Behavioral and Imaging Studies of Infant Artificial Grammar Learning

Artificial grammar learning (AGL) paradigms have proven to be productive and useful to investigate how young infants break into the grammar of their native language(s). The question of when infants first show the ability to learn abstract grammatical rules has been central to theoretical debates about the innate vs. learned nature of grammar. The presence of this ability early in development, that is, before considerable experience with language, has been argued to provide evidence for a biologically endowed ability to acquire language. Artificial grammar learning tasks also allow infant populations to be readily compared with adults and non-human animals. Artificial grammar learning paradigms with infants have been used to investigate a number of linguistic phenomena and learning tasks, from word segmentation to phonotactics and morphosyntax. In this review, we focus on AGL studies testing infants\u2019 ability to learn grammatical/structural properties of language. Specifically, we discuss the results of AGL studies focusing on repetition-based regularities, the categorization of functors, adjacent and non-adjacent dependencies, and word order. We discuss the implications of the results for a general theory of language acquisition, and we outline some of the open questions and challenges

Infants differentially extract rules from language

Infants readily extract linguistic rules from speech. Here, we ask whether this advantage extends to linguistic stimuli that do not rely on the spoken modality. To address this question, we first examine whether infants can differentially learn rules from linguistic signs. We show that, despite having no previous experience with a sign language, six-month-old infants can extract the reduplicative rule (AA) from dynamic linguistic signs, and the neural response to reduplicative linguistic signs differs from reduplicative visual controls, matched for the dynamic spatiotemporal properties of signs. We next demonstrate that the brain response for reduplicative signs is similar to the response to reduplicative speech stimuli. Rule learning, then, apparently depends on the linguistic status of the stimulus, not its sensory modality. These results suggest that infants are language-ready. They possess a powerful rule system that is differentially engaged by all linguistic stimuli, speech or sign

Behavioral and Imaging Studies of Infant Artificial Grammar Learning

Artificial grammar learning (AGL) paradigms have proven to be productive and useful to investigate how young infants break into the grammar of their native language(s). The question of when infants first show the ability to learn abstract grammatical rules has been central to theoretical debates about the innate vs. learned nature of grammar. The presence of this ability early in development, that is, before considerable experience with language, has been argued to provide evidence for a biologically endowed ability to acquire language. Artificial grammar learning tasks also allow infant populations to be readily compared with adults and non-human animals. Artificial grammar learning paradigms with infants have been used to investigate a number of linguistic phenomena and learning tasks, from word segmentation to phonotactics and morphosyntax. In this review, we focus on AGL studies testing infants’ ability to learn grammatical/structural properties of language. Specifically, we discuss the results of AGL studies focusing on repetition-based regularities, the categorization of functors, adjacent and non-adjacent dependencies, and word order. We discuss the implications of the results for a general theory of language acquisition, and we outline some of the open questions and challenges

Segmental information drives adult bilingual phrase segmentation preference

In two artificial language learning experiments with four groups of highly proficient Basque-Spanish bilinguals and two groups of Spanish monolinguals, we examine the cues that allow adult listeners to parse new input into phrases. In addition, we investigate which factors lead bilinguals to switch between the segmentation strategies characteristic of their two languages. We show that segmental information drives bilinguals\u2019 choice of a segmentation strategy when presented with an unfamiliar language. The language in which bilinguals are addressed during the study (i.e. the language of context) additionally modulates their segmentation preference, and this context language effect is found in L1Basque bilinguals but does not extend to L1Spanish bilinguals. The cause of this asymmetry is yet to be established. Finally, we show that adult monolinguals disregard statistical cues in favor of unfamiliar segmental information when in conflict. These results evidence that the available phrase segmentation cues are arranged hierarchically

Prosthetic Valve Candida spp. Endocarditis: New Insights into Long-term Prognosis-The ESCAPE Study

Background. Prosthetic valve endocarditis caused by Candida spp. (PVE-C) is rare and devastating, with international guidelines based on expert recommendations supporting the combination of surgery and subsequent azole treatment. Methods. We retrospectively analyzed PVE-C cases collected in Spain and France between 2001 and 2015, with a focus on management and outcome. Results. Forty-six cases were followed up for a median of 9 months. Twenty-two patients (48%) had a history of endocarditis, 30 cases (65%) were nosocomial or healthcare related, and 9 (20%) patients were intravenous drug users. "Induction" therapy consisted mainly of liposomal amphotericin B (L-amB)-based (n = 21) or echinocandin-based therapy (n = 13). Overall, 19 patients (41%) were operated on. Patients <66 years old and without cardiac failure were more likely to undergo cardiac surgery (adjusted odds ratios [aORs], 6.80 [95% confdence interval [CI], 1.59-29.13] and 10.92 [1.15-104.06], respectively). Surgery was not associated with better survival rates at 6 months. Patients who received L-amB alone had a better 6-month survival rate than those who received an echinocandin alone (aOR, 13.52; 95% CI, 1.03-838.10). "Maintenance" fluconazole therapy, prescribed in 21 patients for a median duration of 13 months (range, 2-84 months), led to minor adverse effects. Conclusion. L-amB induction treatment improves survival in patients with PVE-C. Medical treatment followed by long-term maintenance fluconazole may be the best treatment option for frail patients

Antimicrobial management of Tropheryma whipplei endocarditis: the Spanish Collaboration on Endocarditis (GAMES) experience

OBJECTIVES: Tropheryma whipplei has been detected in 3.5% of the blood culture-negative cases of endocarditis in Spain. Experience in the management of T. whipplei endocarditis is limited. Here we report the long-term outcome of the treatment of previously reported patients who were diagnosed with infective endocarditis (IE) caused by T. whipplei from the Spanish Collaboration on Endocarditis-Grupo de Apoyo al Manejo de la Endocarditis Infecciosa en Espana (GAMES) and discuss potential options for antimicrobial therapy for IE caused by T. whipplei. PATIENTS AND METHODS: Seventeen patients with T. whipplei endocarditis were recruited between 2008 and 2014 in 25 Spanish hospitals. Patients were classified according to the therapeutic regimen: ceftriaxone and trimethoprim/sulfamethoxazole, doxycycline + hydroxychloroquine and other treatment options. RESULTS: Follow-up data were obtained from 14 patients. The median follow-up was 46.5 months. All patients completed the antibiotic treatment prescribed, with a median duration of 13 months. Six patients were treated with ceftriaxone and trimethoprim/sulfamethoxazole (median duration 13 months), four with doxycycline + hydroxychloroquine (median duration 13.8 months) and four with other treatment options (median duration 22.3 months). The follow-up after the end of the treatments was between 5 and 84 months (median 24 months). CONCLUSIONS: All treatment lines were effective and well tolerated. Therapeutic failures were not detected during the treatment. None of the patients died or experienced a relapse during the follow-up. Only six patients received antibiotic treatment in accordance with guidelines. These data suggest that shorter antimicrobial treatments could be effective

Outpatient Parenteral Antibiotic Treatment for Infective Endocarditis: A Prospective Cohort Study From the GAMES Cohort

BACKGROUND: Outpatient parenteral antibiotic treatment (OPAT) has proven efficacious for treating infective endocarditis (IE). However, the 2001 Infectious Diseases Society of America (IDSA) criteria for OPAT in IE are very restrictive. We aimed to compare the outcomes of OPAT with those of hospital-based antibiotic treatment (HBAT). METHODS: Retrospective analysis of data from a multicenter, prospective cohort study of 2000 consecutive IE patients in 25 Spanish hospitals (2008-2012) was performed. RESULTS: A total of 429 patients (21.5%) received OPAT, and only 21.7% fulfilled IDSA criteria. Males accounted for 70.5%, median age was 68 years (interquartile range [IQR], 56-76), and 57% had native-valve IE. The most frequent causal microorganisms were viridans group streptococci (18.6%), Staphylococcus aureus (15.6%), and coagulase-negative staphylococci (14.5%). Median length of antibiotic treatment was 42 days (IQR, 32-54), and 44% of patients underwent cardiac surgery. One-year mortality was 8% (42% for HBAT; P < .001), 1.4% of patients relapsed, and 10.9% were readmitted during the first 3 months after discharge (no significant differences compared with HBAT). Charlson score (odds ratio [OR], 1.21; 95% confidence interval [CI], 1.04-1.42; P = .01) and cardiac surgery (OR, 0.24; 95% CI, .09-.63; P = .04) were associated with 1-year mortality, whereas aortic valve involvement (OR, 0.47; 95% CI, .22-.98; P = .007) was the only predictor of 1-year readmission. Failing to fulfill IDSA criteria was not a risk factor for mortality or readmission. CONCLUSIONS: OPAT provided excellent results despite the use of broader criteria than those recommended by IDSA. OPAT criteria should therefore be expanded

Bioactive compounds in seaweed; functional food applications and legislation

Seaweed is more than the wrap that keeps rice together in sushi. Seaweed biomass is already used for a wide range of other products in food, including stabilising agents. Biorefineries with seaweed as feedstock are attracting worldwide interest and include low-volume, high value-added products and vice versa. Scientific research on bioactive compounds in seaweed usually takes place on just a few species and compounds. This paper reviews worldwide research on bioactive compounds, mainly of nine genera or species of seaweed, which are also available in European temperate Atlantic waters, i.e. Laminaria sp., Fucus sp., Ascophyllum nodosum, Chondrus crispus, Porphyra sp., Ulva sp., Sargassum sp., Gracilaria sp. and Palmaria palmata. In addition, Undaria pinnatifida is included in this review as this is globally one of the most commonly produced, investigated and available species. Fewer examples of other species abundant worldwide have also been included. This review will supply fundamental information for biorefineries in Atlantic Europe using seaweed as feedstock. Preliminary selection of one or several candidate seaweed species will be possible based on the summary tables and previous research described in this review. This applies either to the choice of high value-added bioactive products to be exploited in an available species or to the choice of seaweed species when a bioactive compound is desired. Data are presented in tables with species, effect and test organism (if present) with examples of uses to enhance comparisons. In addition, scientific experiments performed on seaweed used as animal feed are presented, and EU, US and Japanese legislation on functional foods is reviewed