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Limited research has been conducted in Malaysia on the characteristics of patients with aphasia. To address this gap, a retrospective study was conducted at Hospital Rehabilitasi Cheras (HRC). The study aimed to profile the demographic, clinical, and language characteristics of patients who underwent speech therapy for aphasia. Medical records from 2014 to 2017 were reviewed, focusing on 1,259 adult patients who were referred to the Speech Therapy Unit. Analysis included demographics, clinical aspects, and linguistic features. The Western Battery of Aphasia-Revised (WAB-R), a comprehensive assessment tool, was used to evaluate the language abilities. Among the patients' files analysed, a total of 211 contained WAB-R test results. The demographic profile revealed a higher proportion of male patients compared to females, with Malay patients comprising the majority, followed by Chinese and Indians. Age distribution included 41.7% older adults (aged 55 and above), 37.9% middle-aged (aged 36-55), and 20.4% younger adults (aged 18-35). Notably, 44.5% had completed high school education. Clinically, right-sided hemiparesis was prevalent as noted with 67.8% of patients, while 14.7% had left-sided hemiparesis. The primary cause of aphasia was stroke, accounting for 71.1% of cases, with ischemic stroke being the dominant subtype (56.9%). Fluent aphasia was presented in 50.2% of the cases, compared to 49.3% of non-fluent aphasia. Anomic aphasia was the most common subtype (35.5%), followed by global aphasia (27.5%) and Broca's aphasia (17.5%). The language profile provided a detailed description, encompassing linguistic aspects relevant to different aphasia types. These preliminary findings yielded valuable insights and hold significant implications for the clinical management of aphasia patients in Malaysia. [ABSTRACT FROM AUTHOR]

Attention-Deficit/Hyperactivity Disorder (ADHD) is associated with pragmatic language impairments in children, but less is known about the communicative abilities of adults with ADHD, especially when using a second or third language. In this study, we developed a questionnaire to collect self-report measures of a set of pragmatic skills in a person's first, second and third language, comparing adults with and without an ADHD diagnosis. One hundred seventy-nine multilingual adults with ( N  = 91) and without ADHD ( N  = 88) completed the survey. As predicted, adults with ADHD reported more pragmatic difficulties than the control group. More specifically, people with ADHD showed pronounced impairments in regulating their behaviour in spoken interactions in the form of excessive talking, frequently interrupting others, and speaking without thinking first. Notably, these types of hyperactive and impulsive behaviours were significantly reduced when people with ADHD communicated in a second or third language. For pragmatic difficulties related to inattention such as concentrating on a conversation, both groups tended to be more inattentive in their third language compared to their first and second language. The understanding of non-literal language was only affected by ADHD in the first language and was generally more taxing in a language with lower proficiency levels. Our study contributes to a more nuanced understanding of how ADHD affects different kinds of communicative abilities in multilingual adults. It also has implications for clinical practice, highlighting the importance of assessing symptoms of inattention, hyperactivity, and impulsivity in a person's dominant language.

Comprehending the teacher's message when other students are chatting is challenging. Even though the sound environment is the same for a whole class, differences in individual performance can be observed, which might depend on a variety of personal factors and their specific interaction with the listening condition. This study was designed to explore the role of individual characteristics (reading comprehension, inhibitory control, noise sensitivity) when primary school children perform a listening comprehension task in the presence of a two-talker masker. The results indicated that this type of noise impairs children's accuracy, effort, and motivation during the task. Its specific impact depended on the level and was modulated by the child's characteristics. In particular, reading comprehension was found to support task accuracy, whereas inhibitory control moderated the effect of listening condition on the two measures of listening effort included in the study (response time and self-ratings), even though with a different pattern of association. A moderation effect of noise sensitivity on perceived listening effort was also observed. Understanding the relationship between individual characteristics and classroom sound environment has practical implications for the acoustic design of spaces promoting students' well-being, and supporting their learning performance., (© 2023. Springer Nature Limited.)

Students learn in noisy classrooms, where the main sources of noise are their own voices. In this sound environment, students are not equally at risk from background noise interference during lessons, due to the moderation effect of the individual characteristics on the listening conditions. This study investigates the effect of the number of competing speakers on listening comprehension and whether this is modulated by selective attention skills, working memory, and noise sensitivity. Seventy-one primary school students aged 10 to 13 years completed a sentence comprehension task in three listening conditions: quiet, two competing speakers, and four competing speakers. Outcome measures were accuracy, listening effort (response times and self-reported), motivation, and confidence in completing the task. Individual characteristics were assessed in quiet. Results showed that the number of competing speakers has no direct effects on the task, whilst the individual characteristics were found to moderate the effect of the listening conditions. Selective attention moderated the effects on accuracy and response times, working memory on motivation, and noise sensitivity on both perceived effort and confidence. Students with low cognitive abilities and high noise sensitivity were found to be particularly at risk in the condition with two competing speakers.

This study is an investigation of both comprehension and production of Wh- questions in Malay-speaking children with a developmental language disorder (DLD). A total of 15 Malay children with DLD (ages 7;0-9;11 years) were tested on a set of Wh- questions ( who subject and object, which subject and object), comparing their performance with two control groups [15 age-matched typically developing (TD) children and 15 younger TD language-matched children]. Malay children with DLD showed a clear asymmetry in comprehension of Wh- questions, with a selective impairment for which NP questions compared with who questions. Age-matched controls performed at ceiling in all Wh- questions, while the language-matched group reported a subject/object asymmetry selective for the which NP, as reported in other languages. In production, both children with DLD and younger children showed a preference for questions with in situ Wh- elements, a structure that is allowed in colloquial Malay, but which is not produced by the age-matched TD group. Several non-adult-like strategies were adopted particularly by the children with DLD to avoid complex sentences, including substitution with yes/no echo questions, production of the wrong Wh- question, and use of a generic Wh- element. The study provides an insight on the mastery of Wh- questions in both typical Malay children and children with DLD. Implications for the definition of a clinical marker for DLD in a free word order language with Wh- in situ option will be discussed., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Abu Bakar, Smith, Razak and Garraffa.)

This paper introduces an interactive framework to guide decision-makers in a multi-criteria supplier selection process. State-of-the-art multi-criteria methods for supplier selection elicit the decision-maker's preferences among the criteria by processing pre-collected data from different stakeholders. We propose a different approach where the preferences are elicited through an active learning loop. At each step, the framework optimally solves a combinatorial problem multiple times with different weights assigned to the objectives. Afterwards, a pair of solutions among those computed is selected using a particular query selection strategy, and the decision-maker expresses a preference between them. These two steps are repeated until a specific stopping criterion is satisfied. We also introduce two novel fast query selection strategies, and we compare them with a myopically optimal query selection strategy. Computational experiments on a large set of randomly generated instances are used to examine the performance of our query selection strategies, showing a better computation time and similar performance in terms of the number of queries taken to achieve convergence. Our experimental results also show the usability of the framework for real-world problems with respect to the execution time and the number of loops needed to achieve convergence., Competing Interests: Conflict of interestThe authors declare that they have no conflict of interest., (© The Author(s) 2021.)

Body representation (BR) refers to the mental representation of motor, sensory, emotional and semantic information about the physical body. This cognitive representation is used in our everyday life, continuously, even though most of the time we do not appreciate it consciously. In some cases, BR is vital to be able to communicate. A crucial feature of signed languages (SLs), for instance, is that body parts such as hands are used to communicate. Nevertheless, little is known about BR in SL: is the communicative function of the body overwriting the physical constraints? Here, we explored this question by comparing twelve British Sign Language (BSL) learners to seventeen tango dancers (body expertise but not for communication) and fourteen control subjects (no special body expertise). We administered the Body Esteem Scale (BES), the Hand Laterality Task (HLT) and the Mental Motor Chronometry (MMC). To control for visual imagery, we administered ad hoc control tasks. We did not identify parameters able to differentiate between SL users and the other groups, whereas the more implicit parameters distinguished clearly tango dancers from controls. Importantly, neither tasks on visual imagery nor the BES revealed differences. Our findings offer initial evidence that linguistic use of the body not necessarily influences the cognitive components we explored of body representation.

The present study investigates linguistics and cognitive effects of bilingualism with a minority language acquired through school medium education. If bilingualism has an effect on cognition and language abilities, regardless of language prestige or opportunities of use, young adult Gaelic-English speakers attending Gaelic medium education (GME) could have an advantage on linguistic and cognitive tasks targeting executive functions. These will be reported, compared to monolingual speakers living in the same area. Furthermore, this study investigates whether there is a difference in Home Speakers of Gaelic (speakers who had acquired the language at home) compared to New Speakers of this language, i.e., whether an immersive context-as the one offered in medium education- compensates for not being native. A group of 23 monolingual English young adult speakers was compared with a group of 25 bilingual speakers attending a GME school since 5 years old. Participants were tested on comprehension of a set of sentences with incremental complexity in English, on their capacity to inhibit a distractor using the Test of Everyday attention (TEA) and on their performance in a Digit Span task. A tendency for a better performance on more complex linguistics and cognitive tasks was reported in bilinguals compared to monolinguals with a further advantage for New Speakers compared to Home Speakers. The study supports the idea that being bilingual in a minority language is as beneficial as speaking any other combination of languages. An immersive context of acquisition can be a good ground for developing advantages on both linguistics and cognitive tasks, with a further advantage for New speakers of the language., (Copyright © 2020 Garraffa, Obregon, O’Rourke and Sorace.)

Purpose: The current study investigated the effect of text variables including length, readability, propositional content, and type of information on the reading comprehension of people with aphasia., Method: The performance of 75 people with aphasia was compared with 87 healthy, age-matched control participants. Reading comprehension was considered in terms of both accuracy in responding to questions tapping comprehension and reading time. Participants with aphasia (PWA) were divided into 2 groups (no reading impairment [PWA:NRI] and reading impairment [PWA:RI]) depending on whether their performance fell within the 5th percentile of control participants., Results: As groups, both PWA:NRI and PWA:RI differed significantly from control participants in terms of reading time and comprehension accuracy. PWA:NRI and PWA:RI differed from each other in terms of accuracy but not reading time. There was no significant effect of readability or propositional density on comprehension accuracy or reading time for any of the groups. There was a significant effect of length on reading time but not on comprehension accuracy. All groups found main ideas easier than details, stated information easier than inferred, and had particular difficulty with questions that required integration of information across paragraphs (gist)., Conclusions: Both accuracy of comprehension and reading speed need to be considered when characterizing reading difficulties in people with aphasia.

This study explores the effects of bilingualism in Sardinian as a regional minority language on the linguistic competence in Italian as the dominant language and on non-linguistic cognitive abilities. Sardinian/Italian adult speakers and monolingual Italian speakers living in the same geographical area of Sardinia were compared in two kinds of tasks: (a) verbal and non-verbal cognitive tasks targeting working memory and attentional control and (b) tasks of linguistic abilities in Italian focused on the comprehension of sentences differing in grammatical complexity. Although no difference was found between bilinguals and monolinguals in the cognitive control of attention, bilinguals performed better on working memory tasks. Bilinguals with lower formal education were found to be faster at comprehension of one type of complex sentence (center embedded object relative clauses). In contrast, bilinguals and monolinguals with higher education showed comparable slower processing of complex sentences. These results show that the effects of bilingualism are modulated by type of language experience and education background: positive effects of active bilingualism on the dominant language are visible in bilinguals with lower education, whereas the effects of higher literacy in Italian obliterate those of active bilingualism in bilinguals and monolinguals with higher education.

Agreement is a covariation in morphological form that reflects relations between words. A series of experiments were carried out in Italian during production and comprehension where an element interferes with agreement. The likelihood of interference found in both modalities is related to the markedness of the intervener and to its grammatical nature: it occurs more frequently when the number expressed on a prepositional modifiers intervene between the subject and the verb than the number expressed on an object pronoun. Furthermore, subject agreement process with an intervener object pronoun is prone to error, with many errors reported also in the matched condition and with slower reaction timing in comprehension. The study supports the idea that agreement is a grammatical process sensitive not only to the markedness of the intervener element but also to its structural position. A unifying explanation for agreement in both production and comprehension will be adopted in line with retrieval of an agreement source from a content-addressable memory sensitive to structural positions and their implementation in different languages.

Early second language (EL2) learners generally perform more poorly than monolinguals in specific language domains, presenting similarities with children affected by specific language impairment (SLI). As a consequence, it can be difficult to correctly diagnose this disorder in EL2 children. The current study investigated the performance of 120 EL2 and 40 age-matched monolingual children in object clitic production and nonword repetition, which are two sensitive clinical markers of SLI in Italian. Results show that EL2 children underperform in comparison to monolinguals in the clitic task. However, in contrast to what is reported on Italian-speaking children with SLI, EL2 children tend not to omit clitics but instead produce the incorrect form, committing agreement errors. No differences are found between EL2 and monolingual children on nonword repetition. These results suggest that, at least in Italian, EL2 children only superficially resemble children with SLI and, on closer inspection, present a qualitatively and quantitatively different linguistic profile.

We report the results of a study which tested receptive Italian grammatical competence and general cognitive abilities in bilingual Italian-Sardinian children and age-matched monolingual Italian children attending the first and second year of primary school in the Nuoro province of Sardinia, where Sardinian is still widely spoken. The results show that across age groups the performance of Sardinian-Italian bilingual children is in most cases indistinguishable from that of monolingual Italian children, in terms of both Italian language skills and general cognitive abilities. However, where there are differences, these emerge gradually over time and are mostly in favor of bilingual children.

The paper explores the cognitive mechanisms involved in the verification of sentences with proportional quantifiers (e.g., "More than half of the dots are blue"). The first study shows that the verification of proportional sentences is more demanding than the verification of sentences such as: "There are seven blue and eight yellow dots". The second study reveals that both types of sentences are correlated with memory storage, however, only proportional sentences are associated with the cognitive control. This result suggests that the cognitive mechanism underlying the verification of proportional quantifiers is crucially related to the integration process, in which an individual has to compare in memory the cardinalities of two sets. In the third study we find that the numerical distance between two cardinalities that must be compared significantly influences the verification time and accuracy. The results of our studies are discussed in the broader context of processing complex sentences.