The Perception of Stress Pattern in Young Cochlear Implanted Children: An EEG Study

Children with sensorineural hearing loss may (re)gain hearing with a cochlear implant—a device that transforms sounds into electric pulses and bypasses the dysfunctioning inner ear by stimulating the auditory nerve directly with an electrode array. Many implanted children master the acquisition of spoken language successfully, yet we still have little knowledge of the actual input they receive with the implant and specifically which language sensitive cues they hear. This would be important however, both for understanding the flexibility of the auditory system when presented with stimuli after a (life-) long phase of deprivation and for planning therapeutic intervention. In rhythmic languages the general stress pattern conveys important information about word boundaries. Infant language acquisition relies on such cues and can be severely hampered when this information is missing, as seen for dyslexic children and children with specific language impairment. Here we ask whether children with a cochlear implant perceive differences in stress patterns during their language acquisition phase and if they do, whether it is present directly following implant stimulation or if and how much time is needed for the auditory system to adapt to the new sensory modality. We performed a longitudinal ERP study, testing in bimonthly intervals the stress pattern perception of 17 young hearing impaired children (age range: 9–50 months; mean: 22 months) during their first 6 months of implant use. An additional session before the implantation served as control baseline. During a session they passively listened to an oddball paradigm featuring the disyllable “baba,” which was stressed either on the first or second syllable (trochaic vs. iambic stress pattern). A group of age-matched normal hearing children participated as controls. Our results show, that within the first 6 months of implant use the implanted children develop a negative mismatch response for iambic but not for trochaic deviants, thus showing the same result as the normal hearing controls. Even congenitally deaf children show the same developing pattern. We therefore conclude (a) that young implanted children have early access to stress pattern information and (b) that they develop ERP responses similar to those of normal hearing children

Reduced stress pattern discrimination in 5-month-olds as a marker of risk for later language impairment: neurophysiological evidence

Abstract The study at hand investigates prosodic abilities of infants as early predictors of Specific Language Impairment (SLI), which is commonly diagnosed at a later age. The study is based on the hypothesis that the prosodic abilities of infants at risk for SLI are less elaborated than those of controls due to less efficient processing of the relevant acoustic cues. One of the most critical prosodic cues for word segmentation is stress pattern. In German as well as in English, the most frequent stress pattern of bisyllabics is the trochee, in which stress is placed on the first syllable. Using a passive oddball design, German 5-month-olds were examined with respect to their ability to discriminate different stress patterns of bisyllabics. Infants were grouped retrospectively based on their production performance at the ages of 12 and 24 months. In contrast to matched controls, infants with very low word production displayed event-related brain potentials with a significantly reduced amplitude of the discrimination response, i.e. a Mismatch Negativity (MMN), to the trochaic stress pattern. This amplitude difference indicates impaired prosodic processing of word stress during early development and may thus be taken as an early marker of risk for SLI. D 2005 Elsevier B.V. All rights reserved. Theme: Neural basis of behavior Topic: Cognitio

Functional imaging and circulating biomarkers of response to regorafenib in treatment-refractory metastatic colorectal cancer patients in a prospective phase II study

Objective: Regorafenib demonstrated efficacy in patients with metastatic colorectal cancer (mCRC). Lack of predictive biomarkers, potential toxicities and cost-effectiveness concerns highlight the unmet need for better patient selection. Design: Patients with RAS mutant mCRC with biopsiable metastases were enrolled in this phase II trial. Dynamic contrast-enhanced (DCE) MRI was acquired pretreatment and at day 15 post-treatment. Median values of volume transfer constant (Ktrans), enhancing fraction (EF) and their product KEF (summarised median values of Ktrans× EF) were generated. Circulating tumour (ct) DNA was collected monthly until progressive disease and tested for clonal RAS mutations by digital-droplet PCR. Tumour vasculature (CD-31) was scored by immunohistochemistry on 70 sequential tissue biopsies. Results: Twenty-seven patients with paired DCE-MRI scans were analysed. Median KEF decrease was 58.2%. Of the 23 patients with outcome data, >70% drop in KEF (6/23) was associated with higher disease control rate (p=0.048) measured by RECIST V. 1.1 at 2 months, improved progression-free survival (PFS) (HR 0.16 (95% CI 0.04 to 0.72), p=0.02), 4-month PFS (66.7% vs 23.5%) and overall survival (OS) (HR 0.08 (95% CI 0.01 to 0.63), p=0.02). KEF drop correlated with CD-31 reduction in sequential tissue biopsies (p=0.04). RAS mutant clones decay in ctDNA after 8 weeks of treatment was associated with better PFS (HR 0.21 (95% CI 0.06 to 0.71), p=0.01) and OS (HR 0.28 (95% CI 0.07–1.04), p=0.06). Conclusions: Combining DCE-MRI and ctDNA predicts duration of anti-angiogenic response to regorafenib and may improve patient management with potential health/economic implications

Morphological processing in a second language: Behavioral and event-related brain potential evidence for storage and decomposition

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Temporal structure of syntactic parsing: Early and late event-related brain potential effects

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Corresponding author:

D. Friederici. We are grateful to the children who participated in the experiments. We thank Ulrike Barth, Kristiane Werrmann for data collection, and the teachers, the children, and their parents at Martin-Luther Grundschule, Betzdorf for their support in the elicitation study. We are also grateful to Angela D. Friederici for her continuous support of this project and to Michael Ullman for detailed comments. Monika Lück is now working at the Hanse-Institute for Advanced Study, Delmenhorst, Germany. 2 This study examines the mental processes involved in children’s on-line recognition of inflected word forms using event-related potentials (ERPs). 60 children in three age groups (20 six-to-seven-year olds, 20 eight-to-nine-year olds, 20 eleven-to-twelve-year olds) and 23 adults (tested in a previous study) listened to sentences containing correct or incorrect German noun plural forms. In the two older child groups as well as in the adult group, overregularized plural forms elicited brain responses that are characteristic of combinatorial (grammatical) violations. We also found that ERP components associated with language processing change from child to adult with respect to their onsets and their topography. The ERP violation effects obtained for overregularizations suggest that children (aged eight years and above) and adults employ morphological computation for processing purposes, consistent with dual-mechanism models of inflection. The observed differences between children’s and adults ’ ERP responses are argued to result from children’s smaller lexicon and from slower and less efficient processing