Publications

Abstract

Purpose: Factors affecting the efficacy of therapeutic monoclonal antibodies (mAb) directed to the epidermal growth factor receptor (EGFR) remain relatively unknown, especially in glioma. Experimental Design: We examined the efficacy of two EGFR-specific mAbs (mAbs 806 and 528) against U87MG-derived glioma xenografts expressing EGFR variants. Using this approach allowed us to change the form of the EGFR while keeping the genetic background constant. These variants included the de2-7 EGFR (or EGFRvIII), a constitutively active mutation of the EGFR expressed in glioma. Results: The efficacy of the mAbs correlated with EGFR number; however, the most important factor was receptor activation. Whereas U87MG xenografts expressing the de2-7 EGFR responded to therapy, those exhibiting a dead kinase de2-7 EGFR were refractory. A modified de2-7 EGFR that was kinase active but autophosphorylation deficient also responded, suggesting that these mAbs function in de2-7 EGFR–expressing xenografts by blocking transphosphorylation. Because de2-7 EGFR–expressing U87MG xenografts coexpress the wild-type EGFR, efficacy of the mAbs was also tested against NR6 xenografts that expressed the de2-7 EGFR in isolation. Whereas mAb 806 displayed antitumor activity against NR6 xenografts, mAb 528 therapy was ineffective, suggesting that mAb 528 mediates its antitumor activity by disrupting interactions between the de2-7 and wild-type EGFR. Finally, genetic disruption of Src in U87MG xenografts expressing the de2-7 EGFR dramatically enhanced mAb 806 efficacy. Conclusions: The effective use of EGFR-specific antibodies in glioma will depend on identifying tumors with activated EGFR. The combination of EGFR and Src inhibitors may be an effective strategy for the treatment of glioma.

Abstract

A key omission from many accounts of children’s early word learning is the linguistic knowledge that the child has acquired up to the point when learning occurs. We simulate this knowledge using a computational model that learns phoneme and word sequence knowledge from naturalistic language corpora. We show how this simple model is able to account for effects of word length, word frequency, neighborhood density and phonotactic probability on children’s early word learning. Moreover, we show how effects of neighborhood density and phonotactic probability on word learning are largely influenced by word length, with our model being able to capture all effects. We then use predictions from the model to show how the ease by which a child learns a new word from maternal input is directly influenced by the phonological knowledge that the child has acquired from other words up to the point of encountering the new word. There are major implications of this work: models and theories of early word learning need to incorporate existing sublexical and lexical knowledge in explaining developmental change while well-established indices of word learning are rejected in favor of phonological knowledge of varying grain sizes.

Abstract

Previous research has shown that vocabulary size affects performance on laboratory word production tasks. Individuals who know many words show faster lexical access and retrieve more words belonging to pre-specified categories than individuals who know fewer words. The present study examined the relationship between receptive vocabulary size and speaking skills as assessed in a natural sentence production task. We asked whether measures derived from spontaneous responses to every-day questions correlate with the size of participants’ vocabulary. Moreover, we assessed the suitability of automatic speech recognition for the analysis of participants’ responses in complex language production data. We found that vocabulary size predicted indices of spontaneous speech: Individuals with a larger vocabulary produced more words and had a higher speech-silence ratio compared to individuals with a smaller vocabulary. Importantly, these relationships were reliably identified using manual and automated transcription methods. Taken together, our results suggest that spontaneous speech elicitation is a useful method to investigate natural language production and that automatic speech recognition can alleviate the burden of labor-intensive speech transcription.

Abstract

When estimating the influence of sentence complexity on reading, researchers typically opt for one of two main approaches: Measuring syntactic complexity (SC) or transitional probability (TP). Comparisons of the predictive power of both approaches have yielded mixed results. To address this inconsistency, we conducted a self-paced reading experiment. Participants read sentences of varying syntactic complexity. From two alternatives, we selected the set of SC and TP measures, respectively, that provided the best fit to the self-paced reading data. We then compared the contributions of the SC and TP measures to reading times when entered into the same model. Our results showed that both measures explained significant portions of variance in self-paced reading times. Thus, researchers aiming to measure sentence complexity should take both SC and TP into account. All of the analyses were conducted with and without control variables known to influence reading times (word/sentence length, word frequency and word position) to showcase how the effects of SC and TP change in the presence of the control variables.

Abstract

A wealth of studies has shown that more proficient monolingual speakers are better at predicting upcoming information during language comprehension. Similarly, prediction skills of adult second language (L2) speakers in their L2 have also been argued to be modulated by their L2 proficiency. How exactly language proficiency and prediction are linked, however, is yet to be systematically investigated. One group of language users which has the potential to provide invaluable insights into this link is bilingual children. In this paper, we compare bilingual children’s prediction skills with those of monolingual children and adult L2 speakers, and show how investigating bilingual children’s prediction skills may contribute to our understanding of how predictive processing works.

Abstract

There is a strong relation between children’s exposure to
spatial terms and their later memory accuracy. In the current
study, we tested whether the production of spatial terms by
children themselves predicts memory accuracy and whether
and how language modality of these encodings modulates
memory accuracy differently. Hearing child speakers of
Turkish and deaf child signers of Turkish Sign Language
described pictures of objects in various spatial relations to each
other and later tested for their memory accuracy of these
pictures in a surprise memory task. We found that having
described the spatial relation between the objects predicted
better memory accuracy. However, the modality of these
descriptions in sign, speech, or speech-plus-gesture did not
reveal differences in memory accuracy. We discuss the
implications of these findings for the relation between spatial
language, memory, and the modality of encoding.

Abstract

Late exposure to the first language, as in the case of deaf children with hearing parents, hinders the production of linguistic expressions, even in adulthood. Less is known about the development of language soon after language exposure and if late exposure hinders all domains of language in children and adults. We compared late signing adults and children (MAge = 8;5) 2 years after exposure to sign language, to their age-matched native signing peers in expressions of two types of locative relations that are acquired in certain cognitive-developmental order: view-independent (IN-ON-UNDER) and view-dependent (LEFT-RIGHT). Late signing children and adults differed from native signers in their use of linguistic devices for view-dependent relations but not for view-independent relations. These effects were also modulated by the morphological complexity. Hindering effects of late language exposure on the development of language in children and adults are not absolute but are modulated by cognitive and linguistic complexity.

Abstract

Prominence, the expression of informational weight within utterances, can be signaled by
prosodic highlighting (head-prominence, as in English) or by position (as in Korean edge-prominence).
Prominence confers processing advantages, even if conveyed only by discourse manipulations. Here
we compared processing of prominence in English and Korean, using a task that indexes processing
success, namely recognition memory. In each language, participants’ memory was tested for target
words heard in sentences in which they were prominent due to prosody, position, both or neither.
Prominence produced recall advantage, but the relative effects differed across language. For Korean
listeners the positional advantage was greater, but for English listeners prosodic and syntactic
prominence had equivalent and additive effects. In a further experiment semantic and phonological
foils tested depth of processing of the recall targets. Both foil types were correctly rejected,
suggesting that semantic processing had not reached the level at which word form was no longer
available. Together the results suggest that prominence processing is primarily driven by universal
effects of information structure; but language-specific differences in frequency of experience prompt
different relative advantages of prominence signal types. Processing efficiency increases in each case,
however, creating more accurate and more rapidly contactable memory representations.

Abstract

It is an important feature of the human sentence production system that semantic and syntactic processes may overlap in time and do not proceed strictly serially. That is, the process of building the syntactic form of an utterance does not always wait until the complete semantic content for that utterance has been decided upon. On the contrary, speakers will often start pronouncing the first words of a sentence while still working on further details of its semantic content. An important advantage is memory economy. Semantic and syntactic fragments do not have to occupy working memory until complete semantic and syntactic structures for an utterance have been computed. Instead, each semantic and syntactic fragment is processed as soon as possible and is kept in working memory for a minimum period of time. This raises the question of how the sentence production system can maintain syntactic coherence across syntactic fragments. Presumably there are processes of "syntactic bookkeeping" which (1) store in working memory those syntactic properties of a fragmentary sentence which are needed to eliminate ungrammatical continuations, and (2) check whether a prospective continuation is indeed compatible with the sentence constructed so far. In reaction time experiments where subjects described, under time pressure, simple static pictures of an action performed by an actor, the second aspect of syntactic bookkeeping could be demonstrated. This evidence is used for modelling bookkeeping processes as part of a computational sentence generator which aims at simulating the syntactic operations people carry out during spontaneous speech.

Abstract

This paper is an abridged version (in Dutch) of an in-press article by the same author (Kempen, G. (2008/9). Clausal coordination and coordinate ellipsis in a model of the speaker. To be published in: Linguistics). The two papers present a psycholinguistically inspired approach to the syntax of clause-level coordination and coordinate ellipsis. It departs from the assumption that coordinations are structurally similar to so-called appropriateness repairs Ñ an important type of self-repairs in spontaneous speech. Coordinate structures and appropriateness repairs can both be viewed as ÒupdateÓ con-structions. Updating is defined as a special sentence production mode that efficiently revises or augments existing sentential structure in response to modifications in the speakerÕs communicative intention. This perspective is shown to offer an empirically satisfactory and theoretically parsimonious account of two prominent types of coordinate ellipsis, in particular Forward Conjunction Reduction (FCR) and Gapping (including Long-Distance Gapping and Subgapping). They are analyzed as different manifestations of Òincremental updatingÓ Ñ efficient updating of only part of the existing sentential structure. Based on empirical data from Dutch and German, novel treatments are proposed for both types of clausal coordinate ellipsis. Two other forms of coordinate ellipsis Ñ SGF (ÒSubject Gap in Finite clauses with fronted verbÓ), and Backward Conjunction Reduction (BCR; also known as Right Node Raising or RNR) Ñ are shown to be incompatible with the notion of incremental updating. Alternative theoretical interpretations of these phenomena are proposed. The four types of clausal coordinate ellipsis Ñ SGF, Gapping, FCR and BCR Ñ are argued to originate in four different stages of sentence production: Intending (i.e. preparing the communicative intention), Conceptualization, Grammatical Encoding, and Phonological Encoding, respectively.

Abstract

Human speakers often produce sentences incrementally. They can start speaking having in mind only a fragmentary idea of what they want to say, and while saying this they refine the contents underlying subsequent parts of the utterance. This capability imposes a number of constraints on the design of a syntactic processor. This paper explores these constraints and evaluates some recent computational sentence generators from the perspective of incremental production.

Abstract

A new cognitive architecture is proposed for the syntactic aspects of human sentence processing. The architecture, called Unification Space, is biologically inspired but not based on neural nets. Instead it relies on biosynthesis as a basic metaphor. We use simulated annealing as an optimization technique which searches for the best configuration of isolated syntactic segments or subtrees in the final parse tree. The gradually decaying activation of individual syntactic nodes determines the ‘global excitation level’ of the system. This parameter serves the function of ‘computational temperature’ in simulated annealing. We have built a computer implementation of the architecture which simulates well-known sentence understanding phenomena. We report successful simulations of the psycholinguistic effects of clause embedding, minimal attachment, right association and lexical ambiguity. In addition, we simulated impaired sentence understanding as observable in agrammatic patients. Since the Unification Space allows for contextual (semantic and pragmatic) influences on the syntactic tree formation process, it belongs to the class of interactive sentence processing models.

Abstract

Essays van psychologen en linguı̈sten over de relatie hersens-computers.

Abstract

Remarques sur les facteurs intervenant dans le processus de formulation des énoncés.

Abstract

The psychology of language as developed by Wilhelm Wundt in his fundamental work Die Sprache (1900) has a strongly mentalistic character. The dominating positions held by behaviorism in psychology and structuralism in linguistics have overruled Wundt’s language theory to the effect that it has remained relatively unknown. This situation has changed recently under the influence of transformational linguistics and cognitive psychology. The paper discusses how Wundt applied the basic psychological concepts of apperception and association to language behavior, in particular to the construction and production of sentences during unprepared speech. The final part of the paper is devoted to the work, published in 1917, of the Dutch linguistic scholar Jacques van Ginneken, who elaborated Wundt’s ideas towards an explanation of some syntactic phenomena during the language acquisition of children.

Abstract

Written information is often of limited accessibility to deaf people who use sign language. The eSign project was undertaken as a response to the need for technologies enabling efficient production and distribution over the Internet of sign language content. By using an avatar-independent scripting notation for signing gestures and a client-side web browser plug-in to translate this notation into motion data for an avatar, we achieve highly efficient delivery of signing, while avoiding the inflexibility of video or motion capture. Tests with members of the deaf community have indicated that the method can provide an acceptable quality of signing.

Abstract

Speech is structured into parts by syntactic and prosodic breaks. In locally syntactic ambiguous sentences, the detection of a syntactic break necessarily follows detection of a corresponding prosodic break, making an investigation of the immediate interplay of syntactic and prosodic information impossible when studying sentences in isolation. This problem can be solved, however, by embedding sentences in a discourse context that induces the expectation of either the presence or the absence of a syntactic break right at a prosodic break. Event-related potentials (ERPs) were compared to acoustically identical sentences in these different contexts. We found in two experiments that the closure positive shift, an ERP component known to be elicited by prosodic breaks, was reduced in size when a prosodic break was aligned with a syntactic break. These results establish that the brain matches prosodic information against syntactic information immediately.

Abstract

This paper reports on two studies investigating children's and adults' processing of sentences containing ambiguity of prepositional phrase (PP) attachment. Study 1 used corpus data to investigate whether cues argued to be used by adults to resolve PP-attachment ambiguities are available in child-directed speech. Study 2 was an on-line reaction time study investigating the role of lexical and referential biases in syntactic ambiguity resolution by children and adults. Forty children (mean age 8;4) and 37 adults listened to V-NP-PP sentences containing temporary ambiguity of PP-attachment. The sentences were manipulated for (i) verb semantics, (ii) the definiteness of the object NP, and (iii) PP-attachment site. The children and adults did not differ qualitatively from each other in their resolution of the ambiguity. A verb semantics by attachment interaction suggested that different attachment analyses were pursued depending on the semantics of the verb. There was no influence of the definiteness of the object NP in either children's or adults' parsing preferences. The findings from the on-line task matched up well with the corpus data, thus identifying a role for the input in the development of parsing strategies.

Abstract

We present the results from four studies, two corpora and two experimental, which suggest that English- and German-speaking children (3;1–4;9 years) use multiple constraints to process and produce object relative clauses. Our two corpora studies show that children produce object relatives that reflect the distributional and discourse regularities of the input. Specifically, the results show that when children produce object relatives they most often do so with (a) an inanimate head noun, and (b) a pronominal relative clause subject. Our experimental findings show that children use these constraints to process and produce this construction type. Moreover, when children were required to repeat the object relatives they most often use in naturalistic speech, the subject-object asymmetry in processing of relative clauses disappeared. We also report cross-linguistic differences in children's rate of acquisition which reflect properties of the input language. Overall, our results suggest that children are sensitive to the same constraints on relative clause processing as adults.

Abstract

The purpose of this project was to investigate the effectiveness of a language-focused professional development programme on the knowledge and behaviour of preschool practitioners (sometimes called early years practitioners) in the UK. In Study 1 we determined whether the training received by practitioners is effective in improving their knowledge of how to support children’s language and communicative development. In Study 2 we tested whether trained practitioners, and practitioners from centres with embedded Language Champions, were able to implement the techniques they had been taught. For this, we video-recorded practitioners interacting, one to one, with 2- and 3–4-year-old children in their centres. We conclude that (1) practitioners retain the knowledge they have been taught, both about how children learn and about how to promote this learning, and that (2), in some respects, this knowledge translates well into practice; practitioners in centres with embedded Language Champions and trained practitioners used language-enriching behaviours when interacting with children more often than did untrained practitioners. We discuss how the translation of some techniques into overt behaviour could be made more effective

Abstract

The phonological Stroop task, in which the participant names the color of written distractors, is being used increasingly to study the phonological encoding process in speech production. A brief review of experimental paradigms used to study the phonological encoding process indicated that currently it is not known whether the onset overlap benefit (faster color naming when the distractor shares the onset segment with the color name) in a phonological Stroop task is due to phonology or orthography. The present paper investigated this question using a picture variant of the phonological Stroop task. Participants named a small set of line drawings of animals (e.g., camel) with a pseudoword distractor printed on it. Picture naming was facilitated when the distractor shared the onset segment with the picture name regardless of orthographic overlap (CUST–camel = KUST–camel < NUST–camel). We conclude that the picture variant of the phonological Stroop task is a useful tool to study the phonological encoding process, free of orthographic influence.

Abstract

Are letters with a diacritic (e.g., a) recognized as a variant of the base letter (e.g., a), or as a separate letter identity? Two recent masked priming studies, one in French and one in Spanish, investigated this question, concluding that this depends on the language-specific linguistic function served by the diacritic. Experiment 1 tested this linguistic function hypothesis using Japanese kana, in which diacritics signal consonant voicing, and like French and unlike Spanish, provide lexical contrast. Contrary to the hypothesis, Japanese kana yielded the pattern of diacritic priming like Spanish. Specifically, for a target kana with a diacritic (e.g., (sic), /ga/), the kana prime without the diacritic (e.g., (sic), /ka/) facilitated recognition almost as much as the identity prime (e.g., (sic) = (sic)), whereas for a target kana without a diacritic, the kana prime with the diacritic produced less facilitation than the identity prime (e.g., (sic) < (sic)). We suggest that the pattern of diacritic priming has little to do with linguistic function, and instead it stems from a general property of visual object recognition. Experiment 2 tested this hypothesis using visually similar letters of the Latin alphabet that differ in the presence/absence of a visual feature (e.g., O and Q). The same asymmetry in priming was observed. These findings are consistent with the noisy channel model of letter/word recognition (Norris & Kinoshita, Psychological Review, 119, 517-545, 2012a).

Abstract

Gestures that accompany speech are known to be tightly coupled with speech production. However little is known about the cognitive processes that underlie this link. Previous cross-linguistic research has provided preliminary evidence for online interaction between the two systems based on the systematic co-variation found between how different languages syntactically package Manner and Path information of a motion event and how gestures represent Manner and Path. Here we elaborate on this finding by testing whether speakers within the same language gesturally express Manner and Path differently according to their online choice of syntactic packaging of Manner and Path, or whether gestural expression is pre-determined by a habitual conceptual schema congruent with the linguistic typology. Typologically congruent and incongruent syntactic structures for expressing Manner and Path (i.e., in a single clause or multiple clauses) were elicited from English speakers. We found that gestural expressions were determined by the online choice of syntactic packaging rather than by a habitual conceptual schema. It is therefore concluded that speech and gesture production processes interface online at the conceptual planning phase. Implications of the findings for models of speech and gesture production are discussed

Abstract

In a way, the entire history of linguistic thought from the Antiquity to present days is a series of variations on two key themes: 1. In a certain sense, language and cognition are the same, and 2. In a certain sense, all languages are the same. What varies is the way in which “in a certain sense” is spelled out. Interpretations oscillate between radical positions such as the idea that thinking without speaking is impossible to the idea that it is just language which vexes our cognition and hence makes it rather impossible, and similarly between the idea that all differences between natural languages are nothing but irrelevant variations in the “vox”, the “external form” to the idea that it our thought is massively shaped by the particular structural features of the language we happen to speak. It is remarkable how little agreement has been reached on these issues after more than 2500 years of discussion. This, it is argued, has mainly two reasons: (a) The entire argument is largely confined to a few lexical and morphological properties of human languages, and (b) the discussion is rarely based on empirical research on “language at work” - how do we manage to solve those many little tasks for which human languages are designed in the first place.

Abstract

Counterfactuals such as If the world did not exist, we would not notice it have been a challenge for philosophers and linguists since antiquity. There is no generally accepted semantic analysis. The prevalent view, developed in varying forms by Robert Stalnaker, David Lewis, and others, enriches the idea of strict implication by the idea of a “minimal revision” of the actual world. Objections mainly address problems of maximal similarity between worlds. In this paper, I will raise several problems of a different nature and draw attention to several phenomena that are relevant for counterfactuality but rarely discussed in that context. An alternative analysis that is very close to the linguistic facts is proposed. A core notion is the “situation talked about”: it makes little sense to discuss whether an assertion is true or false unless it is clear which situation is talked about. In counterfactuals, this situation is marked as not belonging to the actual world. Typically, this is done in the form of the finite verb in the main clause. The if-clause is optional and has only a supportive role: it provides information about the world to which the situation talked about belongs. Counterfactuals only speak about some nonactual world, of which we only know what results from the protasis. In order to judge them as true or false, an additional assumption is required: they are warranted according to the same criteria that warrant the corresponding indicative assertion. Overall similarity between worlds is irrelevant.

Abstract

In the first, critical part of this study, a small sample of simple German sentences with their empirically determined pitch contours is used to demonstrate the incorrectness of numerous currently hold views of German sentence intonation. In the second, more constructive part, several interrogative sentence types are analysed and an attempt is made to show that intonation, besides other functions, indicates the permantently changing 'thematic score' in on-going discourse as well as certain validity claims.

Abstract

Language acquisition is the transition between the language faculty, with which we are born as a part of our genetic endowment, to the mastery of one or more linguistic systems. There is a plethora of findings about this process; but these findings still do not form a coherent picture of the principles which underlie this process. There are at least six reasons for this situation. First, there is an enormous variability in the conditions under which this process occurs. Second, the learning capacity does not remain constant over time. Third, the process extends over many years and is therefore hard to study. Fourth, especially the investigation of the meaning side is problem-loaded. Fifth, many skills and types of knowledge must be learned in a more or less synchronised way. And sixth, our understanding of the functioning of linguistic systems is still very limited. Nevertheless, there are a few overarching results, three of which are discussed here: (1) There are salient differences between child and adult learners: While children normally end up with perfect mastery of the language to be learned, this is hardly ever the case for adults. On the hand, it could be shown for each linguistic property examined so far, that adults are in principle able to learn it up to perfection. So, adults can learn everything perfectly well, they just don’t. (2) Within childhood, age of onset plays no essential role for ultimate attainment. (3) Children care much more for formal correctness than adults - they are just better in mimicking existing systems. It is argued that age does not affect the „construction capacity”- the capacity to build up linguistic systems - but the „copying faculty”, i.e., the faculty to imitate an existing system.

Abstract

The possibility to combine smaller units of meaning (e.g., words) to create new and more complex meanings (e.g., phrases and sentences) is a fundamental feature of human language. In the present project, we investigated how the brain supports the semantic and syntactic composition of two-word adjective-noun phrases in Dutch, using magnetoencephalography (MEG). The present investigation followed up on previous studies reporting a composition effect in the left anterior temporal lobe (LATL) when comparing neural activity at nouns combined with adjectives, as opposed to nouns in a non-compositional context. The first aim of the present study was to investigate whether this effect, as well as its modulation by noun specificity and adjective class, can also be observed in Dutch. A second aim was to investigate to what extent these effects may be driven by syntactic composition rather than primarily by semantic composition as was previously proposed. To this end, a novel condition was administered in which participants saw nouns combined with pseudowords lacking meaning but agreeing with the nouns in terms of grammatical gender, as real adjectives would. We failed to observe a composition effect or its modulation in both a confirmatory analysis (focused on the cortical region and time-window where it has previously been reported) and in exploratory analyses (where we tested multiple regions and an extended potential time-window of the effect). A syntactically driven composition effect was also not observed in our data. We do, however, successfully observe an independent, previously reported effect on single word processing in our data, confirming that our MEG data processing pipeline does meaningfully capture language processing activity by the brain. The failure to observe the composition effect in LATL is surprising given that it has been previously reported in multiple studies. Reviewing all previous studies investigating this effect, we propose that materials and a task involving imagery might be necessary for this effect to be observed. In addition, we identified substantial variability in the regions of interest analyzed in previous studies, which warrants additional checks of robustness of the effect. Further research should identify limits and conditions under which this effect can be observed. The failure to observe specifically a syntactic composition effect in such minimal phrases is less surprising given that it has not been previously reported in MEG data.

Abstract

The human cerebral hemispheres show a left–right asymmetrical torque pattern, which has been claimed to be absent in chimpanzees. The functional significance and developmental mechanisms are unknown. Here, we carried out the largest-ever analysis of global brain shape asymmetry in magnetic resonance imaging data. Three population datasets were used, UK Biobank (N = 39 678), Human Connectome Project (N = 1113), and BIL&GIN (N = 453). At the population level, there was an anterior and dorsal skew of the right hemisphere, relative to the left. Both skews were associated independently with handedness, and various regional gray and white matter metrics oppositely in the two hemispheres, as well as other variables related to cognitive functions, sociodemographic factors, and physical and mental health. The two skews showed single nucleotide polymorphisms-based heritabilities of 4–13%, but also substantial polygenicity in causal mixture model analysis, and no individually significant loci were found in genome-wide association studies for either skew. There was evidence for a significant genetic correlation between horizontal brain skew and autism, which requires future replication. These results provide the first large-scale description of population-average brain skews and their inter-individual variations, their replicable associations with handedness, and insights into biological and other factors which associate with human brain asymmetry.

Abstract

Objectives The aim of this study was to observe the dental condition in a group of elderly patients over a period of 10 years in order to clarify important risk factors. Materials and methods Participants were elderly patients (in their eighties) who took panoramic radiographs between 2015 and 2016, and for whom panoramic radiographs taken around 10 year earlier were also available. The number of remaining and lost teeth, the Eichner Index, the presence or absence of molar occlusion, the respective condition of dental pulp, dental crowns, alveolar bone resorption, as well as periapical lesions were investigated through the analysis of panoramic radiographs. Additionally, other important variables were collected from patients' medical records. From the obtained panoramic radiograph sets, the patients' dental condition was investigated, and a systematic comparison was conducted. Results The analysis of the panoramic radiographs showed that the number of remaining teeth decreased from an average of 20.8-15.5, and the percentage of patients with 20 or more teeth decreased from 69.2 to 26.9%. A factor analysis investigating tooth loss risk suggested that tooth loss was associated with the bridge, P2 or greater resorption of the alveolar bone, and apical lesions, and gender (with males having a higher risk compared to females). Conclusions Teeth showing P2 or greater alveolar bone resorption, bridge, and apical lesions on panoramic radiographs are most likely to be lost in an elderly patient's near future. Consequently, this group should be encouraged to visit their dental clinics regularly and receive comprehensive instruction on individual self-care methods.

Abstract

Purpose: The purpose of this study was to investigate the relationship between the visual characteristics of tongue lesion images obtained through intraoral ultrasonographic examination and the occurrence of late cervical lymph node metastasis in patients with tongue cancer.
Patients and Methods: This study investigated patients with primary tongue cancer who were examined using intraoral ultrasonography at Hiroshima University Hospital between January 2014 and December 2017. The inclusion criteria were squamous cell carcinoma, curative treatment administration, lateral side of tongue, surgery or brachytherapy alone, no cervical lymph node or distant metastasis as primary treatment, and treatment in our hospital. The exclusion criteria were carcinoma in situ, palliative treatment, dorsum of tongue, and multiple primary cancers. The follow-up period was more than 1 year. The primary endpoint was the occurrence of late cervical lymph node metastasis, and the primary predictor variables were age, gender, longest diameter, thickness, margin or border shapes of the lesion, and treatment methods. The relationship between the occurrence of late cervical lymph node metastasis and the longest diameter, thickness, margin types, and border types as evaluated through intraoral ultrasonography were assessed. The data were collected through a retrospective chart review.
Results: Fifty-four patients were included in this study. The analysis indicated that irregular lesion margins were significantly associated with the occurrence of late cervical lymph node metastasis (P < .0001). The cutoff value for late cervical lymph node metastasis was 21.2 mm for the longest diameter and 3.9 mm for the thickness.
Conclusions: The results of this study indicates that the irregular lesion margin assessed using intraoral ultrasonography may serve as an effective predictor of late cervical lymph node metastasis in N0 cases. (C) 2020 American Association of Oral and Maxillofacial Surgeons