Revisiting Subject-Object Asymmetry in the Production of Cantonese Relative Clauses: Evidence From Elicited Production in 3-Year-Olds

Emergentist approaches to language acquisition identify a core role for language-specific experience and give primacy to other factors like function and domain-general learning mechanisms in syntactic development. This directly contrasts with a nativist structurally oriented approach, which predicts that grammatical development is guided by Universal Grammar and that structural factors constrain acquisition. Cantonese relative clauses (RCs) offer a good opportunity to test these perspectives because its typologically rare properties decouple the roles of frequency and complexity in subject- and object-RCs in a way not possible in European languages. Specifically, Cantonese object RCs of the classifier type are frequently attested in children's linguistic experience and are isomorphic to frequent and early-acquired simple SVO transitive clauses, but according to formal grammatical analyses Cantonese subject RCs are computationally less demanding to process. Thus, the two opposing theories make different predictions: the emergentist approach predicts a specific preference for object RCs of the classifier type, whereas the structurally oriented approach predicts a subject advantage. In the current study we revisited this issue. Eighty-seven monolingual Cantonese children aged between 3;2 and 3;11 (Mage: 3;6) participated in an elicited production task designed to elicit production of subject- and object- RCs. The children were very young and most of them produced only noun phrases when RCs were elicited. Those (nine children) who did produce RCs produced overwhelmingly more object RCs than subject RCs, even when animacy cues were controlled. The majority of object RCs produced were the frequent classifier-type RCs. The findings concur with our hypothesis from the emergentist perspectives that input frequency and formal and functional similarity to known structures guide acquisition.

Music Does Not Facilitate Lexical Tone Normalization: A Speech-Specific Perceptual Process

Listeners utilize the immediate contexts to efficiently normalize variable vocal streams into standard phonology units. However, researchers debated whether non-speech contexts can also serve as valid clues for speech normalization. Supporters of the two sides proposed a general-auditory hypothesis and a speech-specific hypothesis to explain the underlying mechanisms. A possible confounding factor of this inconsistency is the listeners' perceptual familiarity of the contexts, as the non-speech contexts were perceptually unfamiliar to listeners. In this study, we examined this confounding factor by recruiting a group of native Cantonese speakers with sufficient musical training experience and a control group with minimal musical training. Participants performed lexical tone judgment tasks in three contextual conditions, i.e., speech, non-speech, and music context conditions. Both groups were familiar with the speech context and not familiar with the non-speech context. The musician group was more familiar with the music context than the non-musician group. The results evidenced the lexical tone normalization process in speech context but not non-speech nor music contexts. More importantly, musicians did not outperform non-musicians on any contextual conditions even if the musicians were experienced at pitch perception, indicating that there is no noticeable transfer in pitch perception from the music domain to the linguistic domain for tonal language speakers. The findings showed that even high familiarity with a non-linguistic context cannot elicit an effective lexical tone normalization process, supporting the speech-specific basis of the perceptual normalization process.

The Effect of Clear Speech on Cantonese Alaryngeal Speakers' Intelligibility

Background/Aim:

The purpose of this study was to provide preliminary data concerning the effect of clear speech (CS) on Cantonese alaryngeal speakers’ intelligibility.

Methods:

Voice recordings of 11 sentences randomly selected from the Cantonese Sentence Intelligibility Test (CSIT) were obtained from 31 alaryngeal speakers (9 electrolarynx [EL] users, 10 esophageal speakers and 12 tracheoesophageal [TE] speakers) in habitual speech (HS) and CS. Two naïve listeners orthographically transcribed a total of 1,364 sentences.

Results:

Significant effects of speaking condition on speaking rate and CSIT scores were observed, but no significant effect of alaryngeal communication methods was noted. CS was significantly slower than HS by 0.78 syllables/s. Esophageal speakers demonstrated the slowest speech rate when using CS, while EL users demonstrated the largest decrease in speaking rate when using CS compared to HS. TE speakers had the highest CSIT scores in HS (listener 1 = 81.4%; listener 2 = 81.3%), and esophageal speakers had the highest CSIT scores in CS (listener 1 = 87.5%; listener 2 = 89.7%). EL users experienced the largest increase in intelligibility while using CS compared to HS (9.1%) followed by esophageal speakers (8.9%) and TE speakers (1.4%).

Conclusion:

Preliminary data indicate that CS may significantly affect Cantonese alaryngeal speakers’ speaking rate and intelligibility. However, intelligibility appeared to vary considerably across speakers. Further research involving larger, heterogeneous groups of speakers and listeners alongside longer and more refined CS training protocols should be conducted to confirm that CS can improve Cantonese alaryngeal speakers’ intelligibility.

Linguistic Tone and Non-Linguistic Pitch Imitation in Children with Autism Spectrum Disorders: A Cross-Linguistic Investigation

The conclusions on prosodic pitch features in autism spectrum disorders (ASD) have primarily been derived from studies in non-tonal language speakers. This cross-linguistic study evaluated the performance of imitating Cantonese lexical tones and their non-linguistic (nonspeech) counterparts by Cantonese- and Mandarin-speaking children with and without ASD. Acoustic analyses showed that, compared with typically developing peers, children with ASD exhibited increased pitch variations when imitating lexical tones, while performed similarly when imitating the nonspeech counterparts. Furthermore, Mandarin-speaking children with ASD failed to exploit the phonological knowledge of segments to improve the imitation accuracy of non-native lexical tones. These findings help clarify the speech-specific pitch processing atypicality and phonological processing deficit in tone-language-speaking children with ASD.

Phonological Production in Young Speakers of Cantonese as a Heritage Language

This study investigates the phonological production of 50 heritage speakers of Cantonese aged 5-11 in the USA. They were compared to 12 majority language speaker peers in Hong Kong via ratings from first language adult speakers. Overall, the heritage speakers were rated as less native-like and less comprehensible than the children in Hong Kong, although they received higher scores from raters speaking the same variety of Cantonese (i.e., Guangzhou Cantonese, vs. Hong Kong Cantonese). None of the tested language background factors, including age of testing, had a predictive effect on the heritage speakers' scores. The results illustrate the divergence and heterogeneity of heritage phonology compared to homeland varieties.

Reciprocal effects of morphological awareness, vocabulary knowledge, and word reading: A cross-lagged panel analysis in Chinese

There are strong correspondences among syllable, morpheme, and orthographic representations in Chinese. For this reason, bidirectional relationships have been hypothesized among morphological awareness, vocabulary knowledge, and word reading from an early age. Our study examined the reciprocity of these skills among Hong Kong Chinese primary school children. Data were collected from 160 first graders at two time points and were analyzed using a cross-lagged panel design with the three skills modeled simultaneously. No reciprocal pathways were demonstrated in the model; instead, unidirectional relationships emerged. Morphological awareness facilitated later word reading, and word reading facilitated later vocabulary knowledge. Results are discussed in relation to a developmental account of learning to read in Chinese.

Emotion processing in congenital amusia: the deficits do not generalize to written emotion words

Congenital amusia is a lifelong impairment in musical ability. Individuals with amusia are found to show reduced sensitivity to emotion recognition in speech prosody and silent facial expressions, implying a possible cross-modal emotion-processing deficit. However, it is not clear whether the observed deficits are primarily confined to socio-emotional contexts, where visual cues (facial expression) often co-occur with auditory cues (emotion prosody) to express intended emotions, or extend to linguistic emotion processing. In order to better understand the underlying deficiency mechanism of emotion processing in individuals with amusia, we examined whether reduced sensitivity to emotional processing extends to the recognition of emotion category and valence of written words in individuals with amusia. Twenty Cantonese speakers with amusia and 17 controls were tested in three experiments: (1) emotion prosody rating, in which participants rated how much each spoken sentence was expressed in each of the four emotions on 7-point rating scales; (2) written word emotion recognition, in which participants recognized the emotion of written emotion words; and (3) written word valence judgment, in which participants judged the valence of written words. Results showed that participants with amusia preformed significantly less accurately than controls in emotion prosody recognition; in contrast, the two groups showed no significant difference in accuracy rates in both written word tasks (emotion recognition and valence judgment). The results indicate that the impairment of individuals with amusia in emotion processing may not generalize to linguistic emotion processing in written words, implying that the emotion deficit is likely to be restricted to socio-emotional contexts in individuals with amusia.

Picture naming in bilingual and monolingual Chinese speakers: Capturing similarity and variability

Picture-naming latency differs across languages in bilingual speakers. We compared the effects of key psycholinguistic variables on picture naming among two groups of Chinese bilingual speakers and Mandarin monolingual speakers. First, we asked bilingual and monolingual speakers to estimate the age of acquisition, familiarity, visual complexity, name agreement, and imageability of a set of object and action pictures in Mandarin and Cantonese. Next, we recruited 60 Cantonese-English speakers, 50 Mandarin-Cantonese bilingual speakers, and 30 monolingual speakers who named the object and action pictures in Cantonese and Mandarin, respectively. We observed variability in the effects of item-level characteristics among groups, suggesting an interaction between item-level and individual-level characteristics as predicted. This variability was higher in bilingual speakers who spoke similar languages (Mandarin-Cantonese) in comparison to those speaking more distant languages (Cantonese-English). Our results suggest that monolingual norms and bilingual norms capture the same amount of variability; however, grammatical class interactions with other variables are explained differentially by the bilingual and monolingual norms. We discuss the implications of our findings in terms of norming studies for timed picture naming and effects of bilingualism on language processing.

Orthographic and phonological activation in Hong Kong deaf readers: An eye-tracking study

We used an error disruption paradigm to investigate how deaf readers from Hong Kong, who had varying levels of reading fluency, use orthographic, phonological, and mouth-shape-based (i.e., "visemic") codes during Chinese sentence reading while also examining the role of contextual information in facilitating lexical retrieval and integration. Participants had their eye movements recorded as they silently read Chinese sentences containing orthographic, homophonic, homovisemic, or unrelated errors. Sentences varied in terms of how much contextual information was available leading up to the target word. Fixation time analyses revealed that in early fixation measures, deaf readers activated word meanings primarily through orthographic representations. However, in contexts where targets were highly predictable, fixation times on homophonic errors decreased relative to those on unrelated errors, suggesting that higher levels of contextual predictability facilitated early phonological activation. In the measure of total reading time, results indicated that deaf readers activated word meanings primarily through orthographic representations, but they also appeared to activate word meanings through visemic representations in late error recovery processes. Examining the influence of reading fluency level on error recovery processes, we found that, in comparison to deaf readers with lower reading fluency levels, those with higher reading fluency levels could more quickly resolve homophonic and orthographic errors in the measures of gaze duration and total reading time, respectively. We conclude with a discussion of the theoretical implications of these findings as they relate to the lexical quality hypothesis and the dual-route cascaded model of reading by deaf adults.

Infant learning of words in a typologically distant nonnative language

Infants attune to their native language during the first two years of life, as attested by decreases in the processing of nonnative phonological sounds and reductions in the range of possible sounds accepted as labels for native words. The present study shows that French-learning infants aged 1;8 can learn new words in an unfamiliar language, Cantonese, after just 6 repetitions of each word. This shows that word learning in a nonnative language remains possible during the second year of life even in a nonnative language that is typologically distinct from the native language.

Not Scared of Sugar™: Outcomes of a structured type 2 diabetes group education program for Chinese Australians

Type 2 diabetes disproportionately affects the Chinese population yet there are no structured diabetes education programs specifically designed for this community in Australia. This project aimed to develop and evaluate a pilot type 2 diabetes group education program designed specifically for Chinese migrants living in Australia. A non-randomised pre- versus post-intervention trial was conducted between March 2017 and November 2018. A culturally tailored group education program (Not Scared of Sugar™) was developed and piloted with Melbourne-based Cantonese-speaking people with type 2 diabetes. Program teaching styles were aligned with the Confucian cultural process of learning and incorporated culturally specific strategies to promote healthy behaviour change. Thirty-four individuals (35% male) attended five education sessions over ten weeks, delivered by a Cantonese-speaking facilitator and multidisciplinary clinicians. Data were collected from participants at baseline, on program completion and at 6 months follow-up. Mean (SD) participant age was 69 (9) years, with a mean time of 25.7 (10.8) years in Australia and a median duration of diabetes of 10 (IQR = 2.8-20.5) years. At program completion, mean participant waist circumference (90.5 versus 89.2 cm, p < .001) and waist-to-height ratio (0.574 vs. 0.566, p < .001) was significantly reduced and both were further reduced at 6-month follow-up (p < .05). There was a significant increase in the median frequency of diabetes self-care behaviours undertaken, with American Association of Diabetes Educators Questionnaire Score: 30 (22-32.3) versus 33 (29.8-35.0), p < .001 at 6-month follow-up. Diabetes-related distress assessed by PAID-C was also significantly reduced at 6-month follow-up (p < .05). Mean HbA1c was unchanged after 6 months; 51 (7.9) versus 50 (7.8) mmol/mol, p = .316. Program attrition was 6%. Not Scared of Sugar™ successfully reduced waist circumference, increased diabetes self-management behaviours and reduced diabetes distress in Cantonese-speaking Australians, which may positively impact long-term risk of vascular complications.

Variation in phonological bias: Bias for vowels, rather than consonants or tones in lexical processing by Cantonese-learning toddlers

Consonants and vowels have been considered to fulfill different functions in language processing, vowels being more important for prosodic and syntactic processes and consonants for lexically related processes (Nespor, Peña, & Mehler, 2003). This C-bias hypothesis in lexical processing is supported by studies with adults and infants in many languages such as English, French, Spanish, although a few studies, on Danish and Mandarin, suggest the existence of cross-linguistic variation. The present study explores whether a C-bias exists in a tone language with a complex tone system, Cantonese, by comparing the relative weight given to consonants, vowels, and also tones during word learning. To do so, looking behaviors of Cantonese-learning 20- and 30-month-olds (24 children per age/condition, 6 groups) were recorded by an eyetracker while they watched animated cartoons in Cantonese to learn pairs of novel words. The words differed minimally by either a consonant (e.g., /tœ6/ vs. /kœ6/), a vowel (e.g., /k^him3/ vs. /k^hɛm3/), or a tone (e.g., T2 vs. T5). Analyses on proportional looking times revealed significant learning in 30-month-olds only, and at that age, only for the vowel contrasts. Growth curve analyses revealed better performance for the vowel condition compared to the other two conditions. The present findings establish a V-bias in Cantonese-learning 30-month-olds, adding new evidence from that tone language that the C-bias in lexical processing is not language-general. Implications for theoretical discussions on the origins of this phonological bias, and the impact of tones in early language acquisition, are discussed.

The Effect of Word Predictability on Phonological Activation in Cantonese Reading: A Study of Eye-Fixations and Pupillary Response

This study aimed to investigate the effects of contextual predictability on orthographic and phonological activation during Chinese sentence reading by Cantonese-speaking readers using the error disruption paradigm. Participants' eye fixations and pupil sizes were recorded while they silently read Chinese sentences containing homophonic, orthographic, and unrelated errors. Sentences had varying amounts of contextual information leading up to target words such that some targets were more predictable than others. Results of the fixation time analysis indicated that orthographic effects were significant in first fixation and gaze duration, while phonological effects emerged later in total reading time. However, interactions between predictability and the homophonic condition were found in gaze duration. These results suggest that, while Cantonese readers activate word meanings primarily through orthography in early processing, early phonological activation can occur when facilitated by semantics in high-constraint sentence contexts. Analysis of pupillary response measurements revealed that participants' pupil sizes became larger when they read words containing orthographic errors, suggesting that orthographic error recovery processes significantly increase cognitive load.

The Perception of Cantonese Vowel Length Contrast by Mandarin Speakers

The study investigates the perception of vowel length contrasts in Cantonese by native Mandarin speakers with varying degrees of experience in Cantonese: naïve listeners (no exposure), inexperienced learners (~1 year), and experienced learners (~5 years). While vowel length contrasts do not exist in Mandarin, they are, to some extent, exploited in English, the second language (L2) of all the participants. Using an AXB discrimination task, we investigate how native and L2 phonological knowledge affects the acquisition of vowel length contrasts in a third language (L3). The results revealed that all participant groups could discriminate three contrastive vowel pairs (/aː/-/ɐ/, /ɛː/-/e/, /ɔː/-/o/), but their performance was influenced by the degree of Cantonese exposure, particularly for learners in the early stage of acquisition. In addition to vowel quality differences, durational differences were proposed to explain the perceptual patterns. Furthermore, L2 English perception of the participants was found to modulate the perception of L3 Cantonese vowel length contrasts. Our findings demonstrate the bi-directional interaction between languages acquired at different stages, and provide concrete data to evaluate some speech acquisition models.

Dichotic Perception of Lexical Tones in Cantonese-Speaking Congenital Amusics

Congenital amusia is an inborn neurogenetic disorder of musical pitch processing, which also induces impairment in lexical tone perception. However, it has not been examined before how the brain specialization of lexical tone perception is affected in amusics. The current study adopted the dichotic listening paradigm to examine this issue, testing 18 Cantonese-speaking amusics and 18 matched controls on pitch/lexical tone identification and discrimination in three conditions: non-speech tone, low syllable variation, and high syllable variation. For typical listeners, the discrimination accuracy was higher with shorter RT in the left ear regardless of the stimulus types, suggesting a left-ear advantage in discrimination. When the demand of phonological processing increased, as in the identification task, shorter RT was still obtained in the left ear, however, the identification accuracy revealed a bilateral pattern. Taken together, the results of the identification task revealed a reduced LEA or a shift from the right hemisphere to bilateral processing in identification. Amusics exhibited overall poorer performance in both identification and discrimination tasks, indicating that pitch/lexical tone processing in dichotic listening settings was impaired, but there was no evidence that amusics showed different ear preference from controls. These findings provided temporary evidence that although amusics demonstrate deficient neural mechanisms of pitch/lexical tone processing, their ear preference patterns might not be affected. These results broadened the understanding of the nature of pitch and lexical tone processing deficiencies in amusia.

Automatic Assessment of Speech Impairment in Cantonese-speaking People with Aphasia

Aphasia is a common type of acquired language impairment resulting from dysfunction in specific brain regions. Analysis of narrative spontaneous speech, e.g., story-telling, is an essential component of standardized clinical assessment on people with aphasia (PWA). Subjective assessment by trained speech-language pathologists (SLP) have many limitations in efficiency, effectiveness and practicality. This paper describes a fully automated system for speech assessment of Cantonese-speaking PWA. A deep neural network (DNN) based automatic speech recognition (ASR) system is developed for aphasic speech by multi-task training with both in-domain and out-of-domain speech data. Story-level embedding and Siamese network are applied to derive robust text features, which can be used to quantify the difference between aphasic speech and unimpaired one. The proposed text features are combined with conventional acoustic features to cover different aspects of speech and language impairment in PWA. Experimental results show a high correlation between predicted scores and subject assessment scores. The best correlation value achieved with ASR-generated transcription is .827, as compared with .844 achieved with manual transcription. The Siamese network significantly outperforms story-level embedding in generating text features for automatic assessment.

Screening for hearing loss in the Hong Kong Cantonese-speaking elderly using tablet-based pure-tone and word-in-noise test

Objective: The present study aimed to establish the test-retest reliability and validity of a tablet-based automated pure-tone screening test and a word-in-noise test as hearing screening tools for older Hong Kong Cantonese-speaking adults.Design and study sample: It was a cross-sectional within-subject study. One hundred and thirty-two older adults participated in this study, and 112 of them completed the automated pure-tone screening test, word-in-noise test, and conventional pure-tone audiometry. Pure-tone threshold of 40 dB HL at each of the tested frequencies including 500, 1000, 2000 and 4000 Hz, obtained with conventional pure-tone audiometry was set as the pass/refer criterion, for the calculation of sensitivity and specificity of the tablet-based screening tools.Results: The tablet-based automated pure-tone screening test yielded a sensitivity of 0.93 and specificity of 0.82, while the word-in-noise test yielded a sensitivity of 0.81 and specificity of 0.70 with the cut-off chosen as a speech reception threshold of -3.5 dB signal-to-noise ratio. Both tests require around 3 minutes to be completed on both ears.Conclusions: The tablet-based pure-tone test and word-in-noise test are reliable and valid to be used as screening tools for hearing loss in the Hong Kong Cantonese-speaking elderly.

The Lombard effect associated with Chinese male alaryngeal speech

Objective: Alaryngeal speech shows marked reduction in vocal intensity, resulting in reduced intelligibility. Lombard effect, speaking with background noise has been found to boost speakers' intensity. The study investigated oesophageal (ES), tracheoesophageal (TE) and electrolaryngeal (EL) speech production under quiet and noisy background conditions to determine if the Lombard effect is still present after laryngectomy.Method: Fifteen laryngeal and thirty-seven alaryngeal speakers who were native speakers of Cantonese were recruited and instructed to read aloud a Cantonese passage under two background conditions: quiet and 100 dB background noise conditions.Result: Significant increase in vocal intensity was found in all speaker types under the noise condition. In addition, perceived intelligibility ratings provided by naïve Cantonese listeners revealed that the overall intelligibility under noise was improved for TE and laryngeal speakers, but not for ES and EL speakers, when compared with quiet condition.Discussion and conclusion: Results confirmed that the Lombard effect is still present after total laryngectomy. However, intelligibility may not always be improved with increased vocal loudness. Improved intelligibility was only observed for TE and laryngeal speakers, but not ES and EL speakers. Clinical implications for the use of the Lombard effect in post-laryngectomy speech rehabilitation are discussed.

The use of the Lombard Effect in Improving Alaryngeal Speech

OBJECTIVE

The present study examined and compared the Lombard effect among laryngeal and alaryngeal speakers including esophageal, tracheoesophageal, pneumatic artificial laryngeal, electrolaryngeal speakers of Cantonese. The subsequent change in intelligibility was also examined.

METHODS

A total of 52 native Cantonese-speaking laryngeal and alaryngeal speakers (10 laryngeal , 8 laryngeal , 13 electrolaryngeal , 11 esophageal, and 10 tracheoesophageal) participated in a reading task involving three 10-syllable Cantonese sentences under 10 background conditions: quiet, 60 dB, 65 dB, 70 dB, 75 dB, 80 dB, 85 dB, 90 dB, 95 dB, and 100 dB white background noise. Speech intelligibility associated with speaking conditions were evaluated by five naïve Cantonese speakers.

RESULTS

Output intensity was significantly increased in all speaker types under all nine noisy background conditions when compared with the quiet condition. However, the amount of increase was different for different modes of phonation. In addition, significant difference in speech intelligibility between laryngeal and alaryngeal speakers was found at all conditions, but not among any alaryngeal speech.

DISCUSSION AND CONCLUSION

The Lombard reflex is still present after total laryngectomy. Yet, different alaryngeal speech was associated with different amount of loudness change, and subsequent improvement in intelligibility was not observed.

Cantonese AphasiaBank: An annotated database of spoken discourse and co-verbal gestures by healthy and language-impaired native Cantonese speakers

This article reports the construction of a multimodal annotated database of spoken discourse and co-verbal gestures by native healthy speakers of Cantonese and individuals with language impairment: the Cantonese AphasiaBank. This corpus was established as a foundation for aphasiologists and clinicians to use in designing and conducting research investigations into theoretical and clinical issues related to acquired language disorders in Chinese. Details in terms of the purpose, structure, and levels of annotation of the database (containing part-of-speech-annotated orthographic transcripts with Romanization and the corresponding videos) are described. The discussion presents the challenges of building a spoken database of a language that is not linguistically well-researched and that does not have a standardized written form for many of its lexical items, as well as presenting how these issues were addressed. Most importantly, the article highlights the potential of Cantonese AphasiaBank as a powerful research tool for linguists and psycholinguists.

Modified semantic feature analysis for anomia: a single case study

Semantic feature analysis (SFA) is a treatment approach designed for patients with lexical retrieval difficulty caused by semantic deficits. During training, a structured framework (e.g. requiring the patient to name the category, function, and colour of the target items) is usually provided to facilitate the patient in thinking of the semantic features of the target items. Nevertheless, the use of a structured framework potentially limits the variety of semantic features activated for lexical retrieval. This study investigated the effectiveness of modified SFA training to address this potential limitation. An odd-man-out task was carried out in the modified SFA training with an anomic patient with impaired access to the phonological output lexicon. The task aimed to encourage a detailed comparison of semantic features among items in the same category. It is hypothesized that activations of more distinctive semantic features belonging to the target items will result in greater extent of generalizations in the lexical processing. The patient's abilities in naming semantic features at the beginning and at the end of each treatment session were compared. Besides, accuracy and error patterns in oral and written naming in the initial and post-treatment assessment were also compared. The results showed a significant increase in the number of semantic features retrieved within treatment sessions. Moreover, a significant improvement in oral picture naming was also observed subsequent to the modified SFA training. Finally, the results of the error analyses further supported that the modified SFA was effective in promoting overall lexical processing. The findings indicated that both quantity and distinctiveness of concepts activated in the semantic system are essential to effective lexical retrieval. Theoretical and clinical implications were also discussed.

The Cantonese Hearing in Noise Test for Children

The aim of this study was to develop a children's version of the Cantonese Hearing in Noise Test (CHINT-C). This was accomplished in two stages. First, a total of 120 sentences understood by children aged 6-7 years were selected from the original pool of CHINT sentences and were grouped into 12 lists, each containing 10 sentences composed of 10 characters. Following this, 260 primary and secondary school children, with ages ranging from 6 to 17 years, and 21 adults of age 18 or older were administered the CHINT-C to determine its reliability/validity, normative data, and age-specific correction factors. The result showed good interlist reliability, and test–retest reliability for the CHINT-C. The speech perception skills assessed using the CHINT-C do not reach adult level until after 11-13 years of age. Correction factors were established that could be used to determine age-specific norms for the evaluation of speech intelligibility of children in various sound fields.

Spearcon Sequences for Monitoring Multiple Patients: Laboratory Investigation Comparing Two Auditory Display Designs

OBJECTIVE

The aim was to compare the effectiveness of two auditory displays, implemented with spearcons (time-compressed speech), for monitoring multiple patients.

BACKGROUND

Sequences of sounds can convey information about patients' vital signs, such as oxygen saturation (SpO₂) and heart rate (HR). We tested whether participants could monitor five patients using spearcon-based sound sequences.

METHOD

A 2 × 3 within-subjects design was used. The first factor was interface, with two levels: the ALL interface used spearcons to convey vital signs for all five patients, whereas the ABN (abnormal) interface represented patients who had normal vital signs with a low-pitched single-tone sound and patients who had at least one abnormal vital sign with spearcons. The second factor was the number of patients who had at least one abnormal vital sign: there were one, two, or three such patients in each monitoring sequence. Participants were 40 nonclinicians.

RESULTS

Participants identified abnormal patients' SpO₂ and HR levels and located abnormal patients in the sound sequence more accurately with the ABN interface than the ALL interface. Accuracy declined as the number of abnormal patients increased. Participants associated ABN with easier identification of vital signs, resulting in higher ratings of confidence and pleasantness compared with ALL.

CONCLUSION

Sequences of spearcons may support effective eyes-free monitoring of multiple patients.

APPLICATION

Sequences of spearcons may be useful in monitoring multiple patients and the underlying design principles may extend to monitoring in other domains such as industrial process control or control of multiple autonomous vehicles.

Does language similarity affect representational integration?

Previous studies have suggested that multilingual speakers do not represent their languages entirely separately but instead share some representations across languages. To determine whether sharing is affected by language similarity, we investigated whether participants' tendency to repeat syntax across languages was affected by language similarity. In three cross-linguistic structural priming experiments, trilingual Mandarin-Cantonese-English participants heard a sentence in Cantonese or English (which they matched to a picture) and then described a dative event in Mandarin. When prime and target sentences involved different actions (Experiment 1), structural priming was unaffected by language similarity. But when prime and target involved the same action (Experiments 2 and 3), priming was stronger between related languages (i.e., Cantonese to Mandarin) than unrelated languages (i.e., English to Mandarin). Similar languages are not more integrated than dissimilar languages overall, but the representations that connect lexical and syntactic information are more closely integrated.

The Protective Effect of Cantonese/Mandarin Bilingualism on the Onset of Alzheimer Disease

BACKGROUND

Several studies have found that bilingualism can delay the age of onset of Alz-heimer disease (AD). The interpretation of these findings is that switching between two languages can enhance cognitive reserve. However, some studies have provided inconsistent results. Diverse language pairs used by the bilinguals in different studies may contribute to the discrepancies. Cantonese and Mandarin are widely used in southern China, and regarded as bilingualism. The present study aims to determine if Cantonese/Mandarin bilingualism can delay the onset of AD.

METHODS

The data of 129 patients diagnosed with probable AD, including 48 Cantonese monolinguals, 20 Mandarin monolinguals, and 61 Cantonese/Mandarin bilinguals were analyzed.

RESULTS

Cantonese/Mandarin bilinguals were found to have an older age at AD onset, and older age at the first clinic visit than Mandarin monolinguals and Cantonese monolinguals. Both Mandarin monolinguals and Cantonese/Mandarin bilinguals had a higher education level and higher occupation status than the Cantonese monolinguals. Mandarin monolinguals did not differ from Cantonese/Mandarin bilinguals significantly in years of education and occupation status. The multiple linear regression analyses indicated that Cantonese/Mandarin bilingualism can delay the onset of AD independently.

CONCLUSION

Constantly speaking both Cantonese and Mandarin from at least early adulthood can delay the onset of AD.