Lexically guided retuning of visual phonetic categories

Listeners retune the boundaries between phonetic categories to adjust to individual speakers' productions. Lexical information, for example, indicates what an unusual sound is supposed to be, and boundary retuning then enables the speaker's sound to be included in the appropriate auditory phonetic category. In this study, it was investigated whether lexical knowledge that is known to guide the retuning of auditory phonetic categories, can also retune visual phonetic categories. In Experiment 1, exposure to a visual idiosyncrasy in ambiguous audiovisually presented target words in a lexical decision task indeed resulted in retuning of the visual category boundary based on the disambiguating lexical context. In Experiment 2 it was tested whether lexical information retunes visual categories directly, or indirectly through the generalization from retuned auditory phonetic categories. Here, participants were exposed to auditory-only versions of the same ambiguous target words as in Experiment 1. Auditory phonetic categories were retuned by lexical knowledge, but no shifts were observed for the visual phonetic categories. Lexical knowledge can therefore guide retuning of visual phonetic categories, but lexically guided retuning of auditory phonetic categories is not generalized to visual categories. Rather, listeners adjust auditory and visual phonetic categories to talker idiosyncrasies separately

Cross-speaker generalisation in two phoneme-level perceptual adaptation processes

Speech perception is shaped by listeners' prior experience with speakers. Listeners retune their phonetic category boundaries after encountering ambiguous sounds in order to deal with variations between speakers. Repeated exposure to an unambiguous sound, on the other hand, leads to a decrease in sensitivity to the features of that particular sound. This study investigated whether these changes in the listeners' perceptual systems can generalise to the perception of speech from a novel speaker. Specifically, the experiments looked at whether visual information about the identity of the speaker could prevent generalisation from occurring. In Experiment 1, listeners retuned auditory category boundaries using audiovisual speech input. This shift in the category boundaries affected perception of speech from both the exposure speaker and a novel speaker. In Experiment 2, listeners were repeatedly exposed to unambiguous speech either auditorily or audiovisually, leading to a decrease in sensitivity to the features of the exposure sound. Here, too, the changes affected the perception of both the exposure speaker and the novel speaker. Together, these results indicate that changes in the perceptual system can affect the perception of speech from a novel speaker and that visual speaker identity information did not prevent this generalisation

General practitioners' accounts of negotiating antibiotic prescribing decisions with patients: a qualitative study on what influences antibiotic prescribing in low, medium and high prescribing practices

Background Antimicrobial resistance (AMR) is high on the UK public health policy agenda, and poses challenges to patient safety and the provision of health services. Widespread prescribing of antibiotics is thought to increase AMR, and mostly takes place in primary medical care. However, prescribing rates vary substantially between general practices. The aim of this study was to understand contextual factors related to general practitioners’ (GPs) antibiotic prescribing behaviour in low, high, and around the mean (medium) prescribing primary care practices. Methods Qualitative semi-structured interviews were conducted with 41 GPs working in North-West England. Participants were purposively sampled from practices with low, medium, and high antibiotic prescribing rates adjusted for the number and characteristics of patients registered in a practice. The interviews were analysed thematically. Results This study found that optimizing antibiotic prescribing creates tensions for GPs, particularly in doctor-patient communication during a consultation. GPs balanced patient expectations and their own decision-making in their communication. When not prescribing antibiotics, GPs reported the need for supportive mechanisms, such as regular practice meetings, within the practice, and in the wider healthcare system (e.g. longer consultation times). In low prescribing practices, GPs reported that increasing dialogue with colleagues, having consistent patterns of prescribing within the practice, supportive practice policies, and enough resources such as consultation time were important supports when not prescribing antibiotics. Conclusions Insight into GPs’ negotiations with patient and public health demands, and consistent and supportive practice-level policies can help support prudent antibiotic prescribing among primary care practices

Ruimtelijke verdeling van gewasbeschermingsmiddelen in de kas: Hoe komt een middel via een gewasbehandeling in het recirculatiewater terecht?

Gewasbeschermingsmiddelen vormen een probleem in het oppervlaktewater om een goede ecologische kwaliteit te bereiken (Teunissen, 2005; Kruger, 2008; Van der Staaij, 2009). In 2015 moet het oppervlaktewater een goede kwaliteit hebben en lozen van middelen is dan niet meer toegestaan. Het is daarom belangrijk te weten hoe middelen in het oppervlaktewater terecht komen. In deze notitie wordt verslag gedaan van een inventariserend onderzoek naar de route die het spuitmiddel in de kas aflegt. Komt er via de standaard spuitmethode spuitmiddel in het recirculatiewater en is dit te voorkomen of te verminderen? Telen met toekomst heeft de taak vragen en knelpunten bij geïntegreerde teelt en emissie van gewasbeschermingsmiddelen naar het onderzoek terug te koppelen. Dit onderzoek is dan ook op verzoek van Telen met toekomst uitgevoerd in het project ‘Knelpunten bij de implementatie van Best Practices’, onderdeel van het LNV programma Plantgezondhei

Reproductive health in adults with congenital heart disease:a review on fertility, sexual health, assisted reproductive technology and contraception

Introduction: Due to the improved survival in individuals with congenital heart disease (CHD), considering their reproductive health has become more important. Currently, this topic is still underexplored. Areas covered: We discuss fertility, sexuality, assisted reproductive technology (ART), and contraception in adults with CHD. Expert opinion: Timely counseling regarding fertility, sexuality, pregnancy, and contraception is necessary, preferably during teenage years. Due to a lack of data, whether or not to perform ART in adults with CHD is almost always based on expert opinion and follow-up in an expert center is recommended. Future research is necessary to fill the gaps in knowledge on the risks and frequency of complications of ART in adults with CHD, but also to be able to differentiate the relative risks in the different types of CHD. Only then will we be able to counsel adults with CHD correctly and not unjustly deprive someone of a chance of pregnancy.</p

Imaging mechanical vibrations in suspended graphene sheets

We carried out measurements on nanoelectromechanical systems based on multilayer graphene sheets suspended over trenches in silicon oxide. The motion of the suspended sheets was electrostatically driven at resonance using applied radio-frequency voltages. The mechanical vibrations were detected using a novel form of scanning probe microscopy, which allowed identification and spatial imaging of the shape of the mechanical eigenmodes. In as many as half the resonators measured, we observed a new class of exotic nanoscale vibration eigenmodes not predicted by the elastic beam theory, where the amplitude of vibration is maximum at the free edges. By modeling the suspended sheets with the finite element method, these edge eigenmodes are shown to be the result of non-uniform stress with remarkably large magnitudes (up to 1.5 GPa). This non-uniform stress, which arises from the way graphene is prepared by pressing or rubbing bulk graphite against another surface, should be taken into account in future studies on electronic and mechanical properties of graphene

Bioavailability and biodistribution of differently charged polystyrene nanoparticles upon oral exposure in rats

The likelihood of oral exposure to nanoparticles (NPs) is increasing, and it is necessary to evaluate the oral bioavailability of NPs. In vitro approaches could help reducing animal studies, but validation against in vivo studies is essential. Previously, we assessed the translocation of 50 nm polystyrene NPs of different charges (neutral, positive and negative) using a Caco-2/HT29-MTX in vitro intestinal translocation model. The NPs translocated in a surface charge-dependent manner. The present study aimed to validate this in vitro intestinal model by an in vivo study. For this, rats were orally exposed to a single dose of these polystyrene NPs and the uptake in organs was determined. A negatively charged NP was taken up more than other NPs, with the highest amounts in kidney (37.4 µg/g tissue), heart (52.8 µg/g tissue), stomach wall (98.3 µg/g tissue) and small intestinal wall (94.4 µg/g tissue). This partly confirms our in vitro findings, where the same NPs translocated to the highest extent. The estimated bioavailability of different types of NPs ranged from 0.2 to 1.7 % in vivo, which was much lower than in vitro (1.6–12.3 %). Therefore, the integrated in vitro model cannot be used for a direct prediction of the bioavailability of orally administered NPs. However, the model can be used for prioritizing NPs before further in vivo testing for risk assessment. © 2015, The Author(s)

Terahertz imaging and spectroscopy of large-area single-layer graphene

We demonstrate terahertz (THz) imaging and spectroscopy of a 15x15-mm^2 single-layer graphene film on Si using broadband THz pulses. The THz images clearly map out the THz carrier dynamics of the graphene-on-Si sample, allowing us to measure sheet conductivity with sub-mm resolution without fabricating electrodes. The THz carrier dynamics are dominated by intraband transitions and the THz-induced electron motion is characterized by a flat spectral response. A theoretical analysis based on the Fresnel coefficients for a metallic thin film shows that the local sheet conductivity varies across the sample from {\sigma}s = 1.7x10^-3 to 2.4x10^-3 {\Omega}^-1 (sheet resistance, {\rho}s = 420 - 590 {\Omega}/sq).Comment: 6 pages, 5 figure

The complete digital workflow in fixed prosthodontics: a systematic review

Background The continuous development in dental processing ensures new opportunities in the field of fixed prosthodontics in a complete virtual environment without any physical model situations. The aim was to compare fully digitalized workflows to conventional and/or mixed analog-digital workflows for the treatment with tooth-borne or implant-supported fixed reconstructions. Methods A PICO strategy was executed using an electronic (MEDLINE, EMBASE, Google Scholar) plus manual search up to 2016–09-16 focusing on RCTs investigating complete digital workflows in fixed prosthodontics with regard to economics or esthetics or patient-centered outcomes with or without follow-up or survival/success rate analysis as well as complication assessment of at least 1 year under function. The search strategy was assembled from MeSH-Terms and unspecific free-text words: {((“Dental Prosthesis” [MeSH]) OR (“Crowns” [MeSH]) OR (“Dental Prosthesis, Implant-Supported” [MeSH])) OR ((crown) OR (fixed dental prosthesis) OR (fixed reconstruction) OR (dental bridge) OR (implant crown) OR (implant prosthesis) OR (implant restoration) OR (implant reconstruction))} AND {(“Computer-Aided Design” [MeSH]) OR ((digital workflow) OR (digital technology) OR (computerized dentistry) OR (intraoral scan) OR (digital impression) OR (scanbody) OR (virtual design) OR (digital design) OR (cad/cam) OR (rapid prototyping) OR (monolithic) OR (full-contour))} AND {(“Dental Technology” [MeSH) OR ((conventional workflow) OR (lost-wax-technique) OR (porcelain-fused-to-metal) OR (PFM) OR (implant impression) OR (hand-layering) OR (veneering) OR (framework))} AND {((“Study, Feasibility” [MeSH]) OR (“Survival” [MeSH]) OR (“Success” [MeSH]) OR (“Economics” [MeSH]) OR (“Costs, Cost Analysis” [MeSH]) OR (“Esthetics, Dental” [MeSH]) OR (“Patient Satisfaction” [MeSH])) OR ((feasibility) OR (efficiency) OR (patient-centered outcome))}. Assessment of risk of bias in selected studies was done at a ‘trial level’ including random sequence generation, allocation concealment, blinding, completeness of outcome data, selective reporting, and other bias using the Cochrane Collaboration tool. A judgment of risk of bias was assigned if one or more key domains had a high or unclear risk of bias. An official registration of the systematic review was not performed. Results The systematic search identified 67 titles, 32 abstracts thereof were screened, and subsequently, three full-texts included for data extraction. Analysed RCTs were heterogeneous without follow-up. One study demonstrated that fully digitally produced dental crowns revealed the feasibility of the process itself; however, the marginal precision was lower for lithium disilicate (LS2) restorations (113.8 μm) compared to conventional metal-ceramic (92.4 μm) and zirconium dioxide (ZrO2) crowns (68.5 μm) (p < 0.05). Another study showed that leucite-reinforced glass ceramic crowns were esthetically favoured by the patients (8/2 crowns) and clinicians (7/3 crowns) (p < 0.05). The third study investigated implant crowns. The complete digital workflow was more than twofold faster (75.3 min) in comparison to the mixed analog-digital workflow (156.6 min) (p < 0.05). No RCTs could be found investigating multi-unit fixed dental prostheses (FDP). Conclusions The number of RCTs testing complete digital workflows in fixed prosthodontics is low. Scientifically proven recommendations for clinical routine cannot be given at this time. Research with high-quality trials seems to be slower than the industrial progress of available digital applications. Future research with well-designed RCTs including follow-up observation is compellingly necessary in the field of complete digital processing