The treatment of reported speech

Despite the substantial literature on reported speech, its treatment in structural and quantitative-distributional analyses of discourse has remained problematic. This article surveys and discusses a range of methodological issues created by the occurrence of embedded segments of direct reported speech in narrative discourse. Analysis of a personal experience narrative from the Australian language Ganalbingu is used as illustration. Stories like this include substantial passages of direct reported speech. Detailed investigation of such stories allows us to address questions such as: (i) what is the narrative function of these passages of direct speech and (ii) how is reference to characters mapped across the distinct deictic frames represented by the narrated action and the represented speech of participants within the story world? It is argued that any approach to discourse structure which is formal or quantitative in orientation will need to address such issues. The article concludes by formulating some open questions for investigation which tease out cognitive predictions and assumptions implicit in the ways in which direct speech has previously been handled

Switch-reference and logophoricity in discourse representation theory

SIGLEAvailable from British Library Document Supply Centre- DSC:D86417 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Two times three little pigs: Dysfluency, cognitive complexity and autism

This paper presents an analysis of dysfluencies in two oral tellings of a familiar children's story by a young boy with autism. Thurber & Tager-Flusberg (1993) postulate a lower degree of cognitive and communicative investment to explain a lower frequency of non-grammatical pauses observed in elicited narratives of children with autism in comparison to typically developing and intellectually disabled controls. we also found a very low frequency of non-grammatical pauses in our data, but indications of high engagement and cognitive and communicative investment. We point to a wider range of disfluencies as indicators of cognitive load, and show that the kind and location of dysfluencies produced may reveal which aspects of the narrative task are creating the greatest cognitive demand: here, mental state ascription, perspectivization, and adherence to story schema. This paper thus generates analytical options and hypotheses that can be explored further in a larger population of children with autism and typically developing controls

Identifying and Prioritizing Low Value Care in British Columbia Using Three Administrative Health Data Assets

Introduction Clinical recommendations and/or lists of low value care (i.e., health technologies that provide little to clinical benefit for certain patient groups) have garnered attention internationally through campaigns such as Choosing Wisely. However, uptake of such recommendations at the healthcare system-level remains challenging in the absence of routine, data-driven processes. Objectives and Approach The objective of this work was to develop and implement a process, leveraging administrative health data assets and lists of ‘low value’ care, to identify and prioritize technologies at the healthcare system-level for reassessment and potential disinvestment. The British Columbia (BC) healthcare system was selected as the pilot site to test the process. Three provincial administrative health databases were used to examine the extent of low value care across the system: the discharge abstract database (DAD); the Medical Service Plan (MSP) physician claims database; and the MSP laboratory database. Results Over 1300 recommendations of low value technologies (i.e., from the National Institute for Health and Care Excellence “do not do” recommendations, low value technologies in the Australian Medical Benefits Schedule, and Choosing Wisely “Top 5” lists) were identified. Using appropriate coding systems for BC’s administrative health data (e.g., International Classification of Diseases), low value technologies were queried to examine frequencies and costs of technology use between fiscal years 2010/11 and 2014/15. This information was used to rank technologies based high budgetary impact, defined as total in-hospital and claims expenditures exceeding $1M in any fiscal year examined. Clinical experts reviewed the ranked technologies prior to dissemination and stakeholder action. Pilot testing resulted in the prioritization of 9 candidate technologies for reassessment in the BC healthcare system. Conclusion/Implications This work demonstrates the feasibility and strength of using administrative data to identify low value care at the healthcare system-level and prioritize candidates for reassessment. Faced with increasing pressure to control exorbitant costs, while maintaining quality of care, this process has been adopted and operationalized by the BC Ministry of Health

Modelling the Material Resistance of Wood—Part 3: Relative Resistance in above- and in-Ground Situations—Results of a Global Survey

Durability-based designs with timber require reliable information about the wood properties and how they affect its performance under variable exposure conditions. This study aimed at utilizing a material resistance model (Part 2 of this publication) based on a dose–response approach for predicting the relative decay rates in above-ground situations. Laboratory and field test data were, for the first time, surveyed globally and used to determine material-specific resistance dose values, which were correlated to decay rates. In addition, laboratory indicators were used to adapt the material resistance model to in-ground exposure. The relationship between decay rates in- and above-ground, the predictive power of laboratory indicators to predict such decay rates, and a method for implementing both in a service life prediction tool, were established based on 195 hardwoods, 29 softwoods, 19 modified timbers, and 41 preservative-treated timbers

Modeling the material resistance of wood—part 2:Validation and optimization of the meyer-veltrup model

Service life planning with timber requires reliable models for quantifying the effects of exposure-related parameters and the material-inherent resistance of wood against biotic agents. The Meyer-Veltrup model was the first attempt to account for inherent protective properties and the wetting ability of wood to quantify resistance of wood in a quantitative manner. Based on test data on brown, white, and soft rot as well as moisture dynamics, the decay rates of different untreated wood species were predicted relative to the reference species of Norway spruce (Picea abies). The present study aimed to validate and optimize the resistance model for a wider range of wood species including very durable species, thermally and chemically modified wood, and preservative treated wood. The general model structure was shown to also be suitable for highly durable materials, but previously defined maximum thresholds had to be adjusted (i.e., maximum values of factors accounting for wetting ability and inherent protective properties) to 18 instead of 5 compared to Norway spruce. As expected, both the enlarged span in durability and the use of numerous and partly very divergent data sources (i.e., test methods, test locations, and types of data presentation) led to a decrease in the predictive power of the model compared to the original. In addition to the need to enlarge the database quantity and improve its quality, in particular for treated wood, it might be advantageous to use separate models for untreated and treated wood as long as the effect of additional impact variables (e.g., treatment quality) can be accounted for. Nevertheless, the adapted Meyer-Veltrup model will serve as an instrument to quantify material resistance for a wide range of wood-based materials as an input for comprehensive service life prediction software

Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients: results of a multi-centre study

Purpose: Delirium is a neuropsychiatric disorder delineated by an acute change in cognition, attention, and consciousness. It is common, particularly in older adults, but poorly recognised. Frailty is the accumulation of deficits conferring an increased risk of adverse outcomes. We set out to determine how severity of frailty, as measured using the CFS, affected delirium rates, and recognition in hospitalised older people in the United Kingdom. Methods: Adults over 65 years were included in an observational multi-centre audit across UK hospitals, two prospective rounds, and one retrospective note review. Clinical Frailty Scale (CFS), delirium status, and 30-day outcomes were recorded. Results: The overall prevalence of delirium was 16.3% (483). Patients with delirium were more frail than patients without delirium (median CFS 6 vs 4). The risk of delirium was greater with increasing frailty [OR 2.9 (1.8–4.6) in CFS 4 vs 1–3; OR 12.4 (6.2–24.5) in CFS 8 vs 1–3]. Higher CFS was associated with reduced recognition of delirium (OR of 0.7 (0.3–1.9) in CFS 4 compared to 0.2 (0.1–0.7) in CFS 8). These risks were both independent of age and dementia. Conclusion: We have demonstrated an incremental increase in risk of delirium with increasing frailty. This has important clinical implications, suggesting that frailty may provide a more nuanced measure of vulnerability to delirium and poor outcomes. However, the most frail patients are least likely to have their delirium diagnosed and there is a significant lack of research into the underlying pathophysiology of both of these common geriatric syndromes

Universals of split argument coding and morphological neutralization: why Kala Lagaw Ya is not as bizarre as we thought

Kala Lagaw Ya is the language of the western and central islands of the Torres Strait. It exhibits an extremely complex pattern of ‘split argument coding’ (‘split ergativity’), which has previously been considered typologically exceptional and problematic for widely discussed universals of argument coding dating back to work by Silverstein, Comrie and Dixon in the 1970s, and framed in terms of an ‘animacy’ or ‘nominal’ hierarchy. Furthermore, the two main dialects of the language, which centre around Saibai Island and Mabuiag Island, differ in the detail of their argument coding in interesting ways. In this paper we argue that once we take into account other typologically well-attested principles concerning the effect of markedness on neutralization in the morphological coding of grammatical categories, and in particular recent proposals about the typology of number marking systems, the Kala Lagaw Ya system falls into place as resulting from the unexceptional interaction of a number of universal tendencies. On this view, the case systems of the two dialects of Kala Lagaw Ya, while complex, appear not to be typologically exceptional. This account can be taken as a case study contributing to our understanding of universals of argument coding and how they relate to forces affecting the neutralization of morphological marking. The reframing of the Kala Lagaw Ya facts then has broader implications: it reinforces the value of viewing complex patterns as the result of the interaction of simpler, more regular forces, and in so doing it also lends further empirical weight to the universals of argument coding which Kala Lagaw Ya was previously thought to violate

"Then I'll huff and I'll puff or I'll go on the roff!" thinks the wolf: Spontaneous written narratives by a Child with Autism

B1 - Research Book Chapter