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According to the Presupposition-Denial Account, complement set reference arises when focus is on the shortfall between the amount conveyed by a natural language quantifier and a larger, expected amount. Negative quantifiers imply a shortfall, through the denial of a presupposition, whereas positive quantifiers do not. An exception may be provided by irony. One function of irony is to highlight, through indirect negation, the shortfall between what is expected/desired, and what is observed. Thus, a positive quantifier used ironically should also lead to a shortfall and license complement set reference. Using ERPs, we examined whether reference to the complement set is more felicitous following a positive quantifier used ironically than one used non-ironically. ERPs during reading showed a smaller N400 for complement set reference following an ironic compared to a non-ironic context. The shortfall generated thorough irony is sufficient to allow focus on the complement set, supporting the Presupposition-Denial Account., (© 2021. The Author(s).)

Literature assumes that negation is more difficult to understand than affirmation, but this might depend on the pragmatic context. The goal of this paper is to show that pragmatic knowledge modulates the unfolding processing of negation due to the previous activation of the negated situation. To test this, we used the visual world paradigm. In this task, we presented affirmative (e.g., her dad was rich) and negative sentences (e.g., her dad was not poor) while viewing two images of the affirmed and denied entities. The critical sentence in each item was preceded by one of three types of contexts: an inconsistent context (e.g., She supposed that her dad had little savings) that activates the negated situation (a poor man), a consistent context (e.g., She supposed that her dad had enough savings) that activates the actual situation (a rich man), or a neutral context (e.g., her dad lived on the other side of town) that activates neither of the two models previously suggested. The results corroborated our hypothesis. Pragmatics is implicated in the unfolding processing of negation. We found an increase in fixations on the target compared to the baseline for negative sentences at 800 ms in the neutral context, 600 ms in the inconsistent context, and 1450 ms in the consistent context. Thus, when the negated situation has been previously introduced via an inconsistent context, negation is facilitated.

Many forensic scientists use a verbal scale to describe the significance or weight to be attached to their opinion. Although there is a considerable amount of work in the field of psychology regarding people's perception of quantitative descriptors such as those used in the verbal scale, there has been no published work relating to the use of such descriptors in a forensic context. Our aim was to assess the extent to which the verbal expressions used by the expert in court are perceived and the extent to which they are differentiated by potential jurors. Four hundred volunteers were asked to indicate the level of strength they perceived from the use of the verbal scale characters within excerpts from purported expert witness statements. Although preliminary, these results show that there are serious misunderstandings of the verbal scale. It does not achieve the purpose for which it was created. The terms used are unlikely to be understood properly by lay people and it would appear that they are actually misunderstood., (© 2013.)

Background: Ventricular arrhythmias in patients with arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) and idiopathic ventricular tachycardia (VT) can share a left bundle branch block/inferior axis morphology. We previously reported electrocardiogram characteristics during outflow tract ventricular arrhythmias that helped distinguish VT related to ARVD/C from idiopathic VT., Objective: To prospectively validate these criteria., Methods: We created a risk score by using a derivation cohort. Two experienced electrophysiologists blinded to the diagnosis prospectively scored patients with VT/premature ventricular contractions (PVCs) with left bundle branch block/inferior axis pattern in a validation cohort of 37 ARVD/C tracings and 49 idiopathic VT tracings. All patients with ARVD/C had their diagnosis confirmed based on the revised task force criteria. Patients with idiopathic VT were selected based on structurally normal hearts with documented right ventricular outflow tract VT successfully treated with ablation. The scoring system provides 3 points for sinus rhythm anterior T-wave inversions in leads V1-V3 and during ventricular arrhythmia: 2 points for QRS duration in lead I≥120 ms, 2 points for QRS notching, and 1 point for precordial transition at lead V5 or later., Results: A score of 5 or greater was able to correctly distinguish ARVD/C from idiopathic VT 93% of the time, with a sensitivity of 84%, specificity of 100%, positive predictive value of 100%, and negative predictive value of 91%., Conclusions: We describe a simple scoring algorithm that uses 12-lead electrocardiogram characteristics to effectively distinguish right ventricular outflow tract arrhythmias originating from patients with ARVD/C versus patients with idiopathic VT., (Copyright © 2013 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.)

Objective: To evaluate knowledge transfer and perceptions using a structured handover process for the postoperative pediatric cardiac patient being admitted to intensive care. The hypothesis being that knowledge transfer could be optimized by the implementation of this handover structure., Aim: To investigate the effects of the implementation of a structured handover in the intensive care unit, including preadmission cardiac reports and operating room information., Background: Patient handover following pediatric cardiac surgery involves a multidisciplinary team and a potentially unstable patient, which may create multiple cognitive demands for the treating team. This may lead to an increased risk of information error with potentially significant sequelae for the patient., Methods: A prospective interventional study in a tertiary pediatric hospital providing both general and cardiac intensive care in the United Kingdom was undertaken in the postoperative cardiac group. Twenty-one preintervention and 22 postintervention handovers were observed by a trained independent observer. Three phases of the handover, prepatient readiness, prehandover readiness, and information conveyed, were assessed as well as attentiveness, organization of the team, and flow of information during the handover. The duration and number of interruptions were also recorded. Staff perceptions of the handover were also assessed., Results: All three phases of the handover were significantly improved with the handover intervention. The observer scores were also significantly improved as were the perceptions of the staff following the implementation of the handover tool. There was no significant increase in the duration of the handover., Conclusions: Communication between the operating room and intensive care staff, regarding postoperative pediatric cardiac patients, significantly improved with the implementation of a structured handover., (© 2011 Blackwell Publishing Ltd.)

We demonstrate that presentation of information about quantities, whether expressed in natural language or by using numbers, induces a perspective that influences subsequent processing. Experiment 1 shows this to be true for natural language quantifiers, with negative and positive expressions inducing different perspectives. In Experiment 2, we examined the application of this idea to the specific case of perspectives induced by describing products as containing x% fat or as being x% fat free. We found that the percentage-fat description appears to induce a perspective that is sensitive to the level offat being depicted, with products being judged as less healthy at higher amounts of fat. However, this effect was lessened (Experiment 2) or eliminated (Experiment 3) with the percentage-fat-free description. The experiments suggest the fat-free perspective blocks access to assumptions about healthy fat levels.