Judgements of grammaticality in aphasia: The special case of Chinese

Theories of agrammatism have been challenged by the discovery that agrammatic patients can make above - chance judgements of grammaticality. Chinese poses an interesting test of this phenomenon, because its grammar is so austere, with few obligatory features. An on - line grammaticality judgement task was conducted with normal and aphasic speakers of Chinese, using the small set of constructions that do permit judgements of grammaticality in this language. Broca's and Wernicke's aphasics showed similar patterns, with above - chance discrimination between grammatical and ungrammatical forms, suggesting once again that Broca's aphasics are not unique in the degree of sparing or impairment that they show in receptive grammar. However, even for young normals, false - negative rates were high. We conclude that there is some sensitivity to grammatical well - formedness in Chinese aphasics, but the effect is fragile for aphasics and probabilistic for normals, reflecting the peculiar status of grammaticality in this language.     

Digital subtraction angiographic assessment of the coronary arteries and coronary flow reserve

Although intravenous digital subtraction angiography was originally intended as a means of performing lessinvasive peripheral angiography, this less invasive approach has not proven feasible for coronary artery studies. Digital imaging has, however, proven helpful for the immediate replay, enhancement and quantification of coronary arteriography and enables the performance of regional blood flow (coronary flow reserve) analysis. Flow analysis is clinically helpful in determining the hemodynamic significance of individual coronary stenoses, which cannot always be assessed even using quantitative stenosis measurements. One method of assessing flow reserve by digital means uses parametric images to display the timing (color coded) and density (intensity coded) of the contrast bolus as it transverses the regional myocardial circulation. Analysis of baseline and hyperemic condition parametric images provides quantitative regional flow reserve information.     

Racial differences in depression in the United States: how do subgroup analyses inform a paradox?

Purpose

Non-Hispanic Blacks in the US have lower rates of major depression than non-Hispanic Whites, in national household samples. This has been termed a “paradox,” as Blacks suffer greater exposure to social stressors, a risk factor for depression. Subgroup analyses can inform hypotheses to explain this paradox. For example, it has been suggested that selection bias in household samples undercounts depression in Blacks; if selection is driving the paradox, Black–White differences should be most pronounced among young men with low education.

Methods

We examined Black–White differences in lifetime major depression in subgroups defined simultaneously by sex, age, and education using data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) and the Collaborative Psychiatric Epidemiology Surveys (CPES).

Results

In NESARC and CPES, Blacks had lower odds than Whites of lifetime major depression in 21 and 23 subgroups, respectively, of 24. All statistically significant differences were in subgroups favoring Blacks, and lower odds in Blacks were more pronounced among those with more education.

Conclusions

These results suggest that hypotheses to explain the paradox must posit global mechanisms that pertain to all subgroups defined by sex, age, and education. Results do not lend support for the selection bias hypothesis.