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"Taza" in Spanish refers to cups and mugs in English, whereas glass refers to different glass types in Spanish: "copa" and "vaso." It is still unclear whether such categorical distinctions induce early perceptual differences in speakers of different languages. In this study, for the first time, we report symmetrical effects of terminology on preattentive indices of categorical perception across languages. Native speakers of English or Spanish saw arrays of cups, mugs, "copas," and "vasos" flashed in streams. Visual mismatch negativity, an implicit electrophysiological correlate of perceptual change in the peripheral visual field, was modulated for categorical contrasts marked in the participants' native language but not for objects designated by the same label. Conversely, P3a, an index of attentional orienting, was modulated only for missing contrasts in the participants' native language. Thus, whereas native labels influenced participants' preattentive perceptual encoding of objects, nonverbally encoded dissociations reoriented their attention at a later processing stage.

Embodied cognition posits that processing concepts requires sensorimotor activation. Previous research has shown that perceived power is spatially embodied along the vertical axis. However, it is unclear whether such mapping applies equally in the two languages of bilinguals. Using event-related potentials, we compared spatial embodiment correlates in participants reporting the source of auditory words as being presented from above or below their sitting position. English bilinguals responded faster for congruent presentations of high-power words (presented above) but not for congruent presentations of low-power words (presented below) in both languages. Low-power words together also failed to modulate N400 amplitude or interact with language. However, follow-up analyses on high-power words showed congruency effects on N400 amplitude in Chinese but not in English. Finally, English controls showed no effect. This suggests that spatial embodiment differs across languages in bilinguals, but the roles of culture and proficiency require further research.

Chinese learners of English often experience difficulty with English tense presumably because their native language is tenseless. We showed that this difficulty relates to their incomplete conceptual representations for tense rather than their poor grammatical rule knowledge. Participants made acceptability judgments on sentences describing two-event sequences that were either temporally plausible or misaligned according to verb tense (time clash). Both upper-intermediate Chinese learners of English and native English speakers were able to detect time clashes between events, showing that Chinese participants could apply tense rules explicitly. However, a predicted modulation of the N400 event-related brain potential elicited by time clashes in English-speaking participants was entirely absent in Chinese participants. In contrast, the same Chinese participants could semantically process time information when it was lexically conveyed in both languages. Thus, despite their mastery of English grammar, high-functioning Chinese learners of English failed to process the meaning of tense-conveyed temporal information in real time.

Abstract In the alternative uses task (AUT), a well-established creativity assessment, participants propose alternative uses for common items (e.g., a brick) within a 2–3 min timeframe. While idea evaluation is likely involved, the emphasis is strongly on idea generation. Here, we test the value of presenting a word overlapping an image compared to a word only prompt, and we introduce a cyclic adaptation of the AUT explicitly calling on participants to choose their best idea. In Experiment 1, as compared to word only, word + image prompts increased idea fluency but reduced idea originality and variability within a group of native Polish speakers. Thus, word + image prompts improve AUT baselining. In Experiment 2, different participants produced as many ideas as possible within two minutes (List) or their single best idea at the end of each of three 30 s ideation cycles (Cycle). Although originality did not differ between List and Cycle overall, the first three ideas in List were rated as less creative than the ideas in Cycle. Overall, we conclude that using disambiguating images reduces spurious interindividual variability in the AUT while introducing idea evaluation in the task allows us to assess creativity beyond idea generation.

Tasks measuring human creativity overwhelmingly rely on both language comprehension and production. Although most of the world's population is bilingual, few studies have investigated the effects of language of operation on creative output. This is surprising given that fluent bilinguals master inhibitory control, a mechanism also at play in creative idea evaluation. Here, we compared creative output in the two languages of Polish(L1)-English(L2) bilinguals engaged in a cyclic adaptation of the Alternative Uses Task increasing the contribution of idea evaluation (convergent thinking). We show that Polish-English bilinguals suffer less cognitive interference when generating unusual uses for common objects in the L2 than the L1, without incurring a significant drop in idea originality. Right posterior alpha oscillation power, known to reflect creative thinking, increased over cycles. This effect paralleled the increase in originality ratings over cycles, and lower alpha power (8–10 Hz) was significantly greater in the L1 than the L2. Unexpectedly, we found greater beta (16.5–28 Hz) desynchronization in the L2 than the L1, suggesting that bilingual participants suffered less interference from competing mental representations when performing the task in the L2. Whereas creative output seems unaffected by language of operation overall, the drop in beta power in the L2 suggests that bilinguals are not subjected to the same level of semantic flooding in the second language as they naturally experience in their native language.

Bilinguals make decisions differently across languages likely due to reduced affect in the foreign language, but very little is known about language use in relation to deception. Here, we tested whether late Chinese-English bilinguals prefer to lie in the foreign language when betting against a virtual opponent. In each trial, participants freely announced bets in Chinese or English depending on whether they had drawn a coin or not. Results showed that bilinguals preferred using their native language, Chinese, over their foreign language, English, when being truthful—namely, announcing a coin when they had one. Even though participants did not choose English more to lie than to tell the truth, our results can be interpreted as a tendency to lie more in English when their behavior in the truth condition is considered the baseline. Participants also switched between languages more often after telling the truth than lying, and after telling the truth they switched more to Chinese. These results provide the first empirical evidence for strategic language use in bilinguals.

Abstract Background The neural networks underpinning language control and domain-general executive functions overlap in bilinguals, but existing evidence is mainly correlative. Here, we present the first neurofunctional evidence for a transfer effect between (domain-general) inhibitory control and language control through training. We trained Chinese–English bilinguals for 8 days using a Simon task taxing the inhibitory control system, whilst an active control group was trained with a color judgment task that does not tax the inhibitory control system. All participants performed a language-switching task before and after training. It has been suggested that the activity of the left DLPFC was associated with domain-general top-down cognitive control (Macdonald et al. Science 288: 1835–1838, 2000) and bilingual language control (Wang et al. Neuroimage 35: 862–870, 2007). In addition, the dACC was closely related to the conflict detection (Abutalebi et al. Cereb Cortex 18:1496–1505, 2008). Last, the activity of the left caudate has been linked with lexical selection (Abutalebi et al. Cereb Cortex 18:1496–1505, 2008), especially the selection of the weak language (Abutalebi et al. Cortex 49: 905–911, 2013). Therefore, we focused on these three regions of interest (ROIs) where neural changes associated with transfer were expected to occur. Results The results showed a negative correlation between changes in activation levels in the left dorsolateral prefrontal cortex (DLPFC) and changes in the switch cost magnitude in the language-switching task in the training group but not in the control group, suggesting that the DLPFC plays a critical role in the transfer effect from domain-general executive functions to language control. However, there was no measurable effect in the anterior cingulate cortex or left caudate nucleus, suggesting that the inhibitory control training increased the neural efficiency for language production in bilinguals in terms of attention shifting and conflict resolution, but the training did not affect conflict detection and lexical selection. Conclusion These findings showed how cognitive training evidence can help establish a causational link between the neural basis of domain-general executive functions and language control in bilinguals.

Simple Summary: Relapse following allogeneic hematopoietic stem cell transplantation (alloHSCT) for acute myeloid leukemia (AML) is the main reason for treatment failure. Most relapses occur during the first six months. We have observed in recent years that some patients relapse late, beyond 2 years after allograft. We sought to evaluate the frequency and the risk factors associated with these late relapses. We observed that these late relapses affect a significant number of patients, that the absence of chronic GvHD is more often associated. In addition, the intensity of the conditioning regimen does not seem to play a role and it is possible to re-treat successfully these patients. We conclude that prolonged monitoring after alloHSCT for AML is recommended. Late relapse, beyond 2 years following alloHSCT for AML, is rare. Among the 376 patients allografted for AML in our center between 1990 and 2016, 142 (38%) relapsed. The majority (68%) of relapses occurred during the first year following transplantation. Beyond 2 years after alloHSCT, relapse was observed in 26 patients, representing 6.9% of the whole transplanted cohort and 18.3% of the relapsing patients. Cytogenetics at relapse was available in 21 patients and remained for 15 of them concordant to that at diagnosis. The majority (85.7%) of the patients were in CR prior to transplant. Thirteen patients had grade 1–2 acute GvHD, while 13 other patients had grade 3–4 acute GvHD. None of these patients subsequently developed chronic GvHD. In multivariate analyses, a predictive factor of the absence of relapse 2 years after transplantation was the development of extensive chronic GVHD. Salvage therapy achieved new CR in 77% of these patients. We conclude that late relapse can affect a significant minority of patients allografted for AML, and the intensity of the conditioning regimen does not seem to have an impact on these relapses. Moreover, we were able to show that those patients can receive effective salvage therapy. [ABSTRACT FROM AUTHOR]

Objectives:. The determinants of decisions to limit life support (withholding or withdrawal) in ventilated stroke patients have been evaluated mainly for patients with intracranial hemorrhages. We aimed to evaluate the frequency of life support limitations in ventilated ischemic and hemorrhagic stroke patients compared with a nonbrain-injured population and to determine factors associated with such decisions. Design:. Multicenter prospective French observational study. Setting:. Fourteen ICUs of the French OutcomeRea network. PATIENTS:. From 2005 to 2016, we included stroke patients and nonbrain-injured patients requiring invasive ventilation within 24 hours of ICU admission. INTERVENTION:. None. MEASUREMENTS AND MAIN RESULTS:. We identified 373 stroke patients (ischemic, n = 167 [45%]; hemorrhagic, n = 206 [55%]) and 5,683 nonbrain-injured patients. Decisions to limit life support were taken in 41% of ischemic stroke cases (vs nonbrain-injured patients, subdistribution hazard ratio, 3.59 [95% CI, 2.78–4.65]) and in 33% of hemorrhagic stroke cases (vs nonbrain-injured patients, subdistribution hazard ratio, 3.9 [95% CI, 2.97–5.11]). Time from ICU admission to the first limitation was longer in ischemic than in hemorrhagic stroke (5 [3–9] vs 2 d [1–6] d; p < 0.01). Limitation of life support preceded ICU death in 70% of ischemic strokes and 45% of hemorrhagic strokes (p < 0.01). Life support limitations in ischemic stroke were increased by a vertebrobasilar location (vs anterior circulation, subdistribution hazard ratio, 1.61 [95% CI, 1.01–2.59]) and a prestroke modified Rankin score greater than 2 (2.38 [1.27–4.55]). In hemorrhagic stroke, an age greater than 70 years (2.29 [1.43–3.69]) and a Glasgow Coma Scale score less than 8 (2.15 [1.08–4.3]) were associated with an increased risk of limitation, whereas a higher nonneurologic admission Sequential Organ Failure Assessment score was associated with a reduced risk (per point, 0.89 [0.82–0.97]). Conclusions:. In ventilated stroke patients, decisions to limit life support are more than three times more frequent than in nonbrain-injured patients, with different timing and associated risk factors between ischemic and hemorrhagic strokes.

Objectives:. About 5% of patients with coronavirus disease-2019 are admitted to the ICU for acute hypoxemic respiratory failure. Opinions differ on whether invasive mechanical ventilation should be used as first-line therapy over noninvasive oxygen support. The aim of the study was to assess the effect of early invasive mechanical ventilation in coronavirus disease-2019 with acute hypoxemic respiratory failure on day-60 mortality. Design:. Multicenter prospective French observational study. Setting:. Eleven ICUs of the French OutcomeRea network. Patients:. Coronavirus disease-2019 patients with acute hypoxemic respiratory failure (Pao2/Fio2 ≤ 300 mm Hg), without shock or neurologic failure on ICU admission, and not referred from another ICU or intermediate care unit were included. Intervention:. We compared day-60 mortality in patients who were on invasive mechanical ventilation within the first 2 calendar days of the ICU stay (early invasive mechanical ventilation group) and those who were not (nonearly invasive mechanical ventilation group). We used a Cox proportional-hazard model weighted by inverse probability of early invasive mechanical ventilation to determine the risk of death at day 60. Measurement and Main Results:. The 245 patients included had a median (interquartile range) age of 61 years (52–69 yr), a Simplified Acute Physiology Score II score of 34 mm Hg (26–44 mm Hg), and a Pao2/Fio2 of 121 mm Hg (90–174 mm Hg). The rates of ICU-acquired pneumonia, bacteremia, and the ICU length of stay were significantly higher in the early (n = 117 [48%]) than in the nonearly invasive mechanical ventilation group (n = 128 [52%]), p < 0.01. Day-60 mortality was 42.7% and 21.9% in the early and nonearly invasive mechanical ventilation groups, respectively. The weighted model showed that early invasive mechanical ventilation increased the risk for day-60 mortality (weighted hazard ratio =1.74; 95% CI, 1.07–2.83, p=0.03). Conclusions:. In ICU patients admitted with coronavirus disease-2019-induced acute hypoxemic respiratory failure, early invasive mechanical ventilation was associated with an increased risk of day-60 mortality. This result needs to be confirmed.

Here, we used event-related potentials to test the predictions of two prominent accounts of code-switching in bilinguals: The Matrix Language Framework (MLF; Myers-Scotton, 1993) and an application of the Minimalist Programme (MP; Cantone and MacSwan, 2009). We focused on the relative order of the noun with respect to the adjective in mixed Welsh–English nominal constructions given the clear contrast between pre- and post-nominal adjective position between Welsh and English. MP would predict that the language of the adjective should determine felicitous word order (i.e., English adjectives should appear pre-nominally and Welsh adjectives post-nominally). In contrast, MLF contends that it is the language of the finite verb inflexion rather than that of a particular word that governs felicitous word order. To assess the predictions of the two models, we constructed sentences featuring a code-switch between the adjective and the noun, that complied with either English or Welsh word-order. Highly proficient Welsh–English bilinguals made semantic acceptability judgements upon reading the last word of sentences which could violate MP assumptions, MLF assumptions, both assumptions, or neither. Behaviourally, MP violations had no significant effect, whereas MLF violations induced an average drop of 11% in acceptability judgements. Neurophysiologically, MP violations elicited a significant Left Anterior Negativity (LAN) modulation, whereas MLF violations modulated both P600 and LAN mean amplitudes. In addition, there was a significant interaction between MP and MLF status in the P600 range: When MP was violated, MLF status did not matter, and when MP criteria were met, MLF violations resulted in a P600 modulation. This interaction possibly reflects a general preference for noun over adjective insertions, and may provide support for MLF over MP at a global sentence processing level. Model predictions also manifested differently in each of the matrix languages (MLs): When the ML was Welsh, MP and MLF violations elicited greater P600 mean amplitudes than MP and MLF adherences, however, this pattern was not observed when the ML was English. We discuss methodological considerations relating to the neuroscientific study of code-switching, and the extent to which our results shed light on adjective-noun code-switching beyond findings from production and experimental-behavioural studies.

Positive and negative moods tend to have differential effects on lexico-semantic processing in the native language (L1). Though accumulating evidence points to dampened sensitivity to affective stimuli in the non-native language (L2), little is known about the effects of positive and negative moods on L2 processing. Here, we show that lexico-semantic processing is differently affected by positive and negative moods only in L1. Unbalanced Polish–English bilinguals made meaningfulness judgments on L1 and L2 sentences during two EEG recording sessions featuring either positive- or negative-mood-inducing films. We observed a reduced N1 (lexical processing) for negative compared to positive mood in L2 only, a reduced N2 (lexico-semantic processing) in negative compared to positive mood in L1 only, a reduced N400 (lexico-semantic processing) for meaningless compared to meaningful L1 sentences in positive mood only, and an enhanced late positive complex (semantic integration and re-analysis) for L2 compared to L1 meaningful sentence in negative mood only. Altogether, these results suggest that positive and negative moods affect lexical, lexico-semantic, and semantic processing differently in L1 and L2. Our observations are consistent with previous accounts of mood-dependent processing and emotion down-regulation observed in bilinguals.

Abstract Intuitively, deriving meaning from an abstract image is a uniquely human, idiosyncratic experience. Here we show that, despite having no universally recognised lexical association, abstract images spontaneously elicit specific concepts conveyed by words, with a consistency akin to that of concrete images. We presented a group of naïve participants with abstract picture–word pairs construed as ‘related’ or ‘unrelated’ according to a preliminary norming procedure conducted with different participants. Surprisingly, the naïve participants with no prior exposure to the abstract images or any hints regarding their possible meaning, displayed a reaction time priming effect for ‘related’ versus ‘unrelated’ picture-word pairs. Critically, this behavioural priming effect, and an associated decrease in N400 mean amplitude indexing semantic priming, both correlated significantly with the degree of relatedness established in the preliminary norming procedure. Given that ratings and electrophysiological measures were obtained in different groups of individuals, our results show that abstract images evoke consistent meaning across observers, as has been shown in the case of music.