17 research outputs found

    Lexical vs. surface levels of representation in second language acquisition: the acquisition of Thai voice and aspiration by English speakers

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    We show that the generative phonological distinction between lexical and surface representation can explain apparenly contradictory orders of acquisition of voice and aspiration contrasts by native speakers of English. Cross-language speech perception research has shown that English speakers distinguish synthetic voice onset time counterparts of aspirated-unaspirated minimal pairs more easily, and earlier, than voiced-voiceless. Here we present evidence that in the perceptual acquisition of the same Thai contrasts, english speakers acquire voicing before aspiration. These divergent results are claimed to be due to the level of representation tapped by the methodologies employed in each case. In the earlier research, phoneme identification and discrimination tasks were used, which can be completed without accessing lexical representations. Here we employed a word identification task which forces lexical access, in that subjects must decide which member of a minimal pair of words they have heard. The differences in performance on the two types of tasks correlate with the presence of aspiration in surface, but not lexical, representations in English. This provides evidence that in the initial stages of L2 acquisition, learners construct lexical representations that make use of only one feature that are present lexically in the L1

    Responsiveness of exercise parameters in children with inflammatory myositis

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    OBJECTIVE: Juvenile dermatomyositis (DM) is an inflammatory myopathy in which the immune system targets the microvasculature of the skeletal muscle and skin, leading to significant muscle weakness and exercise intolerance, although the precise etiology is unknown. The goal of this study was to investigate the changes in exercise capacity in children with myositis during active and inactive disease periods and to study the responsiveness of exercise parameters. METHODS: Thirteen children with juvenile DM (mean+/-SD age 11.2+/-2.6 years) participated in this study. Patients performed a maximal exercise test using an electronically braked cycle ergometer and respiratory gas analysis system. Exercise parameters were analyzed, including peak oxygen uptake (VO2peak), peak work rate (Wpeak), and ventilatory anaerobic threshold (VAT). All children were tested during an active period of the disease and during a remission period. From these data, 4 different response statistics were calculated. RESULTS: The children performed significantly better during a remission period compared with a period of active disease. Most exercise parameters showed a very large response. The 5 most responsive parameters were Wpeak, Wpeak (percent predicted), oxygen pulse, VO2peak, and power at the VAT. CONCLUSION: We found in our longitudinal study that children with active juvenile DM had significantly reduced exercise parameters compared with a remission period. Moreover, we found that several parameters had very good responsiveness. With previously established validity and reliability, exercise testing has been demonstrated to be an excellent noninvasive instrument for the longitudinal followup of children with myositis

    Out of Breath: Respiratory Aesthetics from Ruskin to Vernon Lee

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    This chapter examines the roles played by respiration—as physiological process, and embodied response—in the development of aesthetic theories at the end of the nineteenth century, traced from Ruskin to Vernon Lee. Late nineteenth-century attempts to define aesthetic experience in terms of its attendant physiological reactions still drew on breath’s immaterial poetic associations (air, wind and spirit) while being alert to the way respiratory control shifts easily between voluntary and involuntary modes of experience (will/automation). Lee’s idea of aesthetic experience envisages a complex, perhaps mystifying, action of involvement with works of art, dependent upon physiological, sensorimotor and respiratory movement. Exploring her understanding of empathetic identification, and relating it to current models of enactive cognition, the chapter recovers an entangled art and science of breath in nineteenth-century aesthetic theory

    Unmasking of a hemizygous WFS1 gene mutation by a chromosome 4p deletion of 8.3 Mb in a patient with Wolf-Hirschhorn syndrome.

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    Contains fulltext : 36655.pdf (publisher's version ) (Closed access)The Wolf-Hirschhorn syndrome (WHS (MIM 194190)), which is characterized by growth delay, mental retardation, epilepsy, facial dysmorphisms, and midline fusion defects, shows extensive phenotypic variability. Several of the proposed mutational and epigenetic mechanisms in this and other chromosomal deletion syndromes fail to explain the observed phenotypic variability. To explain the complex phenotype of a patient with WHS and features reminiscent of Wolfram syndrome (WFS (MIM 222300)), we performed extensive clinical evaluation and classical and molecular cytogenetic (GTG banding, FISH and array-CGH) and WFS1 gene mutation analyses. We detected an 8.3 Mb terminal deletion and an adjacent 2.6 Mb inverted duplication in the short arm of chromosome 4, which encompasses a gene associated with WFS (WFS1). In addition, a nonsense mutation in exon 8 of the WFS1 gene was found on the structurally normal chromosome 4. The combination of the 4p deletion with the WFS1 point mutation explains the complex phenotype presented by our patient. This case further illustrates that unmasking of hemizygous recessive mutations by chromosomal deletions represents an additional explanation for the phenotypic variability observed in chromosomal deletion disorders

    Quantitative analysis of mRNA-1273 COVID-19 vaccination response in immunocompromised adult hematology patients

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    Vaccination guidelines for patients treated for hematological diseases are typically conservative. Given their high risk for severe COVID-19, it is important to identify those patients that benefit from vaccination. We prospectively quantified serum immunoglobulin G (IgG) antibodies to spike subunit 1 (S1) antigens during and after 2-dose mRNA-1273 (Spikevax/Moderna) vaccination in hematology patients. Obtaining S1 IgG 300bindingantibodyunits(BAUs)/mLwasconsideredadequateasitrepresentsthelowerlevelofS1IgGconcentrationobtainedinhealthyindividuals,anditcorrelateswithpotentvirusneutralization.Selectedpatients(n5723)wereseverelyimmunocompromisedowingtotheirdiseaseortreatmentthereof.Nevertheless,.50 300 binding antibody units (BAUs)/mL was considered adequate as it represents the lower level of S1 IgG concentration obtained in healthy individuals, and it correlates with potent virus neutralization. Selected patients (n 5 723) were severely immunocompromised owing to their disease or treatment thereof. Nevertheless, .50% of patients obtained S1 IgG 300 BAUs/mL after 2-dose mRNA-1273. All patients with sickle cell disease or chronic myeloid leukemia obtained adequate antibody concentrations. Around 70% of patients with chronic graft-versus-host disease (cGVHD), multiple myeloma, or untreated chronic lymphocytic leukemia (CLL) obtained S1 IgG 300BAUs/mL.Ruxolitiniborhypomethylatingtherapybutnothighdosechemotherapybluntedresponsesinmyeloidmalignancies.Responsesinpatientswithlymphoma,patientswithCLLonibrutinib,andchimericantigenreceptorTcellrecipientswerelow.Theminimaltimeintervalafterautologoushematopoieticcelltransplantation(HCT)toreachadequateconcentrationswas,2monthsformultiplemyeloma,8monthsforlymphoma,and4to6monthsafterallogeneicHCT.SerumIgG4,absoluteBandnaturalkillercellnumber,andnumberofimmunosuppressantspredictedS1IgG 300 BAUs/mL. Ruxolitinib or hypomethylating therapy but not high-dose chemotherapy blunted responses in myeloid malignancies. Responses in patients with lymphoma, patients with CLL on ibrutinib, and chimeric antigen receptor T-cell recipients were low. The minimal time interval after autologous hematopoietic cell transplantation (HCT) to reach adequate concentrations was,2 months for multiple myeloma, 8 months for lymphoma, and 4 to 6 months after allogeneic HCT. Serum IgG4, absolute B- and natural killer–cell number, and number of immunosuppressants predicted S1 IgG 300 BAUs/mL. Hematology patients on chemotherapy, shortly after HCT, or with cGVHD should not be precluded from vaccination. This trial was registered at Netherlands Trial Register as #NL9553

    Quantitative analysis of mRNA-1273 COVID-19 vaccination response in immunocompromised adult hematology patients

    No full text
    Vaccination guidelines for patients treated for hematological diseases are typically conservative. Given their high risk for severe COVID-19, it is important to identify those patients that benefit from vaccination. We prospectively quantified serum immunoglobulin G (IgG) antibodies to spike subunit 1 (S1) antigens during and after 2-dose mRNA-1273 (Spikevax/Moderna) vaccination in hematology patients. Obtaining S1 IgG 300bindingantibodyunits(BAUs)/mLwasconsideredadequateasitrepresentsthelowerlevelofS1IgGconcentrationobtainedinhealthyindividuals,anditcorrelateswithpotentvirusneutralization.Selectedpatients(n5723)wereseverelyimmunocompromisedowingtotheirdiseaseortreatmentthereof.Nevertheless,.50 300 binding antibody units (BAUs)/mL was considered adequate as it represents the lower level of S1 IgG concentration obtained in healthy individuals, and it correlates with potent virus neutralization. Selected patients (n 5 723) were severely immunocompromised owing to their disease or treatment thereof. Nevertheless, .50% of patients obtained S1 IgG 300 BAUs/mL after 2-dose mRNA-1273. All patients with sickle cell disease or chronic myeloid leukemia obtained adequate antibody concentrations. Around 70% of patients with chronic graft-versus-host disease (cGVHD), multiple myeloma, or untreated chronic lymphocytic leukemia (CLL) obtained S1 IgG 300BAUs/mL.Ruxolitiniborhypomethylatingtherapybutnothighdosechemotherapybluntedresponsesinmyeloidmalignancies.Responsesinpatientswithlymphoma,patientswithCLLonibrutinib,andchimericantigenreceptorTcellrecipientswerelow.Theminimaltimeintervalafterautologoushematopoieticcelltransplantation(HCT)toreachadequateconcentrationswas,2monthsformultiplemyeloma,8monthsforlymphoma,and4to6monthsafterallogeneicHCT.SerumIgG4,absoluteBandnaturalkillercellnumber,andnumberofimmunosuppressantspredictedS1IgG 300 BAUs/mL. Ruxolitinib or hypomethylating therapy but not high-dose chemotherapy blunted responses in myeloid malignancies. Responses in patients with lymphoma, patients with CLL on ibrutinib, and chimeric antigen receptor T-cell recipients were low. The minimal time interval after autologous hematopoietic cell transplantation (HCT) to reach adequate concentrations was,2 months for multiple myeloma, 8 months for lymphoma, and 4 to 6 months after allogeneic HCT. Serum IgG4, absolute B- and natural killer–cell number, and number of immunosuppressants predicted S1 IgG 300 BAUs/mL. Hematology patients on chemotherapy, shortly after HCT, or with cGVHD should not be precluded from vaccination. This trial was registered at Netherlands Trial Register as #NL9553
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