLOC. The Initial Paroxysmal Event Profile (iPEP) has shown promise but was demonstrated to have greater accuracy in distinguishing between syncope and epilepsy or FDS than between epilepsy and FDS. The objective of this thesis was to investigate whether interactional, linguistic, and communicative differences in how people with epilepsy and people with FDS describe their experiences of TLOC can improve the predictive performance of the iPEP. An online web application was designed that collected information about TLOC symptoms and medical history from patients and witnesses using a binary questionnaire and verbal interaction with a virtual agent. We explored potential methods of automatically detecting these communicative differences, whether the differences were present during an interaction with a VA, to what extent these automatically detectable communicative differences improve the performance of the iPEP, and the acceptability of the application from the perspective of patients and witnesses. The two feature sets that were applied to previous doctor-patient interactions, features designed to measure formulation effort or detect semantic differences between the two groups, were able to predict the diagnosis with an accuracy of 71% and 81%, respectively. Individuals with epilepsy or FDS provided descriptions of TLOC to the VA that were qualitatively like those observed in previous research. Both feature sets were effective predictors of the diagnosis when applied to the web application recordings (85.7% and 85.7%). Overall, the accuracy of machine learning models trained for the threeway classification between epilepsy, FDS, and syncope using the iPEP responses from patients that were collected through the web application was worse than the performance observed in previous research (65.8% vs 78.3%), but the performance was increased by the inclusion of features extracted from the spoken descriptions on TLOC (85.5%). Finally, most participants who provided feedback reported that the online application was acceptable. These findings suggest that it is feasible to differentiate between people with epilepsy and people with FDS using an automated analysis of spoken seizure descriptions. Furthermore, incorporating these features into a clinical decision tool for TLOC can improve the predictive performance by improving the differential diagnosis between these two health conditions. Future research should use the feedback to improve the design of the application and increase perceived acceptability of the approach

    An exploration of the attitudes and beliefs of teacher trainers and teacher trainees concerning the use of the L1 in the EFL classroom

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    One important conflict within English language teaching methodology is concerning the use or exclusion of learners’ first languages (L1) when learning English. Perspectives on the topic range from those in favour of complete avoidance of the L1 in the EFL classroom, constantly striving for an exclusively L2 classroom to those who believe in the value and learning benefit of allowing and, to some extent, encouraging the use of all manner of languages available to the learner. This thesis conducted interviews and surveys in order to provide an in-depth exploration of the attitudes and beliefs of teacher trainers and teacher trainees in North Rhine Westphalia concerning the use of the L1, as well as other potential languages, in the English language classroom. Although the two groups of participants held many similar attitudes and beliefs concerning L1 use, some significant and interesting differences were found. Teacher trainees showed themselves to be more open concerning the use of the L1 than their more experienced counterparts. It remains, however, unclear what exactly the reason for these differences is. A further aspect which became apparent is how the pressures of language choice and of exclusive L2 instruction in the EFL classroom during observed and examination lessons is felt by teacher trainees. This is potentially adding to the overall burden of the teacher training period in NRW. The thesis concludes that an increase in evidence-based teacher education, concerning not only the aspect of L1 use in the EFL classroom but also many other aspects of language teaching could be prudent in the continued development of well-informed best-practice approaches. This thesis holds the standpoint that complete eradication of the L1 in the EFL classroom is counterproductive to successful language learning. Judicious use of the L1 and the development of a more plurilingusitic attitude to language learning, enabling learners to make use of any available linguistic resources, can offer both learners and teachers helpful scaffolding which can facilitate the successful learning of further languages

    Endogenous measures for contextualising large-scale social phenomena: a corpus-based method for mediated public discourse

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    This work presents an interdisciplinary methodology for developing endogenous measures of group membership through analysis of pervasive linguistic patterns in public discourse. Focusing on political discourse, this work critiques the conventional approach to the study of political participation, which is premised on decontextualised, exogenous measures to characterise groups. Considering the theoretical and empirical weaknesses of decontextualised approaches to large-scale social phenomena, this work suggests that contextualisation using endogenous measures might provide a complementary perspective to mitigate such weaknesses. This work develops a sociomaterial perspective on political participation in mediated discourse as affiliatory action performed through language. While the affiliatory function of language is often performed consciously (such as statements of identity), this work is concerned with unconscious features (such as patterns in lexis and grammar). This work argues that pervasive patterns in such features that emerge through socialisation are resistant to change and manipulation, and thus might serve as endogenous measures of sociopolitical contexts, and thus of groups. In terms of method, the work takes a corpus-based approach to the analysis of data from the Twitter messaging service whereby patterns in users’ speech are examined statistically in order to trace potential community membership. The method is applied in the US state of Michigan during the second half of 2018—6 November having been the date of midterm (i.e. non-Presidential) elections in the United States. The corpus is assembled from the original posts of 5,889 users, who are nominally geolocalised to 417 municipalities. These users are clustered according to pervasive language features. Comparing the linguistic clusters according to the municipalities they represent finds that there are regular sociodemographic differentials across clusters. This is understood as an indication of social structure, suggesting that endogenous measures derived from pervasive patterns in language may indeed offer a complementary, contextualised perspective on large-scale social phenomena

    Examples of works to practice staccato technique in clarinet instrument

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    Klarnetin staccato tekniğini güçlendirme aşamaları eser çalışmalarıyla uygulanmıştır. Staccato geçişlerini hızlandıracak ritim ve nüans çalışmalarına yer verilmiştir. Çalışmanın en önemli amacı sadece staccato çalışması değil parmak-dilin eş zamanlı uyumunun hassasiyeti üzerinde de durulmasıdır. Staccato çalışmalarını daha verimli hale getirmek için eser çalışmasının içinde etüt çalışmasına da yer verilmiştir. Çalışmaların üzerinde titizlikle durulması staccato çalışmasının ilham verici etkisi ile müzikal kimliğe yeni bir boyut kazandırmıştır. Sekiz özgün eser çalışmasının her aşaması anlatılmıştır. Her aşamanın bir sonraki performans ve tekniği güçlendirmesi esas alınmıştır. Bu çalışmada staccato tekniğinin hangi alanlarda kullanıldığı, nasıl sonuçlar elde edildiği bilgisine yer verilmiştir. Notaların parmak ve dil uyumu ile nasıl şekilleneceği ve nasıl bir çalışma disiplini içinde gerçekleşeceği planlanmıştır. Kamış-nota-diyafram-parmak-dil-nüans ve disiplin kavramlarının staccato tekniğinde ayrılmaz bir bütün olduğu saptanmıştır. Araştırmada literatür taraması yapılarak staccato ile ilgili çalışmalar taranmıştır. Tarama sonucunda klarnet tekniğin de kullanılan staccato eser çalışmasının az olduğu tespit edilmiştir. Metot taramasında da etüt çalışmasının daha çok olduğu saptanmıştır. Böylelikle klarnetin staccato tekniğini hızlandırma ve güçlendirme çalışmaları sunulmuştur. Staccato etüt çalışmaları yapılırken, araya eser çalışmasının girmesi beyni rahatlattığı ve istekliliği daha arttırdığı gözlemlenmiştir. Staccato çalışmasını yaparken doğru bir kamış seçimi üzerinde de durulmuştur. Staccato tekniğini doğru çalışmak için doğru bir kamışın dil hızını arttırdığı saptanmıştır. Doğru bir kamış seçimi kamıştan rahat ses çıkmasına bağlıdır. Kamış, dil atma gücünü vermiyorsa daha doğru bir kamış seçiminin yapılması gerekliliği vurgulanmıştır. Staccato çalışmalarında baştan sona bir eseri yorumlamak zor olabilir. Bu açıdan çalışma, verilen müzikal nüanslara uymanın, dil atış performansını rahatlattığını ortaya koymuştur. Gelecek nesillere edinilen bilgi ve birikimlerin aktarılması ve geliştirici olması teşvik edilmiştir. Çıkacak eserlerin nasıl çözüleceği, staccato tekniğinin nasıl üstesinden gelinebileceği anlatılmıştır. Staccato tekniğinin daha kısa sürede çözüme kavuşturulması amaç edinilmiştir. Parmakların yerlerini öğrettiğimiz kadar belleğimize de çalışmaların kaydedilmesi önemlidir. Gösterilen azmin ve sabrın sonucu olarak ortaya çıkan yapıt başarıyı daha da yukarı seviyelere çıkaracaktır

    A Survey on Biomedical Text Summarization with Pre-trained Language Model

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    The exponential growth of biomedical texts such as biomedical literature and electronic health records (EHRs), provides a big challenge for clinicians and researchers to access clinical information efficiently. To address the problem, biomedical text summarization has been proposed to support clinical information retrieval and management, aiming at generating concise summaries that distill key information from single or multiple biomedical documents. In recent years, pre-trained language models (PLMs) have been the de facto standard of various natural language processing tasks in the general domain. Most recently, PLMs have been further investigated in the biomedical field and brought new insights into the biomedical text summarization task. In this paper, we systematically summarize recent advances that explore PLMs for biomedical text summarization, to help understand recent progress, challenges, and future directions. We categorize PLMs-based approaches according to how they utilize PLMs and what PLMs they use. We then review available datasets, recent approaches and evaluation metrics of the task. We finally discuss existing challenges and promising future directions. To facilitate the research community, we line up open resources including available datasets, recent approaches, codes, evaluation metrics, and the leaderboard in a public project: https://github.com/KenZLuo/Biomedical-Text-Summarization-Survey/tree/master.Comment: 19 pages, 6 figures, TKDE under revie

    Automatic Question Generation to Support Reading Comprehension of Learners - Content Selection, Neural Question Generation, and Educational Evaluation

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    Simply reading texts passively without actively engaging with their content is suboptimal for text comprehension since learners may miss crucial concepts or misunderstand essential ideas. In contrast, engaging learners actively by asking questions fosters text comprehension. However, educational resources frequently lack questions. Textbooks often contain only a few at the end of a chapter, and informal learning resources such as Wikipedia lack them entirely. Thus, in this thesis, we study to what extent questions about educational science texts can be automatically generated, tackling two research questions. The first question concerns selecting learning-relevant passages to guide the generation process. The second question investigates the generated questions' potential effects and applicability in reading comprehension scenarios. Our first contribution improves the understanding of neural question generation's quality in education. We find that the generators' high linguistic quality transfers to educational texts but that they require guidance by educational content selection. In consequence, we study multiple educational context and answer selection mechanisms. In our second contribution, we propose novel context selection approaches which target question-worthy sentences in texts. In contrast to previous works, our context selectors are guided by educational theory. The proposed methods perform competitive to related work while operating with educationally motivated decision criteria that are easier to understand for educational experts. The third contribution addresses answer selection methods to guide neural question generation with expected answers. Our experiments highlight the need for educational corpora for the task. Models trained on noneducational corpora do not transfer well to the educational domain. Given this discrepancy, we propose a novel corpus construction approach. It automatically derives educational answer selection corpora from textbooks. We verify the approach's usefulness by showing that neural models trained on the constructed corpora learn to detect learning-relevant concepts. In our last contribution, we use the insights from the previous experiments to design, implement, and evaluate an automatic question generator for educational use. We evaluate the proposed generator intrinsically with an expert annotation study and extrinsically with an empirical reading comprehension study. The two evaluation scenarios provide a nuanced view of the generated questions' strengths and weaknesses. Expert annotations attribute an educational value to roughly 60 % of the questions but also reveal various ways in which the questions still fall short of the quality experts desire. Furthermore, the reader-based evaluation indicates that the proposed educational question generator increases learning outcomes compared to a no-question control group. In summary, the results of the thesis improve the understanding of the content selection tasks in educational question generation and provide evidence that it can improve reading comprehension. As such, the proposed approaches are promising tools for authors and learners to promote active reading and thus foster text comprehension

    On the Principles of Evaluation for Natural Language Generation

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    Natural language processing is concerned with the ability of computers to understand natural language texts, which is, arguably, one of the major bottlenecks in the course of chasing the holy grail of general Artificial Intelligence. Given the unprecedented success of deep learning technology, the natural language processing community has been almost entirely in favor of practical applications with state-of-the-art systems emerging and competing for human-parity performance at an ever-increasing pace. For that reason, fair and adequate evaluation and comparison, responsible for ensuring trustworthy, reproducible and unbiased results, have fascinated the scientific community for long, not only in natural language but also in other fields. A popular example is the ISO-9126 evaluation standard for software products, which outlines a wide range of evaluation concerns, such as cost, reliability, scalability, security, and so forth. The European project EAGLES-1996, being the acclaimed extension to ISO-9126, depicted the fundamental principles specifically for evaluating natural language technologies, which underpins succeeding methodologies in the evaluation of natural language. Natural language processing encompasses an enormous range of applications, each with its own evaluation concerns, criteria and measures. This thesis cannot hope to be comprehensive but particularly addresses the evaluation in natural language generation (NLG), which touches on, arguably, one of the most human-like natural language applications. In this context, research on quantifying day-to-day progress with evaluation metrics lays the foundation of the fast-growing NLG community. However, previous works have failed to address high-quality metrics in multiple scenarios such as evaluating long texts and when human references are not available, and, more prominently, these studies are limited in scope, given the lack of a holistic view sketched for principled NLG evaluation. In this thesis, we aim for a holistic view of NLG evaluation from three complementary perspectives, driven by the evaluation principles in EAGLES-1996: (i) high-quality evaluation metrics, (ii) rigorous comparison of NLG systems for properly tracking the progress, and (iii) understanding evaluation metrics. To this end, we identify the current state of challenges derived from the inherent characteristics of these perspectives, and then present novel metrics, rigorous comparison approaches, and explainability techniques for metrics to address the identified issues. We hope that our work on evaluation metrics, system comparison and explainability for metrics inspires more research towards principled NLG evaluation, and contributes to the fair and adequate evaluation and comparison in natural language processing

    Computational Language Assessment in patients with speech, language, and communication impairments

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    Speech, language, and communication symptoms enable the early detection, diagnosis, treatment planning, and monitoring of neurocognitive disease progression. Nevertheless, traditional manual neurologic assessment, the speech and language evaluation standard, is time-consuming and resource-intensive for clinicians. We argue that Computational Language Assessment (C.L.A.) is an improvement over conventional manual neurological assessment. Using machine learning, natural language processing, and signal processing, C.L.A. provides a neuro-cognitive evaluation of speech, language, and communication in elderly and high-risk individuals for dementia. ii. facilitates the diagnosis, prognosis, and therapy efficacy in at-risk and language-impaired populations; and iii. allows easier extensibility to assess patients from a wide range of languages. Also, C.L.A. employs Artificial Intelligence models to inform theory on the relationship between language symptoms and their neural bases. It significantly advances our ability to optimize the prevention and treatment of elderly individuals with communication disorders, allowing them to age gracefully with social engagement.Comment: 36 pages, 2 figures, to be submite

    READING COMPREHENSION CONSTRAINS WORD READING: A TONGUE TWISTER STUDY BY MODERATING ATTENTIONAL CONTROL

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    Numerous research studies show word reading performance influences reading comprehension. Few studies investigate how reading comprehension influences word reading. The current study explores whether alleviating the attention required for reading comprehension correlates with a better word reading performance. Three types of tongue twister reading tasks that involve recall (RR), semantic priming (PP), and instructional focus on the phonological information (PF) all have a high demand for attention on word reading. Differently, the attention demanded by PP tasks on reading comprehension is smaller than RR and RF tasks. Numbers of speech errors are used to manifest the variability of these three attentional control modes. It is predicted that during tongue twister readings, task types demanding less attention on reading comprehension will elicit fewer speech errors. Mixed and fixed effect Poisson regression analysis with RR tasks as the comparison foundation shows a highly significant correlation (p\u3c .001) between total speech error numbers and PP tasks; no significant correlations between total speech error numbers and PF tasks. These results offer evidence that reducing the attention demanded on reading comprehension alleviates the attentional control strain and allows better performance on word reading. This study suggests understanding the interaction between reading comprehension and word reading through speech errors by including executive functions like attentional control is a hopeful direction. Improvements and future directions are discussed in the end
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