Efficient Evaluation and Learning in Multilevel Parallel Constraint Grammars

In multilevel parallel Optimality Theory grammars, the number of candidates (possible paths from the input to the output level) increases exponentially with the number of levels of representation. The problem with this is that with the customary strategy of listing all candidates in a tableau, the computation time for evaluation (i.e., choosing the winning candidate) and learning (i.e., reranking the constraints on the basis of language data) increases exponentially with the number of levels as well. This article proposes instead to collect the candidates in a graph in which the number of nodes and the number of connections increase only linearly with the number of levels of representation. As a result, there exist procedures for evaluation and learning that increase only linearly with the number of levels. These efficient procedures help to make multilevel parallel constraint grammars more feasible as models of human language processing. We illustrate visualization, evaluation, and learning with a toy grammar for a traditional case that has already previously been analyzed in terms of parallel evaluation, namely, French liaison

Trends in quality of care and dying perceived by family caregivers of nursing home residents with dementia 2005-2019

BACKGROUND: Dementia palliative care is increasingly subject of research and practice improvement initiatives. AIM: To assess any changes over time in the evaluation of quality of care and quality of dying with dementia by family caregivers. DESIGN: Combined analysis of eight studies with bereaved family caregivers’ evaluations 2005–2019. SETTING/PARTICIPANTS: Family caregivers of nursing home residents with dementia in the Netherlands (n = 1189) completed the End-of-Life in Dementia Satisfaction With Care (EOLD-SWC; quality of care) and Comfort Assessment in Dying (EOLD-CAD, four subscales; quality of dying) instruments. Changes in scores over time were analysed using mixed models with random effects for season and facility and adjustment for demographics, prospective design and urbanised region. RESULTS: The mean total EOLD-SWC score was 33.40 (SD 5.08) and increased by 0.148 points per year (95% CI, 0.052–0.244; adjusted 0.170 points 95% CI, 0.055–0.258). The mean total EOLD-CAD score was 30.80 (SD 5.76) and, unadjusted, there was a trend of decreasing quality of dying over time of −0.175 points (95% CI, −0.291 to −0.058) per year increment. With adjustment, the trend was not significant (−0.070 EOLD-CAD total score points, 95% CI, −0.205 to 0.065) and only the EOLD-CAD subscale ‘Well being’ decreased. CONCLUSION: We identified divergent trends over 14 years of increased quality of care, while quality of dying did not increase and well-being in dying decreased. Further research is needed on what well-being in dying means to family. Quality improvement requires continued efforts to treat symptoms in dying with dementia